🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-09-03 05:48:06

Transcript

{"type": "language", "data": "en"}
{"type": "transcription", "speaker": "Identifying", "segmentId": "28b75995-459b-4229-b9e5-88247cf2dce0", "text": "Doctor, good morning, Mrs. Sharma. It's good to see you again. How have you been feeling", "start": "00:00", "end": "00:06", "start_sec": 0.0, "end_sec": 6.88, "roman": "Doctor, good morning, Mrs. Sharma. It's good to see you again. How have you been feeling", "native": "Doctor, good morning, Mrs. Sharma. It's good to see you again. How have you been feeling", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "transcription", "speaker": "Identifying", "segmentId": "c9640dd5-d04e-4940-8722-a54ec9687662", "text": "since our last session? Patient, good morning, doctor. Honestly, not great. The pain in my", "start": "00:06", "end": "00:15", "start_sec": 6.88, "end_sec": 15.5, "roman": "since our last session? Patient, good morning, doctor. Honestly, not great. The pain in my", "native": "since our last session? Patient, good morning, doctor. Honestly, not great. The pain in my", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "transcription", "speaker": "Identifying", "segmentId": "0e9b0bf9-324a-4d5b-979f-2a797c4580ff", "text": "left hand has gotten worse. It's sharp, constant, and sometimes it feels like it's burning from", "start": "00:15", "end": "00:21", "start_sec": 15.5, "end_sec": 21.44, "roman": "left hand has gotten worse. It's sharp, constant, and sometimes it feels like it's burning from", "native": "left hand has gotten worse. It's sharp, constant, and sometimes it feels like it's burning from", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "28b75995-459b-4229-b9e5-88247cf2dce0", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "d3e41ced-e7b1-4dbe-b678-ff6708f2199a", "text": "Doctor, good morning,", "start": "00:00", "end": "00:01", "roman": "Doctor, good morning,", "native": "Doctor, good morning,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "ab0298e3-ae03-4675-bfe4-56b82a00a7fc", "text": "Mrs.", "start": "00:00", "end": "00:02", "roman": "Mrs.", "native": "Mrs.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "36ff6e4b-2e8e-4106-9f3f-7c6daa95443b", "text": "Sharma.", "start": "00:01", "end": "00:03", "roman": "Sharma.", "native": "Sharma.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "83f44393-3a64-47a8-a664-997cdd3c1bb1", "text": "It's good to see you", "start": "00:03", "end": "00:04", "roman": "It's good to see you", "native": "It's good to see you", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "transcription", "speaker": "Identifying", "segmentId": "183e3fa8-dec6-4153-a0c2-7579a862dc10", "text": "the inside. And I don't know how to say this. I've started seeing things that aren't there.", "start": "00:21", "end": "00:28", "start_sec": 21.44, "end_sec": 28.52, "roman": "the inside. And I don't know how to say this. I've started seeing things that aren't there.", "native": "the inside. And I don't know how to say this. I've started seeing things that aren't there.", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "transcription", "speaker": "Identifying", "segmentId": "9bf5a19c-e27a-4aad-98fc-e389fd4bd46f", "text": "Doctor, I'm really sorry to hear that. Let's take things one at a time. About the hand", "start": "00:29", "end": "00:35", "start_sec": 29.36, "end_sec": 35.82, "roman": "Doctor, I'm really sorry to hear that. Let's take things one at a time. About the hand", "native": "Doctor, I'm really sorry to hear that. Let's take things one at a time. About the hand", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "c9640dd5-d04e-4940-8722-a54ec9687662", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "c15deb6e-71b4-41ad-8cb2-8abd9b7c7328", "text": "since our last session?", "start": "00:06", "end": "00:08", "roman": "since our last session?", "native": "since our last session?", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "046d0aa3-75cb-4a17-bab2-d71e8bd7d481", "text": "Patient,", "start": "00:08", "end": "00:09", "roman": "Patient,", "native": "Patient,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "0a522990-4564-4063-84aa-37e85745f0da", "text": "good morning,", "start": "00:09", "end": "00:10", "roman": "good morning,", "native": "good morning,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "932b7100-6989-462e-b70b-dffdb1361c38", "text": "doctor.", "start": "00:09", "end": "00:11", "roman": "doctor.", "native": "doctor.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "be0faeae-6418-4c89-a50d-3b02488e49d0", "text": "Honestly,", "start": "00:11", "end": "00:12", "roman": "Honestly,", "native": "Honestly,", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "speakerCluster", "segmentId": "0e9b0bf9-324a-4d5b-979f-2a797c4580ff", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "be5d1f34-445f-4866-b186-9046e09cafb6", "text": "left hand has gotten worse.", "start": "00:15", "end": "00:17", "roman": "left hand has gotten worse.", "native": "left hand has gotten worse.