chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium decreased, Blood chloride decreased, Blood creatinine increased, Blood culture positive
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Blood glucose normal, Blood lactic acid, Blood magnesium, Blood osmolarity decreased
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pH increased, Blood potassium decreased, Blood sodium decreased, Blood urea increased, Blood urine absent
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Carbon dioxide normal, Cardiomegaly, Catheter placement, Chest X-ray abnormal
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chromaturia, Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram head abnormal, Culture urine
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Echocardiogram, Electrocardiogram QT prolonged, Electrocardiogram T wave abnormal, Eosinophil count decreased
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage decreased, Fibrin D dimer increased, Full blood count, Glomerular filtration rate decreased, Glucose urine absent
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Laboratory test, Lymphocyte count decreased, Lymphocyte percentage decreased
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Metabolic function test
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte count, Monocyte percentage decreased, Neutrophil count increased, Neutrophil percentage increased, Nitrite urine absent
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: PCO2 normal, PO2 increased, Platelet count decreased, Pleural effusion, Pneumonia
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, Protein total decreased, Protein urine present, Pulmonary oedema, Red blood cell count decreased
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cells urine positive, Red cell distribution width increased, SARS-CoV-2 test positive, Specific gravity urine normal, Troponin I
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary casts, Urinary sediment present, Urine abnormality, Urine ketone body absent, Urine leukocyte esterase
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Urobilinogen urine, White blood cell count increased, White blood cells urine positive, pH urine normal
Clinical narrative: Patient:Age:65 y.o.  Admit Date:  7/5/2022 Discharge Date:  7/14/2022      Principal Diagnoses:  Principal Problem:   Pneumonia due to infectious organism Active Problems:   Acute metabolic encephalopathy   ESRD (end stage renal disease)   COVID-19   Tick bite   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Bilateral PNA, Myroides bacteremia, COVID 19, ARF with ATN, HTN, elevated D.dimer. Anemia. Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5 days of remdesivir. She was also treated with cefepime for PNA. Blood cultures came back positive for Myroides species. TEE was negative for endocarditis. Her tunneled Dialysis catheter was removed and she had a line holiday. The catheter was replaced and she did well with HD. She was weaned down to 2 liters of oxygen before discharge. She was swtiched to merrem for the blood cultures and was to complete 10 days total of abx. She had 3 days left at the time of discharge. She was debilitated so was sent to emcompas for further treatment.    Consults to: Nephrology, ID, vascular surgery.    Significant Diagnostic Studies:  CT head, CT abdomen, CTA chest, 2D echo,     Procedure(s): Tunneled Catheter exchange, TEE.    Disposition: LTAC.    Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Alanine aminotransferase normal, Albumin globulin ratio, Angiogram pulmonary abnormal
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Anion gap, Aspartate aminotransferase normal, Atelectasis, Basophil count decreased, Basophil percentage decreased
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bicarbonate normal, Blood bilirubin normal, Blood calcium decreased
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine increased, Blood fibrinogen increased, Blood glucose normal, Blood lactate dehydrogenase increased
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood osmolarity decreased, Blood pH normal, Blood potassium normal, Blood sodium decreased, Blood urea increased
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Bundle branch block left, C-reactive protein increased, Carbon dioxide normal, Chest X-ray abnormal, Computerised tomogram abdomen abnormal
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Computerised tomogram thorax abnormal, Diarrhoea, Electrocardiogram T wave abnormal, Electrocardiogram abnormal
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Emphysema, Encephalomalacia, Eosinophil count decreased, Eosinophil percentage decreased, Fibrin D dimer increased
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Glomerular filtration rate decreased, Haematocrit decreased, Haemoglobin decreased, Hepatic steatosis
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, International normalised ratio increased, Lung opacity, Lymphocyte count decreased, Lymphocyte percentage decreased
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume normal
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Metastases to peritoneum, Monocyte count normal, Monocyte percentage increased, Neutrophil count increased
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil percentage increased, Non-small cell lung cancer, Oxygen saturation normal, PCO2 normal, PO2 decreased
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pericardial effusion, Peripheral arterial occlusive disease, Platelet count decreased, Procalcitonin increased, Protein total normal
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Prothrombin time prolonged, Pulmonary embolism, Red blood cell count decreased, Red blood cell sedimentation rate increased, Red cell distribution width increased
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 RNA, SARS-CoV-2 test positive, Scan with contrast abnormal, Serum ferritin increased, Sinus tachycardia
