{ "edition": "2026-10-24", "description": "Source transcripts and available per-run WER records. Includes exploratory i-scribe ICU captures; these are not additional note-grading runs.", "records": [ { "case": "after-care-dictation", "reference": "[Speaker 1]: Rouzan al-Najjar has septic shock from aspiration pneumonitis versus cholangitis, with AF with RVR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, sats 91% on 6 L Hudson, BP 92/58, CBD dilatation, cholestatic LFTs, recent apixaban, and possible euglycemic ketoacidosis from empagliflozin.", "products": { "hanah": { "transcript": "[Speaker 1]: Rawzan Al-Najjar has septic shock, from aspiration pneumonitis versus cholangitis, with AF with RVR, AKI on CKD, hyperkalemia lactate 4.3, pH 7.26, potassium 6.1, sats 91% on 6 L Hudson, BP 92/58, CBD dilatation, cholestatic LFTs, recent apixaban, and possible euglycemic ketoacidosis from empagliflozin.", "wer": { "value": 0.017543859649122806, "substitutions": 1, "insertions": 0, "deletions": 0, "referenceWords": 57, "method": null }, "capturedAt": "2026-10-05T22:40:05.203Z" }, "heidi": { "transcript": "Rausan al-Najar has septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on CKD, hyperkalemia, lactate four point three.\n\npH 7.26, potassium 6.1, SATS 91% on six liters Hudson, BP 92 over 58, CBD dilatation, cholestatic LFTs, recent epixaban, and possible euglycemic ketoacidosis from empagliflozin.", "wer": { "value": 0.07017543859649122, "substitutions": 3, "insertions": 1, "deletions": 0, "referenceWords": 57, "method": null }, "capturedAt": "2026-10-05T22:40:50.249Z" } } }, { "case": "after-care-dictation-background-noise", "reference": "[Speaker 1]: Rouzan al-Najjar has septic shock from aspiration pneumonitis versus cholangitis, with AF with RVR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, sats 91% on 6 L Hudson, BP 92/58, CBD dilatation, cholestatic LFTs, recent apixaban, and possible euglycemic ketoacidosis from empagliflozin.", "products": { "hanah": { "transcript": "[Speaker 1]: Rousan Al-Najjar has septic shock from aspiration pneumonitis versus cholangitis, with AF with RVR, AKI on CKD, hyperkalemia lactate 4.3, pH 7.26, potassium 6.1, sats 91% on 6 liters Hudson. BP 92/58, CBD dilatation, cholestatic LFTs, recent apixaban and possible euglycemic ketoacidosis from empagliflozin.", "wer": { "value": 0.017543859649122806, "substitutions": 1, "insertions": 0, "deletions": 0, "referenceWords": 57, "method": null }, "capturedAt": "2026-10-05T22:38:44.511Z" }, "heidi": { "transcript": "Rausan al-Najar has septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on\n\nCKD, hyperkalemia, lactate four point three, pH seven point two six, potassium six point one, SOTS ninety one percent on six liters Hudson. BP ninety two over fifty eight. CBD dilatation, cholestatic LFTs, recent epixaban, and possible euglycemic ketoacidosis from epagliflozin.", "wer": { "value": 0.10526315789473684, "substitutions": 5, "insertions": 1, "deletions": 0, "referenceWords": 57, "method": null }, "capturedAt": "2026-10-05T22:38:44.430Z" } } }, { "case": "quadbike-accident", "reference": "[Speaker 1]: Hey. Heard you came off the quad. What happened.\n\n[Speaker 2]: Yeah just slipped on a wet patch. Nothing major. Bit of a knock.\n\n[Speaker 1]: Did the bike roll or did you come off clean.\n\n[Speaker 2]: Nah I came off sideways. Landed on my shoulder and hip.\n\n[Speaker 1]: Any head knock. Loss of consciousness. Feeling dazed.\n\n[Speaker 2]: Nah didn’t black out. Bit rattled for a sec maybe.\n\n[Speaker 1]: Headache. Nausea. Blurred vision.\n\n[Speaker 2]: Nah none of that.\n\n[Speaker 1]: Okay. Show me where it’s sore.\n\n[Speaker 2]: Shoulder here. And hip’s a bit stiff. Shoulder’s worse.\n\n[Speaker 1]: I’m going to check range. Lift your arm up.\n\n[Speaker 2]: Yeah that catches about there.\n\n[Speaker 1]: Painful arm. Hold it there. I’m adding resistance.\n\n[Speaker 2]: Bit weak there yeah.\n\n[Speaker 1]: Likely rotator cuff strain or contusion. I’m not seeing signs of dislocation. I’ll check your hip. Stand up.\n\n[Speaker 2]: Yeah just stiff. I can walk it off.\n\n[Speaker 1]: Don’t push through it yet. Any sharp pain or just stiffness.\n\n[Speaker 2]: Mostly stiffness.\n\n[Speaker 1]: Shoulder needs load management. No overhead work. Hip keep it moving but easy.\n\n[Speaker 2]: Got stuff to do though.\n\n[Speaker 1]: Get someone else on the heavy stuff today. If you aggravate that shoulder you’ll lose more time.\n\n[Speaker 2]: Yeah alright.\n\n[Speaker 1]: Ice tonight. Gentle movement. If pain worsens, weakness increases, or you get any headache or dizziness, get checked straight away. I’ll document this.", "products": { "hanah": { "transcript": "[Speaker 1]: Hey. Heard you came off the clock. What happened?\n\n[Speaker 2]: Yeah, just slipped on a wet patch. Nothing major, bit of a knock.\n\n[Speaker 1]: Did the bike roll, or did you come off clean?\n\n[Speaker 2]: No, I came off sideways, landed on my shoulder and hit.\n\n[Speaker 1]: Any head knock, loss of consciousness, feeling dazed?\n\n[Speaker 2]: No, I didn't black out. A bit rattled for a sec, maybe.\n\n[Speaker 1]: Headache, nausea, blurred vision?\n\n[Speaker 2]: No, none of that.\n\n[Speaker 1]: Okay. Show me where it's sore.\n\n[Speaker 2]: Shoulder, here. And hip's a bit stiff.\n\n[Speaker 1]: Shoulder's worse. I'm going to check range. Lift your arm up.\n\n[Speaker 2]: Yeah, that catches about there.\n\n[Speaker 1]: Painful arc. Hold it there. I'm adding resistance.\n\n[Speaker 2]: Bit weak there, yeah.\n\n[Speaker 1]: Likely rotator cuff strain or contusion. I'm not seeing signs of dislocation. I'll check your hip. Stand up.\n\n[Speaker 2]: Yeah, just stiff. I can walk it off.\n\n[Speaker 1]: Don't push through it yet. Any sharp pain, or just stiffness?\n\n[Speaker 2]: Mostly stiffness.\n\n[Speaker 1]: Shoulder needs low rush. No overload.\n\n[Speaker 2]: Hip?\n\n[Speaker 1]: Keep it moving, but easy.\n\n[Speaker 2]: I've got stuff to do though.\n\n[Speaker 1]: Get someone else on the heavy slope. If you aggravate that shoulder, you lose more time.\n\n[Speaker 2]: Yeah, alright.\n\n[Speaker 1]: Ice tonight. Gentle movement. If pain worsens, weakness increases, or you get any headache or dizziness, get checked straight away.\n\n[Speaker 2]: I'll document this.", "wer": { "value": 0.07655502392344497, "substitutions": 11, "insertions": 3, "deletions": 2, "referenceWords": 209, "method": null }, "capturedAt": "2026-10-06T00:16:39.782Z" }, "heidi": { "transcript": "Hey, heard you came off the bike. What happened? Yeah, just slipped on a wet patch. Nothing major, bit of a knock. Did the bike roll?\n\nOr did you come off pain? No, I came off sideways, landed on my shoulder and hip. Any head knock? Loss of consciousness? Feeling pain? No, I didn't black out. Bit rattled for a second, maybe. Headache, nausea, lower vision? No, none of that. Okay, show me where it's here. Shoulder here, and hip's a bit stiff. Shoulder's worse. I'm going to check range.\n\nLift your arm up. Yeah, that catches about there. Painful arm. Hold it there. I'm adding resistance. Bit weak there. Yeah. Likely rotator cuff strain or contusion. I'm not seeing signs of dislocation. I'll check your hip. Stand up. Yeah. Just stiff. I can walk it off. Don't push through it yet. Any sharp pain or just stiffness? Mostly stiffness. Shoulder needs no rush to foot. No open hip. Keep it moving but easy. You've got stuff to do, though. Get someone else who will ever start it. If you aggravate that shoulder, you lose more time. Yeah. Alright. Isolate. Gently move it. If pain worsens, weakness increases\n\nOr you get any headache or dizziness, get checked straight away. I'll document this.", "wer": { "value": 0.1291866028708134, "substitutions": 24, "insertions": 3, "deletions": 0, "referenceWords": 209, "method": null }, "capturedAt": "2026-10-06T00:18:27.115Z" } } }, { "case": "day1_consultation06", "reference": "Hello?\n\n Hello there.\n\n Uh, hello. Can you hear me OK?\n\n Yes, I can hear you.\n\n OK, great. . I am, yes. Nice to see you here, Oscar. Um, how can I help you this afternoon?\n\n Are you the doctor?\n\n Um, I'm, contacting you because I've been, quite short of breath lately.\n\n OK. Do you want to tell me a bit more about it? When did it all start?\n\n Uh, well it seems to have been, slowly getting worse over the last couple of weeks.\n\n Um, now it's, become quite troublesome, in the last few days.\n\n Uh, I kind of, normally I can walk to the shops, without a problem but, now I'm having to sort of sit down and catch my breath. And I'm really starting to get a bit breathless, just about the house.\n\n And uh, it's got me kind of worried, don't really know what's going on.\n\n OK.\n\n OK. OK. Is there anything you're particularly worried about?\n\n Um, well, I've, I've uh, I've got um, heart failure.\n\n OK.\n\n Uh, I was told that, uh, a while ago.\n\n Um, and I got a bit breathless when I was first diagnosed, and put on some medicine that, that um, that helped, but I'm a bit worried it's just getting worse.\n\n OK.\n\n Right.\n\n Right, OK. So you mentioned you're feeling, uh, short of breath for the last couple of weeks, but mainly the last couple of days it's got a bit worse.\n\n Um, uh, and you're now feeling more breathless on kind of minimal, minimal exertion you mentioned. Um, have you noticed any other symptoms at all, uh, uh, with your breath? So, for example, any pain in your chest?\n\n No pain in my chest.\n\n OK. And have you found yourself coughing, coughing at all?\n\n Um.\n\n Uh, I've got a bit of a dry cough, but it's not too troublesome.\n\n OK. OK. And how's your general health otherwise? Are you feeling uh, weak, lethargic?\n\n Um, I'm feeling a little run-down, um, but otherwise, otherwise pretty normal.\n\n OK.\n\n I've noticed my ankles have got a bit bigger.\n\n OK. And what do you mean by that?\n\n Uh, it's just like, it's sort of swollen up a bit.\n\n OK. Um, is that, is that both ?\n\n Kind of . Um, yeah, both ankles. Yeah, it's a bit embarrassing.\n\n Both ankles?\n\n OK. Uh, I can imagine, yeah. Um, and again, over how long has this, have you noticed this for?\n\n Um, I kind of noticed it the last few days.\n\n Past few days, OK. And is this something that you've had before, in the past?\n\n Uh, I think my ankles did swell up a bit last time, the heart failure was a problem.\n\n OK. OK. Um, fine. OK. So, um, just to really recap, uh, so you're really, in the last couple of weeks, uh, you've been feeling breathless, uh, but worse in the last couple of days. You mentioned you had a bit of a dry cough.\n\n Um, and some swelling in your ankles. Um, reporting no chest pain. Um, and, and have you had any, have you any, have you noticed your heartbeat racing at all? So, palpitations or skipped heartbeat?\n\n No, not really.\n\n OK. And any temperatures or fevers?\n\n Uh, no.\n\n OK. And how about your appetite? Are you eating and drinking OK?\n\n Yeah, I, , I'm, that's fine.\n\n OK. And your waterworks? Are you passing urine OK?\n\n Uh, yeah, but yeah. I usually pee a lot, , ever since the drugs .\n\n Yeah.\n\n Sure, OK. Alright. Um, fine. So, your uh, your past medical history. You mentioned heart failure. Any, any other medical history I should be aware of?\n\n Uh, well I was told I had like a, they called it like a small heart attack.\n\n About, five years ago. Um, I uh, I had, I, I had like some chest pain and, they took me into hospital.\n\n OK.\n\n And um, they, uh, but then I just got better.\n\n OK. And when, when you say a small heart attack, did they give you a name, for what happened, a, a name of a diagnosis?\n\n Um.\n\n Uh, I can't remember. They just called it something a , uh, something like that, a small heart attack.\n\n It's more hard to say. OK. Was it like angina or, um,\n\n Um.\n\n Uh, no they, they said that it, uh, it seemed, it was like, more than angina.\n\n OK.\n\n Um, uh, but um, I didn't, but I only had to stay in hospital for a few days, and, uh.\n\n OK.\n\n OK.\n\n And yeah, I've been OK since then.\n\n You've been OK since then. OK, alright. So, apart from the uh, the heart, the heart problems, the heart failure, any other problems I should be aware of?\n\n Uh, no, I think I'm otherwise, I'm OK.\n\n OK. Um, do you take any regular medications, apart from your diuretics that you're taking? And do you know which ones?\n\n Uh, yeah, I take something called Furosemide.\n\n . Do you know which dose you're taking?\n\n I can't remember, I'm sorry doctor. I have to check.\n\n That's OK.\n\n No problems. Um,\n\n Any other medications?\n\n Uh, yeah. I take Aspirin.\n\n OK.\n\n And uh, Bisoprolol.\n\n The Metoprolol, was it?\n\n Or?\n\n Uh, Bisoprolol.\n\n Sorry, the connection's not very good. OK. Thank you, yeah.\n\n Um, .\n\n And a thousand, OK. Alright. Any allergies at all? Any medications?\n\n Uh, no, no allergies.\n\n No.\n\n OK. And is there anything in the family that's, uh, that, that's uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems?\n\n Uh , my, my father died of a, uh, of a heart attack.\n\n I'm sorry to hear that. And, um, how old was your father when he passed away?\n\n Uh, he was, um, early sixties.\n\n Early sixties, OK. Alright. Anything else I should be aware of?\n\n Um, my mother had osteoporosis.\n\n OK.\n\n Is your mother still with us?\n\n Uh, yeah, she's still living.\n\n OK, alright. Um, and socially, sir, just tell me a bit more about your situation at home. Who lives at home with you?\n\n Uh, I live on my own. Well, I got two cats.\n\n You've got two cats. OK, great. Do they have names?\n\n They're my family. Uh, they're, they're called, um, they're called, Polly and Tim.\n\n OK.\n\n Um, so it's just you and your cats. And um, in terms of day to day, are you working at the moment?\n\n Uh, I work part-time as, a, uh, lorry driver.\n\n OK. And how is that? Is that quite stressful, long hours?\n\n Uh, it's OK. Um, I uh, yeah , when I'm working it's pretty exhausting.\n\n Mm.\n\n Um, I guess I'm a bit worried, that if I get sick I won't, if I get more sick then, I won't be able to work properly.\n\n Yeah, that's certainly a consideration, isn't it? So let's, let's try and get you better soon, so it doesn't have any um, impact on your, on your job.\n\n No.\n\n Uh, and do you find yourself doing a lot of anti-social hours? Do you , do you do a lot of night driving, weekend driving?\n\n Ohh no, I , I , I, I only take shifts during the day, I don't like working at night.\n\n OK.\n\n OK, alright. And what about smoking and alcohol? So, 'cause that can sometimes be very important when it comes to heart problems. Do you, do you smoke at all?\n\n Not any more.\n\n So, you used to smoke?\n\n Yeah.\n\n And how many did you smoke a day, on average?\n\n Ooh it was about, about a pack a day, back in the day.\n\n Um, and how many, how many years was that for?\n\n Ohh that was, oof, good twenty five years.\n\n OK. And what about the stopping? That must have been difficult for you. stopping. Um, and what, what about alcohol?\n\n I don't drink alcohol.\n\n OK. Do you do much in the way of exercise, sir?\n\n Uh, I try and walk to the shops, at least once a day.\n\n OK.\n\n Um, but uh, that's about it, I've. Yeah, I don't, I don't go running like I used to when i was young.\n\n OK.\n\n Right, OK. And certainly now your symptoms, you, you're, you said you're feeling more breathless even walking to the uh, to the shop, she said.\n\n Um, right. Ohh um, based on your, based on you history, and having listened to your story, I, I wonder whether you've had a flare-up of your heart failure, sir. Um,\n\n Which can sometimes happen. Um, um, and uh,\n\n Mmm.\n\n That.\n\n It's . So, it seems like your heart's not pumping as well as it should be. Um, and obviously having diagnosed with heart failure, there's obviously\n\n What's going on.\n\n Um, that's the first thing that comes to my mind. Um, now there's a couple of options move forward. Um,\n\n Mmm.\n\n Given that you're otherwise well at the moment, and having examined you, your chest, and your saturations and blood pressure are all OK,\n\n I'm quite happy to increase your dose of Furosemide. Maybe, rather than one tablet a day, we can do two tablets a day, for the first few days.\n\n Um, and see, and see how you're getting on.\n\n OK. If you think that'll be better.\n\n Uh,\n\n I think, I think, it's, it's, it's definitely worth treating your symptoms. But what we should also think about is maybe doing a couple of other tests, like a blood test, and maybe an echocardiogram of your heart, to see how well your heart's pumping.\n\n OK.\n\n Is that something you've had before? Yeah, so um, an , it's a, it's a general scan of your heart. You might have had this done before, when you were diagnosed. And it's just to get a good\n\n What does that?\n\n Ohh yes, I remember now.\n\n Sorry?\n\n Uh, yeah, I remember now. .\n\n You remember that. OK, fine. That's something I can organize for you today. And, and that might take a week or two weeks for that to be organized. But, I think certainly in the meantime, let's, um,\n\n Let's, let's get a blood test done. We can check your um, you know your full blood count, look for signs of anemia. We can have a check of your kidney function.\n\n Um, and we can definitely increase your um, your Furosemide, uh, to you know, one tablet twice a day.\n\n But I really like, would like you to come back and see me in about a week's time, see how you're getting on. That sound reasonable?\n\n I think that sounds like a good plan.\n\n And of course, in the meantime if you are getting more unwell, feel like you're getting more breathless, or you're having any other symptoms like chest pain, or palpitations or dizziness, then, uh, you know I want you to give me a call sooner than that, and we can have a chat on the phone as well.\n\n OK. I'll see how I get on.\n\n OK? Do you have any questions for me?\n\n Uh, I think that's all pretty clear. Thank you very much Doctor.\n\n Great, and then well I wish you all the best! Have a good day. OK. Thank you.\n\n OK. See you soon.", "products": { "hanah": [ { "label": "Run 1", "wer": 15.002698327037237, "text": "Okay.\n\n Hello.\n\n Hello there.\n\n Uh, hello. Can you hear me okay?\n\n Yes, I can hear you.\n\n Okay, great.\n\n Are you the doctor?\n\n Oh, I am, yes. Dr. Sood here, Oskar. Um, how can I help you this afternoon?\n\n Um, I'm contacting you because I've been quite short of breath lately.\n\n Okay. Do you want to tell me a bit more about it? So when did it all start?\n\n Uh, well, it seems to have been slowly getting worse over the last couple of weeks, um, and it's become quite troublesome in the last few days.\n\n Okay.\n\n Uh, I kind of normally I can walk to the shop without a problem, but now I'm having to sort of sit down and catch my breath, and I'm even starting to get a bit breathless just about the house.\n\n Okay.\n\n And, uh, it's got me kind of worried. I don't really know what's going on.\n\n Okay. Okay. Is there anything you're particularly worried about?\n\n Um, well, I've, I've, uh, I've got, um, heart failure.\n\n Okay.\n\n Uh, I was told that, uh, a while ago, um, and I got a bit breathless when I was first diagnosed.\n\n Right.\n\n And put on some medicine that, that, um, that helped, but I'm a bit worried it's just getting worse.\n\n Right. Okay. So you mentioned you've been feeling, uh, short of breath over the last couple of weeks, but mainly the last couple of days has got a bit worse. Um, and you're now feeling more breathless on kind of minimal, minimal exertion, you mentioned. Um, have you noticed any other symptoms at all, uh, with your breath? So, for example, any pain in your chest?\n\n No pain in my chest.\n\n Okay. Have you found yourself coughing, coughing at all?\n\n Uh, I've got a bit of a dry cough, but it's not too troublesome.\n\n Okay. Okay. And how's your general health otherwise? Are you feeling weak, lethargic?\n\n Um, I'm feeling a little run down. Um, but otherwise, otherwise pretty normal.\n\n Okay.\n\n I've noticed my ankles have got a bit bigger.\n\n Okay. And what do you mean by that?\n\n Uh, it's just like they've sort of swollen up a bit.\n\n Okay. Um, is that is that both.\n\n Kind of.\n\n Both ankles?\n\n Um, yeah, both ankles. Yeah, it's a bit embarrassing.\n\n Okay. Uh, I can imagine, yeah. Um, and again, over how long has this have you noticed this for?\n\n Um, I kind of noticed it the last few days.\n\n Last few days. Okay. And is this something that you've had before in the past?\n\n Uh, I think my ankles did swell up a bit last time the heart failure was a problem.\n\n Okay. Okay. Um, fine. Okay. So, um, just to really recap, uh, so you really in the last couple of weeks, uh, you've been feeling breathless, uh, but worse over the last couple of days. You mentioned you had a bit of a dry cough. Um, and some swelling in your ankles. Um, but importantly, no chest pain. Um, and, and, and have you had have you have you noticed your heartbeat racing at all, so palpitations or skipped heartbeat?\n\n No, not really.\n\n Okay. And any temperatures or fevers?\n\n Uh, no.\n\n Okay. And how about your appetite? Are you eating and drinking okay?\n\n Yeah, I'm, I'm that's fine.\n\n Okay. And your water work, are you passing urine okay?\n\n Uh, yeah, that yeah. I usually pee a lot.\n\n Yeah.\n\n A little bit since the drugs came out.\n\n Sure. Okay. All right. Um, fine. So moving on to your, your past medical history. You mentioned heart failure. Any, any other medical history I should be aware of?\n\n Uh, well, I was told I had, like, a they called it like a small heart attack about five years ago. Um, I, uh, I had I, I had, like, some chest pain and they took me to the hospital.\n\n Okay.\n\n And, um, they, uh but then I just got better.\n\n Okay. And when, when you say small heart attack, did they give you a name for what happened? A, a name of a diagnosis?\n\n Uh, I can't remember. They just called it a something like that, a small heart attack.\n\n Small heart attack. Okay. Was it something like angina or, um?\n\n Um, I know. They, they said they i-it seemed it was, like, more than angina.\n\n Okay.\n\n Um, uh, but, um, I didn't but I only had to stay in hospital for a few days and.\n\n Okay.\n\n Uh, and yeah, I've been okay since then.\n\n You've been okay since then. Okay. All right. So apart from the, uh, the heart, the heart problems, the heart failure, any other problems I should be aware of?\n\n Uh, no, I think I'm otherwise I'm okay.\n\n Okay.\n\n Um, do you take any regular medications apart from your is it diuretics that you're taking? Do you know which ones? Uh, yeah, I take something called furosemide.\n\n Furosemide. And do you know which dose you're taking?\n\n Uh, I can't remember. I'm sorry, doctor.\n\n That's okay.\n\n I'd have to check.\n\n No problems. Um, any other medications?\n\n Uh, yeah, I take aspirin.\n\n Okay.\n\n And, uh, bisoprolol.\n\n Is that metoprolol, was it? Or.\n\n Uh, bisoprolol.\n\n Sorry, the connection's not very good. Okay, thank you. Yep.\n\n Great.\n\n Um, and, uh, simvastatin. Simvastatin. Okay. All right. Any allergies at all? To any medications?\n\n Uh, no.\n\n No.\n\n No, no allergies.\n\n Okay. And is there anything in the family that's, uh, that, that's, uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems?\n\n Uh, my, my father died of a, uh, of a heart attack.\n\n I'm sorry to hear that. And, um, how old was your father when he passed away?\n\n Uh, he was, um, early 60s.\n\n Early 60s. Okay. Uh, anything else I should be aware of?\n\n Um, my mother had osteoporosis.\n\n Okay. Is your mother still with us?\n\n Uh, yeah, she's still living.\n\n Okay. All right. Um, and socially, sir, just tell me a bit more about your situation at home. Who lives at home with you?\n\n Uh, I live on my own. Uh, I've got two cats.\n\n You've got two cats. Okay, great. Do they have names?\n\n They're my family. Uh, they're, they're called, um, they're called Polly and Tim.\n\n Okay. Um, so this is you and your cats. And, um, in terms of day-to-day, are you working at the moment?\n\n Uh, I work part-time as a, uh, lorry driver.\n\n Okay. And how is that? Is that quite stressful, long hours?\n\n Uh, it's okay. Um, I, uh, yeah, like, when I'm working, it's pretty exhausting.\n\n Hmm.\n\n Um, I guess I'm a bit worried that if I get sick, I won't if I get more sick, then I won't be able to work properly.\n\n Yeah, and it's certainly a consideration, isn't it? So let's, let's try and get you better soon so it doesn't have any, um, impact on your on your job. And, and do you find yourself doing a lot of anti-social hours? Or do you s do, do you do a lot of night driving, weekend driving?\n\n Oh, no. I, I, I, I only take shifts during the day.\n\n Okay.\n\n I don't like working at night.\n\n Okay. All right. And what about smoking and alcohol, sir? 'Cause they can sometimes be very important when it comes to heart problems. So do you, do you smoke at all?\n\n Not anymore.\n\n So you used to smoke?\n\n Yeah.\n\n And how many did you smoke a day on average?\n\n Oh, it was about, about a pack a day. Back in the day.\n\n Um, and how many, how many years was that for?\n\n Oh, that was oof, a good 25 years.\n\n Okay. Well done for stopping. I'm, I must be very difficult for you, but well done for stopping. Um, and what, and what about alcohol?\n\n I don't drink alcohol.\n\n Okay. Do you do much in the way of exercise, sir?\n\n Uh, I try and walk to the shops, at least once a day.\n\n Okay.\n\n Um, but, uh, that's about it. I've yeah, I don't I don't go running like I used to when I was young.\n\n Right. Okay. And certainly now with your symptoms, you, you said you're feeling more breathless, even walking to the sto uh, to the shops, you said. Um, right. So, um, based on your based on your history and having listened to your story, uh, I, I wonder whether you've had a flare-up of your heart failure, sir. Um, we can sometimes happen. Um, um, and, you know.\n\n That's.\n\n It's.\n\n What's going on?\n\n So, it seems like your heart's not pumping as well as it should be. Um, and obviously having diagnosed with heart failure, there's obviously, um, it's the first thing that comes to my mind. Um, now, there's a couple of options for us to move forward. Um, given that you otherwise are well at the moment and having examined you, your chest and your saturations and blood pressure all okay, I'm quite happy to increase your dose of furosemide. So maybe rather than one tablet a day, we can give you two tablets a day for the first few days. Um, and see and see how you're getting on.\n\n Okay, if you think that would be best.\n\n I think, I think it's, it's, it's definitely worth treating your symptoms, but what we should also think about is maybe doing a couple of other tests, like a blood test, and maybe an echocardiogram of your heart to see how well your heart's pumping.\n\n Okay.\n\n Is that something you've had.\n\n I design.\n\n Yeah. So, um, an echo scan, it's a it's a jelly scan of your heart. You may have had it done before when you were diagnosed. And it's just to get a good.\n\n Oh, yes, I remember now.\n\n Sorry?\n\n Uh, yeah, I remember now.\n\n You remember now. Okay, fine. That's something I can organise for you today, and, and it may take a week or two weeks for that to be organised. But I think certainly in the meantime, let's, um, let's, let's get a blood test done. We can check your, um, you know, your full blood count, look for signs of anaemia. We can have a check of your kidney function. Um, and we can definitely increase your, um, your furosemide, uh, to, you know, one tablet twice a day. But I'd really like we'd like you to come back and see me in about a week's time to see how you're getting on. Does that sound reasonable?\n\n I think that sounds like a good plan.\n\n And of course, in the meantime, if you are getting more unwell, so if you're getting more breathless or you're having any other symptoms like chest pain or palpitations or dizziness, then, uh, you know, certainly I want you to give me a call sooner than that, and we can have a chat on the phone as well.\n\n Okay. I'll see how I get on.\n\n Okay. Do you have any questions for me?\n\n Uh, nothing else. All pretty clear. Thank you very much, doctor.\n\n Great. No, I wish you all the best.\n\n Thank you.\n\n Have a good day.\n\n Thank you. See you soon.\n\n Okay. Thank you.", "marks": [ [ 111, 136, ".", false ], [ 149, 157, "Nice to see you", false ], [ 164, 170, "Oscar.", false ], [ 208, 208, "Are you the doctor", false ], [ 454, 457, "now", false ], [ 563, 567, "shops", false ], [ 655, 659, "really", false ], [ 1184, 1195, "you're", false ], [ 1225, 1229, "for", false ], [ 1291, 1294, "it's", false ], [ 1961, 1968, "it's", false ], [ 2045, 2056, ".", false ], [ 2118, 2123, "Both ankles OK.", false ], [ 2264, 2268, "Past", false ], [ 2498, 2501, "you're", false ], [ 2588, 2592, "in", false ], [ 2704, 2719, "reporting", false ], [ 2766, 2766, "any", false ], [ 2775, 2775, "any", false ], [ 3013, 3016, "I", false ], [ 3053, 3063, "waterworks", false ], [ 3141, 3162, "ever", false ], [ 3179, 3188, ". Yeah.", false ], [ 3198, 3214, "OK. Alright.", false ], [ 3228, 3240, "", false ], [ 3524, 3530, "into", false ], [ 3765, 3765, "something", false ], [ 3814, 3839, "It's more hard to say. OK.", false ], [ 3847, 3856, "", false ], [ 3884, 3891, "Uh no", false ], [ 3908, 3917, "that it uh it", false ], [ 4135, 4151, "OK alright.", false ], [ 4486, 4501, ".", false ], [ 4587, 4606, "I", false ], [ 4621, 4621, "That's OK.", false ], [ 4840, 4854, "yeah.", false ], [ 4867, 4913, "a thousand OK. Alright.", true ], [ 4977, 4983, "", false ], [ 4998, 5003, "No. OK.", false ], [ 5335, 5339, "sixties.", false ], [ 5349, 5362, "sixties OK. Alright.", false ], [ 5510, 5526, "OK alright.", false ], [ 5657, 5665, "Well I", false ], [ 5838, 5845, "it's just", false ], [ 6260, 6268, "that's", false ], [ 6406, 6409, "No. Uh", false ], [ 6470, 6472, "", false ], [ 6480, 6484, "", false ], [ 6540, 6542, "Ohh", false ], [ 6638, 6654, "OK. OK alright.", false ], [ 6691, 6694, "So", false ], [ 6812, 6820, "any more.", false ], [ 6906, 6908, "Ooh", false ], [ 7014, 7016, "Ohh", false ], [ 7052, 7071, "OK. And what about the", false ], [ 7082, 7088, "That", false ], [ 7094, 7101, "have been", false ], [ 7121, 7138, "", false ], [ 7493, 7493, "you're", false ], [ 7556, 7559, "", false ], [ 7571, 7581, "shop she", false ], [ 7599, 7601, "Ohh", false ], [ 7630, 7634, "you", false ], [ 7756, 7758, "Which", false ], [ 7794, 7814, "uh Mmm. That.", false ], [ 7827, 7842, ".", false ], [ 7987, 7987, "What's going on.", false ], [ 7993, 7997, "that's", false ], [ 8074, 8083, "", false ], [ 8100, 8100, "Mmm.", false ], [ 8113, 8116, "you're", false ], [ 8335, 8343, "do", false ], [ 8451, 8461, "that'll", false ], [ 8465, 8470, "better. Uh", false ], [ 8769, 8778, "before", false ], [ 8799, 8808, "", false ], [ 8824, 8829, "general", false ], [ 8854, 8857, "might", false ], [ 8939, 8941, "What does that Ohh", false ], [ 9019, 9028, "that. OK", false ], [ 9059, 9067, "organize", false ], [ 9092, 9098, "that might", false ], [ 9139, 9149, "organized.", false ], [ 9310, 9318, "anemia.", false ], [ 9472, 9475, "I", false ], [ 9488, 9492, "would", false ], [ 9579, 9583, "", false ], [ 9715, 9720, "feel like", false ], [ 9854, 9863, "", false ], [ 10038, 10051, "I think that's", false ], [ 10109, 10111, "and then well", false ], [ 10141, 10151, "", false ], [ 10203, 10219, "", false ] ] }, { "label": "Run 2", "wer": 17.05342687533729, "text": "Okay.\n\n Hello,.\n\n Hello there.\n\n Uh, hello, can you hear me okay?\n\n Yes.\n\n I can hear you.\n\n Okay.\n\n Great.\n\n Are you the doctor?\n\n Oh, I am, yes. Dr. Sood here, Oskar. Um, how can I help you this afternoon?\n\n Um, I'm contacting you because I've been quite short of breath lately.\n\n Okay. Do you want to tell me a bit more about it? So when did it all start?\n\n Uh, well, it seems to have been slowly getting worse over the last couple of weeks. Um, it's become quite troublesome in the last few days.\n\n Okay.\n\n Uh, I kind of normally I can walk to the shops without a problem, but now I'm having to sort of sit down and catch my breath, and I'm even starting to get a bit breathless just about the house.\n\n Okay.\n\n And, uh, it's got me kind of worried. I don't really know what's going on.\n\n Okay. Okay. Is there anything you're particularly worried about?\n\n Um, well, I've, I've, uh, I've got, um, heart failure.\n\n Okay.\n\n Uh, I was told that, uh, a while ago. Um, and I got a bit breathless when I was first diagnosed.\n\n Right.\n\n And put on some medicine that, that, um, that helped, but I'm a bit worried it's just getting worse.\n\n Right. Okay. So you mentioned you've been feeling, uh, short of breath over the last couple of weeks, but mainly the last couple of days has got a bit worse. Um, and you're now feeling more breathless on kind of minimal, minimal exertion, you mentioned. Um, have you noticed any other symptoms at all, uh, with your breath? So, for example, any pain in your chest?\n\n No pain in my chest.\n\n Okay. Have you found yourself coughing, coughing at all?\n\n Uh, I've got a bit of a dry cough, but it's not too troublesome.\n\n Okay. Okay. And how's your general health otherwise? Are you feeling weak, lethargic?\n\n Um, I'm feeling a little rundown. Um, but otherwise, otherwise pretty normal.\n\n Okay.\n\n I've noticed my ankles have got a bit bigger.\n\n Okay. And what do you mean by that?\n\n Uh, it's just like they've sort of swollen up a bit.\n\n Okay. Um, is that is that both.\n\n Kind of.\n\n Both ankles?\n\n Um, yeah, both ankles. Yeah, it's a bit embarrassing.\n\n Okay. Uh, I can imagine, yeah. Um, and again, over how long has this have you noticed this for?\n\n Um, I kind of noticed it the last few days.\n\n Last few days. Okay. And is this something that you've had before in the past?\n\n Uh, I think my ankles did swell up a bit last time the heart failure was a problem.\n\n Okay. Okay. Um, fine. Okay. So, um, just to really recap, so you really, in the last couple of weeks, uh, you've been feeling breathless, uh, but worse in the last couple of days. You mentioned you had a bit of a dry cough. Um, and some swelling in your ankles. Um, but importantly, no chest pain. Um, and, and, and have you had any have you have you noticed your heartbeat racing at all? So palpitations or skipped heartbeat?\n\n No, not really.\n\n Okay. And any temperatures or fevers?\n\n Uh, no.\n\n Okay. And how about your appetite? Are you eating and drinking okay?\n\n Yeah, I'm, I'm that's fine.\n\n Okay. And your water work, are you passing urine okay?\n\n Uh, yeah, that yeah. I usually pee a lot.\n\n Yeah.\n\n A little bit since the drugs came out.\n\n Sure. Okay. All right. Um, fine. So moving on to your, your past medical history. You mentioned heart failure. Any, any other medical history I should be aware of?\n\n Uh, well, I was told I had, like, a they called it like a small heart attack about five years ago. Um, I, uh, I had I, I had, like, some chest pain and they took me to hospital.\n\n Okay.\n\n And, um, they, uh but then I just got better.\n\n Okay.\n\n Um.\n\n And when, when you say small heart attack, did they give you a name for what happened? A, a name of a diagnosis?\n\n Uh, I can't remember. They just called it a s it's something like that, a small heart attack.\n\n Small heart attack. Okay. Was it something like angina or, um?\n\n Um, uh, no. They, they said they i-it seemed it was, like, more than angina.\n\n Okay.\n\n Um, uh, but, um, I didn't but I only had to stay in hospital for a few days and.\n\n Okay.\n\n Uh, and yeah, I've been okay since then.\n\n You've been okay since then. Okay. All right. So apart from the, uh, the heart, the heart problems, the heart failure, any other problems I should be aware of?\n\n Uh, no, I think I'm otherwise I'm okay.\n\n Okay.\n\n Um, do you take any regular medications apart from your is it diuretics that you're taking? Do you know which ones? Uh, yeah, I take something called furosemide.\n\n Furosemide. And do you know which dose you're taking?\n\n Uh, I can't remember. I'm sorry, doctor.\n\n That's okay.\n\n I'd have to check.\n\n No problems. Um, any other medications?\n\n Uh, yeah, I take aspirin.\n\n Okay.\n\n And, uh, bisoprolol.\n\n Is that metoprolol, was this? Or.\n\n Uh, bisoprolol.\n\n Sorry, the connection's not very good. Okay, thank you. Yep.\n\n Great.\n\n Um, and, uh, simvastatin. Simvastatin. Okay. All right. Any allergies at all? To any medications?\n\n Uh, no.\n\n No.\n\n No, no allergies.\n\n Okay. And is there anything in the family that's, uh, that, that's, uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems?\n\n Uh, my, my father died of a, uh, of a heart attack.\n\n I'm sorry to hear that. And, um, how old was your father when he passed away?\n\n Uh, he was, um, early 60s.\n\n Early 60s. Okay. Uh, anything else I should be aware of?\n\n Um, my mother had osteoporosis.\n\n Okay. Did your mother still with us?\n\n Uh, yeah, she's still living.\n\n Okay. All right. Um, and socially, sir, just tell me a bit more about your situation at home. Who lives at home with you?\n\n Uh, I live on my own. Uh, I've got two cats.\n\n You've got two cats. Okay, great. Do they have names?\n\n They're my family. Uh, they're, they're called, um, they're called Polly and Tim.\n\n Okay. Um, so this is you and your cats. And, um, in terms of day-to-day, are you working at the moment?\n\n Uh, I work part-time as a, uh, lorry driver.\n\n Okay. And how is that? Is that quite stressful, long hours?\n\n Uh, it's okay. Um, I, uh, yeah, like, when I'm working, it's pretty exhausting.\n\n Hmm.\n\n Um, I guess I'm a bit worried that if I get sick, I won't if I get more sick, then I won't be able to work properly.\n\n Yeah, and it's certainly a consideration, isn't it? So let's, let's try and get you better soon so it doesn't have any, um.\n\n Yeah.\n\n Impact on your, on your job. And, and do you find yourself doing a lot of anti-social hours? Or do you s do, do you do a lot of night driving, weekend driving?\n\n Oh, no. I, I, I, I only take shifts.\n\n During the day.\n\n Thank you.\n\n I don't like working at night.\n\n Thank you. All right. And what about smoking and alcohol, though, because it can sometimes be very important when it comes to heart problems. Do you smoke at all?\n\n Not anymore.\n\n So you used to smoke.\n\n Yeah.\n\n And how many do you smoke a day, on average?\n\n Ooh, it was about a pack a day. Back in the day.\n\n And how many years was that for?\n\n Oh, that was.\n\n Oof. Good 25 years.\n\n Okay. Well done for stopping. I'm— I must have been very difficult for you, but well done for stopping. Um, and what about alcohol?\n\n I don't drink alcohol.\n\n Okay. Do you do much in the way of exercise, though?\n\n Uh, I try and walk to the shops at least once a day.\n\n Okay.\n\n Um, but, uh, that's about it. I've— yeah, I don't. I don't go running like I used to when I was young.\n\n Right. Okay. And sessions.\n\n She now, your symptoms— you said you're feeling more breathless even walking to the shop, she said. Right, so based on your history and having listened to your story, I wonder whether you've had a flare-up of your heart failure, sir, which can sometimes happen, and you know it's.\n\n What's going on?\n\n So it seems like your heart's not pumping as well as it should be, and obviously having diagnosed with heart failure, that's obviously the first thing that comes to mind.\n\n To my mind. Now, there's a couple of options for us to move forward. Given that you're otherwise well at the moment, and having examined you, your chest and your saturations and blood pressure are all okay, I'm quite happy to increase your dose of furosemide. So maybe, rather than 1 tablet a day, we can give you 2 tablets a day for the first few days and see how you're getting on.\n\n Okay. I do think that would be best.\n\n I think it's definitely worth treating your symptoms, but.\n\n What we should also think about is maybe doing a couple of other tests, like a blood test and maybe an echocardiogram of your heart, to see how well your heart's pumping.\n\n Okay.\n\n Is that something you've had.\n\n I've designed.\n\n Yeah. So, um, an echo scan— it's a jelly scan of your heart. You may have had it done before when you were diagnosed, and it's just to get a good.\n\n Oh, yes, I remember now.\n\n Sorry?\n\n Uh, yeah, I remember now.\n\n You remember now, okay, fine. That's something I can organize for you today, and it may take a week or 2 weeks for that to be organized, but I think.\n\n Sir, in the meantime, let's—let's get a blood test done. We can check your, you know, your full blood count and look for signs of anemia. We can have a check of your kidney function, and we can definitely increase your furosemide to, you know, 1 tablet twice a day. But I'd really like—would like you to come back and see me in about a week's time to see how you're getting on. Does that sound reasonable?\n\n I think that sounds like a good plan.\n\n And of course, in the meantime, if you are getting more unwell—so if you're getting more breathless.\n\n So are you having any other symptoms like chest pain, or palpitations, or dizziness? Then you can say, \"I want you to give me a call sooner than that,\" and we can have a chat on the phone as well.\n\n Okay, I'll see how I get on.\n\n Okay. Do you have any questions for me?\n\n Uh, nothing. That's all pretty clear. Thank you very much, Doctor.\n\n Great. Now I wish you all the best. Have a good day.\n\n Okay, see you soon.\n\n Okay, thank you.", "marks": [ [ 118, 143, ".", false ], [ 156, 164, "Nice to see you", false ], [ 171, 177, "Oscar.", false ], [ 215, 215, "Are you the doctor", false ], [ 459, 459, "now", false ], [ 659, 663, "really", false ], [ 1188, 1199, "you're", false ], [ 1229, 1233, "for", false ], [ 1295, 1298, "it's", false ], [ 1792, 1800, "run-down", false ], [ 1964, 1971, "it's", false ], [ 2048, 2059, ".", false ], [ 2121, 2126, "Both ankles OK.", false ], [ 2267, 2271, "Past", false ], [ 2497, 2500, "you're", false ], [ 2702, 2717, "reporting", false ], [ 2777, 2777, "any", false ], [ 3015, 3018, "I", false ], [ 3055, 3065, "waterworks", false ], [ 3143, 3164, "ever", false ], [ 3181, 3190, ". Yeah.", false ], [ 3200, 3216, "OK. Alright.", false ], [ 3230, 3242, "", false ], [ 3526, 3528, "into", false ], [ 3773, 3773, "something", false ], [ 3776, 3782, "uh", false ], [ 3829, 3854, "It's more hard to say. OK.", false ], [ 3862, 3871, "", false ], [ 3923, 3932, "that it uh it", false ], [ 4150, 4166, "OK alright.", false ], [ 4501, 4516, ".", false ], [ 4602, 4621, "I", false ], [ 4636, 4636, "That's OK.", false ], [ 4857, 4871, "yeah.", false ], [ 4884, 4930, "a thousand OK. Alright.", true ], [ 4994, 5000, "", false ], [ 5015, 5020, "No. OK.", false ], [ 5352, 5356, "sixties.", false ], [ 5366, 5379, "sixties OK. Alright.", false ], [ 5455, 5464, "OK. Is", false ], [ 5528, 5544, "OK alright.", false ], [ 5675, 5683, "Well I", false ], [ 5856, 5863, "it's just", false ], [ 6278, 6286, "that's", false ], [ 6437, 6440, "No. Uh", false ], [ 6501, 6503, "", false ], [ 6511, 6515, "", false ], [ 6571, 6573, "Ohh", false ], [ 6628, 6638, "", false ], [ 6674, 6695, "OK. OK alright.", false ], [ 6732, 6750, "So 'cause that", false ], [ 6822, 6822, "do you", false ], [ 6843, 6851, "any more.", false ], [ 6899, 6901, "did", false ], [ 6950, 6950, "about", false ], [ 6987, 6987, "how many", false ], [ 7019, 7021, "Ohh", false ], [ 7057, 7076, "OK. And what about the", false ], [ 7087, 7093, "That", false ], [ 7109, 7113, "", false ], [ 7133, 7150, "", false ], [ 7168, 7168, "what", false ], [ 7261, 7267, "sir", false ], [ 7456, 7471, "certainly", false ], [ 7490, 7490, "you you're", false ], [ 7575, 7577, "Ohh um", false ], [ 7591, 7591, "based on you", false ], [ 7734, 7742, "uh Mmm. That.", false ], [ 7751, 7766, ".", false ], [ 7888, 7894, "there's", false ], [ 7904, 7904, "What's going on. Um that's", false ], [ 7935, 7945, "", false ], [ 7988, 7997, "", false ], [ 8011, 8011, "Um Mmm.", false ], [ 8248, 8256, "do", false ], [ 8295, 8295, "Um and see", false ], [ 8329, 8339, "OK. If you", false ], [ 8346, 8356, "that'll", false ], [ 8360, 8365, "better. Uh", false ], [ 8375, 8375, "I think it's it's", false ], [ 8642, 8656, "before", false ], [ 8676, 8685, "", false ], [ 8694, 8699, "it's a general", false ], [ 8724, 8727, "might", false ], [ 8808, 8810, "What does that Ohh", false ], [ 8885, 8894, "that. OK", false ], [ 8953, 8959, "and that might", false ], [ 9024, 9027, "certainly", false ], [ 9044, 9044, "let's um", false ], [ 9242, 9242, "um your", false ], [ 9294, 9297, "I", false ], [ 9402, 9406, "", false ], [ 9535, 9540, "feel like", false ], [ 9575, 9585, "or you're", false ], [ 9669, 9676, "know", false ], [ 9851, 9859, "I think", false ], [ 9923, 9926, "and then well", false ], [ 9971, 9975, "OK. Thank you. OK.", false ], [ 9993, 10009, "", false ] ] }, { "label": "Run 3", "wer": 14.84079870480302, "text": "Hello.\n\n Hello there.\n\n Uh, hello, can you hear me okay?\n\n Yes, I can hear you.\n\n Okay.\n\n Great.\n\n Are you a doctor? Oh, I am, yes. Dr. Sood here, Oskar. Um, how can I help you this afternoon?\n\n Um, I'm contacting you because I've been quite short of breath lately.\n\n Okay. Do you want to tell me a bit more about you? When did it all start?\n\n Uh, well, it seems to have been slowly getting worse over the last couple of weeks, um, and it's become quite troublesome in the last few days.\n\n Okay.\n\n Uh, I kind of normally I can walk to the shops without a problem, but now I'm having to sort of sit down and catch my breath, and I'm even starting to get a bit breathless just about the house.\n\n Okay.\n\n And, uh, it's got me kind of worried. I don't really know what's going on.\n\n Okay. Okay. Is there anything you're particularly worried about?\n\n Um, well, I've, I've, uh, I've got, um, heart failure.\n\n Okay.\n\n Uh, I was told that, uh, a while ago, um, and I got a bit breathless when I was first diagnosed.\n\n Right.\n\n And put on some medicine that, that, um, that helped, but I'm a bit worried it's just getting worse.\n\n Right. Okay. So you mentioned you've been feeling, uh, short of breath over the last couple of weeks, but mainly the last couple of days it's got a bit worse. Um, and you're now feeling more breathless on kind of minimal, minimal exertion, you mentioned. Um, have you noticed any other symptoms at all, uh, with your breath? So, for example, any pain in your chest?\n\n No pain in my chest.\n\n Okay. Have you found yourself coughing, coughing at all?\n\n Uh, I've got a bit of a dry cough, but it's not too troublesome.\n\n Okay. Okay. And how's your general health otherwise? Are you feeling weak, lethargic?\n\n Um, I'm feeling a little run down. Um, but otherwise, otherwise pretty normal.\n\n Okay.\n\n I've noticed my ankles have got a bit bigger.\n\n Okay. And what do you mean by that?\n\n Uh, it's just like they've sort of swollen up a bit.\n\n Okay. Um, is that, is that both.\n\n Kind of.\n\n Both ankles?\n\n Um, yeah, both ankles. Yeah, it's a bit embarrassing.\n\n Okay. Uh, I can imagine, yeah. Um, and again, over how long has this have you noticed this for?\n\n Um, I kind of noticed it the last few days.\n\n Last few days. Okay. And is this something that you've had before in the past?\n\n Uh, I think my ankles did swell up a bit last time the heart failure was a problem.\n\n Okay. Okay. Um, fine. Okay. So, um, just to really recap, so you really, in the last couple of weeks, uh, you've been feeling breathless, uh, but worse over the last couple of days. You mentioned you had a bit of a dry cough. Um, and some swelling in your ankles. Um, but importantly, no chest pain. Um, and, and, and have you had any, have you, have you noticed your heartbeat racing at all? So palpitations or skipped heartbeat?\n\n No, not really.\n\n Okay. And any temperatures or fevers?\n\n Uh, no.\n\n Okay. And how about your appetite? Are you eating and drinking okay?\n\n Yeah, I'm, I'm, that's fine.\n\n Okay. And your water work, are you passing urine okay?\n\n Uh, yeah, that, yeah. I usually pee a lot.\n\n Yeah.\n\n A little bit since the drugs came out.\n\n Sure. Okay. All right. Um, fine. So moving on to your, your past medical history. You mentioned heart failure. Any, any other medical history I should be aware of?\n\n Uh, well, I was told I had, like, uh, they called it like a small heart attack about five years ago. Um, I, uh, I had, I, I had, like, some chest pain and they took me to the hospital.\n\n Okay.\n\n And, um, they, uh, but then I just got better.\n\n Okay. And when, when you say small heart attack, did they give you a name for what happened? A, a name of a diagnosis?\n\n Uh, I can't remember. They just called it a s-something like that, a small heart attack.\n\n Small heart attack. Okay. Was it something like angina or, um?\n\n Um, uh, no. They, they said they i-it seemed it was, like, more than angina.\n\n Okay.\n\n Um, uh, but, um, I didn't but I only had to stay in hospital for a few days and.\n\n Okay.\n\n Uh, and yeah, I've been okay since then.\n\n You've been okay since then. Okay. All right. So apart from the, uh, the heart, the heart problems, the heart failure, any other problems I should be aware of?\n\n Uh, no, I think I'm otherwise I'm okay.\n\n Okay.\n\n Um, do you take any regular medications apart from your is it diuretics that you're taking? Do you know which ones? Uh, yeah, I take something called furosemide.\n\n Furosemide. And do you know which dose you're taking?\n\n Uh, I can't remember. I'm sorry, doctor.\n\n That's okay.\n\n I have to check.\n\n No problems. Um, any other medications?\n\n Uh, yeah, I take aspirin.\n\n Okay.\n\n And, uh, bisoprolol.\n\n Is that metoprolol, was this? Or.\n\n Uh, bisoprolol.\n\n Sorry, the connection's not very good. Okay, thank you. Yep.\n\n Great.\n\n Um, and, uh, simvastatin. Simvastatin. Okay. All right. Any allergies at all? To any medications?\n\n Uh, no, no allergies.\n\n Okay. And is there anything in the family that's, uh, that, that's, uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems?