The strength of a patient's reaction to a dose of x milligrams of a certain drug is $R(x) = 4x \sqrt{11 + 0.5x}$ for $0 \le x \le 160$. The derivative $R'(x)$ is called the sensitivity to the drug. Find $R'(50)$, the sensitivity to a dose of 50 mg. $R'(50) = $
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