oet writing | oet writing referral letter | how to write referral letter in OET | OET writing tips
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[{'start': '16.720', 'end': '23.080', 'text': 'Good morning, good'}, {'start': '18.680', 'end': '26.519', 'text': 'evening, good night doctors, nurses and'}, {'start': '23.080', 'end': '29.800', 'text': "pharmacists. I'm Dr. and"}, {'start': '26.519', 'end': '33.399', 'text': 'today we will write a'}, {'start': '29.800', 'end': '36.000', 'text': 'letter. We will discuss'}, {'start': '33.399', 'end': '39.559', 'text': 'some writing case notes that were'}, {'start': '36.000', 'end': '39.559', 'text': 'written by myself.'}, {'start': '39.600', 'end': '44.440', 'text': 'Okay. So these case notes are written by'}, {'start': '42.640', 'end': '47.640', 'text': 'myself. So we will discuss them'}, {'start': '44.440', 'end': '52.559', 'text': 'together. First uh we will'}, {'start': '47.640', 'end': '55.879', 'text': 'see discuss how to write it and then'}, {'start': '52.559', 'end': '59.800', 'text': 'uh we will see the we will mark your'}, {'start': '55.879', 'end': '63.799', 'text': 'letters for both doctors and'}, {'start': '59.800', 'end': '69.000', 'text': 'nurses. Okay. So if you can hear'}, {'start': '63.799', 'end': '69.000', 'text': 'me just let know please.'}, {'start': '99.600', 'end': '103.840', 'text': 'Okay, let us just wait a little bit for'}, {'start': '102.079', 'end': '106.840', 'text': 'other people to join and then we will'}, {'start': '103.840', 'end': '106.840', 'text': 'start.'}, {'start': '118.000', 'end': '120.159', 'text': 'Good'}, {'start': '137.560', 'end': '142.800', 'text': 'morning.'}, {'start': '139.160', 'end': '145.200', 'text': 'Okay. Just uh waiting for other people'}, {'start': '142.800', 'end': '148.000', 'text': 'to join. Okay.'}, {'start': '145.200', 'end': '149.560', 'text': 'and then we will start. So we will first'}, {'start': '148.000', 'end': '152.080', 'text': 'discuss this'}, {'start': '149.560', 'end': '153.000', 'text': 'letter. How to write this letter? Uh'}, {'start': '152.080', 'end': '156.920', 'text': 'about'}, {'start': '153.000', 'end': '161.920', 'text': 'epilepsy that I have sent my own case'}, {'start': '156.920', 'end': '161.920', 'text': 'notes. So then we will write the'}, {'start': '163.319', 'end': '167.760', 'text': 'letter. Okay. Just let me share the'}, {'start': '165.680', 'end': '170.239', 'text': 'session with other doctors and nurses'}, {'start': '167.760', 'end': '173.239', 'text': 'and then we will join. We will start.'}, {'start': '170.239', 'end': '173.239', 'text': 'Okay.'}, {'start': '190.599', 'end': '196.959', 'text': 'Okay. So, please just let me know in the'}, {'start': '193.879', 'end': '201.080', 'text': 'chat about your profession if you are a'}, {'start': '196.959', 'end': '201.080', 'text': 'doctor or a nurse.'}, {'start': '225.360', 'end': '228.360', 'text': 'Okay.'}, {'start': '288.639', 'end': '291.639', 'text': 'Okay.'}, {'start': '310.440', 'end': '316.520', 'text': 'So, okay. Can you see my case notes on'}, {'start': '314.560', 'end': '320.000', 'text': 'the'}, {'start': '316.520', 'end': '322.720', 'text': 'screen? Can you see my case notes on the'}, {'start': '320.000', 'end': '322.720', 'text': 'screen?'}, {'start': '331.800', 'end': '337.120', 'text': 'Okay.'}, {'start': '333.800', 'end': '339.080', 'text': 'So, yes. Okay. Just give me one minute'}, {'start': '337.120', 'end': '342.240', 'text': "to see a patient. I'm coming"}, {'start': '339.080', 'end': '346.039', 'text': 'back. So, just read the case notes if'}, {'start': '342.240', 'end': '346.039', 'text': 'you have not done already.'}, {'start': '508.000', 'end': '514.839', 'text': 'Okay, sorry I needed to see a patient.'}, {'start': '511.199', 'end': '517.680', 'text': 'So now these are the case notes'}, {'start': '514.839', 'end': '520.880', 'text': 'that can be used for both doctors and'}, {'start': '517.680', 'end': '524.320', 'text': 'nurses because in the real exam the main'}, {'start': '520.880', 'end': '526.680', 'text': 'thing is you know how to write the'}, {'start': '524.320', 'end': '529.360', 'text': 'letter. Okay. So, how to organize the'}, {'start': '526.680', 'end': '533.519', 'text': 'information? So, how you can communicate'}, {'start': '529.360', 'end': '536.320', 'text': 'easily with other doctor or nurse in the'}, {'start': '533.519', 'end': '539.000', 'text': 'uh you know uh in the written form. So,'}, {'start': '536.320', 'end': '543.640', 'text': 'this is what they want'}, {'start': '539.000', 'end': '546.640', 'text': 'you to do.'}, {'start': '543.640', 'end': '546.640', 'text': 'Okay.'}, {'start': '548.440', 'end': '555.200', 'text': 'So, Okay. So, this is the letter.'}, {'start': '553.040', 'end': '556.360', 'text': 'Can anybody tell me what kind of this'}, {'start': '555.200', 'end': '558.880', 'text': 'letter is?'}, {'start': '556.360', 'end': '561.360', 'text': 'Because No, just let us read. Okay, let'}, {'start': '558.880', 'end': '564.440', 'text': 'us read. So, you are a doctor or nurse'}, {'start': '561.360', 'end': '567.839', 'text': 'at this'}, {'start': '564.440', 'end': '569.920', 'text': 'town, this clinic. Read the case notes'}, {'start': '567.839', 'end': '573.120', 'text': 'below and complete the writing task'}, {'start': '569.920', 'end': '575.360', 'text': 'which follows. Okay. So, after reading'}, {'start': '573.120', 'end': '577.600', 'text': 'this part, just we need to do it very'}, {'start': '575.360', 'end': '580.000', 'text': 'quickly. What we should do? We should'}, {'start': '577.600', 'end': '583.360', 'text': 'keep reading this part or we should go'}, {'start': '580.000', 'end': '585.480', 'text': 'somewhere else. What we should do now?'}, {'start': '583.360', 'end': '590.360', 'text': 'So I have read this'}, {'start': '585.480', 'end': '593.600', 'text': 'part. This part. Now I should go'}, {'start': '590.360', 'end': '595.839', 'text': 'to patient details, past history, social'}, {'start': '593.600', 'end': '599.519', 'text': 'history, visits or I should do something'}, {'start': '595.839', 'end': '599.519', 'text': 'else. What should I do'}, {'start': '600.920', 'end': '605.640', 'text': 'now? What should I do now?'}, {'start': '613.519', 'end': '618.839', 'text': 'Okay. What we should do now? We should'}, {'start': '615.760', 'end': '622.680', 'text': 'read the writing task.'}, {'start': '618.839', 'end': '625.600', 'text': 'Okay. We should now read the writing'}, {'start': '622.680', 'end': '627.880', 'text': 'task. Yeah. Read the question, read the'}, {'start': '625.600', 'end': '630.560', 'text': 'task. After this, we need to read the'}, {'start': '627.880', 'end': '634.320', 'text': 'task. All of these things we need to do'}, {'start': '630.560', 'end': '635.560', 'text': 'within 5 minutes. This is our 5 minutes'}, {'start': '634.320', 'end': '641.279', 'text': 'reading'}, {'start': '635.560', 'end': '641.279', 'text': 'time. All of these things we need to'}, {'start': '643.640', 'end': '651.279', 'text': 'do in 5 minutes in 5 minutes reading'}, {'start': '647.600', 'end': '653.680', 'text': 'time. Yeah. Go to the task. So we will'}, {'start': '651.279', 'end': '656.959', 'text': 'see which type of letter this is. This'}, {'start': '653.680', 'end': '660.640', 'text': 'is whether this is a'}, {'start': '656.959', 'end': '662.120', 'text': 'uh discharge letter, referral letter,'}, {'start': '660.640', 'end': '663.880', 'text': 'transfer'}, {'start': '662.120', 'end': '666.720', 'text': 'letter.'}, {'start': '663.880', 'end': '668.800', 'text': 'Okay. So, urgent referral letter. So,'}, {'start': '666.720', 'end': '671.600', 'text': 'there are different types of letters.'}, {'start': '668.800', 'end': '673.680', 'text': 'So, we need to see which type of letter'}, {'start': '671.600', 'end': '676.680', 'text': 'is to whom we are writing is also'}, {'start': '673.680', 'end': '676.680', 'text': 'important.'}, {'start': '678.160', 'end': '682.640', 'text': 'So let us see here in the writing'}, {'start': '684.279', 'end': '690.160', 'text': 'task.'}, {'start': '686.839', 'end': '695.000', 'text': 'Okay. Using the information in the case'}, {'start': '690.160', 'end': '697.760', 'text': 'notes write a letter to this'}, {'start': '695.000', 'end': '700.560', 'text': 'doctor. So as are these are my own case'}, {'start': '697.760', 'end': '701.880', 'text': 'notes. So for review of medication and'}, {'start': '700.560', 'end': '704.399', 'text': 'treatment'}, {'start': '701.880', 'end': '706.360', 'text': 'plan. So this is the name of the doctor'}, {'start': '704.399', 'end': '708.240', 'text': 'Dr. Check consultant'}, {'start': '706.360', 'end': '711.399', 'text': 'neurologist. Okay. Bradford for'}, {'start': '708.240', 'end': '715.680', 'text': 'hospital. This is these are the things.'}, {'start': '711.399', 'end': '718.640', 'text': 'Okay. No, my question is from this task'}, {'start': '715.680', 'end': '721.920', 'text': 'what you have read what you think which'}, {'start': '718.640', 'end': '721.920', 'text': 'kind of letter it could'}, {'start': '725.399', 'end': '730.560', 'text': 'be. Okay. And you can see the plan also.'}, {'start': '728.639', 'end': '733.600', 'text': 'In the plan is written refer to'}, {'start': '730.560', 'end': '736.320', 'text': 'neurologist for review of medication.'}, {'start': '733.600', 'end': '738.880', 'text': 'continue taking medication until review'}, {'start': '736.320', 'end': '742.560', 'text': 'with neurologist. So this is advice that'}, {'start': '738.880', 'end': '745.000', 'text': 'we have given to the patient. So what'}, {'start': '742.560', 'end': '748.240', 'text': 'you think which kind of letter this'}, {'start': '745.000', 'end': '751.279', 'text': 'is? Normal referral, urgent referral,'}, {'start': '748.240', 'end': '752.880', 'text': 'discharge letter, referral letter. But'}, {'start': '751.279', 'end': '756.160', 'text': "what kind of letter? There's normal"}, {'start': '752.880', 'end': '756.160', 'text': 'referral and one'}, {'start': '757.320', 'end': '763.399', 'text': 'is one is normal referral and other is'}, {'start': '765.040', 'end': '768.440', 'text': 'urgent referral.'}, {'start': '774.200', 'end': '777.760', 'text': 'So, what do you'}, {'start': '785.800', 'end': '790.079', 'text': 'think? What kind of letter? This'}, {'start': '790.120', 'end': '795.920', 'text': 'is urgent referral. Okay, let us see in'}, {'start': '792.800', 'end': '797.920', 'text': 'the case notes. But overall, this is a'}, {'start': '795.920', 'end': '802.040', 'text': 'referral letter. Okay, it is not clearly'}, {'start': '797.920', 'end': '804.800', 'text': 'mentioned so far. So it is a referral'}, {'start': '802.040', 'end': '807.399', 'text': 'letter and we can see what we want from'}, {'start': '804.800', 'end': '811.279', 'text': 'the reader. Okay, looks like normal'}, {'start': '807.399', 'end': '814.880', 'text': 'referral and we need to see what we need'}, {'start': '811.279', 'end': '817.600', 'text': 'from the reader to do for this patient.'}, {'start': '814.880', 'end': '820.760', 'text': 'So can anybody tell me what we need from'}, {'start': '817.600', 'end': '823.600', 'text': 'the reader to do for this'}, {'start': '820.760', 'end': '825.200', 'text': 'patient? So as you remember in the'}, {'start': '823.600', 'end': '827.040', 'text': 'purpose we need to write two things.'}, {'start': '825.200', 'end': '828.600', 'text': 'Number one, what is wrong with the'}, {'start': '827.040', 'end': '831.200', 'text': 'patient. Number'}, {'start': '828.600', 'end': '834.000', 'text': 'two means the diagnosis of the patient'}, {'start': '831.200', 'end': '834.000', 'text': 'and number two'}, {'start': '835.320', 'end': '839.560', 'text': 'is number two what we want from the'}, {'start': '837.760', 'end': '843.120', 'text': 'reader. Okay. So we write two'}, {'start': '839.560', 'end': '843.120', 'text': 'things in the'}, {'start': '845.560', 'end': '848.560', 'text': 'purpose.'}, {'start': '849.639', 'end': '855.040', 'text': 'So number'}, {'start': '851.639', 'end': '857.959', 'text': 'one what is wrong with patient? Okay,'}, {'start': '855.040', 'end': '862.079', 'text': 'what is wrong with'}, {'start': '857.959', 'end': '864.320', 'text': 'patient? Number two, what we want from'}, {'start': '862.079', 'end': '867.040', 'text': 'the reader. Okay, to do for this'}, {'start': '864.320', 'end': '870.199', 'text': 'patient. So this is these are two things'}, {'start': '867.040', 'end': '873.040', 'text': 'that we write in our purpose.'}, {'start': '870.199', 'end': '875.079', 'text': 'Okay, purpose is just these two things.'}, {'start': '873.040', 'end': '877.600', 'text': 'Number one, what is wrong with the'}, {'start': '875.079', 'end': '879.720', 'text': 'patient? What is the diagnosis of this'}, {'start': '877.600', 'end': '883.199', 'text': 'patient? And number'}, {'start': '879.720', 'end': '885.360', 'text': 'two, what we want from the reader. Okay.'}, {'start': '883.199', 'end': '887.000', 'text': 'So can anybody tell me from the part'}, {'start': '885.360', 'end': '890.800', 'text': 'that you can'}, {'start': '887.000', 'end': '894.360', 'text': 'see from this part what you think what'}, {'start': '890.800', 'end': '897.360', 'text': 'we need from the reader to do for this'}, {'start': '894.360', 'end': '900.160', 'text': 'patient? What we need from the reader to'}, {'start': '897.360', 'end': '900.160', 'text': 'do for this'}, {'start': '901.079', 'end': '908.920', 'text': 'patient? What we need from the reader to'}, {'start': '904.480', 'end': '908.920', 'text': 'do for this patient?'}, {'start': '919.360', 'end': '923.519', 'text': 'Review of medication. Very good. Okay.'}, {'start': '921.519', 'end': '926.079', 'text': 'So, we need review of medication means'}, {'start': '923.519', 'end': '928.240', 'text': 'further treatment. Review of the'}, {'start': '926.079', 'end': '931.760', 'text': 'medication. Further treatment. Okay. So,'}, {'start': '928.240', 'end': '934.560', 'text': 'this is what we need from the uh reader.'}, {'start': '931.760', 'end': '937.600', 'text': 'Okay. So, we need review of patients'}, {'start': '934.560', 'end': '940.320', 'text': "medication. But still we don't know what"}, {'start': '937.600', 'end': '944.240', 'text': 'why we need any review for for this'}, {'start': '940.320', 'end': '947.040', 'text': 'patient. Okay, review very good review'}, {'start': '944.240', 'end': '949.680', 'text': 'and treatment plan. But we can make it'}, {'start': '947.040', 'end': '953.680', 'text': 'you know uh appropriate you know later'}, {'start': '949.680', 'end': '958.000', 'text': 'on. So what exactly we need to write in'}, {'start': '953.680', 'end': '960.560', 'text': 'the purpose. Now let us read the because'}, {'start': '958.000', 'end': '963.839', 'text': 'now this is 5 minutes reading time. Let'}, {'start': '960.560', 'end': '966.639', 'text': 'us read okay the case notes. This is the'}, {'start': '963.839', 'end': '969.600', 'text': 'name of the patient. Sophia Jenkins and'}, {'start': '966.639', 'end': '971.279', 'text': 'uh we will use title maze is female.'}, {'start': '969.600', 'end': '974.160', 'text': 'This is the date of birth and this is'}, {'start': '971.279', 'end': '977.360', 'text': 'the age. Social background she is'}, {'start': '974.160', 'end': '979.920', 'text': 'married lives with parents and work is a'}, {'start': '977.360', 'end': '983.199', 'text': 'teacher at Dr. Institute and hobbies is'}, {'start': '979.920', 'end': '986.959', 'text': 'swimming and dancing. Okay, these are'}, {'start': '983.199', 'end': '990.160', 'text': 'the hobbies of the patient.'}, {'start': '986.959', 'end': '993.680', 'text': 'No past history, smoking, no drinking,'}, {'start': '990.160', 'end': '996.880', 'text': 'no allergies, no no surgeries. Childhood'}, {'start': '993.680', 'end': '999.519', 'text': 'eczema, yes. Then we have allergic'}, {'start': '996.880', 'end': '1002.199', 'text': 'reinitis since childhood takes laoradine'}, {'start': '999.519', 'end': '1005.279', 'text': 'one tablet uh'}, {'start': '1002.199', 'end': '1010.399', 'text': 'daily. Then we have history of bacterial'}, {'start': '1005.279', 'end': '1012.759', 'text': 'menitis in June uh 2021 and which needed'}, {'start': '1010.399', 'end': '1015.199', 'text': 'treatment with'}, {'start': '1012.759', 'end': '1018.160', 'text': 'antibiotics. We have family history of'}, {'start': '1015.199', 'end': '1018.160', 'text': 'epilepsy.'}, {'start': '1018.240', 'end': '1025.720', 'text': 'We have family history of epilepsy and'}, {'start': '1021.759', 'end': '1028.799', 'text': 'we have history of lung cancer in the'}, {'start': '1025.720', 'end': '1031.480', 'text': 'mother. So these this is just past'}, {'start': '1028.799', 'end': '1034.319', 'text': 'history, social history, all of these'}, {'start': '1031.480', 'end': '1036.160', 'text': 'things. So then what do you think we'}, {'start': '1034.319', 'end': '1038.559', 'text': 'should continue reading or we should do'}, {'start': '1036.160', 'end': '1041.360', 'text': 'something else? What we should do here'}, {'start': '1038.559', 'end': '1044.400', 'text': 'now? We should continue reading or we'}, {'start': '1041.360', 'end': '1046.880', 'text': 'should do something else.'}, {'start': '1044.400', 'end': '1046.880', 'text': 'What you'}, {'start': '1051.640', 'end': '1056.919', 'text': 'think we should continue reading or we'}, {'start': '1054.640', 'end': '1060.320', 'text': 'should do something'}, {'start': '1056.919', 'end': '1062.840', 'text': 'else? We need to see the dates of'}, {'start': '1060.320', 'end': '1066.480', 'text': 'visits. What we need to'}, {'start': '1062.840', 'end': '1069.240', 'text': 'see the dates of visits because it is'}, {'start': '1066.480', 'end': '1072.720', 'text': 'very important for'}, {'start': '1069.240', 'end': '1075.679', 'text': 'us. The dates of visits are very'}, {'start': '1072.720', 'end': '1075.679', 'text': 'important for us.'}, {'start': '1079.640', 'end': '1088.160', 'text': 'Okay. Dates. Okay. Let us see the dates.'}, {'start': '1082.880', 'end': '1090.440', 'text': 'This is uh 20 of uh uh um month'}, {'start': '1088.160', 'end': '1094.840', 'text': 'uh September'}, {'start': '1090.440', 'end': '1098.720', 'text': '2029 20 uh 2022. This is the first'}, {'start': '1094.840', 'end': '1100.360', 'text': 'visit. Then we have second visit 11th of'}, {'start': '1098.720', 'end': '1104.880', 'text': 'uh'}, {'start': '1100.360', 'end': '1107.799', 'text': 'October. Then we have third visit is'}, {'start': '1104.880', 'end': '1111.960', 'text': 'uh 11th of November.'}, {'start': '1107.799', 'end': '1113.880', 'text': 'Okay. So how many visits we have in this'}, {'start': '1111.960', 'end': '1116.480', 'text': 'letter? How many'}, {'start': '1113.880', 'end': '1118.120', 'text': 'visits we have in this letter? First'}, {'start': '1116.480', 'end': '1122.120', 'text': 'visit first patient'}, {'start': '1118.120', 'end': '1126.799', 'text': 'came on 20 of'}, {'start': '1122.120', 'end': '1130.559', 'text': 'uh September. Then second visit is on'}, {'start': '1126.799', 'end': '1133.280', 'text': '11th of October and next visit on 11th'}, {'start': '1130.559', 'end': '1135.760', 'text': 'of November. So how many visits we have'}, {'start': '1133.280', 'end': '1135.760', 'text': 'in this'}, {'start': '1135.880', 'end': '1139.200', 'text': 'letter? Three'}, {'start': '1146.120', 'end': '1152.000', 'text': 'visits. So we have three visits in this'}, {'start': '1149.919', 'end': '1155.200', 'text': 'letter.'}, {'start': '1152.000', 'end': '1158.360', 'text': 'Apart from that what we need to see the'}, {'start': '1155.200', 'end': '1161.600', 'text': 'you know difference between visits okay'}, {'start': '1158.360', 'end': '1165.679', 'text': 'mean how much is the difference this is'}, {'start': '1161.600', 'end': '1167.679', 'text': 'in September next is in October and next'}, {'start': '1165.679', 'end': '1169.559', 'text': 'is in November so all the visits are'}, {'start': '1167.679', 'end': '1172.480', 'text': 'within 2'}, {'start': '1169.559', 'end': '1177.360', 'text': "months this is today's visit so all the"}, {'start': '1172.480', 'end': '1179.840', 'text': 'visits are within 2 months okay this is'}, {'start': '1177.360', 'end': '1182.360', 'text': 'very important to remember very'}, {'start': '1179.840', 'end': '1187.240', 'text': 'important'}, {'start': '1182.360', 'end': '1189.559', 'text': 'Because just imagine if the first visit'}, {'start': '1187.240', 'end': '1193.799', 'text': 'is 1 year'}, {'start': '1189.559', 'end': '1197.640', 'text': 'ago then second visit'}, {'start': '1193.799', 'end': '1200.640', 'text': 'is 2 months ago and third visit'}, {'start': '1197.640', 'end': '1200.640', 'text': 'is'}, {'start': '1201.320', 'end': '1207.679', 'text': 'today. Third is today. In this in this'}, {'start': '1205.520', 'end': '1210.960', 'text': 'letter if there is one visit one year'}, {'start': '1207.679', 'end': '1214.440', 'text': 'ago then next visit is 2 months ago. You'}, {'start': '1210.960', 'end': '1218.840', 'text': 'need to be very careful about this'}, {'start': '1214.440', 'end': '1221.679', 'text': 'visit that was one year ago.'}, {'start': '1218.840', 'end': '1223.760', 'text': 'Why? Why we need to be very careful if'}, {'start': '1221.679', 'end': '1226.000', 'text': 'the visit is a little bit you know uh'}, {'start': '1223.760', 'end': '1226.000', 'text': 'far'}, {'start': '1227.320', 'end': '1234.840', 'text': 'away. The reason is this could be'}, {'start': '1231.200', 'end': '1234.840', 'text': 'irrelevant visit.'}, {'start': '1236.000', 'end': '1240.760', 'text': 'This could'}, {'start': '1238.280', 'end': '1243.760', 'text': 'be irrelevant'}, {'start': '1240.760', 'end': '1245.440', 'text': 'visit. This one that is one year ago it'}, {'start': '1243.760', 'end': '1246.520', 'text': 'could be irrelevant. So we need to be'}, {'start': '1245.440', 'end': '1250.640', 'text': 'very'}, {'start': '1246.520', 'end': '1250.640', 'text': 'careful. Yeah. Old history. For'}, {'start': '1250.679', 'end': '1258.440', 'text': 'example, one year ago patient had uh'}, {'start': '1254.400', 'end': '1261.159', 'text': 'symptoms of you know flu. You can write'}, {'start': '1258.440', 'end': '1264.000', 'text': 'cold. Okay.'