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1,400
[ "-", "No", "intracranial", "hemorrhage", "or", "recent", "large", "territorial", "infarction." ]
[ 0, 1, 2, 2, 2, 2, 2, 2, 2 ]
1,401
[ "-", "No", "evidence", "of", "cerebral", "venous", "sinus", "trhrombosis." ]
[ 0, 1, 2, 2, 2, 2, 2, 2 ]
1,402
[ "-", "Old", "infarction", "at", "superior", "left", "cerebellar", "hemisphere", "and", "a", "few", "odl", "lacunar", "infarction", "at", "right", "high", "frontal,", "both", "periventricular,", "and", "right", "occipital", "regions." ]
[ 0, 1, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2 ]
1,403
[ "•", "CSF", ":", "WBC", "2", "cell/cumm,", "RBC", "0,", "total", "protein", "151", "mg/dl,", "glucose", "64/113", "(ratio", "0.56),", "C/S", "NG" ]
[ 0, 1, 0, 1, 0, 0, 1, 0, 1, 2, 0, 0, 1, 0, 0, 0, 1, 0 ]
1,404
[ "anti-neuronal", "antibody", "panels", ":", "negative", "autoimmune", "encephalitis", "panels", ":", "negative" ]
[ 1, 2, 2, 0, 0, 1, 2, 2, 0, 0 ]
1,405
[ "•", "EEG", "(3/7/63):", "mildly", "abnormal", "and", "consistent", "with", "mild", "diffuse", "encephalopathy,", "no", "epileptiform", "discharge", "or", "EEG", "seizure", "was", "seen" ]
[ 0, 1, 0, 1, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2 ]
1,406
[ "-", "MRI", "brain", "for", "further", "clinical", "clues" ]
[ 0, 1, 2, 0, 0, 0, 0 ]
1,407
[ "consult", "psychiatrist", "ร่วม", "ประเมิน", ">", "Risperidone", "po" ]
[ 1, 2, 0, 0, 0, 1, 0 ]
1,408
[ "clinical", "ดีขึ้น", "ตอบสนอง", "เร็ว", "ขึ้น", " ", "ตอบ", "ตรง", "คำถาม", "ไม่", "พูดถึง", "เรื่อง", "คน", "มา", "ทำร้าย", "หรือ", "คน", "มา", "ขโมย", "เงิน" ]
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1,409
[ "2.)", "Primary", "hypothyroidism", "most", "likely", "atrophic", "thyroiditis" ]
[ 0, 1, 2, 2, 2, 2, 2 ]
1,410
[ "Consult", "Endocrinologist", "ร่วม", "ประเมิน", "คิดถึง", "atrophic", "thyroiditis", "มาก", "ที่สุด" ]
[ 1, 2, 0, 0, 0, 1, 2, 0, 0 ]
1,411
[ ">", "adequate", "response", "to", "treatment", ">", "continue", "Levothyroxine", "dose", "เดิม", "50mcg/day" ]
[ 0, 1, 2, 2, 2, 0, 0, 1, 0, 0, 0 ]
1,412
[ "3.)", "Acute", "decompensated", "heart", "failure", "suspected", "pricipitated", "from", "poor", "drug", "compliance" ]
[ 0, 1, 2, 2, 2, 2, 2, 2, 2, 2, 2 ]
1,413
[ "แร", "กรับ", "มี", "dyspnea", "with", "hypoxemia", "ตรวจร่างกาย", "พบ", "fine", "crepitation", "both", "lungs", ",", "CXR", "increased", "pulmonary", "vasculature" ]
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1,414
[ "-", "RA", "and", "RV", "are", "dilated", ",", "RV", "systolic", "function", "is", "impaired" ]
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[ "-", "mitral", "prosthetic", "valve", "is", "good", "opening", "and", "normal", "function", ",", "no", "paravalvular", "leakage" ]
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[ "-", "mild", "TR", "after", "TR", "repair", ",", "other", "valves", "appear", "normal" ]
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1,417
[ "-", "Pulmonary", "hypertension", "MPAP", "25.25mmHg" ]
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1,418
[ "หลัง", "ได้", "diuretic", "I&O", "negative", ">", "clinical", "improved", " ", "ไม่", "หอบ", "เหนื่อย" ]
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1,419
[ "4.)", "gross", "hematuria" ]
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1,420
[ "1/7/63", "มีปัญหา", "urine", "ใน", "Foley", "'s", "cath", " ", "ปน", "เลือด", "+", "ลิ่มเลือด", "ประมาณ", "200mL", "hemodynamic", "stable", "ไม่", "ทราบ", "ว่า", "ดึง", "สาย", "หรือไม่" ]
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[ "consult", "urologist", "ร่วม", "ประเมิน", "+", "renotify", "หลัง", "ได้", "CTWA", ":", "A", "2.3x1.6", "cm", "hemorrhagic", "cyst", "at", "the", "interpolar", "region", "of", "the", "left", "kidney", "is", "seen", ".", "A", "0.7", "cm", "hyperdense", "lesion", "at", "the", "right", "lower", "pole", "is", "also", "noted", ",", "could", "be", "a", "small", "calyceal", "stone", ".", "No", "hydronephrosis", "is", "seen", "in", "both", "kidneys." ]
