{"reference":"Morning, come on through. Take a seat wherever's comfortable.\n\n Thanks.\n\n So what's brought you in today?\n\n It's my lower back mostly. And the right shoulder's been playing up as well.\n\n Okay. Let's start with the back. Whereabouts is it?\n\n Right across the bottom. Both sides, but the right's worse.\n\n And how long's that been going on?\n\n Years, on and off. It flares up every few months and settles down again.\n\n Is this a flare at the moment?\n\n Yeah. Started about ten days ago.\n\n Anything set it off that you can think of?\n\n We poured a big slab on the Thursday. I was bent over most of the day.\n\n That'll do it. And you're concreting full time?\n\n Yeah, fifteen years now.\n\n On a scale of one to ten, where's it sitting today?\n\n Probably a six. It was an eight on the weekend.\n\n What makes it worse?\n\n Sitting's the worst. Driving to site in the morning I'm stiff as anything.\n\n And what helps?\n\n A hot shower. Helps for about an hour, then it comes back.\n\n Anything shooting down the leg? Pins and needles, numbness, anything like that?\n\n No, nothing like that. It's just an ache.\n\n Any pain at night that wakes you, or any trouble with the bladder or bowels?\n\n No, none of that.\n\n Good. Have you had any imaging done, or seen anyone else about it?\n\n I had an X-ray a few years back. They said it was wear and tear, nothing to worry about.\n\n Right. And are you on any medications, or any other health conditions I should know about?\n\n Just blood pressure tablets. Nothing else.\n\n Okay. Now the shoulder — how long's that been there?\n\n Maybe six weeks. It's worse when I'm reaching overhead.\n\n Does it wake you if you roll onto it?\n\n Sometimes, yeah.\n\n And what would you like to get out of today?\n\n Honestly just to get through a work week without it seizing up.\n\n That's fair. Here's what I'd suggest — I'll work through the lower back and the glutes, because with the lifting that's usually where the load is, then come up to the right shoulder. Does that sound alright?\n\n Yeah, sounds good.\n\n It can be a bit tender in spots. Sing out if anything's too much and I'll back off.\n\n Will do.\n\n Righto. I'll step out while you get comfortable — face down for me, head in the cradle, and pull the towel up over you.\n\n How's that pressure?\n\n Yeah, that's good.\n\n Ooh, that's the spot.\n\n Too much?\n\n Nah, it's alright.\n\n I'm going to use the massage gun on this one, it's a bit loud.\n\n No worries.\n\n Is the pain okay?\n\n Yeah, that's fine. Bit intense but it's alright.\n\n Sing out if you want me to back off.\n\n Right, roll onto your back for me.\n\n Okay, sit yourself up slowly when you're ready.\n\n That feels a lot looser.\n\n Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulder's mostly the upper trap.\n\n So what should I be doing at home?\n\n Two things. Hip flexor stretch, ninety seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\n\n Yeah, righto.\n\n I'd book you back in two weeks. Does a Thursday suit?\n\n Thursday's fine. Do I get something for the health fund?\n\n I'll email the receipt through with the provider number on it, you can claim it straight from that.\n\n Perfect, thanks very much.\n\n No worries. Take it easy for the rest of today.","products":{"hanah":[{"label":"Run 1","wer":2.0408163265306123,"text":"Morning. Come on through. Take a seat wherever's comfortable.\n\n  Thanks.\n\n  So, what's brought you in today?\n\n  It's my lower back, mostly. And the right shoulder's been playing up as well.\n\n  Okay. Let's start with the back. Where about is it?\n\n  Right across the bottom.\n\n  Both sides, but the right's worse. And how long's that been going on?\n\n  Years. On and off. It flares up every few months and settles down again.\n\n  Is this a flare at the moment?\n\n  Yeah. Started about 10 days ago.\n\n  Anything set it off that you can think of?\n\n  We poured a big slab on the Thursday. I was bent over most of the day.\n\n  That'll do it. And you're concreting full-time?\n\n  Yeah, 15 years now.\n\n  On a scale of 1 to 10, where's it sitting today?\n\n  Probably a 6. It was an 8 on the weekend.\n\n  What makes it worse?\n\n  Sitting's the worst. Driving to site in the morning, I'm stiff as anything.\n\n  And what helps?\n\n  A hot shower. Helps for about an hour, then it comes back.\n\n  Anything shooting down the leg? Pins, a needles, numbness, anything like that?\n\n  No, nothing like that. It's just an ache.\n\n  Any pain at night that wakes you? Or any trouble with the bladder or bowels?\n\n  No, none of that.\n\n  Good. Have you had any imaging done, or seen anyone else about it?\n\n  I had an X-ray a few years back. They said it was wear and tear, nothing to worry about.\n\n  Right. And are you on any medications, or any other health conditions I should know about?\n\n  Just blood pressure tablets. Nothing else.\n\n  Okay. Now, the shoulder. How long's that been there?\n\n  Maybe 6 weeks. It's worse when I'm reaching overhead.\n\n  Does it wake you if you roll onto it?\n\n  Sometimes, yeah.\n\n  And what would you like to get out of today?\n\n  Honestly, just to get through a work week without it seizing up.\n\n  That's fair. Here's what I'd suggest: I'll work through the lower back and the glutes, because with the lifting that's usually where the load is, then come up to the right shoulder. Does that sound all right?\n\n  Yeah, sounds good.\n\n  It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\n  Will do.\n\n  Righto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you. How's that pressure?\n\n  Yeah, that's good. Ooh, that's the spot.\n\n  Too much?\n\n  Nah, it's all right.\n\n आपण\n\n  I'm going to use the massage gun on this one. It's a bit loud.\n\n  No worries.\n\n  Is the pain okay?\n\n  Yeah, that's fine. Bit intense, but it's all right.\n\n  Sing out if you want me to back off. Right, roll onto your back for me. Okay, sit yourself up slowly when you're ready.\n\n  That feels a lot looser.\n\n  Good. The lower back was tight through the glutes more than the spine itself. Which is what I'd expect with the lifting. The shoulders mostly the upper trap.\n\n  So what should I be doing at home?\n\n  Two things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\n\n  Yeah, rightho.\n\n  I'd book you back in 2 weeks. Does a Thursday suit?\n\n  Thursday's fine.\n\n  Do I get something for the health fund? I'll email the receipt through with the provider number on it. You can claim it straight from that.\n\n  Perfect. Thanks very much.\n\n  No worries. Take it easy for the rest of today.","marks":[[226,237,"Whereabouts",false],[1988,1997,"alright",false],[2334,2350,"alright.",false],[2497,2507,"alright.",false],[2787,2796,"shoulder's",false],[3007,3015,"righto.",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Documents recurrent LBP and \"R shoulder pain x ~6 wks\"."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"Recurrent LBP x years\" and \"R shoulder pain x ~6 wks\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"6/10 today, 8/10 on weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"Concreting full-time x 15 yrs\" and flare after \"prolonged bending while pouring large concrete slab\"; lifting noted in assessment."],["The output records that radicular symptoms and red flags were denied","yes","\"Denies leg radiation, paraesthesia or numbness. No nocturnal waking pain or bladder/bowel changes.\""],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Treatment provided to low back/gluteal region and R shoulder region\"."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip-flexor stretch: 90 sec each side, BID.\""],["The output notes a review in two weeks","yes","\"F/u in 2 wks; Thursday agreed.\""]],"claims":[],"note":"Subjective\nRecurrent LBP x years; flares q few months. Current flare x 10 days after prolonged bending while pouring large concrete slab.\nBilat low back ache, R > L; 6/10 today, 8/10 on weekend.\nWorse with sitting/driving; marked morning stiffness. Hot shower relieves for ~1 hr.\nDenies leg radiation, paraesthesia or numbness. No nocturnal waking pain or bladder/bowel changes.\nConcreting full-time x 15 yrs.\nPrevious X-ray a few yrs ago reportedly showed “wear and tear”; no concerning findings per pt.\nR shoulder pain x ~6 wks; worse overhead and sometimes wakes when lying on R side.\nTakes BP medication only.\nGoal: complete work week without back “seizing up.”\nObjective\nClinician noted tightness through gluteals > lumbar spine.\nR shoulder symptoms/localisation noted predominantly at upper trapezius.\nTreatment provided to low back/gluteal region and R shoulder region; massage gun used. Tolerated despite intensity.\nPost-treatment, pt reported feeling looser.\nAssessment\nRecurrent bilat LBP flare, R > L, following prolonged bending/lifting at work; gluteal tightness supports load-related muscular contribution.\nNo reported radicular sx, sensory disturbance, nocturnal pain or bladder/bowel changes.\nR shoulder pain x 6 wks, aggravated by overhead reach and lying on affected side; upper trapezius involvement noted.\nPlan\nHip-flexor stretch: 90 sec each side, BID.\nAdvise keeping loads close to body before standing when lifting.\nTake it easy for remainder of today.\nF/u in 2 wks; Thursday agreed.\nEmail receipt with provider number for health-fund claim.","review":77.6842105263158,"saved":94.3157894736842,"clean":true,"effort":0.0,"sig":[]},{"label":"Run 2","wer":1.870748299319728,"text":"Morning. Come on through. Take a seat wherever's comfortable.\n\n  Thanks.\n\n  So, what's brought you in today?\n\n  It's my lower back, mostly. And the right shoulder's been playing up as well.\n\n  Okay. Let's start with the back. Where about is it?\n\n  Right across the bottom.\n\n  Both sides, but the right's worse. And how long's that been going on?\n\n  Years. On and off. It flares up every few months and settles down again.\n\n  Is this a flare at the moment?\n\n  Yeah. Started about 10 days ago.\n\n  Anything set it off that you can think of?\n\n  We poured a big slab on the Thursday. I was bent over most of the day.\n\n  That'll do it. And you're concreting full-time?\n\n  Yeah, 15 years now.\n\n  On a scale of 1 to 10, where's it sitting today?\n\n  Probably a 6. It was an 8 on the weekend.\n\n  What makes it worse?\n\n  Sitting's the worst. Driving to site in the morning, I'm stiff as anything.\n\n  And what helps?\n\n  A hot shower. Helps for about an hour, then it comes back.\n\n  Anything shooting down the leg? Pins, a needles, numbness, anything like that?\n\n  No, nothing like that. It's just an ache.\n\n  Any pain at night that wakes you?\n\n  No.\n\n  Or any trouble with the bladder or bowels?\n\n  No, none of that.\n\n  Good. Have you had any imaging done, or seen anyone else about it?\n\n  I had an X-ray a few years back. They said it was wear and tear, nothing to worry about.\n\n  Right. And are you on any medications, or any other health conditions I should know about?\n\n  Just blood pressure tablets. Nothing else.\n\n  Okay. Now, the shoulder: how long's that been there?\n\n  Maybe 6 weeks. It's worse when I'm reaching overhead.\n\n  Does it wake you if you roll onto it?\n\n  Sometimes, yeah.\n\n  And what would you like to get out of today?\n\n  Honestly, just to get through a work week without it seizing up.\n\n  That's fair. Here's what I'd suggest: I'll work through the lower back and the glutes, because with the lifting that's usually where the load is, then come up to the right shoulder. Does that sound all right?\n\n  Yeah, sounds good.\n\n  It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\n  Will do.\n\n  Righto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you. How's that pressure?\n\n  Yeah, that's good. Ooh, that's the spot.\n\n  Too much?\n\n  Nah, it's all right.\n\n  I'm going to use the massage gun on this one. It's a bit loud.\n\n  No worries.\n\n  Is the pain okay?\n\n  Yeah, that's fine.\n\n  Bit intense, but it's all right. Sing out if you want me to back off. Right, roll onto your back for me. Okay, sit yourself up slowly when you're ready.\n\n  That feels a lot looser.\n\n  Good. The lower back was tight through the glutes, more than the spine itself.\n\n  Which is what I'd expect with the lifting.\n\n  The shoulders mostly the upper trap.\n\n  So what should I be doing at home?\n\n  Two things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\n\n  Yeah, righto.\n\n  I'd book you back in 2 weeks. Does a Thursday suit?\n\n  Thursday's fine.\n\n  Do I get something for the health fund? I'll email the receipt through with the provider number on it. You can claim it straight from that.\n\n  Perfect. Thanks very much.\n\n  No worries. Take it easy for the rest of today.","marks":[[226,237,"Whereabouts",false],[1134,1137,"",false],[1998,2007,"alright",false],[2344,2354,"alright.",false],[2504,2514,"alright.",false],[2798,2807,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","LBP and R shoulder pain documented."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Recurrent LBP for years; R shoulder x6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain 6/10 today; up to 8/10 over weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Full-time concreting, 15 years; flare after prolonged bending during slab pour."],["The output records that radicular symptoms and red flags were denied","yes","Denies LE radiation, paraesthesia, numbness, nocturnal waking, bowel/bladder dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Treatment to lower back/gluteal region and R shoulder/upper trapezius."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch: 90 sec each side, BID\"."],["The output notes a review in two weeks","yes","\"Follow-up in 2 weeks\"."]],"claims":[],"note":"Subjective\nLBP, bilateral with R > L; recurrent intermittent episodes for years. Current flare x10 days after prolonged bending during concrete slab pour.\nWorks full-time in concreting; 15-year history.\nPain 6/10 today; up to 8/10 over weekend.\nWorse with sitting/driving; reports marked morning stiffness.\nTemporarily relieved by hot shower (~1 hr).\nDenies LE radiation, paraesthesia, numbness, nocturnal waking due to back pain, or bowel/bladder dysfunction.\nReports prior lumbar XR several years ago; advised “wear and tear,” no concerning findings reported.\nR shoulder pain x6 weeks; aggravated by overhead reach and sometimes when lying/rolling onto R side.\nPMHx: hypertension, on antihypertensive medication.\nGoal: tolerate work week without back “seizing up.”\nObjective\nTreatment provided to lower back/gluteal region and R shoulder/upper trapezius region.\nPatient reported focal tenderness during treatment, tolerated pressure and massage gun application.\nPost-treatment, patient reported feeling “a lot looser.”\nClinician noted tightness through gluteal region, greater than spinal area.\nClinician noted shoulder symptoms/tightness predominantly at upper trapezius.\nAssessment\nRecurrent mechanical LBP flare, temporally associated with prolonged bending/concreting duties.\nNo reported radicular symptoms, sensory disturbance, nocturnal back pain, or bowel/bladder symptoms.\nGluteal tightness considered contributory to current LBP presentation.\nR shoulder pain, aggravated by overhead activity and side-lying; upper trapezius involvement noted.\nPlan\nHip flexor stretch: 90 sec each side, BID.\nLifting advice: keep load closer to body before standing.\nFollow-up in 2 weeks; Thursday suitable.\nReceipt with provider number to be emailed for health fund claim.\nAdvised to take it easy for remainder of day.","review":82.10526315789474,"saved":89.89473684210526,"clean":true,"effort":0.0,"sig":[],"mb":15.321409,"latency":21.976,"signable":104.08126315789474},{"label":"Run 3","wer":1.0204081632653061,"text":"Morning. Come on through. Take a seat wherever's comfortable.\n\n  Thanks.\n\n  So, what's brought you in today?\n\n  It's my lower back, mostly. And the right shoulder's been playing up as well.\n\n  Okay. Let's start with the back. Where about is it?