}, {'start': '1261.159', 'end': '1265.559', 'text': 'Then two months ago patient presented'}, {'start': '1264.000', 'end': '1270.360', 'text': 'with'}, {'start': '1265.559', 'end': '1274.400', 'text': 'fits and today patient presented'}, {'start': '1270.360', 'end': '1274.400', 'text': 'with fits again.'}, {'start': '1275.320', 'end': '1281.120', 'text': 'Okay. Plus'}, {'start': '1278.280', 'end': '1283.919', 'text': 'fever. Now what do you think this visit'}, {'start': '1281.120', 'end': '1287.320', 'text': 'first visit is relevant or irrelevant in'}, {'start': '1283.919', 'end': '1290.000', 'text': 'this letter? If you have a letter in'}, {'start': '1287.320', 'end': '1293.520', 'text': 'which first visit was one year ago,'}, {'start': '1290.000', 'end': '1295.559', 'text': 'patient presented with flu cold and uh'}, {'start': '1293.520', 'end': '1298.080', 'text': 'you have given like'}, {'start': '1295.559', 'end': '1300.960', 'text': 'paracetamole to the patient and patient'}, {'start': '1298.080', 'end': '1302.520', 'text': 'went home. Then patient came to two'}, {'start': '1300.960', 'end': '1305.440', 'text': 'months ago with'}, {'start': '1302.520', 'end': '1308.480', 'text': 'fits and then patient came today with'}, {'start': '1305.440', 'end': '1310.480', 'text': 'fits again and plus fever. So what do'}, {'start': '1308.480', 'end': '1313.120', 'text': 'you think about this visit of that is'}, {'start': '1310.480', 'end': '1316.559', 'text': 'one year ago? What do you think is it'}, {'start': '1313.120', 'end': '1316.559', 'text': 'relevant or irrelevant?'}, {'start': '1317.440', 'end': '1321.679', 'text': 'Second and third are relevant. So if'}, {'start': '1319.600', 'end': '1325.520', 'text': 'second and third are relevant and what'}, {'start': '1321.679', 'end': '1325.520', 'text': 'about the first one is relevant or'}, {'start': '1331.240', 'end': '1340.280', 'text': 'irrelevant. Irrelevant.'}, {'start': '1333.799', 'end': '1342.200', 'text': 'Okay. Is irrelevant. Okay. No. If as'}, {'start': '1340.280', 'end': '1345.320', 'text': 'examiner,'}, {'start': '1342.200', 'end': '1348.880', 'text': 'if as an'}, {'start': '1345.320', 'end': '1350.360', 'text': 'examiner I am marking a letter of any'}, {'start': '1348.880', 'end': '1353.360', 'text': 'doctor, any'}, {'start': '1350.360', 'end': '1353.360', 'text': 'nurse'}, {'start': '1355.559', 'end': '1362.240', 'text': 'who includes this'}, {'start': '1358.440', 'end': '1365.640', 'text': 'visit. So who include this visit? Who'}, {'start': '1362.240', 'end': '1368.880', 'text': 'includes this visit in his or her'}, {'start': '1365.640', 'end': '1372.880', 'text': 'letter? What do you think?'}, {'start': '1368.880', 'end': '1376.240', 'text': "what score I will give if he's a doctor"}, {'start': '1372.880', 'end': '1379.360', 'text': 'will get C plus if is a nurse will get C'}, {'start': '1376.240', 'end': '1381.120', 'text': 'grade okay the reason is because you'}, {'start': '1379.360', 'end': '1383.200', 'text': "don't need to include this irrelevant"}, {'start': '1381.120', 'end': '1385.520', 'text': 'visit okay this is very easy for the'}, {'start': '1383.200', 'end': '1388.320', 'text': 'examiner to you know separate the'}, {'start': '1385.520', 'end': '1390.880', 'text': 'students who are not well prepared just'}, {'start': '1388.320', 'end': '1393.760', 'text': 'by seeing that they have included this'}, {'start': '1390.880', 'end': '1396.960', 'text': 'irrelevant visit in their letter so'}, {'start': '1393.760', 'end': '1398.960', 'text': 'definitely this student even if their'}, {'start': '1396.960', 'end': '1402.559', 'text': 'English is very very Good. But still'}, {'start': '1398.960', 'end': '1407.360', 'text': 'this student will get if is doctor C++'}, {'start': '1402.559', 'end': '1409.760', 'text': 'if is nurse C grade okay C grade be very'}, {'start': '1407.360', 'end': '1413.280', 'text': 'be careful okay be careful about these'}, {'start': '1409.760', 'end': '1415.919', 'text': 'things okay so but here our visits are'}, {'start': '1413.280', 'end': '1418.640', 'text': 'very close and let us see what is in in'}, {'start': '1415.919', 'end': '1420.120', 'text': 'each visit in the first visit patient is'}, {'start': '1418.640', 'end': '1422.520', 'text': 'coming with'}, {'start': '1420.120', 'end': '1426.400', 'text': 'fit presents with'}, {'start': '1422.520', 'end': '1428.240', 'text': 'fit some visual auras 5 minutes before'}, {'start': '1426.400', 'end': '1431.559', 'text': 'fit auditory auras'}, {'start': '1428.240', 'end': '1435.280', 'text': 'of ringing sounds 3 minutes before'}, {'start': '1431.559', 'end': '1437.679', 'text': 'fit and the fit lasts for 3 minutes.'}, {'start': '1435.280', 'end': '1440.080', 'text': 'Jerky moments. What? How was the fit?'}, {'start': '1437.679', 'end': '1442.679', 'text': 'There were jerky moments. Both arms and'}, {'start': '1440.080', 'end': '1446.200', 'text': 'leg. Loss of consciousness was'}, {'start': '1442.679', 'end': '1449.280', 'text': 'positive. Patient uh vets'}, {'start': '1446.200', 'end': '1451.000', 'text': 'himself herself. Okay. It should be'}, {'start': '1449.280', 'end': '1456.080', 'text': 'herself is'}, {'start': '1451.000', 'end': '1458.080', 'text': 'female. Okay. Herself pass urine uh byes'}, {'start': '1456.080', 'end': '1460.960', 'text': 'his no it should be her. Okay. just you'}, {'start': '1458.080', 'end': '1463.760', 'text': 'know these are the case notes written by'}, {'start': '1460.960', 'end': '1468.000', 'text': 'me and we need proof reading. Okay. So'}, {'start': '1463.760', 'end': '1470.480', 'text': 'bites her tongue and then uh mother'}, {'start': '1468.000', 'end': '1473.279', 'text': 'calls ambulance and brings the patient'}, {'start': '1470.480', 'end': '1476.720', 'text': 'to the emergency department. So we have'}, {'start': '1473.279', 'end': '1478.559', 'text': 'done the examination saturation 90 99%'}, {'start': '1476.720', 'end': '1481.679', 'text': 'blood pressure is okay respiratory rate'}, {'start': '1478.559', 'end': '1484.320', 'text': 'is okay pulse is okay systemic'}, {'start': '1481.679', 'end': '1487.039', 'text': 'examination is okay we have invest'}, {'start': '1484.320', 'end': '1489.480', 'text': 'requested some investigations for blood'}, {'start': '1487.039', 'end': '1492.240', 'text': 'count uh liver function test your'}, {'start': '1489.480', 'end': '1495.120', 'text': 'electrolytes renal function test EEG of'}, {'start': '1492.240', 'end': '1498.159', 'text': 'the brain CT scan of the brain and we'}, {'start': '1495.120', 'end': '1502.679', 'text': 'have advised the patient to come after 3'}, {'start': '1498.159', 'end': '1502.679', 'text': 'weeks to review in 3 weeks'}, {'start': '1503.960', 'end': '1508.000', 'text': 'Okay. So this is our first'}, {'start': '1509.320', 'end': '1517.200', 'text': 'visit. In the next visit, patient came'}, {'start': '1513.360', 'end': '1519.840', 'text': 'for of course for a review and patient'}, {'start': '1517.200', 'end': '1523.919', 'text': 'complains of episodes of similar fate'}, {'start': '1519.840', 'end': '1527.279', 'text': 'one week after first fit. It lasted for'}, {'start': '1523.919', 'end': '1529.960', 'text': '5 minutes. uh they called ambulance and'}, {'start': '1527.279', 'end': '1532.760', 'text': 'the treatment was given'}, {'start': '1529.960', 'end': '1536.080', 'text': 'dazip under uh 10 mg'}, {'start': '1532.760', 'end': '1538.960', 'text': 'IV. Then we have labs these tests that'}, {'start': '1536.080', 'end': '1540.559', 'text': 'we have you know advised here we have'}, {'start': '1538.960', 'end': '1544.080', 'text': 'requested we have advised we have'}, {'start': '1540.559', 'end': '1547.440', 'text': 'ordered here. So here are the results.'}, {'start': '1544.080', 'end': '1552.480', 'text': 'All blood tests are normal. MRI is'}, {'start': '1547.440', 'end': '1555.720', 'text': 'normal. No growth, no mass. EEG shows uh'}, {'start': '1552.480', 'end': '1558.799', 'text': 'perisimal uh bursts of rhythmic high'}, {'start': '1555.720', 'end': '1562.640', 'text': 'amplitude spike spikes. It could be'}, {'start': '1558.799', 'end': '1566.760', 'text': 'spikes. Okay. The diagnosis on that time'}, {'start': '1562.640', 'end': '1568.840', 'text': 'was tonic clonic idiopathic'}, {'start': '1566.760', 'end': '1571.760', 'text': 'epilepsy. Then you have given the'}, {'start': '1568.840', 'end': '1574.159', 'text': 'treatment sodium balroate. You advise'}, {'start': '1571.760', 'end': '1576.400', 'text': 'the patient to stop driving. You advise'}, {'start': '1574.159', 'end': '1578.799', 'text': 'the patient to avoid loud noise. You'}, {'start': '1576.400', 'end': '1582.320', 'text': 'advise the patient to avoid flashing'}, {'start': '1578.799', 'end': '1584.480', 'text': 'lights. Avoid working on heights. And we'}, {'start': '1582.320', 'end': '1586.840', 'text': 'advise the patient to regularly review'}, {'start': '1584.480', 'end': '1590.960', 'text': 'with his or her'}, {'start': '1586.840', 'end': '1590.960', 'text': 'GP. Now we have third'}, {'start': '1592.600', 'end': '1597.360', 'text': 'visit. Third visit. Okay.'}, {'start': '1595.679', 'end': '1599.919', 'text': 'Patient today came with a loss of'}, {'start': '1597.360', 'end': '1602.159', 'text': 'appetite, fever, yellow discoloration of'}, {'start': '1599.919', 'end': '1607.760', 'text': 'skin and eyes, pale stool, dark urine'}, {'start': '1602.159', 'end': '1611.000', 'text': 'for 5 days and uh uh uh no fit since uh'}, {'start': '1607.760', 'end': '1614.240', 'text': 'last visit. Since this visit there is no'}, {'start': '1611.000', 'end': '1617.559', 'text': 'fate investigations uh Billy Rubin is'}, {'start': '1614.240', 'end': '1621.279', 'text': 'increased, CBC playlets are incre'}, {'start': '1617.559', 'end': '1623.200', 'text': 'decreased. Uh patient stops medication'}, {'start': '1621.279', 'end': '1626.159', 'text': 'two days ago. So patient stopped'}, {'start': '1623.200', 'end': '1628.400', 'text': 'medication and assessment is side'}, {'start': '1626.159', 'end': '1631.039', 'text': 'effects of sodium balproate. Okay, these'}, {'start': '1628.400', 'end': '1633.520', 'text': 'are the side effects possible this'}, {'start': '1631.039', 'end': '1635.440', 'text': 'patient is experiencing now. Now the'}, {'start': '1633.520', 'end': '1638.080', 'text': 'plan is we need to refer this patient to'}, {'start': '1635.440', 'end': '1641.080', 'text': 'the neurologist for review of medication'}, {'start': '1638.080', 'end': '1643.760', 'text': 'and we advise the patient to'}, {'start': '1641.080', 'end': '1646.480', 'text': 'continue his medication. He has stopped.'}, {'start': '1643.760', 'end': '1651.400', 'text': 'So she has stopped. We advise the'}, {'start': '1646.480', 'end': '1651.400', 'text': 'patient to continue the medication.'}, {'start': '1655.080', 'end': '1659.760', 'text': 'So in this letter we'}, {'start': '1670.440', 'end': '1676.080', 'text': 'have.'}, {'start': '1672.440', 'end': '1676.080', 'text': 'So we have'}, {'start': '1677.080', 'end': '1683.080', 'text': 'purpose. We have first visit that is on'}, {'start': '1681.919', 'end': '1685.640', 'text': '20'}, {'start': '1683.080', 'end': '1689.320', 'text': 'of'}, {'start': '1685.640', 'end': '1692.320', 'text': '09. Second visit was'}, {'start': '1689.320', 'end': '1692.320', 'text': '11'}, {'start': '1693.000', 'end': '1698.120', 'text': 'October. Third visit is 1111.'}, {'start': '1701.480', 'end': '1707.159', 'text': 'Then we can write a little bit about you'}, {'start': '1704.640', 'end': '1711.880', 'text': 'know past'}, {'start': '1707.159', 'end': '1715.880', 'text': 'history. Past history you can say social'}, {'start': '1711.880', 'end': '1718.880', 'text': 'history. Okay. Past history. Then we'}, {'start': '1715.880', 'end': '1718.880', 'text': 'have'}, {'start': '1719.159', 'end': '1724.880', 'text': 'conclusion. This is one'}, {'start': '1721.960', 'end': '1729.320', 'text': 'way. Other way is that you can say this'}, {'start': '1724.880', 'end': '1729.320', 'text': "one is today's visit."}, {'start': '1732.799', 'end': '1736.720', 'text': 'Okay. Uh other way'}, {'start': '1738.360', 'end': '1744.480', 'text': 'is we can'}, {'start': '1741.000', 'end': '1744.480', 'text': 'write after'}, {'start': '1744.520', 'end': '1749.480', 'text': "purpose today's visit then first visit"}, {'start': '1748.080', 'end': '1753.159', 'text': 'second visit past'}, {'start': '1749.480', 'end': '1756.960', 'text': 'history. So this is number'}, {'start': '1753.159', 'end': '1756.960', 'text': 'two, method number'}, {'start': '1757.000', 'end': '1762.320', 'text': 'two.'}, {'start': '1758.600', 'end': '1764.080', 'text': 'Okay. And this is number one. Okay. And'}, {'start': '1762.320', 'end': '1765.840', 'text': 'number one we are writing in'}, {'start': '1764.080', 'end': '1768.799', 'text': 'chronological order. We are writing'}, {'start': '1765.840', 'end': '1771.320', 'text': 'first visit, second visit, third visit,'}, {'start': '1768.799', 'end': '1773.840', 'text': 'past history, social history, then'}, {'start': '1771.320', 'end': '1776.399', 'text': 'conclusion. And second we are writing'}, {'start': '1773.840', 'end': '1778.480', 'text': 'purpose, then third visit, first visit.'}, {'start': '1776.399', 'end': '1780.559', 'text': 'Okay. Second visit, past history,'}, {'start': '1778.480', 'end': '1782.960', 'text': 'conclusion. So what do you think? What'}, {'start': '1780.559', 'end': '1785.559', 'text': 'is appropriate number one or number two?'}, {'start': '1782.960', 'end': '1788.240', 'text': 'What is appropriate for this'}, {'start': '1785.559', 'end': '1791.320', 'text': 'letter? What is appropriate for this'}, {'start': '1788.240', 'end': '1795.799', 'text': 'letter? Number one or number two? Which'}, {'start': '1791.320', 'end': '1798.240', 'text': 'order? Chronological order. Order of'}, {'start': '1795.799', 'end': '1802.080', 'text': 'importance. Chronological order or order'}, {'start': '1798.240', 'end': '1802.080', 'text': 'of importance? What is what is important'}, {'start': '1806.440', 'end': '1811.760', 'text': 'here? What? Which one?'}, {'start': '1809.440', 'end': '1814.880', 'text': 'So we should follow order of importance'}, {'start': '1811.760', 'end': '1814.880', 'text': 'or chronological'}, {'start': '1819.640', 'end': '1824.559', 'text': 'order. This is not an urgent letter. It'}, {'start': '1822.399', 'end': '1828.000', 'text': 'is not written anywhere. It is not'}, {'start': '1824.559', 'end': '1830.200', 'text': 'written anywhere in the letter that this'}, {'start': '1828.000', 'end': '1832.919', 'text': 'is urgent'}, {'start': '1830.200', 'end': '1836.240', 'text': 'letter. So this is normal referral'}, {'start': '1832.919', 'end': '1839.039', 'text': 'letter. So we will follow chronological'}, {'start': '1836.240', 'end': '1841.200', 'text': 'order. Okay. So we will follow'}, {'start': '1839.039', 'end': '1843.840', 'text': 'chronological order. Chronological'}, {'start': '1841.200', 'end': '1845.840', 'text': 'order. Okay. So we will write like this.'}, {'start': '1843.840', 'end': '1848.399', 'text': 'We will write purpose. We will write you'}, {'start': '1845.840', 'end': '1850.159', 'text': 'know uh first visit. Then we will write'}, {'start': '1848.399', 'end': '1852.480', 'text': 'second visit. We will write third visit.'}, {'start': '1850.159', 'end': '1853.559', 'text': 'We will write past history and we will'}, {'start': '1852.480', 'end': '1856.159', 'text': 'write'}, {'start': '1853.559', 'end': '1858.320', 'text': 'conclusion. So as you can see from the'}, {'start': '1856.159', 'end': '1860.840', 'text': 'notes on the first visit patient is'}, {'start': '1858.320', 'end': '1864.640', 'text': 'presenting with fits that is'}, {'start': '1860.840', 'end': '1866.640', 'text': 'relevant. Okay. This visit is relevant.'}, {'start': '1864.640', 'end': '1870.320', 'text': 'Second visit patient uh you know came'}, {'start': '1866.640', 'end': '1872.279', 'text': 'for the review of the test results. So'}, {'start': '1870.320', 'end': '1875.120', 'text': 'this visit is'}, {'start': '1872.279', 'end': '1878.279', 'text': 'relevant. So third visit is also'}, {'start': '1875.120', 'end': '1881.200', 'text': 'relevant. So all the visits are'}, {'start': '1878.279', 'end': '1883.120', 'text': 'relevant. Now let us decide about you'}, {'start': '1881.200', 'end': '1886.000', 'text': 'know patient details name gender these'}, {'start': '1883.120', 'end': '1889.640', 'text': 'things are not needed. Is married lives'}, {'start': '1886.000', 'end': '1892.159', 'text': 'with parents work work you know at this'}, {'start': '1889.640', 'end': '1894.640', 'text': 'institute hobbies are swimming and'}, {'start': '1892.159', 'end': '1896.399', 'text': 'dancing. So do you think any of these'}, {'start': '1894.640', 'end': '1898.320', 'text': 'things are important to mention in this'}, {'start': '1896.399', 'end': '1899.960', 'text': 'letter from the social background? Is'}, {'start': '1898.320', 'end': '1902.600', 'text': 'anything important to'}, {'start': '1899.960', 'end': '1905.519', 'text': 'mention from the social'}, {'start': '1902.600', 'end': '1907.600', 'text': 'background? Do you think is anything'}, {'start': '1905.519', 'end': '1910.080', 'text': 'important to write in this letter from'}, {'start': '1907.600', 'end': '1910.080', 'text': 'the social'}, {'start': '1911.320', 'end': '1914.799', 'text': 'background? What do you'}, {'start': '1916.519', 'end': '1923.240', 'text': 'think? So Miss Priya, Dr. Priya is'}, {'start': '1920.000', 'end': '1923.240', 'text': 'saying no.'}, {'start': '1923.279', 'end': '1932.720', 'text': 'uh uh Mr. Rafia, Dr. Sam, Dr. Naven are'}, {'start': '1929.720', 'end': '1935.279', 'text': 'Singh hobbies could be important because'}, {'start': '1932.720', 'end': '1938.240', 'text': 'uh but this is you know mainly the'}, {'start': '1935.279', 'end': '1941.320', 'text': 'reason is side effects of epilepsy'}, {'start': '1938.240', 'end': '1943.720', 'text': 'medication. So even hobbies could be'}, {'start': '1941.320', 'end': '1946.159', 'text': 'relevant optional I will say them'}, {'start': '1943.720', 'end': '1949.039', 'text': 'optional but we can skip this is a'}, {'start': '1946.159', 'end': '1952.080', 'text': 'referral letter and is not something you'}, {'start': '1949.039', 'end': '1954.640', 'text': 'know for the first time is not you know'}, {'start': '1952.080', 'end': '1956.760', 'text': 'he is not going to diagnose anything the'}, {'start': '1954.640', 'end': '1960.399', 'text': 'reader is not going to diagnose'}, {'start': '1956.760', 'end': '1962.279', 'text': 'anything so I would prefer to skip okay'}, {'start': '1960.399', 'end': '1964.960', 'text': 'social history nothing is'}, {'start': '1962.279', 'end': '1969.320', 'text': 'important if you write hobbies I will'}, {'start': '1964.960', 'end': '1972.559', 'text': 'not say it is wrong but you can skip'}, {'start': '1969.320', 'end': '1974.240', 'text': 'Okay. Then smoking, no drinking, no'}, {'start': '1972.559', 'end': '1976.159', 'text': 'allergies, no. These things are no. What'}, {'start': '1974.240', 'end': '1979.720', 'text': 'about childhood eczema? We should write'}, {'start': '1976.159', 'end': '1982.919', 'text': 'childhood eczema or not childhood'}, {'start': '1979.720', 'end': '1986.000', 'text': 'eczema. What do you'}, {'start': '1982.919', 'end': '1988.240', 'text': 'think? Living with parents. Yes, you can'}, {'start': '1986.000', 'end': '1991.279', 'text': 'write. But now according to the'}, {'start': '1988.240', 'end': '1994.159', 'text': 'situation is not too important. Okay. We'}, {'start': '1991.279', 'end': '1998.000', 'text': 'are not you know uh uh discussing'}, {'start': '1994.159', 'end': '2000.600', 'text': 'something you know that is uh social'}, {'start': '1998.000', 'end': '2003.200', 'text': 'just this is like a medical referral.'}, {'start': '2000.600', 'end': '2006.000', 'text': 'Okay. So childhood eczema is not'}, {'start': '2003.200', 'end': '2008.919', 'text': 'important. Excellent. Okay. Good. No no'}, {'start': '2006.000', 'end': '2012.200', 'text': 'no need of eczema. What about allergic'}, {'start': '2008.919', 'end': '2015.360', 'text': 'arenitis? What about allergic'}, {'start': '2012.200', 'end': '2018.080', 'text': 'arinitis? Since childhood takes lowered'}, {'start': '2015.360', 'end': '2018.080', 'text': 'in one tablet'}, {'start': '2020.039', 'end': '2024.360', 'text': 'oD is also not'}, {'start': '2022.440', 'end': '2026.960', 'text': 'important.'}, {'start': '2024.360', 'end': '2030.080', 'text': 'Okay. Even currently patient is taking'}, {'start': '2026.960', 'end': '2031.880', 'text': 'medication but still it is can be but'}, {'start': '2030.080', 'end': '2035.720', 'text': 'does not look very'}, {'start': '2031.880', 'end': '2038.799', 'text': 'important. Bacterial menagetus in June'}, {'start': '2035.720', 'end': '2043.720', 'text': '2021 and was treated with antibiotics.'}, {'start': '2038.799', 'end': '2043.720', 'text': "What's about this? What about this?"}, {'start': '2044.720', 'end': '2047.679', 'text': 'What about bacteria'}, {'start': '2055.560', 'end': '2059.520', 'text': "bagitis? She's taking medicine but"}, {'start': '2057.839', 'end': '2062.399', 'text': 'according to the situation we can'}, {'start': '2059.520', 'end': '2066.240', 'text': 'escape. Okay. Miss'}, {'start': '2062.399', 'end': '2068.240', 'text': 'uh we can escape. Okay. Is not okay.'}, {'start': '2066.240', 'end': '2071.280', 'text': 'History of menitis could be important'}, {'start': '2068.240', 'end': '2074.000', 'text': 'because this could be the reason.'}, {'start': '2071.280', 'end': '2076.960', 'text': 'Yeah. Okay. You can mention it. You can'}, {'start': '2074.000', 'end': '2079.280', 'text': 'mention it. History of bacterial'}, {'start': '2076.960', 'end': '2082.639', 'text': "menitis. You can mention it. Father's"}, {'start': '2079.280', 'end': '2082.639', 'text': 'history of epilepsy. What you'}, {'start': '2086.040', 'end': '2089.919', 'text': "think? Mother's history of lung cancer"}, {'start': '2088.320', 'end': '2093.359', 'text': "is not important. Father's history of"}, {'start': '2089.919', 'end': '2093.359', 'text': 'epilepsy and these'}, {'start': '2095.639', 'end': '2102.599', 'text': 'menitis could be could be could be okay.'