diff --git a/public/components/encounter.html b/public/components/encounter.html
index ff79907..0de9f5a 100644
--- a/public/components/encounter.html
+++ b/public/components/encounter.html
@@ -56,7 +56,7 @@
 
         <div class="card">
           <div class="card-header"><h3><i class="fas fa-file-lines"></i> Transcript</h3><button id="enc-clear" class="btn-sm btn-ghost"><i class="fas fa-eraser"></i> Clear</button></div>
-          <div id="enc-transcript" class="editable-box" contenteditable="true" data-placeholder="Transcript appears here or type/paste directly..."></div>
+          <div id="enc-transcript" class="editable-box editable-box-large" contenteditable="true" data-placeholder="Transcript appears here or type/paste directly..."></div>
         </div>
 
         <button id="enc-generate-btn" class="btn-generate"><i class="fas fa-wand-magic-sparkles"></i> Generate HPI</button>
@@ -71,7 +71,7 @@
               <button class="btn-sm btn-ghost" data-action="nc-export" data-target="enc-hpi-text" data-label="hpi-encounter"><i class="fas fa-cloud-arrow-up"></i></button>
             </div>
           </div>
-          <div id="enc-hpi-text" class="output-text" contenteditable="true"></div>
+          <div id="enc-hpi-text" class="output-text output-text-large" contenteditable="true"></div>
           <div class="refine-bar">
             <textarea id="enc-refine-input" class="refine-input" rows="2" placeholder="Tell AI to modify (e.g., 'make it shorter', 'add that patient has asthma history')"></textarea>
             <button class="btn-sm btn-primary" id="enc-refine-btn"><i class="fas fa-edit"></i> Refine</button>
diff --git a/public/css/styles.css b/public/css/styles.css
index df4a3f0..ee1b16e 100644
--- a/public/css/styles.css
+++ b/public/css/styles.css
@@ -153,6 +153,8 @@ body{font-family:'Inter',system-ui,sans-serif;background:var(--g50);color:var(--
 .output-header{background:var(--green-light);border-bottom-color:var(--green);}
 .output-actions{display:flex;align-items:center;gap:6px;flex-wrap:wrap;}
 .output-text{padding:20px 24px;font-size:13px;line-height:1.9;outline:none;min-height:480px;white-space:pre-wrap;overflow-y:auto;}
+.output-text-large{min-height:600px;}
+.editable-box-large{min-height:400px;}
 .model-tag{font-size:10px;padding:2px 7px;background:var(--g200);border-radius:4px;color:var(--g600);}
 
 /* REFINE BAR */
diff --git a/public/js/admin.js b/public/js/admin.js
index 136bcf8..c882c67 100644
--- a/public/js/admin.js
+++ b/public/js/admin.js
@@ -571,7 +571,7 @@
     fetch('/api/admin/config/models', { headers: getAuthHeaders() })
       .then(function(r) { return r.json(); })
       .then(function(data) {
-        if (!data.success) return;
+        if (!data.success) { modelsLoaded = false; return; }
         window._adminModelsData = data;
         var providerEl = document.getElementById('admin-model-provider');
         if (providerEl) providerEl.textContent = (data.provider || 'openrouter').toUpperCase();
@@ -579,7 +579,7 @@
         renderCustomModels(data.custom || []);
         populateDefaultModelSelect(data.models || [], data.custom || []);
       })
-      .catch(function(err) { console.error('[Admin] Models load failed:', err); });
+      .catch(function(err) { modelsLoaded = false; console.error('[Admin] Models load failed:', err); });
   }
 
   function renderModelTable(models) {
@@ -668,15 +668,22 @@
       sel.appendChild(opt);
     });
 