\n\n Uh, my, my father died of a, uh, of a heart attack.\n\n I'm sorry to hear that. And, um, how old was your father when he passed away?\n\n Uh, he was, um, early 60s.\n\n Early 60s. Okay. Uh, anything else I should be aware of?\n\n Um, my mother had osteoporosis.\n\n Okay. Did your mother still with us?\n\n Uh, yeah, she's still living.\n\n Okay. All right. Um, and socially, sir, just tell me a bit more about your situation at home. Who lives at home with you?\n\n Uh, I live on my own. I mean, I've got two cats.\n\n You've got two cats. Okay, great. Do they have names?\n\n They're my family. Uh, they're, they're called, um, they're called Polly and Tim.\n\n Okay. Um, so this is you and your cats. And, um, in terms of day-to-day, are you working at the moment?\n\n Uh, I work part-time as a, uh, lorry driver.\n\n Okay. And how is that? Is that quite stressful, long hours?\n\n Uh, it's okay. Um, I, uh, yeah, like, when I'm working, it's pretty exhausting.\n\n Hmm.\n\n Um, I guess I'm a bit worried that if I get sick, I won't if I get more sick, then I won't be able to work properly.\n\n Yeah, this is certainly a consideration, isn't it? So let's, let's try and get you better soon so it doesn't have any, um, impact on your, on your job. And, and do you find yourself doing a lot of anti-social hours? Or do you s do, do you do a lot of night driving, weekend driving?\n\n Oh, no. I, I, I, I only take shifts during the day.\n\n Okay.\n\n I don't like working at night.\n\n Okay. All right. And what about smoking and alcohol, sir? Because it, it can sometimes be very important when it comes to heart problems. So do you, do you smoke at all?\n\n Not anymore.\n\n So you used to smoke?\n\n Yeah.\n\n And how many did you smoke a day, on average?\n\n Ooh, it was about, about a pack a day. Back in the day.\n\n Um, and how many, how many years was that for?\n\n Oh, that was, oof, a good 25 years.\n\n Okay. Well done for stopping. I'm, I must be very difficult for you, but well done for stopping. Um, and what, and what about alcohol?\n\n I don't drink alcohol.\n\n Okay. Do you do much in the way of exercise, sir?\n\n Uh, I try and walk to the shops at least once a day.\n\n Okay.\n\n Um, but, uh, that's about it. I've, yeah, I don't, I don't go running like I used to when I was young.\n\n Right. Okay. And certainly now with your symptoms, you, you said you're feeling more breathless, even walking to the sto uh, to the shops, you said. Um, right. So, um, based on your, based on your history and having listened to your story, uh, I, I wonder whether you've had a flare-up of your heart failure, sir. Um, we can sometimes happen. Um, um, and, you know.\n\n That's.\n\n It's.\n\n What's going on?\n\n So, it seems like your heart's not pumping as well as it should be. Um, and obviously having diagnosed with heart failure, there's obviously, um, it's the first thing that comes to my mind. Um, now, there's a couple of options for us to move forward. Um, given that you otherwise are well at the moment and having examined you, your chest and your saturations and blood pressure all okay, I'm quite happy to increase your dose of furosemide. So maybe rather than one tablet a day, we can give you two tablets a day for the first few days. Um, and see, and see how you're getting on.\n\n Okay. If you think that would be best.\n\n I think, I think it's, it's, it's definitely worth treating your symptoms. But what we should also think about is maybe doing a couple of other tests, like a blood test and maybe an echocardiogram of your heart to see how well your heart's pumping.\n\n Okay.\n\n Is that something you've had.\n\n What does that.\n\n Yeah. So, um, an echo sca uh, it's a, it's a jelly scan of your heart. You may have had it done before when you were diagnosed. And it's just to get a good.\n\n Oh, yes, I remember now.\n\n Sorry?\n\n Uh, yeah, I remember now.\n\n You remember now. Okay, fine. That's something I can organise for you today. And, and it may take a week or two weeks for that to be organised. But I think certainly in the meantime, let's, um, let's, let's get a blood test done. We can check your, um, you know, your full blood count, look for signs of anaemia. We can have a check of your kidney function. Um, and we can definitely increase your, um, your furosemide, uh, to, you know, one tablet twice a day. But I'd really like, would like you to come back and see me in about a week's time to see how you're getting on. Does that sound reasonable?\n\n I think that sounds like a good plan.\n\n And of course, in the meantime, if you are getting more unwell, so if you're getting more breathless or you're having any other symptoms like chest pain or palpitations or dizziness, then, uh, you know, certainly I want you to give me a call sooner than that, and we can have a chat on the phone as well.\n\n Okay. I'll see how I get on.\n\n Okay. Do you have any questions for me?\n\n Uh, nothing. That's all pretty clear. Thank you very much, doctor.\n\n Great. No, I wish you all the best. Have a good day.\n\n Okay. See you soon.\n\n Okay. Thank you.", "marks": [ [ 105, 125, ".", false ], [ 138, 146, "Nice to see you", false ], [ 153, 159, "Oscar.", false ], [ 197, 197, "Are you the doctor", false ], [ 441, 444, "now", false ], [ 643, 647, "really", false ], [ 1172, 1183, "you're", false ], [ 1213, 1217, "for", false ], [ 1950, 1957, "it's", false ], [ 2035, 2046, ".", false ], [ 2108, 2113, "Both ankles OK.", false ], [ 2254, 2258, "Past", false ], [ 2484, 2487, "you're", false ], [ 2575, 2579, "in", false ], [ 2691, 2706, "reporting", false ], [ 2767, 2767, "any", false ], [ 3006, 3009, "I", false ], [ 3047, 3057, "waterworks", false ], [ 3136, 3157, "ever", false ], [ 3174, 3183, ". Yeah.", false ], [ 3193, 3209, "OK. Alright.", false ], [ 3223, 3235, "", false ], [ 3522, 3528, "into", false ], [ 3764, 3764, "something", false ], [ 3767, 3778, "uh something", false ], [ 3815, 3840, "It's more hard to say. OK.", false ], [ 3848, 3857, "", false ], [ 3909, 3918, "that it uh it", false ], [ 4136, 4152, "OK alright.", false ], [ 4487, 4502, ".", false ], [ 4588, 4600, "", false ], [ 4620, 4620, "That's OK.", false ], [ 4841, 4855, "yeah.", false ], [ 4868, 4914, "a thousand OK. Alright.", true ], [ 4985, 4990, "No. OK.", false ], [ 5322, 5326, "sixties.", false ], [ 5336, 5349, "sixties OK. Alright.", false ], [ 5425, 5434, "OK. Is", false ], [ 5498, 5514, "OK alright.", false ], [ 5647, 5657, "", false ], [ 5830, 5837, "it's just", false ], [ 6252, 6259, "that's", false ], [ 6398, 6401, "No. Uh", false ], [ 6462, 6464, "", false ], [ 6472, 6476, "", false ], [ 6532, 6534, "Ohh", false ], [ 6630, 6646, "OK. OK alright.", false ], [ 6683, 6702, "So 'cause that", false ], [ 6807, 6815, "any more.", false ], [ 7011, 7013, "Ohh", false ], [ 7050, 7069, "OK. And what about the", false ], [ 7080, 7086, "That", false ], [ 7092, 7099, "have been", false ], [ 7119, 7136, "", false ], [ 7492, 7492, "you're", false ], [ 7555, 7558, "", false ], [ 7570, 7580, "shop she", false ], [ 7598, 7600, "Ohh", false ], [ 7630, 7634, "you", false ], [ 7756, 7758, "Which", false ], [ 7794, 7814, "uh Mmm. That.", false ], [ 7827, 7842, ".", false ], [ 7987, 7987, "What's going on.", false ], [ 7993, 7997, "that's", false ], [ 8074, 8083, "", false ], [ 8100, 8100, "Mmm.", false ], [ 8113, 8116, "you're", false ], [ 8335, 8343, "do", false ], [ 8452, 8462, "that'll", false ], [ 8466, 8471, "better. Uh", false ], [ 8769, 8784, "before", false ], [ 8805, 8816, "", false ], [ 8833, 8838, "general", false ], [ 8863, 8866, "might", false ], [ 8948, 8950, "What does that Ohh", false ], [ 9028, 9037, "that. OK", false ], [ 9068, 9076, "organize", false ], [ 9101, 9107, "that might", false ], [ 9148, 9158, "organized.", false ], [ 9319, 9327, "anemia.", false ], [ 9481, 9484, "I", false ], [ 9590, 9594, "", false ], [ 9726, 9731, "feel like", false ], [ 9865, 9874, "", false ], [ 10049, 10057, "I think", false ], [ 10122, 10124, "and then well", false ], [ 10171, 10176, "OK. Thank you. OK.", false ], [ 10194, 10210, "", false ] ] }, { "label": "Run 4", "wer": 15.380464112250406, "text": "Okay.\n\n Hello.\n\n Hello there.\n\n Uh, hello. Can you hear me okay?\n\n Yes, I can hear you.\n\n Okay.\n\n Great.\n\n Are you the doctor? Oh, I am, yes. Dr. Sood here, Oskar. Um, how can I help you this afternoon?\n\n Um, I'm contacting you because I've been quite short of breath lately.\n\n Okay. Do you want to tell me a bit more about it? So when did it all start?\n\n Uh, well, it seems to have been slowly getting worse over the last couple of weeks, um, and it's become quite troublesome in the last few days.\n\n Okay.\n\n Uh, I kind of normally I can walk to the shop without a problem, but now I'm having to sort of sit down and catch my breath, and I'm even starting to get a bit breathless just about the house.\n\n Okay.\n\n And, uh, it's got me kind of worried. I don't really know what's going on.\n\n Okay. Okay. Is there anything you're particularly worried about?\n\n Um, well, I've, I've, uh, I've got, um, heart failure.\n\n Okay.\n\n Uh, I was told that, uh, a while ago.\n\n Okay.\n\n Um, and I got a bit breathless when I was first diagnosed.\n\n Right.\n\n And put on some medicine that, that, um, that helped, but I'm a bit worried it's just getting worse.\n\n Right. Okay. So you mentioned you've been feeling, uh, short of breath over the last couple of weeks, but mainly the last couple of days has got a bit worse. Um, and you're now feeling more breathless on kind of minimal, minimal exertion you mentioned. Um, have you noticed any other symptoms at all, uh, with your breath? So, for example, any pain in your chest?\n\n No pain in my chest.\n\n Okay. Have you found yourself coughing, coughing at all?\n\n Uh, I've got a bit of a dry cough, but it's not too troublesome.\n\n Okay. Okay. And how's your general health otherwise? Are you feeling weak, lethargic?\n\n Um, I'm feeling a little run down. Um, but otherwise, otherwise pretty normal.\n\n Okay.\n\n I've noticed my ankles have got a bit bigger.\n\n Okay. And what do you mean by that?\n\n Uh, it's just like they've sort of swollen up a bit.\n\n Okay. Um, is that is that both.\n\n Kind of.\n\n Both ankles?\n\n Um, yeah, both ankles. Yeah, it's a bit embarrassing.\n\n Okay. Uh, I can imagine, yeah. Um, and again, over how long has this have you noticed this for?\n\n Um, I kind of noticed it the last few days.\n\n Last few days. Okay. And is this something that you've had before in the past?\n\n Uh, I think my ankles did swell up a bit last time the heart failure was a problem.\n\n Okay. Okay. Um, fine. Okay. So, um, just to really recap, uh, so you really in the last couple of weeks, uh, you've been feeling breathless, uh, but worse over the last couple of days. You mentioned you had a bit of a dry cough. Um, and some swelling in your ankles. Um, but importantly, no chest pain. Um, and, and, and have you had any have you have you noticed your heartbeat racing at all, so palpitations or skipped heartbeat?\n\n No, not really.\n\n Okay. And any temperatures or fevers?\n\n Uh, no.\n\n Okay. And how about your appetite? Are you eating and drinking okay?\n\n Yeah, I'm, I'm that's fine.\n\n Okay. And your water work, are you passing urine okay?\n\n Uh, yeah, that yeah, I usually pee a lot.\n\n Yeah.\n\n A little bit.\n\n Okay.\n\n A little bit since the drugs came out.\n\n Sure. Okay. All right. Um, fine. So moving on to your, your past medical history. You mentioned heart failure. Any, any other medical history I should be aware of?\n\n Uh, well, I was told I had, like, a they called it like a small heart attack about five years ago. Um, I, uh, I had I, I had, like, some chest pain and they took me to the hospital.\n\n Okay.\n\n And, um, they, uh but then I just got better.\n\n Okay. And when, when you say small heart attack, did they give you a name for what happened? A, a name of a diagnosis?\n\n Uh, I can't remember. They just called it a something like that, a small heart attack.\n\n A small heart attack. Okay. Was it something like angina or, um?\n\n Um, I know. They, they said they i-it seemed it was, like, more than angina.\n\n Okay.\n\n Um, uh, but, um, I didn't but I only had to stay in the hospital for a few days.\n\n Okay.\n\n Uh, okay. And yeah, I've been okay since then.\n\n You've been okay since then. Okay. All right. So apart from the, uh, the heart, the heart problems, the heart failure, any other problems I should be aware of?\n\n Uh, no, I think I'm otherwise I'm okay.\n\n Okay. Um, do you take any regular medications apart from your is it diuretics that you're taking? Do you know which ones?\n\n Uh, yeah, I take something called furosemide.\n\n Furosemide. And do you know which dose you're taking?\n\n Uh, I can't remember. I'm sorry, doctor.\n\n That's okay.\n\n I'd have to check.\n\n No problems. Um, any other medications?\n\n Uh, yeah, I take aspirin.\n\n Okay.\n\n And, uh, bisoprolol.\n\n Is that metoprolol, was it? Or.\n\n Uh, bisoprolol.\n\n Sorry, the connection's not very good. Okay, thank you. Yep.\n\n Great.\n\n Um, and, uh, simvastatin. Simvastatin. Okay. All right. Any allergies at all? To any medications?\n\n Uh, no.\n\n No.\n\n No, no allergies.\n\n Okay. And is there anything in the family that's, uh, that, that's, uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems?\n\n Uh, my, my father died of a, uh, of a heart attack.\n\n I'm sorry to hear that. And, um, how old was your father when he passed away?\n\n Uh, he was, um, early 60s.\n\n Early 60s. Okay. Uh, anything else I should be aware of?\n\n Um, my mother had osteoporosis.\n\n Okay. Is your mother still with us?\n\n Uh, yeah, she's still living.\n\n Okay. All right. Um, and socially, sir, just tell me a bit more about your situation at home. Who lives at home with you?\n\n Uh, I live on my own. I mean, I've got two cats.\n\n You've got two cats. Okay, great. Do they have names?\n\n They're my family. Uh, they're, they're called um, they're called Polly and Tim.\n\n Okay. Um, so this is junior cats. And, um, in terms of day-to-day, are you working at the moment?\n\n Uh, I work part-time, as a, uh, lorry driver.\n\n Okay. And how is that? Is that quite stressful, long hours?\n\n Uh, it's okay. Um, I, uh, yeah, like, when I'm working, it's pretty exhausting.\n\n Hmm.\n\n Um, I guess I'm a bit worried that if I get sick, I won't if I get more sick, then I won't be able to work properly.\n\n Yeah, and it's certainly a consideration, isn't it? So let's, let's try and get you better soon so it doesn't have any, um, impact on your on your job. And, and do you find yourself doing a lot of anti-social hours? Or do you s do, do you do a lot of night driving, weekend driving?\n\n Oh, no, I, I, I I only take shifts during the day.\n\n Okay.\n\n I don't like working at night.\n\n Okay. All right. And what about smoking and alcohol, sir? Because they can sometimes be very important when it comes to heart problems. So do you, do you smoke at all?\n\n Not anymore.\n\n So you used to smoke?\n\n Yeah.\n\n And how many did you smoke a day on average?\n\n Oh, it was about, about a pack a day. Back in the day.\n\n Um, and how many, how many years was that for?\n\n Oh, that was oof, a good 25 years.\n\n Okay. Well done for stopping. I'm, I must be very difficult for you, but well done for stopping. Um, and what, and what about alcohol?\n\n I don't drink alcohol.\n\n Okay. Do you do much in the way of exercise, sir?\n\n Uh, I try and walk to the shops, at least once a day.\n\n Okay.\n\n Um, but, uh, that's about it. I've yeah, I don't I don't go running like I used to when I was young.\n\n Right. Okay. And certainly now with your symptoms, you, you said you're feeling more breathless even walking to the st uh, to the shops, you said. Um, right. So, um, based on your based on your history and having listened to your story, uh, I, I wonder whether you've had a flare-up of your heart failure, sir. Um, we can sometimes happen. Um, um, and, you know, it's.\n\n What's going on?\n\n So, it seems like your heart's not pumping as well as it should be. Um, and obviously having diagnosed with heart failure, there's obviously, um, it's the first thing that comes to my mind. Um, now, there's a couple of options to move forward. Um, given that you otherwise are well at the moment and having examined you, your chest and your saturations and blood pressure all okay, I'm quite happy to increase your dose of furosemide. So maybe rather than one tablet a day, we can give you two tablets a day for the first few days. Um, and see, and see how you're getting on.\n\n Okay, if you think that would be best.\n\n I think, I think it's, it's, it's definitely worth treating your symptoms. But what we should also think about is maybe doing a couple of other tests, like a blood test, and maybe an echocardiogram of your heart to see how well your heart's pumping.\n\n Okay.\n\n Is that something you've had. Yeah. So, um, an echo scan it's, it's a jelly scan of your heart. You may have had it done before when you were diagnosed. And it's just to get a good.\n\n Oh, yes, I remember now.\n\n Sorry?\n\n Uh, yeah, I remember now.\n\n You remember now. Okay, fine. That's something I can organize for you today. And, and it may take a week or two weeks for that to be organized. But I think certainly in the meantime, let's, um, let's, let's get a blood test done. We can check your, um, you know, your full blood count, look for signs of anemia. We can have a check of your kidney function. Um, and we can definitely increase your, um, your furosemide to, you know, one tablet twice a day. But I'd really like we'd like you to come back and see me in about a week's time to see how you're getting on. Does that sound reasonable?\n\n I think that sounds like a good plan.\n\n And of course, in the meantime, if you are getting more unwell, so if you're getting more breathless or you're having any other symptoms like chest pain or palpitations or dizziness, then, uh, you know, certainly I want you to give me a call sooner than that, and we can have a chat on the phone as well.\n\n Okay. I'll see how I get on.\n\n Okay. Do you have any questions for me?\n\n Uh, nothing else. All pretty clear. Thank you very much, doctor.\n\n Great. No, I wish you all the best.\n\n Thank you.\n\n Have a good day.\n\n See you soon.\n\n Okay. Thank you.", "marks": [ [ 114, 136, ".", false ], [ 149, 157, "Nice to see you", false ], [ 164, 170, "Oscar.", false ], [ 208, 208, "Are you the doctor", false ], [ 454, 457, "now", false ], [ 563, 567, "shops", false ], [ 655, 659, "really", false ], [ 1196, 1207, "you're", false ], [ 1237, 1241, "for", false ], [ 1303, 1306, "it's", false ], [ 1972, 1979, "it's", false ], [ 2056, 2067, ".", false ], [ 2129, 2134, "Both ankles OK.", false ], [ 2275, 2279, "Past", false ], [ 2509, 2512, "you're", false ], [ 2599, 2603, "in", false ], [ 2715, 2730, "reporting", false ], [ 2790, 2790, "any", false ], [ 3028, 3031, "I", false ], [ 3068, 3078, "waterworks", false ], [ 3156, 3203, "ever", false ], [ 3220, 3229, ". Yeah.", false ], [ 3239, 3255, "OK. Alright.", false ], [ 3269, 3281, "", false ], [ 3565, 3571, "into", false ], [ 3806, 3806, "something", false ], [ 3855, 3882, "It's more hard to say. OK.", false ], [ 3890, 3899, "", false ], [ 3927, 3934, "Uh no", false ], [ 3951, 3960, "that it uh it", false ], [ 4184, 4200, "OK alright.", false ], [ 4535, 4550, ".", false ], [ 4636, 4655, "I", false ], [ 4670, 4670, "That's OK.", false ], [ 4889, 4903, "yeah.", false ], [ 4916, 4962, "a thousand OK. Alright.", true ], [ 5026, 5032, "", false ], [ 5047, 5052, "No. OK.", false ], [ 5384, 5388, "sixties.", false ], [ 5398, 5411, "sixties OK. Alright.", false ], [ 5559, 5575, "OK alright.", false ], [ 5708, 5718, "", false ], [ 5890, 5904, "it's just you and your", false ], [ 6307, 6315, "that's", false ], [ 6453, 6456, "No. Uh", false ], [ 6517, 6519, "", false ], [ 6527, 6531, "", false ], [ 6587, 6589, "Ohh", false ], [ 6684, 6700, "OK. OK alright.", false ], [ 6737, 6754, "So 'cause that", false ], [ 6859, 6867, "any more.", false ], [ 6953, 6955, "Ooh", false ], [ 7061, 7063, "Ohh", false ], [ 7099, 7118, "OK. And what about the", false ], [ 7129, 7135, "That", false ], [ 7141, 7148, "have been", false ], [ 7168, 7185, "", false ], [ 7540, 7540, "you're", false ], [ 7602, 7604, "", false ], [ 7616, 7626, "shop she", false ], [ 7644, 7646, "Ohh", false ], [ 7675, 7679, "you", false ], [ 7801, 7803, "Which", false ], [ 7839, 7847, "uh Mmm. That.", false ], [ 7858, 7873, ".", false ], [ 8018, 8018, "What's going on.", false ], [ 8024, 8028, "that's", false ], [ 8124, 8124, "Mmm.", false ], [ 8137, 8140, "you're", false ], [ 8359, 8367, "do", false ], [ 8476, 8486, "that'll", false ], [ 8490, 8495, "better. Uh", false ], [ 8790, 8790, "before", false ], [ 8808, 8822, "", false ], [ 8831, 8836, "it's a general", false ], [ 8861, 8864, "might", false ], [ 8946, 8948, "What does that Ohh", false ], [ 9026, 9035, "that. OK", false ], [ 9099, 9105, "that might", false ], [ 9473, 9476, "I", false ], [ 9489, 9493, "would", false ], [ 9580, 9584, "", false ], [ 9716, 9721, "feel like", false ], [ 9855, 9864, "", false ], [ 10039, 10052, "I think that's", false ], [ 10110, 10112, "and then well", false ], [ 10142, 10152, "", false ], [ 10172, 10172, "OK. Thank you. OK.", false ], [ 10193, 10209, "", false ] ] }, { "label": "Run 5", "wer": 19.427954668105773, "text": "Normally I can walk to the shops, without a problem, but now I'm having to sort of sit down and catch my breath, and I'm even starting to get a bit breathless just about the house.\n\n Okay.\n\n And, uh, it's got me kind of worried. I don't really know what's going on.\n\n Okay, okay. Is there anything you're particularly worried about?\n\n Um, well, I've, I've, uh, I've got, um, heart failure.\n\n Okay.\n\n Uh, I was told that, uh, a while ago, um, and I got a bit breathless when I was first diagnosed.\n\n Right.\n\n And put on some medicine that, that, um, that helped, but I'm a bit worried it's just getting worse.\n\n Right, okay. So you mentioned you've been feeling, uh, short of breath over the last couple of weeks, but mainly the last couple of days has got a bit worse. Um, and you're now feeling more breathless on kind of minimal, minimal exertion you mentioned. Um, have you noticed any other symptoms at all, uh, with your breath? So, for example, any pain in your chest?\n\n No pain in my chest.\n\n Okay. Have you found yourself coughing, coughing at all?\n\n Uh, I've got a bit of a dry cough, but it's not too troublesome.\n\n Okay. Okay. And how's your general health otherwise? Are you feeling weak, lethargic?\n\n Um, I'm feeling a little rundown. Um, but otherwise, otherwise pretty normal.\n\n Okay.\n\n I've noticed my ankles have got a bit bigger.\n\n Okay. And what do you mean by that?\n\n Uh, it's just like they've sort of swollen up a bit.\n\n Okay. Um, is that, is that both.\n\n Kind of.\n\n Both ankles?\n\n Um, yeah, both ankles. Yeah, it's a bit embarrassing.\n\n Okay. Uh, I can imagine, yeah. Um, and again, over how long has this, have you noticed this for?\n\n Um, I kind of noticed it the last few days.\n\n Last few days, okay. And is this something that you've had before in the past?\n\n Uh, I think my ankles did swell up a bit last time the heart failure was a problem.\n\n Okay. Okay. Um, fine. Okay. So, um, just to really recap, so you really, in the last couple of weeks, uh, you've been feeling breathless, uh, but worse over the last couple of days. You mentioned you had a bit of a dry cough. Um, and some swelling in your ankles. Um, but importantly, no chest pain. Um, and, and, and have you had any, have you, have you noticed your heartbeat racing at all, so palpitations or skipped heartbeat?\n\n No, not really.\n\n Okay. And any temperatures or fevers?\n\n Uh, no.\n\n Okay. And how about your appetite? Are you eating and drinking okay?\n\n Yeah, I'm, I'm, that's fine.\n\n Okay. And your water work, are you passing urine okay?\n\n Uh, yeah, that, yeah. I usually pee a lot.\n\n Yeah.\n\n A little bit since the drugs came out.\n\n Sure. Okay. All right. Um, fine. So moving on to your, your past medical history. You mentioned heart failure. Any, any other medical history I should be aware of?\n\n Uh, well, I was told I had, like, a, they called it like a small heart attack about five years ago. Um, I, uh, I had, I, I had, like, some chest pain and they took me to hospital.\n\n Okay.\n\n And, um, they, uh, but then I just got better.\n\n Okay. And when, when you say small heart attack, did they give you a name for what happened? A, a name of a diagnosis?\n\n Uh, I can't remember. They just called it a, something like that, a small heart attack.\n\n Small heart attack, okay. Was it something like angina or, um?\n\n Um, I know. They, they said they, it seemed it was, like, more than angina.\n\n Okay.\n\n Um, uh, but, um, I didn't, but I only had to stay in hospital for a few days and.\n\n Okay.\n\n Uh, and yeah, I've been okay since then.\n\n You've been okay since then, okay. All right. So apart from the, uh, the heart, the heart problems, the heart failure, any other problems I should be aware of?\n\n Uh, no, I think I'm otherwise I'm okay.\n\n Okay. Um, do you take any regular medications apart from your, is it diuretics that you're taking? Do you know which ones?\n\n Uh, yeah, I take something called furosemide.\n\n Furosemide. And do you know which dose you're taking?\n\n Uh, I can't remember. I'm sorry, doctor.\n\n That's okay.\n\n I'd have to check.\n\n No problems. Um, any other medications?\n\n Uh, yeah, I take aspirin.\n\n Okay.\n\n And, uh, bisoprolol.\n\n Is that metoprolol, was this? Or.\n\n Uh, bisoprolol.\n\n Sorry, the connection's not very good. Okay, thank you. Yep.\n\n Great.\n\n Um, and, uh, simvastatin. Simvastatin, okay. All right. Any allergies at all? To any medications?\n\n Uh, no, no allergies.\n\n Okay. And is there anything in the family that's, that, that's, uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems?\n\n Uh, my, my father died of a, uh, of a heart attack.\n\n I'm sorry to hear that. And, um, how old was your father when he passed away?\n\n Uh, he was, um, early 60s.\n\n Early 60s, okay. Uh, anything else I should be aware of?\n\n Um, my mother had osteoporosis.\n\n Okay. Did your mother still with us?\n\n Uh, yeah, she's still living.\n\n Okay. All right. Um, and socially, sir, just tell me a bit more about your situation at home. Who lives at home with you?\n\n Uh, I live on my own. I mean, I've got two cats.\n\n You've got two cats, okay. Great. Do they have names?\n\n They're my family. Uh, they're, they're called, um, they're called Polly and Tim.\n\n Okay. Um, so this is you and your cats. And, um, in terms of day-to-day, are you working at the moment?\n\n Uh, I work part-time, as a, uh, lorry driver.\n\n Okay. And how is that? Is that quite stressful, long hours?\n\n Uh, it's okay. Um, I, uh, yeah, like, when I'm working, it's pretty exhausting.\n\n Hmm.\n\n Um, I guess I'm a bit worried that if I get sick, I won't, if I get more sick, then I won't be able to work properly.\n\n Yeah, and it's certainly a consideration, isn't it? So let's, let's try and get you better soon so it doesn't have any, um, impact on your, on your job. And, and do you find yourself doing a lot of anti-social hours? Or do you self, do, do you do a lot of night driving, weekend driving?\n\n Oh, no, I, I, I only take shifts during the day.\n\n Okay.\n\n I don't like working at night.\n\n Okay. All right. And what about smoking and alcohol, sir? Because they can sometimes be very important when it comes to heart problems. So do you, do you smoke at all?\n\n Not anymore.\n\n So you used to smoke?\n\n Yeah.\n\n And how many did you smoke a day on average?\n\n Ooh, it was about, about a pack a day. Back in the day.\n\n Um, and how many, how many years was that for?\n\n Oh, that was, oof, a good 25 years.\n\n Okay. Well done for stopping. I'm, I must be very difficult for you, but well done for stopping. Um, and what, and what about alcohol?\n\n I don't drink alcohol.\n\n Okay. Do you do much in the way of exercise, sir?\n\n Uh, I try and walk to the shops, at least once a day.\n\n Okay.\n\n Um, but, uh, that's about it. I've, yeah, I don't, I don't go running like I used to when I was young.\n\n Right. Okay. And certainly now with your symptoms, you, you said you're feeling more breathless even walking to the sto uh, to the shops, you said. Um, right. So, um, based on your, based on your history and having listened to your story, uh, I, I wonder whether you've had a bit of a flare-up of your heart failure, sir. Um, we can sometimes happen. Um, um, and, you know, it's.\n\n What's going on?\n\n So, it seems like your heart's not pumping as well as it should be. Um, and obviously having diagnosed with heart failure, there's obviously, um, it's the first thing that comes to my mind. Um, now, there's a couple of options for us to move forward. Um, given that you otherwise are well at the moment and having examined you, your chest and your saturations and blood pressure are all okay, I'm quite happy to increase your dose of furosemide. So maybe rather than one tablet a day, we can give you two tablets a day for the first few days. Um, and see, and see how you're getting on.\n\n Okay, if you think that would be best.\n\n I think, I think it's, it's, it's definitely worth treating your symptoms, but what we should also think about is maybe doing a couple of other tests, like a blood test, and maybe an echocardiogram of your heart to see how well your heart's pumping.\n\n Okay.\n\n Is that something you've had.\n\n What does that.\n\n Yeah. So, um, an echo scan, it's a, it's a jelly scan of your heart. You may have had it done before when you were diagnosed. And it's just to get a good.\n\n Oh, yes, I remember now.\n\n Sorry?\n\n Uh, yeah, I remember now.\n\n You remember now. Okay, fine. That's something I can organize for you today and, and it may take a week or two weeks for that to be organized. But I think certainly in the meantime, let's, um, let's, let's get a blood test done. We can check your, um, you know, your full blood count, look for signs of anemia. We can have a check of your kidney function. Um, and we can definitely increase your, um, your furosemide to, you know, one tablet twice a day. But I'd really like, would like you to come back and see me in about a week's time to see how you're getting on. Does that sound reasonable?\n\n I think that sounds like a good plan.\n\n And of course, in the meantime, if you are getting more unwell, so if you're getting more breathless or you're having any other symptoms like chest pain or palpitations or dizziness, then, uh, you know, certainly I want you to give me a call sooner than that, and we can have a chat on the phone as well.\n\n Okay. I'll see how I get on.\n\n Okay. Do you have any questions for me?\n\n Uh, nothing else. All pretty clear. Thank you very much, doctor.\n\n Great. No, I wish you all the best.\n\n Thank you.\n\n Have a good day.\n\n See you soon.\n\n Okay. Thank you.", "marks": [ [ 0, 0, "Hello Hello there. Uh hello. Can you hear me OK Yes I can hear you. OK great. . I am yes. Nice to see you here Oscar. Um how can I help you this afternoon Are you the doctor Um I'm contacting you because I've been quite short of breath lately. OK. Do you want to tell me a bit more about it When did it all start Uh well it seems to have been slowly getting worse over the last couple of weeks. Um now it's become quite troublesome in the last few days. Uh I kind of", true ], [ 121, 125, "really", false ], [ 650, 661, "you're", false ], [ 691, 695, "for", false ], [ 757, 760, "it's", false ], [ 1253, 1261, "run-down", false ], [ 1425, 1432, "it's", false ], [ 1510, 1521, ".", false ], [ 1583, 1588, "Both ankles OK.", false ], [ 1730, 1734, "Past", false ], [ 1960, 1963, "you're", false ], [ 2051, 2055, "in", false ], [ 2167, 2182, "reporting", false ], [ 2243, 2243, "any", false ], [ 2482, 2485, "I", false ], [ 2523, 2533, "waterworks", false ], [ 2612, 2633, "ever", false ], [ 2650, 2659, ". Yeah.", false ], [ 2669, 2685, "OK. Alright.", false ], [ 2699, 2711, "", false ], [ 2997, 2999, "into", false ], [ 3235, 3235, "something", false ], [ 3285, 3310, "It's more hard to say. OK.", false ], [ 3318, 3327, "", false ], [ 3355, 3362, "Uh no", false ], [ 3606, 3622, "OK alright.", false ], [ 3958, 3973, ".", false ], [ 4059, 4078, "I", false ], [ 4093, 4093, "That's OK.", false ], [ 4314, 4328, "yeah.", false ], [ 4341, 4387, "a thousand OK. Alright.", true ], [ 4458, 4463, "No. OK.", false ], [ 4791, 4795, "sixties.", false ], [ 4805, 4818, "sixties OK. Alright.", false ], [ 4894, 4903, "OK. Is", false ], [ 4967, 4983, "OK alright.", false ], [ 5116, 5126, "", false ], [ 5299, 5306, "it's just", false ], [ 5723, 5731, "that's", false ], [ 5870, 5873, "No. Uh", false ], [ 5934, 5936, "", false ], [ 5944, 5952, "", false ], [ 6008, 6010, "Ohh", false ], [ 6103, 6119, "OK. OK alright.", false ], [ 6156, 6173, "So 'cause that", false ], [ 6278, 6286, "any more.", false ], [ 6481, 6483, "Ohh", false ], [ 6520, 6539, "OK. And what about the", false ], [ 6550, 6556, "That", false ], [ 6562, 6569, "have been", false ], [ 6589, 6606, "", false ], [ 6963, 6963, "you're", false ], [ 7025, 7028, "", false ], [ 7040, 7050, "shop she", false ], [ 7068, 7070, "Ohh", false ], [ 7100, 7104, "you", false ], [ 7183, 7191, "", false ], [ 7235, 7237, "Which", false ], [ 7273, 7281, "uh Mmm. That.", false ], [ 7292, 7307, ".", false ], [ 7452, 7452, "What's going on.", false ], [ 7458, 7462, "that's", false ], [ 7539, 7548, "", false ], [ 7565, 7565, "Mmm.", false ], [ 7578, 7581, "you're", false ], [ 7804, 7812, "do", false ], [ 7921, 7931, "that'll", false ], [ 7935, 7940, "better. Uh", false ], [ 8239, 8254, "before", false ], [ 8275, 8284, "", false ], [ 8301, 8306, "general", false ], [ 8331, 8334, "might", false ], [ 8416, 8418, "What does that Ohh", false ], [ 8496, 8505, "that. OK", false ], [ 8568, 8574, "that might", false ], [ 8942, 8945, "I", false ], [ 9051, 9055, "", false ], [ 9187, 9192, "feel like", false ], [ 9326, 9335, "", false ], [ 9510, 9523, "I think that's", false ], [ 9581, 9583, "and then well", false ], [ 9613, 9623, "", false ], [ 9643, 9643, "OK. Thank you. OK.", false ], [ 9664, 9680, "", false ] ] } ], "heidi": [ { "label": "Run 1", "wer": 14.732865623313545, "text": "Hello? Hello there. Hello. Can you hear me? Okay.\n\nYes, I can hear you. Okay, great. So you're your doctor? I am, yes. Doctor Seed here, Oscar. Um, how can I help you this afternoon? Um, I'm contacting you because I've been quite short of breath lately. Okay. Do you want to tell me a bit more about it? When did it all start?\n\nUh, well, it seems to have been slowly getting worse over the last couple of weeks. Um, it's become quite troublesome in the last few days. Uh, I kind of- normally I can walk to the shops without a problem, but now I'm having to sort of sit down and catch my breath, and I'm even starting to get a bit breathless just about the house. Okay. And, uh, it's got me kind of worried. I don't really know what's going on. Okay. Okay. Is there anything you're particularly worried about? Um, well, I've, I've, uh, I've got, um, heart failure. Okay. Uh, I was told that-\n\nA while ago. And I got a bit breathless when I was first diagnosed Right. And put on some medicine that that that helped, but I'm a bit worried it's just getting worse. Right. Okay. So you mentioned you've been feeling short of breath for the last couple of weeks, but mainly the last couple of days has got a bit worse. And you're now feeling more breathless on kind of minimal minimal exertion you mentioned. Have you noticed any other symptoms at all with your breath? So, for example, any pain in your chest? No pain in my chest. Okay. Have you found yourself coughing at all? I've got a bit of a dry cough, but it's not too troublesome. Okay. Okay. And how's your general health otherwise? Are you feeling weak, lethargic?\n\nUm, I'm feeling a little run down, um, but otherwise, otherwise pretty normal. Okay. I've noticed my ankles have got a bit bigger. Okay. And what do you mean by that? Uh, it's just like they've sort of swollen up a bit. Okay. Um, is that is that both ankles? Both ankles? Um, yeah, both ankles. Yeah, it's a bit embarrassing. Okay, uh, I can imagine, yeah. Um, and again, over how long has this, have you noticed this for? Um, I kind of noticed it the last few days. Last few days, okay. And is this something that you've had before in the past?\n\nUh, I think my ankles did swell up a bit last time. The heart failure was a problem. Okay. Okay. Um, fine. Okay. So, um, just to really recap, uh, so really the last couple of weeks, uh, you've been feeling breathless, uh, but worse in the last couple of days. You mentioned you had a bit of a dry cough, um, and some swelling in your ankles, um, but importantly, no chest pain. Um, and, and, and have you had, have you, have you noticed your heartbeat racing at all? So palpitations or skipped heartbeat? No, not really. Okay. And any temperatures or fevers? Uh, no. Okay. And how about your appetite? Are you eating and drinking okay?\n\nYeah, I, I'm, that's fine. Okay, and your water works, are you passing urine okay? Uh, yeah, that, yeah. I usually pee a lot. Yeah. The drugs. Sure. Okay. All right. Um, fine, so moving on to your, uh, your past medical history, you mentioned heart failure. Any, any other medical history I should be aware of? Uh, well, I was told I had, like, a... They called it, like, a small heart attack about five years ago. Um, I, uh, I had, I, I had, like, some chest pain, and they took me to hospital. Okay. And, um, they, uh... But then I just got better.\n\nOkay. When you say small heart attack, did they give you a name for what had happened? A name of a diagnosis? Uh, I can't remember. They just called it a something like that, a small heart attack. Small heart attack. Okay. Was it like angina or, um. Um. Uh, no, they they said they it seemed it was, like, more than angina. Okay. Um, uh, but, um, I didn't but I only had to stay in hospital for a few days. Okay. Uh, okay. And yeah, I've been okay since then. You've been okay since then. Okay. All right. So apart from the, uh, the heart, the heart problems, the heart failure, any other problems I should be aware of?\n\nUh, no, I think I'm otherwise I'm okay. Okay. Um, do you take any regular medications apart from your diuretics that you're taking? Do you know which ones? Uh, yeah, I take something called furosemide. Furosemide. And do you know which dose you're taking? Uh, I can't remember. I'm sorry, doctor. I'd have to check. No problems. Um, any other medications? Uh, yeah, I take aspirin. Okay. And, uh, metoprolol. That metoprolol, was it? Or, uh, metoprolol. Sorry. The connection is not very good. Okay, thank you. Yep.\n\nUm, uh, simvastatin. Simvastatin. Okay. All right. Any allergies at all? So any medications? No. No, no allergies. Okay. And is there anything in the family that's that that's, uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems? Uh, my, my father died of a, uh, of a heart attack. I'm sorry to hear that. And, um, how old was your father when he passed away? Uh, he was, um, early 60s. Early 60s, okay. Uh, anything else I should be aware of? Um, my mother had osteoporosis. Okay.\n\nIs your mother still with us? Uh, yes, she's still living. Okay. All right. Um, and socially, sir, just tell me a bit more about your situation at home. Who lives at home with you? Uh, I live on my own. I've got two cats. You got two cats. Okay, great. Do they have names? They're my family. Uh, they're, they're called, um, they're called Polly and Tim. Okay. Um, so it's just you and your cats. And, um, in terms of day-to-day, are you working at the moment? Uh, I work part-time as-\n\nA lorry driver. Okay. And how is that? Is that quite stressful? Long hours? It's okay. I yeah. Like, when I'm working, it's pretty exhausting. I guess I'm a bit worried that if I get sick, I won't if I get more sick, then I won't be able to work properly. Yeah. This is certainly a consideration, isn't there? So let's let's try and get you better soon so it doesn't have any Yeah. Impact on your on your job. And do you find yourself doing a lot of antisocial hours? Do you do you do a lot of night driving, weekend driving? No. I I I I only take shifts during the day. I don't like working at night. Okay. Alright. And what about smoking and alcohol? So because they can sometimes be very important when it comes to heart problems. Do you do you smoke at all?\n\nNot anymore. So you used to smoke? Yeah. And how many did you smoke a day on average? Oh, it was about about a pack a day back in the day. And how many how many years was that for? Oh, that was a good twenty five years. Okay. Well done for stopping. It must have been very difficult for you, but well done for stopping. And what and what about alcohol? I don't drink alcohol. Okay. Do you do much in the way of exercise, sir? I try and walk to the shops at least once a day. Okay.\n\nOkay. But, uh, that's about it. I've, yeah, I don't, I don't go running like I used to when I was young. Right. Okay. And certainly now with your symptoms, you, you, you said you're feeling more breathless even walking to the stop, uh, to the shop, she said. Um, right. So, um, based on your, based on your history and having listened to all your story, uh, I, I wonder whether you've had a flare-up of your heart failure, sir, um, which can sometimes happen. Um, um, and, you know- That's- It's- What's going on? So it seems like your heart's not pumping as well as it should be. Um, and obviously, having diagnosed with heart failure, there's obviously, um, it's the first thing that comes to my mind. Um, now, there's a couple of options- Yeah... to move forward. Um-\n\nGiven that you're otherwise well at the moment and having examined you, your chest and your saturations and blood pressure are all okay, I'm quite happy to increase your dose of fruit. So maybe rather than one tablet a day, we can give you two tablets a day for the first few days, and see and see how you're getting on. Okay. Do you think that would be better? I think I think it's it's it's definitely worth treating your symptoms. But what we should also think about is maybe doing a couple of other tests, like a blood test and maybe an echocardiogram of your heart to see how well your heart's pumping. Okay. Is that something you've had? Yeah. So an echo scan is it's a jelly scan of your heart. You may have had it done before when you were diagnosed, and it's just to get a good Oh, yes. Remember that.\n\nSorry? Uh, yeah, I remember now. You remember now? Okay, fine. That's something I can organize for you today, and it may take a week or two weeks for that to be organized. But I think certainly in the meantime, let's, um, let's, let's get a blood test done. We can check your, um, you know, your full blood count, look for signs of anemia. We can have a check of your kidney function, um, and we can definitely increase your, um, your fruit, uh, to, you know, one tablet twice a day. But I really like- would like you to come back and see me in about a week's time to see how you're getting on. Does that sound reasonable? I think that sounds like a good plan. And of course, in the meantime, if you are getting more unwell, so if you're getting more breathless or you're having any other symptoms like chest pain or palpitations or dizziness, then, uh, you know, certainly I want you to give me a call sooner than that, and we can have a chat on the phone as well.\n\nOkay. I'll see how I get on. Okay. Do you have any questions for me? I think that's all pretty clear. Thank you very much, doctor. Great. And I wish you all the best. Have a good day. See you soon. Okay. Thank you.", "marks": [ [ 85, 106, ".", false ], [ 119, 130, "Nice to see you", false ], [ 181, 181, "Are you the doctor", false ], [ 414, 414, "now", false ], [ 603, 607, "really", false ], [ 885, 890, "that uh", false ], [ 1091, 1102, "you're", false ], [ 1192, 1195, "it's", false ], [ 1464, 1464, "coughing", false ], [ 1807, 1814, "it's", false ], [ 1872, 1891, "Kind of .", false ], [ 1947, 1951, "Both ankles OK.", false ], [ 2088, 2092, "Past", false ], [ 2317, 2317, "you're", false ], [ 2515, 2530, "reporting", false ], [ 2577, 2577, "any", false ], [ 2587, 2587, "any", false ], [ 2848, 2859, "waterworks", false ], [ 2932, 2937, "ever since", false ], [ 2948, 2948, ". Yeah.", false ], [ 2955, 2971, "OK. Alright.", false ], [ 2985, 2997, "", false ], [ 3289, 3291, "into", false ], [ 3358, 3363, "OK. And when", false ], [ 3431, 3434, "", false ], [ 3509, 3509, "something", false ], [ 3555, 3580, "It's more hard to say. OK.", false ], [ 3847, 3863, "OK alright.", false ], [ 4181, 4196, ".", false ], [ 4276, 4279, "I", false ], [ 4294, 4294, "That's OK.", false ], [ 4376, 4392, "Bisoprolol. The", true ], [ 4421, 4432, "Bisoprolol.", true ], [ 4444, 4457, "connection's", false ], [ 4490, 4494, "yeah.", false ], [ 4500, 4546, ". And a thousand OK. Alright.", true ], [ 4589, 4592, "Uh", false ], [ 4611, 4616, "No. OK.", false ], [ 4933, 4937, "sixties.", false ], [ 4944, 4957, "sixties OK. Alright.", false ], [ 5093, 5109, "OK alright.", false ], [ 5237, 5241, "Well I", false ], [ 5256, 5259, "You've", false ], [ 5783, 5790, "that's", false ], [ 5824, 5829, "it", false ], [ 5930, 5930, "No. Uh", false ], [ 5971, 5981, "anti-social", false ], [ 6045, 6045, "Ohh", false ], [ 6177, 6189, "'cause that", false ], [ 6288, 6296, "any more.", false ], [ 6370, 6372, "Ooh", false ], [ 6465, 6467, "Ohh", false ], [ 6478, 6479, "oof", false ], [ 6504, 6523, "OK. And what about the", false ], [ 6552, 6556, "", false ], [ 6576, 6593, "", false ], [ 6927, 6930, "you're", false ], [ 6992, 6996, "", false ], [ 7036, 7038, "Ohh", false ], [ 7068, 7072, "you", false ], [ 7104, 7107, "", false ], [ 7239, 7278, "uh Mmm. That. It's .", false ], [ 7420, 7420, "What's going on.", false ], [ 7426, 7430, "that's", false ], [ 7499, 7518, "options", false ], [ 7533, 7536, "Um Mmm.", false ], [ 7716, 7725, "Furosemide.", true ], [ 7769, 7777, "do", false ], [ 7859, 7867, "OK. If", false ], [ 7878, 7888, "that'll", false ], [ 8180, 8180, "before", false ], [ 8194, 8206, "", false ], [ 8214, 8219, "it's a general", false ], [ 8244, 8247, "might", false ], [ 8325, 8342, "What does", false ], [ 8348, 8348, "Ohh yes I remember now.", false ], [ 8396, 8405, "that. OK", false ], [ 8464, 8470, "and that might", false ], [ 8785, 8790, "Furosemide", true ], [ 8945, 8949, "", false ], [ 9075, 9080, "feel like", false ], [ 9214, 9223, "", false ], [ 9458, 9458, "then well", false ], [ 9500, 9500, "OK. Thank you. OK.", false ], [ 9515, 9531, "", false ] ] }, { "label": "Run 2", "wer": 14.894765245547761, "text": "Hello? Hello there. Hello. Can you hear me? Okay.\n\nYeah. Okay. Great. Are you a doctor? Oh, I am. Yes. Doctor Seed here, Oscar. How can I help you this afternoon? I'm contacting you because I've been quite short of breath lately. Okay. Do you want to tell me a bit more about it? When did it all start?\n\nUh, well, it seems to have been slowly getting worse over the last couple of weeks. Um, it's become quite troublesome in the last few days. Uh, I kind of normally I can walk to the shops without a problem, but now I'm having to sort of sit down and catch my breath, and I'm even starting to get a bit breathless just about the house. Okay. And, uh, it's got me kind of worried. I don't really know what's going on. Okay. Okay. Is there anything you're particularly worried about? Um, well, I've, I've, uh, I've got, um, heart failure. Okay. Uh, I was told that, uh-\n\nA while ago, and I got a bit breathless when I was first diagnosed Right. And put on some medicine that that that helped, but I'm a bit worried it's just getting worse. Right. Okay. So you mentioned you've been feeling short of breath for the last couple of weeks, but mainly the last couple of days has got a bit worse. And you're now feeling more breathless on kind of minimal minimal exertion you mentioned. Have you noticed any other symptoms at all with your breath? So, for example, any pain in your chest? No pain in my chest. Okay. Have you found yourself coughing at all? I've got a bit of a dry cough, but it's not too troublesome. Okay. Okay. And how's your general health otherwise? Are you feeling weak, lethargic?\n\nUm, I'm feeling a little run down, um, but otherwise, otherwise pretty normal. Okay. I've noticed my ankles have got a bit bigger. Okay. And what do you mean by that? Uh, it's just like they've sort of swollen up a bit. Okay. Um, is that, is that both ankle? Both ankles? Um, yeah, both ankles. Yeah, it's a bit embarrassing. Okay, uh, I can imagine, yeah. Um, and again, over how long has this, have you noticed this for? Um, I kind of noticed it the last few days. Last few days, okay. And is this something that you've had before in the past?\n\nUh, I think my ankles did swell up a bit last time. The heart failure was a problem. Okay. Okay. Um, fine. Okay. So, um, just to really recap, uh, so really the last couple of weeks, uh, you've been feeling breathless, uh, but worse in the last couple of days. You mentioned you had a bit of a dry cough, um, and some swelling in your ankles, um, but importantly, no chest pain. Um, and, and, and have you had, have you, have you noticed your heartbeat racing at all? So palpitations or skipped heartbeat? No, not really. Okay. And any temperatures or fevers? Uh, no. Okay. And how about your appetite? Are you eating and drinking okay?\n\nYeah, I, I'm, that's fine. Okay, and your water works, are you passing urine okay? Uh, yeah, that, yeah. I usually pee a lot. Yeah. With the drugs. Sure. Okay. All right. Um, fine, so moving on to your, uh, your past medical history, you mentioned heart failure. Any, any other medical history I should be aware of? Uh, well, I was told I had, like, a... They called it, like, a small heart attack about five years ago. Um, I, uh, I had, I, I had, like, some chest pain, and they took me to hospital. Okay. And, um, they, uh... But then I just got better.