}, {'start': '2100.400', 'end': '2106.040', 'text': 'But let me see let me tell you the'}, {'start': '2102.599', 'end': '2109.760', 'text': 'situation. Okay, let me tell you the'}, {'start': '2106.040', 'end': '2114.560', 'text': 'situation. This patient is not if we are'}, {'start': '2109.760', 'end': '2114.560', 'text': 'sending this patient. Let me see'}, {'start': '2115.079', 'end': '2124.680', 'text': 'the'}, {'start': '2117.480', 'end': '2128.680', 'text': 'if this patient had some fates we are'}, {'start': '2124.680', 'end': '2128.680', 'text': 'suspecting epilepsy.'}, {'start': '2130.440', 'end': '2136.640', 'text': 'Okay. Then uh you know a history of'}, {'start': '2137.640', 'end': '2142.960', 'text': 'menitis'}, {'start': '2139.960', 'end': '2142.960', 'text': 'plus'}, {'start': '2147.800', 'end': '2155.079', 'text': "father's epilepsy. Okay. So these are"}, {'start': '2151.240', 'end': '2158.800', 'text': 'important but in this'}, {'start': '2155.079', 'end': '2158.800', 'text': 'case is already'}, {'start': '2159.720', 'end': '2163.560', 'text': 'diagnosed is I already diagnosed with'}, {'start': '2162.240', 'end': '2167.280', 'text': 'you know'}, {'start': '2163.560', 'end': '2170.000', 'text': 'EEG and the symptoms. Okay this case is'}, {'start': '2167.280', 'end': '2171.000', 'text': 'already diagnosed. So these are the just'}, {'start': '2170.000', 'end': '2174.880', 'text': 'risk'}, {'start': '2171.000', 'end': '2177.200', 'text': 'factors. So if this is a new patient for'}, {'start': '2174.880', 'end': '2180.240', 'text': "whom we don't know the diagnosis or we"}, {'start': '2177.200', 'end': '2181.480', 'text': 'are referring this patient for a'}, {'start': '2180.240', 'end': '2183.320', 'text': 'definitive'}, {'start': '2181.480', 'end': '2187.200', 'text': 'diagnosis'}, {'start': '2183.320', 'end': '2191.040', 'text': 'then we must then we must mention this.'}, {'start': '2187.200', 'end': '2191.040', 'text': 'Okay. If we are sending this'}, {'start': '2191.640', 'end': '2197.839', 'text': 'patient for'}, {'start': '2193.480', 'end': '2197.839', 'text': 'diagnosis but'}, {'start': '2198.040', 'end': '2203.599', 'text': 'here okay but'}, {'start': '2200.680', 'end': '2206.800', 'text': 'here this patient is already diagnosed'}, {'start': '2203.599', 'end': '2210.520', 'text': 'with tonic clonic idiopathic epilepsy in'}, {'start': '2206.800', 'end': '2210.520', 'text': 'the second last visit.'}, {'start': '2210.560', 'end': '2215.599', 'text': 'This'}, {'start': '2211.640', 'end': '2219.119', 'text': 'patient is already diagnosed with tonic'}, {'start': '2215.599', 'end': '2222.000', 'text': 'colonic idiopathic epilepsy in the'}, {'start': '2219.119', 'end': '2224.079', 'text': 'second last visit. So now the problem is'}, {'start': '2222.000', 'end': '2226.200', 'text': 'just patient is having some side effects'}, {'start': '2224.079', 'end': '2231.040', 'text': 'of the medication that we have'}, {'start': '2226.200', 'end': '2233.680', 'text': 'prescribed in the second last visit.'}, {'start': '2231.040', 'end': '2235.480', 'text': 'So do you think telling the reader'}, {'start': '2233.680', 'end': '2238.480', 'text': 'telling the reader that father has'}, {'start': '2235.480', 'end': '2242.400', 'text': 'epilepsy, this patient had menitis one'}, {'start': '2238.480', 'end': '2244.560', 'text': 'year ago is relevant? Now the purpose is'}, {'start': '2242.400', 'end': '2246.280', 'text': 'just to review the medication because we'}, {'start': '2244.560', 'end': '2249.680', 'text': 'have diagnosed the'}, {'start': '2246.280', 'end': '2252.079', 'text': 'epilepsy. We have diagnosed the epilepsy'}, {'start': '2249.680', 'end': '2255.040', 'text': 'and we are just telling the reader to'}, {'start': '2252.079', 'end': '2257.119', 'text': 'review his medication. The diagnosis of'}, {'start': '2255.040', 'end': '2260.000', 'text': 'epilepsy is already done in the second'}, {'start': '2257.119', 'end': '2262.560', 'text': 'last visit.'}, {'start': '2260.000', 'end': '2264.280', 'text': "Now tell me would you write uh father's"}, {'start': '2262.560', 'end': '2267.560', 'text': 'history of epilepsy'}, {'start': '2264.280', 'end': '2270.640', 'text': 'and history of menitis that was one year'}, {'start': '2267.560', 'end': '2273.880', 'text': 'ago would you write it or you will not'}, {'start': '2270.640', 'end': '2278.560', 'text': 'write it these two part these two'}, {'start': '2273.880', 'end': '2278.560', 'text': 'things will you write in this letter or'}, {'start': '2279.400', 'end': '2284.760', 'text': 'not will you write or Not.'}, {'start': '2324.240', 'end': '2332.280', 'text': 'Okay. So'}, {'start': '2327.079', 'end': '2335.359', 'text': 'next now you have here the'}, {'start': '2332.280', 'end': '2337.680', 'text': 'diagnosis in the previous visit. You'}, {'start': '2335.359', 'end': '2340.000', 'text': 'have the diagnosis for today. You have'}, {'start': '2337.680', 'end': '2341.920', 'text': 'what we need from the reader. Can you'}, {'start': '2340.000', 'end': '2344.359', 'text': "write a purpose just quickly? I'm going"}, {'start': '2341.920', 'end': '2348.000', 'text': "to see a patient in 1 minute. I'm coming"}, {'start': '2344.359', 'end': '2350.560', 'text': "back. Please note. I'm coming back. I"}, {'start': '2348.000', 'end': '2353.000', 'text': 'need to see a patient. I am coming back'}, {'start': '2350.560', 'end': '2356.400', 'text': 'in just one or two minutes'}, {'start': '2353.000', 'end': '2358.640', 'text': 'only. So just see what you how you will'}, {'start': '2356.400', 'end': '2360.240', 'text': 'write the purpose. Okay. Just see how'}, {'start': '2358.640', 'end': '2362.400', 'text': "you will write the purpose. I'm coming"}, {'start': '2360.240', 'end': '2365.880', 'text': 'back. Okay. And you can try to write in'}, {'start': '2362.400', 'end': '2365.880', 'text': 'the chat. Okay.'}, {'start': '2464.520', 'end': '2472.880', 'text': 'Okay.'}, {'start': '2467.079', 'end': '2472.880', 'text': 'So now let us try to write the purpose.'}, {'start': '2477.000', 'end': '2482.040', 'text': 'Okay. First part is very easy.'}, {'start': '2483.680', 'end': '2487.680', 'text': 'So here we have Dr.'}, {'start': '2488.280', 'end': '2491.280', 'text': "Nadim's"}, {'start': '2492.839', 'end': '2495.839', 'text': 'purpose.'}, {'start': '2496.839', 'end': '2505.359', 'text': 'Okay. And here Dr. Sema or Miss'}, {'start': '2502.359', 'end': '2505.359', 'text': 'SMA'}, {'start': '2505.960', 'end': '2512.680', 'text': 'yours. And here we'}, {'start': '2510.119', 'end': '2515.680', 'text': 'have Miss'}, {'start': '2512.680', 'end': '2515.680', 'text': 'Ar.'}, {'start': '2519.960', 'end': '2526.119', 'text': 'Okay. Okay. Before we see yours, okay,'}, {'start': '2523.680', 'end': '2528.680', 'text': 'let me try to write'}, {'start': '2526.119', 'end': '2531.839', 'text': 'here the purpose.'}, {'start': '2528.680', 'end': '2534.800', 'text': 'Okay. First is very easy. We can start'}, {'start': '2531.839', 'end': '2537.920', 'text': 'with I am writing to refer. Thank you'}, {'start': '2534.800', 'end': '2541.079', 'text': 'for seeing. So both are okay. At the'}, {'start': '2537.920', 'end': '2545.960', 'text': 'basic level I would prefer I am'}, {'start': '2541.079', 'end': '2548.119', 'text': 'writing to refer. Okay. Then we'}, {'start': '2545.960', 'end': '2550.920', 'text': 'need'}, {'start': '2548.119', 'end': '2554.880', 'text': 'miss as it is written in'}, {'start': '2550.920', 'end': '2556.560', 'text': 'the case notes. Miss and with miss is'}, {'start': '2554.880', 'end': '2559.760', 'text': 'title we will use surname of the'}, {'start': '2556.560', 'end': '2562.319', 'text': 'patient. Sur names. Uh surname means the'}, {'start': '2559.760', 'end': '2565.760', 'text': 'second part of the name. Okay. Miss'}, {'start': '2562.319', 'end': '2567.720', 'text': 'Jenkins. Okay.'}, {'start': '2565.760', 'end': '2572.000', 'text': "I'm writing to refer Miss"}, {'start': '2567.720', 'end': '2575.480', 'text': 'Jenkins. You can write the age'}, {'start': '2572.000', 'end': '2579.599', 'text': 'uh 27 year old uh female.'}, {'start': '2575.480', 'end': '2580.960', 'text': 'Okay, you can write. Okay, but let us'}, {'start': '2579.599', 'end': '2583.319', 'text': 'just skip because we have already'}, {'start': '2580.960', 'end': '2585.560', 'text': 'written.'}, {'start': '2583.319', 'end': '2590.319', 'text': 'Okay, so'}, {'start': '2585.560', 'end': '2590.319', 'text': 'then what is wrong with this patient?'}, {'start': '2590.359', 'end': '2595.359', 'text': 'Okay, what is wrong with this patient?'}, {'start': '2599.440', 'end': '2604.079', 'text': 'we need to'}, {'start': '2601.480', 'end': '2606.560', 'text': 'write. So we have two things here. If'}, {'start': '2604.079', 'end': '2608.520', 'text': 'you see here in the last visit was tonic'}, {'start': '2606.560', 'end': '2611.720', 'text': 'clonic idiopathic'}, {'start': '2608.520', 'end': '2615.920', 'text': 'epilepsy and on'}, {'start': '2611.720', 'end': '2618.920', 'text': 'today we have side effects of sodium'}, {'start': '2615.920', 'end': '2618.920', 'text': 'balproate.'}, {'start': '2622.640', 'end': '2633.319', 'text': 'Okay, if I write like this, this student'}, {'start': '2626.160', 'end': '2633.319', 'text': 'has written the last one that I can see'}, {'start': '2635.640', 'end': '2643.640', 'text': 'uh'}, {'start': '2638.520', 'end': '2643.640', 'text': 'Rafia. Okay, this one'}, {'start': '2644.160', 'end': '2648.119', 'text': 'uh let us read this one.'}, {'start': '2651.680', 'end': '2657.520', 'text': "Okay, I'm writing to refer Miss Jenkins"}, {'start': '2654.640', 'end': '2660.720', 'text': 'a 17 uh 27 year old. First of all, this'}, {'start': '2657.520', 'end': '2663.280', 'text': 'there is a mistake. Okay, we need'}, {'start': '2660.720', 'end': '2668.800', 'text': 'hyphens when this is followed by a'}, {'start': '2663.280', 'end': '2670.599', 'text': 'married lady. We need to use hyphens.'}, {'start': '2668.800', 'end': '2674.880', 'text': 'Okay, just let'}, {'start': '2670.599', 'end': '2674.880', 'text': 'me copy here and then I'}, {'start': '2675.480', 'end': '2683.640', 'text': 'will Okay, so we need here hyphens and'}, {'start': '2680.640', 'end': '2687.800', 'text': 'year should be without s like'}, {'start': '2683.640', 'end': '2690.640', 'text': 'this. A 27 year old married'}, {'start': '2687.800', 'end': '2692.400', 'text': 'lady. No, no is correct. Okay, then we'}, {'start': '2690.640', 'end': '2695.359', 'text': 'need uh we can use comma here or not.'}, {'start': '2692.400', 'end': '2697.200', 'text': 'Who has been diagnosed epilepsy?'}, {'start': '2695.359', 'end': '2700.079', 'text': 'Okay. Who has been diagnosed with'}, {'start': '2697.200', 'end': '2701.920', 'text': 'epilepsy is okay. She requires further'}, {'start': '2700.079', 'end': '2706.040', 'text': 'review of medication and treatment plan.'}, {'start': '2701.920', 'end': '2709.839', 'text': 'Now if you see this letter, this'}, {'start': '2706.040', 'end': '2711.680', 'text': 'purpose is it clear from the purpose'}, {'start': '2709.839', 'end': '2713.240', 'text': 'that what we want from the why we are'}, {'start': '2711.680', 'end': '2716.000', 'text': 'sending this patient. Okay. She has'}, {'start': '2713.240', 'end': '2719.040', 'text': 'epilepsy but why you need a review of'}, {'start': '2716.000', 'end': '2720.960', 'text': 'medication? I will ask. Okay. So you are'}, {'start': '2719.040', 'end': '2722.599', 'text': 'sending this patient to me. You are'}, {'start': '2720.960', 'end': '2728.400', 'text': 'writing this letter to'}, {'start': '2722.599', 'end': '2732.000', 'text': 'me. Okay. So I will say okay uh this was'}, {'start': '2728.400', 'end': '2734.000', 'text': 'written by Rafia Mahmuda okay Dr. Rafa'}, {'start': '2732.000', 'end': '2737.839', 'text': 'Mammud or Miss Rafa Mammud or whatever.'}, {'start': '2734.000', 'end': '2740.119', 'text': 'Okay. So, I will ask you, okay, this'}, {'start': '2737.839', 'end': '2743.720', 'text': 'patient has'}, {'start': '2740.119', 'end': '2746.880', 'text': 'epilepsy. You are the GP. You are the'}, {'start': '2743.720', 'end': '2747.960', 'text': 'nurse at GP clinic. There is a doctor in'}, {'start': '2746.880', 'end': '2750.480', 'text': 'the GP'}, {'start': '2747.960', 'end': '2753.800', 'text': 'clinic. So maybe you are yourself a'}, {'start': '2750.480', 'end': '2755.920', 'text': 'doctor there or you are a nurse there.'}, {'start': '2753.800', 'end': '2759.040', 'text': 'But she has been diagnosed with'}, {'start': '2755.920', 'end': '2761.520', 'text': 'epilepsy. But no, why you want review of'}, {'start': '2759.040', 'end': '2761.520', 'text': 'medication?'}, {'start': '2762.040', 'end': '2765.040', 'text': 'Why?'}, {'start': '2771.480', 'end': '2777.040', 'text': 'Why? So is it clear the situation in the'}, {'start': '2780.200', 'end': '2786.400', 'text': 'purpose? Is the situation clear in the'}, {'start': '2783.720', 'end': '2788.160', 'text': 'purpose? So why you are sending this'}, {'start': '2786.400', 'end': '2790.119', 'text': 'patient to me? Why you cannot treat'}, {'start': '2788.160', 'end': '2793.119', 'text': 'there in the GP clinic?'}, {'start': '2790.119', 'end': '2793.119', 'text': 'Why?'}, {'start': '2794.119', 'end': '2799.560', 'text': 'No. Now you need to mention the current'}, {'start': '2796.880', 'end': '2801.400', 'text': 'issue, the latest'}, {'start': '2799.560', 'end': '2804.160', 'text': 'issue.'}, {'start': '2801.400', 'end': '2805.920', 'text': 'Okay. So what is the latest issue of the'}, {'start': '2804.160', 'end': '2807.520', 'text': 'patient? Even this is the diagnosis.'}, {'start': '2805.920', 'end': '2810.000', 'text': 'This is the diagnosis tonic chronic'}, {'start': '2807.520', 'end': '2812.640', 'text': 'idiopathic epilepsy. But what is the'}, {'start': '2810.000', 'end': '2816.839', 'text': 'latest issue of this patient? What is'}, {'start': '2812.640', 'end': '2816.839', 'text': 'the latest issue of this patient?'}, {'start': '2819.760', 'end': '2824.720', 'text': 'Yes, this is the issue that you have'}, {'start': '2822.160', 'end': '2827.920', 'text': 'written in the in the commands. So'}, {'start': '2824.720', 'end': '2829.920', 'text': 'patient is having some side effects of'}, {'start': '2827.920', 'end': '2833.200', 'text': "the medication. We don't need to mention"}, {'start': '2829.920', 'end': '2833.200', 'text': 'the name of medication and the'}, {'start': '2838.040', 'end': '2841.040', 'text': 'purpose.'}, {'start': '2841.880', 'end': '2846.480', 'text': 'Okay. So now let us see'}, {'start': '2846.839', 'end': '2852.720', 'text': 'here if any of them has written'}, {'start': '2850.160', 'end': '2852.720', 'text': 'something'}, {'start': '2860.280', 'end': '2868.319', 'text': 'similar. So this is Dr. Nadims and okay'}, {'start': '2866.240', 'end': '2872.960', 'text': 'I would like to refer Miss Jenkins who'}, {'start': '2868.319', 'end': '2876.640', 'text': 'has been possibly suffering from'}, {'start': '2872.960', 'end': '2879.119', 'text': 'who has been possibly suffering from why'}, {'start': '2876.640', 'end': '2880.800', 'text': 'you are making it too uh you know a'}, {'start': '2879.119', 'end': '2885.359', 'text': 'little bit difficult Dr.'}, {'start': '2880.800', 'end': '2888.000', 'text': 'Just make it easy. who has possible okay'}, {'start': '2885.359', 'end': '2891.440', 'text': 'suffering from is mostly not liked in'}, {'start': '2888.000', 'end': '2894.240', 'text': 'your uh this exam okay on your O exam'}, {'start': '2891.440', 'end': '2896.960', 'text': 'okay side effects of anti-epileptic'}, {'start': '2894.240', 'end': '2898.560', 'text': 'medication that is okay this part is'}, {'start': '2896.960', 'end': '2901.599', 'text': 'okay but this part you need to make a'}, {'start': '2898.560', 'end': '2904.160', 'text': 'little bit I would highly appreciate'}, {'start': '2901.599', 'end': '2907.920', 'text': 'this type of language we mostly use in'}, {'start': '2904.160', 'end': '2910.720', 'text': 'the uh you know in the conclusion uh'}, {'start': '2907.920', 'end': '2912.480', 'text': 'your review of uh her medication and'}, {'start': '2910.720', 'end': '2914.480', 'text': 'treatment plan for the treatment plan'}, {'start': '2912.480', 'end': '2917.480', 'text': 'would be highly appreciated. Just you'}, {'start': '2914.480', 'end': '2920.800', 'text': 'can only write review of medication.'}, {'start': '2917.480', 'end': '2923.520', 'text': "Okay. So don't say who uh who has"}, {'start': '2920.800', 'end': '2924.720', 'text': 'features consistent with uh ton. Okay.'}, {'start': '2923.520', 'end': '2926.800', 'text': 'These are features consistent with'}, {'start': '2924.720', 'end': '2929.280', 'text': 'tonocchronic epilepsy but why you are'}, {'start': '2926.800', 'end': '2932.960', 'text': 'sending this patient to me. Why it is'}, {'start': '2929.280', 'end': '2934.559', 'text': "not clear why I'm writing to refer Miss"}, {'start': '2932.960', 'end': '2936.240', 'text': 'who has been diagnosed with tonic'}, {'start': '2934.559', 'end': '2939.280', 'text': 'epilepsy but why you are sending this'}, {'start': '2936.240', 'end': '2941.040', 'text': 'patient who has tonic epilepsy. Tonic'}, {'start': '2939.280', 'end': '2943.760', 'text': 'clonic epilepsy but why you are sending'}, {'start': '2941.040', 'end': '2943.760', 'text': 'this patient to'}, {'start': '2947.720', 'end': '2951.920', 'text': 'me'}, {'start': '2949.400', 'end': '2956.079', 'text': 'okay so this part we need to make it'}, {'start': '2951.920', 'end': '2956.079', 'text': "clear okay I'm writing to refer Miss"}, {'start': '2956.680', 'end': '2963.880', 'text': 'Jenkins okay so then we can'}, {'start': '2961.240', 'end': '2967.040', 'text': 'write who'}, {'start': '2963.880', 'end': '2969.359', 'text': 'has side effects due to epilepsy'}, {'start': '2967.040', 'end': '2970.680', 'text': 'medication'}, {'start': '2969.359', 'end': '2973.400', 'text': 'Okay. Who is'}, {'start': '2970.680', 'end': '2975.720', 'text': 'experiencing who has who is'}, {'start': '2973.400', 'end': '2980.240', 'text': 'experiencing side'}, {'start': '2975.720', 'end': '2982.880', 'text': 'effects of anti-epileptic medication.'}, {'start': '2980.240', 'end': '2985.040', 'text': 'Okay. Like this your review of our'}, {'start': '2982.880', 'end': '2988.000', 'text': 'medication would be highly appreciated.'}, {'start': '2985.040', 'end': '2990.800', 'text': 'This is very easy to write. Okay. Let me'}, {'start': '2988.000', 'end': '2993.200', 'text': 'show you uh what we have done here in'}, {'start': '2990.800', 'end': '2993.200', 'text': 'the model'}, {'start': '2994.920', 'end': '3001.119', 'text': 'answer. Okay. So I am writing to refer'}, {'start': '2998.240', 'end': '3004.200', 'text': 'Miss Jenkins who is experiencing side'}, {'start': '3001.119', 'end': '3006.559', 'text': 'effects of her epilepsy'}, {'start': '3004.200', 'end': '3008.240', 'text': 'medication. So I have mentioned that she'}, {'start': '3006.559', 'end': '3010.599', 'text': 'is epileptic. When I am writing her'}, {'start': '3008.240', 'end': '3012.880', 'text': 'epilepsy medication means she is'}, {'start': '3010.599', 'end': '3015.119', 'text': 'epileptic. Who is experiencing side'}, {'start': '3012.880', 'end': '3017.440', 'text': 'effects of her epilation? Epileptic'}, {'start': '3015.119', 'end': '3020.079', 'text': 'epilepsy medication. Your further'}, {'start': '3017.440', 'end': '3023.880', 'text': 'assessment and review of her medication'}, {'start': '3020.079', 'end': '3023.880', 'text': 'would be highly appreciated.'}, {'start': '3026.040', 'end': '3029.040', 'text': 'Okay,'}, {'start': '3029.079', 'end': '3035.760', 'text': 'clear. This is one of the difficult'}, {'start': '3031.319', 'end': '3038.520', 'text': 'parts in your letter to write. Okay, so'}, {'start': '3035.760', 'end': '3040.800', 'text': 'now we have second'}, {'start': '3038.520', 'end': '3042.800', 'text': "part. So we don't need to write anything"}, {'start': '3040.800', 'end': '3044.319', 'text': 'from social background, part history,'}, {'start': '3042.800', 'end': '3047.040', 'text': 'family history. These things are not'}, {'start': '3044.319', 'end': '3049.480', 'text': 'important. Okay. So now let us move to'}, {'start': '3047.040', 'end': '3052.000', 'text': 'first visit.'}, {'start': '3049.480', 'end': '3054.640', 'text': 'Okay. If you write each and everything'}, {'start': '3052.000', 'end': '3058.200', 'text': 'in this visit, your letter would be'}, {'start': '3054.640', 'end': '3061.000', 'text': 'long. Okay. Would not be'}, {'start': '3058.200', 'end': '3065.079', 'text': 'concise. And if you see'}, {'start': '3061.000', 'end': '3069.440', 'text': 'here with fit, this'}, {'start': '3065.079', 'end': '3071.800', 'text': 'fit was preceded by some auras which'}, {'start': '3069.440', 'end': '3074.720', 'text': 'lasted for 5'}, {'start': '3071.800', 'end': '3077.319', 'text': 'minutes. There were auditory auras,'}, {'start': '3074.720', 'end': '3080.880', 'text': 'visual auras, auditory hours,'}, {'start': '3077.319', 'end': '3084.720', 'text': 'auras. And in audiary auras, there were'}, {'start': '3080.880', 'end': '3088.880', 'text': 'ringing sounds. 3 minute before the fit'}, {'start': '3084.720', 'end': '3090.640', 'text': 'and the fit itself lasted for 3 minutes.'}, {'start': '3088.880', 'end': '3093.680', 'text': 'What was the fit? There were jerky'}, {'start': '3090.640', 'end': '3096.280', 'text': 'movements of both arms and legs. Okay.'}, {'start': '3093.680', 'end': '3099.760', 'text': 'What else? There was loss of'}, {'start': '3096.280', 'end': '3101.880', 'text': 'consciousness. What else? Patient uh wet'}, {'start': '3099.760', 'end': '3105.839', 'text': 'herself. Okay. Himself not'}, {'start': '3101.880', 'end': '3109.160', 'text': 'herself. She uh bites her tongue and she'}, {'start': '3105.839', 'end': '3109.160', 'text': 'called the ambulance.'}, {'start': '3123.079', 'end': '3130.520', 'text': 'Okay. So now if you see here all of'}, {'start': '3126.800', 'end': '3133.520', 'text': 'these things are about the'}, {'start': '3130.520', 'end': '3133.520', 'text': 'fit.'