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "bfb41f40-4345-4d47-b218-c771d77e733a", "text": "It's sharp,", "start": "00:17", "end": "00:18", "roman": "It's sharp,", "native": "It's sharp,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "1ed1fb3b-477c-4924-a69f-c3af880110b9", "text": "constant,", "start": "00:17", "end": "00:19", "roman": "constant,", "native": "constant,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "c5ceb2ab-5d23-45a8-9645-08b52be21745", "text": "and sometimes", "start": "00:18", "end": "00:20", "roman": "and sometimes", "native": "and sometimes", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "speakerCluster", "segmentId": "183e3fa8-dec6-4153-a0c2-7579a862dc10", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "3eee03cf-fe4a-4860-b873-a538c26606ea", "text": "the inside.", "start": "00:21", "end": "00:22", "roman": "the inside.", "native": "the inside.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "34f4b81a-6135-47cd-b967-26a12950cdcf", "text": "And", "start": "00:22", "end": "00:23", "roman": "And", "native": "And", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "cbb22fe2-4342-4036-8101-3c659ff3db19", "text": "I", "start": "00:22", "end": "00:24", "roman": "I", "native": "I", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "28ab89e3-33a8-41a9-a86f-2a10c85b8fff", "text": "don't know how to", "start": "00:23", "end": "00:25", "roman": "don't know how to", "native": "don't know how to", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "231159a7-9cea-4e1e-a3ee-9c06e3c4ecd3", "text": "say this.", "start": "00:24", "end": "00:25", "roman": "say this.", "native": "say this.", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "transcription", "speaker": "Identifying", "segmentId": "fe5178eb-7560-4baa-9565-53fdfa05a4c8", "text": "pain that's likely due to nerve involvement from the cancer spreading. I'll adjust your", "start": "00:35", "end": "00:40", "start_sec": 35.82, "end_sec": 40.74, "roman": "pain that's likely due to nerve involvement from the cancer spreading. I'll adjust your", "native": "pain that's likely due to nerve involvement from the cancer spreading. I'll adjust your", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "transcription", "speaker": "Identifying", "segmentId": "a7f71f9c-ee44-4add-83c2-25b752cfa6cd", "text": "pain medication and add a nerve pain reliever. Something like gabapentin may help ease that", "start": "00:40", "end": "00:46", "start_sec": 40.74, "end_sec": 46.22, "roman": "pain medication and add a nerve pain reliever. Something like gabapentin may help ease that", "native": "pain medication and add a nerve pain reliever. Something like gabapentin may help ease that", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "9bf5a19c-e27a-4aad-98fc-e389fd4bd46f", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "4367b29a-6250-4d6f-b3ea-1a626444a0f3", "text": "Doctor, I'm really", "start": "00:29", "end": "00:30", "roman": "Doctor, I'm really", "native": "Doctor, I'm really", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "8869eed6-5b8b-466a-82ca-7bdf167067f6", "text": "sorry to hear", "start": "00:30", "end": "00:31", "roman": "sorry to hear", "native": "sorry to hear", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "e52c8211-9e8c-427e-a8d0-88ec81dbd9cb", "text": "that.", "start": "00:30", "end": "00:32", "roman": "that.", "native": "that.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "9bd91fe0-65bb-4b96-936f-3fb415d3ee20", "text": "Let's take", "start": "00:31", "end": "00:33", "roman": "Let's take", "native": "Let's take", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "3fc216e0-60b8-4b11-b1dc-8e49a4108207", "text": "things one at", "start": "00:32", "end": "00:33", "roman": "things one at", "native": "things one at", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "transcription", "speaker": "Identifying", "segmentId": "d4b2a532-1503-4d35-8bd8-474d168a950b", "text": "burning sensation. Patient, thank you. That pain has been unbearable at times. Doctor,", "start": "00:46", "end": "00:53", "start_sec": 46.22, "end_sec": 53.76, "roman": "burning sensation. Patient, thank you. That pain has been unbearable at times. Doctor,", "native": "burning sensation. Patient, thank you. That pain has been unbearable at times. Doctor,", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "fe5178eb-7560-4baa-9565-53fdfa05a4c8", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "438ab0d0-14d0-44c1-bfcb-aa88ea24f561", "text": "pain that's likely due to nerve", "start": "00:35", "end": "00:37", "roman": "pain that's likely due to nerve", "native": "pain that's likely due to nerve", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "50267996-4826-4ce7-9e47-4a3512b30298", "text": "involvement from", "start": "00:36", "end": "00:38", "roman": "involvement from", "native": "involvement from", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "2c55bddc-ebb2-4d0a-a3ad-365ae562d0ab", "text": "the cancer", "start": "00:37", "end": "00:38", "roman": "the cancer", "native": "the cancer", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "389aa7b7-7498-405a-98b4-14f6a426088b", "text": "spreading.", "start": "00:38", "end": "00:39", "roman": "spreading.", "native": "spreading.", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "transcription", "speaker": "Identifying", "segmentId": "435e4093-550c-4718-95de-1d4e78108d45", "text": "I can imagine. Now, about the hallucinations are you seeing or hearing things? And how", "start": "00:54", "end": "01:00", "start_sec": 54.07, "end_sec": 60.8, "roman": "I can imagine. Now, about the hallucinations are you seeing or hearing things? And how", "native": "I can imagine. Now, about the hallucinations are you seeing or hearing things? And how", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "a7f71f9c-ee44-4add-83c2-25b752cfa6cd", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "18546b98-8967-44b3-82f3-b74a4af3fc9e", "text": "pain medication and add a", "start": "00:40", "end": "00:42", "roman": "pain medication and add a", "native": "pain medication and add a", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "65e6c82b-2db0-4471-a5dd-26996dcda2eb", "text": "nerve pain", "start": "00:41", "end": "00:42", "roman": "nerve pain", "native": "nerve pain", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "44a97f06-b317-41c5-84df-c860e06595e8", "text": "reliever.", "start": "00:42", "end": "00:43", "roman": "reliever.", "native": "reliever.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "512f06ce-dc0b-4152-834f-d6b666dcc54c", "text": "Something", "start": "00:42", "end": "00:44", "roman": "Something", "native": "Something", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "b76fd8a8-611b-4145-aa92-f63de58a00f4", "text": "like gabapentin", "start": "00:43", "end": "00:45", "roman": "like gabapentin", "native": "like gabapentin", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "speakerCluster", "segmentId": "d4b2a532-1503-4d35-8bd8-474d168a950b", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "7f8be0d3-feeb-46f8-a59d-eb705ea7aec0", "text": "burning sensation.", "start": "00:46", "end": "00:47", "roman": "burning sensation.", "native": "burning sensation.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "6d7c4ae6-6cab-4772-b910-66005548e7a1", "text": "Patient,", "start": "00:47", "end": "00:49", "roman": "Patient,", "native": "Patient,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "cf75c6a1-5375-43fe-a0c5-b1e44c540dd0", "text": "thank you.", "start": "00:48", "end": "00:49", "roman": "thank you.", "native": "thank you.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "4a8a8f82-7606-47a4-b028-6571dcacdc2c", "text": "That", "start": "00:49", "end": "00:50", "roman": "That", "native": "That", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "66d264c5-382d-4e46-ba48-4e64984254fa", "text": "pain has been", "start": "00:49", "end": "00:51", "roman": "pain has been", "native": "pain has been", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "transcription", "speaker": "Identifying", "segmentId": "4c3248e6-2bd2-43cb-9f47-37db19d433ed", "text": "often does it happen? Patient, mostly at night. I sometimes see people in my room or hear", "start": "01:00", "end": "01:07", "start_sec": 60.8, "end_sec": 67.62, "roman": "often does it happen? Patient, mostly at night. I sometimes see people in my room or hear", "native": "often does it happen? Patient, mostly at night. I sometimes see people in my room or hear", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "transcription", "speaker": "Identifying", "segmentId": "162ca055-5a4d-40d5-9a8d-8301d629ff7b", "text": "voices calling my name. I know they're not real, but it's terrifying. Doctor, that sounds", "start": "01:07", "end": "01:14", "start_sec": 67.62, "end_sec": 74.72, "roman": "voices calling my name. I know they're not real, but it's terrifying. Doctor, that sounds", "native": "voices calling my name. I know they're not real, but it's terrifying. Doctor, that sounds", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "435e4093-550c-4718-95de-1d4e78108d45", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "c29beda0-06c9-401c-a8bb-8a3751cb6181", "text": "I can imagine.", "start": "00:54", "end": "00:55", "roman": "I can imagine.", "native": "I can imagine.