\n\n  Right across the bottom.\n\n  Both sides, but the right's worse. And how long's that been going on?\n\n  Years. On and off. It flares up every few months and settles down again.\n\n  Is this a flare at the moment?\n\n  Yeah. Started about 10 days ago.\n\n  Anything set it off that you can think of?\n\n  We poured a big slab on the Thursday. I was bent over most of the day.\n\n  That'll do it. And your concreting full-time?\n\n  Yeah, 15 years now.\n\n  On a scale of 1 to 10, where's it sitting today?\n\n  Probably a 6. It was an 8 on the weekend.\n\n  What makes it worse?\n\n  Sitting's the worst. Driving to site in the morning, I'm stiff as anything.\n\n  And what helps?\n\n  A hot shower. Helps for about an hour, then it comes back.\n\n  Anything shooting down the leg? Pins, a needles, numbness, anything like that?\n\n  No. Nothing like that. It's just an ache.\n\n  Any pain at night that wakes you? Or any trouble with the bladder or bowels?\n\n  No. None of that.\n\n  Good. Have you had any imaging done, or seen anyone else about it?\n\n  I had an X-ray a few years back. They said it was wear and tear, nothing to worry about.\n\n  Right. And are you on any medications, or any other health conditions I should know about?\n\n  Just blood pressure tablets. Nothing else.\n\n  Okay. Now, the shoulder. How long's that been there?\n\n  Maybe 6 weeks. It's worse when I'm reaching overhead.\n\n  Does it wake you if you roll onto it?\n\n  Sometimes, yeah.\n\n  And what would you like to get out of today?\n\n  Honestly, just to get through a work week without it seizing up.\n\n  That's fair. Here's what I'd suggest: I'll work through the lower back and the glutes, because with the lifting that's usually where the load is, then come up to the right shoulder. Does that sound alright?\n\n  Yeah. Sounds good.\n\n  It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\n  Will do.\n\n  Righto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you. How's that pressure?\n\n  Yeah, that's good. Ooh, that's the spot.\n\n  Too much?\n\n  Nah, it's alright.\n\n  I'm going to use the massage gun on this one. It's a bit loud.\n\n  No worries.\n\n  Is the pain okay?\n\n  Yeah, that's fine. Bit intense, but it's alright.\n\n  Sing out if you want me to back off. Right, roll onto your back for me. Okay, sit yourself up slowly when you're ready.\n\n  That feels a lot looser.\n\n  Good. The lower back was tight through the glutes more than the spine itself. Which is what I'd expect with the lifting. The shoulders mostly the upper trap.\n\n  So what should I be doing at home?\n\n  Two things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\n\n  Yeah, rightho.\n\n  I'd book you back in 2 weeks. Does a Thursday suit?\n\n  Thursday's fine.\n\n  Do I get something for the health fund? I'll email the receipt through with the provider number on it. You can claim it straight from that.\n\n  Perfect. Thanks very much.\n\n  No worries. Take it easy for the rest of today.","marks":[[226,237,"Whereabouts",false],[634,638,"you're",false],[2773,2782,"shoulder's",false],[2993,3001,"righto.",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","LBP and R shoulder pain documented."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Chronic intermittent LBP for years; R shoulder x6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain 6/10 today; 8/10 over weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Full-time concreting, 15 years; flare after prolonged bending during slab work."],["The output records that radicular symptoms and red flags were denied","yes","Denies LE radiation, paraesthesia, numbness, nocturnal waking, bladder/bowel concerns."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Treatment to lower back/gluteal region and R shoulder region."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch: 90 sec each side, BID\"."],["The output notes a review in two weeks","yes","\"Review in 2 weeks\"."]],"claims":[],"note":"Subjective\nChronic intermittent LBP for years; flares every few months.\nCurrent flare commenced 10 days ago after prolonged bending during concrete slab work.\nBilateral low lumbar ache, R>L. Pain 6/10 today; 8/10 over weekend.\nWorse with sitting/driving; hot shower provides relief for ~1 hr.\nDenies LE radiation, paraesthesia, numbness, nocturnal waking, or bladder/bowel concerns.\nReports prior lumbar XR several years ago described as “wear and tear.”\nR shoulder pain x6 weeks; aggravated by OH reaching and occasionally waking when lying on it.\nWorks full-time in concreting; 15-year history.\nPMH: hypertension. Medications: BP tablets.\nGoal: tolerate work week without back “seizing.”\nObjective\nClinician noted marked tightness through gluteal region > lumbar spine.\nClinician noted shoulder tightness predominantly through upper trapezius.\nManual soft-tissue treatment provided to lower back/gluteal region and R shoulder region.\nPercussive therapy/massage gun applied; pt tolerated, reporting treatment was intense but acceptable.\nPt reported feeling looser post-treatment.\nAssessment\nMechanical LBP flare, likely associated with prolonged flexed posture/manual concreting work; no reported radicular, neurological, nocturnal, or bladder/bowel symptoms.\nR shoulder pain with OH activity, with upper trapezius tightness noted clinically.\nGluteal tightness likely contributing to reported lumbar symptoms.\nPlan\nHip flexor stretch: 90 sec each side, BID.\nLifting advice: position load closer to body before standing.\nReview in 2 weeks; Thursday suitable.\nEmail receipt with provider number for health-fund claim.","review":73.57894736842105,"saved":98.42105263157895,"clean":true,"effort":0.0,"sig":[],"mb":12.743808,"latency":19.468,"signable":93.04694736842106},{"label":"Run 4","wer":0.6802721088435374,"text":"Morning. Come on through. Take a seat wherever's comfortable.\n\n  Thanks.\n\n  So, what's brought you in today?\n\n  It's my lower back, mostly. And the right shoulder's been playing up as well.\n\n  Okay. Let's start with the back. Where about is it?\n\n  Right across the bottom.\n\n  Both sides, but the right's worse. And how long's that been going on?\n\n  Years. On and off. It flares up every few months and settles down again.\n\n  Is this a flare at the moment?\n\n  Yeah. Started about 10 days ago.\n\n  Anything set it off that you can think of?\n\n  We poured a big slab on the Thursday. I was bent over most of the day.\n\n  That'll do it. And your concreting full-time?\n\n  Yeah, 15 years now.\n\n  On a scale of 1 to 10, where's it sitting today?\n\n  Probably a 6. It was an 8 on the weekend.\n\n  What makes it worse?\n\n  Sitting's the worst. Driving to site in the morning I'm stiff as anything.\n\n  And what helps?\n\n  A hot shower. Helps for about an hour, then it comes back.\n\n  Anything shooting down the leg? Pins and needles, numbness, anything like that?\n\n  No, nothing like that. It's just an ache.\n\n  Any pain at night that wakes you?\n\n  Or any trouble with the bladder or bowels? No. None of that.\n\n  Good. Have you had any imaging done, or seen anyone else about it?\n\n  I had an X-ray a few years back. They said it was wear and tear, nothing to worry about.\n\n  Right. And are you on any medications, or any other health conditions I should know about?\n\n  Just blood pressure tablets. Nothing else.\n\n  Okay. Now, the shoulder. How long's that been there?\n\n  Maybe 6 weeks. It's worse when I'm reaching overhead.\n\n  Does it wake you if you roll onto it?\n\n  Sometimes yeah.\n\n  And what would you like to get out of today?\n\n  Honestly, just to get through a work week without it seizing up.\n\n  That's fair. Here's what I'd suggest: I'll work through the lower back and the glutes, because with the lifting that's usually where the load is, then come up to the right shoulder. Does that sound alright?\n\n  Yeah, sounds good.\n\n  It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\n  Will do.\n\n  Righto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you. How's that pressure?\n\n  Yeah, that's good. Ooh, that's the spot.\n\n  Too much?\n\n  Nah, it's alright.\n\n  I'm going to use the massage gun on this one. It's a bit loud.\n\n  No worries.\n\n  Is the pain okay?\n\n  Yeah, that's fine. Bit intense, but it's alright.\n\n  Sing out if you want me to back off. Right, roll onto your back for me. Okay, sit yourself up slowly when you're ready.\n\n  That feels a lot looser.\n\n  Good. The lower back was tight through the glutes more than the spine itself. Which is what I'd expect with the lifting. The shoulders mostly the upper trap.\n\n  So what should I be doing at home?\n\n  Two things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\n\n  Yeah, righto.\n\n  I'd book you back in 2 weeks. Does a Thursday suit?\n\n  Thursday's fine.\n\n  Do I get something for the health fund? I'll email the receipt through with the provider number on it. You can claim it straight from that.\n\n  Perfect. Thanks very much.\n\n  No worries. Take it easy for the rest of today.","marks":[[226,237,"Whereabouts",false],[634,638,"you're",false],[2772,2781,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","LBP and R shoulder pain both captured."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","LBP recurrent for years; R shoulder ~6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","6/10 today, up to 8/10 over weekend."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Full-time concreting ~15 yrs with prolonged bending/slab pour."],["The output records that radicular symptoms and red flags were denied","yes","Denies LE radiation, paraesthesia, numbness, night pain, bladder/bowel changes."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Treatment to lower back/gluteal region and R shoulder."],["The output mentions a hip flexor stretch as home advice","yes","Hip flexor stretch 90 sec each side BID."],["The output notes a review in two weeks","yes","Follow-up in 2 weeks."]],"claims":[],"note":"Subjective\nRecurrent LBP x years; intermittent flares every few months.\nCurrent flare onset ~10 days after prolonged bending during concrete slab pour.\nPain 6/10 today; up to 8/10 over weekend.\nWorse with sitting/driving; morning stiffness reported.\nTemporary relief with hot shower (~1 hr).\nDenies LE radiation, paraesthesia, numbness, nocturnal pain, or bladder/bowel changes.\nPrior lumbar X-ray reportedly showed “wear and tear.”\nR shoulder pain x ~6 weeks.\nR shoulder worse with OH reaching; intermittently painful when lying/rolling onto R side at night.\nWorks full-time in concreting; ~15 yrs.\nPMH/meds: antihypertensive medication only.\nGoal: complete work week without back “seizing.”\nObjective\nClinician noted tightness through gluteal region > lumbar spine.\nClinician noted R upper trapezius tightness.\nSoft-tissue treatment provided to LB/gluteal region and R shoulder region; massage gun used.\nPt tolerated treatment; reported feeling looser post-treatment.\nAssessment\nRecurrent mechanical LBP flare, likely associated with prolonged bent posture/manual concreting work; no reported radicular sx or bladder/bowel concerns.\nGluteal tightness greater than spinal tightness on treatment assessment.\nR shoulder pain aggravated by OH activity and R side-lying, with upper trapezius tightness noted.\nPlan\nHip flexor stretch: 90 sec each side, BID.\nLifting advice: keep load closer to body before standing.\nFU in 2 weeks; Thursday suitable.\nEmail receipt with provider number for health fund claim.","review":71.05263157894737,"saved":100.94736842105263,"clean":true,"effort":0.0,"sig":[],"mb":13.079575,"latency":24.536,"signable":95.58863157894737},{"label":"Run 5","wer":0.6802721088435374,"text":"Morning. Come on through. Take a seat wherever's comfortable.\n\n  Thanks.\n\n  So, what's brought you in today?\n\n  It's my lower back, mostly. And the right shoulder's been playing up as well.\n\n  Okay. Let's start with the back. Whereabouts is it?\n\n  Right across the bottom.\n\n  Both sides, but the right's worse. And how long's that been going on?\n\n  Years. On and off. It flares up every few months and settles down again.\n\n  Is this a flare at the moment?\n\n  Yeah. Started about 10 days ago.\n\n  Anything set it off that you can think of?\n\n  We poured a big slab on the Thursday. I was bent over most of the day.\n\n  That'll do it. And your concreting full-time?\n\n  Yeah, 15 years now.\n\n  On a scale of 1 to 10, where's it sitting today?\n\n  Probably a 6. It was an 8 on the weekend.\n\n  What makes it worse?\n\n  Sitting's the worst. Driving to site in the morning, I'm stiff as anything.\n\n  And what helps?\n\n  A hot shower. Helps for about an hour, then it comes back.\n\n  Anything shooting down the leg? Pins, a needles, numbness, anything like that?\n\n  No. Nothing like that. It's just an ache.\n\n  Any pain at night that wakes you? Or any trouble with the bladder or bowels?\n\n  No. None of that.\n\n  Good. Have you had any imaging done, or seen anyone else about it?\n\n  I had an X-ray a few years back. They said it was wear and tear, nothing to worry about.\n\n  Right. And are you on any medications, or any other health conditions I should know about?\n\n  Just blood pressure tablets. Nothing else.\n\n  Okay. Now, the shoulder. How long's that been there?\n\n  Maybe 6 weeks. It's worse when I'm reaching overhead.\n\n  Does it wake you if you roll onto it?\n\n  Sometimes, yeah.\n\n  And what would you like to get out of today?\n\n  Honestly, just to get through a work week without it seizing up.\n\n  That's fair. Here's what I'd suggest: I'll work through the lower back and the glutes, because with the lifting that's usually where the load is, then come up to the right shoulder. Does that sound alright?\n\n  Yeah. Sounds good.\n\n  It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\n  Will do.\n\n  Righto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you. How's that pressure?\n\n  Yeah, that's good. Ooh, that's the spot.\n\n  Too much?\n\n  Nah. It's alright.\n\n  I'm going to use the massage gun on this one. It's a bit loud.\n\n  No worries.\n\n  Is the pain okay?\n\n  Yeah, that's fine. Bit intense, but it's alright.\n\n  Sing out if you want me to back off. Right, roll onto your back for me. Okay, sit yourself up slowly when you're ready.\n\n  That feels a lot looser.\n\n  Good. The lower back was tight through the glutes more than the spine itself. Which is what I'd expect with the lifting. The shoulders mostly the upper trap.\n\n  So what should I be doing at home?\n\n  Two things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\n\n  Yeah, rightho.\n\n  I'd book you back in 2 weeks. Does a Thursday suit?\n\n  Thursday's fine.\n\n  Do I get something for the health fund? I'll email the receipt through with the provider number on it. You can claim it straight from that.\n\n  Perfect. Thanks very much.\n\n  No worries. Take it easy for the rest of today.","marks":[[634,638,"you're",false],[2773,2782,"shoulder's",false],[2993,3001,"righto.",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","LBP and R shoulder pain both captured."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","LBP recurrent for years; R shoulder ~6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","6/10 today, up to 8/10 over weekend."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Full-time concreting ~15 yrs with prolonged bending/slab pour."],["The output records that radicular symptoms and red flags were denied","yes","Denies LE radiation, paraesthesia, numbness, night pain, bladder/bowel changes."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Treatment to lower back/gluteal region and R shoulder."],["The output mentions a hip flexor stretch as home advice","yes","Hip flexor stretch 90 sec each side BID."],["The output notes a review in two weeks","yes","Follow-up in 2 weeks."]],"claims":[],"note":"Subjective\nRecurrent LBP, bilateral with R > L. Intermittent for years; flares every few months.\nCurrent flare commenced ~10 days ago after prolonged bending while pouring a concrete slab.