}, {'start': '3134.599', 'end': '3140.640', 'text': 'Okay. Yes. Uh Miss Veruni who has been'}, {'start': '3138.160', 'end': '3143.280', 'text': 'recently diagnosed with tonic epilepsy'}, {'start': '3140.640', 'end': '3145.079', 'text': 'and has possible side effects of sodium'}, {'start': '3143.280', 'end': '3147.839', 'text': 'bulbid this is also'}, {'start': '3145.079', 'end': '3149.440', 'text': 'okay Miss Veruni the way you are written'}, {'start': '3147.839', 'end': '3151.400', 'text': 'first part of the purpose is also okay'}, {'start': '3149.440', 'end': '3154.319', 'text': 'in the chat you people can see in the'}, {'start': '3151.400', 'end': '3155.800', 'text': 'chat by the way she is one of the VIP'}, {'start': '3154.319', 'end': '3157.640', 'text': 'hybrid course'}, {'start': '3155.800', 'end': '3160.720', 'text': 'students'}, {'start': '3157.640', 'end': '3163.800', 'text': 'okay so now the problem is there are a'}, {'start': '3160.720', 'end': '3166.640', 'text': 'lot of things okay this there was a'}, {'start': '3163.800', 'end': '3168.800', 'text': 'fit there were visual auras before the'}, {'start': '3166.640', 'end': '3170.800', 'text': 'fate. There were auditary auras of'}, {'start': '3168.800', 'end': '3173.440', 'text': 'ringing sounds 3 minutes before the'}, {'start': '3170.800', 'end': '3175.040', 'text': 'fate. The fate itself lasted for 3'}, {'start': '3173.440', 'end': '3177.960', 'text': 'minutes. There were jerky movements of'}, {'start': '3175.040', 'end': '3180.960', 'text': 'both arms and legs. There was loss of'}, {'start': '3177.960', 'end': '3184.640', 'text': 'consciousness. The patient wets herself,'}, {'start': '3180.960', 'end': '3186.400', 'text': 'bit her tong, bits, bites her tongue.'}, {'start': '3184.640', 'end': '3188.720', 'text': 'Mother called ambulance and brought her'}, {'start': '3186.400', 'end': '3191.920', 'text': 'to them to the emergency department.'}, {'start': '3188.720', 'end': '3194.240', 'text': 'Examination is normal.'}, {'start': '3191.920', 'end': '3198.359', 'text': 'We have you know uh done some'}, {'start': '3194.240', 'end': '3199.880', 'text': 'investigation and we have uh uh done a'}, {'start': '3198.359', 'end': '3202.480', 'text': 'review'}, {'start': '3199.880', 'end': '3204.440', 'text': 'after 3 weeks even I can write a little'}, {'start': '3202.480', 'end': '3207.680', 'text': 'bit about what treatment we have'}, {'start': '3204.440', 'end': '3210.000', 'text': 'given but anyway the thing is that just'}, {'start': '3207.680', 'end': '3212.319', 'text': 'write what is written there. Okay. So'}, {'start': '3210.000', 'end': '3214.599', 'text': 'what is the main issue? First issue was'}, {'start': '3212.319', 'end': '3217.119', 'text': 'how to organize the'}, {'start': '3214.599', 'end': '3219.119', 'text': 'letter. So you have decided to write'}, {'start': '3217.119', 'end': '3221.119', 'text': 'purpose first visit, second visit, third'}, {'start': '3219.119', 'end': '3222.960', 'text': 'visit and social history is not needed'}, {'start': '3221.119', 'end': '3226.960', 'text': 'here. Then you will write the'}, {'start': '3222.960', 'end': '3232.160', 'text': 'conclusion. Oh no in the first visit the'}, {'start': '3226.960', 'end': '3232.160', 'text': 'problem is there is lot of information'}, {'start': '3234.040', 'end': '3239.119', 'text': 'about yes if you write all the visits if'}, {'start': '3237.040', 'end': '3241.680', 'text': 'you write everything each and everything'}, {'start': '3239.119', 'end': '3244.200', 'text': 'your word count would be above 300 that'}, {'start': '3241.680', 'end': '3248.160', 'text': 'that is true.'}, {'start': '3244.200', 'end': '3248.160', 'text': 'Okay. So what do we need to'}, {'start': '3251.400', 'end': '3258.480', 'text': 'do? So if you write about the fate uh on'}, {'start': '3255.359', 'end': '3261.040', 'text': 'this date patient presented with a fit'}, {'start': '3258.480', 'end': '3264.240', 'text': 'okay it was uh accompanied by visual'}, {'start': '3261.040', 'end': '3266.800', 'text': 'aura that lasted for 5 minutes and also'}, {'start': '3264.240', 'end': '3269.920', 'text': 'auditary auras of ringing sounds uh 3'}, {'start': '3266.800', 'end': '3272.800', 'text': 'minutes before fate. Uh the fit lasted'}, {'start': '3269.920', 'end': '3275.160', 'text': 'for 3 minutes and there was uh there'}, {'start': '3272.800', 'end': '3278.240', 'text': 'were jerky movements of both arms and'}, {'start': '3275.160', 'end': '3281.760', 'text': 'leg. Patient also lost consciousness.'}, {'start': '3278.240', 'end': '3283.680', 'text': 'She wets herself and bite her tongue.'}, {'start': '3281.760', 'end': '3285.800', 'text': 'Mother called ambulance and brought her'}, {'start': '3283.680', 'end': '3288.359', 'text': 'to the emergency'}, {'start': '3285.800', 'end': '3290.880', 'text': 'department. So if you write each and'}, {'start': '3288.359', 'end': '3293.400', 'text': 'everything and you write like this the'}, {'start': '3290.880', 'end': '3298.160', 'text': 'way it is written definitely you will'}, {'start': '3293.400', 'end': '3301.200', 'text': 'get 500 out of 500. Okay.'}, {'start': '3298.160', 'end': '3304.559', 'text': 'No doubt there is no doubt that you will'}, {'start': '3301.200', 'end': '3307.760', 'text': 'not get five 500 out of 500. Okay. So if'}, {'start': '3304.559', 'end': '3310.880', 'text': 'you write like this on this test the'}, {'start': '3307.760', 'end': '3313.599', 'text': 'Miss Jenkin presented with a fate. It'}, {'start': '3310.880', 'end': '3316.040', 'text': 'was preceded by a visual aura that'}, {'start': '3313.599', 'end': '3319.400', 'text': 'lasted for 5 minutes before'}, {'start': '3316.040', 'end': '3322.640', 'text': 'fate and auditary auras of ringing'}, {'start': '3319.400', 'end': '3326.800', 'text': 'sounds that lasted uh 3 minutes before'}, {'start': '3322.640', 'end': '3328.960', 'text': 'the fate. The feet lasted for 3 minutes'}, {'start': '3326.800', 'end': '3330.760', 'text': 'and there were dead key movements of'}, {'start': '3328.960', 'end': '3333.400', 'text': 'both arms and'}, {'start': '3330.760', 'end': '3337.480', 'text': 'legs. Patient lost'}, {'start': '3333.400', 'end': '3341.359', 'text': 'consciousness, wet uh her uh self past'}, {'start': '3337.480', 'end': '3342.880', 'text': 'urine and uh bit her tongue. The her'}, {'start': '3341.359', 'end': '3345.440', 'text': 'mother called the ambulance and brought'}, {'start': '3342.880', 'end': '3347.119', 'text': 'her to the emergency department. So what'}, {'start': '3345.440', 'end': '3349.920', 'text': 'should be your score? Can you write in'}, {'start': '3347.119', 'end': '3354.799', 'text': 'the chat? 500 out of 500. Okay. If you'}, {'start': '3349.920', 'end': '3354.799', 'text': 'write like this, excellent letter.'}, {'start': '3359.480', 'end': '3363.040', 'text': 'Okay. Excellent'}, {'start': '3366.040', 'end': '3371.359', 'text': 'letter. So the main thing in this visit'}, {'start': '3368.960', 'end': '3372.799', 'text': 'is here you can just write you know his'}, {'start': '3371.359', 'end': '3374.559', 'text': 'examinations were normal because'}, {'start': '3372.799', 'end': '3377.040', 'text': 'everything is normal. Okay, everything'}, {'start': '3374.559', 'end': '3378.920', 'text': "is normal and here you don't need to"}, {'start': '3377.040', 'end': '3381.880', 'text': 'write the names of investigations'}, {'start': '3378.920', 'end': '3384.640', 'text': 'because in the next visit you will be'}, {'start': '3381.880', 'end': '3386.799', 'text': 'discussing you know their uh their'}, {'start': '3384.640', 'end': '3389.559', 'text': 'results. So here just write some'}, {'start': '3386.799', 'end': '3392.319', 'text': 'relevant investigations were ordered.'}, {'start': '3389.559', 'end': '3395.040', 'text': 'Okay, some relevant investigations were'}, {'start': '3392.319', 'end': '3395.040', 'text': 'ordered that is'}, {'start': '3397.480', 'end': '3401.920', 'text': 'enough. Now the problem is how you will'}, {'start': '3401.960', 'end': '3405.920', 'text': 'organize. Okay, this is the'}, {'start': '3407.400', 'end': '3411.520', 'text': 'technique. Okay, this is the'}, {'start': '3411.559', 'end': '3418.359', 'text': 'fit and this is the fit itself how it'}, {'start': '3416.359', 'end': '3421.599', 'text': 'was.'}, {'start': '3418.359', 'end': '3425.079', 'text': 'Okay, jerky moments. So instead of it'}, {'start': '3421.599', 'end': '3426.760', 'text': 'just you can write uh on this date Miss'}, {'start': '3425.079', 'end': '3430.799', 'text': 'Jenkins'}, {'start': '3426.760', 'end': '3433.960', 'text': 'experienced jerky movements of her both'}, {'start': '3430.799', 'end': '3438.799', 'text': 'her uh both arms and'}, {'start': '3433.960', 'end': '3441.200', 'text': 'legs. Okay. Preceded by auditory and'}, {'start': '3438.799', 'end': '3441.200', 'text': 'visual'}, {'start': '3441.880', 'end': '3445.920', 'text': 'hallucination. Okay. You can mention a'}, {'start': '3443.839', 'end': '3447.359', 'text': 'little bit about the duration and the'}, {'start': '3445.920', 'end': '3449.440', 'text': 'accompanied symptoms loss of'}, {'start': '3447.359', 'end': '3453.480', 'text': 'consciousness. Okay. Pass urine and bit'}, {'start': '3449.440', 'end': '3455.920', 'text': 'her tongue. You can write in a separate'}, {'start': '3453.480', 'end': '3458.240', 'text': 'sentence just to save your time. We can'}, {'start': '3455.920', 'end': '3461.040', 'text': 'write it as you know as the new because'}, {'start': '3458.240', 'end': '3463.839', 'text': 'it would be too long class because'}, {'start': '3461.040', 'end': '3467.720', 'text': 'already we have you know been in the'}, {'start': '3463.839', 'end': '3470.079', 'text': 'class for 1 hour. So'}, {'start': '3467.720', 'end': '3473.280', 'text': 'now just let me show you what I have'}, {'start': '3470.079', 'end': '3473.280', 'text': 'written. So you can easily'}, {'start': '3485.640', 'end': '3490.000', 'text': 'follow. So this is the organization. You'}, {'start': '3488.559', 'end': '3491.599', 'text': 'need to be careful about the'}, {'start': '3490.000', 'end': '3493.680', 'text': 'organization. Organization is not only'}, {'start': '3491.599', 'end': '3496.079', 'text': 'how to organize the paragraph.'}, {'start': '3493.680', 'end': '3499.359', 'text': 'Organization is within the paragraph'}, {'start': '3496.079', 'end': '3501.760', 'text': 'also. So what mostly mostly the nurses'}, {'start': '3499.359', 'end': '3503.520', 'text': 'will do mostly the nurses will do they'}, {'start': '3501.760', 'end': '3505.680', 'text': 'will write like this patient presented'}, {'start': '3503.520', 'end': '3507.520', 'text': 'with this and this and this and this. So'}, {'start': '3505.680', 'end': '3510.480', 'text': 'they they will just copy and paste all'}, {'start': '3507.520', 'end': '3512.880', 'text': 'the things here. But this is not the how'}, {'start': '3510.480', 'end': '3515.119', 'text': 'we write the medical history. Okay.'}, {'start': '3512.880', 'end': '3517.880', 'text': 'Initially on this date Miss Jenin'}, {'start': '3515.119', 'end': '3520.559', 'text': 'presented with a complaint of a fit.'}, {'start': '3517.880', 'end': '3522.960', 'text': 'Okay. Complain of a fit with jerky'}, {'start': '3520.559', 'end': '3524.799', 'text': 'movements. What was the fit? With jerky'}, {'start': '3522.960', 'end': '3528.160', 'text': 'movements of her extremities. You can'}, {'start': '3524.799', 'end': '3531.160', 'text': 'see I am not writing legs and you know'}, {'start': '3528.160', 'end': '3534.559', 'text': 'uh arms and legs.'}, {'start': '3531.160', 'end': '3539.079', 'text': 'Okay. We can add uh of our four'}, {'start': '3534.559', 'end': '3541.920', 'text': 'extremities of all extremities just'}, {'start': '3539.079', 'end': '3544.240', 'text': 'extremities or you can write legs and'}, {'start': '3541.920', 'end': '3546.040', 'text': "you know arms also that's not something"}, {'start': '3544.240', 'end': '3549.520', 'text': 'you know'}, {'start': '3546.040', 'end': '3551.520', 'text': 'very okay. So with a complaint of a fate'}, {'start': '3549.520', 'end': '3554.799', 'text': 'with jerky movements of her extremities'}, {'start': '3551.520', 'end': '3555.799', 'text': 'which lasted for 5 minutes. So it lasted'}, {'start': '3554.799', 'end': '3557.920', 'text': 'for 5'}, {'start': '3555.799', 'end': '3559.680', 'text': "minutes. This the fate. Okay, I'm"}, {'start': '3557.920', 'end': '3562.480', 'text': 'writing about the fate. It lasted for 5'}, {'start': '3559.680', 'end': '3564.799', 'text': 'minutes and was preceded by auditory and'}, {'start': '3562.480', 'end': '3564.799', 'text': 'visual'}, {'start': '3565.799', 'end': '3569.280', 'text': 'auras. You can'}, {'start': '3570.119', 'end': '3574.640', 'text': 'see do you'}, {'start': '3572.599', 'end': '3576.720', 'text': 'understand? Just write something in the'}, {'start': '3574.640', 'end': '3579.440', 'text': 'chat so that I can I can see that you'}, {'start': '3576.720', 'end': '3581.680', 'text': 'people are participating activity. Do'}, {'start': '3579.440', 'end': '3585.440', 'text': 'you understand how to organize within'}, {'start': '3581.680', 'end': '3587.440', 'text': 'the paragraph? So there was a fit. How'}, {'start': '3585.440', 'end': '3591.000', 'text': 'was the fate with jerky movements of her'}, {'start': '3587.440', 'end': '3593.440', 'text': 'extremities and this fit lasted for 5'}, {'start': '3591.000', 'end': '3596.400', 'text': "minutes? I don't know exactly is 5"}, {'start': '3593.440', 'end': '3601.839', 'text': 'minutes or 3 minutes. Okay. 3 minutes'}, {'start': '3596.400', 'end': '3601.839', 'text': 'not 5 minutes. Okay. Uh for 3'}, {'start': '3602.680', 'end': '3608.880', 'text': 'minutes. This lasted for uh 5 minutes'}, {'start': '3605.920', 'end': '3611.720', 'text': 'and was preceded by auditory and visual'}, {'start': '3608.880', 'end': '3615.520', 'text': "auras. So I don't need to write the"}, {'start': '3611.720', 'end': '3618.160', 'text': 'detail of uh you know this auditary aura'}, {'start': '3615.520', 'end': '3620.160', 'text': 'was you know ringing sounds and it it'}, {'start': '3618.160', 'end': '3623.079', 'text': "was 3 minutes before the f you don't"}, {'start': '3620.160', 'end': '3625.960', 'text': 'need to give this detail'}, {'start': '3623.079', 'end': '3627.880', 'text': 'okay you just need to'}, {'start': '3625.960', 'end': '3630.720', 'text': 'write'}, {'start': '3627.880', 'end': '3632.960', 'text': 'okay so Miss JK presented with a'}, {'start': '3630.720', 'end': '3635.040', 'text': 'complaint of a fate with jerky movements'}, {'start': '3632.960', 'end': '3636.880', 'text': 'of her extremities which lasted for'}, {'start': '3635.040', 'end': '3639.920', 'text': 'three minutes and was preceded by'}, {'start': '3636.880', 'end': '3642.240', 'text': 'auditory and visual auras Because before'}, {'start': '3639.920', 'end': '3645.799', 'text': 'this fit she had auditory and visual'}, {'start': '3642.240', 'end': '3650.000', 'text': 'auras. So very concisely.'}, {'start': '3645.799', 'end': '3653.000', 'text': 'Okay. Now we have some related symptoms.'}, {'start': '3650.000', 'end': '3655.839', 'text': 'Apart from this patient lost'}, {'start': '3653.000', 'end': '3658.720', 'text': 'consciousness. Patient vets herself.'}, {'start': '3655.839', 'end': '3660.440', 'text': 'Okay. And bites her tongue. Okay. Is her'}, {'start': '3658.720', 'end': '3663.440', 'text': 'hair not'}, {'start': '3660.440', 'end': '3663.440', 'text': 'his.'}, {'start': '3663.480', 'end': '3672.920', 'text': 'So you can write one sentence here.'}, {'start': '3668.319', 'end': '3677.920', 'text': 'She also why the thing please note'}, {'start': '3672.920', 'end': '3680.880', 'text': 'here can anybody tell me why why I am'}, {'start': '3677.920', 'end': '3685.040', 'text': 'using presents this is a past visit why'}, {'start': '3680.880', 'end': '3689.520', 'text': "I'm using presents I am using"}, {'start': '3685.040', 'end': '3689.520', 'text': "uh vets I'm using by"}, {'start': '3690.200', 'end': '3697.400', 'text': 'bites so why why I am using present'}, {'start': '3693.760', 'end': '3701.119', 'text': 'tense here why even it is a past visit'}, {'start': '3697.400', 'end': '3701.119', 'text': 'Right. Can you tell me'}, {'start': '3702.200', 'end': '3706.480', 'text': 'why? Can you tell me'}, {'start': '3716.599', 'end': '3722.680', 'text': 'why? Can you tell me'}, {'start': '3718.839', 'end': '3726.319', 'text': 'why? No, this is not fact. This is past'}, {'start': '3722.680', 'end': '3729.839', 'text': 'visit. because I wrote for at that time.'}, {'start': '3726.319', 'end': '3732.400', 'text': 'Okay, very good. Miss Sama, are you Dr.'}, {'start': '3729.839', 'end': '3734.400', 'text': 'Sama or Miss Sama? I think Dr. Sama, I'}, {'start': '3732.400', 'end': '3736.119', 'text': 'think so. Guys, I have your letter also'}, {'start': '3734.400', 'end': '3741.520', 'text': 'with'}, {'start': '3736.119', 'end': '3741.520', 'text': 'me, are you a doctor or nurse?'}, {'start': '3742.440', 'end': '3747.040', 'text': 'Sama experience sequence events? No,'}, {'start': '3744.799', 'end': '3748.520', 'text': 'this is at that time. I am writing at'}, {'start': '3747.040', 'end': '3751.920', 'text': 'that time. And number'}, {'start': '3748.520', 'end': '3754.000', 'text': 'two, yeah, Dr. Sam. Okay, number two.'}, {'start': '3751.920', 'end': '3756.559', 'text': 'The reason is because if I write at here'}, {'start': '3754.000', 'end': '3759.839', 'text': 'presented, if I write here v, if I write'}, {'start': '3756.559', 'end': '3761.720', 'text': 'here bit, okay, then you people will'}, {'start': '3759.839', 'end': '3764.720', 'text': 'just copy and paste.'}, {'start': '3761.720', 'end': '3768.079', 'text': 'Okay. So the writer the writer is using'}, {'start': '3764.720', 'end': '3770.000', 'text': 'here just present whatever. So that the'}, {'start': '3768.079', 'end': '3772.079', 'text': 'students when the students will write'}, {'start': '3770.000', 'end': '3774.079', 'text': 'the letter they need to use past tense.'}, {'start': '3772.079', 'end': '3777.319', 'text': 'If you use the same tense, you will be'}, {'start': '3774.079', 'end': '3780.960', 'text': 'wrong. Okay? You will lose'}, {'start': '3777.319', 'end': '3783.280', 'text': 'marks. Okay? So she also lost'}, {'start': '3780.960', 'end': '3785.440', 'text': 'consciousness, passed urine and bit her'}, {'start': '3783.280', 'end': '3787.000', 'text': "tongue. Okay, so I'm using past tense."}, {'start': '3785.440', 'end': '3789.079', 'text': 'She'}, {'start': '3787.000', 'end': '3793.119', 'text': 'also lost'}, {'start': '3789.079', 'end': '3796.119', 'text': 'consciousness, past urine and bit her'}, {'start': '3793.119', 'end': '3796.119', 'text': 'tongue.'}, {'start': '3799.520', 'end': '3805.960', 'text': 'Next, her examination was unremarkable'}, {'start': '3801.839', 'end': '3809.359', 'text': 'and some relevant investigations were'}, {'start': '3805.960', 'end': '3811.599', 'text': 'ordered because here you can see'}, {'start': '3809.359', 'end': '3814.240', 'text': 'examinations are remarkable. Nothing is'}, {'start': '3811.599', 'end': '3815.760', 'text': 'abnormal. All things are normal. And'}, {'start': '3814.240', 'end': '3817.359', 'text': "these investigation you don't need to"}, {'start': '3815.760', 'end': '3820.799', 'text': 'write their names because in the next'}, {'start': '3817.359', 'end': '3822.799', 'text': 'visit you will discuss their values.'}, {'start': '3820.799', 'end': '3824.440', 'text': 'What was normal? What was abnormal? So'}, {'start': '3822.799', 'end': '3827.440', 'text': 'you just need to'}, {'start': '3824.440', 'end': '3829.359', 'text': 'write her examination was unremarkable'}, {'start': '3827.440', 'end': '3831.839', 'text': 'and some relevant investigations were'}, {'start': '3829.359', 'end': '3834.119', 'text': 'ordered. Okay. So let us see the word'}, {'start': '3831.839', 'end': '3840.319', 'text': 'count 51'}, {'start': '3834.119', 'end': '3840.319', 'text': 'only 51 words for this long visit.'}, {'start': '3843.160', 'end': '3848.680', 'text': 'Okay. Okay. Now let us move to next'}, {'start': '3845.680', 'end': '3848.680', 'text': 'visit.'}, {'start': '3851.319', 'end': '3859.039', 'text': 'So okay. So here uh on this next visit'}, {'start': '3856.000', 'end': '3861.920', 'text': 'in second visit patient came for review'}, {'start': '3859.039', 'end': '3863.319', 'text': 'and patient complained that she had one'}, {'start': '3861.920', 'end': '3866.480', 'text': 'episode of'}, {'start': '3863.319', 'end': '3869.000', 'text': 'faint. Okay. One week after the first'}, {'start': '3866.480', 'end': '3871.520', 'text': 'fake and it lasted no more than 5'}, {'start': '3869.000', 'end': '3873.400', 'text': 'minutes. They called ambulance and was'}, {'start': '3871.520', 'end': '3876.000', 'text': 'treated with'}, {'start': '3873.400', 'end': '3879.599', 'text': 'dazip. Blood investigations were normal.'}, {'start': '3876.000', 'end': '3883.400', 'text': 'MRI was normal and EEG showed parosismal'}, {'start': '3879.599', 'end': '3886.400', 'text': 'bust of rhythmic high amplitude'}, {'start': '3883.400', 'end': '3889.880', 'text': 'spikes. Tonic clonicopathic epilepsy was'}, {'start': '3886.400', 'end': '3892.119', 'text': 'diagnosed and patient was given sodium'}, {'start': '3889.880', 'end': '3894.039', 'text': 'balroate.'}, {'start': '3892.119', 'end': '3896.799', 'text': 'Okay.'}, {'start': '3894.039', 'end': '3899.920', 'text': "So here you don't need to mention what"}, {'start': '3896.799', 'end': '3901.599', 'text': 'we have just M is normal enough. Okay.'}, {'start': '3899.920', 'end': '3904.240', 'text': 'And here you can stop driving, avoid'}, {'start': '3901.599', 'end': '3906.160', 'text': 'loud noise, flashing lights, avoid'}, {'start': '3904.240', 'end': '3908.720', 'text': 'working on heights, regular review with'}, {'start': '3906.160', 'end': '3911.839', 'text': 'GP. So avoid this, avoid this, avoid'}, {'start': '3908.720', 'end': '3914.240', 'text': 'this. What you can write as uh concisely'}, {'start': '3911.839', 'end': '3918.079', 'text': 'what you can write instead of do instead'}, {'start': '3914.240', 'end': '3920.079', 'text': "of saying don't drive, avoid noise, uh"}, {'start': '3918.079', 'end': '3922.319', 'text': 'avoid noise, okay, avoid flashing'}, {'start': '3920.079', 'end': '3925.119', 'text': 'lights, avoid working on heights, okay?'}, {'start': '3922.319', 'end': '3929.720', 'text': 'You should uh have regular reviews with'}, {'start': '3925.119', 'end': '3929.720', 'text': 'JP. So what do you think?'