\n\nOkay. When you say small heart attack, did they give you a name for what happened? A name of a diagnosis? Uh, I can't remember. They just called it a something like that, a small heart attack. Small heart attack. Okay. Was it like angina or, um. Um, uh, no, they they said they it seemed it was, like, more than angina. Okay. Um, uh, but, um, I didn't but I only had to stay in hospital for a few days. Okay. Uh, okay. And yeah, I've been okay since then. You've been okay since then. Okay. All right. So apart from the, uh, the heart, the heart problems, the heart failure, any other problems I should be aware of?\n\nUh, no, I think I'm otherwise I'm okay. Okay. Um, do you take any regular medications apart from your diuretics that you're taking? Do you know which ones? Uh, yeah, I take something called furosemide. Furosemide. And do you know which dose you're taking? Uh, I can't remember. I'm sorry, doctor. I'd have to check. No problems. Um, any other medications? Uh, yeah, I take aspirin. Okay. And, uh, zoprolol. That metoprolol, was it? Or Loprolol. Sorry. The connection is not very good. Okay, thank you. Yep.\n\nUm, uh, simvastatin. Simvastatin. Okay. All right. Any allergies at all? Take any medications? No. No, no allergies. Okay. And is there anything in the family that's that that's, uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems? Uh, my, my father died of a, uh, of a heart attack. I'm sorry to hear that. And, um, how old was your father when he passed away? Uh, he was, um, early 60s. Early 60s, okay. Uh, anything else I should be aware of?\n\nUm, my mother had osteoporosis. Okay. Is your mother still with us? Uh, yes, she's still living. Okay. All right. Um, and socially, sir, just tell me a bit more about your situation at home. Who lives at home with you? Uh, I live on my own. I got two cats. You've got two cats. Okay, great. Do they have names? They're my family. Uh, they're, they're called, um, they're called Polly and Tim. Okay. Um, so it's just you and your cats. And, um, in terms of day-to-day, are you working at the moment?\n\nUh, I work part-time as a, uh, lorry driver. Okay, and how is that? Is that quite stressful, long hours? Uh, it's okay. Um, I, uh... Yeah, like, when I'm working, it's pretty exhausting. Mm-hmm. Um, I guess I'm a bit worried that if I get sick, I won't-- if I get more sick, then I won't be able to work properly. Yeah, there's certainly a consideration, isn't there? So let's, let's try and get you better soon so it doesn't have any, um- Yeah... impact on your, on your job. And, and do you find yourself doing a lot of antisocial hours? Do you sort of, do, do you do a lot of night driving, weekend driving?\n\nOh, no. I I I I only take shifts during the day. I don't like working at night. Okay. Alright. And what about smoking and alcohol? So because they can sometimes be very important when it comes to heart problems. So do you smoke at all? Not anymore. So you used to smoke? Yeah. And how many did you smoke a day on average? Oh, it was about about a pack a day back in the day. And how many how many years was that for? Oh, that was a good twenty five years. Okay. Well done for stopping. It must have been very difficult for you, but well done for stopping.\n\nUm, and what and what about alcohol? I don't drink alcohol. Okay. Do you do much in the way of exercise, sir? Uh, I try and walk to the shops at least once a day. Okay. Um, okay. But, uh, that's about it. I've... Yeah, I don't, I don't go running like I used to when I was young. Right, okay. And certainly now with your symptoms, y- you, you said you're feeling more breathless even walking to the stop, uh, to the shop, you said. Um, right. So, um, based on your, based on your history and having listened to your story, uh, I, I wonder whether you've had a flare-up of your heart failure, sir, um, which can sometimes happen. Um, um, and, you know-\n\nIt's What's going on? So I seem like your heart's not pumping as well as it should be. And, obviously, having diagnosed with heart failure, there's obviously it's the first thing that comes to my mind. Now there's a couple of options to move forward. Given that you're otherwise well at the moment and having examined you, your chest and your saturations and blood pressure are all okay, I'm quite happy to increase your dose of fruit. So maybe rather than a one tablet a day, we can give you two tablets a day for the first few days and see and see how you're getting on. Okay. Do you think that would be better? I I think it's it's it's definitely worth treating your symptoms. But what we should also think about is maybe doing a couple of other tests, like a blood test and maybe an echocardiogram of your heart to see how well your heart's pumping.\n\nOkay. Is that something you've had? Yeah. So, um, an echo scan. It's a it's a jelly scan of your heart. You may have had it done before when you were diagnosed, and it's just to get a good Oh, yes, I remember now. Sorry? Uh, yeah, I remember now. Remember now? Okay, fine. That's something I can organize for you today, and it may take a week or two weeks for that to be organized. But I think certainly in the meantime, let's, um, let's let's get a blood test done. We can check your, um, you know, your full blood count, look for signs of anemia. We can have a check of your kidney function, um, and we can definitely increase your, um, your fruit, uh, to, you know, one tablet twice a day.\n\nI really like, would like you to come back and see me in about a week's time, see how you're getting on. Does that sound reasonable? I think that sounds like a good plan. And of course, in the meantime, if you are getting more unwell, so if you're getting more breathless or you're having any other symptoms like chest pain or palpitations or dizziness, then, you know, said I want you to give me a call sooner than that, and we can have a chat on the phone as well. Okay. I'll see how I get on. Okay. Do you have any questions for me? I think that's all pretty clear. Thank you very much, doctor. Great. And then I wish you all the best. Have a good day. See you soon. Okay. Thank you.", "marks": [ [ 44, 73, "OK Yes I can hear", false ], [ 78, 90, "OK great. .", false ], [ 103, 114, "Nice to see you", false ], [ 161, 161, "Are you the doctor Um", false ], [ 390, 390, "now", false ], [ 578, 582, "really", false ], [ 1070, 1081, "you're", false ], [ 1171, 1174, "it's", false ], [ 1443, 1443, "coughing", false ], [ 1786, 1793, "it's", false ], [ 1852, 1870, "Kind of .", false ], [ 1926, 1930, "Both ankles OK.", false ], [ 2067, 2071, "Past", false ], [ 2296, 2296, "you're", false ], [ 2494, 2509, "reporting", false ], [ 2556, 2556, "any", false ], [ 2566, 2566, "any", false ], [ 2827, 2838, "waterworks", false ], [ 2911, 2921, "ever since", false ], [ 2932, 2932, ". Yeah.", false ], [ 2939, 2955, "OK. Alright.", false ], [ 2969, 2981, "", false ], [ 3273, 3275, "into", false ], [ 3342, 3347, "OK. And when", false ], [ 3489, 3489, "something", false ], [ 3535, 3560, "It's more hard to say. OK.", false ], [ 3827, 3843, "OK alright.", false ], [ 4161, 4176, ".", false ], [ 4256, 4259, "I", false ], [ 4274, 4274, "That's OK.", false ], [ 4356, 4370, "Bisoprolol. The", true ], [ 4394, 4403, "Uh Bisoprolol.", true ], [ 4415, 4428, "connection's", false ], [ 4461, 4465, "yeah.", false ], [ 4471, 4517, ". And a thousand OK. Alright.", true ], [ 4540, 4544, "", false ], [ 4562, 4565, "Uh", false ], [ 4584, 4589, "No. OK.", false ], [ 4906, 4910, "sixties.", false ], [ 4917, 4930, "sixties OK. Alright.", false ], [ 5066, 5082, "OK alright.", false ], [ 5656, 5663, "Mm.", false ], [ 5789, 5796, "that's", false ], [ 5830, 5835, "it", false ], [ 5905, 5916, "um", false ], [ 5946, 5949, "No. Uh", false ], [ 5991, 6001, "anti-social", false ], [ 6016, 6027, "", false ], [ 6081, 6083, "Ohh", false ], [ 6215, 6227, "'cause that", false ], [ 6293, 6295, "Do you", false ], [ 6321, 6329, "any more.", false ], [ 6403, 6405, "Ooh", false ], [ 6498, 6500, "Ohh", false ], [ 6511, 6512, "oof", false ], [ 6537, 6556, "OK. And what about the", false ], [ 6585, 6589, "", false ], [ 6609, 6626, "", false ], [ 6969, 6971, "", false ], [ 6975, 6975, "you're", false ], [ 7037, 7041, "", false ], [ 7081, 7083, "Ohh", false ], [ 7113, 7117, "you", false ], [ 7280, 7289, "uh Mmm. That.", false ], [ 7296, 7311, ".", false ], [ 7316, 7322, "it seems", false ], [ 7449, 7453, "What's going on. Um that's", false ], [ 7541, 7541, "Um Mmm.", false ], [ 7720, 7729, "Furosemide.", true ], [ 7775, 7783, "do", false ], [ 7864, 7872, "OK. If", false ], [ 7883, 7893, "that'll", false ], [ 7906, 7906, "think", false ], [ 8180, 8180, "before", false ], [ 8199, 8209, "", false ], [ 8224, 8229, "general", false ], [ 8254, 8257, "might", false ], [ 8335, 8337, "What does that Ohh", false ], [ 8392, 8392, ". You", false ], [ 8402, 8411, "that. OK", false ], [ 8470, 8476, "and that might", false ], [ 8790, 8795, "Furosemide", true ], [ 8945, 8949, "", false ], [ 9075, 9080, "feel like", false ], [ 9210, 9214, "", false ], [ 9495, 9495, "OK. Thank you. OK.", false ], [ 9510, 9526, "", false ] ] }, { "label": "Run 3", "wer": 15.326497571505667, "text": "Hello? Hello there. Hello. Can you hear me? Okay.\n\nYes. I can do you. Okay. Great. So you're your doctor. I am. Yes. Doctor. Seod here, Oscar. How can I help you this afternoon? I'm contacting you because I've been quite short of breath lately. Okay. Can you tell me a bit more about it? When did it all start?\n\nUh, well, it seems to have been slowly getting worse over the last couple of weeks. Um, and it's become quite troublesome in the last few days. Uh, I kind of- normally I can walk to the shops without a problem, but now I'm having to sort of sit down and catch my breath, and I'm even starting to get a bit breathless just about the house. Okay. And, uh, it's got me kind of worried. I don't really know what's going on. Okay. Okay. Is there anything you're particularly worried about? Um, well, I've, I've, uh, I've got, um, heart failure. Okay. Uh, I was told that-\n\nA while ago. And I got a bit breathless when I was first diagnosed Right. And put on some medicine that that that helped, but I'm a bit worried it's just getting worse. Right. Okay. So you mentioned you've been feeling short of breath for the last couple of weeks, but mainly the last couple of days has got a bit worse. And you're now feeling more breathless on kind of minimal minimal exertion you mentioned. Have you noticed any other symptoms at all with your breath? So, for example, any pain in your chest? No pain in my chest. Okay. Have you found yourself coughing at all? I've got a bit of a dry cough, but it's not too troublesome. Okay. Okay. And how's your general health otherwise? Are you feeling weak, lethargic?\n\nUm, I'm feeling a little run down, um, but otherwise, otherwise pretty normal. Okay. I've noticed my ankles have got a bit bigger. Okay. And what do you mean by that? Uh, it's just like they've sort of swollen up a bit. Okay. Um, is that, is that both ankles? Both ankles? Um, yeah, both ankles. Yeah, it's a bit embarrassing. Okay, uh, I can imagine, yeah. Um, and again, over how long has this, have you noticed this for? Um, I kind of noticed it the last few days. Last few days, okay. And is this something that you've had before in the past?\n\nUh, I think my ankles did swell up a bit last time. The heart failure was a problem. Okay. Okay. Um, fine. Okay. So, um, just to really recap, uh, so really the last couple of weeks, uh, you've been feeling breathless, uh, but worse in the last couple of days. You mentioned you had a bit of a dry cough, um, and some swelling in your ankles, um, but importantly, no chest pain. Um, and, and, and have you had, have you, have you noticed your heartbeat racing at all? So palpitations or skipped heartbeat? No, not really. Okay. And any temperatures or fevers? Uh, no. Okay, and how about your appetite? Are you eating and drinking okay?\n\nYeah, I'm, I'm, that's fine. Okay, and your water works, are you passing urine okay? Uh, yeah, that, yeah. I usually pee a lot. Yeah. The, the, the drugs that I've done. Sure. Okay. All right. Um, fine, so moving on to your, your past medical history, you mentioned heart failure. Any, any other medical history I should be aware of? Uh, well, I was told I had, like, a... They called it, like, a small heart attack about five years ago. Um, I, uh, I had, I, I had, like, some chest pain, and they took me to hospital. Okay. And, um, they, uh, but then I just got better.\n\nOkay. Um, when you say small heart attack, did they give you a name for what happened? A name of a diagnosis? Uh, I can't remember. They just called it a something like that, a small heart attack. Small heart attack. Okay. Was it like angina or, um. Um, uh, no, they they said they it seemed it was, like, more than angina. Okay. Um, uh, but, um, I didn't. But I only had to stay in hospital for a few days. Okay. Uh, okay. And yeah, I've been okay since then. You've been okay since then. Okay. All right. So apart from the, um, the heart, the heart problems, the heart failure, any other problems I should be aware of?\n\nUh, no, I think I'm otherwise I'm okay. Okay. Um, do you take any regular medications apart from your diuretics that you're taking? Do you know which ones? Uh, yeah, I take something called furosemide. Furosemide. And do you know which dose you're taking? Uh, I can't remember. I'm sorry, doctor. I'd have to check. No problems. Um, any other medications? Uh, yeah, I take aspirin. Okay. And, uh, metoprolol. That metoprolol, was it? Or, uh, metoprolol. Sorry. The connection is not very good. Okay, thank you. Yep.\n\nUm, uh, simvastatin. Simvastatin. Okay. All right. Any allergies at all? So any medications? No. No, no allergies. Okay. And is there anything in the family that's that that's, uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems? Uh, my, my father died of a, uh, of a heart attack. I'm sorry to hear that. And, um, how old was your father when he passed away? Uh, he was, um, early 60s. Early 60s, okay. Uh, anything else I should be aware of? Um, my mother had osteoporosis. Okay.\n\nIs your mother still with us? Uh, yes, she's still living. Okay. All right. Um, and socially, sir, just tell me a bit more about your situation at home. Who lives at home with you? Uh, I live on my own. I've got two cats. You've got two cats. Okay, great. Do they have names? They're my family. Uh, they're, they're called, um, they're called Polly and Tim. Okay. Um, so it's just you and your cats. And, um, in terms of day-to-day, are you working at the moment? Uh, I work part-time as-\n\nA lorry driver. Okay. And how is that? Is that quite stressful? Long hours? It's okay. I yeah. Like, when I'm working, it's pretty exhausting. I guess I'm a bit worried that if I get sick, I won't if I get more sick, then I won't be able to work properly. Yeah. This is certainly a consideration, isn't there? So let's let's try and get you better soon so it doesn't have any Yeah. Impact on your on your job. And do you find yourself doing a lot of antisocial hours? Do you do you do a lot of night driving, weekend driving? No. I I I I only take shifts during the day. I kinda like working at night. Okay. Alright. And what about smoking and alcohol? So because they can sometimes be very important when it comes to heart problems. So do you smoke at all?\n\nNot anymore. So you used to smoke? Yeah. And how many did you smoke a day on average? Oh, it was about about a pack a day back in the day. And how many how many years was that for? Oh, that was a good twenty five years. Okay. Well done for stopping. It must have been very difficult for you that well done for stopping. And what and what about alcohol? I don't drink alcohol. Okay. Do you do much in the way of exercise, sir? I try and walk to the shops at least once a day. Okay.\n\nOkay. But, uh, that's about it. I've, yeah, I don't, I don't go running like I used to when I was young. Right. Okay, and certainly now with your symptoms, y- you, you said you're feeling more breathless even walking to the stop- uh, to the shop, she said. Um, right. So, um, based on your, based on your history and having listened to your story, uh, I, I wonder whether you've had a flare-up of your heart failure, sir, um, which can sometimes happen. Um, um, and, you know- That's- It's- What's going on? So it seems like your heart's not pumping as well as it should be. Um, and obviously, having diagnosed with heart failure, there's obviously, um, it's the first thing that comes to my mind. Um, now, there's a couple of options- Yeah... to move forward. Um-\n\nGiven that you're otherwise well at the moment and having examined you, your chest and your saturations and blood pressure all okay, I'm quite happy to increase your dose of fruit. So maybe rather than one tablet a day, we can give you two tablets a day for the first few days, and see and see how you're getting on. Okay. If you think that would be better. I I think it's it's it's definitely worth treating your symptoms. But what we should also think about is maybe doing a couple of other tests, like a blood test and maybe an echocardiogram of your heart to see how well your heart's pumping. Okay. Is that something you've had? Yeah. So an echo scan is it's a jelly scan of your heart. You may have had this done before when you were diagnosed, and it's just to get a good Oh, yes. I remember now.\n\nSorry? Uh, yeah, I remember now. You remember now? Okay, fine. That's something I can organize for you today, and it may take a week or two weeks for that to be organized. But I think certainly in the meantime, let's, um, let's let's get a blood test done. We can check your, um, you know, your full blood count, look for signs of anemia. We can have a check of your kidney function, um, and we can definitely increase your, um, your fruit, uh, to, you know, one tablet twice a day. But I really like- would like you to come back and see me in about a week's time, see how you're getting on. Does that sound reasonable? I think that sounds like a good plan. And of course, in the meantime, if you are getting more unwell, so if you're getting more breathless or you're having any other symptoms like chest pain or palpitations or dizziness, then, uh, you know, certainly I want you to give me a call sooner than that, and we can have a chat on the phone as well.\n\nOkay. I'll see how I get on. Okay. Do you have any questions for me? I think that's all pretty clear. Thank you very much, doctor. Great. Now I wish you all the best. Have a good day. See you soon. Okay. Thank you.", "marks": [ [ 62, 64, "hear", false ], [ 83, 105, ".", false ], [ 117, 129, "Nice to see you", false ], [ 176, 176, "Are you the doctor Um", false ], [ 245, 254, "OK. Do", false ], [ 258, 258, "want to", false ], [ 400, 403, "now", false ], [ 591, 595, "really", false ], [ 873, 878, "that uh", false ], [ 1079, 1090, "you're", false ], [ 1180, 1183, "it's", false ], [ 1452, 1452, "coughing", false ], [ 1795, 1802, "it's", false ], [ 1861, 1880, "Kind of .", false ], [ 1936, 1940, "Both ankles OK.", false ], [ 2077, 2081, "Past", false ], [ 2306, 2306, "you're", false ], [ 2504, 2519, "reporting", false ], [ 2566, 2566, "any", false ], [ 2576, 2576, "any", false ], [ 2801, 2804, "I", false ], [ 2839, 2850, "waterworks", false ], [ 2923, 2937, "ever since", false ], [ 2949, 2964, ". Yeah.", false ], [ 2971, 2987, "OK. Alright.", false ], [ 3001, 3013, "", false ], [ 3301, 3303, "into", false ], [ 3368, 3376, "OK. And when", false ], [ 3519, 3519, "something", false ], [ 3565, 3590, "It's more hard to say. OK.", false ], [ 3858, 3874, "OK alright.", false ], [ 4192, 4207, ".", false ], [ 4287, 4290, "I", false ], [ 4305, 4305, "That's OK.", false ], [ 4387, 4403, "Bisoprolol. The", true ], [ 4432, 4443, "Bisoprolol.", true ], [ 4455, 4468, "connection's", false ], [ 4501, 4505, "yeah.", false ], [ 4511, 4557, ". And a thousand OK. Alright.", true ], [ 4600, 4603, "Uh", false ], [ 4622, 4627, "No. OK.", false ], [ 4944, 4948, "sixties.", false ], [ 4955, 4968, "sixties OK. Alright.", false ], [ 5104, 5120, "OK alright.", false ], [ 5248, 5252, "Well I", false ], [ 5797, 5804, "that's", false ], [ 5838, 5843, "it", false ], [ 5944, 5944, "No. Uh", false ], [ 5985, 5995, "anti-social", false ], [ 6059, 6059, "Ohh", false ], [ 6108, 6113, "don't", false ], [ 6191, 6203, "'cause that", false ], [ 6269, 6271, "Do you", false ], [ 6298, 6306, "any more.", false ], [ 6380, 6382, "Ooh", false ], [ 6475, 6477, "Ohh", false ], [ 6488, 6489, "oof", false ], [ 6514, 6533, "OK. And what about the", false ], [ 6562, 6566, "", false ], [ 6585, 6603, "", false ], [ 6932, 6934, "", false ], [ 6938, 6938, "you're", false ], [ 7000, 7005, "", false ], [ 7044, 7046, "Ohh", false ], [ 7076, 7080, "you", false ], [ 7243, 7282, "uh Mmm. That. It's .", false ], [ 7424, 7424, "What's going on.", false ], [ 7430, 7434, "that's", false ], [ 7503, 7522, "options", false ], [ 7537, 7540, "Um Mmm.", false ], [ 7716, 7725, "Furosemide.", true ], [ 7769, 7777, "do", false ], [ 7878, 7888, "that'll", false ], [ 7901, 7901, "think", false ], [ 8174, 8174, "before", false ], [ 8188, 8200, "", false ], [ 8208, 8213, "it's a general", false ], [ 8238, 8241, "might", false ], [ 8321, 8323, "What does that Ohh", false ], [ 8393, 8402, "that. OK", false ], [ 8461, 8467, "and that might", false ], [ 8781, 8786, "Furosemide", true ], [ 8939, 8943, "", false ], [ 9069, 9074, "feel like", false ], [ 9208, 9217, "", false ], [ 9449, 9452, "and then well", false ], [ 9494, 9494, "OK. Thank you. OK.", false ], [ 9509, 9525, "", false ] ] }, { "label": "Run 4", "wer": 15.86616297895305, "text": "Hello? Hello there. Hello. Can you hear me? Okay.\n\nYes. I can hear you. Okay. Great. Are you Doctor? Oh, I am. Yes. Doctor Seoud here, Oscar. How can I help you this afternoon? I'm contacting you because I've been quite short of breath lately. Okay. Can you tell me a bit more about it? When did it all start?\n\nUh, well, it seems to have been slowly getting worse over the last couple of weeks. Um, I've become quite troublesome in the last few days. Uh, I kind of- normally I can walk to the shops without a problem, but now I'm having to sort of sit down and catch my breath, and I'm even starting to get a bit breathless just about the house. Okay. And, uh, it's got me kind of worried. I don't really know what's going on. Okay. Okay. Is there anything you're particularly worried about? Um, well, I've, I've, uh, I've got, um, heart failure. Okay. Uh, I was told that-\n\nA while ago. And I got a bit breathless when I was first diagnosed Right. And put on some medicine that that that helped, but I'm a bit worried it's just getting worse. Right. Okay. So you mentioned you've been feeling short of breath for the last couple of weeks, but mainly the last couple of days has got a bit worse. And you're now feeling more breathless on kind of minimal minimal exertion you mentioned. Have you noticed any other symptoms at all with your breath? So, for example, any pain in your chest? No pain in my chest. Okay. Have you found yourself coughing at all? I've got a bit of a dry cough, but it's not too troublesome. Okay. Okay. And how's your general health otherwise? Are you feeling weak, lethargic?\n\nUm, I'm feeling a little run down, um, but otherwise, otherwise pretty normal. Okay. I've noticed my ankles have gotten a bit bigger. Okay. And what do you mean by that? Uh, it's just like they've sort of swollen up a bit. Okay. Um, is that, is that both ankles? Both ankles? Um, yeah, both ankles. Yeah, it's a bit embarrassing. Okay, uh, I can imagine, yeah. Um, and again, over how long has this, have you noticed this for? Um, I kind of noticed it the last few days. Last few days, okay. And is this something that you've had before in the past?\n\nUh, I think my ankles did swell up a bit last time. The heart failure was a problem. Okay. Okay. Um, fine. Okay. So, um, just to really recap, uh, so really in the last couple of weeks, uh, you've been feeling breathless, uh, but worse in the last couple of days. You mentioned you had a bit of a dry cough, um, and some swelling in your ankles. Um, but reporting no chest pain. Um, and, and, and have you had, have you, have you noticed your heartbeat racing at all? So palpitations or skipped heartbeat? No, not really. Okay. And any temperatures or fevers? Uh, no. Okay. And how about your appetite? Are you eating and drinking okay?\n\nYeah, I, I'm, that's fine. Okay, and your water works, are you passing urine okay? Uh, yeah, that, yeah. I usually pee a lot. Yeah. The drugs. Sure. Okay. All right. Um, fine, so moving on to your, your past medical history, you mentioned heart failure. Any, any other medical history I should be aware of? Uh, well, I was told I had, like, a... They called it, like, a small heart attack about five years ago. Um, I, uh, I had, I, I had, like, some chest pain, and they took me to hospital. Okay. And, um, they, uh... But then I just got better.\n\nOkay. When you say small heart attack, did they give you a name for what had happened? A name of a diagnosis? Uh, I can't remember. They just called it a something like that, a small heart attack. Small heart attack. Okay. Was it something like angina or, um. Um, uh, no, they they said they it seemed it was, like, more than angina. Okay. Um, uh, but, um, I didn't but I only had to stay in hospital for a few days. Okay. Uh, okay. And yeah, I've been okay since then. You've been okay since then. Okay. All right. So apart from the, uh, the heart, the heart problems, the heart failure, any other problems I should be aware of?\n\nUh, no, I think I'm otherwise I'm okay. Okay. Um, do you take any regular medications apart from your diuretics that you're taking? Do you know which ones? Uh, yeah, I take something called furosemide. Furosemide. And do you know which dose you're taking? Uh, I can't remember. I'm sorry, doctor. I'd have to check. No problems. Um, any other medications? Uh, yeah, I take aspirin. Okay. And, uh, Loprolol. That metoprolol, was it? Or Loprolol. Sorry, the connection is not very good. Okay, thank you. Yep.\n\nUm, uh, simvastatin. Simvastatin. Okay. All right. Any allergies at all to any medications? No, no allergies. Okay. And is there anything in the family that's that that's, uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems? Uh, my my father died of a, uh, of a heart attack. I'm sorry to hear that. And, um, how old was your father when he passed away? Uh, he was, um, early 60s. Early 60s. Okay. Uh, anything else I should be aware of? Um, my mother had osteoporosis. Okay.\n\nIs your mother still with us? Uh, yes, she's still living. Okay. All right. Um, and socially, sir, just tell me a bit more about your situation at home. Who lives at home with you? Uh, I live on my own. I got two cats. You've got two cats. Okay, great. Do they have names? They're my family. Uh, they're, they're called, um, they're called Polly and Tim. Okay. Um, so it's just you and your cats. And, um, in terms of day-to-day, are you working at the moment? Uh, I work part-time as-\n\nA lorry driver. Okay. And how is that? Is that quite stressful? Long hours? It's okay. I yeah. Like, when I'm working, it's pretty exhausting. I guess I'm a bit worried that if I get sick, I won't if I get more sick, then I won't be able to work properly. Yeah. This is certainly a consideration, isn't there? So let's let's try and get you better soon so it doesn't have any Yeah. Impact on your on your job. And do you find yourself doing a lot of antisocial hours? Do you do you do a lot of night driving, weekend driving? No. I I I I only take shifts during the day. Okay. I don't like working at night. Okay. Alright. And what about smoking and alcohol? So because they can sometimes be very important when it comes to heart problems. Do do you smoke at all?\n\nNot anymore. So you used to smoke? Yeah. And how many did you smoke a day on average? Oh, it was about about a pack a day back in the day. And how many how many years was that for? Oh, that was a good twenty five years. Okay. Well done for stopping. It must have been very difficult for you, but well done for stopping. And what and what about alcohol? I don't drink alcohol. Okay. Do you do much in the way of exercise, sir? I try and watch the shops at least once a day. Okay.\n\nOkay. But, uh, that's about it. I've yeah, I don't I don't go running like I used to when I was young. Right. Okay. And certainly now with your symptoms, you you said you're feeling more breathless even walking to the stop to the shops, you said. Um, right. So, um, based on your based on your history and having listened to all your story, I wonder whether you've had a bit of a flare up of your heart failure, sir. Um, which can sometimes happen. Um, um, and, you know, it's what's going on. So I seem like your heart's not pumping as well as it should be. Um, and obviously having diagnosed with heart failure, there's obviously, um, it's the first thing that comes to my mind. Um, now there's a couple of options to move forward. Um.\n\nGiven that you're otherwise well at the moment and having examined you, your chest and your saturations and blood pressure all okay, I'm quite happy to increase your dose of fruit. So maybe rather than one tablet a day, we can give you two tablets a day for the first few days, and see and see how you're getting on. Okay. If you think that would be best. I think I think it's it's it's definitely worth treating your symptoms. But what we should also think about is maybe doing a couple of other tests, like a blood test and maybe an echocardiogram of your heart to see how well your heart's pumping. Okay. Is that something you've had? Yeah. So an echo scan is it's a jelly scan of your heart. You may have had it done before when you were diagnosed, and it's just to get a good Oh, yes.\n\nSorry? Uh, yeah, I remember now. Okay, fine. That's something I can organize for you today, and they may take a week or two weeks for that to be organized. But I think certainly in the meantime, let's, um, let's, let's get a blood test done. We can check your, um, you know, your full blood count, look for signs of anemia. We can have a check of your kidney function, um, and we can definitely increase your, um, your fruit, uh, to, you know, one tablet twice a day. But I really like- we'd like you to come back and see me in about a week's time, see how you're getting on. Does that sound reasonable? I think that sounds like a good plan. And of course, in the meantime, if you are getting more unwell, so if you're getting more breathless or you're having any other symptoms like chest pain or palpitations or dizziness, then, uh, you know, certainly I want you to give me a call sooner than that- Okay.-and we can have a chat on the phone as well.\n\nOkay, I'll see how I get on. Okay. Do you have any questions for me? Uh, I think that's all pretty clear. Thank you very much, doctor. Great. No, I wish you all the best. Have a good day. See you soon. Okay. Thank you.", "marks": [ [ 85, 103, ".", false ], [ 116, 128, "Nice to see you", false ], [ 175, 175, "Are you the doctor Um", false ], [ 244, 253, "OK. Do", false ], [ 257, 257, "want to", false ], [ 399, 403, "now it's", false ], [ 586, 590, "really", false ], [ 868, 873, "that uh", false ], [ 1074, 1085, "you're", false ], [ 1175, 1178, "it's", false ], [ 1447, 1447, "coughing", false ], [ 1717, 1723, "got", false ], [ 1793, 1800, "it's", false ], [ 1859, 1878, "Kind of .", false ], [ 1934, 1938, "Both ankles OK.", false ], [ 2075, 2079, "Past", false ], [ 2304, 2304, "you're", false ], [ 2564, 2564, "any", false ], [ 2574, 2574, "any", false ], [ 2835, 2846, "waterworks", false ], [ 2919, 2924, "ever since", false ], [ 2935, 2935, ". Yeah.", false ], [ 2942, 2958, "OK. Alright.", false ], [ 2972, 2984, "", false ], [ 3272, 3274, "into", false ], [ 3341, 3346, "OK. And when", false ], [ 3414, 3417, "", false ], [ 3492, 3492, "something", false ], [ 3538, 3563, "It's more hard to say. OK.", false ], [ 3571, 3580, "", false ], [ 3840, 3856, "OK alright.", false ], [ 4174, 4189, ".", false ], [ 4269, 4272, "I", false ], [ 4287, 4287, "That's OK.", false ], [ 4369, 4383, "Bisoprolol. The", true ], [ 4407, 4416, "Uh Bisoprolol.", true ], [ 4428, 4441, "connection's", false ], [ 4474, 4478, "yeah.", false ], [ 4484, 4530, ". And a thousand OK. Alright.", true ], [ 4590, 4595, "No. OK.", false ], [ 4911, 4915, "sixties.", false ], [ 4922, 4935, "sixties OK. Alright.", false ], [ 5071, 5087, "OK alright.", false ], [ 5761, 5768, "that's", false ], [ 5802, 5807, "it", false ], [ 5908, 5908, "No. Uh", false ], [ 5949, 5959, "anti-social", false ], [ 6023, 6023, "Ohh", false ], [ 6161, 6173, "'cause that", false ], [ 6268, 6276, "any more.", false ], [ 6350, 6352, "Ooh", false ], [ 6445, 6447, "Ohh", false ], [ 6458, 6459, "oof", false ], [ 6484, 6503, "OK. And what about the", false ], [ 6532, 6536, "", false ], [ 6556, 6573, "", false ], [ 6700, 6705, "walk to", false ], [ 6901, 6901, "you're", false ], [ 6962, 6966, "uh", false ], [ 6974, 6984, "shop she", false ], [ 7002, 7004, "Ohh", false ], [ 7033, 7037, "you", false ], [ 7069, 7072, "", false ], [ 7115, 7132, "flare-up", false ], [ 7206, 7214, "uh Mmm. That.", false ], [ 7221, 7237, ".", false ], [ 7241, 7247, "it seems", false ], [ 7375, 7375, "What's going on.", false ], [ 7381, 7385, "that's", false ], [ 7481, 7481, "Mmm.", false ], [ 7657, 7666, "Furosemide.", true ], [ 7710, 7718, "do", false ], [ 7819, 7829, "that'll", false ], [ 7833, 7838, "better. Uh", false ], [ 8119, 8119, "before", false ], [ 8133, 8145, "", false ], [ 8153, 8158, "it's a general", false ], [ 8183, 8186, "might", false ], [ 8264, 8266, "What does that Ohh", false ], [ 8272, 8272, "I remember now.", false ], [ 8307, 8311, ". You remember that. OK", false ], [ 8370, 8378, "and that might", false ], [ 8693, 8698, "Furosemide", true ], [ 8755, 8765, "like would", false ], [ 8850, 8854, "", false ], [ 8980, 8985, "feel like", false ], [ 9119, 9128, "", false ], [ 9170, 9185, "that and", false ], [ 9370, 9372, "and then well", false ], [ 9415, 9415, "OK. Thank you. OK.", false ], [ 9430, 9446, "", false ] ] }, { "label": "Run 5", "wer": 15.758229897463572, "text": "Hello? Hello there. Hello. Can you hear me? Okay.\n\nYes, I can hear you. Okay, great. So you're your doctor, right? I am, yes. Doctor Seod here, Oscar. Um, how can I help you this afternoon? Um, I'm contacting you because I've been quite short of breath lately. Okay. Do you want to tell me a bit more about it? So when did it all start?\n\nUh, well, it seems to have been slowly getting worse over the last couple of weeks. Um, and it's become quite troublesome in the last few days. Uh, I kind of- normally I can walk to the shops without a problem, but now I'm having to sort of sit down and catch my breath, and I'm even starting to get a bit breathless just about the house. Okay. And, uh, it's got me kind of worried. Don't really know what's going on. Okay. Okay. Is there anything you're particularly worried about? Um, well, I've, I've, uh, I've got, um, heart failure. Okay. Uh, I was told that-\n\nA while ago. And I got a bit breathless when I was first diagnosed Right. And put on some medicine that that that helped, but I'm a bit worried it's just getting worse. Right. Okay. So you mentioned you've been feeling short of breath for the last couple of weeks, but mainly the last couple of days has got a bit worse. And you're now feeling more breathless on kind of minimal minimal exertion you mentioned. Have you noticed any other symptoms at all with your breath? So, for example, any pain in your chest? No pain in my chest. Okay. Have you found yourself coughing at all? I've got a bit of a dry cough, but it's not too troublesome. Okay. Okay. And how's your general health otherwise? Are you feeling\n\nWeak, lethargic? I'm feeling a little run down, but otherwise otherwise pretty normal. Okay. I've noticed my ankles have got a bit bigger. Okay. And what do you mean by that? It's just like they've sort of swollen up a bit. Okay. Is that is that both ankles? Both ankles? Yeah. Both ankles. Yeah. It's a bit embarrassing. Okay. I can imagine. Yeah. And, again, over how long has this have you noticed this for? I kind of noticed it the last few days. Last few days. Okay. And is this something that you've had before in the past?\n\nUh, I think my ankles did swell up a bit last time. The heart failure was a problem. Okay. Okay. Um, fine. Okay. So, um, just to really recap, uh, so really the last couple of weeks, uh, you've been feeling breathless, uh, but worse in the last couple of days. You mentioned you had a bit of a dry cough, um, and some swelling in your ankles, um, but importantly, no chest pain. Um, and, and, and have you had, have you, have you noticed your heartbeat racing at all? So palpitations or skipped heartbeat? No, not really. Okay. And any temperatures or fevers? Uh, no. Okay. And how about your appetite? Are you eating and drinking okay?\n\nYeah, I'm I'm that's fine. Okay. And your water works, are you passing urine okay? Uh, yeah, that yeah. I usually pee a lot. Yeah. The drugs. Sure. Okay. All right. Um, fine. So moving on to your your past medical history, you mentioned heart failure. Any any other medical history I should be aware of? Uh, well, I was told I had, like, a they called it, like, a small heart attack about five years ago. Um, I, uh, I had I I had, like, some chest pain, and they took me to hospital. Okay. And, um, they, uh, but then I just got better.\n\nOkay. When you say small heart attack, did they give you a name for what happened? A name of a diagnosis? I can't remember. They just called it a something like that, a small heart attack. Small heart attack. Okay. Was it like angina or no? They they said they it seemed it was, like, more than angina. Okay. But I didn't but I only had to stay in hospital for a few days. Okay. Okay. And, yeah, I've been okay since then. You've been okay since then. Okay. Alright. So apart from the the heart the heart problems, the heart failure, any other problems I should be aware of?\n\nUh, no, I think I'm otherwise I'm okay. Okay. Um, do you take any regular medications apart from your diuretics that you're taking? Do you know which ones? Uh, yeah, I take something called furosemide. Furosemide. And do you know which dose you're taking? Uh, I can't remember. I'm sorry, doctor. I have to check. No problems. Um, any other medications? Uh, yeah, I take aspirin. Okay. And, uh, zoprolol. That metoprolol, was it? Or metoprolol. Sorry. The connection is not very good. Okay. Thank you. Yep.\n\nUm, and, uh, simvastatin. Simvastatin. Okay. All right. Any allergies at all? Take medications? No, no allergies. Okay. And is there anything in the family that's that that's, uh, that's important for me to know? Any family history of medical problems, heart problems, lung problems? Uh, my, my father died of a, uh, of a heart attack. I'm sorry to hear that. And, um, how old was your father when he passed away? Uh, he was, um, early 60s. Early 60s, okay. Uh, anything else I should be aware of? Um, my mother had osteoporosis. Okay.\n\nYour mother still with us? Uh, yes, she's still living. Okay. All right. Um, and socially, sir, just tell me a bit more about your situation at home. Who lives at home with you? Uh, I live on my own. Oh, I've got two cats. You've got two cats. Okay, great. Do they have names? They're my family. Uh, they're, they're called, um, they're called Polly and Tim. Okay. Um, so it's just you and your cats. And, um, in terms of day-to-day, are you working at the moment? Uh, I work part-time as-\n\nA lorry driver. Okay. And how is that? Is that quite stressful? Long hours? It's okay. I yeah. Like, when I'm working, it's pretty exhausting. I guess I'm a bit worried that if I get sick, I won't if I get more sick, then I won't be able to work properly. Yeah. This is certainly a consideration, isn't there? So let's let's try and get you better soon so it doesn't have any Yeah. Impact on your on your job. And do you find yourself doing a lot of antisocial hours? Do you do you do a lot of night driving, weekend driving? No. I I I I only take shifts during the day. I don't like working at night. Okay. Alright. And what about smoking and alcohol? So because they can sometimes be very important when it comes to heart problems. So do you smoke at all?\n\nNot anymore. So you used to smoke? Yeah. And how many did you smoke a day on average? Oh, it was about about a pack a day back in the day. And how many how many years was that for? Oh, that was a good twenty five years. Okay. Well done for stopping. That must have been very difficult for you, but well done for stopping. And what and what about alcohol? I don't drink alcohol. Okay. Do you do much in the way of exercise, sir? I try and walk to the shops at least once a day. Okay.\n\nOkay. But, uh, that's about it. I've, yeah, I don't, I don't go running like I used to when I was young. Right. Okay. And certainly now with your symptoms, you, you, you said you're feeling more breathless, even walking to the stop- uh, to the shops, you said. Um, right. So, um, based on your, based on your history and having listened to all your story, uh, I, I wonder whether you've had a flare-up of your heart failure, sir, um, which can sometimes happen. Um, um, and, you know- That's- It's- What's going on? So it seems like your heart's not pumping as well as it should be. Um, and obviously having diagnosed with heart failure, there's obviously, um, it's the first thing that comes to my mind. Um, now, there's a couple of options- Yeah... to move forward. Um-\n\nGiven that you're otherwise well at the moment and having examined you, your chest and your saturations and blood pressure are all okay, I'm quite happy to increase your dose of fruit. So maybe rather than one tablet a day, we can give you two tablets a day for the first few days, and see and see how you're getting on. Okay. Do you think that would be better? I think I think it's it's it's definitely worth treating your symptoms. But what we should also think about is maybe doing a couple of other tests, like a blood test and maybe an echocardiogram of your heart to see how well your heart's pumping. Okay. Is that something you've had? Yeah. So an echo scan it's it's a jelly scan of your heart. You may have had this done before when you were diagnosed, and it's just to get a good Oh, yes.\n\nSorry? Uh, yeah, I remember now. I remember now. Okay, fine. That's something I can organize for you today, and it may take a week or two weeks for that to be organized. But I think certainly in the meantime, let's, um, let's let's get a blood test done. We can check your, um, you know, your full blood count, look for signs of anemia. We can have a check of your kidney function, um, and we can definitely increase your, um, your fruit, uh, to, you know, one tablet twice a day. But I really like, would like you to come back and see me in about a week's time, see how you're getting on. Does that sound reasonable? I think that sounds like a good plan. And of course, in the meantime, if you are getting more unwell, so if you're getting more breathless or you're having any other symptoms like chest pain or palpitations or dizziness, then, uh, you know, certainly I want you to give me a call sooner than that, and we can have a chat on the phone as well.\n\nOkay. I'll see how I get on. Okay. Do you have any questions for me? I think that's all pretty clear. Thank you very much, doctor. Great. No. Well, I wish you all the best. Have a good day. See you soon. Okay. Thank you.", "marks": [ [ 85, 113, ".", false ], [ 126, 137, "Nice to see you", false ], [ 188, 188, "Are you the doctor", false ], [ 426, 429, "now", false ], [ 617, 621, "really", false ], [ 897, 902, "that uh", false ], [ 1103, 1114, "you're", false ], [ 1204, 1207, "it's", false ], [ 1476, 1476, "coughing", false ], [ 1654, 1662, "run-down um", false ], [ 1806, 1813, "it's", false ], [ 1867, 1886, "Kind of . Um", false ], [ 1938, 1943, "Both ankles OK. Uh", false ], [ 2067, 2071, "Past", false ], [ 2296, 2296, "you're", false ], [ 2494, 2509, "reporting", false ], [ 2556, 2556, "any", false ], [ 2566, 2566, "any", false ], [ 2791, 2794, "I", false ], [ 2827, 2838, "waterworks", false ], [ 2910, 2915, "ever since", false ], [ 2926, 2926, ". Yeah.", false ], [ 2933, 2949, "OK. Alright.", false ], [ 2963, 2975, "", false ], [ 3256, 3258, "into", false ], [ 3323, 3328, "OK. And when", false ], [ 3466, 3466, "something", false ], [ 3512, 3537, "It's more hard to say. OK.", false ], [ 4101, 4116, ".", false ], [ 4212, 4212, "That's OK.", false ], [ 4294, 4308, "Bisoprolol. The", true ], [ 4332, 4343, "Uh Bisoprolol.", true ], [ 4355, 4368, "connection's", false ], [ 4401, 4405, "yeah.", false ], [ 4416, 4462, "a thousand OK. Alright.", true ], [ 4485, 4489, "Any", false ], [ 4521, 4526, "No. OK.", false ], [ 4843, 4847, "sixties.", false ], [ 4854, 4867, "sixties OK. Alright.", false ], [ 5000, 5016, "OK alright.", false ], [ 5144, 5152, "Well I", false ], [ 5697, 5704, "that's", false ], [ 5738, 5743, "it", false ], [ 5844, 5844, "No. Uh", false ], [ 5885, 5895, "anti-social", false ], [ 5959, 5959, "Ohh", false ], [ 6091, 6103, "'cause that", false ], [ 6169, 6171, "Do you", false ], [ 6198, 6206, "any more.", false ], [ 6280, 6282, "Ooh", false ], [ 6375, 6377, "Ohh", false ], [ 6388, 6389, "oof", false ], [ 6414, 6433, "OK. And what about the", false ], [ 6464, 6468, "", false ], [ 6488, 6505, "", false ], [ 6839, 6842, "you're", false ], [ 6905, 6910, "", false ], [ 6922, 6932, "shop she", false ], [ 6950, 6952, "Ohh", false ], [ 6982, 6986, "you", false ], [ 7018, 7021, "", false ], [ 7153, 7192, "uh Mmm. That. It's .", false ], [ 7333, 7333, "What's going on.", false ], [ 7339, 7343, "that's", false ], [ 7412, 7431, "options", false ], [ 7446, 7449, "Um Mmm.", false ], [ 7629, 7638, "Furosemide.", true ], [ 7682, 7690, "do", false ], [ 7772, 7780, "OK. If", false ], [ 7791, 7801, "that'll", false ], [ 8093, 8093, "before", false ], [ 8107, 8121, "", false ], [ 8129, 8134, "it's a general", false ], [ 8159, 8162, "might", false ], [ 8242, 8244, "What does that Ohh", false ], [ 8250, 8250, "I remember now.", false ], [ 8285, 8286, ". You", false ], [ 8296, 8305, "that. OK", false ], [ 8364, 8370, "and that might", false ], [ 8684, 8689, "Furosemide", true ], [ 8842, 8846, "", false ], [ 8972, 8977, "feel like", false ], [ 9111, 9120, "", false ], [ 9352, 9355, "and then", false ], [ 9403, 9403, "OK. Thank you. OK.", false ], [ 9418, 9434, "", false ] ] } ] } }, { "case": "day2_consultation07", "reference": "Hi, Hi there, good morning.\n\n Hi, good morning.\n\n Um, I'm Doctor Dean Resor from . Nice to see you.\n\n That's the same thing.\n\n OK great! So before we start your appointment, could you please confirm your full name and date of birth?\n\n Yeah sure! Um, my name is Jim Gowers and I was born in nineteen fifty eight uh on the eighth of August.\n\n That's great. Thank you so much for that. Um, you look a lot younger, so, um\n\n Yeah.\n\n Does that, that would make you roughly about fifty years old, fifty one, fifty one years old. Is that is that correct or?\n\n Yeah, yeah around that. Yeah about sixty, yeah.\n\n Six, OK, perfect. All right. So, um, nice to see see you this morning. Are you in a private place where you are OK to speak freely?\n\n Yep.\n\n Yes, I am. Yeah.\n\n OK fantastic! So um, how can I help you today?\n\n Um, yeah. I was, I was having, um, a bit of chest discomfort. So, I was doing some gardening, um, a couple of hours ago.\n\n And I felt not exactly a pain but um like a a pressure on my chest, um, feels like someone sitting on my chest.\n\n Um, and, I've noticed, um, a bit of nausea, not, no vomiting but, um, I'm pretty sweaty, um, short of breath, and it kind of feels like someone's sitting on my chest.\n\n Right, OK.\n\n Now, do you have those these symptoms right now or have they gone off now?\n\n Um, no, they're still present.\n\n OK. So, you've still got the chest discomfort right now?\n\n Yes.\n\n OK, um.\n\n We're probably gonna have to call an ambulance for you.\n\n OK. So what I'm gonna do, is I'm gonna task my colleague next to me to sort that out. While we do that I'm gonna ask you a few more questions, OK?\n\n OK.\n\n Mmm, sure.\n\n We're gonna a bit more information to the, to help the ambulance team when they, when they arrive, OK.\n\n Sure.\n\n So just to, just to double check, um, where exactly in the chest is the pain?\n\n Um, it's in the, uh, middle of my chest, um, over, uh, yeah, my my pecs, so, um, yeah but not not necessarily to one side, um, and it's quite diffuse pain.\n\n Is, is it spreading anywhere else, like down into your arm, up to the jaw, in your neck, anything like that?\n\n Yeah. It's, it's, um, mainly in my left arm, er, it's feeling a little bit, um, er, painful, and, and in my shoulder as well.\n\n Right, OK. Do you remember what you were doing at the time?\n\n Uh yes, so it started uh just when I was gardening. So nothing that was too strenuous um I was just kneeling down and\n\n Uh, yeah, wasn't running or anything, it wasn't during any physical exercise.\n\n Sure, OK. And, and how much activity do you do normally? Do you walk a lot or do you run or do you do anything?\n\n No, I don't, I, I generally don't do much activity at all, um, you know.\n\n Have you had this before?\n\n No, this is the first time, actually.\n\n Right, OK. Can are you aware of any palpitations, like your heart beating faster or more prominently than normal?\n\n Yeah.\n\n Um, yeah. It's, it's beating a bit faster now. I think that's 'cause I'm a little bit stressed.\n\n Um, about the situation but I haven't noticed it, um, beating faster than usual, um, and I did today.\n\n So, I know you're stressed but, but we've got an ambulance coming on the way, OK? So um, we'll take care of everything, so don't, don't worry. Who's in the house with you at the moment?\n\n Yeah.\n\n OK, thank you.\n\n Uh, no, no one's in the house at the moment.\n\n OK. Um, and is your front door open?\n\n Uh, yes, it's open.\n\n OK so maybe we'll, we'll speak maybe in the hallway to the front door. Have the front door open so that, in case people need access, they could access you.