\nConcreter x15 yrs.\nPain 6/10 today; up to 8/10 over weekend.\nAggravated by sitting/driving to work; reports marked morning stiffness.\nTemporary relief with hot shower (~1 hr).\nDenies LE radiation, paraesthesia or numbness.\nDenies nocturnal pain, bladder or bowel changes.\nPrevious lumbar XR several years ago reportedly showed “wear and tear.”\nR shoulder pain x~6 weeks; worse with OH reaching and occasionally when rolling onto shoulder at night.\nTakes BP medication; no other reported health conditions.\nGoal: tolerate work week without back “seizing up.”\nObjective\nClinician noted tightness through gluteal region > lumbar spine.\nClinician noted upper trapezius tightness associated with R shoulder symptoms.\nSoft-tissue treatment performed to lower back/gluteal region and R shoulder region; massage gun used.\nPt tolerated treatment; reported reduced tightness post-treatment.\nAssessment\nRecurrent LBP flare, likely mechanically related to sustained bending/lifting during concreting, with gluteal tightness noted on treatment.\nNo reported radicular symptoms or bowel/bladder changes.\nR shoulder pain with OH activity and intermittent positional night pain; upper trapezius tightness noted.\nPlan\nHip-flexor stretch: 90 sec each side, BID.\nLifting advice: bring load closer to body before standing.\nTake it easy for remainder of day.\nReview in 2 weeks; Thursday agreed.\nEmail receipt with provider number for health-fund claim.","review":76.10526315789474,"saved":95.89473684210526,"clean":true,"effort":0.0,"sig":[],"mb":12.790846,"latency":24.225,"signable":100.33026315789473}],"heidi":[{"label":"Run 1","wer":2.891156462585034,"text":"Morning. Come on through. Take a seat wherever's comfortable.\n\nThanks. So what's brought you in today? It's my lower back mostly, and the right shoulder has been playing up as well. Okay. Let's start with the back.\n\nWhereabouts is it? Right across the bottom. Both sides, but the right's worse. And how long has that been going on? Years. On and off. It flares up every few months and settles down again. Is this a flare at the moment? Yeah. Started about ten days ago. Anything set it off that you can think of?\n\nWe poured a big slab on the Thursday. I was bent over most of the day. That'll do it. And you're concreting full time? Yeah. Fifteen years now. On a scale of one to ten, where's it sitting today? Probably a six. It was an eight on the weekend. What makes it worse?\n\nSitting's the worst. Driving to site in the morning, I'm stiff as anything. And what helps? A hot shower. Helps for about an hour, then it comes back. Anything shooting down the leg? Pins and needles, numbness, anything like that? No. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you, or any trouble with the bladder or bowels? No, none of that. Good. Have you had any imaging done or seen anyone else about it? I had an X-ray a few years back. They said it was wear and tear, nothing to worry about. Right. And are you on any medications or any other health conditions I should know about?\n\nJust blood pressure tablets, nothing else. Okay. Now the shoulder, how long has that been there? Maybe six weeks. It's worse when I'm reaching overhead. Does it wake you if you roll onto it? Sometimes, yeah. And what would you like to get out of today?\n\nHonestly, just to get through a work week without it seizing up. That's fair. Here's what I'd suggest. I'll work through the lower back and the glutes, because with the lifting, that's usually where the load is, then come up to the right shoulder. Does that sound all right? Yeah. Sounds good. It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\nWill do. Righto, I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\n\n\n\n\n\n\n\n\n\n\n\nHow's that pressure? Yeah, that's good.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nOoh, that's the spot. Too much? Nah, it's all right.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nI'm going to use the massage gun on this one. It's a bit loud.\n\nNo worries.\n\nIs the pain okay? Yeah, that's fine. Bit intense, but it's all right. Sing out if you want me to back off.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nI can hear it.\n\n\n\n\n\n\n\n\n\n\n\n\n\nRight. Roll onto your back for me.\n\n\n\n\n\n\n\n\n\n\n\nOkay, sit yourself up slowly when you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly the upper trap.\n\nSo what should I be doing at home? Two things. Hip flexor stretch, ninety seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand. Yeah. Righto. I'd book you back in two weeks. Does a Thursday suit? Thursday's fine. Do I get something for the health fund?\n\nI'll email the receipt through with the provider number on it. You can claim it straight from that. Perfect. Thanks very much. No worries. Take it easy for the rest of today.","marks":[[144,156,"shoulder's",false],[303,311,"long's",false],[1466,1474,"long's",false],[1913,1922,"alright",false],[2273,2283,"alright.",false],[2457,2467,"alright.",false],[2522,2536,"",false],[2794,2803,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Lower back pain and 'Right shoulder pain ~6 weeks' recorded."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","'on and off for years, flares every few months'; shoulder '~6 weeks'."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","'Pain 6/10 today, peaked 8/10 on weekend'."],["The output notes the patient works in concreting with repeated bending and lifting","partial","Mentions pouring a concrete slab bent over and 'occupational lifting' but never states the patient works as a concreter."],["The output records that radicular symptoms and red flags were denied","yes","Denies radiating pain, pins and needles, numbness, night pain, bladder/bowel issues."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","'Soft tissue release to lower back, glutes, right upper trapezius'."],["The output mentions a hip flexor stretch as home advice","yes","'hip flexor stretch, 90 sec each side, BD'."],["The output notes a review in two weeks","yes","'Follow-up in 2 weeks (Thursday)'."]],"claims":[],"note":"Subjective\n\n- Lower back pain, bilateral, worse on right, across the bottom\n\n- Ache, on and off for years, flares every few months\n\n- Current flare ~10 days ago, attributed to pouring large concrete slab (bent over most of the day)\n\n- Pain 6/10 today, peaked 8/10 on weekend\n\n- Worse with sitting, esp. driving in morning\n\n- Hot shower gives ~1 hr relief\n\n- Denies radiating pain, pins and needles, numbness in leg\n\n- Denies night pain waking from sleep, bladder/bowel issues\n\n- Right shoulder pain ~6 weeks, worse with overhead reaching, sometimes wakes when rolling onto it\n\n- PMHx: HTN (on antihypertensive)\n\n- Imaging: Lumbar spine X-ray a few years ago - reported wear and tear, nothing to worry about\n\n- Goals: get through a work week without exacerbation\n\n\n\n\nObjective\n\n- Lower back: tightness through glutes, less so in spine\n\n- Right shoulder: tightness in upper trapezius\n\n\n\n\nAssessment\n\n- Lower back pain with gluteal tightness, likely related to occupational lifting\n\n- Right shoulder pain with upper trapezius tightness\n\n\n\n\nPlan\n\n- Soft tissue release to lower back, glutes, right upper trapezius; massage gun used\n\n- Home exercises: hip flexor stretch, 90 sec each side, BD\n\n- Ergonomic advice: keep load close to body when lifting\n\n- Follow-up in 2 weeks (Thursday)\n\n- Receipt with provider number to be emailed for health fund claim\n\n- Advised to take it easy for remainder of day","review":82.96052631578948,"saved":89.03947368421052,"clean":false,"effort":6.25,"sig":[],"mb":119.35525,"latency":27.1,"signable":110.06052631578947},{"label":"Run 2","wer":2.5510204081632653,"text":"Morning, come on through. Take a seat wherever's comfortable.\n\nThanks. So what's brought you in today? It's my lower back mostly, and the right shoulder has been playing up as well. Okay. Let's start with the back.\n\nWhereabouts is it? Right across the bottom. Both sides, but the right's worse. And how long has that been going on? Years. On and off. It flares up every few months and settles down again. Is this a flare at the moment? Yeah. Started about ten days ago. Anything set it off that you can think of?\n\nWe poured a big slab on the Thursday. I was bent over most of the day. That'll do it. And you're concreting full time? Yeah. Fifteen years now. On a scale of one to ten, where is it sitting today? Probably a six. It was an eight on the weekend. What makes it worse?\n\nSitting's the worst. Driving to site in the morning, I'm stiff as anything. And what helps? A hot shower. Helps for about an hour, then it comes back. Anything shooting down the leg? Pins and needles? Numbness? Anything like that? No. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you, or any trouble with the bladder or bowels? No, none of that. Good. Have you had any imaging done or seen anyone else about it? I had an X-ray a few years back. They said it was wear and tear, nothing to worry about. Right. And are you on any medications or any other health conditions I should know about?\n\nJust blood pressure tablets, nothing else. Okay. Now the shoulder, how long has that been there? Maybe six weeks. It's worse when I'm reaching overhead. Does it wake you if you roll onto it? Sometimes, yeah. And what would you like to get out of today?\n\nHonestly, just to get through a work week without it seizing up. That's fair. Here's what I'd suggest. I'll work through the lower back and the glutes, because with the lifting, that's usually where the load is, then come up to the right shoulder. Does that sound alright? Yeah. Sounds good. It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\nWill do. Righto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\n\n\n\n\n\n\n\n\n\n\n\nHow's that pressure? Yeah, that's good.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nOh, that's the spot. Too much? No. It's all right.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nI'm going to use the massage gun on this one. It's a bit loud. No worries.\n\n\n\nIs the pain okay? Yeah, that's fine. Bit intense, but it's all right. Sing out if you want me to back off.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nRight. Roll onto your back for me.\n\n\n\n\n\n\n\n\n\n\n\nOkay. Sit yourself up slowly when you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly the upper trap.\n\nSo what should I be doing at home? Two things. Hip flexor stretch, ninety seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand. Yeah. Righto. I'd book you back in two weeks. Does a Thursday suit? Thursday's fine. Do I get something for the health fund?\n\nI'll email the receipt through with the provider number on it. You can claim it straight from that. Perfect. Thanks very much. No worries. Take it easy for the rest of today.","marks":[[144,156,"shoulder's",false],[303,311,"long's",false],[684,692,"where's",false],[1467,1475,"long's",false],[2230,2232,"Ooh",false],[2261,2264,"Nah",false],[2270,2280,"alright.",false],[2455,2465,"alright.",false],[2778,2787,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","\"Lower back pain and right shoulder pain.\""],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"Years, on and off\" and shoulder \"~6 weeks\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain 6/10 today, 8/10 on weekend.\""],["The output notes the patient works in concreting with repeated bending and lifting","partial","Mentions \"pouring large concrete slab, bent over\" and \"occupational lifting\" but does not state he works as a concreter."],["The output records that radicular symptoms and red flags were denied","yes","\"Denies radiating pain, pins and needles, numbness, night pain..., bladder/bowel issues.\""],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Treatment to lower back, glutes and right shoulder\"."],["The output mentions a hip flexor stretch as home advice","yes","\"hip flexor stretch, 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","yes","\"Follow-up in 2 weeks (Thursday).\""]],"claims":[],"note":"Subjective\n\n- Lower back pain and right shoulder pain.\n\n- Back pain:\n\n  - Across lower back, bilateral, right worse.\n\n  - Years, on and off, flares every few months.\n\n  - Current flare ~10 days ago, precipitated by pouring large concrete slab, bent over most of the day.\n\n  - Pain 6/10 today, 8/10 on weekend.\n\n  - Aggravated by sitting, driving in morning (stiffness).\n\n  - Relieved by hot shower (~1 hour temporary relief).\n\n  - Denies radiating pain, pins and needles, numbness, night pain waking from sleep, bladder/bowel issues.\n\n  - Previous X-ray a few years ago: \"wear and tear\", reassured.\n\n- Right shoulder pain:\n\n  - ~6 weeks.\n\n  - Worse with overhead reaching.\n\n  - Wakes from sleep if rolling onto it.\n\n- Goal: get through a work week without seizing up.\n\n\n\n\nObjective\n\n- Lower back: tight through glutes rather than spine.\n\n- Shoulder: mostly upper trapezius tightness.\n\n\n\n\nAssessment\n\n- Lower back pain, gluteal tightness, associated with occupational lifting.\n\n- Right shoulder pain, upper trapezius tightness.\n\n\n\n\nPlan\n\n- Treatment to lower back, glutes and right shoulder (upper trapezius); massage gun used.\n\n- Post-treatment: reported feeling \"a lot looser\".\n\n- Home exercises: hip flexor stretch, 90 seconds each side, twice daily.\n\n- Lifting technique advice: get load closer before standing.\n\n- Follow-up in 2 weeks (Thursday).\n\n- Receipt with provider number to be emailed for health fund claim.\n\n- Advised to take it easy for the rest of today.","review":81.69736842105263,"saved":90.30263157894737,"clean":false,"effort":6.25,"sig":[],"mb":182.186702,"latency":27.138,"signable":108.83536842105264},{"label":"Run 3","wer":2.5510204081632653,"text":"Morning, come on through. Take a seat wherever's comfortable.\n\nThanks. So what's brought you in today? It's my lower back mostly, and the right shoulder has been playing up as well. Okay. Let's start with the back.\n\nWhereabouts is it? Right across the bottom. Both sides, but the right's worse. And how long has that been going on? Years. On and off. It flares up every few months and settles down again. Is this a flare at the moment? Yeah. Started about ten days ago. Anything set it off that you can think of?\n\nWe poured a big slab on the Thursday. I was bent over most of the day. That'll do it. And you're concreting full time? Yeah. Fifteen years now. On a scale of one to ten, where is it sitting today? Probably a six. It was an eight on the weekend. What makes it worse?\n\nSitting's the worst. Driving to site in the morning, I'm stiff as anything. And what helps? A hot shower. Helps for about an hour, then it comes back. Anything shooting down the leg? Pins and needles, numbness, anything like that? No. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you, or any trouble with the bladder or bowels? No, none of that. Good. Have you had any imaging done or seen anyone else about it? I had an X-ray a few years back. They said it was wear and tear, nothing to worry about. Right. And are you on any medications or any other health conditions I should know about?\n\nJust blood pressure tablets, nothing else. Okay. Now the shoulder, how long has that been there? Maybe six weeks. It's worse when I'm reaching overhead. Does it wake you if you roll onto it? Sometimes, yeah. And what would you like to get out of today?\n\nHonestly, just to get through a work week without it seizing up. That's fair. Here's what I'd suggest. I'll work through the lower back and the glutes, because with the lifting, that's usually where the load is, then come up to the right shoulder. Does that sound alright? Yeah. Sounds good. It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\nWill do. Rita, I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\n\n\n\n\n\n\n\n\n\n\n\nHow's that pressure? Yeah, that's good.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nOoh, that's the spot. Too much? Nah, it's all right.