}, {'start': '3936.720', 'end': '3941.280', 'text': 'Can anybody think about just something'}, {'start': '3938.640', 'end': '3941.280', 'text': 'very'}, {'start': '3941.480', 'end': '3946.839', 'text': 'concise just lifestyle? Okay, you can'}, {'start': '3944.319', 'end': '3950.559', 'text': 'just use lifestyle.'}, {'start': '3946.839', 'end': '3952.680', 'text': 'Okay, lifestyle modifications. Okay,'}, {'start': '3950.559', 'end': '3955.920', 'text': 'even you can'}, {'start': '3952.680', 'end': '3958.960', 'text': 'skip and update measures. Yes, it could'}, {'start': '3955.920', 'end': '3961.440', 'text': 'be. Yeah. Non-farmacological measures,'}, {'start': '3958.960', 'end': '3961.440', 'text': 'lifestyle'}, {'start': '3962.359', 'end': '3966.880', 'text': 'modifications. Yes. To avoid repetition,'}, {'start': '3964.480', 'end': '3969.039', 'text': 'you can just write. She was advised to,'}, {'start': '3966.880', 'end': '3970.720', 'text': 'you know, do this. Okay. Broo, sodium'}, {'start': '3969.039', 'end': '3973.599', 'text': 'bulb is very important. Even you should'}, {'start': '3970.720', 'end': '3975.680', 'text': 'mention the dose and the frequency of'}, {'start': '3973.599', 'end': '3978.319', 'text': 'sodium brood because this is the side'}, {'start': '3975.680', 'end': '3978.319', 'text': 'effect of'}, {'start': '3979.160', 'end': '3984.160', 'text': 'medication. Yeah. Okay. Yeah. Some'}, {'start': '3982.640', 'end': '3987.319', 'text': 'precautions also. You can write some'}, {'start': '3984.160', 'end': '3989.440', 'text': 'precautions. Yeah. Dr.'}, {'start': '3987.319', 'end': '3994.160', 'text': 'Good. What do you think? Can you make'}, {'start': '3989.440', 'end': '3997.240', 'text': 'the EEG test concise? Personal bust of'}, {'start': '3994.160', 'end': '4000.960', 'text': 'uh rhythmic high amplitude'}, {'start': '3997.240', 'end': '4000.960', 'text': 'spikes. Can you make it'}, {'start': '4007.240', 'end': '4012.760', 'text': 'concise? Can you make this part concise?'}, {'start': '4016.640', 'end': '4024.520', 'text': 'Yes, health education. Very good. Who is'}, {'start': '4018.640', 'end': '4026.319', 'text': 'this? Is uh Mola Ala? Sorry for misp'}, {'start': '4024.520', 'end': '4027.920', 'text': 'misprononunciation. Very good. Okay.'}, {'start': '4026.319', 'end': '4030.559', 'text': 'Health education. Very good. Okay. We'}, {'start': '4027.920', 'end': '4030.559', 'text': 'can use health'}, {'start': '4035.559', 'end': '4042.400', 'text': 'education. She was educated on'}, {'start': '4038.680', 'end': '4044.400', 'text': 'preautions. Okay. Like this.'}, {'start': '4042.400', 'end': '4046.240', 'text': 'So EEG we can make it concise because'}, {'start': '4044.400', 'end': '4050.200', 'text': 'this is the main important thing in this'}, {'start': '4046.240', 'end': '4053.280', 'text': 'visit to what was the EEG result.'}, {'start': '4050.200', 'end': '4056.400', 'text': 'Okay. So here we to you they call the'}, {'start': '4053.280', 'end': '4058.160', 'text': 'ambulance we can just write the desipine'}, {'start': '4056.400', 'end': '4062.480', 'text': 'also we can just mention that it was'}, {'start': '4058.160', 'end': '4066.079', 'text': 'treated you can write the desip. Okay.'}, {'start': '4062.480', 'end': '4066.079', 'text': 'So now let us'}, {'start': '4066.359', 'end': '4069.920', 'text': 'see the model'}, {'start': '4075.079', 'end': '4079.799', 'text': 'answer. Now the duration is a little bit'}, {'start': '4078.000', 'end': '4082.720', 'text': 'more than'}, {'start': '4079.799', 'end': '4084.720', 'text': 'normal. On this date next visit, Miss'}, {'start': '4082.720', 'end': '4087.920', 'text': 'Lenin complained about a fit one week'}, {'start': '4084.720', 'end': '4090.319', 'text': 'after her first visit which lasted for'}, {'start': '4087.920', 'end': '4093.760', 'text': 'more than 5 minutes and was treated with'}, {'start': '4090.319', 'end': '4093.760', 'text': 'dazip. Okay.'}, {'start': '4094.720', 'end': '4099.400', 'text': 'Just one sentence'}, {'start': '4096.520', 'end': '4102.799', 'text': 'for'}, {'start': '4099.400', 'end': '4102.799', 'text': 'that fit.'}, {'start': '4103.239', 'end': '4108.600', 'text': 'Okay. She has been no is wrong. She was'}, {'start': '4106.239', 'end': '4111.960', 'text': 'it was in the past. She was'}, {'start': '4108.600', 'end': '4114.880', 'text': 'suggested. She was'}, {'start': '4111.960', 'end': '4116.679', 'text': 'suggested. So just one sentence for this'}, {'start': '4114.880', 'end': '4121.040', 'text': 'then we will see'}, {'start': '4116.679', 'end': '4122.040', 'text': 'that her blood investigations and MRI'}, {'start': '4121.040', 'end': '4125.759', 'text': 'were'}, {'start': '4122.040', 'end': '4128.400', 'text': 'normal. So we can make the normal things'}, {'start': '4125.759', 'end': '4131.199', 'text': 'together instead of writing her FBC,'}, {'start': '4128.400', 'end': '4135.120', 'text': 'LFT, RFT, ura and electrolytes were'}, {'start': '4131.199', 'end': '4138.000', 'text': 'normal and MRI showed no abnoral growth'}, {'start': '4135.120', 'end': '4141.799', 'text': 'or no mass was detected. Okay, no mass'}, {'start': '4138.000', 'end': '4144.640', 'text': 'was detected. Okay. So if we make it'}, {'start': '4141.799', 'end': '4145.719', 'text': 'wordy, if we make it wordy, we can write'}, {'start': '4144.640', 'end': '4150.279', 'text': 'like this.'}, {'start': '4145.719', 'end': '4156.239', 'text': 'Okay. Uh let me let me try here.'}, {'start': '4150.279', 'end': '4156.239', 'text': 'Okay. Like this. Okay. U FBC'}, {'start': '4156.440', 'end': '4163.759', 'text': 'BC, LFT,'}, {'start': '4160.279', 'end': '4163.759', 'text': 'ura and'}, {'start': '4165.319', 'end': '4169.640', 'text': 'electrolytes were normal.'}, {'start': '4169.920', 'end': '4173.799', 'text': 'And'}, {'start': '4171.319', 'end': '4178.480', 'text': 'her'}, {'start': '4173.799', 'end': '4178.480', 'text': 'MRI showed no'}, {'start': '4180.679', 'end': '4184.560', 'text': 'abnormal no abnormal'}, {'start': '4185.480', 'end': '4192.159', 'text': 'growth'}, {'start': '4187.480', 'end': '4194.600', 'text': 'or a mass. Okay.'}, {'start': '4192.159', 'end': '4200.199', 'text': 'Now look at'}, {'start': '4194.600', 'end': '4205.120', 'text': 'this and look at this. This is called'}, {'start': '4200.199', 'end': '4205.120', 'text': 'conciseness. Look at this and look at'}, {'start': '4205.880', 'end': '4210.320', 'text': 'that. This is called conciseness.'}, {'start': '4211.800', 'end': '4219.280', 'text': 'Okay. So here we'}, {'start': '4214.520', 'end': '4222.280', 'text': 'have 19 words and here we have seven'}, {'start': '4219.280', 'end': '4222.280', 'text': 'words.'}, {'start': '4222.480', 'end': '4231.120', 'text': 'Seven words'}, {'start': '4225.159', 'end': '4231.120', 'text': 'here and here we have 19 words.'}, {'start': '4238.360', 'end': '4242.239', 'text': 'Okay, do you understand? Please write'}, {'start': '4240.800', 'end': '4244.640', 'text': 'something in the chats. You need to'}, {'start': '4242.239', 'end': '4248.360', 'text': 'participate actively. Okay, I cannot'}, {'start': '4244.640', 'end': '4250.719', 'text': 'just keep speaking with myself.'}, {'start': '4248.360', 'end': '4252.679', 'text': 'Okay. So you do see do you understand'}, {'start': '4250.719', 'end': '4256.159', 'text': 'the'}, {'start': '4252.679', 'end': '4258.640', 'text': 'conciseness so both both both the things'}, {'start': '4256.159', 'end': '4260.000', 'text': 'are normal. ECG uh means uh blood'}, {'start': '4258.640', 'end': '4262.320', 'text': 'investigations. These are blood'}, {'start': '4260.000', 'end': '4264.719', 'text': 'investigation. These are normal and here'}, {'start': '4262.320', 'end': '4267.360', 'text': "is MRI. Both are normal. I don't need to"}, {'start': '4264.719', 'end': '4268.880', 'text': 'write normal separately for uh you know'}, {'start': '4267.360', 'end': '4272.000', 'text': 'blood investigation. Then normal'}, {'start': '4268.880', 'end': '4272.000', 'text': 'separately for'}, {'start': '4272.760', 'end': '4278.560', 'text': 'MRI. Okay. This is conciseness. This'}, {'start': '4276.159', 'end': '4281.199', 'text': 'this is where you will get marks. Okay.'}, {'start': '4278.560', 'end': '4283.280', 'text': 'Anybody can tell you you know sentences'}, {'start': '4281.199', 'end': '4285.920', 'text': 'and tenses and this and that. You will'}, {'start': '4283.280', 'end': '4288.800', 'text': 'learn from any class. Okay. There are a'}, {'start': '4285.920', 'end': '4291.360', 'text': 'lot of people who can teach a lot of'}, {'start': '4288.800', 'end': '4294.000', 'text': 'things. But these are the tricks that'}, {'start': '4291.360', 'end': '4296.719', 'text': 'will easily help you in the real exam.'}, {'start': '4294.000', 'end': '4300.080', 'text': 'Okay. Her blood investigation MRI were'}, {'start': '4296.719', 'end': '4303.679', 'text': 'normal very easy to understand. Believe'}, {'start': '4300.080', 'end': '4306.159', 'text': 'me, this is not IELTS exam where you'}, {'start': '4303.679', 'end': '4308.239', 'text': 'need to use any high level of English.'}, {'start': '4306.159', 'end': '4310.640', 'text': 'In this exam, you need to make things'}, {'start': '4308.239', 'end': '4313.320', 'text': 'concise, easy and clear for the reader'}, {'start': '4310.640', 'end': '4317.440', 'text': 'to understand what I'}, {'start': '4313.320', 'end': '4317.440', 'text': 'said. You need to make'}, {'start': '4317.800', 'end': '4321.960', 'text': 'things make'}, {'start': '4319.880', 'end': '4324.800', 'text': 'things'}, {'start': '4321.960', 'end': '4327.440', 'text': 'easy clear.'}, {'start': '4324.800', 'end': '4327.440', 'text': 'Make things'}, {'start': '4328.120', 'end': '4334.920', 'text': 'easy,'}, {'start': '4331.080', 'end': '4338.159', 'text': 'concise, clear and easy to'}, {'start': '4334.920', 'end': '4341.280', 'text': 'understand for the reader. If you can do'}, {'start': '4338.159', 'end': '4344.239', 'text': 'that, you will get a good mark. You will'}, {'start': '4341.280', 'end': '4344.239', 'text': 'get good score.'}, {'start': '4346.280', 'end': '4354.440', 'text': 'Okay. Okay. Concise, clear and easy for'}, {'start': '4351.199', 'end': '4354.440', 'text': 'the reader.'}, {'start': '4354.560', 'end': '4358.400', 'text': 'then you will get good marks otherwise'}, {'start': '4356.239', 'end': '4361.520', 'text': 'you will write even your English is very'}, {'start': '4358.400', 'end': '4363.600', 'text': 'good you will not okay get good marks'}, {'start': '4361.520', 'end': '4367.120', 'text': 'okay so then her blood investigations'}, {'start': '4363.600', 'end': '4367.120', 'text': 'and MRI were normal'}, {'start': '4368.440', 'end': '4373.520', 'text': 'but now let me show you one'}, {'start': '4374.440', 'end': '4379.880', 'text': 'thing you can see this is one sentence'}, {'start': '4376.960', 'end': '4383.600', 'text': 'or two sentences can you tell'}, {'start': '4379.880', 'end': '4387.040', 'text': 'me this is one sentence or two sentences'}, {'start': '4383.600', 'end': '4387.040', 'text': 'This one is one or two'}, {'start': '4391.320', 'end': '4395.360', 'text': 'sentences. This is one sentence or two.'}, {'start': '4393.760', 'end': '4398.239', 'text': 'Please write something in the chat so'}, {'start': '4395.360', 'end': '4402.480', 'text': 'that we can just make it uh interactive'}, {'start': '4398.239', 'end': '4402.480', 'text': 'session. Okay. Is one sentence or'}, {'start': '4404.280', 'end': '4409.920', 'text': 'two? One sentence. Which type of'}, {'start': '4407.199', 'end': '4413.239', 'text': 'sentence? This is simple compound'}, {'start': '4409.920', 'end': '4415.600', 'text': 'complex or compound'}, {'start': '4413.239', 'end': '4418.320', 'text': 'complex. Which type of the sentences?'}, {'start': '4415.600', 'end': '4422.000', 'text': 'Simple compound'}, {'start': '4418.320', 'end': '4424.880', 'text': 'uh complex compound complex. Which type'}, {'start': '4422.000', 'end': '4424.880', 'text': 'of sentence this'}, {'start': '4425.719', 'end': '4431.960', 'text': 'is? Which type of sentence? This'}, {'start': '4428.679', 'end': '4436.480', 'text': 'is simple compound'}, {'start': '4431.960', 'end': '4441.239', 'text': 'complex. Compound complex.'}, {'start': '4436.480', 'end': '4445.280', 'text': 'this compound sentence. Okay. Compound.'}, {'start': '4441.239', 'end': '4445.280', 'text': 'Okay. Okay.'}, {'start': '4455.159', 'end': '4460.800', 'text': 'So, okay. Now look at the'}, {'start': '4458.199', 'end': '4461.560', 'text': 'second. Now I have changed I have made'}, {'start': '4460.800', 'end': '4463.840', 'text': 'some'}, {'start': '4461.560', 'end': '4466.520', 'text': 'changes. Her blood investigations and'}, {'start': '4463.840', 'end': '4470.480', 'text': 'MRI were normal. This is one'}, {'start': '4466.520', 'end': '4473.360', 'text': 'sentence. Her EEG showed promal bursts'}, {'start': '4470.480', 'end': '4477.120', 'text': 'of uh rhythmic high amplitude spikes.'}, {'start': '4473.360', 'end': '4477.120', 'text': 'Okay, it should be spikes'}, {'start': '4478.760', 'end': '4484.960', 'text': 'plural. Now these are'}, {'start': '4482.040', 'end': '4488.120', 'text': 'two simple sentences. Even this is'}, {'start': '4484.960', 'end': '4490.800', 'text': 'compound sentence. This one is itself'}, {'start': '4488.120', 'end': '4495.719', 'text': 'compound. But I will say overall these'}, {'start': '4490.800', 'end': '4495.719', 'text': 'are two simple sentences. Okay.'}, {'start': '4495.800', 'end': '4500.840', 'text': 'And there is some relation between these'}, {'start': '4498.320', 'end': '4503.840', 'text': 'two sentences. This is something'}, {'start': '4500.840', 'end': '4506.120', 'text': 'normal. This is something abnormal. So'}, {'start': '4503.840', 'end': '4508.679', 'text': 'we have opposite effect. We have'}, {'start': '4506.120', 'end': '4511.840', 'text': 'opposite. We have'}, {'start': '4508.679', 'end': '4514.080', 'text': 'opposite relation between the these two.'}, {'start': '4511.840', 'end': '4517.440', 'text': 'So it is very easy for me just put comma'}, {'start': '4514.080', 'end': '4520.400', 'text': 'here. And but this but is mean the'}, {'start': '4517.440', 'end': '4521.400', 'text': 'second part is opposite. So here is'}, {'start': '4520.400', 'end': '4524.159', 'text': 'something'}, {'start': '4521.400', 'end': '4528.640', 'text': 'normal. So after but there would be'}, {'start': '4524.159', 'end': '4528.640', 'text': 'something abnormal. Okay'}, {'start': '4528.760', 'end': '4534.520', 'text': 'contrast. So you can see how things now'}, {'start': '4531.840', 'end': '4537.640', 'text': 'if you write like this and then you say'}, {'start': '4534.520', 'end': '4540.159', 'text': 'oh I got'}, {'start': '4537.640', 'end': '4543.800', 'text': '340. If you are a doctor, if you are'}, {'start': '4540.159', 'end': '4548.080', 'text': 'nurse I got'}, {'start': '4543.800', 'end': '4551.280', 'text': "2490. My English is very good. I don't"}, {'start': '4548.080', 'end': '4553.480', 'text': 'know what happens. So this is the reason'}, {'start': '4551.280', 'end': '4556.920', 'text': 'you need to you you need to think'}, {'start': '4553.480', 'end': '4559.520', 'text': 'logically. Okay, good.'}, {'start': '4556.920', 'end': '4562.560', 'text': 'So her blood investigation MRI were'}, {'start': '4559.520', 'end': '4565.280', 'text': 'normal but her EEG showed parismal burst'}, {'start': '4562.560', 'end': '4568.199', 'text': 'of rhythmic high amplitude spikes. You'}, {'start': '4565.280', 'end': '4570.560', 'text': 'can see here'}, {'start': '4568.199', 'end': '4573.440', 'text': 'again look at this sentence is very'}, {'start': '4570.560', 'end': '4576.480', 'text': "easy. I I don't write very complex okay"}, {'start': '4573.440', 'end': '4580.760', 'text': 'very difficult sentences. I write very'}, {'start': '4576.480', 'end': '4584.000', 'text': 'you know simple things but it is very'}, {'start': '4580.760', 'end': '4584.840', 'text': 'good. Tonic clonic idiopathic epilepsy'}, {'start': '4584.000', 'end': '4588.480', 'text': 'was'}, {'start': '4584.840', 'end': '4590.640', 'text': 'diagnosed and she was advised to take'}, {'start': '4588.480', 'end': '4592.120', 'text': 'sodium bulberide or she was prescribed'}, {'start': '4590.640', 'end': '4595.080', 'text': 'even advised to take'}, {'start': '4592.120', 'end': '4597.600', 'text': 'no. Okay. She was prescribed sodium'}, {'start': '4595.080', 'end': '4599.280', 'text': 'monoproate. Even we can you know write'}, {'start': '4597.600', 'end': '4601.520', 'text': 'prescribed. She was prescribed because'}, {'start': '4599.280', 'end': '4604.760', 'text': 'there will be less words. Okay. She was'}, {'start': '4601.520', 'end': '4607.280', 'text': 'prescribed sodium 300 mg BD'}, {'start': '4604.760', 'end': '4610.480', 'text': 'and advised to follow. So that is why I'}, {'start': '4607.280', 'end': '4613.840', 'text': 'have used advised to because I could not'}, {'start': '4610.480', 'end': '4615.840', 'text': 'write here the verb separate word here.'}, {'start': '4613.840', 'end': '4617.360', 'text': 'So advised to I am using for both of'}, {'start': '4615.840', 'end': '4619.520', 'text': 'them. Advice to take and advice to'}, {'start': '4617.360', 'end': '4622.560', 'text': "follow. That is why I'm using for both"}, {'start': '4619.520', 'end': '4624.480', 'text': 'of these parts. So idiopathic uh clonic'}, {'start': '4622.560', 'end': '4626.159', 'text': 'clonic idiopathic epilepsy was diagnosed'}, {'start': '4624.480', 'end': '4632.080', 'text': 'and she was advised to take sodium'}, {'start': '4626.159', 'end': '4635.960', 'text': 'proate 300 mg BD and follow uh uh okay'}, {'start': '4632.080', 'end': '4639.880', 'text': 'to advise to take and follow lifestyle'}, {'start': '4635.960', 'end': '4642.719', 'text': 'modifications are to follow precautions'}, {'start': '4639.880', 'end': '4645.840', 'text': 'preventions okay or you can write health'}, {'start': '4642.719', 'end': '4648.480', 'text': 'education was provided she was educated'}, {'start': '4645.840', 'end': '4650.840', 'text': 'okay on preventions like this you can'}, {'start': '4648.480', 'end': '4654.719', 'text': 'add anything like this'}, {'start': '4650.840', 'end': '4654.719', 'text': 'Okay. Then we have last'}, {'start': '4655.719', 'end': '4659.760', 'text': 'visit. Last visit is very'}, {'start': '4660.199', 'end': '4666.199', 'text': 'easy. But there is some technique also'}, {'start': '4662.640', 'end': '4666.199', 'text': 'in the last visit.'}, {'start': '4667.760', 'end': '4672.800', 'text': 'So you have loss of appetite, you have'}, {'start': '4670.960', 'end': '4674.960', 'text': 'fever, you have rar discoloration of'}, {'start': '4672.800', 'end': '4678.000', 'text': 'skin and eyes, you have pale to pale'}, {'start': '4674.960', 'end': '4681.679', 'text': 'stool, you have dark urine and you have'}, {'start': '4678.000', 'end': '4681.679', 'text': 'the duration for the last 5'}, {'start': '4684.760', 'end': '4690.159', 'text': 'days. Okay, how many things we have?'}, {'start': '4688.000', 'end': '4691.679', 'text': 'Loss of appetite one, fever two, yellow'}, {'start': '4690.159', 'end': '4695.120', 'text': 'discoloration of skin and eyes three,'}, {'start': '4691.679', 'end': '4698.480', 'text': 'pale stool four, dark urine five and the'}, {'start': '4695.120', 'end': '4701.960', 'text': 'duration also for 5 days. So we have'}, {'start': '4698.480', 'end': '4705.760', 'text': 'almost six things, five or six'}, {'start': '4701.960', 'end': '4708.800', 'text': 'things. If somebody like me who is very'}, {'start': '4705.760', 'end': '4710.400', 'text': 'you know relaxed student and not'}, {'start': '4708.800', 'end': '4713.760', 'text': 'prepared for the exam, I will do like'}, {'start': '4710.400', 'end': '4716.159', 'text': 'this. Okay. On this day today, Miss'}, {'start': '4713.760', 'end': '4717.920', 'text': 'Jenkins presented with loss of appetite,'}, {'start': '4716.159', 'end': '4721.120', 'text': 'fever, yellow discoloration of skin and'}, {'start': '4717.920', 'end': '4724.320', 'text': 'eyes, pale stool and uh dark urine for'}, {'start': '4721.120', 'end': '4728.960', 'text': 'the last 5 days. Then I will write uh'}, {'start': '4724.320', 'end': '4732.560', 'text': 'she her rumor was increased and uh CBC'}, {'start': '4728.960', 'end': '4736.040', 'text': 'showed uh decreased pllets. Okay. And'}, {'start': '4732.560', 'end': '4739.199', 'text': 'she stopped the medication. Okay. Like'}, {'start': '4736.040', 'end': '4741.239', 'text': 'this. What I can do? What I did in my in'}, {'start': '4739.199', 'end': '4745.040', 'text': 'my when I wrote'}, {'start': '4741.239', 'end': '4748.040', 'text': 'this what I did is loss of appetite is a'}, {'start': '4745.040', 'end': '4750.560', 'text': 'symptom, fever is a symptom.'}, {'start': '4748.040', 'end': '4753.199', 'text': 'Okay. Yellow discoloration of skin and'}, {'start': '4750.560', 'end': '4757.280', 'text': 'eyes you can consider as something like'}, {'start': '4753.199', 'end': '4757.280', 'text': 'an examination. Yes or'}, {'start': '4758.199', 'end': '4762.760', 'text': 'no? Pale stool unit that the patient'}, {'start': '4760.880', 'end': '4765.440', 'text': 'will tell you but'}, {'start': '4762.760', 'end': '4768.920', 'text': 'the yellow discoloration of skin and'}, {'start': '4765.440', 'end': '4771.760', 'text': 'eyes you can get. Okay.'}, {'start': '4768.920', 'end': '4773.440', 'text': 'As like the examination. So I have done'}, {'start': '4771.760', 'end': '4775.600', 'text': 'is I have written yellow discoloration'}, {'start': '4773.440', 'end': '4778.440', 'text': 'of skin and eyes with investigations'}, {'start': '4775.600', 'end': '4780.880', 'text': 'when I am mentioning Billy'}, {'start': '4778.440', 'end': '4782.480', 'text': 'Rubin. Okay. When I am mentioning Billy'}, {'start': '4780.880', 'end': '4784.159', 'text': 'Rubin I have mentioned there. Okay.'}, {'start': '4782.480', 'end': '4788.239', 'text': 'Because Billy Rubin yellow discoloration'}, {'start': '4784.159', 'end': '4789.480', 'text': 'is with you know some relation there.'}, {'start': '4788.239', 'end': '4792.080', 'text': 'Okay.'