{ "text": "Next patient is [PERSON_NAME] [PERSON_NAME]. [PERSON_NAME]. Date of birth is [DATE_OF_BIRTH] [DATE_OF_BIRTH], [DATE_OF_BIRTH]. This kind of sits here. So. Okay, so take me through what has brought you in. Just mainly difficulty hearing. Not so much conversations, but like tv and actually not really like my games or anything like that, but more like shows or movies or where there's a little. It seems like it's kind of difficult to make out the words. And I spend more time concentrating on trying to get the words, and then I lose the meaning type thing. Right. And the ringing is kind of constantly present. Okay. And then there seems to be like a slight drainage in my [MEDICAL_PROCESS] [MEDICAL_PROCESS] that I clean out a little bit, and it always comes out brown. Okay. Like a brown type thing. And just sometimes a feeling that they're kind of plugged up. So with respect [INJURY] [INJURY] hearing, how long have you noticed this for now? It's gotten considerably worse, I guess. It's. It's gotten at a point now, I guess, where it gets [INJURY] [INJURY] point where I watch stuff in it. I don't even get anything. Yeah. You know. Okay. Or so little that it's. Has it been years? Do you think that this is going on or. Yeah. You know, to degree. Right. Okay. Yeah. Okay. It didn't just, you know, all of a sudden. Not sudden, but this kind of gradual process where it's kind of getting intolerable, I guess. Okay. Yeah. And the. The ringing, what does it sound like? Is it a high pitch, low pitch, middle pitch? Does it have a pitch like a higher pitch? But it kind of varies too. And. But it's. It's kind of. And it's. It's fairly, fairly loud. Okay. It's. And I, you know, and then. And then like sometimes. But it's getting more and more rare that it. All of a sudden it's not there. Huh. But. But that isn't very often anymore. Okay. How about any history of [MEDICAL_CONDITION] [MEDICAL_CONDITION] as an adult? [MEDICAL_PROCESS] [MEDICAL_PROCESS], [INJURY] [INJURY] [INJURY] [INJURY], [INJURY], that type of thing? I was in some car accidents, but not really, you know, any. Nothing was really treated for the ears. Okay. Okay. Where I had [INJURY] [INJURY], you know, but not really ear. But not ear related. Okay. And how about like a history of loud noise exposures at all? Not really. Okay. And then in terms of [INJURY] [INJURY], you do mention that there is sometimes a sense of plugging or pressure. Okay. All right. Anything else that you wanted to mention at all? Otherwise. All right, we'll get a good look. Let me pause this thing. Next section is [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Under [MEDICAL_PROCESS] [MEDICAL_PROCESS], there is a large right cerumen impaction period. This was removed, period. Then the [MEDICAL_PROCESS] [MEDICAL_PROCESS]. There's a rightward nasal septal deviation and then the remainder of the exam blanks are normal. Next section is procedure [MEDICAL_PROCESS] [MEDICAL_PROCESS] hyphen right. And that's [MEDICAL_PROCESS] [MEDICAL_PROCESS] and that is a [DURATION] [DURATION] procedure. Next paragraph. Assessment number one is [INJURY] [INJURY] [INJURY], correction number one is [INJURY] [INJURY] comma unspecified spacebar hyphen Spacebar Bilateral number two is tinnitus hyphen. Bilateral number three is cerumen impaction hyphen. Right. Next paragraph. The the patient reports a long history of gradually progressive [INJURY] [INJURY], period. He does especially have problems watching television and movies, period. He did get hearing aids [DURATION] [DURATION] ago but found them too difficult to manipulate even though they were behind [INJURY] [INJURY]. Hearing aids, period. At this point, although he finds his hearing problematic, he is not interested in going down the hearing aid road again, period. Interestingly, comma, after I [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS], comma, the tinnitus improved significantly, period. Next paragraph is plan Number one is [MEDICAL_PROCESS] [MEDICAL_PROCESS] performed as described above in the procedure section. Number two as I discuss potential [MEDICAL_PROCESS] [MEDICAL_PROCESS] period as above count of the patient does not feel like he is at the point to try hearing aids again and we will hold off on [MEDICAL_PROCESS] at this time period. Number Next is return to clinic based on progress. End of patient. Thanks.", "confidence": 0.9665266, "audio_duration": 348, "words": [ { "text": "Next", "start": 640, "end": 800, "confidence": 0.99658203, "speaker": null }, { "text": "patient", "start": 800, "end": 1120, "confidence": 0.82470703, "speaker": null }, { "text": "is", "start": 1120, "end": 1320, "confidence": 0.99853516, "speaker": null }, { "text": "[PERSON_NAME]", "start": 1320, "end": 1680, "confidence": 0.96940106, "speaker": null }, { "text": "[PERSON_NAME].", "start": 1680, "end": 1960, "confidence": 0.99853516, "speaker": null }, { "text": "[PERSON_NAME].", "start": 1960, "end": 2600, "confidence": 0.9685872, "speaker": null }, { "text": "Date", "start": 2600, "end": 2920, "confidence": 0.9921875, "speaker": null }, { "text": "of", "start": 2920, "end": 3040, "confidence": 0.99902344, "speaker": null }, { "text": "birth", "start": 3040, "end": 3320, "confidence": 0.99609375, "speaker": null }, { "text": "is", "start": 3320, "end": 3680, "confidence": 0.99316406, "speaker": null }, 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