-    // Load current default
-    fetch('/api/admin/config', { headers: getAuthHeaders() })
-      .then(function(r) { return r.json(); })
-      .then(function(data) {
-        if (!data.success) return;
-        var cfg = {};
-        (data.config || []).forEach(function(row) { cfg[row.key] = row.value; });
-        if (cfg['models.default']) sel.value = cfg['models.default'];
-      });
+    // Load current default from already-loaded config, or fetch if needed
+    var cfg = window._adminEmailConfig || {};
+    if (cfg['models.default']) {
+      sel.value = cfg['models.default'];
+    } else {
+      // Fetch only the default model setting
+      fetch('/api/admin/config', { headers: getAuthHeaders() })
+        .then(function(r) { return r.json(); })
+        .then(function(data) {
+          if (!data.success) return;
+          (data.config || []).forEach(function(row) {
+            if (row.key === 'models.default' && row.value) sel.value = row.value;
+          });
+        })
+        .catch(function() {});
+    }
   }
 
   function addCustomModel() {
diff --git a/public/js/encounters.js b/public/js/encounters.js
index 30d48d7..a4a8940 100644
--- a/public/js/encounters.js
+++ b/public/js/encounters.js
@@ -468,6 +468,17 @@
     // Hide output card
     var out = document.getElementById(outputElMap[type]);
     if (out) out.classList.add('hidden');
+    // Clear refine input (textarea or input) for every tab
+    var refineEl = document.getElementById(pfx + '-refine-input');
+    if (refineEl) refineEl.value = '';
+    // Clear instructions textarea (SOAP, hospital, etc.)
+    var instrEl = document.getElementById(pfx + '-instructions');
+    if (instrEl) instrEl.value = '';
+    // Clear demographic fields
+    var ageEl = document.getElementById(pfx + '-age');
+    if (ageEl) ageEl.value = '';
+    var genderEl = document.getElementById(pfx + '-gender');
+    if (genderEl) genderEl.value = '';
     // Reset saved ID and idempotency key (memory + sessionStorage)
     window['_savedEncId_' + type] = null;
     try { sessionStorage.removeItem('_savedEncId_' + type); } catch(e) {}
diff --git a/public/js/liveEncounter.js b/public/js/liveEncounter.js
index 4be3ba7..2972cab 100644
--- a/public/js/liveEncounter.js
+++ b/public/js/liveEncounter.js
@@ -131,6 +131,8 @@
     window._savedEncId_encounter = null;
     var labelEl = document.getElementById('enc-label');
     if (labelEl) labelEl.value = '';
+    var refineEl = document.getElementById('enc-refine-input');
+    if (refineEl) refineEl.value = '';
   });
 
   generateBtn.addEventListener('click', function() {
diff --git a/public/js/voiceDictation.js b/public/js/voiceDictation.js
index 1b2ebf5..c49adf7 100644
--- a/public/js/voiceDictation.js
+++ b/public/js/voiceDictation.js
@@ -126,6 +126,8 @@
     window._savedEncId_dictation = null;
     var labelEl = document.getElementById('dict-label');
     if (labelEl) labelEl.value = '';
+    var refineEl = document.getElementById('dict-refine-input');
+    if (refineEl) refineEl.value = '';
   });
 
   generateBtn.addEventListener('click', function() {
diff --git a/src/routes/encounters.js b/src/routes/encounters.js
index 8aaac12..4d6f9f1 100644
--- a/src/routes/encounters.js
+++ b/src/routes/encounters.js
@@ -56,6 +56,16 @@ router.post('/encounters/saved', async function(req, res) {
       );
       res.json({ success: true, id: id });
     } else {
+      // Enforce unique label per user (within active/non-expired encounters)
+      if (label && label.trim()) {
+        var labelDup = await db.get(
+          "SELECT id FROM saved_encounters WHERE user_id = $1 AND LOWER(label) = LOWER($2) AND expires_at > NOW()",
+          [req.user.id, label.trim()]
+        );
+        if (labelDup) {
+          return res.status(409).json({ error: 'An encounter with this label already exists. Use a unique label or load the existing one.' });
+        }
+      }
       // Check for duplicate via idempotency_key
       if (idempotency_key) {
         var dup = await db.get(