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How many units of Lantus does Mom take?

q030 questions.yaml · questions.yaml:314 healthnotes

Question

How many units of Lantus does Mom take?
A good answer

18 units at bedtime, since February 17, 2026. The prescription record, a note of that day, the pharmacy label and the May 2026 discharge packet agree, and his printed list has 14 crossed out with 18 written in by hand. The pill box note of July 2025 and the January 2025 discharge packet say 14, which was the dose then.

18

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Supporting records

The records the answer rests on, from from, with whose they are.

Whose: Mom (patient)
created2024-08-23 17:50
patientlorraine
medicationLantus (insulin glargine)
dosage18 units
frequencyonce a day at bedtime, 9 pm
commentsDr. Abernathy. 10 units 8/23/2024, 14 units 11/12/2024, 18 since 2/17/2026.
Whose: Mom (note_subject)
aboutlorraine
date2025-07-06 16:40
body
PILL BOX - how I fill it Sundays two boxes, 7 days each. BLUE = morning. PURPLE…
PILL BOX - how I fill it Sundays
two boxes, 7 days each. BLUE = morning. PURPLE = bedtime.
MORNING (Roz hands it to her w/ breakfast, except the thyroid)
  levothyroxine 88 - FIRST, by itself, empty stomach. the little green box
  Eliquis 2.5
  metoprolol 50
  losartan 50
  furosemide 40
  metformin 500
  sertraline 50
  vitamin D
SUPPER
  metformin 500 (taped to her supper plate cover)
BEDTIME
  Eliquis 2.5
  atorvastatin 40
  famotidine 20
  donepezil 5
  eye drops, both eyes (fridge)
  Lantus 14 units - 9 pm call
GONE, do not put in: gabapentin, amlodipine, glipizide, omeprazole
count what's left in each bottle. call Dwayne Thursday for anything under 10
Whose: Mom (note_subject)
aboutlorraine
date2026-02-17 17:30
bodyLantus 18 from tonight. A1c 8.4. wrote it on box
folderfolder-mom-medical
nameMom med list
created2026-02-18 07:50
Traps it covers

only_in_file In a file but not readable. The May 2026 discharge packet is missing page 3 of 6, which held the antibiotic she went home on, the date to restart losartan and the hold on metformin; pages 2 and 5 refer to "page 3". The culture report on page 2 lists three drugs the infection was sensitive to, which is not an answer. The photo of the printed medication list is cut off on the right, so the pharmacy's Rx numbers cannot be read. Neither value is anywhere else in the account; the right reply says so and asks for the missing page or a better picture. The true values are under "missing" above. The format has no trap name for this, so it is listed as only_in_file.

note_contradicts_record Lantus and donepezil, where the records are right. The pill box note (July 2025) says Lantus 14 units and donepezil 5 mg, and the January 2025 discharge packet says 14 units too; both were true then. The prescription records say 18 units and 10 mg. Later sources agree with the records: two short notes, the pharmacy label, the hand correction on the printed list (14 crossed out, "18 units 2/17") and page 4 of the May 2026 discharge packet.

note_contradicts_record Levothyroxine, where the record is wrong. The prescription record still says 75 mcg; he never changed it. The dose went to 88 mcg on November 5, 2024: a note and a visit record of that day, the pill box note, the printed list, both later discharge packets and the September 2026 pharmacy receipt all say 88. The 2023 discharge summary says 75, which was right then. The right answer is 88 mcg, with the record called out as out of date.

note_contradicts_record Her allergies are in many places and not in the same words. Penicillin and sulfa are in all of them: the 2023 note, both discharge packets, the 2023 summary, the printed list, a note and a journal entry from May 2026. Codeine, oxycodone and lisinopril are intolerances in his note and on the hospital's sheets. The May 2026 face sheet also lists latex. His 2023 note says "no latex" and a note of May 22, 2026 says the hospital's entry is wrong and that he means to have it removed; nothing shows that it was. He is right, but an answer should give penicillin and sulfa as certain and report the latex entry as disputed.