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[ "Plan", "นัด", "F/U", "for", "flexible", "cystoscopy", "+", "U/S" ]
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1,423
[ "หลังจากนั้น", "ไม่", "มีปัญหา", " ", "gross", " ", "hematuria", "อีก", ",", "Off", "foley's", "catheter", ">", "void", " ", "ได", "้" ]
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[ "2/7/63", "แขนขวา", "บวม", "แดง", "ปวด" ]
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1,425
[ "Management", "-start", "Augmentin", "po", "2-5/7/63", "clinical", "not", "improved", "->", "ปรับ", "เป็น", "Cefazolin", "IV", "5/7/63", "ต่อมา", "thrombophlebitis", "improved,", "H/C", "NG", "แต่", "ยังมี", "ไข้", "ต่ำ", "ๆ", " ", "ช่วง", "หลังจาก", "มี", "hematoma", "จึง", "ให้", "Cefazolin", "ต่อ", "ในแง่", "infected", "hematoma", "ถึง", "18/7/63", "รวม", "14", "วัน", "H/C", "NG" ]
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[ "7.)", "Severe", "rheumatic", "mitral", "valve", "stenosis", "s/p", "mitral", "valve", "replacement", ",", "severe", "TR", "s/p", "TV", "repair" ]
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[ "7/7/63", "ผู้ป่วย", "มี", "ก้อน", "hematoma", " ", "ที่", "หน้าท้อง", "ขนาด", "19cm.", "ร่วมกับ", "hypotension", ",", "anemia", "Hct", "drop", "28.6%", "->", "21.9%", "INR", "1.53" ]
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[ "ได้", "ให้", "IV", "resuscitation", ",", "PRC", "transfusion", "ส่ง", "CTA", "WA", "Emergency", "ประเมิน", "พบ" ]
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[ "-", "Intramuscular", "hematoma", "at", "lower", "rectus", "abdominis", "with", "suspected", "active", "extravasation", "from", "left", "inferior", "epigastric", "artery", ".This", "abdominal", "wall", "hematoma", "extends", "downward", "towards", "extraperitoneal", "space", "of", "pelvic", "cavity,", "at", "either", "side", "of", "anterolateral", "aspect", "of", "bladder." ]
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[ "•", "จึง", "consult", "IR", "for", "embolization", "->", "set", "Emergency", "angiography", "with", "embolization", "7/07/63" ]
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[ "ward", ",", "cardiologist", ",", "hematologist", "จึง", "ได้", "ให้", "Unfractionated", "heparin", "drip", "ในแง่", "prosthetic", "valve", "ระหว่าง", "รอ", "Warfarin", "หมด", "half", "life" ]
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[ "13/7/63", "PT", "14.1", "sec,", "INR", "1.28", ">", "จึง", "ส่ง", "off", "vascular", "sheath" ]
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[ "15/7/63", "วัด", "abdominal", "circumference", "พบ", "92", ">", "95cm.", "ร่วมกับ", "Hct", "30.1%", "->", "27.6%", "จึง", "ขอ", "U/S", "whole", "abdomen", "emergency", "ประเมิน", "เรื่อง", "hematoma" ]
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[ "-", "No", "change", "in", "size", "of", "very", "large", "hematomas", "of", "bilateral", "rectus", "sheaths", "inferior", "to", "the", "arcuate", "line", "(right", "greater", "than", "left)", "with", "blood", "seeping", "into", "pelvic", "retroperitoneum", "and", "possible", "into", "peritoneal", "cavity." ]
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1,438
[ "ได้", "ให้", "unfractionated", "heparin", "IV", "drip", ",", "keep", "aPTT", "ratio", "1.5-2.0,", "restart", "Warfarin", "14/7/63" ]
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[ "ขณะนั้น", "คิดถึง", "Morphine", "(", "ที่", "ได้", "ในแง่", "pain", "control", ")", "ทำให้", "hypoventilation", "หลัง", "off", "Morphine", "ยัง", "มีปัญหา", "hypoventilation", "ปรึกษา", "Attending", "staff", "คิดถึง", "เป็น", "จาก", "hypothyroidism" ]
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[ "on", "O2", "canula", "2LPM", "(", "O2", "sat", "RA", "89-90%)" ]
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[ "Plan", "-", "continue", "Acetazolamide" ]