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "c107bae1-88bc-41b0-a074-87e947361a6c", "text": "Now,", "start": "00:54", "end": "00:56", "roman": "Now,", "native": "Now,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "115bf9e8-bb1e-49f3-a75b-f9c3317c5a08", "text": "about the", "start": "00:55", "end": "00:57", "roman": "about the", "native": "about the", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "2157f617-6eef-4469-b567-f7e2dbba7333", "text": "hallucinations", "start": "00:56", "end": "00:57", "roman": "hallucinations", "native": "hallucinations", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "21e8c7d3-8287-495b-8305-db8a648ec810", "text": "are you seeing", "start": "00:57", "end": "00:58", "roman": "are you seeing", "native": "are you seeing", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "transcription", "speaker": "Identifying", "segmentId": "a3b7ab27-9465-4f36-9eb7-3aaf51d0e378", "text": "distressing. It could be a side effect of the high-dose opioids or just the progression", "start": "01:14", "end": "01:19", "start_sec": 74.72, "end_sec": 79.82, "roman": "distressing. It could be a side effect of the high-dose opioids or just the progression", "native": "distressing. It could be a side effect of the high-dose opioids or just the progression", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "4c3248e6-2bd2-43cb-9f47-37db19d433ed", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "b6dc1009-ef3c-4865-80b0-4fe60e20bad6", "text": "often does it happen?", "start": "01:00", "end": "01:02", "roman": "often does it happen?", "native": "often does it happen?", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "ef310bb3-e781-4485-a635-e4311daa2f58", "text": "Patient,", "start": "01:02", "end": "01:03", "roman": "Patient,", "native": "Patient,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "40caf4b0-847b-4f8c-9344-60d95681bf43", "text": "mostly at night.", "start": "01:03", "end": "01:04", "roman": "mostly at night.", "native": "mostly at night.", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "transcription", "speaker": "Identifying", "segmentId": "a5363009-79ea-4004-bc72-ff6e0678ae67", "text": "of the illness. I'll refer you to our palliative care psychiatrist. Meanwhile, I'll reduce", "start": "01:19", "end": "01:26", "start_sec": 79.82, "end_sec": 86.7, "roman": "of the illness. I'll refer you to our palliative care psychiatrist. Meanwhile, I'll reduce", "native": "of the illness. I'll refer you to our palliative care psychiatrist. Meanwhile, I'll reduce", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "162ca055-5a4d-40d5-9a8d-8301d629ff7b", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "770e6788-ce7a-4194-8e8d-5bf941258493", "text": "voices calling my name.", "start": "01:07", "end": "01:09", "roman": "voices calling my name.", "native": "voices calling my name.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "1fd8ce10-9446-4ddb-bf30-d31fffb13a23", "text": "I know they're not", "start": "01:09", "end": "01:10", "roman": "I know they're not", "native": "I know they're not", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "7fc59cff-247e-4f61-9922-9582277b3a50", "text": "real,", "start": "01:09", "end": "01:11", "roman": "real,", "native": "real,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "a1da3b15-a31b-4d64-811f-43d952abd018", "text": "but it's", "start": "01:10", "end": "01:12", "roman": "but it's", "native": "but it's", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "fca80fe8-2213-4a0a-a75b-5284fb792713", "text": "terrifying.", "start": "01:11", "end": "01:12", "roman": "terrifying.", "native": "terrifying.", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "speakerCluster", "segmentId": "a3b7ab27-9465-4f36-9eb7-3aaf51d0e378", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "78d87891-0494-45c9-a088-f482ac972f7a", "text": "distressing.", "start": "01:14", "end": "01:16", "roman": "distressing.", "native": "distressing.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "5cd91982-ab1c-487a-9983-a71e4bfab9ee", "text": "It could be a", "start": "01:15", "end": "01:16", "roman": "It could be a", "native": "It could be a", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "4742d01d-95a0-498b-98ed-b7334326f440", "text": "side effect of", "start": "01:16", "end": "01:17", "roman": "side effect of", "native": "side effect of", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "075b5711-12a7-405d-8588-91dcbfa6ec0b", "text": "the high -dose", "start": "01:16", "end": "01:18", "roman": "the high -dose", "native": "the high -dose", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "transcription", "speaker": "Identifying", "segmentId": "5be3c479-d9b1-4516-87b6-7f29eac64a05", "text": "your opioid slightly and introduce a low dose of haloperidol. It should help manage the", "start": "01:26", "end": "01:32", "start_sec": 86.7, "end_sec": 92.12, "roman": "your opioid slightly and introduce a low dose of haloperidol. It should help manage the", "native": "your opioid slightly and introduce a low dose of haloperidol. It should help manage the", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "transcription", "speaker": "Identifying", "segmentId": "37cec3df-cea0-4f0e-bde0-103e7f969491", "text": "hallucinations. Patient, thank you, doctor. It's just been so hard. I feel like I'm losing", "start": "01:32", "end": "01:40", "start_sec": 92.12, "end_sec": 100.32, "roman": "hallucinations. Patient, thank you, doctor. It's just been so hard. I feel like I'm losing", "native": "hallucinations. Patient, thank you, doctor. It's just been so hard. I feel like I'm losing", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "a5363009-79ea-4004-bc72-ff6e0678ae67", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "9910ab91-111e-4137-b11a-74d012d99899", "text": "of the illness.", "start": "01:19", "end": "01:21", "roman": "of the illness.", "native": "of the illness.