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nI'm going to use the massage gun on this one. It's a bit loud.\n\nNo worries.\n\nIs the pain okay? Yeah, that's fine. Good intense, but it's all right. Sing out if you want me to back off.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nRight. Roll onto your back for me.\n\n\n\n\n\n\n\n\n\n\n\nOkay. Sit yourself up slowly when you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly the upper trap.\n\nSo what should I be doing at home? Two things. Hip flexor stretch, ninety seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand. Yeah. Righto. I'd book you back in two weeks. Does a Thursday suit? Thursday's fine. Do I get something for the health fund?\n\nI'll email the receipt through with the provider number on it. You can claim it straight from that. Perfect. Thanks very much. No worries. Take it easy for the rest of today.","marks":[[144,156,"shoulder's",false],[303,311,"long's",false],[684,692,"where's",false],[1467,1475,"long's",false],[2037,2041,"Righto.",false],[2270,2280,"alright.",false],[2432,2436,"Bit",false],[2455,2465,"alright.",false],[2778,2787,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Lower back pain and right shoulder pain documented."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back flares every few months over years; shoulder ~6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain 6/10 today, peaked 8/10 on weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","partial","Flare after pouring concrete with prolonged bending captured, but occupation as a full-time concreter is not stated."],["The output records that radicular symptoms and red flags were denied","yes","Denies leg radiation, pins and needles, numbness, night pain, bladder/bowel issues."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Manual therapy to lower back, glutes and right shoulder\"."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch: 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","yes","\"Follow-up in 2 weeks (Thursday)\"."]],"claims":[],"note":"Subjective:\n\n- Lower back pain, primarily right-sided, radiating across bottom of back\n\n- Intermittent, flares every few months; current flare ~10 days ago after pouring concrete (prolonged bending)\n\n- Pain 6/10 today, peaked 8/10 on weekend\n\n- Aggravated by sitting, particularly morning drives\n\n- Relieved temporarily by hot showers (~1 hour)\n\n- Denies radiation down legs, pins and needles, numbness, night pain waking from sleep, bladder/bowel issues\n\n- Previous X-ray a few years ago: \"wear and tear\"\n\n- Right shoulder pain ~6 weeks; worse with overhead reaching; occasionally wakes at night if rolling onto it\n\n- Goal: complete a work week without pain exacerbation\n\n\n\n\nPast Medical History:\n\n- Hypertension (managed with medication)\n\n\n\n\nMedications:\n\n- Blood pressure tablets\n\n\n\n\nObjective:\n\n- Lower back: tightness through gluteal muscles rather than spinal structures\n\n- Right shoulder: tightness in upper trapezius\n\n\n\n\nAssessment:\n\n- Lower back tightness through glutes, consistent with lifting load\n\n- Right shoulder upper trapezius tightness\n\n\n\n\nPlan:\n\n- Manual therapy to lower back, glutes and right shoulder (upper trapezius); massage gun used\n\n- Post-treatment: reports feeling \"a lot looser\"\n\n- Hip flexor stretch: 90 seconds each side, twice daily\n\n- Lifting technique: keep load close to body before standing\n\n- Follow-up in 2 weeks (Thursday)\n\n- Receipt with provider number to be emailed for health fund claim\n\n- Advised to take it easy for remainder of day","review":80.75,"saved":91.25,"clean":false,"effort":6.25,"sig":[],"mb":173.596774,"latency":24.349,"signable":105.099},{"label":"Run 4","wer":8.503401360544217,"text":"Morning. Come on through. Take a seat wherever's comfortable.\n\nThanks. So what's brought you in today? It's my lower back mostly, and the right shoulder has been playing up as well. Okay. Let's start with the back.\n\nWhereabouts is it? Right across the bottom. Both sides, but the right's worse. And how long has that been going on? Years. On and off. It flares up every few months and settles down again. Is this a flare at the moment? Yeah. Started about ten days ago. Anything set it off that you can think of?\n\nWe poured a big slab on the Thursday. I was bent over most of the day. That'll do it. And you're concreting full time? Yeah. Fifteen years now. On a scale of one to ten, where is it sitting today? Probably a six. It was an eight on the weekend. What makes it worse?\n\nSitting's the worst. Driving to site in the morning, I'm stiff as anything. And what helps? A hot shower. Helps for about an hour, then it comes back. Anything shooting down the leg? Pins and needles, numbness, anything like that? No. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you, or any trouble with the bladder or bowels? No, none of that. Good. Have you had any imaging done or seen anyone else about it? I had an X-ray a few years back. They said it was wear and tear, nothing to worry about. Right. And are you on any medications or any other health conditions I should know about?\n\nJust blood pressure tablets, nothing else. Okay. Now the shoulder, how long has that been there? Maybe six weeks. It's worse when I'm reaching overhead. Does it wake you if you roll onto it? Sometimes, yeah. And what would you like to get out of today?\n\nHonestly, just to get through a work week without it seizing up. That's fair. Here's what I'd suggest. I'll work through the lower back and the glutes, because with the lifting, that's usually where the load is, then come up to the right shoulder. Does that sound alright? Yeah. Sounds good. It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\nWill do. Righto, I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\n\n\n\n\n\n\n\n\n\n\n\nHow's that pressure? Yeah, that's good.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nOoh, that's the spot. Too much? No, it's all right.\n\n\n\n\n\nI got a lot of easy pain in your mouth.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nI'm going to use the massage gun on this one. It's a bit loud. No worries.\n\nIs the pain okay? Yeah, that's fine. Bit intense, but it's all right. Sing out if you want me to back off.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nI thought I wanted to eat a pinch in your mouth like this. Shut up. I thought that I want to eat your mom like this.\n\n\n\n\n\n\n\n\n\n\n\n\n\nRight. Roll onto your back for me.\n\n\n\n\n\n\n\n\n\n\n\nOkay. Sit yourself up slowly when you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly the upper trap.\n\nSo what should I be doing at home? Two things. Hip flexor stretch, ninety seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand. Yeah. Righto. I'd book you back in two weeks. Does a Thursday suit? Thursday's fine. Do I get something for the health fund?\n\nI'll email the receipt through with the provider number on it. You can claim it straight from that. Perfect. Thanks very much. No worries. Take it easy for the rest of today.","marks":[[144,156,"shoulder's",false],[303,311,"long's",false],[684,692,"where's",false],[1467,1475,"long's",false],[2262,2264,"Nah",false],[2271,2326,"alright.",true],[2493,2503,"alright.",false],[2560,2676,"",true],[2934,2943,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Lower back pain and right shoulder pain documented."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back pain \"for years, on and off\"; shoulder \"~6 weeks\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain 6/10 today, was 8/10 on the weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Concrete slab pouring, bent over all day; occupational lifting."],["The output records that radicular symptoms and red flags were denied","yes","Denies radiating pain, pins and needles, numbness, nocturnal pain, bladder/bowel issues."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Treatment to lower back, glutes and right shoulder\"."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch, 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","yes","\"Follow-up in 2 weeks (Thursday)\"."]],"claims":[],"note":"Subjective\n\n- Lower back pain, bilateral, right worse, for years, on and off\n\n- Current flare started 10 days ago after pouring a concrete slab (bent over most of the day)\n\n- Pain 6/10 today, was 8/10 on the weekend\n\n- Worse with sitting, especially driving; improved with hot shower for ~1 hour\n\n- Denies radiating pain, pins and needles, numbness down legs\n\n- Denies nocturnal pain, bladder/bowel issues\n\n- Previous X-ray a few years ago: wear and tear, not concerning\n\n- Right shoulder pain ~6 weeks, worse with overhead reaching, wakes from sleep if rolling onto it\n\n- PMHx: hypertension\n\n- Medications: antihypertensive\n\n- Goal: get through a work week without pain exacerbation\n\n\n\n\nObjective\n\n- Lower back and glutes tight, consistent with lifting\n\n- Upper trapezius tight\n\n\n\n\nAssessment\n\n- Mechanical lower back pain with gluteal tightness, consistent with occupational lifting\n\n- Right shoulder pain with upper trapezius tightness\n\n\n\n\nPlan\n\n- Treatment to lower back, glutes and right shoulder\n\n- Hip flexor stretch, 90 seconds each side, twice daily\n\n- Counselled on proper lifting technique: keep load closer to body before standing\n\n- Follow-up in 2 weeks (Thursday)\n\n- Receipt with provider number to be emailed for health fund claim\n\n- Advised to take it easy for the remainder of the day","review":61.89473684210527,"saved":110.10526315789474,"clean":true,"effort":0.0,"sig":[],"mb":127.557511,"latency":26.637,"signable":88.53173684210526},{"label":"Run 5","wer":2.891156462585034,"text":"Morning, come on through. Take a seat wherever's comfortable.\n\nThanks. So what's brought you in today? It's my lower back mostly, and the right shoulder has been playing up as well. Okay, let's start with the back.\n\nWhereabouts is it? Right across the bottom. Both sides, but the right's worse. And how long has that been going on? Years. On and off. It flares up every few months and settles down again. Is this a flare at the moment? Yeah. Started about ten days ago. Anything set it off that you can think of?\n\nWe poured a big slab on the Thursday. I was bent over most of the day. That'll do it. And you're concreting full time? Yeah. Fifteen years now. On a scale of one to ten, where is it sitting today? Probably a six. It was an eight on the weekend. What makes it worse?\n\nSitting's the worst. Driving to site in the morning, I'm stiff as anything. And what helps? A hot shower. Helps for about an hour, then it comes back. Anything shooting down the leg? Pins and needles, numbness, anything like that? No. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you, or any trouble with the bladder or bowels? No, none of that. Good. Have you had any imaging done or seen anyone else about it? I had an X-ray a few years back. They said it was wear and tear, nothing to worry about. Right. And are you on any medications or any other health conditions I should know about?\n\nJust blood pressure tablets, nothing else. Okay. Now the shoulder, how long has that been there? Maybe six weeks. It's worse when I'm reaching overhead. Does it wake you if you roll onto it? Sometimes, yeah. And what would you like to get out of today?\n\nHonestly, just to get through a work week without it seizing up. That's fair. Here's what I'd suggest. I'll work through the lower back and the glutes, because with the lifting, that's usually where the load is, then come up to the right shoulder. Does that sound all right? Yeah. Sounds good. It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\nWill do. Righto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\n\n\n\n\n\n\n\n\n\n\n\nHow's that pressure? Yeah. That's good.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nOoh, that's the spot. Too much? No, it's all right.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nI'm going to use the massage gun on this one.\n\nIt's a bit loud. No worries.\n\nIs the pain okay? Yeah, that's fine. Bit intense, but it's all right. Sing out if you want me to back off.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nRight. Roll onto your back for me.\n\n\n\n\n\n\n\n\n\n\n\nOkay, sit yourself up slowly when you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly the upper trap.\n\nSo what should I be doing at home? Two things. Hip flexor stretch, ninety seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand. Yeah. Righto. I'd book you back in two weeks. Does it Thursday suit? Thursday's fine. Do I get something for the health fund?\n\nI'll email the receipt through with the provider number on it. You can claim it straight from that. Perfect. Thanks very much. No worries. Take it easy for the rest of today.","marks":[[144,156,"shoulder's",false],[303,311,"long's",false],[684,692,"where's",false],[1467,1475,"long's",false],[1914,1923,"alright",false],[2264,2266,"Nah",false],[2273,2283,"alright.",false],[2457,2467,"alright.",false],[2780,2789,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Lower back pain and right shoulder pain documented."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"for many years\"; \"Right shoulder pain for 6 weeks.\""],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain 6/10 today, was 8/10 on weekend.\""],["The output notes the patient works in concreting with repeated bending and lifting","partial","Flare after pouring concrete while bent over is noted, but concreting as his 15-year occupation is not stated."],["The output records that radicular symptoms and red flags were denied","yes","Denies radiation, pins and needles, numbness, bladder/bowel issues, night pain."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Lower back and glutes treated, then right shoulder.\""],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch: 90 seconds each side, twice daily.\""],["The output notes a review in two weeks","yes","\"Follow-up booked Thursday in 2 weeks.\""]],"claims":[],"note":"Subjective\n\n- Lower back pain, right worse than left, for many years\n\n- Flares every few months; current flare started 10 days ago after pouring concrete, bent over most of the day\n\n- Pain 6/10 today, was 8/10 on weekend\n\n- Worse with sitting and driving\n\n- Hot shower helps for ~1 hour\n\n- Denies radiation down leg, pins and needles, numbness, bladder or bowel issues, night pain\n\n- Right shoulder pain for 6 weeks, worse with overhead reaching; wakes sometimes when rolling onto it\n\n- Goal: get through work week without pain seizing up\n\n\n\n\nPast History\n\n- Chronic lower back pain; X-ray a few years ago showed wear and tear\n\n- Hypertension, on blood pressure tablets\n\n\n\n\nObjective\n\n- Lumbar spine: tightness through glutes, not spine itself\n\n- Shoulder: upper trapezius tightness\n\n\n\n\nAssessment\n\n- Mechanical lower back pain with gluteal tightness\n\n- Right shoulder pain with upper trapezius tightness\n\n\n\n\nPlan\n\n- Lower back and glutes treated, then right shoulder\n\n- Home exercises:\n\n    - Hip flexor stretch: 90 seconds each side, twice daily\n\n    - Lifting technique: get load closer to body before standing\n\n- Follow-up booked Thursday in 2 weeks\n\n- Receipt with provider number to be emailed for health fund claim\n\n- Advised to take it easy for the rest of today","review":76.32894736842105,"saved":95.67105263157895,"clean":false,"effort":6.25,"sig":[],"mb":124.138906,"latency":27.03,"signable":103.35894736842106},{"label":"Run 6","wer":2.2108843537414966,"text":"Morning, come on through. Take a seat wherever's comfortable.\n\nThanks. So what's brought you in today? It's my lower back mostly, and the right shoulder has been playing up as well. Okay. Let's start with the back.\n\nWhereabouts is it? Right across the bottom. Both sides, but the right's worse. And how long has that been going on? Years. On and off. It flares up every few months and settles down again. Is this a flare at the moment? Yeah. Started about ten days ago. Anything set it off that you can think of?