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1,443
[ "-", "home", "oxygen" ]
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[ "9.)", "hearing", "loss" ]
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[ "consult", "ENT", "ร่วม", "ประเมิน" ]
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1,446
[ "#1.", "ADHF", "wet", "and", "cold", "HFrEF", "[infection", "precipitated]", "with", "LM-CAD" ]
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1,447
[ "Present", "with", "clinical", "HF", ",", "EKG", "sinus", "tachy", ",", "HR", "130,", "TWI", "V5-V6", "I", "aVL", ",", "Trop", "129à", "219" ]
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[ "On", "Dobutamin", "off", "+", "Lasix", "keep", "I/O", "neg", "+", "NTG", "switch", "to", "nitrate", "Hydralazine" ]
[ 0, 1, 0, 0, 1, 0, 1, 2, 0, 1, 0, 0, 1, 2 ]
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[ "S/P;", "CAG/PCI", "for", "indication", "recurrent", "HF", "[10/7/63]", "à", "LM", "coronary", "dz,", "double", "vessel,", "DES", "assist", "PCI", "x1" ]
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[ "Cont", "triple", "tx", ";", "warfarin", "with", "DAPT", ",", "warfarin", "24", "mg/wk", "à", "INR", "1.76", "[24/7/63]", "plan", "keep", "2-3" ]
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[ "Cr", "1.6", "force", "oral", "fluid", "Follow", "Cr", "2.23", "then", "2.17", "before", "discharge" ]
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[ "#3.", "Acute", "Tracheobronchitis", "improved" ]
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1,453
[ "Sputum", ";", "mixed", "MDR", "pathogen" ]
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1,454
[ "#4.", "Nosocromial", "infection", "septicemia", "[UTI,", "HAP]", "improved" ]
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[ "Sputum", ";", "P.aeruginosa", "19/7/63", ",", "UC", ";", "E.Coli", "ESBL", "Sense", "PIP/TZ" ]
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[ "1.", "Acute", "hemorrhagic", "stroke", "(", "Hypertensive", "pontine", "hemorrhage", ")" ]
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[ "last", "seen", "normal", "28/6/63", "7.00", "น" ]
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[ "1st", "seen", "abnormal", "28/6/63", "13.00", "(2.5", "hr", "pta)", ":", "present", "with", "quadriparesis", "(", "weak", "Rt.>Lt", ".)", "+", "AOC", "+", "dysarthria" ]
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[ "Hx", "smoking", "10", "pack", "year,", "social", "alcohol", "drink" ]
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[ "increased", "tone", "right", "LE", ",", "motor", "RUE", "grade", "1", ",", "LUE", "grade", "4", ",", "RLE", "grade", "1", ",", "LLE", "grade", "4" ]
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[ "DTR", "2+", "all", ",", "BBK", "present", "both", "sides" ]
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1,463
[ "-", "Etiology", ":", "vascular,", "Hypertensive", "pontine", "hemorrhage", "ddx", "abnormal", "vessel", "ex)", "AVM", ",", "carvernoma" ]
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1,464
[ "-", "Consult", "neuro", "Sx", ":", "plan", "conservative", "tx", ">>", "Nicardipine", "IV", "drip", "+", "Transamine", "1", "gm", "IV", "+", "20%mannitol", "iv", "(29/6/63-2/7/63)" ]
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[ "•", "ขณะ", "admit", "28/6/63", "ซึม", "ลง", "E1V1M5", ">>on", "ETT", "protect", "airway", ">>repeat", "CT", "brain", ":", "potine", "hemprrhage", "ขนาด", "พอ", "ๆ", "เดิม", "6.8", "cm^3" ]
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[ "•", "Neuro", "sx", ":", "นัด", "MRI", "+", "MRA", "brain", "c", "Gd", "next", "3", "mo,", "ประเมิน", "carvernoma" ]
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[ "•", "Holter", "monitor", "*72", "hr", ":", "no", "AF" ]
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1,468
[ "(14.8", "TMP", "mg/kg/day)" ]