}, {'start': '4789.480', 'end': '4795.400', 'text': 'Today Miss Jen presented with new'}, {'start': '4792.080', 'end': '4798.640', 'text': 'symptoms of even I have added one one'}, {'start': '4795.400', 'end': '4802.159', 'text': 'thing. It is not written in my case'}, {'start': '4798.640', 'end': '4802.159', 'text': 'notes. New symptoms'}, {'start': '4804.199', 'end': '4810.080', 'text': 'of when I will write like this it will'}, {'start': '4807.760', 'end': '4813.360', 'text': 'draw the you know attention of the'}, {'start': '4810.080', 'end': '4815.840', 'text': 'reader of the examiner. Oh some new p'}, {'start': '4813.360', 'end': '4818.159', 'text': 'new new symptoms. Oh what new symptoms?'}, {'start': '4815.840', 'end': '4820.560', 'text': 'Okay with new symptoms of fever loss of'}, {'start': '4818.159', 'end': '4824.239', 'text': 'appetite pale stool and dark urine for'}, {'start': '4820.560', 'end': '4827.040', 'text': 'the last 5 days. Now my sentence is easy'}, {'start': '4824.239', 'end': '4828.320', 'text': 'to understand. If I add here revealed'}, {'start': '4827.040', 'end': '4831.960', 'text': 'you know yellow discoloration of skin'}, {'start': '4828.320', 'end': '4834.800', 'text': 'and eyes this this sentence would become'}, {'start': '4831.960', 'end': '4836.800', 'text': 'long. So that her examination revealed'}, {'start': '4834.800', 'end': '4839.679', 'text': 'yellow discoloration of skin and eyes'}, {'start': '4836.800', 'end': '4842.679', 'text': 'and her blood tests showed increased'}, {'start': '4839.679', 'end': '4845.280', 'text': 'bury rubin and decreased platelets.'}, {'start': '4842.679', 'end': '4848.000', 'text': 'Easy. Please note she has stopped her'}, {'start': '4845.280', 'end': '4851.120', 'text': 'taking her medication for the last uh'}, {'start': '4848.000', 'end': '4852.560', 'text': 'five 2 days just then uh socialist'}, {'start': '4851.120', 'end': '4853.760', 'text': 'background history is not important.'}, {'start': '4852.560', 'end': '4856.080', 'text': 'Then in view of the body, I would be'}, {'start': '4853.760', 'end': '4858.000', 'text': 'grateful if you could further review her'}, {'start': '4856.080', 'end': '4860.360', 'text': 'medication as you think appropriate. You'}, {'start': '4858.000', 'end': '4865.199', 'text': 'can add something here at the end.'}, {'start': '4860.360', 'end': '4865.199', 'text': 'Okay. Any question so'}, {'start': '4868.040', 'end': '4871.360', 'text': 'far? Any'}, {'start': '4872.360', 'end': '4876.000', 'text': 'question? So any'}, {'start': '4880.600', 'end': '4887.320', 'text': 'question? Any question? No. Now let us'}, {'start': '4884.320', 'end': '4890.040', 'text': 'see what you have done in'}, {'start': '4887.320', 'end': '4894.400', 'text': 'your'}, {'start': '4890.040', 'end': '4894.400', 'text': 'letters. As uh'}, {'start': '4895.320', 'end': '4901.679', 'text': 'mostam is'}, {'start': '4897.080', 'end': '4901.679', 'text': 'there. Mustaam is'}, {'start': '4902.920', 'end': '4908.480', 'text': 'there. Mustam is there. Because I will'}, {'start': '4906.400', 'end': '4912.360', 'text': 'only mark your letter if you are in the'}, {'start': '4908.480', 'end': '4916.520', 'text': "class otherwise I don't need."}, {'start': '4912.360', 'end': '4920.239', 'text': 'Okay. So this person'}, {'start': '4916.520', 'end': '4920.239', 'text': 'Mima Inam is'}, {'start': '4920.840', 'end': '4930.280', 'text': 'there. Okay. Okay. Good. She is there.'}, {'start': '4924.760', 'end': '4934.560', 'text': 'Okay. Okay. So, okay. Let us read your'}, {'start': '4930.280', 'end': '4934.560', 'text': 'letter first. I will see the word'}, {'start': '4937.639', 'end': '4941.480', 'text': 'count. Okay. It looks a little bit not'}, {'start': '4939.920', 'end': '4944.239', 'text': 'good'}, {'start': '4941.480', 'end': '4945.960', 'text': 'paragraphic but letters as you have'}, {'start': '4944.239', 'end': '4949.679', 'text': 'written in'}, {'start': '4945.960', 'end': '4951.560', 'text': 'the I think on WhatsApp. So that is why'}, {'start': '4949.679', 'end': '4956.520', 'text': 'it looks'}, {'start': '4951.560', 'end': '4959.000', 'text': 'like so this is today this is the'}, {'start': '4956.520', 'end': '4961.239', 'text': 'conclusion this is the purpose'}, {'start': '4959.000', 'end': '4965.280', 'text': 'okay'}, {'start': '4961.239', 'end': '4965.280', 'text': 'and your word count'}, {'start': '4966.840', 'end': '4973.199', 'text': 'is 174 word count is okay I am writing'}, {'start': '4970.960', 'end': '4976.159', 'text': 'for the review of medication and'}, {'start': '4973.199', 'end': '4978.719', 'text': 'treatment plan of miss chin kills we'}, {'start': '4976.159', 'end': '4980.440', 'text': 'need comma here who has developed'}, {'start': '4978.719', 'end': '4984.600', 'text': 'veloped some side effects of our'}, {'start': '4980.440', 'end': '4990.679', 'text': 'antilaptic anti-epileptic drugs.'}, {'start': '4984.600', 'end': '4993.440', 'text': 'Okay. Is good is good. But what comes'}, {'start': '4990.679', 'end': '4995.840', 'text': 'first the diagnosis are what we want'}, {'start': '4993.440', 'end': '4995.840', 'text': 'from the'}, {'start': '4996.440', 'end': '5004.159', 'text': 'reader. I would prefer I would prefer'}, {'start': '5000.679', 'end': '5008.400', 'text': 'always to write the diagnosis first and'}, {'start': '5004.159', 'end': '5010.960', 'text': 'then write what we want from the reader.'}, {'start': '5008.400', 'end': '5012.639', 'text': 'Dr. asks, "Can you write BD, TDS?" Yes,'}, {'start': '5010.960', 'end': '5015.880', 'text': 'we can use common abbreviations like'}, {'start': '5012.639', 'end': '5019.199', 'text': 'diabetes, malitus DM, hypertension,'}, {'start': '5015.880', 'end': '5021.280', 'text': 'HTN. Okay, so blood pressure BP,'}, {'start': '5019.199', 'end': '5023.000', 'text': 'respiratory rate, RR we can use. Okay,'}, {'start': '5021.280', 'end': '5025.360', 'text': 'but not overuse these'}, {'start': '5023.000', 'end': '5027.440', 'text': 'things. This is okay. But just please'}, {'start': '5025.360', 'end': '5029.679', 'text': 'follow first write the diagnosis, then'}, {'start': '5027.440', 'end': '5031.440', 'text': 'write what we want from the okay, these'}, {'start': '5029.679', 'end': '5034.120', 'text': 'things are not needed. I will not say it'}, {'start': '5031.440', 'end': '5036.719', 'text': 'is wrong. I will not say it is'}, {'start': '5034.120', 'end': '5038.480', 'text': 'wrong. I will not say it is wrong. But'}, {'start': '5036.719', 'end': '5041.880', 'text': 'this is not needed. But if you want to'}, {'start': '5038.480', 'end': '5045.280', 'text': 'write is okay. I can accept.'}, {'start': '5041.880', 'end': '5047.440', 'text': 'Okay. Initially we need comma here on'}, {'start': '5045.280', 'end': '5049.360', 'text': 'this date. Uh she was we should write'}, {'start': '5047.440', 'end': '5052.080', 'text': 'name of the patient at the start of new'}, {'start': '5049.360', 'end': '5054.840', 'text': 'paragraphs. Okay. When we start a new'}, {'start': '5052.080', 'end': '5058.040', 'text': 'paragraph we should'}, {'start': '5054.840', 'end': '5060.239', 'text': 'use name of the patient. Okay. Miss'}, {'start': '5058.040', 'end': '5062.080', 'text': 'Jenkins was brought by ambulance to the'}, {'start': '5060.239', 'end': '5067.199', 'text': 'emergency department with with a history'}, {'start': '5062.080', 'end': '5069.040', 'text': 'with history. No with a history of Okay.'}, {'start': '5067.199', 'end': '5071.800', 'text': 'with history is wrong. Okay. With a'}, {'start': '5069.040', 'end': '5074.560', 'text': 'history of this and'}, {'start': '5071.800', 'end': '5077.040', 'text': 'that tonic cloning fit. Okay. You can'}, {'start': '5074.560', 'end': '5080.639', 'text': 'write Jim instead of you tonic cloning'}, {'start': '5077.040', 'end': '5082.880', 'text': 'fit. That is good. Uh that was preceded'}, {'start': '5080.639', 'end': '5084.560', 'text': 'by aas. We can write edit and visual'}, {'start': '5082.880', 'end': '5085.480', 'text': 'auras because we can be a little bit'}, {'start': '5084.560', 'end': '5088.400', 'text': 'more'}, {'start': '5085.480', 'end': '5091.960', 'text': 'specific. Auras. Okay. These are plural.'}, {'start': '5088.400', 'end': '5094.560', 'text': 'Her feet was associated with'}, {'start': '5091.960', 'end': '5098.080', 'text': 'unconsciousness incontinence and uh'}, {'start': '5094.560', 'end': '5101.280', 'text': 'tongue bite. Okay. is also good. Some uh'}, {'start': '5098.080', 'end': '5105.080', 'text': 'blood investigation as well as EEG and'}, {'start': '5101.280', 'end': '5108.080', 'text': 'MRI of the brain was requested.'}, {'start': '5105.080', 'end': '5109.880', 'text': 'Okay. Can anybody point out any mistake'}, {'start': '5108.080', 'end': '5112.239', 'text': 'in this'}, {'start': '5109.880', 'end': '5113.400', 'text': 'sentence? Anybody can point out any'}, {'start': '5112.239', 'end': '5119.080', 'text': 'mistake in this'}, {'start': '5113.400', 'end': '5119.080', 'text': 'sentence? You want me to make it bigger?'}, {'start': '5129.320', 'end': '5132.639', 'text': 'Okay. Any'}, {'start': '5134.040', 'end': '5137.360', 'text': 'mistake? Any'}, {'start': '5144.280', 'end': '5148.760', 'text': 'mistake? What is the mistake?'}, {'start': '5159.120', 'end': '5164.960', 'text': 'Dr. What is the mistake? Were'}, {'start': '5162.360', 'end': '5168.760', 'text': 'requested as well as not wrong. We can'}, {'start': '5164.960', 'end': '5172.080', 'text': 'use as well as. Okay. We can use as well'}, {'start': '5168.760', 'end': '5176.159', 'text': 'as but when we are using this. Okay.'}, {'start': '5172.080', 'end': '5179.199', 'text': 'Okay. When we are using this okay we'}, {'start': '5176.159', 'end': '5181.880', 'text': 'need to some blood investigation no'}, {'start': '5179.199', 'end': '5183.760', 'text': 'investigations it should be plural okay'}, {'start': '5181.880', 'end': '5186.000', 'text': 'investigations this is not a single'}, {'start': '5183.760', 'end': '5188.880', 'text': 'investigation so investigations would be'}, {'start': '5186.000', 'end': '5191.040', 'text': 'our main subject so our verb should be'}, {'start': '5188.880', 'end': '5192.880', 'text': 'according to what is before as well as'}, {'start': '5191.040', 'end': '5195.440', 'text': 'okay some blood investigations were'}, {'start': '5192.880', 'end': '5195.440', 'text': 'requested'}, {'start': '5196.120', 'end': '5202.719', 'text': 'okay okay'}, {'start': '5199.520', 'end': '5205.600', 'text': 'uh okay as well as eag with brain were'}, {'start': '5202.719', 'end': '5207.840', 'text': 'requested a week later on this date if'}, {'start': '5205.600', 'end': '5209.600', 'text': 'we can use one of them though both'}, {'start': '5207.840', 'end': '5212.239', 'text': "things don't use both of these things"}, {'start': '5209.600', 'end': '5214.400', 'text': 'just one of them uh she had a similar'}, {'start': '5212.239', 'end': '5218.320', 'text': 'episode of it which was treated with IV'}, {'start': '5214.400', 'end': '5220.960', 'text': "injection dazip okay we don't need IV"}, {'start': '5218.320', 'end': '5223.320', 'text': 'injection just dazip is enough okay'}, {'start': '5220.960', 'end': '5225.960', 'text': "don't make things"}, {'start': '5223.320', 'end': '5229.440', 'text': 'difficult ag her'}, {'start': '5225.960', 'end': '5234.320', 'text': 'agmental bs of arithmic high a spikes'}, {'start': '5229.440', 'end': '5234.320', 'text': 'with eggs okay on on diag Diagnosis'}, {'start': '5234.760', 'end': '5240.600', 'text': 'of so okay so so diagnosis of idopathic'}, {'start': '5238.880', 'end': '5243.280', 'text': 'edilepsy was'}, {'start': '5240.600', 'end': '5246.159', 'text': 'made even grammatically it is okay but'}, {'start': '5243.280', 'end': '5248.719', 'text': "commonly we yeah we we don't you know"}, {'start': '5246.159', 'end': '5251.679', 'text': 'like was made I would prefer and'}, {'start': '5248.719', 'end': '5255.040', 'text': 'idopathic tonic epilepsy was diagnosed'}, {'start': '5251.679', 'end': '5257.520', 'text': 'would look very professional and'}, {'start': '5255.040', 'end': '5261.679', 'text': 'idiopathic tonic colonic epilepsy was'}, {'start': '5257.520', 'end': '5261.679', 'text': 'diagnosed would look very professional'}, {'start': '5266.040', 'end': '5272.560', 'text': 'Okay. Okay. Just I need 1 minute break.'}, {'start': '5269.440', 'end': '5274.639', 'text': 'Okay. 1 minute break and just see here'}, {'start': '5272.560', 'end': '5276.159', 'text': 'if there is any mistake just point out I'}, {'start': '5274.639', 'end': '5280.040', 'text': 'need to see I need to see a patient'}, {'start': '5276.159', 'end': '5280.040', 'text': 'coming back very soon.'}, {'start': '5373.880', 'end': '5380.600', 'text': 'Okay. So then today and again here we'}, {'start': '5378.320', 'end': '5384.239', 'text': "don't need to use both of these"}, {'start': '5380.600', 'end': '5387.600', 'text': 'things. Uh today and the date also just'}, {'start': '5384.239', 'end': '5390.239', 'text': 'use one of them. Okay. Anorexia and'}, {'start': '5387.600', 'end': '5394.639', 'text': 'jaundice. However, there has been no'}, {'start': '5390.239', 'end': '5397.040', 'text': 'episodes of There has been no episode of'}, {'start': '5394.639', 'end': '5398.600', 'text': 'uh fit since her her last visit'}, {'start': '5397.040', 'end': '5400.280', 'text': 'investigation her'}, {'start': '5398.600', 'end': '5403.120', 'text': 'investigations'}, {'start': '5400.280', 'end': '5404.600', 'text': 'show. Oh, okay. Show. Hi, Bill. Ruben'}, {'start': '5403.120', 'end': '5406.719', 'text': 'and'}, {'start': '5404.600', 'end': '5410.239', 'text': 'thrombocytoenia. She has stopped her'}, {'start': '5406.719', 'end': '5412.880', 'text': 'medication for for the last two days. I'}, {'start': '5410.239', 'end': '5415.600', 'text': 'would be I would be highly appreciated.'}, {'start': '5412.880', 'end': '5417.520', 'text': 'I I with appreciate is most not commonly'}, {'start': '5415.600', 'end': '5420.480', 'text': 'used. It would be highly appreciated if'}, {'start': '5417.520', 'end': '5422.000', 'text': 'you want to use it. Okay. Uh if you'}, {'start': '5420.480', 'end': '5425.040', 'text': 'could review her medication and give'}, {'start': '5422.000', 'end': '5427.120', 'text': 'further a treatment plan as necessary. I'}, {'start': '5425.040', 'end': '5431.239', 'text': 'have cons her to continue medication uh'}, {'start': '5427.120', 'end': '5433.960', 'text': 'till she sees you is also not needed'}, {'start': '5431.239', 'end': '5437.600', 'text': 'here. So you can mention if you wish'}, {'start': '5433.960', 'end': '5440.080', 'text': 'okay overall uh doctor your letter is'}, {'start': '5437.600', 'end': '5441.639', 'text': 'good. Your letter is good. Just need a'}, {'start': '5440.080', 'end': '5445.360', 'text': 'little bit more'}, {'start': '5441.639', 'end': '5447.440', 'text': 'improvement to get a clear B. Okay. You'}, {'start': '5445.360', 'end': '5449.520', 'text': 'need a little bit more improvement to'}, {'start': '5447.440', 'end': '5453.320', 'text': 'get a clear be. Now you are at the'}, {'start': '5449.520', 'end': '5457.120', 'text': 'border line. Okay? Like 340,'}, {'start': '5453.320', 'end': '5460.440', 'text': '350 like this at the border. Okay? So'}, {'start': '5457.120', 'end': '5464.400', 'text': 'you need a little bit more'}, {'start': '5460.440', 'end': '5466.679', 'text': 'improvement. Okay. So Rafia Mahmuda is'}, {'start': '5464.400', 'end': '5471.000', 'text': 'there. Rafia'}, {'start': '5466.679', 'end': '5471.000', 'text': 'Mahmuda is there.'}, {'start': '5471.760', 'end': '5474.320', 'text': 'Rafa'}, {'start': '5476.280', 'end': '5479.520', 'text': 'Mimuda is'}, {'start': '5480.280', 'end': '5488.080', 'text': 'there.'}, {'start': '5482.920', 'end': '5488.080', 'text': 'Okay. So, Dr. Enam, do you'}, {'start': '5488.520', 'end': '5494.239', 'text': 'understand? Just improve a little bit'}, {'start': '5491.520', 'end': '5494.239', 'text': 'more things.'}, {'start': '5497.960', 'end': '5504.639', 'text': 'Okay. Okay. No. So here let us see this'}, {'start': '5516.280', 'end': '5523.920', 'text': 'letter. So first we will count the'}, {'start': '5520.280', 'end': '5526.000', 'text': 'words. 220 is okay but we can be a'}, {'start': '5523.920', 'end': '5528.080', 'text': "little bit more concise. Okay. I'm"}, {'start': '5526.000', 'end': '5531.159', 'text': 'writing to refer Miss Jenkins. Uh we'}, {'start': '5528.080', 'end': '5533.440', 'text': 'need hyphens here. Please be'}, {'start': '5531.159', 'end': '5536.080', 'text': 'careful. Married lady who has been'}, {'start': '5533.440', 'end': '5537.679', 'text': 'diagnosed epilepsy. She requires further'}, {'start': '5536.080', 'end': '5539.520', 'text': 'review. Register requires. We can use'}, {'start': '5537.679', 'end': '5542.159', 'text': 'more polite language. She would require'}, {'start': '5539.520', 'end': '5543.679', 'text': 'is more polite language. Her medication'}, {'start': '5542.159', 'end': '5545.520', 'text': 'and treatment plan. Okay. We can'}, {'start': '5543.679', 'end': '5547.520', 'text': 'improve. Okay. We have not written side'}, {'start': '5545.520', 'end': '5549.360', 'text': 'effects. You have not written you know'}, {'start': '5547.520', 'end': '5550.800', 'text': 'polite language. It can be improved.'}, {'start': '5549.360', 'end': '5553.600', 'text': 'First presented to hospital. Not enough'}, {'start': '5550.800', 'end': '5555.760', 'text': 'to hospital. Just presented on this day'}, {'start': '5553.600', 'end': '5558.639', 'text': 'with components of of it. If it is'}, {'start': '5555.760', 'end': '5561.040', 'text': 'single fit or fit uh jerky movements of'}, {'start': '5558.639', 'end': '5563.120', 'text': 'arms and legs this is you know part of'}, {'start': '5561.040', 'end': '5564.960', 'text': 'the fate. Okay. Loss of conscious and'}, {'start': '5563.120', 'end': '5566.639', 'text': 'tongue bite upon assessment oxygen'}, {'start': '5564.960', 'end': '5569.040', 'text': 'saturation blood pressure pulse and'}, {'start': '5566.639', 'end': '5570.560', 'text': 'systemic examination was normal. There'}, {'start': '5569.040', 'end': '5572.760', 'text': 'are a lot of things and we cannot use'}, {'start': '5570.560', 'end': '5576.480', 'text': 'was normal is grammatically wrong. So'}, {'start': '5572.760', 'end': '5578.440', 'text': 'this par sentence can be made concisely'}, {'start': '5576.480', 'end': '5580.960', 'text': 'her examination was unremarkable very'}, {'start': '5578.440', 'end': '5583.360', 'text': 'easy. Apart from that certain blood'}, {'start': '5580.960', 'end': '5584.800', 'text': 'tests EEG and MRI of the brain were'}, {'start': '5583.360', 'end': '5587.360', 'text': "ordered. We don't need this. Some"}, {'start': '5584.800', 'end': '5590.320', 'text': 'relevant investigations were ordered and'}, {'start': '5587.360', 'end': '5592.520', 'text': 'a review was planned after 3 weeks.'}, {'start': '5590.320', 'end': '5594.960', 'text': 'Okay. Make it'}, {'start': '5592.520', 'end': '5596.719', 'text': 'concise. Upon our followup on this date,'}, {'start': '5594.960', 'end': '5599.280', 'text': 'we can directly write on this date. Miss'}, {'start': '5596.719', 'end': '5600.360', 'text': 'Jackson was experiencing pre uh previous'}, {'start': '5599.280', 'end': '5603.320', 'text': 'types'}, {'start': '5600.360', 'end': '5606.880', 'text': 'of types. No'}, {'start': '5603.320', 'end': '5608.960', 'text': 'type. Okay. Fit. But we need to use the'}, {'start': '5606.880', 'end': '5611.040', 'text': 'mentioned timing. Now it is more than 5'}, {'start': '5608.960', 'end': '5612.600', 'text': 'minutes. Very important. Three way'}, {'start': '5611.040', 'end': '5616.639', 'text': 'injection'}, {'start': '5612.600', 'end': '5618.600', 'text': 'desp. Okay. Other were normal. Her ECG'}, {'start': '5616.639', 'end': '5622.320', 'text': 'should rest of this and that. That is'}, {'start': '5618.600', 'end': '5624.719', 'text': 'good. Doctor re comments. No, this is'}, {'start': '5622.320', 'end': '5624.719', 'text': 'wrong.'}, {'start': '5626.280', 'end': '5632.639', 'text': "Okay. This is wrong. Okay. We don't need"}, {'start': '5630.199', 'end': '5635.600', 'text': 'this. She was commened. We need to use'}, {'start': '5632.639', 'end': '5637.360', 'text': 'passive to make the things more, you'}, {'start': '5635.600', 'end': '5640.480', 'text': 'know, formal and easy for the reader.'}, {'start': '5637.360', 'end': '5643.280', 'text': 'She was commenced on barberate and was'}, {'start': '5640.480', 'end': '5646.000', 'text': 'given advice okay on lifestyle like'}, {'start': '5643.280', 'end': '5647.600', 'text': 'this. Okay. Mr. Jenkins complained loss'}, {'start': '5646.000', 'end': '5649.600', 'text': 'of appetite, yellow discoloration skin'}, {'start': '5647.600', 'end': '5653.360', 'text': 'and eyes, pale stool and dark urine'}, {'start': '5649.600', 'end': '5655.120', 'text': 'which might be the side effects of'}, {'start': '5653.360', 'end': '5658.560', 'text': "uh you don't need to show it which might"}, {'start': '5655.120', 'end': '5658.560', 'text': 'be the side effects of this and'}, {'start': '5659.639', 'end': '5664.360', 'text': 'that. Therefore she stopped medication'}, {'start': '5662.480', 'end': '5667.600', 'text': 'medicine for 2'}, {'start': '5664.360', 'end': '5670.560', 'text': 'days. Okay, she stopped. Okay, if you'}, {'start': '5667.600', 'end': '5672.639', 'text': 'use for 2 days then stopped is not good.'}, {'start': '5670.560', 'end': '5675.800', 'text': 'She has stopped medication for the last'}, {'start': '5672.639', 'end': '5678.480', 'text': '2 days or you can use she stopped'}, {'start': '5675.800', 'end': '5679.920', 'text': 'medication 2 days ago. Okay, we need'}, {'start': '5678.480', 'end': '5682.360', 'text': 'improvement. We said that her blood'}, {'start': '5679.920', 'end': '5684.719', 'text': 'shows elevator.'}, {'start': '5682.360', 'end': '5686.159', 'text': "Okay about circumstance we don't need"}, {'start': '5684.719', 'end': '5687.440', 'text': 'circumstances and view of the above is'}, {'start': '5686.159', 'end': '5688.920', 'text': 'enough. Okay, it would be greatly'}, {'start': '5687.440', 'end': '5691.560', 'text': 'appreciated if you could review Miss'}, {'start': '5688.920', 'end': '5694.000', 'text': 'Jenkins medication. We need apostrophe'}, {'start': '5691.560', 'end': '5695.920', 'text': 'here and treatment plan and provide'}, {'start': '5694.000', 'end': '5698.560', 'text': 'further management as you deem'}, {'start': '5695.920', 'end': '5702.520', 'text': 'appropriate. Not enough a just deem.'