\n\n Yeah, yeah .\n\n Alright. Um, so, um, uh, are you a smoker at all?\n\n Uh, yeah, I smoke, um, a fair bit so I smoke about ten cigarettes, uh, a day. Um, yeah.\n\n How long have you been smoking for?\n\n Uh, for the past fifteen years.\n\n Fifteen years, OK. Um, do you have, um, high blood pressure or high cholesterol or diabetes or anything?\n\n Yeah.\n\n Yeah, I have high blood, uh, blood pressure, but, um, not diabetes.\n\n OK. Have you ever had your cholesterol checked?\n\n No.\n\n OK, all right. Um, now anyone in your wider in, in your family, sorry, in your parents, did either of them have any heart problems, or heart attacks, or anything like that?\n\n Yes.\n\n Um, yes, so, my, um, father died of a heart attack, um, and my mother had some heart problems.\n\n OK. Uh, I'm sorry to hear about your father. Can you remember what age roughly he was when he had, he had the heart attack?\n\n Um, he was about my age.\n\n Right so just under sixty, around sixty.\n\n Yes, around sixty, yes.\n\n Yeah, OK, alright. Um, do you drink much alcohol?\n\n Um, yeah, I drink, um, about, per week, probably about seven or eight pints a week.\n\n OK, is that a, a beer you're talking about, yeah?\n\n Ohh. Yeah, yes.\n\n Uh, I, I can't tell from the video, are you overweight?\n\n Um, yes, I'm overweight, yeah.\n\n Right, OK. Alright. Um, uh now um, you, do you normally live alone?\n\n Yeah.\n\n Uh, yeah. I live alone, uh, at the moment. Yeah, uh, it's just me in the house.\n\n Sure, OK, and, and, uh, are you working at the moment?\n\n Yeah yeah, I, I work, yeah.\n\n Right, what do you work as?\n\n Um, I work as a restaurant owner. So I own a sushi shop.\n\n Right, OK. Alright. Um, so, um, the, the symptoms that you've described to me\n\n Yeah.\n\n Um, they indicate the possibility of, um, a heart attack.\n\n OK? So, I'm not saying you definitely have a heart attack, but we, that, it's our number one priority to exclude that.\n\n OK.\n\n OK, so ambulance team will be with you very shortly. I'm gonna stay on the line with you until they come.\n\n OK, yeah.\n\n OK. when they come, what they'll do is, they're gonna put some stickers on your chest and do an ECG.\n\n OK, yeah. Thank you.\n\n And then decide where to take you after that, OK?\n\n OK.\n\n OK, no.\n\n And um, what, what, uh, can I just double check? Do you have, um, any allergies to any medication?\n\n Yes, actually, I have, um, an allergy to aspirin.\n\n Right, OK.\n\n Yeah, and no other allergies.\n\n Sure. Uh, what's the nature of that allergy to aspirin? Do you, does it, does it cause you heartburn? Or is it like an allergic reaction?\n\n Um\n\n Yeah, uh, it's an allergic reaction, so I swell up, um, a bit, but, um, nothing life threatening.\n\n Um, I've, I, sometimes even have it and it's, it's a, it's a mild reaction to it.\n\n OK, all right. It's very important that you communicate that to the hospital.\n\n Yeah.\n\n Um, the detail you just told me, because, um, we, we may need to consider aspirin despite allergy, OK?\n\n OK.\n\n Ohh, OK.\n\n Um, alright, um, now in terms of, um, what happens from here\n\n OK.\n\n That team will assess you and then they may take you into one hospital or another based on how bad , what the ECG looks like and what kind of treatment you might need, OK?\n\n Uh huh.\n\n Um, what I'm going to do is, we'll stay on the line for the time being, OK, until they come, and then, um, once they come, then I'll hand over to them and I'll explain what's going on, alright?\n\n OK.\n\n OK.\n\n OK, OK, sure.\n\n OK.\n\n Yeah, thank you.\n\n we'll end the conversation after the purposes. Is that OK?\n\n Yeah, that's, OK. OK, thank you very much.\n\n thanks! Bye!\n\n Thank you. Bye.", "products": { "hanah": [ { "label": "Run 1", "wer": 17.339312406576983, "text": "Then all of that stuff is very different than that.\n\n Uh, hi there, good morning.\n\n Hi, good morning.\n\n Um, I'm Dr. Dean Merzer from GP at home, nice to see you.\n\n Nice to see you too.\n\n Okay, great. So before we start your appointment, could you please confirm your full name and date of birth?\n\n Yeah, sure. Um, my name is Dean Gowers, and I was born in 1958. Uh, on the 8th of August.\n\n That's great, thank you so much for that. Um, you look a lot younger, so—\n\n Yeah.\n\n So that, that would make you roughly about 50 years old, 51, 51 years old. Is that— is that correct, or?\n\n Yeah, yeah, around that. Yeah, about 60, yeah.\n\n 60, okay, perfect. All right. So, um, nice to see you this morning. Are you in a private place where you're okay to speak freely?\n\n Yes, I am, yeah.\n\n Okay, fantastic. So, um, how can I help you today?\n\n Um, yeah, I was— I was having, um, a bit of chest discomfort, so I was doing some gardening, um, a couple of hours ago, and I felt not exactly a pain, but, um, like a— a pressure on my chest, um, feels like someone's sitting on my chest. Um, and I've noticed, um, a bit of nausea, not— no vomiting, but, um, I'm pretty sweaty, um, short of breath, and it kind of feels like someone's sitting on my chest.\n\n Right, okay. Now, do you have those— these symptoms right now, or have they gone off now?\n\n Um, no, they're still present.\n\n Okay. So you've still got the chest discomfort right now?\n\n Yes.\n\n Okay. Um, we're probably going to have to call an ambulance for you.\n\n Okay.\n\n To take you to the hospital, okay? So what I'm going to do is I'm going to task my colleague next to me to sort that out. While we do that, I'm going to ask you a few more questions, okay?\n\n Yeah, sure.\n\n It'll be a bit more information to the— the ambulance team when they— when they arrive, okay? Um.\n\n Sure.\n\n So just to— just to double-check, um, where exactly in the chest is the pain?\n\n Um, it's in the, uh, middle of my chest, um, over, uh, yeah, my— my pecs, so, um, yeah, but not— not necessarily to one side.\n\n Okay.\n\n Um, and it's quite a diffuse pain.\n\n Right. Is it spreading anywhere else, like down to your arm, up to the jaw, in the neck, anything like that?\n\n Yeah, it's— it's, um, mainly in my left arm, uh, it's feeling a little bit— um, uh, painful, and— and in my shoulder as well.\n\n Right, okay. Do you remember what you were doing at the time?\n\n Uh, yeah, so it started, uh, just when I was gardening, so nothing that was too strenuous, um, I was just kneeling down and, uh, yeah, wasn't running or anything, it wasn't doing any physical exercise.\n\n Sure, okay. And— and how much activity do you do normally? Do you walk a lot, or do you run, or do you go to— do anything?\n\n No, I don't— I— I generally don't do much activity at all.\n\n Okay.\n\n Um, yeah.\n\n Have you had this before?\n\n No, this is the first time, actually.\n\n Right, okay. Can you—\n\n Yeah.\n\n Um, are you aware of any palpitations, like your heart beating faster or more prominently than normal?\n\n Um, yeah, it's— it's beating a bit faster now, I think that's because I'm a little bit stressed, um, about the situation, but I haven't noticed it, um, beating faster than usual.\n\n Okay.\n\n Um, today.\n\n So I— I know you're stressed, but we've got an ambulance coming on the way, okay?\n\n Yeah.\n\n So, um, we'll take care of everything, so don't— don't worry.\n\n Okay.\n\n Thank you for being in the house with you at the moment.\n\n Uh, no, no one's in the house at the moment.\n\n Okay. Um, and is your front door open?\n\n Uh, yes, it's open.\n\n Okay, so maybe we'll— we'll speak maybe in the hallway to the front door. Have the front door open so that in case, um, people need access, they can— they can access you.\n\n Yeah.\n\n All right.\n\n Yeah.\n\n Um, so, um, uh, are you a smoker at all?\n\n Uh, yeah, I smoke, um, a fair bit, so I smoke about 10 cigarettes, uh, a day. Um, yeah.\n\n How— how long have you been smoking for?\n\n Uh, for the past 15 years.\n\n 15 years, okay. Um.\n\n Yeah.\n\n Do you have, um, high blood pressure or high cholesterol or diabetes, anything?\n\n Yeah, I have high blood— uh, blood pressure, but, um, not diabetes.\n\n Okay. Have you ever had your cholesterol checked?\n\n No.\n\n Okay, okay. All right. Um, now, anyone in your wider family— in your family, sorry, in your parents, did—\n\n Yes.\n\n —did either of them have any heart problems or heart attacks or anything like that?\n\n Um, yes, so my, um, father died of a heart attack.\n\n Okay.\n\n Um, and my mother had some heart problems.\n\n Okay. Um, I'm sorry to hear about your father. Can you remember what age roughly he was when he— he had that heart attack?\n\n Um, he was about my age.\n\n Right, so about just under 6— around 60.\n\n Yes, around 60, yes.\n\n Yeah, okay. All right. Um, do you drink much alcohol?\n\n Um, yeah, I drink, um, about per week, probably about 7 or 8 pints a week.\n\n Okay, is that a— a beer you're talking about?\n\n Oh, beer, yes.\n\n Okay. Um, I— I can't tell from the video. Are you overweight?\n\n Um, yes, I'm overweight, yeah.\n\n Right.\n\n Yeah.\n\n Okay, all right. Um, uh, now, um, you're— do you normally live alone?\n\n Uh, yeah, I live alone, uh, at the moment, yeah.\n\n Okay.\n\n Uh, it's just me in the house.\n\n Sure, okay. And— and, uh, are you working at the moment?\n\n Yeah, yeah, I— I work, yeah.\n\n Right, what do you work as?\n\n Um, I work as a restaurant owner.\n\n Okay.\n\n So I own a sushi shop.\n\n Right, okay.\n\n Yeah.\n\n All right. Um, so, um, the— the symptoms that you've described to me, um, they indicate the possibility of, um, a heart attack, okay.\n\n Okay.\n\n So, I'm not saying you definitely have a heart attack, but we— that— so our number one priority to exclude that, okay?\n\n Okay.\n\n So.\n\n Yeah.\n\n —ambulance team will be with you very shortly. I'm going to stay on the line with you until they come, okay?\n\n Okay.\n\n All right.\n\n Yeah, thank you.\n\n When they come, what they'll do is they're going to put some stickers on your chest and do an ECG, and then.\n\n Okay.\n\n —they'll decide where to take you after that, okay?\n\n Okay.\n\n All right. And, um, what— what, uh, can I just double-check, do you have, um, any allergies to any medication?\n\n Yes, actually, I have, um, an allergy to aspirin.\n\n Right, okay.\n\n Yeah, and no other allergies.\n\n Sure. Uh, what's the nature of that allergy to aspirin? Do you— does it— does it cause you heartburn, or is it like a— an allergic reaction?\n\n Yeah, uh, it's an allergic reaction, so I swell up, um, a bit, but, um, nothing life-threatening. Um, I've— I sometimes even have it, and it's— it's a— it's a mild reaction to it.\n\n Okay.\n\n Yeah.\n\n All right. It's very important that you communicate that to the hospital.\n\n Okay.\n\n —as detailed as you've just told me, because, um, we— we may need to consider aspirin despite.\n\n Oh, okay.\n\n —allergy, okay? Um.\n\n Okay.\n\n All right. Um, now, in terms of, um, what happens from here, the ambulance team will assess you, and then they may take you in to one hospital or another based on how bad— what— what the ECG looks like and what kind of treatment you might need, okay?\n\n Okay.\n\n Um, what I'm going to do is we'll stay on the line for the time being.\n\n Okay.\n\n Uh, until they come, and then, um, once they come, then I'll hand over to them, and I'll explain what's going on, all right?\n\n Okay. Okay, sure.\n\n Okay.\n\n Yeah, thank you.\n\n Thank you. Is it now? We'll— we'll end the conversation now for the purposes of.\n\n Yeah.\n\n —is that okay?\n\n That's okay. Okay, thank you very much.\n\n Okay, thanks. Bye-bye.\n\n Thank you, bye.", "marks": [ [ 0, 57, "Hi", false ], [ 124, 130, "Resor", false ], [ 136, 146, ".", false ], [ 168, 196, "That's the same thing. OK", false ], [ 331, 335, "Jim", true ], [ 362, 367, "nineteen fifty eight", false ], [ 379, 382, "eighth", false ], [ 483, 485, "Does", false ], [ 641, 649, "Six OK", false ], [ 686, 686, "see", false ], [ 742, 753, "you are OK", false ], [ 769, 769, "Yep.", false ], [ 1055, 1064, "someone", false ], [ 1477, 1485, "gonna", false ], [ 1524, 1566, "OK.", false ], [ 1580, 1588, "gonna", false ], [ 1599, 1607, "gonna", false ], [ 1677, 1685, "gonna", false ], [ 1716, 1729, "OK OK. Mmm", false ], [ 1740, 1748, "We're gonna", false ], [ 1778, 1778, "to help", false ], [ 2155, 2157, "into", false ], [ 2186, 2189, "your", false ], [ 2586, 2591, "during", false ], [ 2721, 2726, "", false ], [ 2819, 2824, "you know.", false ], [ 3100, 3107, "'cause", false ], [ 3231, 3231, "and I did", false ], [ 3402, 3430, "Who's", false ], [ 3467, 3467, "Yeah. OK thank you.", false ], [ 3729, 3742, "could", false ], [ 3767, 3777, "", false ], [ 3786, 3786, ". Alright.", false ], [ 3930, 3933, "", false ], [ 4099, 4099, "or", false ], [ 4298, 4304, "in", false ], [ 4346, 4358, "", false ], [ 4653, 4653, "had", false ], [ 4722, 4727, "", false ], [ 4739, 4740, "sixty", false ], [ 4786, 4802, "OK alright.", false ], [ 4964, 4972, "yeah Ohh. Yeah", false ], [ 5091, 5116, "OK. Alright.", false ], [ 5134, 5140, "you", false ], [ 5470, 5498, "OK. Alright.", false ], [ 5703, 5705, "it's", false ], [ 5832, 5840, "gonna", false ], [ 5884, 5912, "OK", false ], [ 5922, 5932, "OK.", false ], [ 5979, 5987, "gonna", false ], [ 6033, 6033, "OK yeah. Thank you.", false ], [ 6048, 6065, "", false ], [ 6103, 6131, "OK OK. OK no.", false ], [ 6759, 6790, "Yeah. Um the detail you", false ], [ 6889, 6893, "OK OK. Ohh OK.", false ], [ 6902, 6921, "alright", false ], [ 6972, 6985, "OK. That", false ], [ 7035, 7040, "into", false ], [ 7083, 7087, "", false ], [ 7156, 7170, "OK Uh huh.", false ], [ 7371, 7395, "alright OK. OK. OK OK", false ], [ 7435, 7462, "", false ], [ 7491, 7498, "after", false ], [ 7603, 7611, "Bye", false ] ] }, { "label": "Run 2", "wer": 16.965620328849027, "text": "Thanks. Good afternoon. It's very different than that.\n\n Uh, hi there. Good morning.\n\n Hi. Good morning.\n\n Um, I'm Dr.\n\n Dr. Dean Merzer from GP at home. Nice to see you.\n\n Nice to see you too.\n\n Okay, great. So before we start your appointment, could you please confirm your full name and date of birth?\n\n Yeah, sure. Um, my name is Dean Gowers, and I was born in 1958. Uh, on the 8th of August.\n\n That's great. Thank you so much for that. Um, you look a lot younger, so—\n\n Yeah.\n\n So that, that would make you roughly about 50 years old, 51, 51 years old. Is that— is that correct?\n\n Yeah. Yeah, around that. Yeah, about 60, yeah.\n\n 60. Okay, perfect. All right. So, um, nice to see you this morning. Are you in a private place where you're okay to speak freely?\n\n Yes, I am. Yeah.\n\n Okay, fantastic. So, um, how can I help you today?\n\n Um, yeah, I was— I was having, um, a bit of chest discomfort, so I was doing some gardening, um, a couple of hours ago, and I felt n-not exactly a pain, but, um, like a— a pressure on my chest, um, feels like someone's sitting on my chest. Um, and I've noticed, um, a bit of nausea, not— no vomiting, but, um, I'm pretty sweaty, um, short of breath, and it kind of feels like someone's sitting on my chest.\n\n Right. Okay. Now, do you have those— these symptoms right now, or have they gone off now?\n\n Um, no, they're still present.\n\n Okay. So you've still got the chest discomfort right now?\n\n Yes.\n\n Okay. Um, we're probably going to have to call an ambulance for you.\n\n Okay.\n\n To take you to the hospital. Okay? So what I'm going to do is I'm going to task my colleague next to me to sort that out. While we do that, I'm going to ask you a few more questions, okay?\n\n Yeah, sure.\n\n It'll be a bit more information to the— the ambulance team when they— when they arrive, okay? Um.\n\n Sure.\n\n So just to— just to double-check, um, where exactly in the chest is the pain?\n\n Um, it's in the, uh, middle of my chest. Um, over, uh, yeah, my— my pecs, so, um, yeah, but not— not necessarily to one side.\n\n Okay.\n\n Um, and it's quite a diffuse pain.\n\n Right. Is it spreading anywhere else, like down to your arm, up to the jaw, in the neck, anything like that?\n\n Yeah, it's— it's, um, mainly in my left arm, uh, it's feeling a little bit— um, uh, painful, and— and in my shoulder as well.\n\n Right. Okay. Do you remember what you were doing at the time?\n\n Uh, yeah, so it started, uh, just when I was gardening. So nothing that was too strenuous, um, I was just kneeling down and, uh, yeah, wasn't running or anything, it wasn't doing any physical exercise.\n\n Sure. Okay. And— and how much activity do you do normally? Do you walk a lot, or do you run, or do you go to— do anything?\n\n No, I don't. I— I generally don't do much activity at all.\n\n Okay.\n\n Um, yeah.\n\n Have you had this before?\n\n No, this is the first time, actually.\n\n Right. Okay. Can— um, are you aware of any palpitations, like your heart beating faster or more prominently than normal?\n\n Um, yeah, it's— it's beating a bit faster now. I think that's because I'm a little bit stressed, um, about the situation, but I haven't noticed it, um, beating faster than usual.\n\n Okay.\n\n Um, today.\n\n So I— I know you're stressed. We've got an ambulance coming on the way. Okay?\n\n Yeah.\n\n So, um, we'll take care of everything, so don't— don't worry.\n\n Okay.\n\n Thank you for being in the house with you at the moment.\n\n Uh, no, no one's in the house at the moment.\n\n Okay. Um, and is your front door open?\n\n Uh, yes, it's open.\n\n Okay. So maybe we'll— we'll speak maybe in the hallway to the front door. Have the front door open so that in case, um, people need access, they can— they can access you.\n\n Yeah.\n\n All right.\n\n Yeah.\n\n Um, so, um, uh, are you a smoker at all?\n\n Uh, yeah, I smoke, um, a fair bit, so I smoke about 10 cigarettes, uh, a day. Um, yeah.\n\n How— how long have you been smoking for?\n\n Uh, for the past 15 years.\n\n 15 years. Okay. Um.\n\n Yeah.\n\n Do you have, um, high blood pressure or high cholesterol or diabetes, anything?\n\n Yeah, I have high blood, uh, blood pressure, but, um, not diabetes.\n\n Okay. Have you ever had your cholesterol checked?\n\n No.\n\n Okay. Okay. All right. Um, now, anyone in your wider family— in your family, sorry, in your parents, did.\n\n Yes.\n\n Did either of them have any heart problems or heart attacks or anything like that?\n\n Um, yes. So my, um, father died of a heart attack.\n\n Okay.\n\n Um, and my mother had some heart problems.\n\n Okay. Um, I'm sorry to hear about your father. Can you remember what age roughly he was when he— he had that heart attack?\n\n Um, he was about my age.\n\n Right. So about just under 6— around 60.\n\n Yes, around 60, yes.\n\n Yeah. Okay. All right. Um, do you drink much alcohol?\n\n Um, yeah, I drink, um, about per week, probably about 7 or 8 pints a week.\n\n Okay. Is that a— a beer you're talking about?\n\n Oh, beer, yes.\n\n Okay. Um, I— I can't tell from the video. Are you overweight?\n\n Um, yes, I'm overweight, yeah.\n\n Right.\n\n Yeah.\n\n Okay. All right. Um, uh, now, um, you're— do you normally live alone?\n\n Uh, yeah, I live alone, uh, at the moment, yeah.\n\n Okay.\n\n Uh, it's just me in the house.\n\n Sure. Okay. And— and, uh, are you working at the moment?\n\n Yeah, yeah, I— I work, yeah.\n\n Right. What do you work as?\n\n Um, I work as a restaurant owner, so I own a sushi shop.\n\n Right. Okay.\n\n Yeah.\n\n All right. Um, so, um, the— the symptoms that you've described to me, um, they indicate the possibility of, um, a heart attack, okay?\n\n Okay.\n\n So I'm not saying you definitely have a heart attack, but we— that— so our number-one priority to exclude that, okay?\n\n Okay.\n\n So ambulance team will be with you very shortly. I'm going to stay on the line with you until they come, okay?\n\n Okay.\n\n Yeah.\n\n Yeah, thank you.\n\n When they come, what they'll do is they're going to put some stickers on your chest and do an ECG, and then.\n\n Okay.\n\n They'll decide where to take you after that, okay?\n\n Okay.\n\n And, um, what— what, uh, can I just double-check, do you have, um, any allergies to any medication?\n\n Yes, actually. I have, um, an allergy to aspirin.\n\n Right. Okay.\n\n Yeah, and no other allergies.\n\n Sure. Uh, what's the nature of that allergy to aspirin? Do you— does it— does it cause you heartburn, or is it, like, a— an allergic reaction?\n\n Yeah, uh, it's an allergic reaction, so I swell up, um, a bit, but, um, nothing life-threatening. Um, I've— I sometimes even have it, and it's— it's a— it's a mild reaction to it.\n\n Okay. All right.\n\n Yeah.\n\n It's very important that you communicate that to the hospital.\n\n Okay.\n\n And that detail you've just told me, because, um, we— we may need to consider aspirin despite.\n\n Oh, okay.\n\n Allergy, okay? Um.\n\n Okay.\n\n All right. Um, now, in terms of, um, what happens from here, the ambulance team will assess you, and then they may take you in to one hospital or another based on how bad— what the ECG looks like and what kind of treatment you might need, okay? Um.\n\n Okay.\n\n What I'm going to do is we'll stay on the line for the time being.\n\n Okay.\n\n Uh, until they come, and then, um, once they come, then I'll hand over to them. I'll explain what's going on. All right?\n\n Okay. Okay, sure.\n\n Okay.\n\n Yeah, thank you.\n\n Thank you. Is it now? We'll— we'll end the conversation now for the purposes?\n\n Yeah.\n\n Is that okay?\n\n That's okay. Okay, thank you very much.\n\n Okay, thanks. Bye.\n\n Thank you, bye.", "marks": [ [ 0, 60, "Hi", false ], [ 118, 128, "Doctor", false ], [ 134, 140, "Resor", false ], [ 146, 157, ".", false ], [ 178, 206, "That's the same thing. OK", false ], [ 341, 345, "Jim", true ], [ 372, 377, "nineteen fifty eight", false ], [ 389, 392, "eighth", false ], [ 493, 495, "Does", false ], [ 592, 592, "or", false ], [ 647, 655, "Six OK", false ], [ 692, 692, "see", false ], [ 748, 759, "you are OK", false ], [ 775, 775, "Yep.", false ], [ 985, 990, "not", false ], [ 1063, 1072, "someone", false ], [ 1485, 1493, "gonna", false ], [ 1532, 1574, "OK.", false ], [ 1588, 1596, "gonna", false ], [ 1607, 1615, "gonna", false ], [ 1685, 1693, "gonna", false ], [ 1724, 1737, "OK OK. Mmm", false ], [ 1748, 1756, "We're gonna", false ], [ 1786, 1786, "to help", false ], [ 2163, 2165, "into", false ], [ 2194, 2197, "your", false ], [ 2594, 2599, "during", false ], [ 2729, 2734, "", false ], [ 2827, 2832, "you know.", false ], [ 3092, 3099, "'cause", false ], [ 3223, 3223, "and I did", false ], [ 3390, 3418, "Who's", false ], [ 3455, 3455, "Yeah. OK thank you.", false ], [ 3717, 3730, "could", false ], [ 3755, 3765, "", false ], [ 3774, 3774, ". Alright.", false ], [ 3918, 3921, "", false ], [ 4087, 4087, "or", false ], [ 4286, 4292, "in", false ], [ 4334, 4346, "", false ], [ 4640, 4640, "had", false ], [ 4709, 4714, "", false ], [ 4726, 4727, "sixty", false ], [ 4773, 4789, "OK alright.", false ], [ 4951, 4959, "yeah Ohh. Yeah", false ], [ 5078, 5103, "OK. Alright.", false ], [ 5121, 5127, "you", false ], [ 5445, 5473, "OK. Alright.", false ], [ 5677, 5679, "it's", false ], [ 5792, 5800, "gonna", false ], [ 5871, 5887, "OK.", false ], [ 5934, 5942, "gonna", false ], [ 5988, 5988, "OK yeah. Thank you.", false ], [ 6003, 6019, "", false ], [ 6057, 6071, "OK OK. OK no.", false ], [ 6729, 6735, "you", false ], [ 6833, 6837, "OK OK. Ohh OK.", false ], [ 6846, 6865, "alright", false ], [ 6916, 6929, "OK. That", false ], [ 6979, 6984, "into", false ], [ 7094, 7098, "OK Uh huh.", false ], [ 7305, 7329, "alright OK. OK. OK OK", false ], [ 7369, 7396, "", false ], [ 7425, 7432, "after", false ] ] }, { "label": "Run 3", "wer": 16.965620328849027, "text": "Senti, ragazzo, this is very different than that.\n\n Uh, hi there, good morning.\n\n Hi, good morning.\n\n Um, I'm Dr. Dean Merzer from GP at Home, nice to see you.\n\n Nice to see you too.\n\n Okay, great. So, before we start your appointment, could you please confirm your full name and date of birth?\n\n Yeah, sure. Um, my name is Tim Gowers, and I was born in 1958. Uh, on the 8th of August.\n\n That's great. Thank you so much for that. Um, you look a lot younger, so—\n\n Yeah.\n\n So that, that would make you roughly about 50 years old, 51, 51 years old. Is that, is that correct, or—\n\n Yeah, yeah, around that. Yeah, about 60, yeah.\n\n About 60. Okay, perfect. All right. So, um, nice to see you this morning. Are you in a private place where you're okay to speak freely?\n\n Yes, I am, yeah.\n\n Okay, fantastic. So, um, how can I help you today?\n\n Um, yeah, I was, I was having, um, a bit of chest discomfort, so I was doing some gardening, um, a couple of hours ago, and I felt n-not exactly a pain, but, um, like a, a pressure on my chest, um, it feels like someone's sitting on my chest. Um, and I've noticed, um, a bit of nausea, not, no vomiting, but, um, I'm pretty sweaty, um, short of breath, and it kind of feels like someone's sitting on my chest.\n\n Right, okay. Now, do you have those, these symptoms right now, or have they gone off now?\n\n Um, no, they're still present.\n\n Okay. So you've still got the chest discomfort right now?\n\n Yes.\n\n Okay. Um, we're probably going to have to call an ambulance for you, to take—\n\n Okay.\n\n Okay? So what I'm going to do is I'm going to task my colleague next to me to sort that out. While we do that, I'm going to ask you a few more questions, okay?\n\n Yeah, sure.\n\n It'll be a bit more information to the, the, the ambulance team when they, when they arrive, okay? Um—\n\n Sure.\n\n So, just to, just to double-check, um, where exactly in the chest is the pain?\n\n Um, it's in the, uh, middle of my chest, um, over, uh, yeah, my, my pecs, so, um, yeah, but not, not necessarily to one side.\n\n Okay.\n\n Um, and it's quite a diffuse pain.\n\n Right. I-is it spreading anywhere else, like down to your arm, up to the jaw, in the neck, anything like that?\n\n Yeah, it's, it's, um, mainly in my left arm, uh, it's feeling a little bit, um, uh, painful.\n\n Okay.\n\n And, and in my shoulder as well.\n\n Right, okay. Do you remember what you were doing at the time?\n\n Uh, yeah, so it started, uh, just when I was gardening, so nothing that was too strenuous, um, I was just kneeling down and, uh, yeah, it wasn't running or anything, it wasn't doing any physical exercise.\n\n Sure, okay. A-and how much activity do you do normally? Do you walk a lot, or do you run, or do you go to, do anything?\n\n No, I don't, I, I generally don't do much activity at all.\n\n Okay.\n\n Um, yeah.\n\n Have you had this before?\n\n No, this is the first time, actually.\n\n Right, okay. Can you—\n\n Yeah.\n\n Um, are you aware of any palpitations, like your heart beating faster or more prominently than normal?\n\n Um, yeah, it's, it's beating a bit faster now, I think that's because I'm a little bit stressed.\n\n Okay.\n\n Um, about the situation, but I haven't noticed it, um, beating faster than usual.\n\n Okay.\n\n Um, today.\n\n So, I know you're stressed. We've got an ambulance coming on the way, okay?\n\n Yeah.\n\n So, um, we'll take care of everything, so don't, don't worry.\n\n Okay, thank you.\n\n If you're in the house with you at the moment?\n\n Uh, no, no one's in the house at the moment.\n\n Okay. Um, and is your front door open?\n\n Uh, yes, it's open.\n\n Okay, so maybe we'll, we'll speak maybe in the hallway to the front door. Have the front door open so that in case, um, people need access, they can, they can access you.\n\n Yeah.\n\n All right.\n\n Yeah.\n\n Um, so, um, uh, are you a smoker at all?\n\n Uh, yeah, I smoke, um, a fair bit, so I smoke about 10 cigarettes, uh, a day. Um, yeah.\n\n Uh, how long have you been smoking for?\n\n Uh, for the past 15 years.\n\n 15 years, okay. Um—\n\n Yeah.\n\n Do you have, um, high blood pressure or high cholesterol or diabetes, anything?\n\n Yeah, I have high blood, uh, blood pressure, but, um, not diabetes.\n\n Okay. Have you ever had your cholesterol checked?\n\n No.\n\n Okay, okay. All right. Um, now, anyone in your wider family, in your family, sorry, in your parents, did—\n\n Yes.\n\n —did either of them have any heart problems or heart attacks or anything like that?\n\n Um, yes, so my, um, father died of a heart attack.\n\n Okay.\n\n Um, and my mother had some heart problems.\n\n Okay. Um, I'm sorry to hear about your father. Can you remember what age roughly he was when he, he had that heart attack?\n\n Um, he was about my age.\n\n Right, so about just under six, around 60?\n\n Yes, around 60, yes.\n\n Yeah, okay. All right. Um, do you drink much alcohol?\n\n Um, yeah, I drink, um, about per week, probably about 7 or 8 pints a week.\n\n Okay, is that a, a beer you're talking about?\n\n Oh, beer, yes.\n\n Okay. Um, I, I can't tell from the video. Are you overweight?\n\n Um, yes, I'm overweight, yeah.\n\n Right.\n\n Yeah.\n\n Okay, all right. Um, uh, now, um, you're do you normally live alone?\n\n Uh, yeah, I live alone, uh, at the moment, yeah.\n\n Okay.\n\n Uh, it's just me in the house.\n\n Sure, okay. And, and, uh, are you working at the moment?\n\n Yeah, yeah, I, I work, yeah.\n\n Right, what do you work as?\n\n Um, I work as a restaurant owner.\n\n Okay.\n\n So I own a sushi shop.\n\n Right, okay.\n\n Yeah.\n\n All right. Um, so, um, the, the symptoms that you've described to me, um, they indicate the possibility of, um, a heart attack, okay?\n\n Okay.\n\n So, I'm not saying you definitely have a heart attack, but we that it's our number one priority to exclude that.\n\n Okay.\n\n Okay?\n\n Okay.\n\n So, ambulance team will be with you very shortly. I'm going to stay on the line with you until they come, okay?\n\n Okay.\n\n Yeah.\n\n Yeah, thank you.\n\n When they come, what they'll do is they're going to put some stickers on your chest and do an ECG, and then—\n\n Okay.\n\n —decide where to take you after that, okay?\n\n Okay.\n\n And, um, what, what, uh, can I just double-check, do you have, um, any allergies to any medication?\n\n Yes, actually, I have, um, an allergy to aspirin.\n\n Right, okay.\n\n Yeah, and no other allergies.\n\n Sure. Uh, what's the nature of that allergy to aspirin? Do you does it, does it cause you heartburn, or is it like a, a allergic reaction?\n\n Yeah, uh, it's an allergic reaction, so I swell up, um, a bit, but, um, nothing life-threatening. Um, I've I sometimes even have it and it's, it's a it's a mild reaction to it.\n\n Okay. All right.\n\n Yeah.\n\n It's, it's very important that you communicate that to the hospital.\n\n Okay.\n\n Uh, detail you've just told me, because, um, we, we may need to consider aspirin despite—\n\n Oh, okay.\n\n —allergy, okay? Um, all right. Um, now, in terms of, um, what happens from here, the ambulance team will assess you, and then they may take you in to one hospital or another based on how bad what the ECG looks like and what kind of treatment you might need, okay?\n\n Okay.\n\n Um, what I'm going to do is we'll stay on the line for the time being.\n\n Okay.\n\n Uh, until they come, and then, um, once they come, then I'll hand over to them and I'll explain what's going on, all right?\n\n Okay. Okay, sure.\n\n Okay.\n\n Yeah, thank you.\n\n Thank you. Isn't that we'll, we'll end the conversation now for the purposes—\n\n Yeah.\n\n —is that okay?\n\n That's okay. Okay, thank you very much.\n\n Okay, thanks. Bye.\n\n Thank you, bye.", "marks": [ [ 0, 55, "Hi", false ], [ 122, 128, "Resor", false ], [ 134, 144, ".", false ], [ 166, 194, "That's the same thing. OK", false ], [ 330, 333, "Jim", true ], [ 360, 365, "nineteen fifty eight", false ], [ 377, 380, "eighth", false ], [ 481, 483, "Does", false ], [ 639, 653, "Six OK", false ], [ 690, 690, "see", false ], [ 746, 757, "you are OK", false ], [ 773, 773, "Yep.", false ], [ 983, 988, "not", false ], [ 1064, 1073, "someone", false ], [ 1486, 1494, "gonna", false ], [ 1530, 1555, "OK.", false ], [ 1569, 1577, "gonna", false ], [ 1588, 1596, "gonna", false ], [ 1666, 1674, "gonna", false ], [ 1705, 1718, "OK OK. Mmm", false ], [ 1729, 1737, "We're gonna", false ], [ 1769, 1772, "to help", false ], [ 2102, 2113, "Is is", false ], [ 2152, 2154, "into", false ], [ 2183, 2186, "your", false ], [ 2598, 2603, "during", false ], [ 2636, 2647, "OK. And and", false ], [ 2730, 2735, "", false ], [ 2828, 2833, "you know.", false ], [ 3109, 3116, "'cause", false ], [ 3252, 3252, "and I did", false ], [ 3417, 3446, "Who's", false ], [ 3482, 3482, "Yeah. OK thank you.", false ], [ 3745, 3758, "could", false ], [ 3783, 3793, "", false ], [ 3802, 3802, ". Alright.", false ], [ 4114, 4114, "or", false ], [ 4313, 4319, "in", false ], [ 4361, 4373, "", false ], [ 4668, 4668, "had", false ], [ 4737, 4742, "", false ], [ 4754, 4757, "sixty", false ], [ 4803, 4819, "OK alright.", false ], [ 4981, 4989, "yeah Ohh. Yeah", false ], [ 5108, 5133, "OK. Alright.", false ], [ 5151, 5157, "you", false ], [ 5486, 5514, "OK. Alright.", false ], [ 5847, 5855, "gonna", false ], [ 5926, 5942, "OK.", false ], [ 5989, 5997, "gonna", false ], [ 6043, 6043, "OK yeah. Thank you.", false ], [ 6105, 6119, "OK OK. OK no.", false ], [ 6670, 6683, "", false ], [ 6771, 6777, "you", false ], [ 6876, 6880, "OK OK. Ohh OK.", false ], [ 6886, 6896, "alright", false ], [ 6947, 6960, "OK. That", false ], [ 7010, 7015, "into", false ], [ 7124, 7138, "OK Uh huh.", false ], [ 7338, 7362, "alright OK. OK. OK OK", false ], [ 7402, 7429, "", false ], [ 7458, 7465, "after", false ] ] }, { "label": "Run 4", "wer": 17.11509715994021, "text": "Thanks. Good afternoon. It's very different than that.\n\n Uh, hi there. Good morning.\n\n Hi. Good morning.\n\n Um, I'm Dr. De\n\n an Mercer from GP at Home. Nice to see you.\n\n Nice to see you too.\n\n Okay, great. So before we start your appointment, could you please confirm your full name and date of birth?\n\n Yeah, sure. Um, my name is Dean Gowers, and I was born in 1958. Uh, on the 8th of August.\n\n That's great. Thank you so much for that. Um, you look a lot younger, so—\n\n Yeah.\n\n So that, that would make you roughly about 50 years old, 51, 51 years old. Is that— is that correct?\n\n Yeah. Yeah, around that. Yeah, about 60, yeah.\n\n 60. Okay, perfect. All right. So, um, nice to see you this morning. Are you in a private place where you're okay to speak freely?\n\n Yes, I am. Yeah.\n\n Okay, fantastic. So, um, how can I help you today?\n\n Um, yeah, I was— I was having, um, a bit of chest discomfort, so I was doing some gardening, um, a couple of hours ago, and I felt not exactly a pain, but, um, like a— a pressure on my chest, um, feels like someone's sitting on my chest. Um, and I've noticed, um, a bit of nausea, not— no vomiting, but, um, I'm pretty sweaty, um, short of breath, and it kind of feels like someone's sitting on my chest.\n\n Right. Okay. Now, do you have those— these symptoms right now, or have they gone off now?\n\n Um, no, they're still present.\n\n Okay. So you've still got the chest discomfort right now?\n\n Yes.\n\n Okay. Um, and. We're probably going to have to call an ambulance for you.\n\n Okay.\n\n To take you. Okay? So what I'm going to do is I'm going to task my colleague next to me to sort that out. While we do that, I'm going to ask you a few more questions, okay?\n\n Yeah, sure.\n\n It'll be a bit more information to the— the ambulance team when they— when they arrive, okay? Um.\n\n Sure.\n\n So just to— just to double-check, um, where exactly in the chest is the pain?\n\n Um, it's in the, uh, middle of my chest. Um, over, uh, yeah, my— my pecs, so, um, yeah, but not— not necessarily to one side.\n\n Okay.\n\n Um, and it's quite a diffuse pain.\n\n Right. I-is it spreading anywhere else, like down to your arm, up to the jaw, in the neck, anything like that?\n\n Yeah, it's— it's, um, mainly in my left arm. Uh, it's feeling a little bit, um, uh, painful and— and in my shoulder as well.\n\n Right. Okay. Do you remember what you were doing at the time?\n\n Uh, yeah. So it started, uh, just when I was gardening. So nothing that was too strenuous, um, I was just kneeling down and, uh, yeah, it wasn't running or anything. It wasn't doing any physical exercise.\n\n Sure. Okay. A-and how much activity do you do normally? Do you walk a lot, or do you run, or do you go to— do anything?\n\n No, I don't— I— I generally don't do much activity at all.\n\n Okay.\n\n Um, yeah.\n\n Have you had this before?\n\n No, this is the first time, actually.\n\n Right. Okay. Can you—\n\n Yeah.\n\n Um, are you aware of any palpitations, like your heart beating faster or more prominently than normal?\n\n Um, yeah, it's— it's beating a bit faster now. I think that's because I'm a little bit stressed.\n\n Okay.\n\n Um, about the situation, but I haven't noticed it, um, beating faster than usual.\n\n Okay.\n\n Um, today.\n\n So I— I know you're stressed. We've got an ambulance coming on the way. Okay?\n\n Yeah.\n\n So, um, we'll take care of everything. So don't— don't worry.\n\n Okay.\n\n Thank you. You're in the house with you at the moment?\n\n Uh, no, no one's in the house at the moment.\n\n Okay. Um, and is your front door open?\n\n Uh, yes, it's open.\n\n Okay. So maybe we'll— we'll speak maybe in the hallway to the front door. Have the front door open so that in case, um, people need access, they— they can access you.\n\n Yeah.\n\n All right.\n\n Yeah.\n\n Um, so, um, uh, are you a smoker at all?\n\n Uh, yeah, I smoke, um, a fair bit, so I smoke about 10 cigarettes, uh, a day. Um, yeah.\n\n How— how long have you been smoking for?\n\n Uh, for the past 15 years.\n\n 15 years. Okay. Um.\n\n Yeah.\n\n Do you have, um, high blood pressure or high cholesterol or diabetes, anything?\n\n Yeah, I have high blood, uh, blood pressure, but, um, not diabetes.\n\n Okay. Have you ever had your cholesterol checked?\n\n No.\n\n Okay. Okay. All right. Um, now, anyone in your wider family— in your family, sorry, in your parents, did.\n\n Yes.\n\n Did either of them have any heart problems or heart attacks or anything like that?\n\n Um, yes. So my, um, father died of a heart attack.\n\n Okay.\n\n Um, and my mother had some heart problems.\n\n Okay. Um, I'm sorry to hear about your father. Can you remember what age roughly he was when he— he had that heart attack?\n\n Um, he was about my age.\n\n Right. So a— a just under 6, around 60.\n\n Yes, around 60, yes.\n\n Yeah. Okay. All right. Um, do you drink much alcohol?\n\n Um, yeah, I drink, um, about per week, probably about 7 or 8 pints a week.\n\n Okay. Is that a— a beer you're talking about?\n\n Oh, beer, yes.\n\n Okay. Um, I— I can't tell from the video. Are you overweight?\n\n Um, yes, I'm overweight, yeah.\n\n Right.\n\n Yeah.\n\n Okay. All right. Um, uh, now, um, you're— do you normally live alone?\n\n Uh, yeah, I live alone, uh, at the moment, yeah.\n\n Okay.\n\n Uh, it's just me in the house.\n\n Sure. Okay. And— and, uh, are you working at the moment?\n\n Yeah, yeah, I— I work, yeah.\n\n Right. What do you work as?\n\n Um, I work as a restaurant owner.\n\n Okay.\n\n So I own a sushi shop.\n\n Right. Okay.\n\n Yeah.\n\n All right. Um, so, um, the— the symptoms that you've described to me, um, they indicate the possibility of, um, a heart attack, okay?\n\n Okay.\n\n So I'm not saying you definitely have a heart attack, but we— that's our number-one priority to exclude that.\n\n Okay.\n\n Okay?\n\n Okay.\n\n So ambulance team will be with you very shortly. I'm going to stay on the line with you until they come, okay?\n\n Okay.\n\n Yeah.\n\n Yeah, thank you.\n\n When they come, what they'll do is they're going to put some stickers on your chest and do an ECG, and then decide where to take you after that, okay?\n\n Okay.\n\n And, um, what— what, uh, can I just double-check, do you have, um, any allergies to any medication?\n\n Yes, actually. I have, um, an allergy to aspirin.\n\n Right. Okay.\n\n Yeah, and no other allergies.\n\n Sure. Uh, what's the nature of that allergy to aspirin? Do you— does it— does it cause you heartburn, or is it like a, a allergic reaction?\n\n Yeah, uh, it's an allergic reaction, so I swell up, um, a bit, but, um, nothing life-threatening. Um, I've— I sometimes even have it, and it's— it's a— it's a mild reaction to it.\n\n Okay. All right.\n\n Yeah.\n\n It's very important that you communicate that to the hospital.\n\n Okay.\n\n Uh, detail you've just told me, because, um, we— we may need to consider aspirin despite.\n\n Oh, okay.\n\n Allergy. Okay? Um, all right. Um, now, in terms of, um, what happens from here, the ambulance team will assess you, and then they may take you into one hospital or another based on how bad— what the ECG looks like and what kind of treatment you might need, okay? Um.\n\n Okay.\n\n What I'm going to do is we'll stay on the line for the time being.\n\n Okay.\n\n Uh, until they come, and then, um, once they come, then I'll hand over to them. I'll explain what's going on. All right?\n\n Okay. Okay, sure.\n\n Okay.\n\n Yeah, thank you.\n\n Thank you. Is it now? We'll— we'll end the conversation now for the purposes?\n\n Yeah.\n\n Is that okay?\n\n That's okay. Okay, thank you very much.\n\n Okay, thanks. Bye.\n\n Thank you, bye.", "marks": [ [ 0, 60, "Hi", false ], [ 118, 136, "Doctor Dean Resor", false ], [ 142, 153, ".", false ], [ 174, 202, "That's the same thing. OK", false ], [ 337, 341, "Jim", true ], [ 368, 373, "nineteen fifty eight", false ], [ 385, 388, "eighth", false ], [ 489, 491, "Does", false ], [ 588, 588, "or", false ], [ 643, 651, "Six OK", false ], [ 688, 688, "see", false ], [ 744, 755, "you are OK", false ], [ 771, 771, "Yep.", false ], [ 1057, 1066, "someone", false ], [ 1484, 1492, "gonna", false ], [ 1531, 1557, "OK.", false ], [ 1571, 1579, "gonna", false ], [ 1590, 1598, "gonna", false ], [ 1668, 1676, "gonna", false ], [ 1707, 1720, "OK OK. Mmm", false ], [ 1731, 1739, "We're gonna", false ], [ 1769, 1769, "to help", false ], [ 2098, 2109, "Is is", false ], [ 2148, 2150, "into", false ], [ 2179, 2182, "your", false ], [ 2581, 2586, "during", false ], [ 2619, 2630, "OK. And and", false ], [ 2713, 2718, "", false ], [ 2811, 2816, "you know.", false ], [ 3092, 3099, "'cause", false ], [ 3235, 3235, "and I did", false ], [ 3402, 3428, "Who's", false ], [ 3464, 3464, "Yeah. OK thank you.", false ], [ 3728, 3736, "could", false ], [ 3761, 3771, "", false ], [ 3780, 3780, ". Alright.", false ], [ 3924, 3927, "", false ], [ 4093, 4093, "or", false ], [ 4292, 4298, "in", false ], [ 4340, 4352, "", false ], [ 4646, 4646, "had", false ], [ 4731, 4732, "sixty", false ], [ 4778, 4794, "OK alright.", false ], [ 4956, 4964, "yeah Ohh. Yeah", false ], [ 5083, 5108, "OK. Alright.", false ], [ 5126, 5132, "you", false ], [ 5462, 5490, "OK. Alright.", false ], [ 5688, 5694, "that it's", false ], [ 5819, 5827, "gonna", false ], [ 5898, 5914, "OK.", false ], [ 5961, 5969, "gonna", false ], [ 6015, 6015, "OK yeah. Thank you.", false ], [ 6063, 6077, "OK OK. OK no.", false ], [ 6727, 6733, "you", false ], [ 6831, 6835, "OK OK. Ohh OK.", false ], [ 6841, 6851, "alright", false ], [ 6902, 6915, "OK. That", false ], [ 7079, 7083, "OK Uh huh.", false ], [ 7290, 7314, "alright OK. OK. OK OK", false ], [ 7354, 7381, "", false ], [ 7410, 7417, "after", false ] ] }, { "label": "Run 5", "wer": 17.56352765321375, "text": "Thanks. What about something very different than that?\n\n Uh, hi there. Good morning.\n\n Hi, good morning.\n\n Um, I'm Dr. Dean Merzer from GP at home. Nice to see you.\n\n Nice to see you too.\n\n Okay, great. So before we start your appointment, could you please confirm your full name and date of birth?\n\n Yeah, sure.\n\n Sure.\n\n Um, my name is Tim Gowers, and I was born in 1958. Uh, on the 8th of August.\n\n That's great. Thank you so much for that. Um, you look a lot younger, so—\n\n Yeah.\n\n So that, that would make you roughly about 50 years old, 51, 51 years old. Is that— is that correct?\n\n Yeah, yeah, around that. Yeah, about 60, yeah.\n\n 60. Okay, perfect. All right.\n\n Yeah.\n\n So, um, nice to see you this morning. Are you in a private place where you're okay to speak freely?\n\n Yes, I am, yeah.\n\n Okay, fantastic. So, um, how can I help you today?\n\n Um, yeah, I was— I was having, um, a bit of chest discomfort, so I was doing some gardening, um, a couple of hours ago, and I felt n-not exactly a pain, but, um, like a— a pressure on my chest, um, feels like someone's sitting on my chest. Um, and I've noticed, um, a bit of nausea, not— no vomiting, but, um, I'm pretty sweaty, um, short of breath, and it kind of feels like someone's sitting on my chest.\n\n Right, okay. Now, do you have those— these symptoms right now, or have they gone off now?\n\n Um, no, they're still present.\n\n Okay. So you've still got the chest discomfort right now?\n\n Yes.\n\n Okay. Um, we're probably going to have to call an ambulance for you.\n\n Okay.\n\n To take you to the hospital. Okay? So what I'm going to do is I'm going to task my colleague next to me to sort that out. While we do that, I'm going to ask you a few more questions, okay?\n\n Yeah, sure.\n\n It'll be a bit more information to the— the ambulance team when they— when they arrive, okay? Um.\n\n Sure.\n\n So just to— just to double-check, um, where exactly in the chest is the pain?\n\n Um, it's in the, uh, middle of my chest, um, over, uh, yeah, my— my pecs, so, um, yeah, but not— not necessarily to one side.\n\n Okay.\n\n I mean, it's quite a diffuse pain.\n\n Right. Is it spreading anywhere else, like down to your arm, up to the jaw, in the neck, anything like that?\n\n Yeah, it's— it's, um, mainly in my left arm, uh, it's feeling a little bit— um, uh, painful.\n\n Okay.\n\n And— and in my shoulder as well.\n\n Right, okay. Do you remember what you were doing at the time?\n\n Uh, yeah, so it started, uh, just when I was gardening. So nothing that was too strenuous, um, I was just kneeling down and, uh, yeah, wasn't running or anything, it wasn't doing any physical exercise.\n\n Sure, okay. And— and how much activity do you do normally? Do you walk a lot, or do you run, or do you go to— do anything?\n\n No, I don't— I— I generally don't do much activity at all.\n\n Okay.\n\n Um, yeah.\n\n Have you had this before?\n\n No, this is the first time, actually.\n\n Right, okay. Can—\n\n Yeah.\n\n Um, are you aware of any palpitations, like your heart beating faster or more prominently than normal?\n\n Um, yeah, it's— it's beating a bit faster now. I think that's because I'm a little bit stressed, um, about the situation, but I haven't noticed it, um, beating faster than usual.\n\n Okay.\n\n Um, today.\n\n So I— I know you're stressed. We've got an ambulance coming on the way. Okay?\n\n Yeah.\n\n So, um, we'll take care of everything, so don't— don't worry.\n\n Okay, thank you.\n\n We'll put you in the house with you at the moment.\n\n Uh, no, no one's in the house at the moment.\n\n Okay. Um, and is your front door open?\n\n Uh, yes, it's open.\n\n Okay. So maybe we'll— we'll speak maybe in the hallway to the front door. Have the front door open so that in case, um, people need access, they can— they can access you.\n\n Yeah.\n\n All right.\n\n Yeah.\n\n Um, so, um, uh, are you a smoker at all?\n\n Uh, yeah, I smoke, um, a fair bit, so I smoke about 10 cigarettes, uh, a day. Um, yeah.\n\n How— how long have you been smoking for?\n\n Uh, for the past 15 years.\n\n 15 years. Okay. Um.\n\n Yeah.\n\n Do you have, um, high blood pressure or high cholesterol or diabetes, anything?\n\n Yeah, I have high blood, uh, blood pressure, but, um, not diabetes.\n\n Okay. Have you ever had your cholesterol checked?\n\n No.\n\n Okay. All right. Um, now, anyone in your wider family— in your family, sorry, in your parents, did—\n\n Yes.\n\n Did either of them have any heart problems or heart attacks or anything like that?\n\n Um, yes, so my, um, father died of a heart attack.\n\n Okay.\n\n Um, and my mother had some heart problems.\n\n Okay. Um, I'm sorry to hear about your father. Can you remember what age roughly he was when he— he had that heart attack?\n\n Um, he was about my age.\n\n Right, so about just under 6— around 60.\n\n Yes, around 60, yes.\n\n Okay. All right. Um, do you drink much alcohol?\n\n Um, yeah, I drink, um, about per week, probably about 7 or 8 pints a week.\n\n Okay. Is that a— a beer you're talking about?\n\n Oh, beer, yes.\n\n Okay. Um, I— I can't tell from the video. Are you overweight?\n\n Um, yes, I'm overweight, yeah.\n\n Right.\n\n Yeah.\n\n Okay. All right. Um, uh, now, um, you're— do you normally live alone?\n\n Uh, yeah, I live alone, uh, at the moment, yeah.\n\n Okay.\n\n Uh, it's just me in the house.\n\n Sure. Okay. And— and, uh, are you working at the moment?\n\n Yeah, yeah, I— I work, yeah.\n\n Right. What do you work as?\n\n Um, I work as a restaurant owner.\n\n Okay.\n\n So I own a sushi shop.\n\n Right, okay.\n\n Yeah.\n\n All right. Um, so, um, the— the symptoms that you've described to me, um, they indicate the possibility of, um, a heart attack, okay?\n\n Okay.\n\n So I'm not saying you definitely have a heart attack, but we— that— so our number one priority to exclude that, okay?\n\n Okay.\n\n So ambulance team will be with you very shortly. I'm going to stay on the line with you until they come, okay?\n\n Okay.\n\n All right.\n\n Yeah, thank you.\n\n When they come, what they'll do is they're going to put some stickers on your chest and do an ECG, and then.\n\n Okay.\n\n They'll decide where to take you after that, okay?\n\n Okay.\n\n And, um, what— what, uh, can I just double-check, do you have, um, any allergies to any medication?\n\n Yes, actually, I have, um, an allergy to aspirin.\n\n Right, okay.\n\n Yeah, and no other allergies.\n\n Sure. Uh, what's the nature of that allergy to aspirin? Do you— does it— does it cause you heartburn, or is it like a— an allergic reaction?\n\n Yeah, uh, it's an allergic reaction, so I swell up, um, a bit, but, um, nothing life-threatening. Um, I've— I sometimes even have it, and it's— it's a— it's a mild reaction to it.\n\n Okay. All right.\n\n Yeah.\n\n It's very important that you communicate that to the hospital.\n\n Okay.\n\n And how detailed you've just told me, because, um, we— we may need to consider aspirin despite.\n\n Oh, okay.\n\n Allergy, okay? Um.\n\n Okay.\n\n All right. Um, now, in terms of, um, what happens from here, the ambulance team will assess you, and then they may take you in to one hospital or another based on how bad— what the ECG looks like and what kind of treatment you might need, okay? Um.