\n\nWe poured a big slab on the Thursday. I was bent over most of the day. That'll do it. And you're concreting full time? Yeah. Fifteen years now. On a scale of one to ten, where's it sitting today? Probably a six. It was an eight on the weekend. What makes it worse?\n\nSitting's the worst. Driving to site in the morning, I'm stiff as anything. And what helps? A hot shower. Helps for about an hour, then it comes back. Anything shooting down the leg? Pins and needles, numbness, anything like that? No. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you, or any trouble with the bladder or bowels? No, none of that. Good. Have you had any imaging done or seen anyone else about it? I had an X-ray a few years back. They said it was wear and tear, nothing to worry about. Right. And are you on any medications or any other health conditions I should know about?\n\nJust blood pressure tablets, nothing else. Okay. Now the shoulder, how long has that been there? Maybe six weeks. It's worse when I'm reaching overhead. Does it wake you if you roll onto it? Sometimes, yeah. And what would you like to get out of today?\n\nHonestly, just to get through a work week without it seizing up. That's fair. Here's what I'd suggest. I'll work through the lower back and the glutes, because with the lifting, that's usually where the load is, then come up to the right shoulder. Does that sound all right? Yeah. Sounds good. It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\nWill do. Righto, I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\n\n\n\n\n\n\n\n\n\n\n\nHow's that pressure? Yeah, that's good.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nOoh, that's the spot. Too much? Nah, it's all right.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nI'm going to use the massage gun on this one. It's a bit loud. No worries.\n\nIs the pain okay? Yeah, that's fine. Bit intense, but it's all right.\n\nSing out if you want me to back off.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nRight. Roll onto your back for me.\n\n\n\n\n\n\n\n\n\n\n\nOkay, sit yourself up slowly when you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly the upper trap.\n\nSo what should I be doing at home? Two things. Hip flexor stretch, ninety seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand. Yeah. Righto. I'd book you back in two weeks. Does a Thursday suit? Thursday's fine. Do I get something for the health fund?\n\nI'll email the receipt through with the provider number on it. You can claim it straight from that. Perfect. Thanks very much. No worries. Take it easy for the rest of today.","marks":[[144,156,"shoulder's",false],[303,311,"long's",false],[1466,1474,"long's",false],[1913,1922,"alright",false],[2273,2283,"alright.",false],[2456,2466,"alright.",false],[2780,2789,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Lower back pain and right shoulder pain documented."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"recurring every few months for years\"; \"Right shoulder pain ~6 weeks.\""],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"currently 6/10 (previously 8/10 over weekend).\""],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"Occupation: concreter for 15 years\"; flare after pouring slab; lifting advice."],["The output records that radicular symptoms and red flags were denied","yes","Denies radicular symptoms, pins and needles, numbness, night pain, bladder/bowel dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"lower back and gluteal work, followed by right shoulder treatment.\""],["The output mentions a hip flexor stretch as home advice","yes","\"hip flexor stretch, 90 seconds each side, twice daily.\""],["The output notes a review in two weeks","yes","\"re-book in 2 weeks, preferably Thursday.\""]],"claims":[],"note":"Subjective\n\n\n\n\n- Lower back pain, primarily right-sided, radiating across bottom of back\n\n- Ache, currently 6/10 (previously 8/10 over weekend)\n\n- Flare-up of chronic issue, recurring every few months for years\n\n- Current flare onset ~10 days ago, attributed to pouring concrete slab\n\n- Aggravated by sitting, particularly driving\n\n- Relieved temporarily by hot showers (~1 hour relief)\n\n- Denies radicular symptoms, pins and needles, numbness, night pain waking from sleep, bladder/bowel dysfunction\n\n- Prior X-ray a few years ago reported as \"wear and tear, nothing to worry about\"\n\n- Right shoulder pain ~6 weeks, worse with overhead reaching; occasionally wakes from sleep if rolling onto it\n\n- Goals: complete a work week without pain exacerbation\n\n- Occupation: concreter for 15 years\n\n- Medications: blood pressure tablets\n\n\n\n\nObjective\n\n\n\n\n- Assessment and treatment focused on lower back and glutes, with attention to right shoulder\n\n- Lower back: tightness through glutes more than spine itself\n\n- Shoulder: upper trapezius tightness\n\n\n\n\nAssessment\n\n\n\n\n- Chronic mechanical lower back pain, currently flared\n\n- Right shoulder pain, upper trapezius involvement\n\n\n\n\nPlan\n\n\n\n\n- Therapy: lower back and gluteal work, followed by right shoulder treatment\n\n- Massage gun utilised during treatment\n\n- Home exercises: hip flexor stretch, 90 seconds each side, twice daily\n\n- Lifting advice: keep load closer to body before standing\n\n- Follow-up: re-book in 2 weeks, preferably Thursday\n\n- Receipt with provider number for health fund claim to be emailed\n\n- Advised to take it easy for remainder of day","review":72.3157894736842,"saved":99.6842105263158,"clean":true,"effort":0.0,"sig":[],"mb":129.764261,"latency":26.9,"signable":99.2157894736842}],"freed":[{"label":"Run 1","wer":118.36734693877551,"text":"Morning.\nCome on through.\nTake a seat wherever's comfortable.\nThanks.\nSo what's brought you in today?\nIt's my lower back mostly, and the right shoulder's been playing up as well.\nOkay.\nLet's start with the back.\nWhereabouts is it?\nRight across the bottom.\nBoth sides, but the right's worse.\nAnd how long's that been going on?\nYears, on and off.\nIt flares up every few months and settles down again.\nIs this a flare at the moment?\nYeah, started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday.\nI was bent over most of the day.\nThat'll do it.\nAnd you're concreting full-time?\nYeah, 15 years now.\nOn a scale of one to 10, where's it sitting today?\nProbably a six.\nIt was an eight on the weekend.\nWhat makes it worse?\nSitting's the worst.\nDriving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower helps for about an hour then it comes back.\nAnything shooting down the leg, pins and needles, numbness, anything like that?\nNo, nothing like that, it's just an ache.\nAny pain at night that wakes you or any trouble with the bladder or bowels?\nNo, none of that.\nGood.\nHave you had any imaging done or seen anyone else about it?\nI had an x-ray a few years back.\nThey said it was wear and tear, nothing to worry about.\nRight.\nAnd are you on any medications or any other health conditions I should know about?\nJust blood pressure tablets, nothing else.\nOkay, now the shoulder, how long's that been there?\nMaybe 6 weeks.\nIt's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, just to get through a work week without it seizing up.\nThat's fair.\nHere's what I'd suggest.\nI'll work through the lower back and the glutes because with the lifting, that's usually where the load is, then come up to the right shoulder.\nDoes that sound all right?\nYeah, sounds good.\nIt can be a bit tender in spots.\nSing out if anything's too much, and I'll back off.\nWill do.\nWriter, I'll step out while you get comfortable.\nFace down for me, head in the cradle, and pull the towel up over you. It's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like, it's like.\nI'm going to go ahead and get started.\nYou're not going to get out of here, are you?\nHow's that pressure?\nYeah, that's good. Yeah.\nAll right.\nOoh, that's the spot. Too much?\nNah, it's alright.\nYou're not going to let that sink in, are you?\nSix.\nAnd there you have it, the most powerful and expensive, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and the most powerful, and...\nThank you for watching this video.\nof of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of of...\nthe National Museum of the British Columbia.\nThe museum is located in the National Museum of the British Columbia.\nThe National Museum of the British Columbia is located in the National Museum of the British Columbia.\nI'm going to go ahead and put it in. What is that?\nI don't know, sir.\nIt's a...\nIt's not as bad as I thought it would be, but it's not as bad as I thought it would be.\nHowever, according to the map, it is located in the eastern part of the town.\nHowever, the city has been abandoned since the early 20th century after the German occupation.\nOver this period of time, Nusratullah's wife took him to the West for the reason that he was frequently being harassed and yelled at.\nHe later became a spy for the Islamist militants.\nHe later became a spy for the Islamist militants.\nHe...\nHow?\nYeah. Now.\nI'm going to use the massage gun on this one, it's a bit loud.\nNo worries.\nIs the pain okay?\nYeah, that's fine.\nA bit intense, but it's all right.\nSing out if you want me to back off. I'm not going to tell you what I'm going to do.\nNow.\nSix.\nI don't like you.\nLet's see what we've got here. You're not going to get away with this.\nRight, roll onto your back for me.\nI'm going to show you how to do it.\nYeah. Okay, sit yourself up slowly when you're ready.\nThat feels a lot looser.\nGood.\nThe lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting.\nThe shoulders mostly the upper trap.\nSo what should I be doing at home?\n2 things.\nHip flexor stretch, 90 seconds each side, twice a day.\nAnd when you're lifting, get the load closer to you before you stand.\nYeah, right-o.\nI'd book you back in 2 weeks.\nDoes a Thursday suit?\nThursday's fine.\nDo I get something for the health fund?\nI'll email the receipt through with the provider number on it.\nYou can claim it straight from that.\nPerfect.\nThanks very much.\nNo worries.\nTake it easy for the rest of today.\nYou're not going to get away with that.","marks":[[1887,1896,"alright",false],[2011,2017,"Righto.",false],[2130,2466,"",true],[2508,2524,"",false],[2576,5181,"",true],[5318,5328,"alright.",false],[5366,5512,"",true],[5548,5589,"",false],[5788,5797,"shoulder's",false],[5997,6005,"righto.",false],[6290,6329,"",true]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","\"two chief complaints: lower back pain and right shoulder pain\"."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"chronic lower back pain ... intermittently for years\" and shoulder pain \"present for approximately 6 weeks\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"pain is rated 6 out of 10, having been as severe as 8 out of 10 over the weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"works as a concreter full-time\" with \"prolonged bending\" and \"occupational lifting demands\"."],["The output records that radicular symptoms and red flags were denied","yes","\"denies any radiation of pain down the leg, pins and needles, numbness, night pain waking from sleep, or bladder or bowel dysfunction\"."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Manual therapy focusing on lower back and glutes\" and \"Manual therapy addressing shoulder and upper trapezius\" (right shoulder)."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretches: 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","yes","\"Follow-up appointment in 2 weeks\"."]],"claims":[],"note":"Subjective\nCliniTech Benchmark 2996e1c3 presents with two chief complaints: lower back pain and right shoulder pain.\n\nThe patient reports chronic lower back pain that has been present intermittently for years, with flare-ups occurring every few months. The current episode began approximately 10 days ago after pouring a large concrete slab while bent over for most of the day. The pain is located across the lower back bilaterally, worse on the right side. Today, the pain is rated 6 out of 10, having been as severe as 8 out of 10 over the weekend. Sitting is the worst aggravating factor, and driving to work in the morning causes significant stiffness. A hot shower provides temporary relief for about an hour before the pain returns. The patient denies any radiation of pain down the leg, pins and needles, numbness, night pain waking from sleep, or bladder or bowel dysfunction. The patient had an x-ray a few years ago which showed \"wear and tear\" with nothing to worry about. The patient works as a concreter full-time for 15 years.\n\nThe patient also reports right shoulder pain that has been present for approximately 6 weeks. The pain worsens with overhead reaching and sometimes wakes the patient at night when rolling onto that side.\n\nThe patient's goal for today is to get through a work week without the pain seizing up.\n\nMedical History  \n- Hypertension\n\nMedications and Supplements  \n- Blood pressure medication\n\nSocial History  \n- Occupation: Works as a concreter full-time for 15 years\n\nObjective\nPhysical Examination  \n- Musculoskeletal: Lower back tightness noted through the gluteal region more than the spine. Right shoulder/upper trapezius tightness noted\n\nAssessment & Plan\nPatient presents with chronic lower back pain and right shoulder pain.\n\nChronic lower back pain\nAssessment: Chronic lower back pain ongoing for years with intermittent flares. Current episode began 10 days ago after a day of concrete work involving prolonged bending. Pain located across the lower back bilaterally but worse on the right side. Currently rates pain as 6/10, down from 8/10 over the weekend. Pain exacerbated by sitting and driving, improved temporarily by hot showers. No radicular symptoms, nocturnal pain, or bowel/bladder dysfunction. Previous x-ray several years ago showed wear and tear changes. Physical examination revealed tightness through the glutes more than the spine itself, consistent with occupational lifting demands. Patient works as a concrete contractor for 15 years with significant physical demands.\nPlan:\n- Manual therapy focusing on lower back and glutes\n- Hip flexor stretches: 90 seconds each side, twice daily\n- Lifting modification: get load closer before standing\n- Follow-up appointment in 2 weeks\n- Receipt provided for health fund claim\n\nRight shoulder pain\nAssessment: Right shoulder pain present for approximately 6 weeks. Pain worsens with overhead reaching and occasionally disrupts sleep when rolling onto the affected side. Physical examination revealed tightness in the upper trapezius region.\nPlan:\n- Manual therapy addressing shoulder and upper trapezius\n- Take it easy for the rest of today\n- Follow-up appointment in 2 weeks\n","review":157.26315789473685,"saved":14.73684210526315,"clean":true,"effort":0.0,"sig":[],"mb":56.946952,"latency":43.8,"signable":188.98215789473684},{"label":"Run 2","wer":65.3061224489796,"text":"Morning.\nCome on through.\nTake a seat wherever's comfortable.\nThanks.\nSo what's brought you in today?\nIt's my lower back mostly, and the right shoulder's been playing up as well.\nOkay.\nLet's start with the back.\nWhereabouts is it?\nRight across the bottom.\nBoth sides, but the right's worse.\nAnd how long's that been going on?\nYears, on and off.\nIt flares up every few months and settles down again.\nIs this a flare at the moment?\nYeah, started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday.\nI was bent over most of the day.\nThat'll do it.\nAnd you're concreting full-time?\nYeah, 15 years now.\nOn a scale of one to 10, where's it sitting today?\nProbably a six.\nIt was an eight on the weekend.\nWhat makes it worse?\nSitting's the worst.\nDriving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower helps for about an hour then it comes back.