}, {'start': '5698.560', 'end': '5705.920', 'text': 'Okay. With without ad overall is good'}, {'start': '5702.520', 'end': '5708.320', 'text': 'ladder but it can be improved. Okay. It'}, {'start': '5705.920', 'end': '5708.320', 'text': 'can be'}, {'start': '5709.480', 'end': '5715.800', 'text': 'improved. Miss H is'}, {'start': '5713.239', 'end': '5719.040', 'text': 'there. Miss'}, {'start': '5715.800', 'end': '5722.080', 'text': 'H one of my VIP hybrid course student.'}, {'start': '5719.040', 'end': '5725.199', 'text': 'Miss Harsh you there? Yeah, you are'}, {'start': '5722.080', 'end': '5727.280', 'text': 'there. Okay. Okay. I like to refer Miss'}, {'start': '5725.199', 'end': '5729.199', 'text': 'Yanin who has been diagnosed with only'}, {'start': '5727.280', 'end': '5731.360', 'text': 'chronic adopathic epilepsy. Your'}, {'start': '5729.199', 'end': '5733.080', 'text': 'assessment and management would be'}, {'start': '5731.360', 'end': '5737.280', 'text': 'highly'}, {'start': '5733.080', 'end': '5737.280', 'text': 'appreciated. You people can see from'}, {'start': '5737.639', 'end': '5742.400', 'text': 'this that does not show what we want'}, {'start': '5740.239', 'end': '5744.880', 'text': 'from the reader. It shows mean it looks'}, {'start': '5742.400', 'end': '5747.320', 'text': 'like we need you know some review of uh'}, {'start': '5744.880', 'end': '5750.000', 'text': 'you know some management of idiopathic'}, {'start': '5747.320', 'end': '5751.920', 'text': 'epilepsy and nothing does not show that'}, {'start': '5750.000', 'end': '5754.719', 'text': 'patient is having some side effects of'}, {'start': '5751.920', 'end': '5757.400', 'text': 'the medication we need medication review'}, {'start': '5754.719', 'end': '5759.880', 'text': "it's not clear okay don't make it"}, {'start': '5757.400', 'end': '5762.080', 'text': 'too'}, {'start': '5759.880', 'end': '5763.800', 'text': 'vague purpose okay I have already'}, {'start': '5762.080', 'end': '5766.480', 'text': 'discussed these'}, {'start': '5763.800', 'end': '5769.040', 'text': 'things due to jerky movements of both'}, {'start': '5766.480', 'end': '5771.560', 'text': 'arms and legs with visual and aas as'}, {'start': '5769.040', 'end': '5774.480', 'text': 'well as uh all loss of a loss of'}, {'start': '5771.560', 'end': '5776.880', 'text': 'consciousness at that moment. Her vitals'}, {'start': '5774.480', 'end': '5779.760', 'text': 'were unremarkable and blood samples were'}, {'start': '5776.880', 'end': '5782.480', 'text': 'taken for basic investigations. Okay.'}, {'start': '5779.760', 'end': '5786.080', 'text': 'Anian EEG and MRI were taken were taken.'}, {'start': '5782.480', 'end': '5788.000', 'text': 'No, they were requested not were taken.'}, {'start': '5786.080', 'end': '5789.080', 'text': 'This is wrong. Okay. Not commonly. We'}, {'start': '5788.000', 'end': '5791.679', 'text': "don't commonly"}, {'start': '5789.080', 'end': '5794.120', 'text': "use to review after 3 weeks. We don't"}, {'start': '5791.679', 'end': '5797.280', 'text': 'need this hyphen'}, {'start': '5794.120', 'end': '5799.440', 'text': 'here. This hyphen is not needed. On this'}, {'start': '5797.280', 'end': '5801.840', 'text': 'day, Miss Jenkins complained episode of'}, {'start': '5799.440', 'end': '5804.320', 'text': 'a similar fit for 5 minutes one week'}, {'start': '5801.840', 'end': '5807.360', 'text': 'after her first feed for which she was'}, {'start': '5804.320', 'end': '5811.040', 'text': 'treated uh she was treated with desim'}, {'start': '5807.360', 'end': '5812.600', 'text': 'should be small. Okay. Her MRI revealed'}, {'start': '5811.040', 'end': '5816.719', 'text': 'uh mass and'}, {'start': '5812.600', 'end': '5816.719', 'text': 'EEG you can see this is wrong'}, {'start': '5817.080', 'end': '5822.719', 'text': 'information. Okay. This is wrong'}, {'start': '5823.000', 'end': '5828.800', 'text': 'information. Her MRI is not showing any'}, {'start': '5826.400', 'end': '5828.800', 'text': 'kind of'}, {'start': '5831.080', 'end': '5837.040', 'text': 'mess. This is just'}, {'start': '5834.440', 'end': '5840.239', 'text': "misunderstanding. No, it as I'm using"}, {'start': '5837.040', 'end': '5843.360', 'text': 'slash here between abnormal growth or'}, {'start': '5840.239', 'end': '5845.600', 'text': 'mass detected. So means this no is for'}, {'start': '5843.360', 'end': '5848.080', 'text': 'both of them. No abnormal growth or mass'}, {'start': '5845.600', 'end': '5849.840', 'text': 'detected. Mass detected. Okay. So this'}, {'start': '5848.080', 'end': '5852.840', 'text': 'no is for both of them. Okay. So you'}, {'start': '5849.840', 'end': '5856.320', 'text': 'have written some wrong information'}, {'start': '5852.840', 'end': '5858.960', 'text': 'miss and EEG showed prom bust of a'}, {'start': '5856.320', 'end': '5860.480', 'text': 'rhythmic high amlitude spikes. She was'}, {'start': '5858.960', 'end': '5862.000', 'text': 'commenced on sodium provide. You should'}, {'start': '5860.480', 'end': '5863.600', 'text': 'need to mention the dose. Okay. The'}, {'start': '5862.000', 'end': '5865.360', 'text': 'frequency is very important because we'}, {'start': '5863.600', 'end': '5867.679', 'text': 'are talking about side effects. Okay.'}, {'start': '5865.360', 'end': '5870.000', 'text': 'And otherwise to stop driving uh working'}, {'start': '5867.679', 'end': '5871.920', 'text': 'on heights and avoid you know loud'}, {'start': '5870.000', 'end': '5874.080', 'text': "noises and flashing lights. You don't"}, {'start': '5871.920', 'end': '5876.960', 'text': 'need to write each and everything. She'}, {'start': '5874.080', 'end': '5878.719', 'text': 'was stressed to continue. Uh she was'}, {'start': '5876.960', 'end': '5881.159', 'text': 'stressed to continue regular view. This'}, {'start': '5878.719', 'end': '5884.400', 'text': 'is not also needed. You just skip it.'}, {'start': '5881.159', 'end': '5885.920', 'text': 'Okay. None. Present with loss of'}, {'start': '5884.400', 'end': '5888.400', 'text': 'appetite, fever, yellow discoloration,'}, {'start': '5885.920', 'end': '5890.800', 'text': 'skin pale stool and dark urine for 5'}, {'start': '5888.400', 'end': '5892.400', 'text': 'days. A report showcased level of per'}, {'start': '5890.800', 'end': '5893.960', 'text': 'rumor. Blumin should be small. Okay. And'}, {'start': '5892.400', 'end': '5896.159', 'text': 'decrease level of'}, {'start': '5893.960', 'end': '5898.800', 'text': 'playlist. She has stopped her medication'}, {'start': '5896.159', 'end': '5900.320', 'text': '2 days ago. She has stopped it 2 days'}, {'start': '5898.800', 'end': '5902.199', 'text': 'ago. It is wrong. This sentence is'}, {'start': '5900.320', 'end': '5905.119', 'text': 'wrong.'}, {'start': '5902.199', 'end': '5906.960', 'text': 'Okay. If she stopped 2 days ago, then'}, {'start': '5905.119', 'end': '5911.119', 'text': "don't use present tense. Okay. She"}, {'start': '5906.960', 'end': '5913.280', 'text': 'stopped her medication 2 days ago. Has a'}, {'start': '5911.119', 'end': '5916.480', 'text': 'family history of epilepsy and she has'}, {'start': '5913.280', 'end': '5918.880', 'text': 'she had been treated for uh met. You can'}, {'start': '5916.480', 'end': '5920.639', 'text': 'mention when she was treated. Okay.'}, {'start': '5918.880', 'end': '5922.880', 'text': 'Continue her medication under your'}, {'start': '5920.639', 'end': '5925.280', 'text': 'review. You can mention this here. Okay.'}, {'start': '5922.880', 'end': '5929.440', 'text': 'But she stopped her medication 2 days'}, {'start': '5925.280', 'end': '5932.920', 'text': 'ago but she was but I advised her to'}, {'start': '5929.440', 'end': '5934.880', 'text': 'continue the medication till the'}, {'start': '5932.920', 'end': '5938.239', 'text': 'review. Then write the conclusion.'}, {'start': '5934.880', 'end': '5940.119', 'text': 'Overall Mashi is good good letter but it'}, {'start': '5938.239', 'end': '5942.679', 'text': 'can be improved please.'}, {'start': '5940.119', 'end': '5946.480', 'text': 'Okay can be'}, {'start': '5942.679', 'end': '5946.480', 'text': 'improved. So Dr.'}, {'start': '5948.199', 'end': '5953.760', 'text': "Dee okay I'm writing to refer Mr. who"}, {'start': '5951.280', 'end': '5955.840', 'text': 'has been possibly suffering from is not'}, {'start': '5953.760', 'end': '5958.800', 'text': 'good. Okay. I I already mentioned this'}, {'start': '5955.840', 'end': '5960.000', 'text': 'side of I would be I would be highly'}, {'start': '5958.800', 'end': '5962.159', 'text': 'appreciated. I would be highly'}, {'start': '5960.000', 'end': '5964.960', 'text': 'appreciated is not commonly used. It'}, {'start': '5962.159', 'end': '5968.480', 'text': 'would be highly appreciated. It would be'}, {'start': '5964.960', 'end': '5970.560', 'text': 'highly appreciated is used. Okay. Uh'}, {'start': '5968.480', 'end': '5972.480', 'text': 'even is not commonly used. This'}, {'start': '5970.560', 'end': '5975.280', 'text': 'expression in the purpose please avoid'}, {'start': '5972.480', 'end': '5977.199', 'text': 'if you could review her medication and'}, {'start': '5975.280', 'end': '5978.960', 'text': 'uh treatment plan on this date. M'}, {'start': '5977.199', 'end': '5981.920', 'text': 'presented with complaints of fever, poor'}, {'start': '5978.960', 'end': '5983.960', 'text': 'fit for this and that. She also had'}, {'start': '5981.920', 'end': '5987.320', 'text': 'yellow discoloration'}, {'start': '5983.960', 'end': '5991.280', 'text': 'of both eyes and skin. Her lab reports'}, {'start': '5987.320', 'end': '5993.199', 'text': 'showed show again people you can see I'}, {'start': '5991.280', 'end': '5994.440', 'text': 'knew that people some people will make'}, {'start': '5993.199', 'end': '5998.040', 'text': 'this mistake.'}, {'start': '5994.440', 'end': '6001.080', 'text': 'Okay. Even he is very good'}, {'start': '5998.040', 'end': '6003.520', 'text': 'student. Lab we cannot use lab word lab.'}, {'start': '6001.080', 'end': '6005.480', 'text': 'Okay. We need to use the word complete'}, {'start': '6003.520', 'end': '6008.639', 'text': 'word laboratory.'}, {'start': '6005.480', 'end': '6011.679', 'text': 'Okay. So we cannot use abbreviation.'}, {'start': '6008.639', 'end': '6011.679', 'text': 'Shows is wrong.'}, {'start': '6012.159', 'end': '6014.639', 'text': 'She has'}, {'start': '6015.000', 'end': '6019.639', 'text': "stopped. Ah, this is today's visit."}, {'start': '6017.360', 'end': '6021.960', 'text': 'Okay. Okay. Okay.'}, {'start': '6019.639', 'end': '6024.320', 'text': 'Sorry. Sorry. Sorry.'}, {'start': '6021.960', 'end': '6027.520', 'text': "Sorry. So, you written today's visit"}, {'start': '6024.320', 'end': '6028.880', 'text': 'first. Okay. So, just write today here'}, {'start': '6027.520', 'end': '6030.400', 'text': 'instead of writing the date. If you want'}, {'start': '6028.880', 'end': '6032.520', 'text': "to write today's visit first, just write"}, {'start': '6030.400', 'end': '6035.679', 'text': 'today.'}, {'start': '6032.520', 'end': '6037.760', 'text': 'Okay. This is both eyes and skin. Uh lab'}, {'start': '6035.679', 'end': '6039.280', 'text': 'reports showed show show an increase in'}, {'start': '6037.760', 'end': '6042.000', 'text': 'the bill room and decrease in prison.'}, {'start': '6039.280', 'end': '6044.560', 'text': 'She stopped motivation. Okay. Had a'}, {'start': '6042.000', 'end': '6046.400', 'text': 'first first episode of it on this date.'}, {'start': '6044.560', 'end': '6048.040', 'text': 'She was rushed to the emergency'}, {'start': '6046.400', 'end': '6050.400', 'text': 'department was managed'}, {'start': '6048.040', 'end': '6052.480', 'text': 'accordingly. After 3 weeks she'}, {'start': '6050.400', 'end': '6054.560', 'text': 'complained of experiencing a same'}, {'start': '6052.480', 'end': '6057.040', 'text': 'episode of it one week after the initial'}, {'start': '6054.560', 'end': '6058.960', 'text': 'attack which lasted for more than 5'}, {'start': '6057.040', 'end': '6060.880', 'text': 'minutes. She was rushed to the hospital'}, {'start': '6058.960', 'end': '6064.280', 'text': "again. Don't you rushed again again"}, {'start': '6060.880', 'end': '6066.920', 'text': 'please. Okay. Dr. This'}, {'start': '6064.280', 'end': '6070.239', 'text': 'makes no'}, {'start': '6066.920', 'end': '6072.400', 'text': 'repetition was given a stat dose of not'}, {'start': '6070.239', 'end': '6075.520', 'text': "enough statos just was given dazip don't"}, {'start': '6072.400', 'end': '6075.520', 'text': 'need to write the you know'}, {'start': '6075.560', 'end': '6079.840', 'text': 'details the pathology reports were'}, {'start': '6078.000', 'end': '6082.000', 'text': 'normal except her ag report which'}, {'start': '6079.840', 'end': '6083.320', 'text': 'revealed produce burst of rhythmic high'}, {'start': '6082.000', 'end': '6085.840', 'text': 'aure'}, {'start': '6083.320', 'end': '6089.119', 'text': 'spikes made and she was commenced on'}, {'start': '6085.840', 'end': '6092.239', 'text': 'this okay please use chronological order'}, {'start': '6089.119', 'end': '6094.320', 'text': "here not don't use order of importance"}, {'start': '6092.239', 'end': '6096.000', 'text': 'is not good in this letter. A'}, {'start': '6094.320', 'end': '6097.760', 'text': 'significant feminist epilepsy in her'}, {'start': '6096.000', 'end': '6100.360', 'text': 'father. This is not needed. This is not'}, {'start': '6097.760', 'end': '6102.960', 'text': 'needed here. The case is already'}, {'start': '6100.360', 'end': '6105.280', 'text': 'diagnosed. I believe Mr. Jan is possibly'}, {'start': '6102.960', 'end': '6107.040', 'text': 'experiencing side effects of sodium. I'}, {'start': '6105.280', 'end': '6109.600', 'text': 'would be grateful for the your opinion'}, {'start': '6107.040', 'end': '6114.000', 'text': 'regarding treatment. Just uh if you'}, {'start': '6109.600', 'end': '6116.719', 'text': 'could uh review her medication. Okay. So'}, {'start': '6114.000', 'end': '6118.760', 'text': 'overall Dr. uh I think you need a little'}, {'start': '6116.719', 'end': '6121.280', 'text': 'bit you know practice'}, {'start': '6118.760', 'end': '6123.639', 'text': 'please try to improve a little bit more'}, {'start': '6121.280', 'end': '6128.080', 'text': 'Dr. same.'}, {'start': '6123.639', 'end': '6128.080', 'text': 'Okay, it needs your letter needs'}, {'start': '6128.280', 'end': '6133.320', 'text': 'improvement grammatically wise is okay'}, {'start': '6131.360', 'end': '6140.239', 'text': 'but it needs'}, {'start': '6133.320', 'end': '6141.880', 'text': 'uh Leonora is there Miss or Miss female'}, {'start': '6140.239', 'end': '6143.800', 'text': 'Dr. Leonora'}, {'start': '6141.880', 'end': '6146.040', 'text': 'or Miss'}, {'start': '6143.800', 'end': '6148.679', 'text': 'Leonora is'}, {'start': '6146.040', 'end': '6151.920', 'text': 'there?'}, {'start': '6148.679', 'end': '6156.040', 'text': 'No. Okay, good. Good.'}, {'start': '6151.920', 'end': '6160.760', 'text': 'letter you need some improvement.'}, {'start': '6156.040', 'end': '6164.920', 'text': 'Okay. Okay. Uh Dr. Ch.'}, {'start': '6160.760', 'end': '6168.920', 'text': 'Okay. Here on separate line.'}, {'start': '6164.920', 'end': '6173.440', 'text': 'Okay. Here we need Miss Miss Sophia'}, {'start': '6168.920', 'end': '6176.239', 'text': "Jenkins. I'm ready to refer Miss Kane to"}, {'start': '6173.440', 'end': '6179.440', 'text': 'you for review of her medication due to'}, {'start': '6176.239', 'end': '6182.840', 'text': 'the due to the same side some same know'}, {'start': '6179.440', 'end': '6186.239', 'text': 'some side effects she have after she'}, {'start': '6182.840', 'end': '6188.679', 'text': 'starts the treatment. Do you think from'}, {'start': '6186.239', 'end': '6192.480', 'text': 'reading this purpose do you think this'}, {'start': '6188.679', 'end': '6195.000', 'text': 'student this student is new to O is old'}, {'start': '6192.480', 'end': '6196.960', 'text': 'student? What do you'}, {'start': '6195.000', 'end': '6199.440', 'text': 'think? What do you think from after'}, {'start': '6196.960', 'end': '6202.480', 'text': 'reading this purpose? This is a new'}, {'start': '6199.440', 'end': '6202.480', 'text': 'student as old'}, {'start': '6204.600', 'end': '6208.080', 'text': 'student. What you'}, {'start': '6217.480', 'end': '6222.520', 'text': 'think? What do you think? Looks new.'}, {'start': '6220.320', 'end': '6225.000', 'text': 'Yeah, looks'}, {'start': '6222.520', 'end': '6229.000', 'text': 'new.'}, {'start': '6225.000', 'end': '6231.000', 'text': 'Yeah. Yeah. Okay. So we need'}, {'start': '6229.000', 'end': '6235.280', 'text': 'improvement new to'}, {'start': '6231.000', 'end': '6236.440', 'text': 'O. Okay. Means is not typical O style'}, {'start': '6235.280', 'end': '6240.320', 'text': 'Mr.'}, {'start': '6236.440', 'end': '6242.800', 'text': 'Tiana. Okay. Means is not typical O'}, {'start': '6240.320', 'end': '6245.760', 'text': 'style that we commonly use. Okay. I want'}, {'start': '6242.800', 'end': '6248.199', 'text': 'to refer Mr. Ankin to you even not need'}, {'start': '6245.760', 'end': '6252.080', 'text': 'of to you.'}, {'start': '6248.199', 'end': '6254.560', 'text': 'Okay. And we have not written the purp'}, {'start': '6252.080', 'end': '6258.320', 'text': 'uh the diagnosis here in the purpose.'}, {'start': '6254.560', 'end': '6258.320', 'text': 'there is no diagnosis in the'}, {'start': '6258.360', 'end': '6261.360', 'text': 'purpose.'}, {'start': '6262.360', 'end': '6268.119', 'text': 'Okay. So which treatment? So this needs'}, {'start': '6265.840', 'end': '6270.480', 'text': 'improvement overall the purple needs'}, {'start': '6268.119', 'end': '6272.960', 'text': 'improvement. So you can see what we have'}, {'start': '6270.480', 'end': '6274.960', 'text': 'discussed so far many you know uh'}, {'start': '6272.960', 'end': '6277.520', 'text': 'letters. So I have shown you my mother'}, {'start': '6274.960', 'end': '6280.360', 'text': 'answer also on this date we need comma'}, {'start': '6277.520', 'end': '6284.320', 'text': 'here and we need uh name of the patient'}, {'start': '6280.360', 'end': '6287.199', 'text': 'here. Okay. uh presented to us with'}, {'start': '6284.320', 'end': '6289.000', 'text': "signs of epilepsy. So we don't need to"}, {'start': '6287.199', 'end': '6291.280', 'text': 'write the signs of'}, {'start': '6289.000', 'end': '6293.600', 'text': 'epilepsy. We need to write which were'}, {'start': '6291.280', 'end': '6296.320', 'text': 'the signs. Okay, just write the signs.'}, {'start': '6293.600', 'end': '6298.800', 'text': "Don't write directly it was epilepsy. So"}, {'start': '6296.320', 'end': '6302.000', 'text': 'she presented with a fit that lasted for'}, {'start': '6298.800', 'end': '6304.960', 'text': 'five 3 minutes and she had it visual'}, {'start': '6302.000', 'end': '6307.280', 'text': 'auras and you know she also had loss of'}, {'start': '6304.960', 'end': '6310.639', 'text': 'consciousness. She had also jewelry'}, {'start': '6307.280', 'end': '6312.719', 'text': 'incontinence. She also you know uh there'}, {'start': '6310.639', 'end': '6315.520', 'text': 'were one more thing. So just write them'}, {'start': '6312.719', 'end': '6318.080', 'text': 'okay done directly right she has signs'}, {'start': '6315.520', 'end': '6320.400', 'text': 'of epilepsy okay on the examination'}, {'start': '6318.080', 'end': '6323.600', 'text': 'vital her signs were at normal just her'}, {'start': '6320.400', 'end': '6326.000', 'text': 'examinations were unremarkable very easy'}, {'start': '6323.600', 'end': '6330.639', 'text': 'she were referred to review after 3'}, {'start': '6326.000', 'end': '6334.480', 'text': 'weeks for uh lc fcly ft and so and MRI'}, {'start': '6330.639', 'end': '6335.880', 'text': 'of brain EEG also just write some uh uh'}, {'start': '6334.480', 'end': '6339.119', 'text': 'uh blood'}, {'start': '6335.880', 'end': '6341.520', 'text': 'investigations EEG and MRI were ordered'}, {'start': '6339.119', 'end': '6344.480', 'text': 'okay were requested were ordered'}, {'start': '6341.520', 'end': '6346.639', 'text': 'How this did she know? Miss Jenkins'}, {'start': '6344.480', 'end': '6349.400', 'text': 'presented with similar uh signs. Uh'}, {'start': '6346.639', 'end': '6352.480', 'text': 'similar sign just episode of uh fit.'}, {'start': '6349.400', 'end': '6354.880', 'text': 'Okay. Uh she was uh in the first time'}, {'start': '6352.480', 'end': '6356.960', 'text': 'she treated she treated no she was'}, {'start': '6354.880', 'end': '6360.800', 'text': "treated. Okay. It doesn't mean all the"}, {'start': '6356.960', 'end': '6362.159', 'text': 'examination uh of the FBC just her blood'}, {'start': '6360.800', 'end': '6365.920', 'text': 'investigations were normal. You can'}, {'start': '6362.159', 'end': '6369.679', 'text': 'write FBC this this were normal. He show'}, {'start': '6365.920', 'end': '6371.679', 'text': 'uh parisal uh bust. Okay. This is one'}, {'start': '6369.679', 'end': '6373.080', 'text': "diagnos epilepsy. We don't need to write"}, {'start': '6371.679', 'end': '6376.360', 'text': 'them'}, {'start': '6373.080', 'end': '6379.040', 'text': 'capital. We need to write this in small.'}, {'start': '6376.360', 'end': '6383.440', 'text': 'Okay. We only write in capital if the'}, {'start': '6379.040', 'end': '6385.360', 'text': 'name is you know if the name uh of the'}, {'start': '6383.440', 'end': '6388.480', 'text': "disease is given after someone's name"}, {'start': '6385.360', 'end': '6392.719', 'text': "like uh you know Parkinson's disease,"}, {'start': '6388.480', 'end': '6394.400', 'text': 'Alzheimer disease and she she start this'}, {'start': '6392.719', 'end': '6397.960', 'text': 'is past visit. We cannot use start.'}, {'start': '6394.400', 'end': '6397.960', 'text': 'Okay. Is wrong.'}, {'start': '6398.480', 'end': '6403.119', 'text': 'uh she started treatment of sodium'}, {'start': '6400.000', 'end': '6405.199', 'text': 'bulate. Okay. She was commenced on'}, {'start': '6403.119', 'end': '6408.800', 'text': 'sodium bulate like she was advised to'}, {'start': '6405.199', 'end': '6410.880', 'text': 'stop driving avoid uh no light noise and'}, {'start': '6408.800', 'end': '6414.719', 'text': 'regular review with GP. On this date she'}, {'start': '6410.880', 'end': '6417.560', 'text': 'presented with skin and eyes fever.'