\n\n Okay.\n\n What I'm going to do is we'll stay on the line for the time being.\n\n Okay.\n\n Uh, until they come, and then, um, once they come, then I'll hand over to them. I'll explain what's going on, all right?\n\n Okay. Okay, sure.\n\n Okay.\n\n Yeah, thank you.\n\n Thank you. Is it now? We'll— we'll end the conversation now for the purposes?\n\n Yeah.\n\n Is that okay?\n\n That's okay. Okay, thank you very much.\n\n Okay, thanks. Bye.\n\n Thank you, bye.", "marks": [ [ 0, 60, "Hi", false ], [ 127, 133, "Resor", false ], [ 139, 150, ".", false ], [ 171, 199, "That's the same thing. OK", false ], [ 322, 327, "", false ], [ 346, 349, "Jim", true ], [ 376, 381, "nineteen fifty eight", false ], [ 393, 396, "eighth", false ], [ 497, 499, "Does", false ], [ 596, 596, "or", false ], [ 651, 659, "Six OK", false ], [ 708, 708, "see", false ], [ 764, 775, "you are OK", false ], [ 791, 791, "Yep.", false ], [ 1001, 1006, "not", false ], [ 1079, 1088, "someone", false ], [ 1501, 1509, "gonna", false ], [ 1548, 1590, "OK.", false ], [ 1604, 1612, "gonna", false ], [ 1623, 1631, "gonna", false ], [ 1701, 1709, "gonna", false ], [ 1740, 1753, "OK OK. Mmm", false ], [ 1764, 1772, "We're gonna", false ], [ 1802, 1802, "to help", false ], [ 2084, 2099, "um and", false ], [ 2179, 2181, "into", false ], [ 2210, 2213, "your", false ], [ 2622, 2627, "during", false ], [ 2757, 2762, "", false ], [ 2855, 2860, "you know.", false ], [ 3132, 3139, "'cause", false ], [ 3263, 3263, "and I did", false ], [ 3430, 3463, "Who's", false ], [ 3500, 3500, "Yeah. OK thank you.", false ], [ 3762, 3775, "could", false ], [ 3800, 3810, "", false ], [ 3819, 3819, ". Alright.", false ], [ 3963, 3966, "", false ], [ 4132, 4132, "or", false ], [ 4325, 4331, "in", false ], [ 4373, 4385, "", false ], [ 4679, 4679, "had", false ], [ 4748, 4753, "", false ], [ 4765, 4766, "sixty", false ], [ 4806, 4822, "Yeah OK alright.", false ], [ 4984, 4992, "yeah Ohh. Yeah", false ], [ 5111, 5136, "OK. Alright.", false ], [ 5154, 5160, "you", false ], [ 5490, 5518, "OK. Alright.", false ], [ 5722, 5724, "it's", false ], [ 5837, 5845, "gonna", false ], [ 5889, 5917, "OK", false ], [ 5927, 5937, "OK.", false ], [ 5984, 5992, "gonna", false ], [ 6038, 6038, "OK yeah. Thank you.", false ], [ 6053, 6069, "", false ], [ 6107, 6121, "OK OK. OK no.", false ], [ 6752, 6784, "Yeah. Um the detail you", false ], [ 6882, 6886, "OK OK. Ohh OK.", false ], [ 6895, 6914, "alright", false ], [ 6965, 6978, "OK. That", false ], [ 7028, 7033, "into", false ], [ 7143, 7147, "OK Uh huh.", false ], [ 7354, 7378, "alright OK. OK. OK OK", false ], [ 7418, 7445, "", false ], [ 7474, 7481, "after", false ] ] } ], "heidi": [ { "label": "Run 1", "wer": 17.11509715994021, "text": "Hi there. Good morning. Hi. Good morning. I'm Dr. Dean Moser from GP at Henn. Nice to see you. Nice to see you.\n\nOkay, great. So before we start your appointment, could you please confirm your full name and date of birth? Yeah, sure. Um, my name is Kim Gowers, and I was born in 1958, uh, on the 8th of August. That's great. Thank you so much for that. Um, you look a lot younger, so, um... So that, that would make you roughly about 50 years old, 51, 51 years old. Is that, is that correct? Yeah, yeah, around that. Yeah, that's 60, yeah. Sixty. Okay, perfect.\n\nAll right. Yeah. So, um, nice to see you to see you this morning. Are you in a private place where you're okay to speak freely? Yes, I am. Yeah. Okay, fantastic. So, um, how can I help you today? Um, yeah, I was, I was having, um, a bit of chest discomfort, so I was doing some gardening, um, a couple of hours ago, and I felt n- not exactly a pain, but, um, like a, a pressure on my chest. Um, feels like someone's sitting on my chest. Um, and I've noticed, um, a, a bit of nausea, not, no vomiting, but, um, I'm pretty sweaty, um, short of breath, and it kind of feels like someone's sitting on my chest.\n\nRight. Okay. Now, do you have those these symptoms right now, or have they gone off now? Um, no, they're still present. Okay. So you've still got the chest discomfort right now? Yes. Okay. Um, we're probably gonna have to call an ambulance for you today. Okay. Okay? So what I'm gonna do is I'm gonna task my colleague next to me to sort that out. While we do that, I'm gonna ask you a few more questions, okay? Sure. Give a bit more information to the, the, the ambulance team when they, when they arrive, okay? Um- Sure. So just to, just to double-check, um, where exactly in the chest is the pain? Um, it's in the m- uh, middle of my chest, um, over, uh, yeah, my, my pecs, so-\n\nUm, yeah, but not not necessarily to one side. Okay. Um, and it's quite a diffuse pain. Right. Is, is it spreading anywhere else, like down to your arm, up to the jaw, in the neck, anything like that? Yeah, it's, it's, um, mainly in my left arm. Uh, it's feeling a little bit, um, uh, painful and, and, in my shoulder as well. Right. Okay. Do you remember what you were doing at the time? Uh, yeah, so it started, uh, just when I was gardening, so nothing that was too strenuous. Um, I was just kneeling down and, uh, yeah, wasn't running or anything. It wasn't doing any physical exercise. Cool. Okay. A- and how much activity do you do normally? Do you walk a lot, or do you run, or do you go to do anything? No, I don't... I, I generally don't do much activity at all.\n\nUm, yeah. Have you had this before? No, this is the first time, actually. Right. Okay. Okay. Yeah. Um, are you aware of any palpitations, like your heart beating faster or more prominently than normal? Um, yeah, it's it's beating a bit faster now. I think that's because I'm a little bit stressed, um, about the situation, but I haven't noticed it, um, beating faster than usual, um, today. So I know you're stressed. We've got an ambulance coming on the way. Okay? Yeah. So, um, we'll take care of everything. So don't, don't worry. Okay. Anyone in the house with you at the moment? Uh, no, no one's in the house at the moment. Okay. Um, and i- is your front door open?\n\nUh, yes, it's open. Okay, so maybe we'll, we'll speak maybe in the hallway to the front door. Have the front door open so that in case, um, people need access, they can, they can access you. Yeah. All right. Yeah. Um, so, um, uh, are you a smoker at all? Uh, yeah, I smoke, um, a fair bit, so I smoke about ten cigarettes, uh, a day. Um- Yeah. How long have you been smoking for? Uh, for the past fifteen years. Fifteen years, okay. Um- Yeah. Do you have, um, high blood pressure or high cholesterol, diabetes or something? Yeah, I have high blood, uh, blood pressure, but, um, not diabetes. Okay. Have you ever had your cholesterol checked?\n\nNo. Okay. Alright. Now anyone in your wider family in your family, sorry, in your parents, did yes. Did either of them have any heart problems or heart attacks or anything like that? Yes. So my father died of a heart attack. Okay. And my mother had some heart problems. Okay. I'm sorry to hear about your father. Can you remember what age roughly he was when he he had that heart attack? He was about my age. Right. So just under six around sixty. Yes. Around sixty. Yes. Okay. Alright. Do you drink much alcohol? Yeah. I drink about per week, probably about seven or eight pints a week.\n\nOkay. Is that a fear you're talking about? Oh, yeah. Yes. Okay. I I can't tell from the video. Are you overweight? Yes. I'm overweight. Yeah. Right. Yeah. Okay. Alright. Now you're do you normally live alone? Yeah. I live alone at the moment. Yeah. It's just me in the house. Sure. Okay. And and are you working at the moment? Yeah. Yeah. I I work. Yeah. But what do you work as? I work as a restaurant owner, so I own a sushi shop. Right. Okay. Yeah. Alright. So the the symptoms that you've described to me\n\nThey indicate the possibility of a heart attack. Okay? Okay. So I'm not saying you definitely have a heart attack, but we that it's our number one priority to exclude that. Okay? Okay. So ambulance team will be with you very shortly. I'm gonna stay on the line with you until they come. Okay? Okay. Yeah. Thank you. When they come, what they'll do is they're gonna put some stickers on your chest and do an ECG, and then Okay. Decide where to take you after that. Okay? Okay. And what what can I just double check? Do you have any allergies to any medication? Yes. Actually, I have an allergy to aspirin. Right. Okay. Yeah. And no other allergies. Sure. What's the nature of that allergy to aspirin? Do you does it does it cause you heartburn, or is it like a allergic reaction?\n\nYeah, uh, it's an allergic reaction, so I swallow, um, a bit, but, um, nothing life-threatening. Um, I've, I sometimes even have it, and it's, it's a, it's a mild reaction to it. Okay. All right. It's very important that you communicate that to the hospital- Okay.-detail you've just told me, because, um, we, we may need to consider aspirin despite- Oh, okay.-like, okay? Um- Okay. All right. Um, now, in terms of, um, what happens from here- Okay.-the hospital team will assess you, and then they may take you in to one hospital or another based on how bad, uh, what, what the ECG looks like and what kind of treatment you might need, okay? Um- Okay. What I'm gonna do is we'll stay on the line for the time being.\n\nOkay. Uh, until they come, and then, um, once they come, then I'll hand over to them, and I'll explain what's going on. All right? Okay. Okay, sure. Okay. Yeah, thank you. Is it now? We, we'll, we'll end the consultation now for the purposes? Yeah. Is that okay? Thanks. Okay. Okay, thank you very much. Take care, thanks. Bye. Thank you. Bye.", "marks": [ [ 0, 0, "Hi", false ], [ 55, 60, "Resor", false ], [ 66, 77, ".", false ], [ 95, 117, "That's the same thing. OK", false ], [ 249, 252, "Jim", true ], [ 279, 283, "nineteen fifty eight", false ], [ 296, 299, "eighth", false ], [ 391, 393, "Yeah. Does", false ], [ 490, 490, "or", false ], [ 523, 539, "about", false ], [ 547, 551, "yeah. Six OK", false ], [ 662, 673, "you are OK", false ], [ 689, 689, "Yep.", false ], [ 890, 892, "", false ], [ 969, 978, "someone", false ], [ 1419, 1436, "OK.", false ], [ 1577, 1581, "OK OK. Mmm", false ], [ 1589, 1593, "We're gonna", false ], [ 1625, 1628, "to help", false ], [ 1678, 1687, "OK.", false ], [ 1788, 1790, "", false ], [ 1993, 1995, "into", false ], [ 2024, 2027, "your", false ], [ 2415, 2420, "during", false ], [ 2444, 2458, "Sure OK. And", false ], [ 2545, 2550, "", false ], [ 2630, 2635, "you know.", false ], [ 2707, 2727, "OK. Can", false ], [ 2889, 2896, "'cause", false ], [ 3008, 3008, "and I did", false ], [ 3160, 3172, "Who's", false ], [ 3208, 3208, "Yeah. OK thank you.", false ], [ 3269, 3271, "", false ], [ 3463, 3476, "could", false ], [ 3495, 3505, "", false ], [ 3511, 3511, ". Alright.", false ], [ 3725, 3740, "OK. Um", false ], [ 3797, 3797, "or", false ], [ 3811, 3820, "anything Yeah.", false ], [ 3945, 3959, "OK all right. Um", false ], [ 3985, 3991, "in", false ], [ 4032, 4040, "", false ], [ 4302, 4302, "had", false ], [ 4371, 4374, "sixty", false ], [ 4546, 4550, "a beer", false ], [ 4573, 4575, "yeah Ohh.", false ], [ 4704, 4710, "um you", false ], [ 5345, 5355, "OK.", false ], [ 5450, 5450, "OK yeah. Thank you.", false ], [ 5504, 5515, "OK OK. OK no.", false ], [ 5862, 5869, "swell up", true ], [ 6069, 6098, "hospital. Yeah. Um the detail you", false ], [ 6162, 6213, "despite allergy OK OK. Ohh OK. Um alright", true ], [ 6258, 6282, "here OK. That", false ], [ 6332, 6337, "into", false ], [ 6380, 6388, "", false ], [ 6457, 6472, "OK Uh huh. Um", false ], [ 6482, 6487, "going to", false ], [ 6658, 6679, "alright OK. OK. OK OK", false ], [ 6710, 6730, "", false ], [ 6746, 6766, "conversation after", false ], [ 6795, 6819, "OK Yeah that's OK. OK", false ], [ 6842, 6851, "", false ] ] }, { "label": "Run 2", "wer": 17.48878923766816, "text": "Well, that's something very different than that. Hi there. Good morning. Hi, good morning. Um, I'm Dr. Dean Mesler from GP at Han. Nice to see you. Nice to see you.\n\nOkay, great. So before we start your appointment, could you please confirm your full name and date of birth? Yeah, sure. Um, my name is Kim Gowers, and I was born in 1958, uh, on the 8th of August. That's great. Thank you so much for that. Um, you look a lot younger, so, um... Yeah. So that, that would make you roughly about 50 years old, 51, 51 years old. Is that, is that correct? Yeah, yeah, around that. Yeah, that's 60, yeah. 60. Okay, perfect.\n\nAll right. Yeah. So, um, nice to see you to see you this morning. Are you in a private place where you're okay to speak freely? Yes, I am. Yeah. Okay, fantastic. So, um, how can I help you today? Um, yeah, I was, I was having, um, a bit of chest discomfort, so I was doing some gardening, um, a couple of hours ago, and I felt n- not exactly a pain, but, um, like a, a pressure on my chest. Um, feels like someone's sitting on my chest. Um, and I've noticed, um, a, a bit of nausea, not, no vomiting, but, um, I'm pretty sweaty, um, short of breath, and it kind of feels like someone's sitting on my chest.\n\nRight. Okay. Now, do you have those these symptoms right now, or have they gone off now? Um, no, they're still present. Okay. So you've still got the chest discomfort right now? Yes. Okay. Um, we're probably gonna have to call an ambulance for you today. Okay. Okay? So what I'm gonna do is I'm gonna task my colleague next to me to sort that out. While we do that, I'm gonna ask you a few more questions, okay? Sure. Give a bit more information to the, the, the ambulance team when they, when they arrive, okay? Um- Sure. So just to, just to double-check, um, where exactly in the chest is the pain? Um, it's in the m- uh, middle of my chest, um, over, uh, yeah, my, my pecs, so-\n\nUm, yeah, but not not necessarily to one side. Um, and it's quite a diffuse pain. Right. Is, is it spreading anywhere else, like down to your arm, up to the jaw, and the neck, anything like that? Yeah, it's, it's, um, mainly in my left arm. Uh, it's feeling a little bit, um, uh, painful and, and, in my shoulder as well. Right. Okay. Do you remember what you were doing at the time? Uh, yeah, so it started, uh, just when I was gardening, so nothing that was too strenuous. Um, I was just kneeling down and, uh, yeah, wasn't running or anything. It wasn't doing any physical exercise. Cool. Okay. A- and how much activity do you do normally? Do you walk a lot, or do you run, or do you go to do anything? No, I don't... I, I generally don't do much activity at all.\n\nUm, yeah. Have you had this before? No, this is the first time, actually. Right. Okay. Okay. Yeah. Um, are you aware of any palpitations, like your heart beating faster or more prominently than normal? Um, yeah, it's it's beating a bit faster now. I think that's because I'm a little bit stressed, um, about the situation, but I haven't noticed it, um, beating faster than usual, um, today. So I know you're stressed. We've got an ambulance coming on the way. Okay? Yeah. So, um, we'll take care of everything. So don't don't worry about it. Okay. Anyone in the house with you at the moment? Uh, no, no one's in the house at the moment. Okay. Um, and i- is your front door open?\n\nUh, yes, it's open. Okay, so maybe we'll, we'll speak maybe in the hallway to the front door. Have the front door open so that in case, um, people need access, they can, they can access you. Yeah. All right. Yep. Um, so, um, uh, are you a smoker at all? Uh, yeah, I smoke, um, a fair bit, so I smoke about ten cigarettes, uh, a day. Um- Yeah. How long have you been smoking for? Uh, for the past fifteen years. Fifteen years. Okay. Um- Yeah. Do you have, um, high blood pressure or high cholesterol or diabetes or something? Yeah, I have high blood, uh, blood pressure, but, um, not diabetes. Okay. Have you ever had your cholesterol checked?\n\nNo. Okay. Alright. Now anyone in your wider family in your family, sorry. In your parents, did Yes. Did either of them have any heart problems or heart attacks or anything like that? Yes. So my father died of a heart attack. Okay. And my mother had some heart problems. Okay. I'm sorry to hear about your father. Can you remember what age roughly he was when he he had that heart attack? He was about my age. Right. So just under six around sixty. Yes. Around sixty. Yes. Okay. Alright. Do you drink much alcohol? Yeah. I drink about per week, probably about seven or eight pints a week.\n\nOkay. Is that a fear you're talking about? Oh, yeah. Yes. Okay. I I can't tell from the video. Are you overweight? Yes. I'm overweight. Yeah. Right. Yeah. Okay. Alright. Now you're do you normally live alone? Yeah. I live alone at the moment. Yeah. It's just me in the house. Sure. Okay. And and are you working at the moment? Yeah. Yeah. I I work. Yeah. Right. What do you work as? I work as a restaurant owner, so I own a sushi shop. Right. Okay. Yeah. Alright. So the the symptoms that you've described to me\n\nThey indicate the possibility of a heart attack. Okay? Okay. So I'm not saying you definitely have a heart attack, but we that it's our number one priority to exclude that. Okay? Okay. So ambulance team will be with you very shortly. I'm gonna stay on the line with you until they come. Okay? Okay. Yeah. Thank you. When they come, what they'll do is they're gonna put some stickers on your chest and do an ECG, and then Okay. Decide where to take you after that. Okay? Okay. And what what can I just double check? Do you have any allergies to any medication? Yes. Actually, I have an allergy to aspirin. Right. Okay. Yeah. And no other allergies. Sure. What's the nature of that allergy to aspirin? Do you does it does it cause you heartburn, or is it like a allergic reaction?\n\nYeah, it's an allergic reaction, so I swallow, um, a bit, but, um, nothing life-threatening. Um, I've, I sometimes even have it, and it's, it's a, it's a mild reaction to it. Okay. All right. It's very important that you communicate that to the hospital- Okay.-uh, detail you've just told me, because, um, we, we may need to consider aspirin despite- Oh, okay... okay? Um- Okay. All right. Um, now, in terms of, um, what happens from here- Okay... the hospital team will assess you, and then they may take you in to one hospital or another based on how bad, uh, what, what the ECG looks like and what kind of treatment you might need, okay? Um- Okay. What I'm gonna do is we'll stay on the line for the time being.\n\nOkay. Uh, until they come, and then, um, once they come, then I'll hand over to them. I'll explain what's going on. All right? Okay. Okay, sure. Okay. Yeah, thank you. Thank you. Is it now? We, we'll, we'll end the conversation now for the purposes. Yeah. Is that okay? That's okay. Okay, thank you very much. Take care. Thanks. Bye. Thank you. Bye.", "marks": [ [ 0, 48, "Hi", false ], [ 108, 114, "Resor", false ], [ 120, 130, ".", false ], [ 148, 170, "That's the same thing. OK", false ], [ 302, 305, "Jim", true ], [ 332, 336, "nineteen fifty eight", false ], [ 349, 352, "eighth", false ], [ 450, 452, "Does", false ], [ 549, 549, "or", false ], [ 582, 591, "about sixty", false ], [ 599, 607, "Six OK", false ], [ 718, 729, "you are OK", false ], [ 745, 745, "Yep.", false ], [ 946, 948, "", false ], [ 1025, 1034, "someone", false ], [ 1475, 1492, "OK.", false ], [ 1633, 1637, "OK OK. Mmm", false ], [ 1645, 1649, "We're gonna", false ], [ 1681, 1684, "to help", false ], [ 1734, 1743, "OK.", false ], [ 1844, 1846, "", false ], [ 2043, 2045, "into", false ], [ 2071, 2078, "in your", false ], [ 2466, 2471, "during", false ], [ 2495, 2509, "Sure OK. And", false ], [ 2596, 2601, "", false ], [ 2681, 2686, "you know.", false ], [ 2758, 2778, "OK. Can", false ], [ 2940, 2947, "'cause", false ], [ 3059, 3059, "and I did", false ], [ 3209, 3231, "Who's", false ], [ 3267, 3267, "Yeah. OK thank you.", false ], [ 3328, 3330, "", false ], [ 3522, 3535, "could", false ], [ 3554, 3569, "yeah . Alright.", false ], [ 3783, 3798, "OK. Um", false ], [ 3871, 3880, "anything Yeah.", false ], [ 4005, 4019, "OK all right. Um", false ], [ 4045, 4051, "in", false ], [ 4092, 4100, "", false ], [ 4362, 4362, "had", false ], [ 4431, 4434, "sixty", false ], [ 4606, 4610, "a beer", false ], [ 4633, 4635, "yeah Ohh.", false ], [ 4764, 4770, "um you", false ], [ 5408, 5418, "OK.", false ], [ 5513, 5513, "OK yeah. Thank you.", false ], [ 5567, 5578, "OK OK. OK no.", false ], [ 5921, 5928, "swell up", true ], [ 6128, 6146, "hospital. Yeah. Um the", false ], [ 6155, 6161, "you", false ], [ 6225, 6272, "despite allergy OK OK. Ohh OK. Um alright", false ], [ 6317, 6343, "here OK. That", false ], [ 6393, 6398, "into", false ], [ 6441, 6449, "", false ], [ 6518, 6533, "OK Uh huh. Um", false ], [ 6543, 6548, "going to", false ], [ 6715, 6736, "alright OK. OK. OK OK", false ], [ 6767, 6798, "", false ], [ 6827, 6834, "after", false ], [ 6909, 6919, "", false ] ] }, { "label": "Run 3", "wer": 17.040358744394617, "text": "Hi there. Good morning. Hi. Good morning. I'm Doctor. Dean Mezza from GP at Han. Nice to see you. Nice to see you.\n\nOkay, great. So before we start your appointment, could you please confirm your full name and date of birth? Yeah, sure. Um, my name is Kim Gowers, and I was born in 1958, uh, on the 8th of August. That's great. Thank you so much for that. Um, you look a lot younger, so, um. So that, that would make you roughly about 50 years old, 51, 51 years old. Is that, is that correct? Yeah, yeah, around that. Yeah, about 60, yeah. 60. Okay, perfect.\n\nAll right. Yeah. So, um, nice to see you to see you this morning. Are you in a private place where you're okay to speak freely? Yes, I am. Yeah. Okay, fantastic. So, um, how can I help you today? Um, yeah, I was, I was having, um, a bit of chest discomfort, so I was doing some gardening, um, a couple of hours ago, and I felt n- not exactly a pain, but, um, like a, a pressure on my chest. Um, feels like someone's sitting on my chest. Um, and I've noticed, um, a, a bit of nausea, not, no vomiting, but, um, I'm pretty sweaty, um, short of breath, and it kind of feels like someone's sitting on my chest.\n\nRight. Okay. Now, do you have those these symptoms right now, or have they gone off now? Um, no, they're still present. Okay. So you've still got the chest discomfort right now? Yes. Okay. Um, we're probably gonna have to call an ambulance for you today. Okay. Okay? So what I'm gonna do is I'm gonna task my colleague next to me to sort that out. While we do that, I'm gonna ask you a few more questions, okay? Sure. Give a bit more information to the, the, the ambulance team when they, when they arrive, okay? Um- Sure. So just to, just to double-check, um, where exactly in the chest is the pain? Um, it's in the m- uh, middle of my chest, um, over, uh, yeah, my, my pecs, so-\n\nUm, yeah, but not not necessarily to one side. Okay. Um, and it's quite a diffuse pain. Right. Is, is it spreading anywhere else, like down to your arm, up to the jaw, in the neck, anything like that? Yeah, it's, it's, um, mainly in my left arm. Uh, it's feeling a little bit, um, uh, painful and, and, in my shoulder as well. Right. Okay. Do you remember what you were doing at the time? Uh, yeah, so it started, uh, just when I was gardening, so nothing that was too strenuous. Um, I was just kneeling down and, uh, yeah, wasn't running or anything. It wasn't doing any physical exercise. Cool. Okay. And, and how much activity do you do normally? Do you walk a lot, or do you run, or do you go to do anything? No, I don't, I, I generally don't do much activity at all.\n\nUm, yeah. Have you had this before? No, this is the first time, actually. Right. Okay. Okay. Yeah. Um, are you aware of any palpitations, like your heart beating faster or more prominently than normal? Um, yeah, it's it's beating a bit faster now. I think that's because I'm a little bit stressed, um, about the situation, but I haven't noticed it, um, beating faster than usual, um, today. So I know you're stressed. We've got an ambulance coming on the way. Okay? Yeah. So, um, we'll take care of everything. So don't, don't worry about it. Okay. Anyone in the house with you at the moment? Uh, no, no one's in the house at the moment. Okay. Um, and i- is your front door open?\n\nUh, yes, it's open. Okay, so maybe we'll, we'll speak maybe in the hallway to the front door. Have the front door open so that in case, um, people need access, they can, they can access you. Yeah. All right. Yep. Um, so, um, uh, are you a smoker at all? Uh, yeah, I smoke, um, a fair bit, so I smoke about ten cigarettes, uh, a day. Um- Yeah. How long have you been smoking for? Uh, for the past fifteen years. Fifteen years. Okay. Um- Yeah. Do you have, um, high blood pressure or high cholesterol, diabetes or something? Yeah, I have high blood, uh, blood pressure, but, um, not diabetes. Okay. Have you ever had your cholesterol checked?\n\nNo. Okay. Alright. Now anyone in your wider family in your family, sorry. In your parents, did Yes. Did either of them have any heart problems or heart attacks or anything like that? Yes. So my father died of a heart attack. Okay. And my mother had some heart problems. Okay. I'm sorry to hear about your father. Can you remember what age roughly he was when he he had that heart attack? He was about my age. Right. So just under six around sixty. Yes. Around sixty. Yes. Okay. Alright. Do you drink much alcohol? Yeah. I drink per week, probably about seven or eight pints a week.\n\nOkay. Is that a fear you're talking about? Oh, yeah. Yes. Okay. I I can't tell from the video. Are you overweight? Yes. I'm overweight. Yeah. Right. Yeah. Okay. Alright. Now you're do you normally live alone? Yeah. I live alone at the moment. Yeah. It's just me in the house. Sure. Okay. And and are you working at the moment? Yeah. Yeah. I I work. Yeah. Right. What do you work as? I work as a restaurant owner, so I own a sushi shop. Right. Okay. Yeah. Alright. So the the symptoms that you've described to me\n\nThey indicate the possibility of a heart attack. Okay? Okay. So I'm not saying you definitely have a heart attack, but we that it's our number one priority to exclude that. Okay? Okay. So ambulance team will be with you very shortly. I'm gonna stay on the line with you until they come. Okay? Okay. Yeah. Thank you. When they come, what they'll do is they're gonna put some stickers on your chest and do an ECG, and then Okay. Decide where to take you after that. Okay? Okay. And what what can I just double check? Do you have any allergies to any medication? Yes. Actually, I have an allergy to aspirin. Right. Okay. Yeah. And no other allergies. Sure. What's the nature of that allergy to aspirin? Do you does it does it cause you heartburn, or is it like a allergic reaction?\n\nYeah, uh, it's an allergic reaction, so I swallow, um, a bit, but, um, nothing life-threatening. Um, I've, I sometimes even have it, and it's, it's a, it's a mild reaction to it. Okay. All right. It's very important that you communicate that to the hospital- Okay.-detail you've just told me, because, um, we, we may need to consider aspirin despite- Oh, okay.-IoV. Okay? Um- Okay. All right. Um, now, in terms of, um, what happens from here- Uh-huh... the team will assess you, and then they may take you in to one hospital or another based on how bad, uh, what, what the ECG looks like and what kind of treatment you might need, okay? Um- Okay. What I'm gonna do is we'll stay on the line for the time being.\n\nOkay. Uh, until they come, and then, um, once they come, then I'll hand over to them, and I'll explain what's going on. All right? Okay. Okay, sure. Okay. Yeah, thank you. Is it now? We, we'll, we'll end the consultation now for the purposes? Yeah. Is that okay? That's... Okay. Okay, thank you very much. Take care. Thanks. Bye. Thank you. Bye.", "marks": [ [ 0, 0, "Hi", false ], [ 59, 64, "Resor", false ], [ 70, 80, ".", false ], [ 98, 120, "That's the same thing. OK", false ], [ 252, 255, "Jim", true ], [ 282, 286, "nineteen fifty eight", false ], [ 299, 302, "eighth", false ], [ 392, 394, "Yeah. Does", false ], [ 491, 491, "or", false ], [ 540, 548, "Six OK", false ], [ 659, 670, "you are OK", false ], [ 686, 686, "Yep.", false ], [ 887, 889, "", false ], [ 966, 975, "someone", false ], [ 1416, 1433, "OK.", false ], [ 1574, 1578, "OK OK. Mmm", false ], [ 1586, 1590, "We're gonna", false ], [ 1622, 1625, "to help", false ], [ 1675, 1684, "OK.", false ], [ 1785, 1787, "", false ], [ 1990, 1992, "into", false ], [ 2021, 2024, "your", false ], [ 2412, 2417, "during", false ], [ 2441, 2452, "Sure OK.", false ], [ 2544, 2549, "", false ], [ 2627, 2632, "you know.", false ], [ 2704, 2724, "OK. Can", false ], [ 2886, 2893, "'cause", false ], [ 3005, 3005, "and I did", false ], [ 3156, 3178, "Who's", false ], [ 3214, 3214, "Yeah. OK thank you.", false ], [ 3275, 3277, "", false ], [ 3469, 3482, "could", false ], [ 3501, 3516, "yeah . Alright.", false ], [ 3730, 3745, "OK. Um", false ], [ 3802, 3802, "or", false ], [ 3816, 3825, "anything Yeah.", false ], [ 3950, 3964, "OK all right. Um", false ], [ 3990, 3996, "in", false ], [ 4037, 4045, "", false ], [ 4307, 4307, "had", false ], [ 4376, 4379, "sixty", false ], [ 4473, 4473, "um about", false ], [ 4545, 4549, "a beer", false ], [ 4572, 4574, "yeah Ohh.", false ], [ 4703, 4709, "um you", false ], [ 5347, 5357, "OK.", false ], [ 5452, 5452, "OK yeah. Thank you.", false ], [ 5506, 5517, "OK OK. OK no.", false ], [ 5864, 5871, "swell up", true ], [ 6071, 6100, "hospital. Yeah. Um the detail you", false ], [ 6164, 6214, "despite allergy OK OK. Ohh OK. Um alright", true ], [ 6259, 6278, "here OK. That", false ], [ 6328, 6333, "into", false ], [ 6376, 6384, "", false ], [ 6453, 6468, "OK Uh huh. Um", false ], [ 6478, 6483, "going to", false ], [ 6654, 6675, "alright OK. OK. OK OK", false ], [ 6706, 6726, "", false ], [ 6742, 6762, "conversation after", false ], [ 6840, 6850, "", false ] ] }, { "label": "Run 4", "wer": 17.11509715994021, "text": "Hi there. Good morning. Hi. Good morning. I'm Doctor. Dean Mesler from GP at Hen. Nice to see you. Nice to see you.\n\nOkay, great. So before we start your appointment, could you please confirm your full name and date of birth? Yeah, sure. Um, my name is Kim Garris, and I was born in 1958, uh, on the 8th of August. That's great. Thank you so much for that. Um, you look a lot younger, so, um. So that, that would make you roughly about 50 years old, 51, 51 years old. Is that, is that correct? Yeah, yeah, around that. Yeah, about 60, yeah. 60. Okay, perfect.\n\nAll right. Yeah. So, um, nice to see you to see you this morning. Are you in a private place where you're okay to speak freely? Yes, I am. Yeah. Okay, fantastic. So, um, how can I help you today? Um, yeah, I was, I was having, um, a bit of chest discomfort. So I was doing some gardening, um, a couple of hours ago, and I felt n- not exactly a pain, but, um, like a, a pressure on my chest. Um, feels like someone's sitting on my chest. Um, and I've noticed, um, a, a bit of nausea, not, no vomiting, but, um, I'm pretty sweaty, um, short of breath, and it kind of feels like someone's sitting on my chest.\n\nRight. Okay. Now do you have those these symptoms right now, or have they gone off now? No. They're still present. Okay. So you've still got the chest discomfort right now? Yes. Okay. We're probably gonna have to call an ambulance for you today. Okay. Okay? So what I'm gonna do is I'm gonna task my colleague next to me to sort that out. While we do that, I'm gonna ask you a few more questions. Okay? Sure. Give a bit more information to the the the ambulance team when they when they arrive. Okay? Sure. So just to just to double check, where exactly in the chest is the pain? It's in the middle of my chest over, yeah, my my pecs. So\n\nUm, yeah, but not not necessarily to one side. Okay. Um, and it's quite a diffuse pain. Right. Is, is it spreading anywhere else, like down to your arm, up to the jaw, in the neck, anything like that? Yeah, it's, it's, um, mainly in my left arm. Uh, it's feeling a little bit, um, uh, painful and, and, in my shoulder as well. Right. Okay. Do you remember what you were doing at the time? Uh, yeah, so it started, uh, just when I was gardening, so nothing that was too strenuous. Um, I was just kneeling down and, uh, yeah, wasn't running or anything. It wasn't doing any physical exercise. Cool. Okay. A- and how much activity do you do normally? Do you walk a lot, or do you run, or do you go to do anything? No, I don't... I, I generally don't do much activity at all.\n\nUm, yeah. Have you had this before? No, this is the first time, actually. Right. Okay. Okay. Yeah. Um, are you aware of any palpitations, like your heart beating faster or more prominently than normal? Um, yeah, it's it's beating a bit faster now. I think that's because I'm a little bit stressed, um, about the situation, but I haven't noticed it, um, beating faster than usual, um, today. So I know you're stressed. We've got an ambulance coming on the way. Okay? Yeah. So, um, we'll take care of everything. So don't don't worry. Anyone in the house with you at the moment? Uh, no, no one's in the house at the moment. Okay. Um, and is your front door open?\n\nUh, yes, it's open. Okay, so maybe we'll, we'll speak maybe in the hallway to the front door. Have the front door open so that in case, um, people need access, they can, they can access you. Yeah. All right. Yep. Um, so, um, uh, are you a smoker at all? Uh, yeah, I smoke, um, a fair bit, so I smoke about ten cigarettes, uh, a day. Um- Yeah. How long have you been smoking for? Uh, for the past fifteen years. Fifteen years. Okay. Um- Yeah. Do you have, um, high blood pressure or high cholesterol or diabetes or something? Yeah, I have high blood, uh, blood pressure, but, um, not diabetes. Okay. Have you ever had your cholesterol checked?\n\nNo. Okay. Alright. Now anyone in your wider family in your family, sorry. In your parents, did Yes. Did either of them have any heart problems or heart attacks or anything like that? Yes. So my father died of a heart attack. Okay. And my mother had some heart problems. Okay. I'm sorry to hear about your father. Can you remember what age roughly he was when he he had that heart attack? He was about my age. Right. So just under six around sixty. Yes. Around sixty. Yes. Okay. Alright. Do you drink much alcohol? Yeah. I drink about per week, probably about seven or eight pints a week.\n\nOkay. Is that a fear you're talking about? Oh, yeah. Yes. Okay. I I can't tell from the video. Are you overweight? Yes. I'm overweight. Yeah. Right. Yeah. Okay. Alright. Now you're do you normally live alone? Yeah. I live alone at the moment. Yeah. It's just me in the house. Sure. Okay. And and are you working at the moment? Yeah. Yeah. I I work. Yeah. Right. What do you work as? I work as a restaurant owner, so I own a sushi shop. Right. Okay. Yeah. Alright. So the the symptoms that you've described to me\n\nThey indicate the possibility of a heart attack. Okay? Okay. So I'm not saying you definitely have a heart attack, but we that it's our number one priority to exclude that. Okay? Okay. So ambulance team will be with you very shortly. I'm gonna stay on the line with you until they come. Okay? Okay. What when they come, what they'll do is they're gonna put some stickers on your chest and do an ECG, and then Okay. Decide where to take you after that. Okay? Okay. No. And what what can I just double check? Do you have any allergies to any medication? Yes. Actually, I have an allergy to aspirin. Right. Okay. Yeah. And no other allergies. Sure. What's the nature of that allergy to aspirin? Do you does it does it cause you heartburn, or is it like a allergic reaction?\n\nYeah, it's an allergic reaction, so I swallow, um, a bit, but, um, nothing life-threatening. Um, I've, I sometimes even have it, and it's, it's a, it's a mild reaction to it. Okay. All right. Uh, it's very important that you communicate that to the hospital- Okay... detail you've just told me, because, um, we, we may need to consider aspirin despite- Oh, okay.-liab. Okay? Um- Okay. All right. Um, now, in terms of, um, what happens from here- Okay... the hospital team will assess you, and then they may take you in to one hospital or another based on how bad, uh, what, what the ECG looks like and what kind of treatment you might need, okay? Um- Okay. What I'm gonna do is we'll stay on the line for the time being.\n\nOkay. Uh, until they come, and then, um, once they come, then I'll hand over to them, and I'll explain what's going on. All right? Okay. Okay, sure. Okay. Yeah, thank you. Is it now? We, we'll, we'll end the consultation now for the purposes. Yeah. Is that okay? That's... Okay. Okay, thank you very much. Take care. Thanks. Bye. Thank you. Bye.", "marks": [ [ 0, 0, "Hi", false ], [ 59, 65, "Resor", false ], [ 71, 81, ".", false ], [ 99, 121, "That's the same thing. OK", false ], [ 253, 263, "Jim Gowers", true ], [ 283, 287, "nineteen fifty eight", false ], [ 300, 303, "eighth", false ], [ 393, 395, "Yeah. Does", false ], [ 492, 492, "or", false ], [ 541, 549, "Six OK", false ], [ 660, 671, "you are OK", false ], [ 687, 687, "Yep.", false ], [ 888, 890, "", false ], [ 967, 976, "someone", false ], [ 1408, 1425, "OK.", false ], [ 1566, 1570, "OK OK. Mmm", false ], [ 1578, 1582, "We're gonna", false ], [ 1613, 1616, "to help", false ], [ 1948, 1950, "into", false ], [ 1979, 1982, "your", false ], [ 2370, 2375, "during", false ], [ 2399, 2413, "Sure OK. And", false ], [ 2500, 2505, "", false ], [ 2585, 2590, "you know.", false ], [ 2662, 2682, "OK. Can", false ], [ 2844, 2851, "'cause", false ], [ 2963, 2963, "and I did", false ], [ 3114, 3120, "Who's", false ], [ 3156, 3156, "Yeah. OK thank you.", false ], [ 3408, 3421, "could", false ], [ 3440, 3455, "yeah . Alright.", false ], [ 3669, 3684, "OK. Um", false ], [ 3757, 3766, "anything Yeah.", false ], [ 3891, 3905, "OK all right. Um", false ], [ 3931, 3937, "in", false ], [ 3978, 3986, "", false ], [ 4248, 4248, "had", false ], [ 4317, 4320, "sixty", false ], [ 4492, 4496, "a beer", false ], [ 4519, 4521, "yeah Ohh.", false ], [ 4650, 4656, "um you", false ], [ 5276, 5292, "OK yeah. OK.", false ], [ 5387, 5387, "OK yeah. Thank you.", false ], [ 5799, 5806, "swell up", true ], [ 6010, 6027, "hospital. Yeah. Um the", false ], [ 6035, 6041, "you", false ], [ 6105, 6156, "despite allergy OK OK. Ohh OK. Um alright", true ], [ 6201, 6227, "here OK. That", false ], [ 6277, 6282, "into", false ], [ 6325, 6333, "", false ], [ 6402, 6417, "OK Uh huh. Um", false ], [ 6427, 6432, "going to", false ], [ 6603, 6624, "alright OK. OK. OK OK", false ], [ 6655, 6675, "", false ], [ 6691, 6711, "conversation after", false ], [ 6789, 6799, "", false ] ] }, { "label": "Run 5", "wer": 17.189835575485798, "text": "Well, that's very difficult. Hi there. Good morning. Hi, good morning. Um, I'm Dr. Dean Moser from GP at Hen. Nice to see you. Nice to see you.\n\nOkay, great. So before we start your appointment, could you please confirm your full name and date of birth? Yeah, sure. Um, my name is Kim Gowers, and I was born in 1958, uh, on the 8th of August. That's great. Thank you so much for that. Um, you look a lot younger, so, um. So that, that would make you roughly about 50 years old, 51, 51 years old. Is that, is that correct? Yeah, yeah, around that. Yeah, about 60, yeah. 60. Okay, perfect.\n\nAll right. Yeah. So, um, nice to see you to see you this morning. Are you in a private place where you're okay to speak freely? Yes, I am. Yeah. Okay, fantastic. So, um, how can I help you today? Um, yeah, I was, I was having, um, a bit of chest discomfort. So I was doing some gardening, um, a couple of hours ago, and I felt n- not exactly a pain, but, um, like a, a pressure on my chest. Um, feels like someone's sitting on my chest. Um, and I've noticed, um, a, a bit of nausea, not, no vomiting, but, um, I'm pretty sweaty, um, short of breath, and it kind of feels like someone's sitting on my chest.\n\nRight. Okay. Now, do you have those these symptoms right now, or have they gone off now? Um, no, they're still present. Okay. So you've still got the chest discomfort right now? Yes. Okay. Um, we're probably gonna have to call an ambulance for you today. Okay. Okay? So what I'm gonna do is I'm gonna task my colleague next to me to sort that out. While we do that, I'm gonna ask you a few more questions, okay? Sure. Give a bit more information to the, the, the ambulance team when they, when they arrive, okay? Um- Sure. So just to, just to double-check, um, where exactly in the chest is the pain? Um, it's in the m- uh, middle of my chest, um, over, uh, yeah, my, my pecs, so-\n\nUm, yeah, but not not necessarily to one side. Um, and it's quite a diffuse pain. Right. Is, is it spreading anywhere else, like down to your arm, up to the jaw, in the neck, anything like that? Yeah, it's, it's, um, mainly in my left arm. Uh, it's feeling a little bit, um, uh, painful and, and, in my shoulder as well. Right. Okay. Do you remember what you were doing at the time? Uh, yeah, so it started, uh, just when I was gardening, so nothing that was too strenuous. Um, I was just kneeling down and, uh, yeah, wasn't running or anything. I wasn't doing any physical exercise. Cool. Okay. A- and how much activity do you do normally? Do you walk a lot, or do you run, or do you go to do anything? No, I don't... I, I generally don't do much activity at all.\n\nUm, yeah. Have you had this before? No, this is the first time, actually. Right. Okay. Okay. Yeah. Um, are you aware of any palpitations, like your heart beating faster or more prominently than normal? Um, yeah, it's it's beating a bit faster now. I think that's because I'm a little bit stressed, um, about the situation, but I haven't noticed it, um, beating faster than usual, um, today. So I know you're stressed. We've got an ambulance coming on the way. Okay? Yeah. So, um, we'll take care of everything. So don't don't worry about it. Anyone in the house with you at the moment? Uh, no, no one's in the house at the moment. Okay. Um, and i- is your front door open?\n\nUh, yes, it's open. Okay, so maybe we'll, we'll speak maybe in the hallway to the front door. Have the front door open so that in case, um, people need access, they can, they can access you. Yeah. All right. Yep. Um, so, um, uh, are you a smoker at all? Uh, yeah, I smoke, um, a fair bit, so I smoke about ten cigarettes, uh, a day. Um- Yeah. How long have you been smoking for? Uh, for the past fifteen years. Fifteen years. Okay. Um- Yeah. Do you have, um, high blood pressure or high cholesterol or diabetes or something? Yeah, I have high blood, uh, blood pressure, but, um, not diabetes. Okay. Have you ever had your cholesterol checked?\n\nNo. Okay. Alright. Now anyone in your wider family in your family, sorry, in your parents, did Yes. Did either of them have any heart problems or heart attacks or anything like that? Yes. So my father died of a heart attack. Okay. And my mother had some heart problems. Okay. I'm sorry to hear about your father. Can you remember what age roughly he was when he he had that heart attack? He was about my age. Right. So just under six around sixty. Yes. Around sixty. Yes. Okay. Alright. Do you drink much alcohol? Yeah. I drink about per week, probably about seven or eight pints a week.\n\nOkay. Is that a fear you're talking about? Oh, yeah. Yes. Okay. I I can't tell from the video. Are you overweight? Yes. I'm overweight. Yeah. Right. Yeah. Okay. Alright. Now you're do you normally live alone? Yeah. I live alone at the moment. Yeah. It's just me in the house. Sure. Okay. And and are you working at the moment? Yeah. Yeah. I I work. Yeah. Right. What do you work as? I work as a restaurant owner, so I own a sushi shop. Right. Okay. Yeah. Alright. So the the symptoms that you've described to me\n\nThey indicate the possibility of a heart attack. Okay? Okay. So I'm not saying you definitely have a heart attack, but we that it's our number one priority to exclude that. Okay? Okay. So ambulance team will be with you very shortly. I'm gonna stay on the line with you until they come. Okay? Okay. Yeah. Thank you. When they come, what they'll do is they're gonna put some stickers on your chest and do an ECG, and then Okay. Decide where to take you after that. Okay? Okay. And what what can I just double check? Do you have any allergies to any medication? Yes. Actually, I have an allergy to aspirin. Right. Okay. Yeah. And no other allergies. Sure. What's the nature of that allergy to aspirin? Do you does it does it cause you heartburn, or is it like a allergic reaction?\n\nYeah, it's an allergic reaction, so I swallow, um, a bit, but, um, nothing life-threatening. Um, I've, I sometimes even have it, and it's, it's a, it's a mild reaction to it. Okay. All right. Uh, it's very important that you communicate that to the hospital- Okay.-uh, detail you've just told me, because, um, we, we may need to consider aspirin despite- Oh, okay.-liverie, okay? Um- Okay. All right. Um, now, in terms of, um, what happens from here- Okay... the hospital team will assess you, and then they may take you in to one hospital or another based on how bad, uh, what, what the ECG looks like and what kind of treatment you might need, okay? Um- Okay. What I'm gonna do is we'll stay on the line for the time being.\n\nOkay. Uh, until they come, and then, um, once they come, then I'll hand over to them. I'll explain what's going on. All right? Okay. Okay, sure. Okay. Yeah, thank you. Thank you. Now, we, we'll, we'll end the conversation now for the purposes. Yeah. Is that okay? That's okay. Okay, thank you very much. Take care. Thanks. Bye. Thank you. Bye.", "marks": [ [ 0, 28, "Hi", false ], [ 88, 93, "Resor", false ], [ 99, 109, ".", false ], [ 127, 149, "That's the same thing. OK", false ], [ 281, 284, "Jim", true ], [ 311, 315, "nineteen fifty eight", false ], [ 328, 331, "eighth", false ], [ 421, 423, "Yeah. Does", false ], [ 520, 520, "or", false ], [ 569, 577, "Six OK", false ], [ 688, 699, "you are OK", false ], [ 715, 715, "Yep.", false ], [ 916, 918, "", false ], [ 995, 1004, "someone", false ], [ 1445, 1462, "OK.", false ], [ 1603, 1607, "OK OK. Mmm", false ], [ 1615, 1619, "We're gonna", false ], [ 1651, 1654, "to help", false ], [ 1704, 1713, "OK.", false ], [ 1814, 1816, "", false ], [ 2013, 2015, "into", false ], [ 2044, 2047, "your", false ], [ 2434, 2439, "during", false ], [ 2463, 2477, "Sure OK. And", false ], [ 2564, 2569, "", false ], [ 2649, 2654, "you know.", false ], [ 2726, 2746, "OK. Can", false ], [ 2908, 2915, "'cause", false ], [ 3027, 3027, "and I did", false ], [ 3177, 3193, "Who's", false ], [ 3229, 3229, "Yeah. OK thank you.", false ], [ 3290, 3292, "", false ], [ 3484, 3497, "could", false ], [ 3516, 3531, "yeah . Alright.", false ], [ 3745, 3760, "OK. Um", false ], [ 3833, 3842, "anything Yeah.", false ], [ 3967, 3981, "OK all right. Um", false ], [ 4007, 4013, "in", false ], [ 4054, 4062, "", false ], [ 4324, 4324, "had", false ], [ 4393, 4396, "sixty", false ], [ 4568, 4572, "a beer", false ], [ 4595, 4597, "yeah Ohh.", false ], [ 4726, 4732, "um you", false ], [ 5370, 5380, "OK.", false ], [ 5475, 5475, "OK yeah. Thank you.", false ], [ 5529, 5540, "OK OK. OK no.", false ], [ 5883, 5890, "swell up", true ], [ 6094, 6112, "hospital. Yeah. Um the", false ], [ 6121, 6127, "you", false ], [ 6191, 6245, "despite allergy OK OK. Ohh OK. Um alright", true ], [ 6290, 6316, "here OK. That", false ], [ 6366, 6371, "into", false ], [ 6414, 6422, "", false ], [ 6491, 6506, "OK Uh huh. Um", false ], [ 6516, 6521, "going to", false ], [ 6688, 6709, "alright OK. OK. OK OK", false ], [ 6740, 6765, "", false ], [ 6794, 6801, "after", false ], [ 6876, 6886, "", false ] ] } ] } }, { "case": "day2_consultation05", "reference": "Hi there. Good morning. I'm Doctor from GP at Hand. Nice to see you.\n\n Hi.\n\n OK. So, um, before we start your appointment. Could I confirm your full name and date of birth please?\n\n Yeah, it's John Smith, and I am thirty two years old.\n\n Sorry, I didn't catch your date of birth.\n\n I'm thirty two years old.\n\n Thirty two years old, OK. Could you tell me the first line of your address, and your postcode please?\n\n It's four Park Avenue, and it's AB one CB two.\n\n That's great, thank you so much for that. Are you in a private place where you're OK to speak at the moment?\n\n Yes.\n\n OK. So how can I help you today? You've been having some problems with your asthma. Is that right?\n\n Sorry, say that .\n\n How can I help you today?\n\n So, um, I've been experiencing very weird symptoms, over the past month or so.\n\n And I don't know what's causing them. I have googled it and, um, nothing's coming up, so I thought I'd come and speak to you about it.\n\n OK.\n\n OK. So, tell me a bit more about these weird symptoms you've been having.\n\n So, it started with, feeling very tired, but for a couple of days, and then I get back to normal.\n\n And then I started losing feeling, in my hands and arms. I get a weird sensation like, uh, I guess, pins and needles.\n\n Right again, the connection's not so great. You've been getting pins and needles in the hand. Is that right?\n\n And.\n\n Yeah, that's correct.\n\n OK. Is that the right or left hand?\n\n My right hand.\n\n Is it always the right?\n\n Yes.\n\n OK. Um, we've lost video now, maybe is there a, a, a button you can press?\n\n OK.\n\n Are you happy for us to carry on without the video? I can't see you at the moment.\n\n Yes, that's fine.\n\n All right. Um, so, you've been having these pins and needles, and episodes of numbness, in the right hand. Is it just the hand, or does it go up the arm as well?\n\n Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts few days and then goes back to normal. So, it's very weird.\n\n Right, OK. Um, is there any involvement of your leg at all?\n\n Uh, my, colleague said, I'm walking slightly differently to normal.\n\n And again, it's only for three days, or three or four days.\n\n OK. You, you said you've been having weird symptoms for about a month.\n\n Yes.\n\n , so, what has been happening from the beginning of the month? What else has been happening?\n\n Um, I generally feel tired, and weak.