🩺 Record Detail
Patient Info
Name: Mrs. Sharma
Age: 57 years
Date: 2026-02-20 07:29:59
Transcript
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{"type": "transcription", "speaker": "Identifying", "segmentId": "02278d1a-87cf-4a9a-9050-580bd49b9d39", "text": "Doctor, good morning, Mrs. Sharma. It's good to see you again.", "start": "00:00", "end": "00:04", "start_sec": 0.0, "end_sec": 4.82}
{"type": "transcription", "speaker": "Identifying", "segmentId": "873b33f1-f5ab-400d-9ed0-2e6c2ba4b428", "text": "How have you been feeling since our last session?", "start": "00:05", "end": "00:08", "start_sec": 5.74, "end_sec": 8.12}
{"type": "transcription", "speaker": "Identifying", "segmentId": "28e1e404-5149-4552-8b6c-e825f83e9e42", "text": "Patient, good morning, doctor. Honestly, not great. The pain in my left hand has gotten worse.", "start": "00:09", "end": "00:16", "start_sec": 9.08, "end_sec": 16.78}
{"type": "transcription", "speaker": "Identifying", "segmentId": "a1ece55e-118e-4686-a3e0-8789c57e1cc1", "text": "It's sharp, constant, and sometimes it feels like it's burning from the inside.", "start": "00:17", "end": "00:21", "start_sec": 17.74, "end_sec": 21.94}
{"type": "transcription", "speaker": "Identifying", "segmentId": "e70f0093-8f4b-4fad-8e42-8163ce3e4f2e", "text": "And I don't know how to say this. I've started seeing things that aren't there.", "start": "00:23", "end": "00:28", "start_sec": 23.060000000000002, "end_sec": 28.4}
{"type": "transcription", "speaker": "Identifying", "segmentId": "98103bed-b847-4f33-a107-632dd76f59a8", "text": "Doctor, I'm really sorry to hear that.", "start": "00:29", "end": "00:31", "start_sec": 29.08, "end_sec": 31.78}
{"type": "transcription", "speaker": "Identifying", "segmentId": "b4f69310-c2d3-4092-af17-222ffc02eea4", "text": "Let's take things one at a time.", "start": "00:32", "end": "00:34", "start_sec": 32.32, "end_sec": 34.26}
{"type": "transcription", "speaker": "Identifying", "segmentId": "137d620b-e488-465b-9257-9997dac6e2dc", "text": "About the hand pain that's likely due to nerve involvement from the cancer spreading.", "start": "00:35", "end": "00:39", "start_sec": 35.14, "end_sec": 39.0}
{"type": "transcription", "speaker": "Identifying", "segmentId": "cade052d-ecf3-4813-a6d9-838292c7da32", "text": "I'll adjust your pain medication and add a nerve pain reliever.", "start": "00:39", "end": "00:43", "start_sec": 39.88, "end_sec": 43.1}
{"type": "transcription", "speaker": "Identifying", "segmentId": "6c489847-0a25-44c8-aab0-b5338a7dd864", "text": "Something like gabapentin may help ease that burning sensation.", "start": "00:43", "end": "00:47", "start_sec": 43.94, "end_sec": 47.06}
{"type": "transcription", "speaker": "Identifying", "segmentId": "e7b63ca8-a79c-4f3b-8cf2-5bb38423e7d6", "text": "Patient, thank you. That pain has been unbearable at times.", "start": "00:48", "end": "00:52", "start_sec": 48.1, "end_sec": 52.44}
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{"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 hydrosopioids 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 halopiridol. 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
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Patient: Mrs. Sharma, 57 years old.
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Primary Concern:
- Experiencing worsening pain in the left hand, described as sharp, constant, and burning.
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Reports visual hallucinations, seeing people in the room and hearing voices calling her name.
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Psychosocial Stressors:
- Expresses distress and feelings of losing control due to symptoms.
Objective
- Medical History:
- Likely nerve involvement from cancer spreading.
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No current medications mentioned.
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Behavioral Observations:
- Patient expresses distress and fear related to hallucinations.
Assessment
- Nerve Pain: Likely due to cancer spreading, requiring adjustment in pain medication.
- Hallucinations: Distressing visual and auditory hallucinations, possibly related to medication side effects or disease progression.
Plan
- Medication:
- Adjust pain medication and introduce a nerve pain reliever like gabapentin.
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Reduce opioid slightly and introduce low-dose haloperidol to manage hallucinations.
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Referral:
-
Refer to palliative care psychiatrist for further evaluation and support.
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Support:
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Ensure continuous monitoring and adjustments to provide comfort and peace.
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Follow-Up:
- Schedule follow-up to assess the effectiveness of the new medication regimen and support provided.