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I increased, White blood cell count increased
Clinical narrative: Patient ID:   77 y.o.    Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute respiratory failure with hypoxia   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure with hypoxia Active Problems:   NSCLC metastatic to peritoneum   AKI (acute kidney injury)   Diarrhea   Pericardial effusion   PAD (peripheral artery disease)   HTN (hypertension)       HPI:   Hospital Course:   This 77 year old man with metastatic lung cancer was admitted with symptoms of covid.  He has received paxlovid outpatient but was hypoxic and had diarrhea and aki.  He was admitted and did receive ivf.  He did get remdesivir and steroids.  He is improved and says heis breathing is at baseline.  Diarrhea has resolve.  AKI is improved with hydration.  He had CTA chest that showed chronic issues.  No PE.  He does have known pericardial effusion and had echo but no sign of tamponade.  He remains stable and will go home on steroids.  Follow up with pcp and oncology        Consults:   None       Disposition:  home   Discharge Condition:  fair
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Electrocardiogram abnormal, Palpitations
Clinical narrative: Shortness of breath; abnormal palpitations and heart racing while at rest; as well as chest pains.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Myalgia, Neuralgia, Pain in extremity, Paraesthesia
Clinical narrative: Nerve pain from head to toe, including pins/needles sensation in arms, sharp stabbing pain in fingers/hands, feet/toes, muscle pain in thighs
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Nerve pain from head to toe, including pins/needles sensation in arms, sharp stabbing pain in fingers/hands, feet/toes, muscle pain in thighs
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia
Clinical narrative: Hospitalized 07/05/2021 with Acute Respiratory failure with hypoxia. Pneumonia due to COVID-19 virus.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Acute respiratory failure, Alanine aminotransferase normal, Albumin globulin ratio decreased, Anion gap
Clinical narrative: 76 y.o.     Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute hypoxemic respiratory failure   Relevant Inpt Dx: Principal Problem:   Acute hypoxemic respiratory failure Active Problems:   Coronary artery disease involving native coronary artery of native heart without angina pectoris   Permanent atrial fibrillation   COVID-19   Acute diastolic CHF (congestive heart failure)   Type 2 diabetes mellitus   Chronic kidney disease, stage III (moderate)       HPI:   Hospital Course:   This 76 year old woman was admitted with sob and cough.  She did have covid and was treated with remdesivir and steroids.  She as well received systemic antibiotics as procalcitonin was elevated.  She is improved.   She did have chf.  She has received iv lasix.  Echo with diastolic dysfunction.  Her BP control is not to goal but she is not willing to stay and adjust medications.  She will go home on increased lisinopril and lasix.  She has a fib and is on xarelto.               Consults:   IP CONSULT TO CARDIOLOGY IP CONSULT TO PULMONOLOGY IP CONSULT TO SOCIAL WORK       Disposition:  home   Discharge Condition:  fair
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Anisocytosis, Anticoagulant therapy, Aspartate aminotransferase normal, Atrial fibrillation, Band neutrophil count
Clinical narrative: 76 y.o.     Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute hypoxemic respiratory failure   Relevant Inpt Dx: Principal Problem:   Acute hypoxemic respiratory failure Active Problems:   Coronary artery disease involving native coronary artery of native heart without angina pectoris   Permanent atrial fibrillation   COVID-19   Acute diastolic CHF (congestive heart failure)   Type 2 diabetes mellitus   Chronic kidney disease, stage III (moderate)       HPI:   Hospital Course:   This 76 year old woman was admitted with sob and cough.  She did have covid and was treated with remdesivir and steroids.  She as well received systemic antibiotics as procalcitonin was elevated.  She is improved.   She did have chf.  She has received iv lasix.  Echo with diastolic dysfunction.  Her BP control is not to goal but she is not willing to stay and adjust medications.  She will go home on increased lisinopril and lasix.  She has a fib and is on xarelto.               Consults:   IP CONSULT TO CARDIOLOGY IP CONSULT TO PULMONOLOGY IP CONSULT TO SOCIAL WORK       Disposition:  home   Discharge Condition:  fair
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Band neutrophil percentage, Base excess, Basophil count decreased, Basophil percentage decreased, Blood albumin decreased
Clinical narrative: 76 y.o.     Admit Date:  7/5/2022   Discharge Date: 7/8/22   Principal Dx/ Final Dx: Acute hypoxemic respiratory failure   Relevant Inpt Dx: Principal Problem:   Acute hypoxemic respiratory failure Active Problems:   Coronary artery disease involving native coronary artery of native heart without angina pectoris   Permanent atrial fibrillation   COVID-19   Acute diastolic CHF (congestive heart failure)   Type 2 diabetes mellitus   Chronic kidney disease, stage III (moderate)       HPI:   Hospital Course:   This 76 year old woman was admitted with sob and cough.  She did have covid and was treated with remdesivir and steroids.  She as well received systemic antibiotics as procalcitonin was elevated.  She is improved.   She did have chf.  She has received iv lasix.  Echo with diastolic dysfunction.  Her BP control is not to goal but she is not willing to stay and adjust medications.  She will go home on increased lisinopril and lasix.  She has a fib and is on xarelto.               Consults:   IP CONSULT TO CARDIOLOGY IP CONSULT TO PULMONOLOGY IP CONSULT TO SOCIAL WORK       Disposition:  home   Discharge Condition:  fair