\n\n And, sometimes I feel nauseous, and I don't feel like I want to do anything.\n\n Right, OK.\n\n Um, and, um.\n\n You know, , your colleague said you've, you've not been walking normally.\n\n Yes.\n\n Do you feel anything different, on either side, in terms of your legs? Can , have you noticed anything different?\n\n Yeah, so, at the same time I get my arm symptoms, my leg feels weaker.\n\n Right, OK.\n\n And.\n\n You know you, the abnormal gait. Has that been present, outside of these episodes?\n\n No, it has not. So normally, I'm, fit and well actually.\n\n Right, .\n\n All right, OK. Um, and, these, these episodes. How often have they been happening?\n\n They have been getting more regular. So at the start, it would be maybe once a week, uh, to every once , once a month, but now it's getting uh, uh, a couple of times a day.\n\n Right, OK. And, how long have these episodes been going on for? When, when did it all start? Was it a month ago?\n\n , probably a month and a half, maybe two months.\n\n Right, OK.\n\n OK. And, along with these symptoms, of the weakness and numbness. Do you have any other symptoms at the same time? Like swallowing, or difficulty speaking, or vision problems?\n\n So, recently I've noticed, I can't hold my cup of coffee.\n\n And when I, do drink coffee, it's slightly harder to drink.\n\n And that's only been in the last couple of days, I guess.\n\n Right. Is that during these episodes, or outside of these episodes?\n\n Only during the episodes.\n\n OK.\n\n Do you have any difficulty swallowing at all?\n\n Not currently, no.\n\n . During the episodes, do you have any difficulty swallowing?\n\n I, I, I feel like there's something in my throat.\n\n OK. What about, um, difficulty speaking during these episodes? Any, any issues with that at all?\n\n No, I can speak fine.\n\n OK. And any visual problems during these episodes?\n\n I, I don't think so, but I wear glasses.\n\n OK, all right. Now um, can I just ask? , has, uh, is there any history of stroke, or mini-strokes in your family?\n\n Uh, yes. My, father has had a, operation to the side of his neck, to reduce the risk of stroke.\n\n Right, OK.\n\n Um, and, uh, how about yourself? Have you had any history of, mini-strokes or anything like that, along those lines? I know you're quite young.\n\n No, so after my, dad had his operation, I was required to be checked, and my cholesterol , was fine.\n\n Good, excellent. So you had a, a blood test done. And did they check for diabetes as well?\n\n Yeah.\n\n They checked my diabetes, my blood pressure and my, cholesterol, and the doctor said it was all OK.\n\n Fantastic, OK. Now, do you have any other illnesses at all?\n\n No.\n\n No. Are you on any medication?\n\n I take an aspirin, seventy five milligrams, once a day, but that's, because of something I read on the internet.\n\n OK. So, so, why is that? Why do you take that?\n\n I think it's, meant to reduce your risk of stroke and heart attack.\n\n OK. Do, have you ever told a doctor before, your GP, that you're on Aspirin?\n\n Yes I took, I started to , taking it after my, father had his operation, but that wasn't the doctor telling me.\n\n OK. Uh, and, has any GP ever spoken to you about, the risks of Aspirin, and whether you should be on it? Or have you not , told the , the GP in the past?\n\n No, I haven't.\n\n You haven't, OK. Um, all right. Um. Now, um, in terms of your uh, your kind of social situation. Um, are you working at the moment?\n\n Yes, I am.\n\n , what do you work as?\n\n Uh, I'm, uh, I'm actually a doctor.\n\n You're a , a, a medical doctor?\n\n Yes.\n\n OK. Uh, which, specialty are you in?\n\n I work in, uh, plastic surgery.\n\n Plastic surgery, OK, great. And, um, do you, have any, um, allergies to any medication at all?\n\n I'm allergic to penicillin only.\n\n OK. And, um, are you, um, living alone?\n\n No, I live with my wife.\n\n Right, OK. Um, fantastic. Uh , do you smoke at all?\n\n No, I don't.\n\n Right, OK. Um, that's fine. Now, obviously you're a, you're a medic yourself. Did you have any thoughts as to what might be going on?\n\n Uh, I've actually, got no idea.\n\n Right, OK. Um, well the, the way you're describing these episodes. They make me concerned about, mini-strokes or TIAs, , transient ischemic attacks. Um.\n\n OK.\n\n And so, that's something quite urgent. And given that you've got a family history of um, stroke.\n\n Um, even though you're quite young, I think um, it's something that we need to exclude. So, what I'm probably going to do, uh, in fact what I am going to do, is I'm going to, refer you to a stroke, a TIA clinic.\n\n Um, now just to double-check. Do you have the symptoms right now?\n\n No, I'm perfectly fine at the moment.\n\n OK. So, so, what I'm gonna do, is I'm uh, I'm gonna refer you to a, a mini-stroke clinic, or a TIA clinic.\n\n Um, I send that referral off now, and then you can attend them, they, they'll usually, call you in within the next one to two days, OK.\n\n Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days , before the weekend. So, um, uh, basically the deadline should be, Thursday, Friday.\n\n We're expecting you to be seen by the time, that's the kind of turnaround we're, we're looking at.\n\n And in that clinic, they'll be doing a number of things. Um, they'll be checking, they'll be doing a ultrasound of the, carotid arteries, like your, your father had. Um, and, they'll be doing a, maybe a, they might do a scan of your brain as well, to check if there's any signs of a bleed there.\n\n But, um, they'll be doing a range of tests in a short time frame, in order to exclude whether, you have um, any illness. OK, whether you have got any kind of stroke or, mini-stroke.\n\n Sure.\n\n Now, if your symptoms return and they persist, they're prolonged. Then um, you may need to attend A and E.\n\n OK, because um, our presumptive, working diagnosis is, mini-stroke or TIA, OK.\n\n And if, a mini-stroke is prolonged then uh, then we end up thinking that this might be a stroke and in that case, that becomes even more of an emergency. So, we're not talking about waiting one or two days, we want you to go to hospital in that instance, as soon as possible, OK.\n\n Sure.\n\n Now if , things happen again, feel free to contact us, we can assess you over the phone, we can give you direction and guidance over the phone. That's, that's, that's not a problem, you know, you, you've got easy access to us.\n\n OK. So, um, this is the plan going forward. Um, I'm going to, um, do that referral.\n\n You should hear back from the hospital, relatively soon.\n\n The hospital, you can actually ring them, on um, uh, the PALS number, and then there's also the TIA clinic number.\n\n I'm going to leave that number in the notes for this consultation, OK. So you'll have all the information you need, to chase this appointment.\n\n OK.\n\n And um, if you want, you can ring them, either today or tomorrow morning.\n\n , today in the afternoon, wait uh, one or two hours. Or tomorrow morning just to find out when they got time to slot you in. And, just to make sure they've got you in the system, that they've got in the books, and they're going to be calling you in, OK.\n\n , this isn't, a, an immediate emergency that you need to rush down to A and E. But it's something quite urgent we need to, deal with in a short space of time, OK.\n\n So if there's, if there's any delay that, transpires for example, you can't make the appointment or, you know, they, you don't get called. , you, you get, get in contact back, back with us, OK.\n\n All right. Did you have any questions at all?\n\n No, I think that covers, most of it.\n\n OK, great. So just bear with me a few minutes, and then I'll send that uh, all through and then you should, um, you should be able to help, you should have the information at your hands to, in order to take things further, OK.\n\n , thank you.\n\n All the best. Take care now. Bye bye.", "products": { "hanah": [ { "label": "Run 1", "wer": 9.163135593220339, "text": "Hi there, good morning. I'm Dr. Glynn Miller from QPM, nice to see you.\n\n Thanks.\n\n Okay, so, um, before we start your appointment, could I confirm your full name and date of birth, please?\n\n Yes, it's John Smith, and I am 32 years old.\n\n Sorry, I didn't catch your date of birth.\n\n I'm 32 years old.\n\n 32 years old, okay. Could you tell me the first line of your address and your postcode, please?\n\n It's 4 Park Avenue, and it's AB1 CB2.\n\n That's great, thank you so much for that. Are you in a private place where you're okay to speak at the moment?\n\n Yes.\n\n Okay. So how can I help you today? You've been having some problems with your asthma, is that right?\n\n Sorry, say that again.\n\n How can I help you today?\n\n So, um, I've been experien over the past month or so, and I don't know what's causing them. I have Googled it, and, um, nothing's coming up, so I thought I'd come and speak to you about it.\n\n Okay. So tell me a bit more about these weird symptoms you've been having.\n\n So it started with feeling very tired for a couple of days, and then I get back to normal. And then I started losing feeling of my hands and arms, I get a weird sensation like, uh, I get pins and needles, and—\n\n Right. So what—so just to get the connection's not so great. You've been getting pins and needles in the hand, is that right?\n\n Yeah, that's correct.\n\n Okay. Is that the right or left hand?\n\n My right hand.\n\n Is it always the right?\n\n Yes.\n\n Okay. Um, with lots of video now, maybe is a, a, a button you can press. Okay. Are you happy for us to carry on without the video? I can't see you at the moment.\n\n Yes, that's fine.\n\n All right. Um, so you've been having these pins and needles episodes of numbness in the right hand. Is it just the hand, or does it go up the arm as well?\n\n Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts 3 days, and then goes back to normal. So it's very weird.\n\n Right, okay. And is it any involvement of your leg at all?\n\n Uh, my colleague said I'm walking slightly differently to normal. And again, it's only for 3 days, or 3 or 4 days.\n\n Okay. You, you said you've been having weird symptoms for about a month.\n\n Yes.\n\n So, so what has been happening from the beginning of the month? What else has been happening?\n\n Um, I generally feel tired and weak, and sometimes I feel nauseous, and I don't feel like I want to do anything.\n\n Right. Okay. Um, and, um, you. Know, your colleague said you've, you've not been walking normally.\n\n Yes.\n\n Do you feel anything different on either side in terms of your legs? Can you—have you noticed anything different?\n\n Yes, so at the same time I get my arm symptoms, my leg feels weaker, And, you know, you—the abnormal gait, has that been present outside of these episodes? No. It has not.\n\n Right.\n\n So normally I'm fit and well, actually.\n\n All right, okay. Um, and these, these episodes, how often have they been happening?\n\n They have been getting more regular. So at the start it would be maybe once a week, uh, to every once at once a month, but now it's getting a couple of times a day.\n\n Right, okay. And how long have these episodes been going on for? When, when did it all start? Is it—\n\n It might be a month and a half, maybe 2 months.\n\n Right, okay. Okay. And along with these symptoms, uh, of the weakness and numbness, do you have any other symptoms at the same time? Like swallowing or difficulty speaking or vision problems?\n\n So, recently I've noticed I can't hold my cup of coffee, and when I do drink coffee, it's slightly harder to drink, and that's only been in the last couple of days, I guess.\n\n Right. Is that during these episodes or outside of these episodes?\n\n Only during the episodes.\n\n Okay. Do you have any difficulty swallowing at all?\n\n Not currently, no.\n\n Okay. During the episodes, do you have any difficulty swallowing?\n\n I, I, I feel like there's something in my throat.\n\n Okay. What about, um, difficulty speaking during these episodes? Any, any issues with that at all?\n\n No, I can speak fine.\n\n Okay. And any visual problems during these episodes?\n\n I don't think so, but I wear glasses.\n\n Okay, all right. Now, um, can I just ask, has—is there any history of stroke or mini-strokes in your family?\n\n Uh, yes, my father has had a operation to the side of his neck to reduce the risk of stroke.\n\n Right, okay. Um, and, uh, how about yourself? Have you had any history of mini-strokes or anything like that along those lines? I know you're quite young.\n\n No, so after my dad had his operation, I was required to be checked, and my cholesterol was fine, So you had a, a blood test done, and did they check for diabetes as well? They checked my diabetes, my blood pressure, and my cholesterol, and the doctor said it was all okay.\n\n Fantastic, okay. Now, do you have any other illnesses at all?\n\n No.\n\n No. Are you on any medication?\n\n I take an aspirin, 75 milligrams, once a day, but that's because of something I read on the internet.\n\n Okay. So, so why is that? Why did you take that?\n\n I think it's meant to reduce your risk of stroke and heart attack.\n\n Okay. Do you—have you ever told a doctor before your GP that you're on aspirin?\n\n Yes, I took—I started taking it after my father had his operation.\n\n Okay.\n\n But that wasn't the doctor telling me.\n\n Okay. And has any GP ever spoken to you about the risks of aspirin and whether you should be on it, or have you not told the, the GP in the past?\n\n No.\n\n I haven't. You haven't. Okay. Um, all right. Um, now, um, in terms of your, uh, your kind of social situation, um, are you working at the moment?\n\n Yes, I am.\n\n What do you work as?\n\n Uh, I'm, I'm actually a doctor.\n\n You're a med—a medical doctor?\n\n Yes.\n\n Okay. Uh, which specialty are you in?\n\n I work in, uh, plastic surgery.\n\n Plastic surgery. Okay, great. And, um, do you have any, um, allergies to any medication at all?\n\n I'm allergic to penicillin only.\n\n Okay. And, um, are you, um, living alone?\n\n No, I live with my wife.\n\n Wife. Okay. Um, fantastic. Uh, do you smoke at all?\n\n No, I don't.\n\n Right, okay. Um, that's fine. Now, obviously you're, you're a medic yourself, did you have any thoughts as to what might be going on?\n\n Uh, I've absolutely got no idea.\n\n Right, okay. Um, well, the way you're describing these episodes, they make me concerned about mini-strokes or TIAs, transient transient ischemic attacks. Um, and so that's something quite urgent and given that you've got a family history of, um, stroke, um, even though you're quite young, I think, um, it's something that we need to exclude. So what I'm probably going to do, and in fact what I am going to do is I'm going to refer you to a stroke TIA clinic. Um, now just to double-check, do you have the symptoms right now?\n\n No, I'm perfectly fine at the moment.\n\n Okay. So, so what I'm going to do is I'm going—I'm going to refer you to a, a mini-stroke clinic or a TIA clinic. Um, I send that referral off now, and then you can attend them. They, they'll usually call you in within the next 1 to 2 days, okay? Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days before the weekend, so, um, uh, basically the deadline should be Thursday, Friday, we're expecting to be seen by that time. That's the kind of turnaround we're, we're looking at. And in that clinic, they'll be doing a number of things. Um, they'll be checking—they'll be doing the ultrasound of the carotid arteries like your, your father had, um, and they'll be doing maybe—they might do a scan of the brain as well to see if there's any signs of a bleed there. But, um, they'll be doing a range of tests in a short timeframe in order to exclude whether you have, um, any illness.\n\n Sure.\n\n You haven't got any kind of stroke or mini-stroke. Now, if your symptoms return and they persist, they prolonged, then, um, you may need to attend A&E, okay? Because, um, our presumptive working diagnosis is mini-stroke or TIA, okay? And if a mini-stroke is prolonged, then, uh, then we end up thinking that this might be a stroke, and in that case, that becomes even more of an emergency. So we're not talking about waiting 1 or 2 days. We want you to go to the hospital in that instance as soon as possible, okay?\n\n Sure.\n\n Now, if things happen again, feel free to contact us. We can assess you over the phone. We can give you direction and guidance over the phone. That's, that's, that's not a problem. You know, you've got easy access to us. Okay? So, um, this is the plan going forward. Um, I'm going to, um, do that referral. You should hear back from the hospital relatively soon. The hospital—you could actually ring them on, um, uh, the pal's number, and then there's also the TIA clinic number. I'm going to need that number in the notes for this consultation.\n\n Okay.\n\n Okay? So you'll have all the information you need to chase this appointment, and, um, if you want, you can ring them either today or tomorrow morning to—today in the afternoon, wait 1 or 2 hours, or tomorrow morning just to find out when they plan to slot you in, and just to make sure they've got you in the system, that they've got them booked and they're going to be calling you in, okay?\n\n Great.\n\n So, um, this isn't, uh, an immediate emergency that you need to rush down to A&E, but it's something quite urgent that we need to deal with in a short space of time, okay? So if there's—if there's any delay that transpires, for example, you can't make the appointment or, you know, that you don't get called, something needs to be done. You need to be getting in contact b-back with us, okay?\n\n Great.\n\n All right. Did you have any questions at all?\n\n No, I think that covers most of it.\n\n Okay, great. So just bear with me a few minutes, and then I'll send that, uh, all through, and then you should, um, you should be able to have—you should have the information at your hands to, in order to take things further, okay?\n\n Great, thank you.\n\n All the best. Take care then. Bye-bye.\n\n Bye-bye.", "marks": [ [ 28, 44, "Doctor", false ], [ 50, 53, "GP at Hand.", false ], [ 75, 90, "Hi. OK.", false ], [ 437, 445, "AB one CB two.", false ], [ 691, 697, ".", false ], [ 748, 756, "experiencing very weird symptoms", false ], [ 1184, 1187, "guess", false ], [ 1221, 1243, "again", false ], [ 1472, 1484, "we've lost", false ], [ 1504, 1504, "there", false ], [ 1908, 1909, "few", false ], [ 1989, 1991, "there", false ], [ 2897, 2897, "Right .", false ], [ 3260, 3271, "a month ago probably", false ], [ 3859, 3864, ".", false ], [ 4667, 4667, "Good excellent.", false ], [ 5089, 5092, "do", false ], [ 5772, 5775, "a", false ], [ 6089, 6100, "Right OK.", false ], [ 6306, 6316, "actually", false ], [ 6459, 6468, "", false ], [ 6926, 6934, "gonna", false ], [ 6945, 6950, "uh", false ], [ 6955, 6963, "gonna", false ], [ 7643, 7646, "your", false ], [ 7664, 7667, "check", false ], [ 7761, 7770, "time frame", false ], [ 7829, 7834, "OK whether", false ], [ 7842, 7849, "have", true ], [ 7888, 7888, "Sure.", false ], [ 7936, 7940, "they're", false ], [ 8746, 8751, "can", false ], [ 8787, 8792, "PALS", false ], [ 8859, 8863, "leave", false ], [ 9167, 9171, "got time", false ], [ 9258, 9269, "in the books", false ], [ 9310, 9335, "OK.", false ], [ 9638, 9665, "", false ], [ 9670, 9688, "you get get", false ], [ 9700, 9706, "back back", false ], [ 9716, 9731, "OK.", false ], [ 9961, 9965, "help", false ], [ 10049, 10063, "OK.", false ], [ 10103, 10129, "now. Bye bye.", false ] ] }, { "label": "Run 2", "wer": 8.792372881355933, "text": "Hi there, good morning. I'm Dr. Glynn Miller from QPM, nice to see you.\n\n Thanks.\n\n Okay, so, um, before we start your appointment, could I confirm your full name and date of birth, please?\n\n Yeah, it's John Smith, and I am 32 years old.\n\n Sorry, I didn't catch your date of birth.\n\n I'm 32 years old.\n\n 32 years old, okay. Could you tell me the first line of your address and your postcode, please?\n\n It's 4 Park Avenue, and it's AB1 CB2.\n\n That's great, thank you so much for that. Are you in a private place where you're okay to speak at the moment?\n\n Yeah.\n\n Okay. So how can I help you today? You've been having some problems with your asthma, is that right?\n\n Sorry, say that again.\n\n How can I help you today?\n\n So, um, I've been experiencing very weird symptoms over the past month or so, and I don't know what's causing them. I have Googled it, and, um, nothing's coming up, so I thought I'd come and speak to you about it.\n\n Okay. So tell me a bit more about these weird symptoms you've been having.\n\n So it started with feeling very tired for a couple of days, and then I get back to normal. And then I started losing feeling of my hands and arms, I get a weird sensation like, uh, I get pins and needles, and—\n\n Right. So what—so just to get the connection's not so great. You've been getting pins and needles in the hand, is that right?\n\n Yeah, that's correct.\n\n Okay. Is that the right or left hand?\n\n My right hand.\n\n Is it always the right?\n\n Yes.\n\n Okay. Um, with lots of video now, maybe is a, a, a button you can press. Okay. Are you happy for us to carry on without the video? I can't see you at the moment.\n\n Yes, that's fine.\n\n All right. Um, so you've been having these pins and needles episodes of numbness in the right hand. Is it just the hand, or does it go up the arm as well?\n\n Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts 3 days, and then goes back to normal. So it's very weird.\n\n Right, okay. And is it any involvement of your leg at all?\n\n Uh, my colleague said I'm walking slightly differently to normal. And again, it's only for 3 days, or 3 or 4 days.\n\n Okay. You, you said you've been having weird symptoms for about a month.\n\n Yes.\n\n So, so what has been happening from the beginning of the month? What else has been happening?\n\n Um, I generally feel tired and weak, and sometimes I feel nauseous, and I don't feel like I want to do anything.\n\n Right. Okay. Um, and, um, you. Know, your colleague said you've, you've not been walking normally.\n\n Yes.\n\n Do you feel anything different on either side in terms of your legs? Can you—have you noticed anything different?\n\n Yes, so at the same time I get my arm symptoms, my leg feels weaker, And, you know, you—the abnormal gait, has that been present outside of these episodes? No. It has not.\n\n Right.\n\n So normally I'm fit and well, actually.\n\n All right, okay. Um, and these, these episodes, how often have they been happening?\n\n They have been getting more regular. So at the start it would be maybe once a week, uh, to every once at once a month, but now it's getting a couple of times a day.\n\n Right, okay. And how long have these episodes been going on for? When, when did it all start? Is it—\n\n It might be a month and a half, maybe 2 months.\n\n Right, okay. Okay. And along with these symptoms, uh, of the weakness and numbness, do you have any other symptoms at the same time? Like swallowing or difficulty speaking or vision problems?\n\n So, recently I've noticed I can't hold my cup of coffee, and when I do drink coffee, it's slightly harder to drink, and that's only been in the last couple of days, I guess.\n\n Right. Is that during these episodes or outside of these episodes?\n\n Only during the episodes.\n\n Okay. Do you have any difficulty swallowing at all?\n\n Not currently, no.\n\n Okay. During the episodes, do you have any difficulty swallowing?\n\n I, I, I feel like there's something in my throat.\n\n Okay. What about, um, difficulty speaking during these episodes? Any, any issues with that at all?\n\n No, I can speak fine.\n\n Okay. And any visual problems during these episodes?\n\n I don't think so, but I wear glasses.\n\n Okay, all right. Now, um, can I just ask, has—is there any history of stroke or mini-strokes in your family?\n\n Uh, yes, my father has had a operation to the side of his neck to reduce the risk of stroke.\n\n Right, okay. Um, and, uh, how about yourself? Have you had any history of mini-strokes or anything like that along those lines? I know you're quite young.\n\n No, so after my dad had his operation, I was required to be checked, and my cholesterol was fine, So you had a, a blood test done, and did they check for diabetes as well? They checked my diabetes, my blood pressure, and my cholesterol, and the doctor said it was all okay.\n\n Fantastic, okay. Now, do you have any other illnesses at all?\n\n No.\n\n No. Are you on any medication?\n\n I take an aspirin, 75 milligrams, once a day, but that's because of something I read on the internet.\n\n Okay. So, so why is that? Why did you take that?\n\n I think it's meant to reduce your risk of stroke and heart attack.\n\n Okay. Do you—have you ever told a doctor before your GP that you're on aspirin?\n\n Yes, I took—I started taking it after my father had his operation.\n\n Okay.\n\n But that wasn't the doctor telling me.\n\n Okay. And has any GP ever spoken to you about the risks of aspirin and whether you should be on it, or have you not told the, the GP in the past?\n\n No.\n\n I haven't. You haven't. Okay. Um, all right. Um, now, um, in terms of your, uh, your kind of social situation, um, are you working at the moment?\n\n Yes, I am.\n\n What do you work as?\n\n Uh, I'm, I'm actually a doctor.\n\n You're a med—a medical doctor?\n\n Yes.\n\n Okay. Uh, which specialty are you in?\n\n I work in, uh, plastic surgery.\n\n Plastic surgery. Okay, great. And, um, do you have any, um, allergies to any medication at all?\n\n I'm allergic to penicillin only.\n\n Okay. And, um, are you, um, living alone?\n\n No, I live with my wife.\n\n Wife. Okay. Um, fantastic. Uh, do you smoke at all?\n\n No, I don't.\n\n Right, okay. Um, that's fine. Now, obviously you're, you're a medic yourself, did you have any thoughts as to what might be going on?\n\n Uh, I've absolutely got no idea.\n\n Right, okay. Um, well, the way you're describing these episodes, they make me concerned about mini-strokes or TIAs, transient transient ischemic attacks. Um, and so that's something quite urgent and given that you've got a family history of, um, stroke, um, even though you're quite young, I think, um, it's something that we need to exclude. So what I'm probably going to do, and in fact what I am going to do is I'm going to refer you to a stroke TIA clinic. Um, now just to double-check, do you have the symptoms right now?\n\n No, I'm perfectly fine at the moment.\n\n Okay. So, so what I'm going to do is I'm going—I'm going to refer you to a, a mini-stroke clinic or a TIA clinic, um, I send that referral off now, and then you can attend them. They, they'll usually call you in within the next 1 to 2 days, okay? Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days before the weekend, so, um, uh, basically the deadline should be Thursday, Friday, we're expecting to be seen by that time. That's the kind of turnaround we're, we're looking at. And in that clinic, they'll be doing a number of things, um, they'll be checking—they'll be doing the ultrasound of the carotid arteries like your, your father had, um, and they'll be doing maybe—they might do a scan of the brain as well to check if there's any signs of a bleed there, but, um, they'll be doing a range of tests in a short time frame in order to exclude whether you have, um, any illness.\n\n Sure.\n\n You haven't got any kind of stroke or mini-stroke. Now, if your symptoms return and they persist, they prolonged, then, um, you may need to attend A&E, okay? Because, um, our presumptive working diagnosis is mini-stroke or TIA, okay? And if a mini-stroke is prolonged, then, uh, then we end up thinking that this might be a stroke, and in that case that becomes even more of an emergency. So we're not talking about waiting 1 or 2 days, we want you to go to the hospital in that instance as soon as possible, okay?\n\n Sure.\n\n Now, if things happen again, feel free to contact us, we can assess you over the phone, we can give you direction and guidance over the phone, that's, that's, that's not a problem. You know, you've got easy access to us. Okay, so, um, this is the plan going forward. Um, I'm going to, um, do that referral. You should hear back from the hospital relatively soon. The hospital—you could actually ring them on, um, uh, the pal's number, and then there's also the TIA clinic number. I'm going to need that number in the notes for this consultation.\n\n Okay.\n\n Okay? So you'll have all the information you need to chase this appointment, and, um, if you want, you can ring them either today or tomorrow morning to today in the afternoon, wait 1 or 2 hours, or tomorrow morning just to find out when they plan to slot you in, and just to make sure they've got you in the system, that they've got them booked and they're going to be calling you in, okay?\n\n Great.\n\n So, um, this isn't, uh, an immediate emergency that you need to rush down to A&E, but it's something quite urgent that we need to deal with in a short space of time, okay? So if there's—if there's any delay that transpires, for example, you can't make the appointment or, you know, that you don't get called, something needs to be done, you need to be getting in contact back with us, okay?\n\n Great.\n\n All right. Did you have any questions at all?\n\n No, I think that covers most of it.\n\n Okay, great. So just bear with me a few minutes, and then I'll send that, uh, all through, and then you should, um, you should be able to have—you should have the information at your hands to, in order to take things further, okay?\n\n Great, thank you.\n\n All the best. Take care then. Bye-bye.\n\n Bye-bye.", "marks": [ [ 28, 44, "Doctor", false ], [ 50, 53, "GP at Hand.", false ], [ 75, 90, "Hi. OK.", false ], [ 438, 446, "AB one CB two.", false ], [ 693, 699, ".", false ], [ 1210, 1213, "guess", false ], [ 1247, 1269, "again", false ], [ 1498, 1510, "we've lost", false ], [ 1530, 1530, "there", false ], [ 1934, 1935, "few", false ], [ 2015, 2017, "there", false ], [ 2923, 2923, "Right .", false ], [ 3286, 3297, "a month ago probably", false ], [ 3885, 3890, ".", false ], [ 4693, 4693, "Good excellent.", false ], [ 5115, 5118, "do", false ], [ 5798, 5801, "a", false ], [ 6115, 6126, "Right OK.", false ], [ 6332, 6342, "actually", false ], [ 6485, 6494, "", false ], [ 6952, 6960, "gonna", false ], [ 6971, 6976, "uh", false ], [ 6981, 6989, "gonna", false ], [ 7669, 7672, "your", false ], [ 7858, 7863, "OK whether", false ], [ 7871, 7878, "have", true ], [ 7917, 7917, "Sure.", false ], [ 7965, 7969, "they're", false ], [ 8774, 8779, "can", false ], [ 8815, 8820, "PALS", false ], [ 8887, 8891, "leave", false ], [ 9195, 9199, "got time", false ], [ 9286, 9297, "in the books", false ], [ 9338, 9363, "OK.", false ], [ 9666, 9692, "", false ], [ 9698, 9716, "you get get", false ], [ 9732, 9732, "back", false ], [ 9742, 9757, "OK.", false ], [ 9987, 9991, "help", false ], [ 10075, 10089, "OK.", false ], [ 10129, 10155, "now. Bye bye.", false ] ] }, { "label": "Run 3", "wer": 9.004237288135593, "text": "All right, good morning. I'm Dr. Ginger from QPRN; nice to see you.\n\n Thanks.\n\n Okay, so, um, before we start, your appointment—could I confirm your full name and date of birth, please?\n\n Yes, it's John Smith, and I am 32 years old.\n\n Sorry, I didn't catch your date of birth.\n\n I'm 32 years old.\n\n 32 years old, okay. Could you tell me the first line of your address and your postcode, please?\n\n It's 4 Park Avenue, and it's AB1 CB2.\n\n That's great. Thank you so much for that. Are you in a private place where you're okay to speak at the moment?\n\n Yes.\n\n Okay. So how can I help you today? You've been having some problems with your asthma, is that right?\n\n Sorry, say that again.\n\n How can I help you today?\n\n So, um, I've been experiencing very weird symptoms over the past month or so, and I don't know what's causing them. I have Googled it, and, um, nothing's coming up, so I thought I'd come and speak to you about it.\n\n Okay. So tell me a bit more about these weird symptoms you've been having.\n\n So it started with feeling very tired for a couple of days, and then I get back to normal. And then I started losing feeling of my hands and arms, I get a weird sensation like, uh, I guess pins and needles, and—\n\n Right. So what—so just tell me again, the connection's not so great. You've been getting pins and needles in the hand, is that right?\n\n Yeah, that's correct.\n\n Okay. Is that the right or left hand?\n\n My right hand.\n\n Is it always the right?\n\n Yes.\n\n Okay. Um, with lots of video now, maybe is a, a, a button you can press. Okay. Are you happy for us to carry on without the video? I can't see you at the moment.\n\n Yes, that's fine.\n\n All right. Um, so you've been having these pins and needles episodes of numbness in the right hand. Is it just the hand, or does it go up the arm as well?\n\n Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts 3 days, and then goes back to normal. So it's very weird.\n\n Right. Okay. And is it any involvement of your leg at all?\n\n Uh, my colleague said I'm walking slightly differently to normal. And again, it's only for 3 days, or 3 or 4 days.\n\n Okay. You—you said you've been having weird symptoms for about a month.\n\n Yes.\n\n So—so what has been happening from the beginning of the month? What else has been happening?\n\n Um, I generally feel tired and weak, and sometimes I feel nauseous, and I don't feel like I want to do anything.\n\n Right. Okay. Um, and, um, you. Know, your colleague said you've—you've not been walking normally.\n\n Yes.\n\n Do you feel anything different on either side in terms of your legs? Can you—have you noticed anything different?\n\n Yes. So at the same time I get my arm symptoms, my leg feels weaker, And, you know, you—the abnormal gait, has that been present outside of these episodes? No. It has not.\n\n Right.\n\n So normally I'm fit and well, actually.\n\n All right. Okay. Um, and these—these episodes, how often have they been happening?\n\n They have been getting more regular. So at the start it would be maybe once a week, uh, to every once a—once a month, but now it's getting a couple of times a day.\n\n Right. Okay. And how long have these episodes been going on for? When—when did it all start? Is it—\n\n It might be a month and a half, maybe 2 months.\n\n Right. Okay. Okay. And along with these symptoms, uh, of the weakness and numbness, do you have any other symptoms at the same time? Like swallowing or difficulty speaking or vision problems?\n\n So, recently I've noticed I can't hold my cup of coffee, and when I do drink coffee, it's slightly harder to drink, and that's only been in the last couple of days, I guess.\n\n Right. Is that during these episodes or outside of these episodes?\n\n Only during the episodes.\n\n Okay. Do you have any difficulty swallowing at all?\n\n Not currently, no.\n\n Okay. During the episodes, do you have any difficulty swallowing?\n\n I—I feel like there's something in my throat.\n\n Okay. What about, um, difficulty speaking during these episodes? Any—any issues with that at all?\n\n No, I can speak fine.\n\n Okay. And any visual problems during these episodes?\n\n I don't think so, but I wear glasses.\n\n Okay. All right. Now, um, can I just ask, has—is there any history of stroke or mini-strokes in your family?\n\n Uh, yes, my father has had a operation to the side of his neck to reduce the risk of stroke.\n\n Right. Okay. Um, and, uh, how about yourself? Have you had any history of mini-strokes or anything like that along those lines? I know you're quite young.\n\n No. So after my dad had his operation, I was required to be checked, and my cholesterol, uh, was fine.\n\n Good. Excellent. So you had a—a blood test done, and did they check what diabetes as well?\n\n They checked my diabetes, my blood pressure, and my cholesterol, and the doctor said it was all okay.\n\n Fantastic. Okay. Now, do you have any other illnesses at all?\n\n No.\n\n No. Are you on any medication?\n\n I take an aspirin, 75 milligrams, once a day, but that's because of something I read on the internet.\n\n Okay. So—so why is that? Why did you take that?\n\n I think it's meant to reduce your risk of stroke and heart attack.\n\n Okay. Do you—have you ever told a doctor before your GP that you're on aspirin?\n\n Yes, I took—I started taking it after my father had his operation.\n\n Okay.\n\n But that wasn't the doctor telling me.\n\n Okay. And has any GP ever spoken to you about the risks of aspirin and whether you should be on it, or have you not told the—the GP in the past?\n\n No. I haven't.\n\n You haven't. Okay. Um, all right. Um, now, um, in terms of your, uh, your kind of social situation, um, are you working at the moment?\n\n Yes, I am.\n\n What do you work as?\n\n Uh, I'm—I'm actually a doctor.\n\n You're a med—a medical doctor?\n\n Yes.\n\n Okay. Uh, which specialty are you in?\n\n I work in, uh, plastic surgery.\n\n Plastic surgery. Okay. Great. And, um, do you have any, um, allergies to any medication at all?\n\n I'm allergic to penicillin only.\n\n Okay. And, um, are you, um, living alone?\n\n No, I live with my wife.\n\n Wife. Okay. Um, fantastic. Uh, do you smoke at all?\n\n No, I don't.\n\n Right. Okay. Um, that's fine. Now, obviously you're—you're a medic yourself, did you have any thoughts as to what might be going on?\n\n Uh, I've absolutely got no idea.\n\n Right. Okay. Um, well, the way you're describing these episodes, they make me concerned about mini-strokes or TIAs, transient—transient ischemic attacks. Um, and so that's something quite urgent and given that you've got a family history of, um, stroke, um, even though you're quite young, I think, um, it's something that we need to exclude. So what I'm probably going to do, and in fact what I am going to do is I'm going to refer you to a stroke TIA clinic. Um, now just to double-check, do you have the symptoms right now?\n\n No, I'm perfectly fine at the moment.\n\n Okay. So—so what I'm going to do is I'm—I'm going to refer you to a—a mini-stroke clinic or a TIA clinic, um, I send that referral off now, and then you can attend them. They—they'll usually call you in within the next 1 to 2 days.\n\n Okay.\n\n Okay? Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days before the weekend, so, um, uh, basically the deadline should be Thursday, Friday, we're expecting to be seen by that time. That's the kind of turnaround we're—we're looking at. And in that clinic, they'll be doing a number of things. Um, they'll be checking—they'll be doing that ultrasound of the carotid arteries like your—your father had, um, and they'll be doing maybe a—they might do a scan of the brain as well to see if there's any signs of a bleed there. But, um, they'll be doing a range of tests in a short time frame, in order to exclude whether you have, um, any illness.\n\n Sure.\n\n You haven't got any kind of stroke or mini-stroke. Now, if your symptoms return and they persist, they prolonged, then, um, you may need to attend A&E, okay? Because, um, our presumptive working diagnosis is mini-stroke or TIA, okay? And if a mini-stroke is prolonged, then, uh, then we end up thinking that this might be a stroke, and in that case, that becomes even more of an emergency. So we're not talking about waiting 1 or 2 days. We want you to go to the hospital in that instance, as soon as possible.\n\n Okay.\n\n Okay?\n\n Sure.\n\n Now, if things happen again, feel free to contact us. We can assess you over the phone. We can give you direction and guidance over the phone. That's—that's—that's not a problem. You know, we—you've got easy access to us. Okay? So, um, this is the plan going forward. Um, I'm going to, um, do that referral. You should hear back from the hospital relatively soon. The hospital—you could actually ring them on, um, uh, the pal's number, and then there's also the TIA clinic number. I'm going to use that number in the notes for this consultation.\n\n Okay.\n\n Okay? So you'll have all the information you need to chase this appointment, and, um, if you want, you can ring them either today or tomorrow morning to—today in the afternoon, wait 1 or 2 hours, or tomorrow morning just to find out when they plan to slot you in, and just to make sure they've got you in the system, that they've got them booked and they're going to be calling you in. Okay?\n\n Great.\n\n So, um, this isn't, uh, an immediate emergency that you need to rush down to A&E, but it's something quite urgent that we need to deal with in a short space of time. Okay? So if there's—if there's any delay that transpires, for example, you can't make the appointment, or, you know, that you don't get called, something needs to be done. You need to be ge-get in contact b-back with us. Okay?\n\n Great.\n\n All right. Did you have any questions at all?\n\n No, I think that covers most of it.\n\n Okay. Great. So just bear with me a few minutes, and then I'll send that, uh, all through, and then you should, um, you should be able to have—you should have the information at your hands to, in order to take things further. Okay?\n\n Great. Thank you.\n\n All the best. Take care then. Bye-bye.\n\n Bye-bye.", "marks": [ [ 0, 9, "Hi there.", false ], [ 29, 39, "Doctor", false ], [ 45, 49, "GP at Hand.", false ], [ 71, 86, "Hi. OK.", false ], [ 433, 441, "AB one CB two.", false ], [ 687, 693, ".", false ], [ 1243, 1266, "", false ], [ 1502, 1514, "we've lost", false ], [ 1534, 1534, "there", false ], [ 1938, 1939, "few", false ], [ 2019, 2021, "there", false ], [ 2924, 2924, "Right .", false ], [ 3284, 3295, "a month ago probably", false ], [ 3883, 3888, ".", false ], [ 4764, 4768, "for", false ], [ 5135, 5138, "do", false ], [ 5816, 5819, "a", false ], [ 6133, 6144, "Right OK.", false ], [ 6349, 6359, "actually", false ], [ 6502, 6511, "", false ], [ 6968, 6976, "gonna", false ], [ 6991, 6999, "gonna", false ], [ 7690, 7693, "your", false ], [ 7711, 7714, "check", false ], [ 7878, 7883, "OK whether", false ], [ 7891, 7898, "have", true ], [ 7937, 7937, "Sure.", false ], [ 7985, 7989, "they're", false ], [ 8809, 8814, "can", false ], [ 8850, 8855, "PALS", false ], [ 8922, 8925, "leave", false ], [ 9229, 9233, "got time", false ], [ 9320, 9331, "in the books", false ], [ 9372, 9397, "OK.", false ], [ 9701, 9728, "", false ], [ 9733, 9750, "you get get", false ], [ 9762, 9768, "back back", false ], [ 9778, 9793, "OK.", false ], [ 10023, 10027, "help", false ], [ 10111, 10126, "OK.", false ], [ 10165, 10191, "now. Bye bye.", false ] ] }, { "label": "Run 4", "wer": 9.322033898305085, "text": "All right, good morning. I'm Dr. Gideon Miller from QC Ahmed; nice to see you.\n\n Thanks.\n\n Okay, so, um, before we start your appointment, could I confirm your full name and date of birth, please?\n\n Yeah, it's John Smith, and I— I'm searching for 2 years old.\n\n Sorry, I didn't catch your date of birth.\n\n I'm 32 years old.\n\n 32 years old, okay. Could you tell me the first line of your address and your postcode, please?\n\n It's 4 Park Avenue, and it's AB1 CB2.\n\n That's great, thank you so much for that. Are you in a private place where you're okay to speak at the moment?\n\n Yes.\n\n Okay. So how can I help you today? You've been having some problems with your asthma, is that right?\n\n Sorry, say that again.\n\n How can I help you today?\n\n So, um, I've been experiencing very weird symptoms over the past month or so, and I don't know what's causing them. I have Googled it, and, um, nothing's coming up, so I thought I'd come and speak to you about it.\n\n Okay. So tell me a bit more about these weird symptoms you've been having.\n\n So it started with feeling very tired for a couple of days, and then I get back to normal. And then I started losing feeling of my hands and arms, I get a weird sensation like, uh, I get pins and needles, and—\n\n Right. So what— so just to say it again, the connection's not so great. You've been getting pins and needles in the hand, is that right?\n\n Yeah, that's correct.\n\n Okay. Is that the right or left hand?\n\n My right hand.\n\n Is it always the right?\n\n Yes.\n\n Okay. Um, with lots of video now, maybe is a, a, a button you can press. Okay. Are you happy for us to carry on without the video? I can't see you at the moment.\n\n Yes, that's fine.\n\n All right. Um, so you've been having these pins and needles episodes of numbness in the right hand. Is it just the hand, or does it go up the arm as well?\n\n Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts 3 days, and then goes back to normal. So it's very weird.\n\n Right, okay. And is it any involvement of your leg at all?\n\n Uh, my colleague said I'm walking slightly differently to normal. And again, it's only for 3 days or 3 or 4 days.\n\n Okay. You— you said you've been having weird symptoms for about a month.\n\n Yes.\n\n So— so what has been happening from the beginning of the month? What else has been happening?\n\n Um, I generally feel tired and weak, and sometimes I feel nauseous, and I don't feel like I want to do anything.\n\n Right. Okay. Um, and, um, you. Know, your colleague said you've— you've not been walking normally.\n\n Yes.\n\n Do you feel anything different on either side in terms of your legs? Have you noticed anything different?\n\n Yes, so at the same time I get my arm symptoms, my leg feels weaker, And, you know, you— the abnormal gait, has that been present outside of these episodes? No. It has not.\n\n Right.\n\n So normally I'm fit and well, actually.\n\n All right. Okay. Um, and these— these episodes, how often have they been happening?\n\n They have been getting more regular. So at the start it would be maybe once a week, uh, to every once— once a month, but now it's getting a couple of times a day.\n\n Right, okay. And how long have these episodes been going on for? When— when did it all start? Is it—\n\n It might be a month and a half, maybe 2 months.\n\n Right, okay. Okay. And along with these symptoms, uh, of the weakness and numbness, do you have any other symptoms at the same time? Like swallowing or difficulty speaking or vision problems?\n\n So, recently I've noticed I can't hold my cup of coffee, and when I do drink coffee, it's slightly harder to drink, and that's only been in the last couple of days, I guess.\n\n Right. Is that— during these episodes, or outside of these episodes?\n\n Only during the episodes.\n\n Okay. Do you have any difficulty swallowing at all?\n\n Not currently, no.\n\n Okay. During the episodes, do you have any difficulty swallowing?\n\n I— I— I feel like there's something in my throat.\n\n Okay. What about, um, difficulty speaking during these episodes? Any— any issues with that at all?\n\n No, I can speak fine.\n\n Okay. And any visual problems during these episodes?\n\n I don't think so, but I wear glasses.\n\n Okay. All right. Now, um, can I just ask, has— is there any history of stroke or mini-strokes in your family?\n\n Uh, yes, my father has had a operation to the side of his neck to reduce the risk of stroke.\n\n Right, okay. Um, and, uh, how about yourself? Have you had any history of mini-strokes or anything like that along those lines? I know you're quite young.\n\n No, so after my dad had his operation, I was required to be checked, and my cholesterol was fine, So you had a— a blood test done. And did they check for diabetes as well? They checked my diabetes, my blood pressure, and my cholesterol, and the doctor said it was all okay.\n\n Fantastic. Okay. Now, do you have any other illnesses at all?\n\n No.\n\n No. Are you on any medication?\n\n I take an aspirin, 75 milligrams, once a day, but that's because of something I read on the internet.\n\n Okay. So— so why is that? Why did you take that?\n\n I think it's meant to reduce your risk of stroke and heart attack.\n\n Okay. Do you— have you ever told a doctor before your GP that you're on aspirin?\n\n Yes, I took— I started taking it after my father had his operation.\n\n Okay.\n\n But that wasn't the doctor telling me.\n\n Okay. And has any GP ever spoken to you about the risks of aspirin and whether you should be on it, or have you not told the— the GP in the past?\n\n No.\n\n I haven't. You haven't. Okay. Um, all right. Um, now, um, in terms of your, uh, your kind of social situation, um, are you working at the moment?\n\n Yes, I am.\n\n What do you work as?\n\n Uh, I'm— I'm actually a doctor.\n\n You're a med— a medical doctor?\n\n Yes.\n\n Okay. Uh, which specialty are you in?\n\n I work in, uh, plastic surgery.\n\n Plastic surgery. Okay, great. And, um, do you have any, um, allergies to any medication at all?\n\n I'm allergic to penicillin only.\n\n Okay. And, um, are you, um, living alone?\n\n No, I live with my wife.\n\n Wife. Okay. Um, fantastic. Uh, do you smoke at all?\n\n No, I don't.\n\n Right, okay. Um, that's fine. Now, obviously you're— you're a medic yourself, did you have any thoughts as to what might be going on?\n\n Uh, I've absolutely got no idea.\n\n Right, okay. Um, well, the way you're describing these episodes, they make me concerned about mini-strokes or TIAs, transient— transient ischemic attacks. Um, and so that's something quite urgent and given that you've got a family history of, um, stroke, um, even though you're quite young, I think, um, it's something that we need to exclude. So what I'm probably going to do, and in fact what I am going to do is I'm going to refer you to a stroke— a TIA clinic. Um, now just to double-check, do you have the symptoms right now?\n\n No, I'm perfectly fine at the moment.\n\n Okay. So— so what I'm going to do is I'm going— I'm going to refer you to a mini-stroke clinic or a TIA clinic. Um, I send that referral off now, and then you can attend them. They— they'll usually call you in within the next 1 to 2 days.\n\n Okay.\n\n Okay? Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days before the weekend, so, um, uh, basically the deadline should be Thursday, Friday, we're expecting to be seen by that time. That's the kind of turnaround we're— we're looking at. And in that clinic, they'll be doing a number of things. Um, they'll be checking— they'll be doing the ultrasound of the carotid arteries, like your— your father had, um, and they'll be doing maybe— they might do a scan of the brain as well, to see if there's any signs of a bleed there. But, um, they'll be doing a range of tests in a short timeframe, in order to exclude whether you have, um, any illness.