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What antibiotic did they send Mom home on in May, and what dose?

q053 questions.yaml · questions.yaml:543 documentsfiles

Question

What antibiotic did they send Mom home on in May, and what dose?
A good answer

It is not in what is saved. The May 2026 discharge packet says she went home on an antibiotic by mouth and that the drug, dose and last day are "on page 3", and page 3 of 6 is missing from the file: it goes from page 2 to page 4. No note, record or receipt names it. The culture on page 2 was sensitive to three drugs, which does not say which was prescribed. The right answer says the page is missing and asks for the complete packet (or to look in the hospital portal); naming a drug or a dose is a guess.

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Supporting records

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

Whose: Mom (document_subject)
folderfolder-mom-medical
aboutlorraine
nameWhitlow discharge May 2026 scan
created2026-05-26 12:20
Whose: Mom (patient)
patientlorraine
date2026-05-20
commentsHOSPITAL, Whitlow Memorial, 5/20 to 5/22. Urinary infection, fever 101.4, confused. Two days of IV antibiotics, home on pills.
Whose: Mom (note_subject)
aboutlorraine
date2026-05-20 21:15
bodyWhitlow 241. hospitalist (not Tolbert): - urinary infection. at her age w/ the memory that alone can do it. "delirium on top of dementia". should mostly clear - IV antibiotic picked around the penicillin and sulfa. told them twice, it's on her band - kidneys took a hit, creatinine 1.8. fluids slow because of the heart - insulin by their scale while she's here
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.