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "752be363-f9e5-4d6a-924d-8043726a88cd", "text": "I'll refer", "start": "01:20", "end": "01:22", "roman": "I'll refer", "native": "I'll refer", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "5b1b5c25-b2d8-4539-8600-8608867bb74e", "text": "you to our", "start": "01:21", "end": "01:22", "roman": "you to our", "native": "you to our", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "c90e19ab-4fed-4386-941f-9c942f112042", "text": "palliative care", "start": "01:22", "end": "01:23", "roman": "palliative care", "native": "palliative care", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "61dbc81d-3cd1-4e2f-974c-6324755fc092", "text": "psychiatrist.", "start": "01:22", "end": "01:24", "roman": "psychiatrist.", "native": "psychiatrist.", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "transcription", "speaker": "Identifying", "segmentId": "25035089-983a-4d5f-b95c-d16a46cca37d", "text": "control. Doctor, you're not alone, Mrs. Sharma. We're here to support you every step of the", "start": "01:40", "end": "01:47", "start_sec": 100.32, "end_sec": 107.68, "roman": "control. Doctor, you're not alone, Mrs. Sharma. We're here to support you every step of the", "native": "control. Doctor, you're not alone, Mrs. Sharma. We're here to support you every step of the", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "5be3c479-d9b1-4516-87b6-7f29eac64a05", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "3208d7c9-590b-496f-87f6-9fa214462153", "text": "your opioid slightly and", "start": "01:26", "end": "01:28", "roman": "your opioid slightly and", "native": "your opioid slightly and", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "5fe4b09d-3634-4abf-9e6c-d501f1844bcc", "text": "introduce a low", "start": "01:27", "end": "01:28", "roman": "introduce a low", "native": "introduce a low", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "8c45d598-dea6-46bd-99e9-29913823f051", "text": "dose of", "start": "01:28", "end": "01:29", "roman": "dose of", "native": "dose of", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "c1afe778-6d76-458d-8b8a-1b9081ba3124", "text": "haloperidol.", "start": "01:28", "end": "01:30", "roman": "haloperidol.", "native": "haloperidol.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "4b5af091-fd60-43f4-a750-8e34e962ed6f", "text": "It", "start": "01:29", "end": "01:31", "roman": "It", "native": "It", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "transcription", "speaker": "Identifying", "segmentId": "aaa4a0b0-e779-4a3a-b81e-4d9ede1ff4c0", "text": "way. We'll keep monitoring and adjusting things to give you as much comfort and peace", "start": "01:47", "end": "01:52", "start_sec": 107.68, "end_sec": 112.5, "roman": "way. We'll keep monitoring and adjusting things to give you as much comfort and peace", "native": "way. We'll keep monitoring and adjusting things to give you as much comfort and peace", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "37cec3df-cea0-4f0e-bde0-103e7f969491", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "0ed2267a-379f-441b-b994-bf79b5f3a91e", "text": "hallucinations.", "start": "01:32", "end": "01:33", "roman": "hallucinations.", "native": "hallucinations.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "9a6853f8-09d2-4929-bd38-5c7c5cb6d89b", "text": "Patient,", "start": "01:32", "end": "01:34", "roman": "Patient,", "native": "Patient,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "cf85766a-c7d9-4433-a304-c8c725e5763b", "text": "thank", "start": "01:33", "end": "01:35", "roman": "thank", "native": "thank", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "399c6df0-cb42-4d2c-bbe1-c35d9772d93d", "text": "you,", "start": "01:34", "end": "01:35", "roman": "you,", "native": "you,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "7f42dbee-91ff-4cdf-bd29-22deea89c950", "text": "doctor.", "start": "01:35", "end": "01:36", "roman": "doctor.", "native": "doctor.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "c8cba1a4-82dc-4e45-b1d7-f365068af6e5", "text": "It's", "start": "01:35", "end": "01:37", "roman": "It's", "native": "It's", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "speakerCluster", "segmentId": "25035089-983a-4d5f-b95c-d16a46cca37d", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "2b70ce91-3530-4ca9-956a-a9ef0e6ad9a4", "text": "control.", "start": "01:40", "end": "01:41", "roman": "control.", "native": "control.