}, {'start': '6414.719', 'end': '6421.760', 'text': 'Fiverr no fiverr is to earn money. Okay.'}, {'start': '6417.560', 'end': '6423.679', 'text': 'Fiverr money. Okay. Loss of appetite'}, {'start': '6421.760', 'end': '6426.320', 'text': 'dark urine. Just typing mistake. Okay.'}, {'start': '6423.679', 'end': '6428.000', 'text': "I'm not just joking. Okay."}, {'start': '6426.320', 'end': '6431.560', 'text': 'investigation was increased on the'}, {'start': '6428.000', 'end': '6434.239', 'text': 'investigation were increased were'}, {'start': '6431.560', 'end': '6436.239', 'text': 'decreased stop mitigation. Okay. So'}, {'start': '6434.239', 'end': '6438.560', 'text': 'overall overall we need a lot of'}, {'start': '6436.239', 'end': '6442.719', 'text': 'improvement. Okay. What you need to do'}, {'start': '6438.560', 'end': '6445.199', 'text': 'is uh Miss Leonora what you need to do'}, {'start': '6442.719', 'end': '6446.679', 'text': 'is when is your exam? Yes. You need to'}, {'start': '6445.199', 'end': '6449.360', 'text': 'send me a'}, {'start': '6446.679', 'end': '6451.119', 'text': 'text and I will send you the model'}, {'start': '6449.360', 'end': '6455.360', 'text': 'answer. You need to write this letter'}, {'start': '6451.119', 'end': '6455.360', 'text': 'again. Okay. What you need to'}, {'start': '6468.520', 'end': '6474.880', 'text': 'do. So after you compare the letter with'}, {'start': '6472.400', 'end': '6476.760', 'text': 'your my model answer. So you will send'}, {'start': '6474.880', 'end': '6479.119', 'text': 'me a text. I will give you the model'}, {'start': '6476.760', 'end': '6481.920', 'text': 'answer. So you will rewrite this letter'}, {'start': '6479.119', 'end': '6483.679', 'text': 'and you will send me again.'}, {'start': '6481.920', 'end': '6485.840', 'text': 'I will mark again. Okay. Then you will'}, {'start': '6483.679', 'end': '6489.119', 'text': 'see the improvement. Okay. You will see'}, {'start': '6485.840', 'end': '6489.119', 'text': 'the difference. You will see the'}, {'start': '6489.800', 'end': '6495.600', 'text': 'improvement. It needs a lot of'}, {'start': '6491.600', 'end': '6499.400', 'text': 'improvement. Okay. Dr. uh Sitha Sri'}, {'start': '6495.600', 'end': '6504.080', 'text': 'Lanka from Sri Lanka is'}, {'start': '6499.400', 'end': '6507.600', 'text': 'there. Mr. Ariana you know anyone from'}, {'start': '6504.080', 'end': '6510.400', 'text': 'the purpose this is a new student. Yeah.'}, {'start': '6507.600', 'end': '6510.400', 'text': 'from the style of'}, {'start': '6511.080', 'end': '6515.880', 'text': 'writing you know how many letters I have'}, {'start': '6513.760', 'end': '6519.920', 'text': 'marked so far.'}, {'start': '6515.880', 'end': '6519.920', 'text': 'Okay, if you only see'}, {'start': '6521.080', 'end': '6527.360', 'text': 'here this'}, {'start': '6524.360', 'end': '6527.360', 'text': 'folder'}, {'start': '6529.800', 'end': '6535.199', 'text': 'sorry. So if you see here this folder'}, {'start': '6532.800', 'end': '6535.199', 'text': 'here'}, {'start': '6535.239', 'end': '6541.920', 'text': '745 745 this is these are the letters'}, {'start': '6538.639', 'end': '6545.119', 'text': 'when uh in the course my students send'}, {'start': '6541.920', 'end': '6546.880', 'text': 'me in the word file but there are many'}, {'start': '6545.119', 'end': '6550.080', 'text': 'you know letters that I mark in the'}, {'start': '6546.880', 'end': '6552.480', 'text': 'picture okay I just gave them 745 and it'}, {'start': '6550.080', 'end': '6556.719', 'text': 'is just in the last 6 months okay these'}, {'start': '6552.480', 'end': '6559.159', 'text': 'are just that my students have sent me'}, {'start': '6556.719', 'end': '6561.320', 'text': 'in the word file there are many more in'}, {'start': '6559.159', 'end': '6565.960', 'text': 'the picture fileile'}, {'start': '6561.320', 'end': '6569.560', 'text': 'forms and here in this folder I have'}, {'start': '6565.960', 'end': '6573.719', 'text': '45 in this folder I have'}, {'start': '6569.560', 'end': '6576.560', 'text': '73 these all are in the last six seven'}, {'start': '6573.719', 'end': '6580.320', 'text': 'months then we have all of these letters'}, {'start': '6576.560', 'end': '6582.480', 'text': '200 students so each of the students'}, {'start': '6580.320', 'end': '6584.800', 'text': 'sometimes two letters some people have'}, {'start': '6582.480', 'end': '6588.440', 'text': '10 letters some people have you know'}, {'start': '6584.800', 'end': '6591.400', 'text': 'five letters this was at the start'}, {'start': '6588.440', 'end': '6593.679', 'text': 'okay if you see in The'}, {'start': '6591.400', 'end': '6596.119', 'text': 'downloads these are you know when I'}, {'start': '6593.679', 'end': '6600.960', 'text': 'download the letters from my WhatsApp.'}, {'start': '6596.119', 'end': '6600.960', 'text': 'Okay. So for example let us'}, {'start': '6602.840', 'end': '6609.800', 'text': 'see last week. Okay there were 93'}, {'start': '6606.840', 'end': '6612.560', 'text': 'downloads many'}, {'start': '6609.800', 'end': '6613.880', 'text': 'pictures. These are pictures or letters'}, {'start': '6612.560', 'end': '6615.960', 'text': 'for example like'}, {'start': '6613.880', 'end': '6618.960', 'text': 'this. This is the'}, {'start': '6615.960', 'end': '6620.119', 'text': 'letter. So my students send them in the'}, {'start': '6618.960', 'end': '6624.719', 'text': 'picture.'}, {'start': '6620.119', 'end': '6624.719', 'text': 'So, so all of these are letters.'}, {'start': '6624.840', 'end': '6629.560', 'text': 'Okay, if you go'}, {'start': '6627.560', 'end': '6632.119', 'text': 'here,'}, {'start': '6629.560', 'end': '6637.719', 'text': '2,00'}, {'start': '6632.119', 'end': '6640.400', 'text': '680, maybe there are 2,000 letters, but'}, {'start': '6637.719', 'end': '6643.440', 'text': 'overall some other things could be also,'}, {'start': '6640.400', 'end': '6646.840', 'text': 'but at least would be 1,500 more than'}, {'start': '6643.440', 'end': '6646.840', 'text': '1500 letters.'}, {'start': '6647.040', 'end': '6652.480', 'text': 'Okay. So this is with time and'}, {'start': '6650.080', 'end': '6656.360', 'text': 'experience. Okay. Not like this. Okay.'}, {'start': '6652.480', 'end': '6659.239', 'text': 'So Dr. uh Sitha is there. Yes.'}, {'start': '6656.360', 'end': '6662.639', 'text': 'Okay. Thank'}, {'start': '6659.239', 'end': '6662.639', 'text': 'you. Okay.'}, {'start': '6663.480', 'end': '6669.600', 'text': 'So word count is 215. Okay. Thank you'}, {'start': '6667.600', 'end': '6672.960', 'text': 'for seeing Miss Jenkins, a 70-year-old'}, {'start': '6669.600', 'end': '6674.119', 'text': 'teacher who is diagnosed to have to have'}, {'start': '6672.960', 'end': '6677.000', 'text': 'with'}, {'start': '6674.119', 'end': '6680.600', 'text': 'Naruto who is diagnosed'}, {'start': '6677.000', 'end': '6682.960', 'text': 'with tonic clonic edopathic'}, {'start': '6680.600', 'end': '6684.719', 'text': 'epilepsy. Believe me people why I am'}, {'start': '6682.960', 'end': '6687.760', 'text': 'using this tonic clonic idiopathic'}, {'start': '6684.719', 'end': '6689.600', 'text': 'epilepsy in capital Y just to check'}, {'start': '6687.760', 'end': '6690.840', 'text': 'whether you will write this in capital'}, {'start': '6689.600', 'end': '6693.119', 'text': 'or'}, {'start': '6690.840', 'end': '6696.520', 'text': 'small. This is diagnosis we need to'}, {'start': '6693.119', 'end': '6699.040', 'text': 'write in small not in capital.'}, {'start': '6696.520', 'end': '6701.560', 'text': 'Okay. So it should be in small. Okay.'}, {'start': '6699.040', 'end': '6704.000', 'text': 'Who is diagnosed with tonic chronic'}, {'start': '6701.560', 'end': '6706.639', 'text': 'epilepsy? Epilepsy and requires your'}, {'start': '6704.000', 'end': '6708.320', 'text': 'expert opinion for review of our current'}, {'start': '6706.639', 'end': '6711.040', 'text': 'medication. We can improve a little bit'}, {'start': '6708.320', 'end': '6712.800', 'text': 'more your purpose. Okay. Was brought on'}, {'start': '6711.040', 'end': '6714.400', 'text': 'this date by an ambulance with jerky'}, {'start': '6712.800', 'end': '6716.000', 'text': 'movements of both arms and legs with'}, {'start': '6714.400', 'end': '6719.199', 'text': 'loss of function and voluntary passing'}, {'start': '6716.000', 'end': '6722.159', 'text': 'of urine and tongue bite uh for 3'}, {'start': '6719.199', 'end': '6724.080', 'text': 'minutes. Okay. This for 3 minutes does'}, {'start': '6722.159', 'end': '6727.239', 'text': 'not fit. Okay. Because looks like the'}, {'start': '6724.080', 'end': '6730.000', 'text': 'tongue bite was for 3 minutes.'}, {'start': '6727.239', 'end': '6731.840', 'text': 'Okay. 3 minutes should be with uh you'}, {'start': '6730.000', 'end': '6733.840', 'text': 'know jerky movements which lasted for'}, {'start': '6731.840', 'end': '6737.679', 'text': 'jerky movement both arms and leg which'}, {'start': '6733.840', 'end': '6739.840', 'text': 'lasted for 3 minutes then associated'}, {'start': '6737.679', 'end': '6742.639', 'text': 'with loss of consciousness and voluntary'}, {'start': '6739.840', 'end': '6744.880', 'text': 'passing of urine and tongue bite. So'}, {'start': '6742.639', 'end': '6748.560', 'text': "these three minutes don't fit here at"}, {'start': '6744.880', 'end': '6751.760', 'text': 'the end. It should be with you know jim.'}, {'start': '6748.560', 'end': '6754.080', 'text': 'It was preceded by visual orders. Even'}, {'start': '6751.760', 'end': '6758.639', 'text': 'though she had normal examination'}, {'start': '6754.080', 'end': '6758.639', 'text': 'finding a review was planned in 3'}, {'start': '6759.080', 'end': '6764.400', 'text': 'weeks. We can make it a little bit more'}, {'start': '6761.520', 'end': '6766.960', 'text': 'simple easy. She know we need name of'}, {'start': '6764.400', 'end': '6769.679', 'text': 'the patient had another fit for that'}, {'start': '6766.960', 'end': '6771.760', 'text': 'lasted okay for more than lasted for'}, {'start': '6769.679', 'end': '6773.840', 'text': 'more than five minutes. You know desam'}, {'start': '6771.760', 'end': '6776.719', 'text': 'was given very simple sentence. We can'}, {'start': '6773.840', 'end': '6780.400', 'text': 'join them together. These two sentences'}, {'start': '6776.719', 'end': '6784.080', 'text': 'for which intravenous desip was given'}, {'start': '6780.400', 'end': '6786.920', 'text': 'for which she was given you know desip'}, {'start': '6784.080', 'end': '6790.880', 'text': 'like this a biochemical'}, {'start': '6786.920', 'end': '6792.719', 'text': 'investigator investigations and MRI and'}, {'start': '6790.880', 'end': '6794.080', 'text': 'we cannot use was here is wrong okay'}, {'start': '6792.719', 'end': '6796.960', 'text': 'were because there are more than one'}, {'start': '6794.080', 'end': '6799.199', 'text': 'things but EG showed visal this and that'}, {'start': '6796.960', 'end': '6801.239', 'text': 'with the diagnos epilepsy again it is'}, {'start': '6799.199', 'end': '6804.800', 'text': 'written capital here it should be small'}, {'start': '6801.239', 'end': '6806.800', 'text': 'okay sodium 300 migram twice daily with'}, {'start': '6804.800', 'end': '6808.920', 'text': "lifestyle Advices advices we don't write"}, {'start': '6806.800', 'end': '6811.520', 'text': 'in plural is'}, {'start': '6808.920', 'end': '6814.000', 'text': 'uncountable. And regular visits uh were'}, {'start': '6811.520', 'end': '6816.000', 'text': 'planned. Okay, good. After 1 month we'}, {'start': '6814.000', 'end': '6818.239', 'text': 'need coma here. She had features of'}, {'start': '6816.000', 'end': '6821.199', 'text': 'jaundice uh for 5 days and stopped her'}, {'start': '6818.239', 'end': '6824.920', 'text': 'medication. She had elevated rubin and'}, {'start': '6821.199', 'end': '6828.080', 'text': 'local illness although her side effects'}, {'start': '6824.920', 'end': '6830.960', 'text': 'suspected. So here we need some helping'}, {'start': '6828.080', 'end': '6835.119', 'text': 'verb. Okay is wrong. Okay this part is'}, {'start': '6830.960', 'end': '6837.840', 'text': 'wrong grammatically. She to continue at'}, {'start': '6835.119', 'end': '6837.840', 'text': 'neurological'}, {'start': '6838.360', 'end': '6843.320', 'text': 'review antibiotics. She has no these'}, {'start': '6841.199', 'end': '6846.880', 'text': 'things we can even skip.'}, {'start': '6843.320', 'end': '6849.920', 'text': 'Okay. Okay. Doctor good ladder but it'}, {'start': '6846.880', 'end': '6852.400', 'text': "needs improvement. Okay. It's good. Good"}, {'start': '6849.920', 'end': '6856.080', 'text': 'ladder. Your English is good. Just you'}, {'start': '6852.400', 'end': '6859.840', 'text': 'need to little bit improve to write in'}, {'start': '6856.080', 'end': '6863.840', 'text': 'typical O style. Okay. Typical OT style.'}, {'start': '6859.840', 'end': '6863.840', 'text': 'You need to follow typical OT style.'}, {'start': '6863.880', 'end': '6873.320', 'text': 'Susan Miss Susan Shaju is'}, {'start': '6868.760', 'end': '6877.599', 'text': 'there Miss Susan Shah is'}, {'start': '6873.320', 'end': '6877.599', 'text': 'there this person number'}, {'start': '6877.800', 'end': '6883.280', 'text': 'seven just uh Dr. Uh uh Sitha you need'}, {'start': '6881.119', 'end': '6886.040', 'text': 'to just use a little bit typical O style'}, {'start': '6883.280', 'end': '6890.800', 'text': 'otherwise you are good. Okay you need to'}, {'start': '6886.040', 'end': '6893.560', 'text': 'follow typical O format. Okay Miss Susan'}, {'start': '6890.800', 'end': '6897.920', 'text': 'Shahu is there.'}, {'start': '6893.560', 'end': '6897.920', 'text': 'No Dr. Saber the'}, {'start': '6908.280', 'end': '6912.880', 'text': 'heat. Okay. Dr. Sam is'}, {'start': '6915.239', 'end': '6922.400', 'text': "there. Okay. I'm writing to refer Miss"}, {'start': '6919.119', 'end': '6925.440', 'text': 'Jenkins when it come a 78 27 year old'}, {'start': '6922.400', 'end': '6927.520', 'text': 'woman who has features consistent with'}, {'start': '6925.440', 'end': '6930.719', 'text': 'Tony chronic epilepsy. She requires'}, {'start': '6927.520', 'end': '6934.239', 'text': 'review of her medications and further'}, {'start': '6930.719', 'end': '6936.159', 'text': 'treatment plan. Okay. M is a teacher and'}, {'start': '6934.239', 'end': '6938.480', 'text': 'has hobbies of swimming and dancing. She'}, {'start': '6936.159', 'end': '6941.320', 'text': 'has a history of allergies for which she'}, {'start': '6938.480', 'end': '6945.520', 'text': 'takes lot. This is not needed.'}, {'start': '6941.320', 'end': '6947.599', 'text': 'Okay. This is not needed. uh her father'}, {'start': '6945.520', 'end': '6949.440', 'text': 'has a history of epilepsy. It is okay'}, {'start': '6947.599', 'end': '6951.560', 'text': 'but I will also say it is again not'}, {'start': '6949.440', 'end': '6954.639', 'text': 'important because the case is already'}, {'start': '6951.560', 'end': '6956.960', 'text': 'diagnosed presented with uh with fates'}, {'start': '6954.639', 'end': '6959.719', 'text': 'uh which were lasted. It was a single'}, {'start': '6956.960', 'end': '6963.159', 'text': 'fate. Okay, we cannot use as'}, {'start': '6959.719', 'end': '6966.000', 'text': 'plural which lasted which were no which'}, {'start': '6963.159', 'end': '6967.360', 'text': 'lasted for 3 minute associated movements'}, {'start': '6966.000', 'end': '6970.560', 'text': 'of both arms and leg. Loss of'}, {'start': '6967.360', 'end': '6973.040', 'text': 'consciousness tongue bite and urination'}, {'start': '6970.560', 'end': '6975.920', 'text': 'urination. Oh, she passed urine like'}, {'start': '6973.040', 'end': '6978.159', 'text': 'this urinary and continuous like this.'}, {'start': '6975.920', 'end': '6980.800', 'text': 'She reported auditory and visual or'}, {'start': '6978.159', 'end': '6984.880', 'text': 'before fits as well. So overall your'}, {'start': '6980.800', 'end': '6987.119', 'text': 'organization can be improved Dr. uh'}, {'start': '6984.880', 'end': '6990.320', 'text': 'Samma. Okay. Organization within the'}, {'start': '6987.119', 'end': '6992.159', 'text': 'paragraph as I have discussed. Similar'}, {'start': '6990.320', 'end': '6994.000', 'text': 'tests were ordered and a review visit'}, {'start': '6992.159', 'end': '6997.360', 'text': 'was scheduled after 3 weeks. Upon a'}, {'start': '6994.000', 'end': '7000.560', 'text': 'review uh review visit, Ming presented'}, {'start': '6997.360', 'end': '7003.119', 'text': 'with a complaint of fits after one week'}, {'start': '7000.560', 'end': '7003.119', 'text': 'of first'}, {'start': '7003.560', 'end': '7008.239', 'text': 'fit. Complete of fits after one week of'}, {'start': '7008.599', 'end': '7014.000', 'text': 'fits. You know it needs improvement.'}, {'start': '7011.520', 'end': '7015.400', 'text': 'Typical use typical style. Okay. Show'}, {'start': '7014.000', 'end': '7018.320', 'text': 'this and'}, {'start': '7015.400', 'end': '7021.199', 'text': 'that. She was commened on this. Today'}, {'start': '7018.320', 'end': '7023.360', 'text': 'presented with a five days after this'}, {'start': '7021.199', 'end': '7025.360', 'text': 'and that. Okay. Okay. She says she'}, {'start': '7023.360', 'end': '7028.199', 'text': 'stopped head stopped or just stopped.'}, {'start': '7025.360', 'end': '7031.080', 'text': 'Okay. Use past'}, {'start': '7028.199', 'end': '7034.080', 'text': 'simple. Good evening Miss'}, {'start': '7031.080', 'end': '7037.280', 'text': 'Shiva. Okay. So, however she wise to'}, {'start': '7034.080', 'end': '7040.040', 'text': 'cognitive medication review. Okay. So,'}, {'start': '7037.280', 'end': '7042.760', 'text': 'Dr. uh Sema overall your English is'}, {'start': '7040.040', 'end': '7047.679', 'text': 'good. English is'}, {'start': '7042.760', 'end': '7051.119', 'text': 'good and you need a little bit typical O'}, {'start': '7047.679', 'end': '7053.679', 'text': 'style. Okay. You need a little bit'}, {'start': '7051.119', 'end': '7054.760', 'text': 'typical O style. Okay, you can easily'}, {'start': '7053.679', 'end': '7057.280', 'text': 'get'}, {'start': '7054.760', 'end': '7059.080', 'text': 'B-grade. Okay, you need improve it.'}, {'start': '7057.280', 'end': '7061.679', 'text': 'Okay,'}, {'start': '7059.080', 'end': '7064.320', 'text': 'please we have discussed a lot of you'}, {'start': '7061.679', 'end': '7066.719', 'text': 'know about the you know uh letter you'}, {'start': '7064.320', 'end': '7066.719', 'text': 'have seen'}, {'start': '7066.840', 'end': '7071.960', 'text': 'the model answer also you can improve'}, {'start': '7069.679', 'end': '7075.679', 'text': 'MadiA miss'}, {'start': '7071.960', 'end': '7079.280', 'text': 'MadiA but this is not B grade Dr. Uh'}, {'start': '7075.679', 'end': '7080.960', 'text': 'Sama needs improvement please a little'}, {'start': '7079.280', 'end': '7084.520', 'text': 'bit more improvement you can easily get'}, {'start': '7080.960', 'end': '7088.239', 'text': 'your P grade missa is'}, {'start': '7084.520', 'end': '7088.239', 'text': 'there miss'}, {'start': '7092.040', 'end': '7096.080', 'text': 'Madia Miss Madya Miss'}, {'start': '7097.080', 'end': '7106.400', 'text': 'Vuni I think is enough we have done you'}, {'start': '7101.639', 'end': '7106.400', 'text': 'know two hours of class is not'}, {'start': '7106.840', 'end': '7115.080', 'text': 'Easy. Any of you is here? Miss Madia,'}, {'start': '7110.800', 'end': '7120.560', 'text': 'Miss Veroni, uh Mr. or Miss'}, {'start': '7115.080', 'end': '7120.560', 'text': 'Moi, Miss Susan, any of you is'}, {'start': '7124.679', 'end': '7129.679', 'text': 'here. Okay, thank you all of you. So, if'}, {'start': '7127.440', 'end': '7132.679', 'text': 'you have any questions, you can ask me'}, {'start': '7129.679', 'end': '7136.679', 'text': 'on my WhatsApp. Just one last'}, {'start': '7132.679', 'end': '7139.320', 'text': 'thing before you leave. So we have'}, {'start': '7136.679', 'end': '7143.239', 'text': 'VIP hybrid'}, {'start': '7139.320', 'end': '7146.480', 'text': 'course. Just one minute'}, {'start': '7143.239', 'end': '7147.960', 'text': 'please. Okay. So we have VIP hybrid'}, {'start': '7146.480', 'end': '7151.440', 'text': 'course for'}, {'start': '7147.960', 'end': '7154.040', 'text': 'writing in which I mark your 14 letters.'}, {'start': '7151.440', 'end': '7156.400', 'text': 'There would be daily discussion of your'}, {'start': '7154.040', 'end': '7158.719', 'text': 'letters. Your letters will be marked by'}, {'start': '7156.400', 'end': '7161.239', 'text': 'myself all the letters. You will see my'}, {'start': '7158.719', 'end': '7163.599', 'text': 'model answers for for all the'}, {'start': '7161.239', 'end': '7165.599', 'text': 'letters. Three referral, three urgent,'}, {'start': '7163.599', 'end': '7167.639', 'text': 'three discharge, two letters to'}, {'start': '7165.599', 'end': '7170.080', 'text': 'non-medical professional, one pediatric'}, {'start': '7167.639', 'end': '7172.880', 'text': 'patient in one there would be two'}, {'start': '7170.080', 'end': '7175.199', 'text': 'patients in one letter, one GP to GP'}, {'start': '7172.880', 'end': '7176.400', 'text': 'transfer in case of nurses is one'}, {'start': '7175.199', 'end': '7180.800', 'text': 'community nurse to other community'}, {'start': '7176.400', 'end': '7185.480', 'text': 'nurse. Okay. So the duration 14 days and'}, {'start': '7180.800', 'end': '7188.159', 'text': 'mostly after you finish these 14 days I'}, {'start': '7185.480', 'end': '7192.639', 'text': 'continue I keep helping my students till'}, {'start': '7188.159', 'end': '7196.960', 'text': 'their exam without extra charges. So 100'}, {'start': '7192.639', 'end': '7199.480', 'text': 'GBP is the price after 30% discount you'}, {'start': '7196.960', 'end': '7203.040', 'text': 'can uh get in you know'}, {'start': '7199.480', 'end': '7206.119', 'text': '70 if you want only writing correction'}, {'start': '7203.040', 'end': '7210.239', 'text': "per letter is 5 GB. Okay, it's"}, {'start': '7206.119', 'end': '7212.639', 'text': 'very affordable prices. So, thank you so'}, {'start': '7210.239', 'end': '7216.119', 'text': 'much all of you. See you in next free'}, {'start': '7212.639', 'end': '7216.119', 'text': 'class. Okay.'}]