\nAnything shooting down the leg, pins and needles, numbness, anything like that?\nNo, nothing like that, it's just an ache.\nAny pain at night that wakes you or any trouble with the bladder or bowels?\nNo, none of that.\nGood.\nHave you had any imaging done or seen anyone else about it?\nI had an x-ray a few years back.\nThey said it was wear and tear, nothing to worry about.\nRight.\nAnd are you on any medications or any other health conditions I should know about?\nJust blood pressure tablets, nothing else.\nOkay, now the shoulder, how long's that been there?\nMaybe 6 weeks.\nIt's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, just to get through a work week without it seizing up.\nThat's fair.\nHere's what I'd suggest.\nI'll work through the lower back and the glutes because with the lifting, that's usually where the load is, then come up to the right shoulder.\nDoes that sound all right?\nYeah, sounds good.\nIt can be a bit tender in spots.\nSing out if anything's too much, and I'll back off.\nWill do.\nWriter, I'll step out while you get comfortable.\nFace down for me, head in the cradle, and pull the towel up over you. It was not mine.\nI'm going to go ahead and get started.\nI'm not going to do that.\nHow's that pressure?\nYeah, that's good. I'm going to go to the bathroom.\nSo, let's get started.\nOoh, that's the spot. Too much?\nNah, it's alright.\nI don't know what that looks like.\nI'm not sure if I'm going to be able to make it through the rest of the race.\nand I'll see you next time.\nand a half-and-a-half...\nThank you.\nThank you. What is that?\nI don't know.\nThere are many ways to use the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the power of the...\nSome of the tracks include one of a quantity of street jazz music, which is known to be a non-commercial, non-editorial work.\nIn the decision-making process, one-way communication is expressed over the internet with frequently used words and phrases, like, who are you, where are you from, what do you do, what are you doing, etc.\nYeah.\nNow. How?\nI'm going to use the massage gun on this one, it's a bit loud.\nNo worries.\nIs the pain okay?\nYeah, that's fine.\nA bit intense, but it's all right.\nSing out if you want me to back off. I don't know.\nNow.\nSix.\nSix.\nI don't know. Thank you.\nRight, roll onto your back for me.\nAll right.\nYeah. Okay, sit yourself up slowly when you're ready.\nThat feels a lot looser.\nGood.\nThe lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting.\nThe shoulders mostly the upper trap.\nSo what should I be doing at home?\n2 things.\nHip flexor stretch, 90 seconds each side, twice a day.\nAnd when you're lifting, get the load closer to you before you stand.\nYeah, righto.\nI'd book you back in 2 weeks.\nDoes a Thursday suit?\nThursday's fine.\nDo I get something for the health fund?\nI'll email the receipt through with the provider number on it.\nYou can claim it straight from that.\nPerfect.\nThanks very much.\nNo worries.\nTake it easy for the rest of today.\nNow.","marks":[[1887,1896,"alright",false],[2011,2017,"Righto.",false],[2130,2211,"",false],[2252,2307,"",false],[2359,3890,"",false],[4028,4038,"alright.",false],[4076,4129,"",false],[4165,4181,"",false],[4380,4389,"shoulder's",false],[4881,4885,"",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","States lower back pain and right shoulder pain as the presenting complaints."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back pain described as present on and off for years; shoulder pain approximately 6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","Records pain 6/10 today and 8/10 over the weekend."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Records full-time concreting for 15 years with bending and lifting demands."],["The output records that radicular symptoms and red flags were denied","yes","Records denial of radiating leg pain, pins and needles, numbness, night pain and bladder/bowel dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Records manual therapy to the lower back, glutes and right shoulder/upper trapezius."],["The output mentions a hip flexor stretch as home advice","yes","Hip flexor stretch 90 seconds each side twice daily."],["The output notes a review in two weeks","yes","Follow-up scheduled in 2 weeks."]],"claims":[],"note":"Subjective\nCliniTech Benchmark 66edee41 presents with two chief complaints: lower back pain and right shoulder pain.\n\nThe patient reports chronic lower back pain that has been present for years, occurring intermittently with flare-ups every few months. The current flare-up began approximately 10 days ago after pouring a large concrete slab and being bent over most of the day. Pain is located across the lower back bilaterally, worse on the right side. Pain severity is currently 6 out of 10, having been as high as 8 out of 10 over the weekend. Pain is aggravated by sitting and driving to work in the morning, during which the patient feels very stiff. A hot shower provides temporary relief for about an hour before the pain returns. The patient denies any radiating pain down the leg, pins and needles, or numbness. The patient denies nocturnal pain waking them from sleep and denies any bladder or bowel dysfunction. The patient had an x-ray a few years ago which showed \"wear and tear\" with nothing to worry about.\n\nThe patient also reports right shoulder pain that has been present for approximately 6 weeks. Pain is worse with overhead reaching and sometimes wakes the patient at night when rolling onto the shoulder.\n\nThe patient's goal is to get through a work week without the pain seizing up.\n\nMedical History\n- Hypertension\n\nMedications and Supplements\n- Blood pressure medication\n\nSocial History\n- Occupation: Works as a concreter full-time for 15 years, involving frequent bending and lifting\n\nObjective\nPhysical Examination  \n- Musculoskeletal: Lower back tightness noted through the gluteal region more than the spine. Right shoulder/upper trapezius tightness noted\n\nAssessment & Plan\nPatient presents with chronic lower back pain flare and right shoulder pain.\n\nChronic lower back pain\nAssessment: Patient presents with an acute flare of chronic lower back pain, present for years with intermittent flares every few months. Current flare began 10 days ago after prolonged bending while pouring concrete at work. Pain is bilateral across the lower back but worse on the right side, currently rated 6/10, down from 8/10 over the weekend. Pain is exacerbated by sitting and driving, improved temporarily with hot showers. No radicular symptoms, nocturnal pain, or bowel/bladder dysfunction. Previous x-ray several years ago showed wear and tear. Physical examination revealed tightness through the glutes more than the spine itself, consistent with occupational lifting demands. Manual therapy treatment was performed targeting the lower back and glutes.\nPlan:\n- Hip flexor stretch 90 seconds each side, twice daily\n- Lifting modification: get load closer before standing\n- Take it easy for the rest of today\n- Follow-up appointment scheduled in 2 weeks\n\nRight shoulder pain\nAssessment: Patient reports 6-week history of right shoulder pain, worse with overhead reaching and occasionally waking him when rolling onto that side at night. Physical examination revealed tightness in the upper trapezius. Manual therapy treatment was performed targeting the shoulder and upper trapezius.\nPlan:\n- Follow-up appointment scheduled in 2 weeks\n","review":156.63157894736844,"saved":15.368421052631561,"clean":true,"effort":0.0,"sig":[],"mb":58.539234,"latency":47.016,"signable":189.48757894736843},{"label":"Run 3","wer":42.857142857142854,"text":"Morning.\nCome on through.\nTake a seat wherever's comfortable.\nThanks.\nSo what's brought you in today?\nIt's my lower back mostly, and the right shoulder's been playing up as well.\nOkay.\nLet's start with the back.\nWhereabouts is it?\nRight across the bottom.\nBoth sides, but the right's worse.\nAnd how long's that been going on?\nYears, on and off.\nIt flares up every few months and settles down again.\nIs this a flare at the moment?\nYeah, started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday.\nI was bent over most of the day.\nThat'll do it.\nAnd you're concreting full-time?\nYeah, 15 years now.\nOn a scale of one to 10, where's it sitting today?\nProbably a six.\nIt was an eight on the weekend.\nWhat makes it worse?\nSitting's the worst.\nDriving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower helps for about an hour then it comes back.\nAnything shooting down the leg, pins and needles, numbness, anything like that?\nNo, nothing like that, it's just an ache.\nAny pain at night that wakes you or any trouble with the bladder or bowels?\nNo, none of that.\nGood.\nHave you had any imaging done or seen anyone else about it?\nI had an x-ray a few years back.\nThey said it was wear and tear, nothing to worry about.\nRight.\nAnd are you on any medications or any other health conditions I should know about?\nJust blood pressure tablets, nothing else.\nOkay, now the shoulder, how long's that been there?\nMaybe 6 weeks.\nIt's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, just to get through a work week without it seizing up.\nThat's fair.\nHere's what I'd suggest.\nI'll work through the lower back and the glutes because with the lifting, that's usually where the load is, then come up to the right shoulder.\nDoes that sound all right?\nYeah, sounds good.\nIt can be a bit tender in spots.\nSing out if anything's too much, and I'll back off.\nWill do.\nWriter, I'll step out while you get comfortable.\nFace down for me, head in the cradle, and pull the towel up over you. What's that like?\nI'm going to go ahead and get started.\nHow?\nHow's that pressure?\nYeah, that's good. You're not going to get out of here, are you?\nI'm going to go ahead and start.\nOoh, that's the spot. Too much?\nNah, it's alright.\nSex, sex, sex.\nYou're not going to get me out of here, are you?\nThe red flag is up and the red flag is down.\nOh, yeah, yeah, yeah.\nI'm not sure what that is.\nAnd that's the end of the video.\nI'm going to go ahead and get started.\nDavid is the son of the President and the Chancellor of the United States. What is time?\nWhere are we?\nIt is late in the morning.\nThe project was funded by the Federal Institute of Technology, the American Academy of Sciences.\nHowever, according to the map, it is located in the eastern part of the National Park, on a mountain peak.\nIt has been known for many years as a tourist attraction.\nOver the history of one of India's capital cities, Maharashtra is a popular city, frequently being the land capital of East Bengal.\nMaharashtra is also known as the capital city of India, due to the common character of Maharashtra's name, which derives from the name of Maharashtra's capital city, Maharashtra.\nYeah.\nYeah. You're not going to get out of here, are you?\nI'm going to use the massage gun on this one, it's a bit loud.\nNo worries.\nIs the pain okay?\nYeah, that's fine.\nA bit intense, but it's all right.\nSing out if you want me to back off. Oh!\nNow.\nThat's six.\nWhat the fuck?\nI don’t know. Now.\nRight, roll onto your back for me.\nI'm going to go ahead and get started.\nHow? Okay, sit yourself up slowly when you're ready.\nThat feels a lot looser.\nGood.\nThe lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting.\nThe shoulders mostly the upper trap.\nSo what should I be doing at home?\n2 things.\nHip flexor stretch, 90 seconds each side, twice a day.\nAnd when you're lifting, get the load closer to you before you stand.\nYeah, right-o.\nI'd book you back in 2 weeks.\nDoes a Thursday suit?\nThursday's fine.\nDo I get something for the health fund?\nI'll email the receipt through with the provider number on it.\nYou can claim it straight from that.\nPerfect.\nThanks very much.\nNo worries.\nTake it easy for the rest of today.\nYou're not going to get out of here, are you?","marks":[[1887,1896,"alright",false],[2011,2017,"Righto.",false],[2130,2190,"",false],[2232,2310,"",false],[2362,3351,"",true],[3489,3499,"alright.",false],[3537,3591,"",true],[3627,3669,"",false],[3869,3878,"shoulder's",false],[4078,4086,"righto.",false],[4371,4415,"",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","States lower back pain and right shoulder pain as the presenting complaints."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back pain described as present on and off for years; shoulder pain approximately 6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","Records pain 6/10 today and 8/10 over the weekend."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Records full-time concreting for 15 years with bending and lifting demands."],["The output records that radicular symptoms and red flags were denied","yes","Records denial of radiating leg pain, pins and needles, numbness, night pain and bladder/bowel dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Records manual therapy to the lower back, glutes and right shoulder/upper trapezius."],["The output mentions a hip flexor stretch as home advice","yes","Hip flexor stretch 90 seconds each side twice daily."],["The output notes a review in two weeks","yes","Follow-up scheduled in 2 weeks."]],"claims":[],"note":"Subjective\nCliniTech Benchmark f91d0f66 presents with two chief complaints: lower back pain and right shoulder pain.\n\nThe patient reports chronic lower back pain that has been present intermittently for years, with flare-ups occurring every few months. The current episode began approximately 10 days ago after pouring a large concrete slab while bent over for most of the day. The pain is located across the lower back bilaterally, worse on the right side. Today the pain is rated 6 out of 10, having been as severe as 8 out of 10 over the weekend. Sitting is the worst aggravating factor, and driving to work in the morning causes significant stiffness. A hot shower provides temporary relief for about an hour before the pain returns. The patient denies any radiation of pain down the leg, pins and needles, numbness, night pain waking them from sleep, or bladder or bowel dysfunction. The patient works as a concreter full-time and has been in the trade for 15 years, which involves frequent heavy lifting and prolonged bent-over postures. An x-ray performed a few years ago was reported as showing \"wear and tear\" with nothing to worry about.\n\nThe patient also reports right shoulder pain that has been present for approximately 6 weeks. The pain is worse with overhead reaching and sometimes wakes the patient at night when rolling onto that side.\n\nThe patient's goal for today was to be able to get through a work week without the pain seizing up.\n\nMedical History  \n- Hypertension\n\nMedications and Supplements  \n- Blood pressure medication\n\nSocial History  \n- Occupation: Works full-time as a concreter for 15 years, involving heavy lifting, prolonged bent-over postures, and pouring concrete slabs\n\nReview of Systems  \n- Neurological: Denies radicular symptoms, pins and needles, numbness in the legs\n\nObjective\nPhysical Examination  \n- Musculoskeletal: Lower back tightness noted, predominantly through the gluteal region rather than the spine. Right shoulder/upper trapezius tightness noted\n\nAssessment & Plan\nPatient presents with chronic lower back pain flare and right shoulder pain.\n\nChronic lower back pain flare  \nAssessment: Patient experiencing a 10-day flare of chronic lower back pain that has been ongoing for years with intermittent episodes. Pain is located across the lower back bilaterally but worse on the right side, currently rated 6/10, down from 8/10 over the weekend. Precipitated by prolonged bending while pouring concrete at work. Patient works as a concrete finisher for 15 years with repetitive lifting and bending. Pain worsens with sitting and driving, improves temporarily with hot showers. No radicular symptoms, nocturnal pain, or bowel/bladder dysfunction. Previous x-ray several years ago showed wear and tear changes. Physical examination revealed tightness through the glutes more than the spine itself, consistent with mechanical lower back pain related to occupational activities.  \nPlan:  \n- Hip flexor stretch 90 seconds each side twice daily  \n- Lifting modification: get load closer before standing  \n- Take it easy for the rest of today  \n- Follow-up appointment in 2 weeks on Thursday\n\nRight shoulder pain  \nAssessment: Six-week history of right shoulder pain, worse with overhead reaching and occasionally waking patient at night when rolling onto affected side. Physical examination revealed involvement of the upper trapezius muscle, consistent with mechanical shoulder pain likely related to occupational overhead activities.  \nPlan:  \n- Follow-up appointment in 2 weeks on Thursday\n","review":173.36842105263156,"saved":-1.368421052631561,"clean":true,"effort":0.0,"sig":[],"mb":58.237027,"latency":40.846,"signable":202.08342105263156},{"label":"Run 4","wer":44.5578231292517,"text":"Morning.\nCome on through.\nTake a seat wherever's comfortable.\nThanks.\nSo what's brought you in today?\nIt's my lower back mostly, and the right shoulder's been playing up as well.\nOkay.\nLet's start with the back.\nWhereabouts is it?\nRight across the bottom.\nBoth sides, but the right's worse.\nAnd how long's that been going on?\nYears, on and off.\nIt flares up every few months and settles down again.\nIs this a flare at the moment?\nYeah, started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday.\nI was bent over most of the day.\nThat'll do it.\nAnd you're concreting full-time?\nYeah, 15 years now.\nOn a scale of one to 10, where's it sitting today?\nProbably a six.\nIt was an eight on the weekend.\nWhat makes it worse?\nSitting's the worst.\nDriving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower helps for about an hour then it comes back.\nAnything shooting down the leg, pins and needles, numbness, anything like that?\nNo, nothing like that, it's just an ache.\nAny pain at night that wakes you or any trouble with the bladder or bowels?\nNo, none of that.\nGood.\nHave you had any imaging done or seen anyone else about it?\nI had an x-ray a few years back.\nThey said it was wear and tear, nothing to worry about.\nRight.\nAnd are you on any medications or any other health conditions I should know about?\nJust blood pressure tablets, nothing else.\nOkay, now the shoulder, how long's that been there?\nMaybe 6 weeks.\nIt's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, just to get through a work week without it seizing up.\nThat's fair.\nHere's what I'd suggest.\nI'll work through the lower back and the glutes because with the lifting, that's usually where the load is, then come up to the right shoulder.\nDoes that sound all right?\nYeah, sounds good.\nIt can be a bit tender in spots.\nSing out if anything's too much, and I'll back off.\nWill do.\nWriter, I'll step out while you get comfortable.\nFace down for me, head in the cradle, and pull the towel up over you. I don't know how long I'm going to be able to play this game.\nI don't know what I'm doing.\nYou're not going to get out of here, are you?\nHow's that pressure?\nYeah, that's good. You're not going to get out of here, are you?\nI'm going to go ahead and start.\nOoh, that's the spot. Too much?\nNah, it's alright.\nI'm not going to let that take the show.\nI can't believe it.\nI'm not sure I'm going to make it.\nThank you for watching my video today!\nI hope you enjoyed it!\nPlease subscribe, like, share and comment!\nThank you!\nOkay.\nThank you for watching!\nI'm going to go ahead and put it in there. What is that?\nI don't know, sir.\nIt's a...\nIt's not as bad as I thought it would be, but it's not as bad as I thought it would be.\nHowever, according to the map, it is located in the eastern part of the town.\nHowever, the city has been abandoned since the early 20th century after the German occupation.\nOver the history of the municipality of Marrakech, it has played a role of a leader and a frequent leader.\nThe land of Marrakech, where the people of Marrakech come from, is a central part of the Islamic Republic of Syria.\nThe Jewish people of Marrakech are the members of the Jewish community in the municipality of Marrakech.\nHow?\nYeah. Now.\nI'm going to use the massage gun on this one, it's a bit loud.\nNo worries.\nIs the pain okay?\nYeah, that's fine.\nA bit intense, but it's all right.\nSing out if you want me to back off. Oh!\nNow.\nSix.\nOh my God!\nI'm sorry, I'm sorry. I don't know what that means.\nRight, roll onto your back for me.\nAll right.\nYou're not going to get out of here, are you? Okay, sit yourself up slowly when you're ready.\nThat feels a lot looser.\nGood.\nThe lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting.\nThe shoulders mostly the upper trap.\nSo what should I be doing at home?\n2 things.\nHip flexor stretch, 90 seconds each side, twice a day.\nAnd when you're lifting, get the load closer to you before you stand.\nYeah, right-o.\nI'd book you back in 2 weeks.\nDoes a Thursday suit?\nThursday's fine.\nDo I get something for the health fund?\nI'll email the receipt through with the provider number on it.\nYou can claim it straight from that.\nPerfect.\nThanks very much.\nNo worries.\nTake it easy for the rest of today.\nHow?","marks":[[1887,1896,"alright",false],[2011,2017,"Righto.",false],[2130,2265,"",false],[2307,2385,"",false],[2437,3369,"",true],[3506,3516,"alright.",false],[3554,3630,"",true],[3666,3721,"",false],[3921,3930,"shoulder's",false],[4130,4138,"righto.",false],[4423,4426,"",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","\"two chief complaints: lower back pain and right shoulder pain\"."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"chronic lower back pain ... present intermittently for years\" and shoulder pain \"present for approximately 6 weeks\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Current pain severity is 6 out of 10, having been as high as 8 out of 10 over the weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"works as a concreter full-time\" and \"repetitive lifting and bending\"."],["The output records that radicular symptoms and red flags were denied","yes","\"denies any radiation of pain down the leg, pins and needles, numbness, night pain, or bladder or bowel dysfunction\"."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Manual therapy \"targeting lower back and glutes\" and \"targeting shoulder and upper trapezius\" (right shoulder)."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch 90 seconds each side twice daily\"."],["The output notes a review in two weeks","yes","\"Follow-up appointment scheduled for Thursday in 2 weeks\"."]],"claims":[],"note":"Subjective\nCliniTech Benchmark 5ede29b2 presents with two chief complaints: lower back pain and right shoulder pain.\n\nThe patient reports chronic lower back pain that has been present intermittently for years, with flare-ups occurring every few months. The current exacerbation began approximately 10 days ago after pouring a large concrete slab, which required prolonged bending over for most of the day. The patient works as a concreter full-time and has been in the trade for 15 years. Pain is located across the lower back bilaterally, worse on the right side. Current pain severity is 6 out of 10, having been as high as 8 out of 10 over the weekend. Pain is aggravated by sitting and driving to work in the morning, during which the patient reports significant stiffness. A hot shower provides temporary relief for approximately one hour before the pain returns. The patient denies any radiation of pain down the leg, pins and needles, numbness, night pain, or bladder or bowel dysfunction. The patient had an x-ray a few years ago, which showed wear and tear with no significant findings.\n\nThe patient also reports right shoulder pain that has been present for approximately 6 weeks. Pain is worse with overhead reaching and sometimes wakes the patient at night when rolling onto the affected side.\n\nThe patient's goal is to get through a work week without the pain seizing up.\n\nMedical History  \n- Hypertension\n\nMedications and Supplements  \n- Blood pressure medication\n\nSocial History  \n- Occupation: Works as a concreter full-time for 15 years\n\nObjective\nPhysical Examination  \n- Musculoskeletal: Lower back tightness noted, greater through the glutes than the spine. Right shoulder/upper trapezius tightness noted\n\nAssessment & Plan\nPatient presents with chronic lower back pain flare and right shoulder pain.\n\nChronic lower back pain  \nAssessment: Patient has chronic lower back pain affecting both sides with right side predominance, ongoing for years with intermittent flares every few months. Current flare began 10 days ago after prolonged bending while pouring concrete at work. Pain is currently 6/10, improved from 8/10 on weekend. Pain worsens with sitting and driving, improves temporarily with hot shower. No radicular symptoms, nocturnal pain, or bowel/bladder dysfunction. Previous x-ray several years ago showed wear and tear changes. Physical examination revealed tightness through the glutes more than the spine itself, consistent with occupational lifting demands. Patient works as concrete contractor for 15 years with repetitive lifting and bending.  \nPlan:  \n- Hip flexor stretch 90 seconds each side twice daily  \n- Lifting modification: get load closer before standing  \n- Manual therapy treatment performed targeting lower back and glutes  \n- Follow-up appointment scheduled\n\nRight shoulder pain  \nAssessment: Six-week history of right shoulder pain, worse with overhead reaching and occasionally waking patient at night when rolling onto affected side. Physical examination revealed involvement of upper trapezius musculature.  \nPlan:  \n- Manual therapy treatment performed targeting shoulder and upper trapezius  \n- Follow-up appointment scheduled for Thursday in 2 weeks\n","review":153.4736842105263,"saved":18.5263157894737,"clean":true,"effort":0.0,"sig":[],"mb":57.101069,"latency":46.978,"signable":188.2836842105263},{"label":"Run 5","wer":63.095238095238095,"text":"Morning.\nCome on through.\nTake a seat wherever's comfortable.\nThanks.\nSo what's brought you in today?\nIt's my lower back mostly, and the right shoulder's been playing up as well.\nOkay.\nLet's start with the back.\nWhereabouts is it?\nRight across the bottom.\nBoth sides, but the right's worse.\nAnd how long's that been going on?\nYears, on and off.\nIt flares up every few months and settles down again.\nIs this a flare at the moment?\nYeah, started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday.\nI was bent over most of the day.\nThat'll do it.\nAnd you're concreting full-time?\nYeah, 15 years now.\nOn a scale of one to 10, where's it sitting today?\nProbably a six.\nIt was an eight on the weekend.\nWhat makes it worse?\nSitting's the worst.\nDriving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower helps for about an hour then it comes back.\nAnything shooting down the leg, pins and needles, numbness, anything like that?\nNo, nothing like that, it's just an ache.\nAny pain at night that wakes you or any trouble with the bladder or bowels?\nNo, none of that.\nGood.\nHave you had any imaging done or seen anyone else about it?\nI had an x-ray a few years back.\nThey said it was wear and tear, nothing to worry about.\nRight.\nAnd are you on any medications or any other health conditions I should know about?\nJust blood pressure tablets, nothing else.\nOkay, now the shoulder, how long's that been there?\nMaybe 6 weeks.\nIt's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, just to get through a work week without it seizing up.\nThat's fair.\nHere's what I'd suggest.\nI'll work through the lower back and the glutes because with the lifting, that's usually where the load is, then come up to the right shoulder.\nDoes that sound all right?\nYeah, sounds good.\nIt can be a bit tender in spots.\nSing out if anything's too much, and I'll back off.\nWill do.\nWriter, I'll step out while you get comfortable.\nFace down for me, head in the cradle, and pull the towel up over you. Let's see what we have here.\nOh, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, You're not going to get out of there, are you?\nHow's that pressure?\nYeah, that's good. You're not going to get out of here, are you?\nI'm going to go ahead and get started.\nOoh, that's the spot. Too much?\nNah, it's alright.\nIt's not like I'm sick or anything.\nS. T. A. L. P. All right.\nThank you.\nIt's not a good time.\nIt's not a good time.\nThe city of San Francisco is home to the San Francisco City Council, a board of trustees that represents San Francisco County.\nand then, and then, and then, and then, and then, and then, and then, and then, and then, and then, and then, and then, and then, and then, What is that?\nI don't know, sir.\nIt's a...\nIt's not as bad as I thought it would be, but it's not as bad as I thought it would be.\nHowever, according to the map, it is located in the eastern part of the town.\nHowever, the city has been abandoned since the early 20th century after the German occupation.\nOver the history of the municipality of Marrakech, the district was a frequent meeting point for delegates from each side of the country.\nThe district of Marrakech is a dynamic area, with several historic landmarks, including the right square of the municipality of Marrakech.\nHow?\nYeah. Now.\nI'm going to use the massage gun on this one, it's a bit loud.\nNo worries.\nIs the pain okay?\nYeah, that's fine.\nA bit intense, but it's all right.\nSing out if you want me to back off. Oh!\nNow.\nSix.\nI don't like it.\nLet's go. You're not going to tell me what to do, are you?\nRight, roll onto your back for me.\nAll right.\nYou're not going to get out of here, are you? Okay, sit yourself up slowly when you're ready.\nThat feels a lot looser.\nGood.\nThe lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting.\nThe shoulders mostly the upper trap.\nSo what should I be doing at home?\n2 things.\nHip flexor stretch, 90 seconds each side, twice a day.\nAnd when you're lifting, get the load closer to you before you stand.\nYeah, right-o.\nI'd book you back in 2 weeks.\nDoes a Thursday suit?\nThursday's fine.\nDo I get something for the health fund?\nI'll email the receipt through with the provider number on it.\nYou can claim it straight from that.\nPerfect.\nThanks very much.\nNo worries.\nTake it easy for the rest of today.\nHow?","marks":[[1887,1896,"alright",false],[2011,2017,"Righto.",false],[2130,2874,"",false],[2916,3000,"",false],[3052,4032,"",true],[4169,4179,"alright.",false],[4217,4305,"",true],[4342,4397,"",false],[4597,4606,"shoulder's",false],[4806,4814,"righto.",false],[5099,5102,"",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","States lower back pain and right shoulder pain as the presenting complaints."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back pain described as present on and off for years; shoulder pain approximately 6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","Records pain 6/10 today and 8/10 over the weekend."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Records full-time concreting for 15 years with bending and lifting demands."],["The output records that radicular symptoms and red flags were denied","yes","Records denial of radiating leg pain, pins and needles, numbness, night pain and bladder/bowel dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Records manual therapy to the lower back, glutes and right shoulder/upper trapezius."],["The output mentions a hip flexor stretch as home advice","yes","Hip flexor stretch 90 seconds each side twice daily."],["The output notes a review in two weeks","yes","Follow-up scheduled in 2 weeks."]],"claims":[],"note":"Subjective\nCliniTech Benchmark f99ba65e presents with two complaints: lower back pain and right shoulder pain.