Interesting. Does it still overwrite changes whatever is the content of the Extra/Lecture Notes field? Can you try with some plain text?
Let’s see. Test note NID: 1578963423612
Before (previously corrected, partially reverted my protected changes, noticed today upon review): <div>- Instead of BUN/Cr and FE<sub>(Na)</sub><br></div><br>- If FE<sub>(urea)</sub> <35% → Prerenal obstruction
After i correct: <div>- Instead of BUN/Cr and FE<sub>(Na)</sub></div>- If FE<sub>(urea)</sub> <35% → Prerenal obstruction
After I reset local changes: No reversion/override of changes to plain text content in Extra field seen
<div>- Instead of BUN/Cr and FE<sub>(Na)</sub></div>- If FE<sub>(urea)</sub> <35% → Prerenal obstruction
Note with images + text: NID 1556325440377
<div><div>- <b>Hypercapnia </b>and <b>hypoxemia</b> due to inability to exhale CO<sub>2</sub> and inhale O<sub>2</sub> (restricted)</div><div>- <b>Respiratory acidosis is </b>due to CO<sub>2</sub> retention</div></div><br><div><img src="d288bf1a571b666fcf56fee869247071.webp" width="1100px" style="width: 530.391px;"> <img src="8b9ac2568293e1004c20d6a0014cde84.jpeg" style="width: 390px;"><br></div>
After correcting:
<div><div>- <b>Hypercapnia </b>and <b>hypoxemia</b> due to inability to exhale CO<sub>2</sub> and inhale O<sub>2</sub> (restricted)</div><div>- <b>Respiratory acidosis is </b>due to CO<sub>2</sub> retention</div></div><br><div><img src="d288bf1a571b666fcf56fee869247071.webp" width="1100px" style="width: 530.391px;"> <img src="8b9ac2568293e1004c20d6a0014cde84.jpeg" style="width: 221px;"><br></div>
After resetting local changes: No alterations reverted today, oddly enough
In the reset past, like as recent as last week, resetting local changes would override anything I altered in the extra field, and ik this bc i would be editing a note or tagging it with school specific optional tags and accidentally slip and select “Reset local changes” instead of the adjacent “Suggest local tags” option and would be annoyed at having to redo all my alterations. Odd (but maybe good?) it’s not happening rn upon testing.
Another example: NID 1533467583384 is a note with only plain text in the Extra.. I’ve deleted the blank lines between text lines multiple times, most recently 2 days ago. Appears reverted upon review just now
- No thenar or hypothenar atrophy on physical exam → not severe disease<br><br>- Splinting in neutral position affords the lowest pressure in the carpal tunnel<br><br>- <b>Glucocorticoids</b> and/or <b>decompression surgery</b> may be considered in patients with <b>severe disease</b> (<b>significant weakness or refractory symptoms</b>)<br><br>- Intial treatment is wrist splinting; second-line is local anesthetic + steroid injection; third-line is surgical intervention
Can you install this add-on version, restart Anki, then test resetting a few notes? Please send logs again once you find notes where your changes are overwritten.
ankihub.zip (4.4 MB)
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Yep, can do, but is it alright if I get back to you with these after my OSCE/Shelf at the end of this week?
Appreciate your efforts to help figure this out.
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Sure, take your time.
I have the same issue. I will do a lot of work in my Lecture Notes and Missing Fields sections, but those images and additions get overwritten, despite having always had those fields protected.
I learned not to overwrite anything in the Extra field as that seemed to trigger those notes to get force updated, which always overwrites anything I do in protected fields on notes. I could be incorrectly associating those events.
I’m hoping there might be some insight on this issue since OP first posted? 
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Sorry, I kind of got away from this for the last two months – i’ve been on my surgery rotation and had a lot going on. I’m done in a week and can try to do whatever the last thing they asked me to do was and they can perhaps get some insight and let us know next steps from there!
Glad I’m not the only one though it’s infuriating.
@drwhamp @eren.sakarcan Please see my last reply above with the attached add-on package.
Hey, can do. Will downloading that mess up any of my current settings?
No, it only contains very minor changes to improve logging. Please use this instead so you get the latest updates from the AnkiWeb release:
ankihub.zip (6.5 MB)