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[ "------------------------------------------------------------------------------------------------------" ]
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1,470
[ "plan", "นัด", "ไป", "ประเมิน", "OPD", "Geriatrics", "อีกครั้ง" ]
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[ "จึง", "refer", "มา", "รพ." ]
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1,472
[ "คุย", "กับ", "pt", ":", "financial", "problem", "affort", "CMT", "ไม่", "ไหว" ]
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[ "-no", "pericardial", "effusion" ]
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1,474
[ "-", "บันทึก", "ข้อความ", "ไป", "F/U", "ต่อ" ]
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1,475
[ "start", "29/7/63", "then", "discharge", "30/7/63" ]
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1,476
[ "ได้", "ทำ", "ERCP", "30/6/63" ]
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1,477
[ "S/P", "CMT", ",", "ASCT", "สค", "58" ]
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[ "start", "Lamivudine", "มค", "60", ",", "เปลี่ยนเป็น", "Baraclude0.5", "1*1" ]
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1,479
[ "1.", "R/o", "CRBSI" ]
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1,480
[ "•", "Vancomycin", "2.25g", "load", "x", "I", "dose" ]
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[ "•", "ผล", "H/c", "29/6/63", "NG-->", "step", "ATB", "unasyn", "1.5", "g", "iv", "q", "8", "hr", "(3-5/7/63)" ]
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[ "ทำ", "elective", "ERCP", "3/7/63" ]
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1,483
[ "notify", "sx", "เรื่อง", "LC" ]
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1,484
[ "Cryo", "10", "unit", "x", "12", "ครั้ง" ]
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[ "FFP", "500", "ml", "x", "6", "ครั้ง" ]
[ 1, 0, 0, 0, 0, 0 ]
1,486
[ "Hct", "13.4", ",", "Plt", "14k,", "PT", "16.5", ",", "aPTT", "35.2,", "Fibrinogen", "103.5" ]
[ 1, 0, 0, 1, 0, 1, 0, 0, 1, 0, 1, 0 ]
1,487
[ "-", "ATB", "แร", "กรับ", ":", "Tazocin", "4.5", "gm", "IV", "q", "6hr", "+", "Vancomycin", "1.5", "gm", "IV", "then", "1", "gm", "q", "12", "hr" ]
[ 0, 1, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
1,488
[ "-", "และ", "consult", "cardio", "Echo", "for", "r/o", "IE", ">>>", "Echo(10/7)", ":", "LVEF", "72%,", "no", "evidence", "of", "endocarditis", "seen" ]
[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]
1,489
[ "-", "HC", "at", "5/7", ":", "NG" ]
[ 0, 1, 0, 0, 0, 0 ]
1,490
[ "จึง", "plan", "continue", "ATB", "4", "week", ",", "นับ", "จาก", "5/7/63" ]
[ 0, 0, 0, 1, 0, 0, 0, 0, 0, 0 ]
1,491
[ "โดย", "เปลี่ยน", "กลับ", "จาก", "cefazolin", "เป็น", "Vancomycin", "1", "gm", "IV", "หลัง", "HD", "ตั้งแต่", "18/7" ]
[ 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 1, 0, 0 ]
1,492
[ "ผู้ป่วย", "กลับ", "ไป", "ทำ", "HD", "ทุก", "วันอาทิตย์", "พุธ", "ศุกร์", "ดังเดิม" ]
[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0 ]
1,493
[ "-16/7", "ทาง", "nephro", "plan", "on", "premier", "cath", "at", "IJV", "แต่", "US", "no", "flow", "สงสัย", ">", "thrombosis", "จึง", "consult", "VasSx" ]
[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0 ]
1,494
[ "จึง", "start", "Heparin", "+", "warfarin", "3", "gm", "OD", "(23/7/63)" ]
[ 0, 0, 1, 0, 1, 0, 0, 0, 0 ]
1,495
[ "INR", "(26/7/63)", "=", "4.8", "->", "ให้", "hold", "warfarin", "1", "day", "then", "reduce", "to", "1.5", "gm", "tab", "OD", "->", "นัด", "มา", "ปรับ", "ยา", "OPD", "Case" ]
[ 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
1,496
[ "5.", "Anemia", "from", "SRMD" ]
[ 0, 1, 0, 1 ]
1,497
[ "-", "ช่วง", "admit", "consult", "hepatoSx", "เรื่อง", "ปรับ", "ยา", "Tacrolimus", ">", "ยา", "ได้", "level", "ดี", "ไม่", "ได้", "ปรับ", "Dose" ]
[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
1,498
[ "-", "step", "ATB", "as", "tazocin", "IV", "(4/7/63", "-", "9/7/63)" ]
[ 0, 0, 1, 0, 1, 0, 0, 0, 0 ]
1,499