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "ffe5589b-daae-4045-b1e1-e7aaac3f4221", "text": "Doctor,", "start": "01:41", "end": "01:42", "roman": "Doctor,", "native": "Doctor,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "a7f5cfea-7b01-4c0b-a451-d827d62430d4", "text": "you're not", "start": "01:41", "end": "01:43", "roman": "you're not", "native": "you're not", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "acc5af68-0610-48b2-b5cf-dd126ae4b26e", "text": "alone,", "start": "01:42", "end": "01:44", "roman": "alone,", "native": "alone,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "508acdbe-0d0f-4463-9aec-cee838a4130e", "text": "Mrs. Sharma.", "start": "01:43", "end": "01:44", "roman": "Mrs. Sharma.", "native": "Mrs. Sharma.", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "transcription", "speaker": "Identifying", "segmentId": "e972855f-ca1e-4221-8716-bd504cb074d6", "text": "as possible. Patient, I'm grateful for that, really.", "start": "01:52", "end": "01:56", "start_sec": 112.5, "end_sec": 116.64, "roman": "as possible. Patient, I'm grateful for that, really.", "native": "as possible. Patient, I'm grateful for that, really.", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "speakerCluster", "segmentId": "aaa4a0b0-e779-4a3a-b81e-4d9ede1ff4c0", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "8c12a958-1083-497a-9e12-c285cd98b24b", "text": "way. We'll", "start": "01:47", "end": "01:49", "roman": "way. We'll", "native": "way. We'll", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "367ff7ba-f46a-4d6d-9e54-3bc9c7b295b5", "text": "keep monitoring and", "start": "01:48", "end": "01:49", "roman": "keep monitoring and", "native": "keep monitoring and", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "4efda91f-8a7a-48c7-98b9-d348be02620e", "text": "adjusting things", "start": "01:49", "end": "01:50", "roman": "adjusting things", "native": "adjusting things", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "ea106be6-147c-4777-9012-0ba56ce5ed3a", "text": "to give you as", "start": "01:49", "end": "01:51", "roman": "to give you as", "native": "to give you as", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "speakerCluster", "segmentId": "e972855f-ca1e-4221-8716-bd504cb074d6", "replacement": [{"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "f1546bfc-a0ae-4beb-a643-98c3ff256395", "text": "as possible.", "start": "01:52", "end": "01:54", "roman": "as possible.", "native": "as possible.", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "7bb83d9c-0de5-4ed7-8de4-9b7d81eef75e", "text": "Patient,", "start": "01:53", "end": "01:54", "roman": "Patient,", "native": "Patient,", "nativeScript": "Latin", "romanDiffersFromNative": false}, {"type": "transcription", "speaker": "SPEAKER-01", "segmentId": "f88dea62-43d0-4cf2-a841-5727b3d63c66", "text": "I'm grateful", "start": "01:54", "end": "01:55", "roman": "I'm grateful", "native": "I'm grateful", "nativeScript": "Latin", "romanDiffersFromNative": false}]}
{"type": "finalTranscript", "data": {"transcript": [{"speaker": "Doctor", "text": "Good morning, Mrs. Sharma. It's good to see you again. How have you been feeling since our last session?"}, {"speaker": "Patient", "text": "Good morning, doctor. Honestly, not great. The pain in my left hand has gotten worse. It's sharp, constant, and sometimes it feels like it's burning from the inside. And I don't know how to say this. I've started seeing things that aren't there."}, {"speaker": "Doctor", "text": "I'm really sorry to hear that. Let's take things one at a time. About the hand pain that's likely due to nerve involvement from the cancer spreading. I'll adjust your pain medication and add a nerve pain reliever. Something like gabapentin may help ease that burning sensation."}, {"speaker": "Patient", "text": "Thank you. That pain has been unbearable at times."}, {"speaker": "Doctor", "text": "I can imagine. Now, about the hallucinations are you seeing or hearing things? And how often does it happen?"}, {"speaker": "Patient", "text": "Mostly at night. I sometimes see people in my room or hear voices calling my name. I know they're not real, but it's terrifying."}, {"speaker": "Doctor", "text": "That sounds distressing. It could be a side effect of the high-dose opioids or just the progression of the illness. I'll refer you to our palliative care psychiatrist. Meanwhile, I'll reduce your opioid slightly and introduce a low dose of haloperidol. It should help manage the hallucinations."}, {"speaker": "Patient", "text": "Thank you, doctor. It's just been so hard. I feel like I'm losing control."}, {"speaker": "Doctor", "text": "You're not alone, Mrs. Sharma. We're here to support you every step of the way. We'll keep monitoring and adjusting things to give you as much comfort and peace as possible."}, {"speaker": "Patient", "text": "I'm grateful for that, really."}], "speakers": {"Doctor": "Usually asks diagnostic questions or gives medical instructions", "Patient": "Usually describes symptoms or answers", "Family Member": "Third-party participant when contextually clear"}}, "isFinal": true}

