instruction: what did patient 91768 receive for his or her first procedure until 2103?
response: SELECT d_icd_procedures.short_title FROM d_icd_procedures WHERE d_icd_procedures.icd9_code IN (SELECT procedures_icd.icd9_code FROM procedures_icd WHERE procedures_icd.hadm_id IN (SELECT admissions.hadm_id FROM admissions WHERE admissions.subject_id = 91768) AND STRFTIME('%y', procedures_icd.charttime) <= '2103' ORDER BY procedures_icd.charttime LIMIT 1)