\n\n Sure.\n\n You haven't got any kind of stroke or mini-stroke. Now, if your symptoms return and they persist, they prolonged, then, um, you may need to attend A&E, okay? Because, um, our presumptive working diagnosis is mini-stroke or TIA, okay? And if a mini-stroke is prolonged, then, uh, then we end up thinking that this might be a stroke, and in that case, that becomes even more of an emergency. So we're not talking about waiting 1 or 2 days. We want you to go to the hospital in that instance, as soon as possible, okay?\n\n Sure.\n\n Now, if things happen again, feel free to contact us. We can assess you over the phone. We can give you direction and guidance over the phone. That's— that's— that's not a problem. You know, you've got easy access to us.\n\n Okay.\n\n Okay? So, um, this is the plan going forward. Um, I'm going to, um, do that referral. You should hear back from the hospital, relatively soon. The hospital— you could actually ring them on, um, uh, the pal's number, and then there's also the TIA clinic number. I'm going to need that number in the notes for this consultation.\n\n Okay.\n\n Okay? So you'll have all the information you need to chase this appointment, and, um, if you want, you can ring them either today or tomorrow morning to— today in the afternoon, wait 1 or 2 hours, or tomorrow morning just to find out when they plan to slot you in, and just to make sure they've got you in the system, that they've got them booked and they're going to be calling you in, okay?\n\n Great.\n\n So, um, this isn't, uh, an immediate emergency that you need to rush down to A&E, but it's something quite urgent that we need to deal with in a short space of time, okay? So if there's— if there's any delay that transpires, for example, you can't make the appointment, or, you know, that you don't get called, something needs to be done. You need to be get— getting in contact back with us, okay?\n\n Great.\n\n All right. Did you have any questions at all?\n\n No, I think that covers most of it.\n\n Okay, great. So just bear with me a few minutes, and then I'll send that, uh, all through, and then you should— um, you should be able to have— you should have the information at your hands to, in order to take things further, okay?\n\n Great, thank you.\n\n All the best. Take care then. Bye-bye.\n\n Bye-bye.", "marks": [ [ 0, 9, "Hi there.", false ], [ 29, 46, "Doctor", false ], [ 52, 60, "GP at Hand.", false ], [ 82, 97, "Hi. OK.", false ], [ 232, 249, "am thirty", true ], [ 460, 468, "AB one CB two.", false ], [ 714, 720, ".", false ], [ 1231, 1234, "guess", false ], [ 1268, 1294, "", false ], [ 1530, 1542, "we've lost", false ], [ 1562, 1562, "there", false ], [ 1966, 1967, "few", false ], [ 2047, 2049, "there", false ], [ 2680, 2680, "Can", false ], [ 2947, 2947, "Right .", false ], [ 3308, 3319, "a month ago probably", false ], [ 3909, 3914, ".", false ], [ 4718, 4718, "Good excellent.", false ], [ 5140, 5143, "do", false ], [ 5825, 5828, "a", false ], [ 6143, 6154, "Right OK.", false ], [ 6360, 6370, "actually", false ], [ 6514, 6523, "", false ], [ 6984, 6992, "gonna", false ], [ 7003, 7008, "uh", false ], [ 7014, 7022, "gonna", false ], [ 7714, 7717, "your", false ], [ 7736, 7739, "check", false ], [ 7833, 7842, "time frame", false ], [ 7902, 7907, "OK whether", false ], [ 7915, 7922, "have", true ], [ 7961, 7961, "Sure.", false ], [ 8009, 8013, "they're", false ], [ 8834, 8839, "can", false ], [ 8875, 8880, "PALS", false ], [ 8947, 8951, "leave", false ], [ 9256, 9260, "got time", false ], [ 9347, 9358, "in the books", false ], [ 9399, 9424, "OK.", false ], [ 9729, 9756, "", false ], [ 9761, 9771, "you", false ], [ 9777, 9784, "get", false ], [ 9800, 9800, "back", false ], [ 9810, 9825, "OK.", false ], [ 10055, 10059, "help", false ], [ 10144, 10158, "OK.", false ], [ 10198, 10224, "now. Bye bye.", false ] ] }, { "label": "Run 5", "wer": 9.322033898305085, "text": "All right, good morning. I'm Dr. Gideon Miller from QPM; nice to see you.\n\n Thanks.\n\n Okay, so, um, before we start your appointment, could I confirm your full name and date of birth, please?\n\n Yeah, it's John Smith, and I— I'm 32 years old.\n\n Sorry, I didn't catch your date of birth.\n\n I'm 32 years old.\n\n 32 years old, okay. Could you tell me the first line of your address and your postcode, please?\n\n Uh, it's 4 Park Avenue, and it's AB1 CB2.\n\n That's great, thank you so much for that. Are you in a private place where you're okay to speak at the moment?\n\n Yeah.\n\n Okay. So how can I help you today? You've been having some problems with your asthma, is that right?\n\n Sorry, say that again.\n\n How can I help you today?\n\n So, um, I've been experiencing very weird symptoms over the past month or so, and I don't know what's causing them. I have Googled it, and, um, nothing's coming up, so I thought I'd come and speak to you about it.\n\n Okay. So tell me a bit more about these weird symptoms you've been having.\n\n So it started with feeling very tired for a couple of days, and then I get back to normal. And then I started losing feeling of my hands and arms, I get a weird sensation like, uh, I get pins and needles, and—\n\n Right. So what— so just to say it again, the connection's not so great. You've been getting pins and needles in the hand, is that right?\n\n Yeah, that's correct.\n\n Okay. Is that the right or left hand?\n\n My right hand.\n\n Is it always the right?\n\n Yes.\n\n Okay. Um, with lots of video now, maybe is a, a, a button you can press. Okay. Are you happy for us to carry on without the video? I can't see you at the moment.\n\n Yes, that's fine.\n\n All right. Um, so you've been having these pins and needles episodes of numbness in the right hand. Is it just the hand, or does it go up the arm as well?\n\n Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts 3 days, and then goes back to normal. So it's very weird.\n\n Right, okay. And is it any involvement of your leg at all?\n\n Uh, my colleague said I'm walking slightly differently to normal. And again, it's only for 3 days or 3 or 4 days.\n\n Okay. You— you said you've been having weird symptoms for about a month.\n\n Yes.\n\n So— so what has been happening from the beginning of the month? What else has been happening?\n\n Um, I generally feel tired and weak, and sometimes I feel nauseous, and I don't feel like I want to do anything.\n\n Right. Okay. Um, and, um, you. Know, your colleague said you've— you've not been walking normally.\n\n Yes.\n\n Do you feel anything different on either side in terms of your legs? Have you noticed anything different?\n\n Yes, so at the same time I get my arm symptoms, my leg feels weaker, And, you know, you— the abnormal gait, has that been present outside of these episodes? No. It has not.\n\n Right.\n\n So normally I'm fit and well, actually.\n\n All right. Okay. Um, and these— these episodes, how often have they been happening?\n\n They have been getting more regular. So at the start it would be maybe once a week, uh, to every once— once a month, but now it's getting a couple of times a day.\n\n Right, okay. And how long have these episodes been going on for? When— when did it all start? Is it—\n\n It might be a month and a half, maybe 2 months.\n\n Right, okay. Okay. And along with these symptoms, uh, of the weakness and numbness, do you have any other symptoms at the same time? Like swallowing or difficulty speaking or vision problems?\n\n So, recently I've noticed I can't hold my cup of coffee, and when I do drink coffee, it's slightly harder to drink, and that's only been in the last couple of days, I guess.\n\n Right. Is that— during these episodes, or outside of these episodes?\n\n Only during the episodes.\n\n Okay. Do you have any difficulty swallowing at all?\n\n Not currently, no.\n\n Okay. During the episodes, do you have any difficulty swallowing?\n\n I— I— I feel like there's something in my throat.\n\n Okay. What about, um, difficulty speaking during these episodes? Any— any issues with that at all?\n\n No, I can speak fine.\n\n Okay. And any visual problems during these episodes?\n\n I don't think so, but I wear glasses.\n\n Okay. All right. Now, um, can I just ask, has— is there any history of stroke or mini-strokes in your family?\n\n Uh, yes, my father has had a operation to the side of his neck to reduce the risk of stroke.\n\n Right, okay. Um, and, uh, how about yourself? Have you had any history of mini-strokes or anything like that along those lines? I know you're quite young.\n\n No, so after my dad had his operation, I was required to be checked, and my cholesterol was fine, So you had a— a blood test done. And did they check for diabetes as well? They checked my diabetes, my blood pressure, and my cholesterol, and the doctor said it was all okay.\n\n Fantastic. Okay. Now, do you have any other illnesses at all?\n\n No.\n\n No. Are you on any medication?\n\n I take an aspirin, 75 milligrams, once a day, but that's because of something I read on the internet.\n\n Okay. So— so why is that? Why did you take that?\n\n I think it's meant to reduce your risk of stroke and heart attack.\n\n Okay. Do you— have you ever told a doctor before your GP that you're on aspirin?\n\n Yes, I took— I started taking it after my father had his operation.\n\n Okay.\n\n But that wasn't the doctor telling me.\n\n Okay. And has any GP ever spoken to you about the risks of aspirin and whether you should be on it, or have you not told the— the GP in the past?\n\n No.\n\n I haven't. You haven't. Okay. Um, all right. Um, now, um, in terms of your, uh, your kind of social situation, um, are you working at the moment?\n\n Yes, I am.\n\n What do you work as?\n\n Uh, I'm— I'm actually a doctor.\n\n You're a med— a medical doctor?\n\n Yes.\n\n Okay. Uh, which specialty are you in?\n\n I work in, uh, plastic surgery.\n\n Plastic surgery. Okay, great. And, um, do you have any, um, allergies to any medication at all?\n\n I'm allergic to penicillin only.\n\n Okay. And, um, are you, um, living alone?\n\n No, I live with my wife.\n\n Wife. Okay. Um, fantastic. Uh, do you smoke at all?\n\n No, I don't.\n\n Right, okay. Um, that's fine. Now, obviously you're— you're a medic yourself, did you have any thoughts as to what might be going on?\n\n Uh, I've absolutely got no idea.\n\n Right, okay. Um, well, the way you're describing these episodes, they make me concerned about mini-strokes or TIAs, transient— transient ischemic attacks. Um, and so that's something quite urgent, and given that you've got a family history of, um, stroke, um, even though you're quite young, I think, um, it's something that we need to exclude. So what I'm probably going to do, and in fact what I am going to do is I'm going to refer you to a stroke— a TIA clinic. Um, now just to double-check, do you have the symptoms right now?\n\n No, I'm perfectly fine at the moment.\n\n Okay. So— so what I'm going to do is I'm going— I'm going to refer you to a mini-stroke clinic or a TIA clinic. Um, I send that referral off now, and then you can attend them. They— they'll usually call you in within the next 1 to 2 days.\n\n Okay.\n\n Okay? Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days before the weekend, so, um, uh, basically the deadline should be Thursday, Friday, we're expecting to be seen by that time. That's the kind of turnaround we're— we're looking at. And in that clinic, they'll be doing a number of things. Um, they'll be checking— they'll be doing the ultrasound of the carotid arteries, like your— your father had, um, and they'll be doing maybe a— they might do a scan of the brain as well, to see if there's any signs of a bleed there. But, um, they'll be doing a range of tests in a short timeframe, in order to exclude whether you have, um, any illness.\n\n Sure.\n\n You haven't got any kind of stroke or mini-stroke. Now, if your symptoms return and they persist, they prolonged, then, um, you may need to attend A&E, okay? Because, um, our presumptive working diagnosis is mini-stroke or TIA, okay? And if a mini-stroke is prolonged, then, uh, then we end up thinking that this might be a stroke, and in that case, that becomes even more of an emergency. So we're not talking about waiting 1 or 2 days. We want you to go to the hospital in that instance, as soon as possible, okay?\n\n Sure.\n\n Now, if th— things happen again, feel free to contact us. We can assess you over the phone. We can give you direction and guidance over the phone. That's— that's— that's not a problem. You know, you've got— you've got easy access to us.\n\n Okay.\n\n Okay? So, um, this is the plan going forward. Um, I'm going to, um, do that referral. You should hear back from the hospital, relatively soon. The hospital— you could actually ring them on, um, uh, the pal's number, and then there's also the TIA clinic number. I'm going to need that number in the notes for this consultation.\n\n Okay.\n\n Okay? So you'll have all the information you need to chase this appointment, and, um, if you want, you can ring them either today or tomorrow morning to— today in the afternoon, wait 1 or 2 hours, or tomorrow morning just to find out when they plan to slot you in, and just to make sure they've got you in the system, that they've got them booked, and they're going to be calling you in, okay?\n\n Great.\n\n So, um, this isn't, uh, an immediate emergency that you need to rush down to A&E, but it's something quite urgent that we need to deal with in a short space of time, okay? So if there's— if there's any delay that transpires, for example, you can't make the appointment, or, you know, that you don't get called, something needs to be done. You need to be get— getting in contact back with us, okay?\n\n Great.\n\n All right. Did you have any questions at all?\n\n No, I think that covers most of it.\n\n Okay, great. So just bear with me a few minutes, and then I'll send that, uh, all through, and then you should— um, you should be able to have— you should have the information at your hands to, in order to take things further, okay?\n\n Great, thank you.\n\n All the best. Take care then. Bye-bye.\n\n Bye-bye.", "marks": [ [ 0, 9, "Hi there.", false ], [ 29, 46, "Doctor", false ], [ 52, 55, "GP at Hand.", false ], [ 77, 92, "Hi. OK.", false ], [ 227, 233, "am thirty two", false ], [ 446, 454, "AB one CB two.", false ], [ 701, 707, ".", false ], [ 1218, 1221, "guess", false ], [ 1255, 1281, "", false ], [ 1517, 1529, "we've lost", false ], [ 1549, 1549, "there", false ], [ 1953, 1954, "few", false ], [ 2034, 2036, "there", false ], [ 2667, 2667, "Can", false ], [ 2934, 2934, "Right .", false ], [ 3295, 3306, "a month ago probably", false ], [ 3896, 3901, ".", false ], [ 4705, 4705, "Good excellent.", false ], [ 5127, 5130, "do", false ], [ 5812, 5815, "a", false ], [ 6130, 6141, "Right OK.", false ], [ 6347, 6357, "actually", false ], [ 6501, 6510, "", false ], [ 6972, 6980, "gonna", false ], [ 6991, 6996, "uh", false ], [ 7002, 7010, "gonna", false ], [ 7704, 7707, "your", false ], [ 7726, 7729, "check", false ], [ 7823, 7832, "time frame", false ], [ 7892, 7897, "OK whether", false ], [ 7905, 7912, "have", true ], [ 7951, 7951, "Sure.", false ], [ 7999, 8003, "they're", false ], [ 8438, 8440, "", false ], [ 8625, 8635, "you", false ], [ 8840, 8845, "can", false ], [ 8881, 8886, "PALS", false ], [ 8953, 8957, "leave", false ], [ 9262, 9266, "got time", false ], [ 9353, 9364, "in the books", false ], [ 9406, 9431, "OK.", false ], [ 9736, 9763, "", false ], [ 9768, 9778, "you", false ], [ 9784, 9791, "get", false ], [ 9807, 9807, "back", false ], [ 9817, 9832, "OK.", false ], [ 10062, 10066, "help", false ], [ 10151, 10165, "OK.", false ], [ 10205, 10231, "now. Bye bye.", false ] ] } ], "heidi": [ { "label": "Run 1", "wer": 11.069915254237287, "text": "I'm Dr. Goodman Han. Nice to see you. Okay. So, um, before we start your appointment, could I confirm your full name and date of birth, please? Yes, John Smith, and I am thirty-two years old.\n\nSo I did that's your date of birth? I'm thirty-two years old. Thirty-two years old. Okay. Could you tell me the first line of your address and your postcode, please? It's Four Park Avenue, and it's AB1, CB2. That's great. Thank you so much for that. Are you in a private place where you're okay to speak at the moment? Yeah. Okay. So how can I help you today? You've been having some problems with your action, is that right?\n\nSorry. Say that again. How can I help you today? So, um, I've been experiencing very weird symptoms over the past month or so, and I just know what's causing them. I have Googled it, and, um, nothing's coming up. I thought I'd come and speak to you about it. Okay. So tell me a bit more about these weird symptoms you've been having. So it started with feeling very tired for a couple of days, and then I get back to normal. And then I started losing feeling like hands and arms. I get a weird sensation like, uh, I get pins and needles. Right. And so you're just telling again, the connection is not so great. You've been getting pins and needles in the hand. Is that right?\n\nYeah, that's correct. Okay. Is that the right or left hand? My right hand. Is it always the right? Yeah. Okay. Um, we've lost video now. Maybe is there a button you can press? Okay. Are you happy for us to carry on without the video? I can't see you at the moment. Yeah, that's fine. All right. Um, so you've been having these pins and needles, episodes of numbness in the right hand. Is it just the hand, or does it go up the arm as well? Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts a few days and then goes back to normal. So it's very weird.\n\nRight. Okay. And is there any involvement of your leg at all? My colleague said I'm walking slightly differently to normal. And again, it's only for three days or three or four days. Okay. You you said you've been having weird symptoms for about a month? Yeah. So so what has been happening from the beginning of the month? What else has been happening? I generally feel tired and weak, and sometimes I feel nauseous, and I don't feel like I want to do anything. Right. Okay. And, you know, your colleague said you've you've not been walking normally. Yes.\n\nDo you feel anything different on either side in terms of your legs? Have you noticed anything different? Yes. So at the same time I get my arm symptoms, my leg feels weaker. Right. Okay. And, you know, you the abnormal gait. Has that been present outside of these episodes? No. It has not. Right. So, normally, I'm fit and well, actually. Alright. Okay. And these these episodes, how often have they been happening? They've been getting more regular. So at the start, it would be maybe once a week to every once a once a month.\n\nBut now it's getting a couple of times a day. Right. Okay. And how long have these episodes been going on for? When when did it all start? Is that maybe a month and a half, maybe two months? Right. Okay. Okay. And along with these symptoms of the weakness and numbness, do you have any other symptoms at the same time, like swallowing or difficulty speaking or vision problems? So recently, I've noticed I can't hold my cup of coffee. And when I do drink coffee, it's slightly harder to drink. And that's only been in the last couple of days, I guess. Right. Is that during these episodes or outside of these episodes? Only during the episodes.\n\nOkay. Do you have any difficulty swallowing at all? Not currently, no. Okay. During the episodes, do you have any difficulty swallowing? I I I feel like there's something in my throat. Okay. What about difficulty speaking during these episodes? Any any issues with that at all? No. I can speak fine. Okay. And any visual problems during these episodes? I don't think so, but I wear glasses. Okay. Alright. Now can I just ask, has is there any history of stroke or mini strokes in your family? Yes. My father has had a operation to the side of his neck.\n\nTo reduce the risk of stroke. Right. Okay. And how about yourself? Have you had any history of mini strokes or anything like that along those lines? I know you're quite young. No. So after my dad had his operation, I was required to be checked, and my cholesterol was fine. Good. Excellent. So you had a a blood test done. And did they check your diabetes as well? They checked my diabetes, my blood pressure, and my cholesterol, and the doctor said it was all okay. Fantastic. Okay. Now do you have any other illnesses at all? No. No. Are you on any medication?\n\nI take an aspirin seventy-five milligrams once a day, but that's because of something I read on the internet. Okay. So, so why is that? Why do you take that? I think it's meant to reduce your risk of stroke and heart attack. Okay. Do, have you ever told a doctor before your GP that you're on aspirin? Yes, I took-- I started taking it after my father had his operation, but that wasn't the doctor telling me. Okay. A- and has any GP ever spoken to you about the risks of aspirin and whether you should be on it, or have you not told the G- the GP in the past? No, I haven't. You haven't. Okay. Um, all right. Um, now, um, in terms of your, uh-\n\nYour kind of social situation. Are you working at the moment? Yes, I am. What do you work as? I'm I'm actually a doctor. You're a medical doctor? Yes. Okay. Which specialty are you in? I work in plastic surgery. Plastic surgery. Okay. Great. And do you have any allergies to any medication at all? I'm allergic to penicillin only. Okay. And are you living alone? No. I live with my wife. Wife. Okay. Fantastic. Do you smoke at all? No. I don't.\n\nRight. Okay. Um, that's fine. Now, obviously, you're you're a medic yourself. Did you have any thoughts as to what might be going on? Uh, I've absolutely got no idea. Right. Okay. Um, well, the way you're describing these episodes, they make me concerned about mini strokes or TIAs, transient, transient ischemic attacks. Um, and so that's something quite urgent. And given that you've got a family history of, um, stroke, um, even though you're quite young, I think, um, it's something that we need to exclude. So what I'm probably going to do, in fact, what I am going to do, is I'm going to refer you to a stroke, a TIA clinic.\n\nUm, now, just to double-check, do you have the symptoms right now? No, I'm perfectly fine at the moment. Okay. So, so what I'm gonna do is I'm gonna, I'm gonna refer you to a, a mini-stroke clinic or a TIA clinic. Um, I send that referral off now, and then you can attend them. They, they'll usually call you in within the next one to two days, okay? Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days before the weekend. So, um, uh, basically the deadline should be Thursday, Friday. We're expecting you to be seen by that time. That's the kind of turnaround we're, we're looking at. And in that clinic, they'll be doing a number of things. Um, they'll be checking-- they'll be doing that ultrasound of the carotid arteries like what your father had. Um, and they'll be doing, maybe a-- they might do a scan of the brain as well to check if there's any signs of a bleed there. But, um, they'll be doing a range of tests in a short time frame.\n\nIn order to exclude whether you have any illness or you haven't got any kind of stroke or mini stroke. Now if your symptoms return and they persist, they're prolonged, then you may need to attend to A ⁇ E. Okay? Because our presumptive working diagnosis is mini stroke or TIA. Okay? And if a mini stroke is prolonged, then then we end up thinking that this might be a stroke. And in that case, that becomes even more of an emergency. So we're not talking about waiting one or two days. We want you to go to the hospital in that instance as soon as possible. Okay? Sure. Now if things happen again, feel free to contact us. We can assess you over the floor. We can give you direction and guidance over the time. That's not the problem. You know, you've you've got easy access to us. Okay. So this is the plan going forward. I'm going to\n\nDo that referral. You should hear back from the hospital relatively soon. The hospital, you could actually ring them on, um, uh, the PALS number, and then there's also the GIA clinic number. I'm going to put that number in the notes for this consultation. Okay? So you'll have all the information you need to chase this appointment. And, um, if you want, you can ring them either today or tomorrow morning, tomorrow, today in the afternoon. Wait one or two hours or tomorrow morning, just to find out one day of plan to slot you in and just to make sure they've got you in the system that they've got in the books and they're going to be calling you in. Okay? Great. So, um, this isn't an immediate emergency that you need to rush down to Amy, but it's something quite urgent that we need to deal with in a short space of time. Okay. So if there's if there's any delay that transpires, for example, you can't make the appointment or, you know, you don't get called, something needs to be done. You need to be getting in contact back with us. Okay. Great. All right. Did you have any questions at all?\n\nNo, I think that covers most of it. Okay, great. So just bear with me a few minutes, and then I'll send that all through, and then you should, um, you should be able to have-- you should have the information at your hands to, in order to take things further, okay? Great. Thank you. All the best. Take care then. Bye-bye. Bye.", "marks": [ [ 0, 0, "Hi there. Good morning.", false ], [ 4, 20, "Doctor from GP at Hand.", false ], [ 38, 43, "Hi. OK.", false ], [ 144, 147, "Yeah it's", false ], [ 193, 195, "Sorry", false ], [ 198, 208, "didn't catch", false ], [ 391, 400, "AB one CB two.", false ], [ 596, 602, "asthma.", false ], [ 636, 642, ".", false ], [ 753, 757, "don't", true ], [ 1079, 1083, "in my", false ], [ 1136, 1139, "guess", false ], [ 1165, 1191, "", false ], [ 1203, 1216, "connection's", false ], [ 2526, 2526, "Can", false ], [ 2799, 2813, "Right . All right OK. Um", false ], [ 2876, 2883, "They have", false ], [ 3128, 3141, "Was it a month ago probably", false ], [ 3706, 3711, ".", false ], [ 4026, 4040, "OK all right.", false ], [ 4531, 4535, "for", false ], [ 5163, 5171, "OK. Uh", false ], [ 5291, 5293, "", false ], [ 5787, 5798, "Right OK. Um", false ], [ 5988, 5998, "actually", false ], [ 6128, 6137, "", false ], [ 6620, 6625, "uh", false ], [ 7249, 7253, "your", false ], [ 7331, 7334, "your", false ], [ 7513, 7515, "OK whether", false ], [ 7520, 7527, "have", true ], [ 7554, 7566, "mini-stroke. Sure.", false ], [ 8114, 8120, "phone", false ], [ 8169, 8174, "phone. That's that's", false ], [ 8209, 8215, "you", false ], [ 8393, 8398, "can", false ], [ 8473, 8476, "TIA", false ], [ 8505, 8508, "leave", false ], [ 8708, 8716, "", false ], [ 8802, 8817, "when they got time", false ], [ 8955, 8974, "OK.", false ], [ 9040, 9043, "A and E.", false ], [ 9267, 9294, "", false ], [ 9299, 9317, "you get get", false ], [ 9333, 9333, "back", false ], [ 9343, 9355, "OK.", false ], [ 9572, 9578, "help", false ], [ 9662, 9674, "OK.", false ], [ 9710, 9724, "now.", false ], [ 9729, 9729, "bye.", false ] ] }, { "label": "Run 2", "wer": 10.434322033898304, "text": "Hi there. Good morning. I'm Dr. Good Miller from PTSD. Nice to see you. Okay. So, um, before we start your appointment, can I confirm your full name and Dr. Bird, please? Yes, John Smith, and I am thirty-fifty-two years old.\n\nSo I did that date of birth? I'm thirty-two years old. Thirty-two years old. Okay. Could you tell me the first line of your address and your postcode, please? It's Four Park Avenue, and it's AB1, CB2. That's great. Thank you so much for that. Are you in a private place where you're okay to speak at the moment? Yeah. Okay. So how can I help you today? You've been having some problems with your action, is that right?\n\nSorry. Say that again. How can I help you today? So, um, I've been experiencing very weird symptoms over the past month or so, and I don't know what's causing them. I have Googled it, and, um, nothing's coming up, so I thought I'd come and speak to you about it. Okay, so tell me a bit more about these weird symptoms you've been having. So it started with feeling very tired for a couple of days, and then I get back to normal. And then I started losing feeling hands and arms. I get a weird sensation like, uh, I get pins and needles. Right. And just tell me again, the connection is not so great. You've been getting pins and needles in the hand. Is that right?\n\nYeah, that's correct. Okay. Is that the right or left hand? My right hand. Is it always the right? Yeah. Okay. Um, we've lost video now. Maybe is there a button you can press? Okay. Are you happy for us to carry on without the video? I can't see you at the moment. Yeah, that's fine. All right. Um, so you've been having these pins and needles episodes of numbness in the right hand. Is it just the hand, or does it go up the arm as well? Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts a few days and then goes back to normal. So it's very weird.\n\nRight. Okay. And is there any involvement of your leg at all? My colleague said I'm walking slightly differently to normal. And again, it's only for three days or three or four days. Okay. You you said you've been having weird symptoms for about a month? Yeah. So so what has been happening from the beginning of the month? What else has been happening? I generally feel tired and weak, and sometimes I feel nauseous, and I don't feel like I want to do anything. Right. Okay. And, you know, your colleague said you've you've not been walking normally? Yes. Do you feel anything different on either side in terms of your legs? Have you noticed anything different?\n\nYes. So at the same time I get my arm symptoms, my leg feels weaker. Right. Okay. And, you know, you the abnormal gait. Has that been present outside of these episodes? No. It has not. Right. So, normally, I'm fit and well, actually. Alright. Okay. And these these episodes, how often have they been happening? They have been getting more regular. So at the start, it would be maybe once a week to every once a once a month, but now it's getting a couple of times a day.\n\nRight. Okay. And how long have these episodes been going on for? When when did it all start? Is that from a month and a half, maybe two months? Right. Okay. Okay. And along with these symptoms of the weakness and numbness, do you have any other symptoms at the same time, like swallowing or difficulty speaking or vision problems? So recently, I've noticed I can't hold my cup of coffee. And when I do drink coffee, it's slightly harder to drink. And that's only been in the last couple of days, I guess. Right. Is that during these episodes or outside of these episodes? Only during the episodes.\n\nOkay. Do you have any difficulty swallowing at all? Not currently, no. During the episodes, do you have any difficulty swallowing? I I I feel like there's something in my throat. Okay. What about difficulty speaking during these episodes? Any any issues with that at all? No. I can speak fine. Okay. And any visual problems during these episodes? I don't think so, but I wear glasses. Okay. Alright. Now can I just ask, has is there any history of stroke or mini strokes in your family? Yes. My father has had a operation to the side of his neck.\n\nTo reduce the risk of stroke. Right. Okay. And how about yourself? Have you had any history of mini strokes or anything like that along those lines? I know you're quite young. No. So after my dad had his operation, I was required to be checked, and my cholesterol was fine. Good. Excellent. So you had a a blood test done. And did they check your diabetes as well? They checked my diabetes, my blood pressure, and my cholesterol, and the doctor said it was all okay. Fantastic. Okay. Now do you have any other illnesses at all? No. No. Are you on any medication?\n\nI take an aspirin seventy-five milligrams once a day, but that's because of something I read on the internet. Okay. So, so why is that? Why do you take that? I think it's meant to reduce your risk of stroke and heart attack. Okay. Do, have you ever told a doctor before your GP that you're on aspirin? Yes, I took-- I started taking it after my father had his operation, but that wasn't the doctor telling me. Okay. A- and has any GP ever spoken to you about the risks of aspirin and whether you should be on it, or have you not told the G- the GP in the past? No, I haven't. You haven't. Okay. Um, all right. Um, now, um, in terms of your, uh-\n\nYour kind of social situation. Are you working at the moment? Yes, I am. What do you work as? I'm I'm actually a doctor. You're a medical doctor? Yes. Okay. Which specialty are you in? I work in plastic surgery. Plastic surgery. Okay. Great. And do you have any allergies to any medication at all? I'm allergic to penicillin only. Okay. And are you living alone? No. I live with my wife. Wife. Okay. Fantastic. Do you smoke at all? No. I don't.\n\nRight. Okay. Um, that's fine. Now, obviously, you're you're a medic yourself. Did you have any thoughts as to what might be going on? Uh, I've absolutely got no idea. Right. Okay. Um, well, the way you're describing these episodes, they make me concerned about mini strokes or TIAs, transient, transient ischemic attacks. Um, and so that's something quite urgent. And given that you've got a family history of, um, stroke, um, even though you're quite young, I think, um, it's something that we need to exclude. So what I'm probably going to do, in fact, what I am going to do, is I'm going to refer you to a stroke, a TIA clinic.\n\nUm, now just to double check, do you have the symptoms right now? No, I'm perfectly fine at the moment. Okay. So, so what I'm gonna do is I'm gonna, I'm gonna refer you to a, a mini stroke clinic or a TIA clinic. Um, I send that referral off now, and then you can attend them. They, they'll usually call you in within the next one to two days, okay? Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days before the weekend. So, um, uh, basically the deadline should be Thursday, Friday. We're expecting you to be seen by that time. That's the kind of turnaround we're, we're looking at. And in that clinic, they'll be doing a number of things. Um, they'll be checking-- they'll be doing the ultrasound of the carotid arteries like your, your father had, um, and they'll be doing, uh, maybe a-- they might do a scan of the brain as well to check if there's any signs of a bleed there. But, um, they'll be doing a range of tests in a short time frame.\n\nIn order to exclude whether you have any illness or you haven't got any kind of stroke or mini stroke. Now if your symptoms return and they persist, they're prolonged, then you may need to attend A ⁇ E. Okay? Because our presumptive working diagnosis is mini stroke or TIA. Okay? And if a mini stroke is prolonged, then then we end up thinking that this might be a stroke. And in that case, that becomes even more of an emergency. So we're not talking about waiting one or two days. We want you to go to the hospital in that instance as soon as possible. Okay? Sure. Now if things happen again, feel free to contact us. We can assess you over the phone. We can give you direction and guidance over the phone. That's that's that's not the problem. You know, you've you've got easy access to us. Okay? So this is the plan going forward. I'm going to\n\nDo that referral. You should hear back from the hospital relatively soon. The hospital, you could actually ring them on, um, uh, the PALS number, and then there's also the PIA clinic number. I'm going to put that number in the notes for this consultation. Okay, so you'll have all the information you need to chase this appointment. And, um, if you want, you can ring them either today or tomorrow morning, tomorrow today in the afternoon, wait one or two hours, or tomorrow morning, just to find out when they have time to slot you in and just to make sure they've got you in the system that they've got in the books and they're going to be recording you in. Okay. Great. So, um, this isn't an immediate emergency that you need to rush down to any, but it's something quite urgent that we need to deal with in a short space of time. Okay. So if there's if there's any delay that transpires, for example, you can't make the appointment or, you know, you don't get called.\n\nSomething you know, you need to be get getting in contact back with us. Okay? Great. Alright. Did you have any questions at all? No. I think that covers most of it. Okay. Great. So just bear with me a few minutes, and then I'll send that all through, and then you should you should be able to have you should have the information at your hands in order to take things further. Okay? Great. Thank you. All the best. Take care then. Bye bye. Bye.", "marks": [ [ 28, 43, "Doctor", false ], [ 49, 54, "GP at Hand.", false ], [ 72, 77, "Hi. OK.", false ], [ 120, 123, "Could", false ], [ 153, 161, "date of birth", false ], [ 171, 174, "Yeah it's", false ], [ 197, 213, "thirty two", true ], [ 226, 228, "Sorry", false ], [ 231, 239, "didn't catch your", false ], [ 417, 426, "AB one CB two.", false ], [ 622, 628, "asthma.", false ], [ 662, 668, ".", false ], [ 1108, 1108, "in my", false ], [ 1161, 1164, "guess", false ], [ 1190, 1206, "", false ], [ 1218, 1231, "connection's", false ], [ 2539, 2539, "Can", false ], [ 2813, 2827, "Right . All right OK. Um", false ], [ 3144, 3156, "Was it a month ago probably", false ], [ 4035, 4049, "OK all right.", false ], [ 4540, 4544, "for", false ], [ 5172, 5180, "OK. Uh", false ], [ 5300, 5302, "", false ], [ 5796, 5807, "Right OK. Um", false ], [ 5997, 6007, "actually", false ], [ 6137, 6146, "", false ], [ 6628, 6633, "uh", false ], [ 7343, 7346, "your", false ], [ 7525, 7527, "OK whether", false ], [ 7532, 7539, "have", true ], [ 7566, 7578, "mini-stroke. Sure.", false ], [ 8233, 8239, "you", false ], [ 8417, 8422, "can", false ], [ 8497, 8500, "TIA", false ], [ 8529, 8532, "leave", false ], [ 8732, 8740, "", false ], [ 8836, 8840, "got", false ], [ 8967, 8976, "calling", false ], [ 8985, 9004, "OK.", false ], [ 9070, 9073, "A and E.", false ], [ 9298, 9307, "", false ], [ 9312, 9316, "", false ], [ 9322, 9332, "", false ], [ 9337, 9344, "get", false ], [ 9360, 9360, "back", false ], [ 9370, 9391, "OK. All right.", false ], [ 9591, 9595, "help", false ], [ 9675, 9687, "OK.", false ], [ 9723, 9728, "now.", false ], [ 9738, 9742, "", false ] ] }, { "label": "Run 3", "wer": 11.175847457627118, "text": "Hi there. Good morning. I'm Dr. Goodman from PTSD. Nice to see you. Okay. So, um, before we start your appointment, could I confirm your full name is Dr. Berkeley? Yeah, John Smith, and I am thirty-two years old.\n\nSo I do actually date of birth. I'm thirty two years old. Thirty two years old. Okay. Could you tell me the first line of your address and your postcode please? Four Park Avenue, and it's AB1, CB2. That's great. Thank you so much for that. Are you in a private place where you're okay to speak at the moment? Yeah. Okay. So how can I help you today? You've been having some problems with your action. Is that right?\n\nSorry. Say that in- How can I help you today? So, um, I've been experiencing very weird symptoms over the past month or so, and I don't know what's causing them. I have Googled it, and, um, nothing's coming up, so I thought I'd come and speak to you about it. Okay. So tell me a bit more about these weird symptoms you've been having. So it started with feeling very tired for a couple of days, and then I get back to normal. And then I started losing feelings in my hands and arms. I get a weird sensation like, uh, I get pins and needles. Right. And- You-- So what, so you just tell the, the connection is not so great. You've been getting pins and needles in the hand, is that right?\n\nYeah, that's correct. Okay. Is that the right or left hand? My right hand. Is it always the right? Yeah. Okay. Um, we've lost video now. Maybe is there a button you can press? Okay. Are you happy for us to carry on without the video? I can't see you at the moment. Yeah, that's fine. All right. Um, so you've been having these pins and needles episodes of numbness in the right hand. Is it just the hand, or does it go up the arm as well? Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts a few days and then goes back to normal. So it's very weird.\n\nRight. Okay. And is there any involvement of your leg at all? My colleague said I'm walking slightly differently to normal. And again, it's only for three days or three or four days. Okay. You you said you've been having weird symptoms for about a month. Yeah. So so what has been happening from the beginning of the month? What else has been happening? I generally feel tired and weak, and sometimes I feel nauseous, and I don't feel like I want to do anything. Right. Okay. And, you know, your colleague said you've you've not been walking normally. Yes. Do you feel anything different on either side in terms of your legs? Have you noticed anything different?\n\nYes. So at the same time I get my arm symptoms, my leg feels weaker. Right. Okay. And, you know, you the abnormal gait. Has that been present outside of these episodes? No. It has not. Right. So, normally, I'm fit and well, actually. Alright. Okay. And these these episodes, how often have they been happening? They've been getting more regular. So at the start, it would be maybe once a week to every once a once a month, but now it's getting a couple of times a day.\n\nRight. Okay. And how long have these episodes been going on for? When when did it all start? Is that a month and a half, maybe two months. Right. Okay. Okay. And along with these symptoms of the weakness and numbness, do you have any other symptoms at the same time, like swallowing or difficulty speaking or vision problems? So recently, I've noticed I can't hold my cup of coffee. And when I do drink coffee, it's slightly harder to drink. And that's only been in the last couple of days, I guess. Right. Is that during these episodes or outside of these episodes? Only during the episodes.\n\nOkay. Do you have any difficulty swallowing at all? Not currently, no. No. During the episodes, do you have any difficulty swallowing? I I I feel like there's something in my throat. Okay. What about difficulty speaking during these episodes? Any any issues with that at all? No. I can speak fine. Okay. And any visual problems during these episodes? I don't think so, but I wear glasses. Okay. Alright. Now can I just ask, has is there any history of stroke or mini strokes in your hominy? Yes. My father has had a operation to the side of his neck.\n\nTo reduce the risk of stroke. Right. Okay. And how about yourself? Have you had any history of mini strokes or anything like that along those lines? I know you're quite young. No. So after my dad had his operation, I was required to be checked, and my cholesterol was fine. Good. Excellent. So you had a a blood test done. And did they check the diabetes as well? They checked my diabetes, my blood pressure, and my cholesterol, and the doctor said it was all okay. Fantastic. Okay. Now do you have any other illnesses at all? No. No. Are you on any medication?\n\nI take an aspirin seventy-five milligrams once a day, but that's because of something I read on the internet. Okay. So, so why is that? Why do you take that? I think it's meant to reduce your risk of stroke and heart attack. Okay. Do- have you ever told a doctor before your GP that you're on aspirin? Yes, I took-- I started taking it after my father had his operation, but that wasn't the doctor telling me. Okay. A- and has any GP ever spoken to you about the risks of aspirin and whether you should be on it, or have you not told the G- the GP in the past? No, I haven't. You haven't? Okay. Um, all right. Um, now, um, in terms of your, uh-\n\nYour kind of social situation. Are you working at the moment? Yes, I am. What do you work as? I'm I'm actually a doctor. You're a a medical doctor? Yes. Okay. Which specialty are you in? I work in plastic surgery. Plastic surgery. Okay. Great. And do you have any allergies to any medication at all? I'm allergic to penicillin only. Okay. And are you living alone? No. I live with my wife. Wife. Okay. Fantastic. Do you smoke at all? No. I don't.\n\nRight. Okay. Um, that's fine. Now, obviously, you're you're a medic yourself. Did you have any thoughts as to what might be going on? Uh, I've absolutely got no idea. Right. Okay. Um, well, the way you're describing these episodes, they make me concerned about mini strokes or TIAs, transit, transient ischemic attacks. Um, and so that's something quite urgent. And given that you've got a family history of, um, stroke, um, even though you're quite young, I think, um, it's something that we need to exclude. So what I'm probably going to do, in fact, what I am going to do, is I'm going to refer you to a stroke, a TIA clinic.\n\nUm, now, just to double-check, do you have the symptoms right now? No, I'm perfectly fine at the moment. Okay. So, so what I'm gonna do is I'm gonna, I'm gonna refer you to a, a mini-stroke clinic or a TIA clinic. Um, I send that referral off now, and then you can attend them. They, they'll usually call you in within the next one to two days, okay? Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days before the weekend. So, um, uh, basically, the deadline should be Thursday, Friday. We're expecting to be seen by that time. That's the kind of turnaround we're, we're looking at. And in that clinic, they'll be doing a number of things. Um, they'll be checking-- they'll be doing the ultrasound of the carotid arteries like your, your father had, um, and they'll be doing, maybe they might do a scan of the brain as well to check if there's any signs of a bleed there. But, um, they'll be doing a range of tests in a short time frame.\n\nIn order to exclude whether you have any illness or you have got any kind of stroke or mini stroke. Now if your symptoms return and they persist, they're prolonged, then you may need to attend to A ⁇ E. Okay? Because our presumptive working diagnosis is mini stroke or TIA. Okay? And if a mini stroke is prolonged, then then we end up thinking that this might be a stroke. And in that case, that becomes even more of an emergency. So we're not talking about waiting one or two days. We want you to go to hospital in that instance as soon as possible. Okay? Sure. Now if things happen again, feel free to contact us. We can assess you over the floor. We can give you direction and guidance over the time that's that's not the problem. You know, you've you've got easy access to us. Okay? So this is the plan going forward. I'm going to\n\nDo that referral. You should hear back from the hospital relatively soon. The hospital, you could actually ring them on, um, uh, the Pound's number, and then there's also the GIA clinic number. I'm going to put that number in the notes for this consultation. Okay? So you'll have all the information you need to chase this appointment. And, um, if you want, you can ring them either today or tomorrow morning, tomorrow, today in the afternoon, wait one or two hours, or tomorrow morning, just to find out one day at time to slot you in and just to make sure they've got you in the system that they've got in the books and they're going to be calling you in. Okay? Great. So, uh, this isn't an immediate emergency that you need to rush down to Amy, but it's something quite urgent that we need to deal with in a short space of time. Okay? So if there's if there's any delay that transpires, for example, you can't make the appointment or, you know, you don't get called, something needs to be done. You need to be get get in contact back with us. Okay? Great. All right. Did you have any questions at all?\n\nNo, I think that covers most of it. Okay, great. So just bear with me a few minutes, and then I'll send that all through, and then you should, uh, you should be able to have-- you should have the information at your hands to, in order to take things further, okay? Great. Thank you. All the best. Take care then. Bye-bye. Bye-bye.", "marks": [ [ 28, 39, "Doctor", false ], [ 45, 50, "GP at Hand.", false ], [ 68, 73, "Hi. OK.", false ], [ 147, 162, "and date of birth please", false ], [ 168, 168, "it's", false ], [ 214, 216, "Sorry", false ], [ 219, 230, "didn't catch your", false ], [ 373, 373, "It's", false ], [ 402, 411, "AB one CB two.", false ], [ 607, 614, "asthma.", false ], [ 647, 650, ".", false ], [ 1083, 1091, "feeling", false ], [ 1150, 1153, "guess", false ], [ 1179, 1215, "again", false ], [ 1221, 1238, "connection's", false ], [ 2546, 2546, "Can", false ], [ 2820, 2834, "Right . All right OK. Um", false ], [ 2897, 2904, "They have", false ], [ 3149, 3156, "Was it a month ago probably", false ], [ 3721, 3724, ".", false ], [ 4039, 4053, "OK all right.", false ], [ 4133, 4139, "family Uh", false ], [ 4990, 4999, "OK. Do", false ], [ 5175, 5183, "OK. Uh", false ], [ 5303, 5305, "", false ], [ 5801, 5812, "Right OK. Um", false ], [ 6002, 6012, "actually", false ], [ 6142, 6149, "", false ], [ 6632, 6637, "uh", false ], [ 7336, 7339, "your", false ], [ 7518, 7520, "OK whether", false ], [ 7556, 7568, "mini-stroke. Sure.", false ], [ 8112, 8118, "phone", false ], [ 8167, 8171, "phone. That's", false ], [ 8213, 8219, "you", false ], [ 8397, 8402, "can", false ], [ 8438, 8445, "PALS", false ], [ 8480, 8483, "TIA", false ], [ 8512, 8515, "leave", false ], [ 8715, 8723, "", false ], [ 8810, 8820, "when they got", false ], [ 8963, 8982, "OK.", false ], [ 9048, 9051, "A and E.", false ], [ 9275, 9302, "", false ], [ 9307, 9317, "you", false ], [ 9341, 9341, "back", false ], [ 9351, 9363, "OK.", false ], [ 9580, 9586, "help", false ], [ 9670, 9682, "OK.", false ], [ 9718, 9741, "now. Bye bye.", false ] ] }, { "label": "Run 4", "wer": 10.752118644067798, "text": "Hi, Brian. Good morning. I'm Dr. Gen Miller from PTSD. Nice to see you. Okay, so, um, before we start your appointment, could I confirm your full name and direct birth, please? Yes, John Smith, and I am thirty-five-two years old.