Clinical Notes

Subjective

  • Patient: Mrs. Sharma

  • Primary Concern: Worsening pain and hallucinations.

    • Reports sharp, constant pain in the left hand, sometimes with a burning sensation.

    • Experiences visual and auditory hallucinations, mostly at night.

  • Family History: Not discussed.

  • Lifestyle Factors: Not discussed.

  • Reproductive History: Not discussed.

  • Psychosocial Stressors:

    • Feels like losing control due to pain and hallucinations.

Objective

  • Medical History:

    • Pain likely due to nerve involvement from cancer spreading.

    • Possible side effects from high-dose opioids.

  • Behavioral Observations:

    • Patient expresses significant distress over hallucinations and pain.

Assessment

  1. Neuropathic Pain: Likely due to cancer progression affecting nerves.

  2. Hallucinations: Possibly related to high-dose opioid use or illness progression.


Plan

  1. Medications:

    • Adjust pain medication and add gabapentin for nerve pain relief.

    • Reduce opioid dosage and introduce a low dose of haloperidol to manage hallucinations.

  2. Referrals:

    • Refer to palliative care psychiatrist for further evaluation and support.
  3. Monitoring and Support:

    • Continue to monitor symptoms and adjust treatment for comfort and peace.
  4. Follow-Up:

    • Regular follow-up to reassess pain management and hallucination control.

Medications | Name | Brand | Dosage | Frequency | Duration (Days) | |---------------|-------|----------|-----------------------------------------|-----------------| | Gabapentin | – | unspecified | unspecified | unspecified | | Haloperidol | – | low dose | unspecified | unspecified | | | – | unspecified | unspecified | unspecified |

⬅ Back to History