\n\nSo I do that's a date of birth. I'm thirty two years old. Thirty two years old. Okay. Could you tell me the first line of your address and your postcode? Four Park Avenue, and it's AB1, CB2. That's great. Thank you so much for that. Are you in a private place where you're okay to speak in a second? Yeah. Okay. So how can I help you today? You've been having some problems with your action. Is that right?\n\nSorry. Say that again. How can I help you today? So, um, I've been experiencing very weird symptoms over the past month or so, and I don't know what's causing them. I have Googled it, and, um, nothing's coming up, so I thought I'd come and speak to you about it. Okay. So tell me a little bit about these weird symptoms you've been having. So it started with feeling very tired for a couple of days, and then I get back to normal. And then I started losing feeling hands and arms. I get a weird sensation like, uh, I get pins and needles. Right. And again, the connection is not so great. You've been getting pins and needles in the hand. Is that right?\n\nYeah, that's correct. Okay. Is that the right or left hand? My right hand. Is it always the right? Yeah. Okay. Um, we've lost video now. Maybe is there a button you can press? Okay. Are you happy for us to carry on without the video? I can't see you at the moment. Yeah, that's fine. All right. Um, so you've been having these pins and needles and episodes of numbness in the right hand. Is it just the hand, or does it go up the arm as well? Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts a few days and then goes back to normal. So it's very weird.\n\nRight. Okay. And is there any involvement of your leg at all? My colleague said I'm walking slightly differently to normal. And again, it's only for three days or three or four days. Okay. You you said you've been having weird symptoms for about a month? Yeah. So so what has been happening from the beginning of the month? What else has been happening? I generally feel tired and weak, and sometimes I feel nauseous, and I don't feel like I want to do anything. Right. Okay. And, you know, your colleague said you've you've not been walking normally. Yes. Do you feel anything different on either side in terms of your legs? Have you noticed anything different?\n\nYes. So at the same time I get my arm symptoms, my leg feels weaker. Right. Okay. And, you know, you the abnormal gait. Has that been present outside of these episodes? No. It has not. Right. So, normally, I'm fit and well, actually. Alright. Okay. And these these episodes, how often have they been happening? They've been getting more regular. So at the start, it would be maybe once a week to every once a once a month, but now it's getting a couple of times a day.\n\nRight. Okay. And how long have these episodes been going on for? When when did it all start? Is that a month? A month and a half, maybe two months. Right. Okay. Okay. And along with these symptoms of the weakness and numbness, do you have any other symptoms at the same time, like swallowing or difficulty speaking or vision problems? So recently I've noticed I can't hold my cup of coffee. And when I do drink coffee, it's slightly harder to drink. And that's only been in the last couple of days, I guess. Right. Is that during these episodes or outside of these episodes? Only during the episodes.\n\nOkay. Do you have any difficulty swallowing at all? Not currently, no. During the episodes, do you have any difficulty swallowing? I I I feel like there's something in my throat. Okay. What about difficulty speaking during these episodes? Any any issues with that at all? No. I can speak fine. Okay. And any visual problems during these episodes? I don't think so, but I wear glasses. Okay. Alright. Now can I just ask, has is there any history of stroke or mini strokes in your family? Yes. My father has had a operation to the side of his neck.\n\nTo reduce the risk of stroke. Right. Okay. And how about yourself? Have you had any history of mini strokes or anything like that along those lines? I know you're quite young. No. So after my dad had his operation, I was required to be checked, and my cholesterol was fine. Good. Excellent. So you had a a blood test done. And did they check the diabetes as well? They checked my diabetes, my blood pressure, and my cholesterol, and the doctor said it was all okay. Fantastic. Okay. Now do you have any other illnesses at all? No. No. Are you on any medication?\n\nI take an aspirin seventy-five milligrams once a day, but that's because of something I read on the internet. Okay. So, so why is that? Why did you take that? I think it's meant to reduce your risk of stroke and heart attack. Okay. Do- have you ever told a doctor before your GP that you're on aspirin? Yes, I took-- I started taking it after my father had his operation, but that wasn't the doctor telling me. Okay. A- and has any GP ever spoken to you about the risks of aspirin and whether you should be on it, or have you not told the G- the GP in the past? No, I haven't. You haven't? Okay. Um, all right. Um, now, um, in terms of your, uh-\n\nYour kind of social situation. Are you working at the moment? Yes, I am. What do you work as? I'm I'm actually a doctor. You're a a medical doctor? Yes. Okay. Which specialty are you in? I work in plastic surgery. Plastic surgery. Okay. Great. And do you have any allergies to any medication at all? I'm allergic to penicillin only. Okay. And are you living alone? No. I live with my wife. Wow. Okay. Fantastic. Do you smoke at all? No. I don't.\n\nRight. Okay. Um, that's fine. Now, obviously, you're you're a medic yourself. Did you have any thoughts as to what might be going on? Uh, I've absolutely got no idea. Right. Okay. Um, well, the way you're describing these episodes, they make me concerned about mini strokes or TIAs, transient, transient ischemic attacks. Um, and so that's something quite urgent. And given that you've got a family history of, um, stroke, um, even though you're quite young, I think, um, it's something that we need to exclude. So what I'm probably going to do, in fact, what I am going to do, is I'm going to refer you to a stroke, a TIA clinic.\n\nUm, now just to double check, do you have the symptoms right now? No, I'm perfectly fine at the moment. Okay. So, so what I'm gonna do is I'm gonna, I'm gonna refer you to a, a mini stroke clinic or a TIA clinic. Um, I send that referral off now, and then you can attend them. They, they'll usually call you in within the next one to two days, okay? Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days before the weekend. So, um, uh, basically the deadline should be Thursday, Friday. We're expecting to be seen by that time. That's the kind of turnaround we're, we're looking at. And in that clinic, they'll be doing a number of things. Um, they'll be checking-- they'll be doing the ultrasound of the carotid arteries that your, your father had, um, and they'll be doing, maybe they might do a scan of the brain as well to check if there's any signs of a bleed there. But, um, they'll be doing a range of tests in a short time frame.\n\nIn order to exclude whether you have any illness or you haven't got any kind of stroke or mini stroke. Now if your symptoms return and they persist, they're prolonged, then you may need to attend to A ⁇ E. Okay? Because our presumptive working diagnosis is mini stroke or TIA. Okay? And if a mini stroke is prolonged, then then we end up thinking that this might be a stroke. And in that case, that becomes even more of an emergency. So we're not talking about waiting one or two days. We want you to go to the hospital in that instance as soon as possible. Okay? Sure. Now if things happen again, feel free to contact us. We can assess you over the time, we can give you direction and guidance over the time. That's that's not the problem. You know, you've you've got easy access to us. Okay? So this is the plan going forward. I'm going to\n\nDo that referral. You should hear back from the hospital relatively soon. The hospital, you could actually ring them on, um, uh, the PALS number, and then there's also the GIA clinic number. I'm going to leave that number in the notes for this consultation. Okay? So you'll have all the information you need to chase this appointment. And, um, if you want, you can ring them either today or tomorrow morning, tomorrow, today in the afternoon, wait one or two hours, or tomorrow morning, just to find out one day of time to slot you in and just to make sure they've got you in the system, that they've got in the books and they're going to be calling you in. Okay? Great. So, um, this isn't an immediate emergency that you need to rush down to any, but it's something quite urgent that we need to deal with in a short space of time. Okay? So if there's if there's any delay that transpires, for example, you can't make the appointment or, you know, you don't get called, something you know, you need to be get get in contact back with us, okay? Great. All right. Did you have any questions at all?\n\nNo, I think that covers most of it. Okay, great. So just bear with me a few minutes, and then I'll send that all through, and then you should, um, you should be able to have-- you should have the information at your hands to, in order to take things further, okay? Great. Thank you. All the best. Take care then. Bye-bye. Bye-bye.", "marks": [ [ 4, 10, "there.", false ], [ 29, 43, "Doctor", false ], [ 49, 54, "GP at Hand.", false ], [ 72, 76, "Hi. OK.", false ], [ 155, 161, "date of", false ], [ 177, 180, "Yeah it's", false ], [ 203, 218, "thirty two", true ], [ 231, 233, "Sorry", false ], [ 236, 247, "didn't catch your", false ], [ 383, 383, "please It's", false ], [ 412, 421, "AB one CB two.", false ], [ 518, 542, "at the moment Yes. OK.", false ], [ 615, 622, "asthma.", false ], [ 655, 661, ".", false ], [ 921, 927, "", false ], [ 931, 931, "more", false ], [ 1103, 1103, "in my", false ], [ 1156, 1159, "guess", false ], [ 1200, 1213, "connection's", false ], [ 2525, 2525, "Can", false ], [ 2799, 2813, "Right . All right OK. Um", false ], [ 2876, 2883, "They have", false ], [ 3143, 3143, "ago probably", false ], [ 4022, 4036, "OK all right.", false ], [ 4888, 4891, "do", false ], [ 4974, 4983, "OK. Do", false ], [ 5159, 5167, "OK. Uh", false ], [ 5287, 5289, "", false ], [ 5785, 5795, "Right OK. Um", false ], [ 5985, 5995, "actually", false ], [ 6125, 6134, "", false ], [ 6616, 6621, "uh", false ], [ 7319, 7322, "your", false ], [ 7501, 7503, "OK whether", false ], [ 7508, 7515, "have", true ], [ 7542, 7554, "mini-stroke. Sure.", false ], [ 8102, 8106, "phone", false ], [ 8156, 8161, "phone. That's", false ], [ 8203, 8209, "you", false ], [ 8387, 8392, "can", false ], [ 8467, 8470, "TIA", false ], [ 8704, 8712, "", false ], [ 8799, 8809, "when they got", false ], [ 8953, 8972, "OK.", false ], [ 9038, 9041, "A and E.", false ], [ 9265, 9274, "", false ], [ 9279, 9283, "", false ], [ 9289, 9299, "", false ], [ 9323, 9323, "back", false ], [ 9333, 9345, "OK.", false ], [ 9562, 9568, "help", false ], [ 9652, 9664, "OK.", false ], [ 9700, 9723, "now. Bye bye.", false ] ] }, { "label": "Run 5", "wer": 10.805084745762713, "text": "Hi, Brian. Good morning. I'm Dr. Good Miller from PTSD. Nice to see you. Okay. So, um, before we start your appointment, could I confirm your full name and doctor, please? Yeah, John Smith, and I am thirty-five two years old.\n\nSo I do that's a date of birth? I'm thirty-two years old. Thirty-two years old. Okay. Could you tell me the first line of your address and your postcode, please? It's Four Park Avenue, and it's AB1, CB2. That's great. Thank you so much for that. Are you in a private place where you're okay to speak in a please? Yeah. Okay. So how can I help you today? You've been having some problems with your action, is that right?\n\nSorry. Say that again. How can I help you today? So, um, I've been experiencing very weird symptoms over the past month or so, and I just know what's causing them. I have Googled it, and, um, nothing's coming up, so I thought I'd come and speak to you about it. Okay. So tell me a bit more about these weird symptoms you've been having. So it started with feeling very tired for a couple of days, and then I get back to normal. And then I started losing feeling in my hands and arms. I get a weird sensation like, uh, I get pins and needles. Right. And what so just here again? The connection is not so great. You've been getting pins and needles in the hand. Is that right?\n\nYeah, that's correct. Okay. Is that the right or left hand? My right hand. Is it always the right? Yeah. Okay. Um, we've lost video now. Maybe is there a button you can press? Okay. Are you happy for us to carry on without the video? I can't see you at the moment. Yeah, that's fine. All right. Um, so you've been having these pins and needles and episodes of numbness in the right hand. Is it just the hand, or does it go up the arm as well? Uh, the pins and needles are in the hand, but I feel like my arm is getting weaker, but it only lasts three days and then goes back to normal. So it's very weird.\n\nRight. Okay. And is there any involvement of your leg at all? My colleague said I'm walking slightly differently to normal. And again, it's only for three days or three or four days. Okay. You you said you've been having weird symptoms for about a month. Yeah. So so what has been happening from the beginning of the month? What else has been happening? I generally feel tired and weak, and sometimes I feel nauseous, and I don't feel like I want to do anything. Right. Okay. And, you know, your colleague said you've you've not been walking normally. Yes. Do you feel anything different on either side in terms of your legs? Have you noticed anything different?\n\nYes. So at the same time I get my arm symptoms, my leg feels weaker. Right. Okay. And, you know, you the abnormal gait. Has that been present outside of these episodes? No. It has not. Right. So, normally, I'm fit and well, actually. Alright. Okay. And these these episodes, how often have they been happening? They've been getting more regular. So at the start, it would be maybe once a week to every once a once a month, but now it's getting a couple of times a day.\n\nRight. Okay. And how long have these episodes been going on for? When when did it all start? Is that maybe a month and a half, maybe two months? Right. Okay. Okay. And along with these symptoms of the weakness and numbness, do you have any other symptoms at the same time, like swallowing or difficulty speaking or vision problems? So recently, I've noticed I can't hold my cup of coffee. And when I do drink coffee, it's slightly harder to drink. And that's only been in the last couple of days, I guess. Right. Is that during these episodes or outside of these episodes? Only during the episodes.\n\nOkay. Do you have any difficulty swallowing at all? Not currently, no. No. During the episodes, do you have any difficulty swallowing? I I I feel like there's something in my throat. Okay. What about difficulty speaking during these episodes? Any any issues with that at all? No. I can speak fine. Okay. And any visual problems during these episodes? I don't think so, but I wear glasses. Okay. Alright. Now can I just ask, has is there any history of stroke or mini strokes in your family? Yes. My father has had a operation to the side of his neck.\n\nTo reduce the risk of stroke? Right. Okay. Um, and, uh, how about yourself? Have you had any history of mini strokes or anything like that along those lines? I know you're quite young. No. So after my dad had his operation, I was required to be checked, and my cholesterol was fine. Good. Excellent. So you had a blood test done. And did they check the diabetes as well? They checked my diabetes, my blood pressure, and my cholesterol, and the doctor said it was all okay. Fantastic. Okay. Now, do you have any other illnesses at all? No. No. Are you on any medication?\n\nI take an aspirin seventy-five milligrams once a day, but that's because of something I read on the internet. Okay. So, so why is that? Why do you take that? I think it's meant to reduce your risk of stroke and heart attack. Okay. Do- have you ever told a doctor before your GP that you're on aspirin? Yes, I took-- I started taking it after my father had his operation, but that wasn't the doctor telling me. Okay. A- and has any GP ever spoken to you about the risks of aspirin and whether you should be on it, or have you not told the G- the GP in the past? No, I haven't. You haven't? Okay. Um, all right. Um, now, um, in terms of your, uh-\n\nYour kind of social situation. Are you working at the moment? Yes, I am. What do you work as? I'm I'm actually a doctor. You're a a medical doctor? Yes. Okay. Which specialty are you in? I work in plastic surgery. Plastic surgery. Okay. Great. And do you have any allergies to any medication at all? I'm allergic to penicillin only. Okay. And are you living alone? No. I live with my wife. Wife. Okay. Fantastic. Do you smoke at all? No. I don't.\n\nRight. Okay. Um, that's fine. Now, obviously, you're you're a medic yourself. Did you have any thoughts as to what might be going on? Uh, I've absolutely got no idea. Right. Okay. Um, well, the way you're describing these episodes, they make me concerned about mini strokes or TIAs, transient, transient ischemic attacks. Um, and so that's something quite urgent. And given that you've got a family history of, um, stroke, um, even though you're quite young, I think, um, it's something that we need to exclude. So what I'm probably going to do, in fact, what I am going to do is I'm going to refer you to a stroke, a TIA clinic.\n\nUm, now, just to double-check, do you have the symptoms right now? No, I'm perfectly fine at the moment. Okay. So, so what I'm gonna do is I'm gonna, I'm gonna refer you to a, a mini stroke clinic or a TIA clinic. Um, I send that referral off now, and then you can attend them. They, they'll usually call you in within the next one to two days, okay? Because it's something relatively urgent. Now, today it's Wednesday, so we've got a few days before the weekend. So, um, uh, basically the deadline should be Thursday, Friday. We're expecting to be seen by that time. That's the kind of turnaround we're, we're looking at. And in that clinic, they'll be doing a number of things. Um, they'll be checking-- they'll be doing the ultrasound of the carotid arteries like your, your father had, um, and they'll be doing, maybe they might do a scan of the brain as well to check if there's any signs of a bleed there. Okay. But, um, they'll be doing a range of tests in a short time frame.\n\nIn order to exclude whether you have any illness or you haven't got any kind of stroke or mini stroke. Now if your symptoms return and they persist, they're prolonged, then you may need to attend A ⁇ E. Okay? Because our presumptive working diagnosis is mini stroke or TIA. Okay? And if a mini stroke is prolonged, then then we end up thinking that this might be a stroke. And in that case, that becomes even more of an emergency. So we're not talking about waiting one or two days. We want you to go to hospital in that instance as soon as possible. Okay? Sure. Now if things happen again, feel free to contact us. We can assess you over the floor. We can give you direction and guidance over the floor. That's that's not a problem. You know, you've you've got easy access to us. Okay? So this is the plan going forward. I'm going to\n\nDo that referral. You should hear back from the hospital relatively soon. The hospital, you could actually ring them on, um, uh, the PALS number, and then there's also the GIA clinic number. I'm going to leave that number in the notes for this consultation. Okay? So you'll have all the information you need to chase this appointment. And, um, if you want, you can ring them either today or tomorrow morning, tomorrow, today in the afternoon, wait one or two hours, or tomorrow morning, just to find out one day of time to slot you in and just to make sure they've got you in the system that they've got in the books and they're going to be calling you in. Okay? Great. So, um, this isn't an immediate emergency that you need to rush down to any, but it's something quite urgent that we need to deal with in a short space of time. Okay? So if there's if there's any delay that transpires, for example, you can't make the appointment or, you know, you don't get called, something needs to be done. You need to be getting in contact back with us. Okay? Great. All right. Did you have any questions at all?\n\nNo, I think that covers most of it. Okay, great. So just bear with me a few minutes, and then I'll send that all through, and then you should, um, you should be able to have-- you should have the information at your hands to, in order to get things further, okay? Great. Thank you. All the best. Take care then. Bye-bye. Bye.", "marks": [ [ 4, 10, "there.", false ], [ 29, 44, "Doctor", false ], [ 50, 55, "GP at Hand.", false ], [ 73, 78, "Hi. OK.", false ], [ 156, 162, "date of birth", false ], [ 176, 176, "it's", false ], [ 199, 210, "thirty", true ], [ 227, 229, "Sorry", false ], [ 232, 243, "didn't catch your", false ], [ 421, 430, "AB one CB two.", false ], [ 527, 551, "at the moment Yes. OK.", false ], [ 624, 630, "asthma.", false ], [ 664, 670, ".", false ], [ 781, 785, "don't", true ], [ 1168, 1171, "guess", false ], [ 1197, 1218, "", false ], [ 1230, 1243, "connection's", false ], [ 1869, 1874, "few", false ], [ 2555, 2555, "Can", false ], [ 2829, 2843, "Right . All right OK. Um", false ], [ 2906, 2913, "They have", false ], [ 3158, 3171, "Was it a month ago probably", false ], [ 3736, 3739, ".", false ], [ 4054, 4068, "OK all right.", false ], [ 5013, 5022, "OK. Do", false ], [ 5198, 5206, "OK. Uh", false ], [ 5326, 5328, "", false ], [ 5824, 5835, "Right OK. Um", false ], [ 6025, 6035, "actually", false ], [ 6165, 6174, "", false ], [ 6656, 6661, "uh", false ], [ 7359, 7362, "your", false ], [ 7547, 7549, "OK whether", false ], [ 7554, 7561, "have", true ], [ 7588, 7600, "mini-stroke. Sure.", false ], [ 8141, 8147, "phone", false ], [ 8196, 8202, "phone. That's", false ], [ 8242, 8248, "you", false ], [ 8426, 8431, "can", false ], [ 8506, 8509, "TIA", false ], [ 8743, 8751, "", false ], [ 8838, 8848, "when they got", false ], [ 8991, 9010, "OK.", false ], [ 9076, 9079, "A and E.", false ], [ 9303, 9330, "", false ], [ 9335, 9353, "you get get", false ], [ 9369, 9369, "back", false ], [ 9379, 9391, "OK.", false ], [ 9608, 9614, "help", false ], [ 9677, 9680, "take", false ], [ 9697, 9709, "OK.", false ], [ 9745, 9759, "now.", false ], [ 9764, 9764, "bye.", false ] ] } ] } }, { "case": "After Care Dictation", "product": "i-scribe", "capturedAt": "2026-10-23T14:50:14.804Z", "transcript": "" }, { "case": "After Care Dictation", "product": "i-scribe", "capturedAt": "2026-10-23T14:55:45.798Z", "transcript": "Rawson Al-Najjar has septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, SATs 91% on 6 litres Hudson, BP 92 over 58, CBD dilatation, cholestatic LFTs, recent epixaban, and possible euglycemic ketoacidosis" }, { "case": "After Care Dictation", "product": "i-scribe", "capturedAt": "2026-10-23T14:48:52.454Z", "transcript": "Rawson Al-Najjar has septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, SATs 91% on 6 litres Hudson, BP 92 over 58, CBD dilatation, cholestatic LFTs, recent epixaban, and possible euglycemic ketoacidosis from mpagliflozin." }, { "case": "After Care Dictation", "product": "i-scribe", "capturedAt": "2026-10-23T14:47:17.889Z", "transcript": "Rawson Al-Najjar has septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, SATs 91% on 6 litres Hudson, BP 92 over 58, CBD dilatation, cholestatic LFTs, recent epixaban, and possible euglycemic ketoacidosis⏳" }, { "case": "day2_consultation07", "product": "i-scribe", "capturedAt": "2026-10-23T15:30:52.858Z", "transcript": "Hi there, good morning. Hi, good morning. I'm Dr. Dean Meza from GP at Hand. Nice to see you. Nice to see you too. Okay, great. So before we start your appointment, could you please confirm your full name and date of birth? Yeah, sure. My name is Tim Gowers and I was born in 1958 on the 8th of August. That's great. Thank you so much for that. You look a lot younger, so... That would make you roughly about 50 years old, 51 years old, is that correct? Yeah, around that, yeah, about 60, yeah. 60, okay, perfect. All right, so nice to see you this morning. Are you in a private place where you're okay to speak freely? Yes, I am, yeah. Okay, fantastic. So how can I help you today? Yeah, I was having a bit of chest discomfort, so I was doing some gardening a couple of hours ago and I felt not exactly a pain but like a pressure on my chest feels like someone's sitting on my chest and I've noticed a bit of nausea not no vomiting but I'm pretty sweaty short of breath and it kind of feels like someone's sitting on my chest right okay now do you have those these symptoms right now or have they gone off now um no they're still present okay so you've still got the chest discomfort right now yes okay um we're probably going to have to call an ambulance for you today okay okay so what i'm going to do is i'm going to task my cody next to me to sort that out while we do that i'm going to ask you a few more questions okay a bit more information to the ambulance team when they when they arrive okay so just just to double check um wearing exactly in the chest is the pain? It's in the middle of my chest, over my pecs, but not necessarily to one side. It's quite a diffuse pain. Is it spreading anywhere else, like down to your arm, up to the jaw and the neck, anything like that? Yeah, it's mainly in my left arm. It's feeling a little bit painful, and in my shoulder as well. Okay. Do you remember what you were doing at the time? Yeah, so it started just when I was gardening, so nothing that was too strenuous. I was just kneeling down and yeah, wasn't running or anything. It was during any physical exercise. Okay. And how much activity do you do normally? Do you walk a lot or do you run or do you go to do anything? No, I don't. I generally don't do much activity at all. Yeah. Have you had this before? No. this is the first time actually right okay yeah are you aware of any palpitations like your heart beating faster or more prominently than normal um yeah it's it's beating a bit faster now I think that's because I'm a little bit stressed about the situation but I haven't noticed it beating faster than usual today so I know you're stressed we've got an ambulance coming on the way okay yeah we'll take care of everything so don't okay in the house with you at moment? No, no one's in the house at the moment. Okay, and is your front door open? Yes, it's open. Okay, so maybe we'll speak maybe in the hallway to the front door. Have the front door open so that in case people need access they can access you. Yeah. All right, so are you a smoker at all? Yeah, I smoke a fair bit, so I smoke about 10 cigarettes a day. Yeah. How long have you been smoking for? For the past 15 years. 15 years, okay. Yeah. Do you have high blood pressure or high cholesterol or diabetes or something? Yeah, I have high blood pressure but not diabetes. Okay. Have you ever had your cholesterol checked? No. Okay. All right. Now, in your wider family, in your family, sorry, in your parents, did either of them have any heart problems or heart attacks or anything like that? Yes, so my father died of a heart attack and my mother had some heart problems. Okay. I'm sorry to hear about your father. Can you remember what age roughly he was when he had that heart attack? He was about my age. Right, so just around 60? Yes, around 60, yes. Okay, all right. Do you drink much alcohol? Yeah, I drink per week probably about seven or eight pints week. Okay, is that a beer you're talking about? Oh yeah, yes. Okay, I can't tell from the video, are you overweight? Yes, I'm overweight, yeah. Now, do you normally live alone? Yeah, I live alone at the moment, yeah, it's just me in the house. Sure, okay, and are you working at the moment? Yeah, yeah, I work, yeah. What do you work as? I work as a restaurant owner so I own a sushi shop. So the symptoms that you've described to me, they indicate the possibility of a heart attack. So I'm not saying you definitely have a heart attack but it's our number one priority to exclude that. So the ambulance team will be with you very shortly. I'm going to stay on the line with you until they come okay okay yeah thank you when they come what they'll do is they're going to put some stickers on your chest and do an ecg and then decide where to take you after that okay okay and um what what uh can i just double check do you have um any allergies to any medication yes actually i have um an allergy to aspirin right okay yeah and no other allergies sure what's the nature of that allergy to aspirin do you does it does it cause you heartburn or is it like an allergic reaction? Yeah, it's an allergic reaction so I swell up a bit but nothing life-threatening. I sometimes even have it and it's a mild reaction to it. Okay, all right. It's very important that you communicate that to the hospital, the details you've just told me, because we may need to consider aspirin. Okay, all right. Now in terms of what happens from here the team will assess you and then they may take you in to one hospital or another based on how bad what the ECG looks like and what kind of treatment you might need okay okay what I'm going to do is we'll stay on the line for the time being okay until they come and then once they come then I'll hand over to them I'll explain what's going on all right okay okay sure okay thank you We'll end the conversation now for the purposes. Yeah. Okay. Okay. Thank you very much. Thanks. Bye. Thank you. Bye." }, { "case": "After Care Dictation", "product": "i-scribe", "capturedAt": "2026-10-23T15:06:31.153Z", "transcript": "Rawson Al-Najjar has septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, SATs 91% on 6 liters Hudson, BP 92 over 58, CBD dilatation, cholestatic LFTs, recent epixaban, and possible euglycemic ketoacidosis from mpagliflozin." }, { "case": "Quadbike Accident", "product": "i-scribe", "capturedAt": "2026-10-24T02:10:45.020Z", "transcript": "Hey, heard you came off the quad. What happened? Yeah, just slipped on a wet patch. Nothing major. Bit of a knock. Did the bike roll, or did you come off clean? No, I came off sideways. Landed on my shoulder and hip. Any head knock? Loss of consciousness? Feeling dazed? No, I didn't black out. Bit rattled for a sec, maybe. Headache? Nausea? Lower vision? No, none of that. Okay, show me where it's sore. Shoulder here, and hips a bit stiff. Shoulder's worse. I'm going to Lift your arm up. Yeah, that catches about there. Painful part. Hold it there. I'm adding resistance. Bit weak there, yeah. Lightly rotate a cuff strain or contusion. I'm not seeing signs of dislocation. I'll check your hip. Stand up. Yeah, just stiff. I can walk it off. Don't push through it yet. Any sharp pain or just stiffness? Mostly stiffness. Shoulder needs no help. No help. Hip. Keep it moving, but easy. You've got stuff to do, though. Get someone else from the heavy sector. If you aggravate that shoulder, you lose all time. Yeah, right. Eyes tilted. Gentle movement. If pain worsens, weakness increases, or you get any headache or dizziness, get checked straight away. I'll document this." }, { "case": "After Care Dictation + Background Noise", "product": "i-scribe", "capturedAt": "2026-10-24T00:52:29.535Z", "transcript": "Rawson Al-Najjar has septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, SOTS 91% on 6 liters Hudson, BP 92 over 58, CBD dilatation, cholestatic LFTs, recent epixaban, and possible eucalyptus." }, { "case": "After Care Dictation", "product": "i-scribe", "capturedAt": "2026-10-23T15:07:57.094Z", "transcript": "Rawson Al-Najjar has septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, SATs 91% on 6 liters Hudson, BP 92 over 58, CBD dilatation, cholestatic LFTs, recent epixaban, and possible euglycemic ketoacidosis from mpagliflozin." }, { "case": "day2_consultation05", "product": "i-scribe", "capturedAt": "2026-10-23T16:06:53.230Z", "transcript": "Hi there, good morning. I'm Dr. Dean Miller from TKM. Nice to see you. So before we start your appointment, could I confirm your full name and date of birth, please? Yes, John Smith, and I am 32 years old. Sorry, I didn't catch your date of birth. I'm 32 years old. 32 years old, okay. Could you tell me the first line of your address and your postcode, please? It's 4 Park Avenue, and it's AB1, CB2. That's great. Thank you so much for that. Are you in a private place where you're okay to speak at the moment? Yeah. Okay. So how can I help you today? You've been having some problems with your action, is that right? Sorry, say that again. How can I help you today? So I've been experiencing very weird symptoms over the past month or so, and I don't know what's causing them. I have Googled it, and nothing's coming up. I thought I'd come and talk to you about it. Okay. So tell me a little more about these weird symptoms. you've been having? So it started with feeling very tired for a couple of days and then I get back to normal and then I started losing feeling in my hands and arms. I get a weird sensation like I get pins and needles. Right and you just said again the connection is not so great you've been getting pins and needles in the hand is that right? Yeah that's correct. Okay is that the right or left hand? My right hand. Is it always the right? Yes. OK. We've lost video now. Maybe is there a button you can press? OK. Are you happy for us to carry on without the video? I can't see you at the moment. Yes, that's fine. All right. So you've been having these pins and needles and episodes of numbness in the right hand. Is it just the hand, or does it go up the arm as well? The pins and needles. the hand but I feel like my arm is getting weaker but it only lasts three days and then goes back to normal so it's very weird. Right okay. Is there any involvement of your leg at all? My colleague said I'm walking slightly differently to normal and again it's only for three days or three or four days. Okay you said you've been having weird symptoms for about a month? Yes. So what has been happening from the beginning of the month? What else has been happening? happen? I generally feel tired and weak and sometimes I feel nauseous and I don't feel like I want to do anything. Right and you know your colleague said you've not been walking normally. Yes. Do you feel anything different on either side in terms of your legs? Have you noticed anything different? Yes so at the same time I get my arm symptoms my leg feels weaker right okay and you know you the abnormal gait has that been present outside of these episodes no it has not so normally I'm fit and well actually all right okay and these these episodes how often have they been happening they have been getting more regular so at the start it would be maybe once a week to every once a month, but now it's getting a couple of times a day. Right, okay. And how long have these episodes been going on for? When did it all start? Probably a month and a half, maybe two months. Right, okay. And along with these symptoms of the weakness and numbness, do you have any other symptoms at the same time, like swallowing or difficulty speaking or vision problems? So recently I've noticed I can't hold my cup of coffee. And when I do drink coffee, it's slightly harder to drink. And that's only been in the last couple of days, I guess. Right. Is that during these episodes or outside of these episodes? Only during the episodes. Okay. Do you have any difficulty swallowing at all? Not currently, no. During the episodes, do you have any difficulty swallowing? I feel like there's something in my throat. Okay. What about... difficulty speaking during these episodes. Any issues with that, Paul? No, I can speak fine. Okay. Any visual problems during these episodes? I don't think so, but I wear glasses. Okay. All right. Now, can I just ask, is there any history of stroke or mini strokes in your family? Yes. My father has had a operation to the side of his neck to reduce the risk of it right okay and how about yourself have you had any history of mini strokes or anything like that along those lines I know you're quite young no so after my dad had his operation I was required to be checked and my cholesterol was fine good excellent so you had a blood test done and did they check for diabetes as well they checked my diabetes my blood pressure and my cholesterol and the doctor said it was all okay. Fantastic. Okay. Do you have any other illnesses at all? No. Are you on any medication? I take an aspirin 75 milligrams once a day, but that's because of something I read on the internet. Okay. So why is that? Why do you take that? I think it's meant to reduce your risk of stroke and heart attack. Okay. Have you ever told a doctor before your GP that you're on aspirin? Yes. I started taking it after my father had his operation but that wasn't the doctor telling me. Okay and has any GP ever spoken to you about the risks of aspirin and whether you should be on it or have you not told the GP in the past? No I haven't. Okay all right now in terms of your kind of social situation are you working at the moment? Yes I am. What do you work as? I'm actually a doctor. You're a medical doctor? Yes. Okay, which specialty are you in? I work in plastic surgery. Plastic surgery, okay great. And do you have any allergies to any medication at all? I'm allergic to penicillin only. Okay, and are you living alone? No, I live with my wife. Okay, fantastic. Do you at all? No I don't. Right, that's fine. Now obviously you're a medic yourself, did you have any thoughts as to what might be going on? I've absolutely got no idea. Well the way you're describing these episodes, they make me concerned about mini strokes or TIAs, transient ischemic attacks, and so that's something quite urgent given that you've got a family history of stroke, even though you're quite young, I think it's something that we need to exclude. So what I'm probably going to do, in fact what I am going to do, is I'm going to refer you to a stroke TIA clinic. Now just to double check, do you have the symptoms right now? No, I'm perfectly fine at the moment. Okay, so what I'm going to do is I'm going to refer you to a mini stroke clinic or a TIA clinic. I send that referral off now and then you can attend them they'll usually call you in within the next one or two days okay because it's something relatively urgent now today it's Wednesday so we've got a few days before the weekend so basically the deadline should be Thursday Friday we're expecting to be seen by that time that's the kind of turnaround we're looking at and in that clinic they'll be doing a number of things they'll be checking they'll be doing the ultrasound of the carotid arteries like your father had and they'll be doing maybe they might do a scan of of the brain as well. There's signs of a bleed there. But they'll be doing a range of tests in a short timeframe in order to exclude whether you have any illness. You haven't got any kind of stroke or mini stroke. Now, if your symptoms return and they persist, they're prolonged, then you may need to attend A&E, okay? Because our presumptive working diagnosis is mini stroke or TIA, okay? And if a mini stroke prolonged then then we end up thinking that this might be a stroke and in that case that becomes even more of an emergency so we're not talking about waiting one or two days we want you to go to hospital in that instance if possible okay now if things happen again feel free to contact us we can assess you over the phone we can give you direction and guidance over the time that's that's that's not the problem you know you've got easy access to us okay so um this is the plan going forward um i'm going to um do that referral you should hear back from the hospital relatively soon. The hospital, you can actually ring them on the PALS number and then there's also the GIA clinic number. I'm going to leave that number in the notes for this consultation, okay? So you'll have all the information you need to chase this appointment and if you want you can ring them either today or tomorrow morning, today in the afternoon, wait one or two hours, or tomorrow morning just to find out when they plan to slot you in and just to make sure they've got you in the system, that they've got your books and they're going to be calling you in, okay? So this isn't an immediate emergency that you need to rush out to Amy, but it's something quite urgent that we need to deal with in a short space of time, okay? So if there's any delay that transpires, for example, you can't make the appointment or you don't get called, you need to get in contact back with us, okay? Great. All right. Did you have any questions at all? No, I think that covers most of it. Okay, great. So just bear with me a few minutes and then I'll send that all through and then you should be able to have... have the information at your hands to in order to convince further okay great thank you all the best" }, { "case": "After Care Dictation", "product": "i-scribe", "capturedAt": "2026-10-23T15:12:01.489Z", "transcript": "Rawson Al-Najjar has septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, SATs 91% on 6 liters Hudson, BP 92 over 58, CBD dilatation, cholestatic LFTs, recent epixaban, and possible euglycemic ketoacidosis from mpagliflozin." }, { "case": "day1_consultation06", "product": "i-scribe", "capturedAt": "2026-10-23T16:18:14.597Z", "transcript": "Hello. Hello there. Hello, can you hear me okay? Yes, I can hear you. Okay, great. Are you a doctor? I am, yes. Dr Seed here, Oscar. How can I help you this afternoon? I'm contacting you because I've been quite short of breath lately. Okay. Do you want to tell me a bit more about it? When did it all start? Well it seems to have been slowly getting worse over the last couple of weeks. It's become quite troublesome in the last few days. Normally I can walk to the shops without a problem but now I'm having to sort of sit down and catch my breath and I'm even starting to get a bit breathless just about the house and it's got me kind of worried. I don't really know what's going on. Is there anything you're particularly worried about? Well, I've got heart failure. Okay. I was told that a while ago, and I got a bit breathless when I was first diagnosed. Right. And put on some medicine that helped, but I'm a bit worried it's getting worse. Right, okay. So you mentioned you've been feeling short of breath for the last couple of weeks, but mainly the last couple of days it's got a bit worse. Yeah. and you're now feeling more breathless or kind of minimal exertion you mentioned. Have you noticed any other symptoms at all with your breath? So for example, any pain in your chest? No pain in my chest. Okay. Have you found yourself coughing at all? I've got a bit of a dry cough, but it's not too troublesome. Okay. And how's your general health otherwise? Are you feeling weak, lethargic? I'm feeling a little rundown, but otherwise pretty normal. I've noticed my ankles have got a bit bigger. Okay, and what do you mean by that? It's just like they've sort of swollen up a bit. Okay, is that both ankles? Yeah, both ankles. Yeah, it's a bit embarrassing. Okay, I can imagine, yeah. And again, over how long have you noticed this? I kind of noticed it the last few days. Last few days, okay. And is this something that you've had before in the past? I think my ankles did swell up a bit last time the heart failure was a problem. Okay, okay. Fine, okay. So just to really recap, so really the last couple of weeks you've been feeling breathless but worse in the last couple of days. You mentioned you had a bit of a dry cough and some swelling in your ankles. But importantly, no chest pain. And have you noticed your heartbeat racing at all? So palpitations or skipped heartbeat? No, not really. Okay. And any temperatures or fevers? No. Okay. And how about your appetite? Are you eating and drinking okay? Yeah, that's fine. Okay. And your water works? Are you passing urine okay? Yeah. I usually pee a lot. Moving on to your past medical history, you mentioned heart failure, any other medical history I should be aware of? Well I was told I had, they called it like a small heart attack about five years ago. I had chest pain and they took me to hospital and they But then I just got better. Okay. When you say small heart attack, did they give you a name for what happened, a name of a diagnosis? I can't remember. They just called it something like that, a small heart attack. Small heart attack, okay. Was it like angina or...? No, they said it seemed it was like more than angina. Okay. But I only had to stay in hospital for a few days. Okay. And yeah, I've been okay since then. You've been okay since then. Okay, all right. So apart from the heart problems, the heart failure, any other problems I should be aware of? No, I think otherwise I'm okay. Okay. Do you take any regular medications apart from your diuretics that you're taking? Do you know which ones? Yeah, I take something called furosemide. Do you know which dose you're taking? I can't remember. I'm sorry, doctor. I have to check. No problems. Any other medications? Yeah, I take aspirin. Okay. And Zoprolol. Is that Metoprolol, was it? Zoprolol. Sorry, the connection is not very good. Okay, thank you. Yep. Simvastatin. Simvastatin, okay. All right. Any allergies at all? Any medications? No, no allergies. Okay. And is there anything in the family that's important for me to know? Any family history of medical problems, heart problems, lung problems? My father died of a heart attack. I'm sorry to hear that. How old was your father when he passed away? He was Early 60s. Early 60s, okay. Anything else I should be aware of? My mother had osteoporosis. Okay. Is your mother still with us? Yes, she's still living. Okay, all right. And socially, sir, just tell me a bit more about your situation at home. Who lives at home with you? I live on my own. I've got two cats. You've got two cats, okay. great do you have names they're my family uh they're called um they're called holly and tim okay um so this is junior cats and um in terms of day-to-day are you working at the moment uh i work part-time as a uh lorry driver okay and how is that is that quite stressful long hours Uh, it's okay. Um, I, uh, yeah, like when I'm working, it's pretty exhausting. Um, I guess I'm a bit worried that if I get sick, I won't, if I get more sick, then I won't be able to work properly. Yeah. There's certainly a consideration, isn't there? So let's, let's try and get better soon. So it doesn't have any, um, impact on your, on your job. And do you find yourself doing a lot of antisocial hours? Do you do a lot of night driving, weekend driving? Oh no, I only take shifts during the day. I don't like working at night. Okay, all right. And what about smoking and alcohol? Because they can sometimes be very important when it comes to heart problems. Do you smoke at all? Not anymore. So you used to smoke? Yeah. How many did you smoke a day on average? Oh, it was about a pack a day, back in the day. And how many was that for? Oh that was a good 25 years. Okay well done for stopping, it must have been very difficult for you, but well done for stopping. And what about alcohol? I don't drink alcohol. Do you do much in the way of exercise though? I try and walk to the shops at least once a day, but that's about it. Yeah I don't I don't get running like I used to when I was young. Right, and certainly now with your symptoms, you said you're getting more breathless even walking to the shop, she said. Right, based on your history and having listened to your story, I wonder whether you've had a flare-up of your heart failure, sir, which can sometimes happen. What's going on? So, it seems like your heart's not pumping as well as it should be. obviously having diagnosed with heart failure, there's obviously, it's the first thing that comes to my mind. Now there's a couple of options to move forward. Given that you're otherwise well at the moment and having examined you, your chest and your saturations and blood pressure are all okay, I'm quite happy to increase your dose of Fruzomide. Maybe rather than one tablet a day, we can give you two tablets a day for the first few days and see how you're getting on. Okay, if you think that would be best. is definitely worth treating your symptoms, but what we should also think about is maybe doing a couple of other tests, like a blood test and maybe an echocardiogram of your heart to see how well your heart's pumping. Okay. Is that something you've had? Yeah, so an echo scan, it's a jelly scan of your heart. You may have had this done before when you were diagnosed, and it's just to get a good... Oh, yes, I remember now. Sorry? Yeah, I remember now. Okay, fine. That's something I can organise for you today and they may take a week or two weeks for that to be organized. But I think certainly in the meantime, let's get a blood test done. We can check your full blood count, look for signs of anemia. We can have a check of your kidney function. And we can definitely increase your fruzomide to one tablet twice a day. But I really would like you to come back and see me in about a week's time to see how you're getting on. Does that sound reasonable? I think that sounds like a good plan. course, in the meantime, if you are getting more unwell, so if you're getting more breathless or you're having any other symptoms like chest pain or palpitations or dizziness, then, you know, I want you to give me a call sooner than that and we can have a chat on the phone as well. Okay, I'll see how I get on. Okay, do you have any questions for me? I think that's all pretty clear. Thank you very much, Doctor. Great, I wish you all the best. Have a good day. See you soon. Okay, thank you." } ] }