\n\nThe patient reports chronic lower back pain that has been present intermittently for years, with flare-ups occurring every few months. The current episode began approximately 10 days ago after pouring a large concrete slab while bent over for most of the day. The pain is located across the lower back, bilateral but worse on the right side. Today the pain is rated 6 out of 10, having been as high as 8 out of 10 over the weekend. Sitting is the worst aggravating factor, and driving to the worksite in the morning causes significant stiffness. A hot shower provides temporary relief for about an hour before the pain returns. The patient denies any radiation of pain down the leg, pins and needles, numbness, night pain waking from sleep, or bladder or bowel dysfunction. The patient had an x-ray a few years ago, which showed \"wear and tear\" and was told there was nothing to worry about.\n\nThe patient also reports right shoulder pain that has been present for approximately 6 weeks. The pain is worse with overhead reaching and sometimes wakes the patient at night when rolling onto that side.\n\nThe patient's goal is to get through a work week without the pain seizing up.\n\nMedical History  \n- Hypertension\n\nMedications and Supplements  \n- Blood pressure medication\n\nSocial History  \n- Occupation: Works as a concrete worker full-time for 15 years, involving heavy lifting and prolonged bent-over postures\n\nObjective\nPhysical Examination  \n- Musculoskeletal: Lower back tightness noted through the gluteal region more than the spine. Right shoulder/upper trapezius tightness noted\n\nAssessment & Plan\nPatient presents with chronic lower back pain and right shoulder pain.\n\nChronic lower back pain\nAssessment: Patient has chronic lower back pain that has been ongoing for years with intermittent flares every few months. Current flare began 10 days ago after a day of concrete work involving prolonged bending. Pain is located across the lower back bilaterally but worse on the right side. Currently rates pain as 6/10, down from 8/10 over the weekend. Pain is worse with sitting and driving, improved temporarily with hot showers. No radicular symptoms, nocturnal pain, or bowel/bladder dysfunction. Previous x-ray several years ago showed wear and tear changes. Physical examination revealed tightness through the glutes more than the spine itself, consistent with occupational lifting demands. Patient works as a concrete worker for 15 years with significant physical demands.\nPlan:\n- Manual therapy performed targeting lower back and glutes\n- Hip flexor stretch 90 seconds each side twice daily\n- Lifting modification: get load closer before standing\n- Follow-up appointment scheduled\n\nRight shoulder pain\nAssessment: Patient reports right shoulder pain present for approximately 6 weeks, worse with overhead reaching and occasionally waking patient at night when rolling onto the affected side. Physical examination revealed involvement of the upper trapezius muscle.\nPlan:\n- Manual therapy performed targeting shoulder and upper trapezius\n- Follow-up appointment scheduled for Thursday in 2 weeks\n","review":158.21052631578948,"saved":13.78947368421052,"clean":true,"effort":0.0,"sig":[],"mb":56.902435,"latency":44.969,"signable":190.98552631578949}],"cliniscripts":[{"label":"Run 1","wer":1.0204081632653061,"text":"Morning.\nCome on through. Take a seat wherever's comfortable.\nThanks.\nSo, what's brought you in today?\nIt's my lower back, mostly. And the right shoulder's been playing up as well.\nOkay. Let's start with the back. Whereabouts is it?\nRight across the bottom. Both sides, but the right's worse.\nAnd how long's that been going on?\nYears. On and off.\nIt flares up every few months and settles down again.\nIs this a flare at the moment?\nYeah. Started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday.\nI was bent over most of the day.\nThat'll do it. And you're concreting full-time?\nYeah, 15 years now.\nOn a scale of 1 to 10, where's it sitting today?\nProbably a 6. It was an 8 on the weekend.\nWhat makes it worse?\nSitting's the worst. Driving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower. Helps for about an hour, then it comes back.\nAnything shooting down the leg? Pins, a needles, numbness, anything like that?\nNo, nothing like that. It's just an ache.\nAny pain at night that wakes you? Or any trouble with the bladder or bowels?\nNo, none of that.\nGood. Have you had any imaging done, or seen anyone else about it?\nI had an X-ray a few years back. They said it was wear and tear, nothing to worry about.\nRight. And are you on any medications, or any other health conditions I should know about?\nJust blood pressure tablets. Nothing else.\nOkay.\nNow, the shoulder—how long's that been there?\nMaybe 6 weeks. It's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, just to get through a work week without it seizing up.\nThat's fair. Here's what I'd suggest: I'll work through the lower back and the glutes, because with the lifting that's usually where the load is, then come up to the right shoulder.\nDoes that sound alright?\nYeah, sounds good.\nIt can be a bit tender in spots.\nSing out if anything's too much, and I'll back off.\nWill do.\nRighto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\nHow's that pressure?\nYeah, that's good.\nOoh, that's the spot.\nToo much?\nNah, it's all right.\nI'm going to use the massage gun on this one. It's a bit loud.\nNo worries.\nIs the pain okay?\nYeah, that's fine. Bit intense, but it's all right.\nSing out if you want me to back off.\nRight, roll onto your back for me.\nOkay, sit yourself up slowly when you're ready.\nThat feels a lot looser.\nGood. The lower back was tight through the glutes more than the spine itself. Which is what I'd expect with the lifting.\nThe shoulders mostly the upper trap.\nSo what should I be doing at home?\nTwo things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\nYeah, righto.\nI'd book you back in 2 weeks.\nDoes a Thursday suit?\nThursday's fine. Do I get something for the health fund?\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\nPerfect. Thanks very much.\nNo worries. Take it easy for the rest of today.","marks":[[2208,2218,"alright.",false],[2353,2363,"alright.",false],[2634,2643,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","States lower back pain and right shoulder pain as the presenting complaints."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back pain described as present on and off for years; shoulder pain approximately 6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","Records pain 6/10 today and 8/10 over the weekend."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Records full-time concreting for 15 years with bending and lifting demands."],["The output records that radicular symptoms and red flags were denied","yes","Records denial of radiating leg pain, pins and needles, numbness, night pain and bladder/bowel dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Records manual therapy to the lower back, glutes and right shoulder/upper trapezius."],["The output mentions a hip flexor stretch as home advice","yes","Hip flexor stretch 90 seconds each side twice daily."],["The output notes a review in two weeks","yes","Follow-up scheduled in 2 weeks."]],"claims":[],"note":"S (Subjective):\n- The patient presents with a chief complaint of lower back pain and right shoulder pain.\n- Lower back pain is located across the bottom, bilateral but worse on the right, described as an ache. It has been present for years, on and off, flaring up every few months. The current flare started approximately 10 days ago, triggered by pouring concrete and being bent over.\n- Current back pain severity is reported as 6/10, having been 8/10 on the weekend. Aggravated by sitting and driving. Partially alleviated by a hot shower for about an hour. Denies radicular symptoms, night pain, or bladder/bowel dysfunction.\n- Right shoulder pain has been present for about 6 weeks, worse with overhead reaching, and occasionally wakes them at night when rolling onto it.\n- The patient's occupation is full-time concreting for 15 years. They report a history of an X-ray a few years prior, diagnosed as \"wear and tear.\" Current medications include blood pressure tablets. Their primary goal is to get through a work week without seizing up.\n\nO (Objective):\n- The patient was cooperative throughout the session and provided clear feedback regarding palpation intensity.\n- Palpation revealed significant tightness in the gluteal muscles, more so than the spinal region, which is consistent with the patient's lifting-intensive occupation.\n- Assessment of the right shoulder indicated tightness primarily in the upper trapezius muscle.\n- During treatment, the patient tolerated the use of a massage gun on a tender spot, reporting it was \"bit intense, but it's all right.\"\n- Post-treatment, the patient reported feeling \"a lot looser.\"\n\nA (Assessment):\n- Chronic mechanical lower back pain with acute exacerbation, likely related to occupational demands and gluteal muscle tightness.\n- Right shoulder myalgia, specifically involving the upper trapezius, exacerbated by overhead activities.\n- Musculoskeletal dysfunction consistent with reported occupational stressors and previous \"wear and tear\" diagnosis, with current presentation primarily indicating soft tissue involvement.\n\nP (Plan):\n- In-session intervention included manual therapy targeting the lower back, glutes, and right shoulder (upper trap), with the application of a massage gun to specific tender areas.\n- The patient was educated on two home care strategies: performing hip flexor stretches for 90 seconds per side, twice daily, and improving lifting mechanics by keeping the load closer to the body before standing.\n- A follow-up appointment was scheduled for two weeks, on a Thursday.\n- An email receipt with the provider number will be sent to the patient for health fund claiming purposes.\n- The patient was advised to take it easy for the remainder of the day.\n","review":133.26315789473682,"saved":38.73684210526318,"clean":true,"effort":0.0,"sig":[],"mb":131.956519,"latency":29.357,"signable":150.2791578947368},{"label":"Run 2","wer":1.0204081632653061,"text":"Morning.\nCome on through. Take a seat wherever's comfortable.\nThanks.\nSo, what's brought you in today?\nIt's my lower back, mostly. And the right shoulder's been playing up as well.\nOkay. Let's start with the back. Whereabouts is it?\nRight across the bottom. Both sides, but the right's worse.\nAnd how long's that been going on?\nYears. On and off.\nIt flares up every few months and settles down again.\nIs this a flare at the moment?\nYeah. Started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday.\nI was bent over most of the day.\nThat'll do it. And you're concreting full-time?\nYeah, 15 years now.\nOn a scale of 1 to 10, where's it sitting today?\nProbably a 6. It was an 8 on the weekend.\nWhat makes it worse?\nSitting's the worst. Driving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower. Helps for about an hour, then it comes back.\nAnything shooting down the leg? Pins, a needles, numbness, anything like that?\nNo, nothing like that. It's just an ache.\nAny pain at night that wakes you? Or any trouble with the bladder or bowels?\nNo, none of that.\nGood. Have you had any imaging done, or seen anyone else about it?\nI had an X-ray a few years back.\nThey said it was wear and tear, nothing to worry about.\nRight. And are you on any medications, or any other health conditions I should know about?\nJust blood pressure tablets, nothing else.\nOkay.\nNow, the shoulder. How long's that been there?\nMaybe 6 weeks. It's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, just to get through a work week without it seizing up.\nThat's fair. Here's what I'd suggest: I'll work through the lower back and the glutes, because with the lifting that's usually where the load is, then come up to the right shoulder.\nDoes that sound alright?\nYeah, sounds good.\nIt can be a bit tender in spots.\nSing out if anything's too much, and I'll back off.\nWill do.\nRighto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\nHow's that pressure?\nYeah, that's good.\nOoh, that's the spot.\nToo much?\nNah, it's all right.\nI'm going to use the massage gun on this one.\nIt's a bit loud.\nNo worries.\nIs the pain okay?\nYeah, that's fine. Bit intense, but it's all right.\nSing out if you want me to back off.\nRight, roll onto your back for me.\nOkay. Sit yourself up slowly when you're ready.\nThat feels a lot looser.\nGood. The lower back was tight through the glutes, more than the spine itself. Which is what I'd expect with the lifting. The shoulders mostly the upper trap.\nSo what should I be doing at home?\nTwo things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\nYeah, righto.\nI'd book you back in 2 weeks. Does a Thursday suit?\nThursday's fine. Do I get something for the health fund?\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\nPerfect. Thanks very much.\nNo worries.\nTake it easy for the rest of today.","marks":[[2209,2219,"alright.",false],[2354,2364,"alright.",false],[2636,2645,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","States lower back pain and right shoulder pain as the presenting complaints."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back pain described as present on and off for years; shoulder pain approximately 6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","Records pain 6/10 today and 8/10 over the weekend."],["The output notes the patient works in concreting with repeated bending and lifting","partial","\"full-time concrete worker for 15 years\" with lifting demands is noted, but the repeated bending component is not stated."],["The output records that radicular symptoms and red flags were denied","yes","Records denial of radiating leg pain, pins and needles, numbness, night pain and bladder/bowel dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Records manual therapy to the lower back, glutes and right shoulder/upper trapezius."],["The output mentions a hip flexor stretch as home advice","yes","Hip flexor stretch 90 seconds each side twice daily."],["The output notes a review in two weeks","yes","Follow-up scheduled in 2 weeks."]],"claims":[],"note":"S (Subjective):\n- Patient presents with lower back pain, primarily right-sided, and right shoulder pain.\n- Lower back pain described as an ache across the bottom, bilateral but worse on the right, present for years, flaring up every few months. Current flare started approximately 10 days ago after pouring a large concrete slab.\n- Severity of lower back pain is rated 6/10 today, previously 8/10 on the weekend. Aggravated by sitting, especially driving to work. Alleviated temporarily by a hot shower (approx. 1 hour relief).\n- Denies radiating pain, pins and needles, numbness, nocturnal pain, or issues with bladder/bowels.\n- Right shoulder pain present for approximately 6 weeks, worse with overhead reaching and sometimes wakes them when rolling onto it.\n- Patient's primary goal is to get through a work week without pain seizing up.\n\nO (Objective):\n- Patient is a full-time concrete worker for 15 years.\n- Physical examination revealed tightness through the glutes, more so than the spine itself, consistent with lifting activities.\n- Right shoulder examination indicated tightness primarily in the upper trapezius.\n- Patient reported tenderness during palpation and massage, specifically stating \"Ooh, that's the spot\" and tolerating intense pressure from a massage gun.\n\nA (Assessment):\n- Chronic lower back pain, likely exacerbated by occupational lifting demands, currently in an acute flare-up.\n- Right shoulder pain, potentially related to overuse or strain from overhead activities.\n- Previous X-ray of the back revealed \"wear and tear\" a few years prior.\n\nP (Plan):\n- Manual therapy session focused on the lower back and glutes, followed by the right shoulder, utilizing massage and potentially a massage gun.\n- Patient advised on home exercises: hip flexor stretch (90 seconds each side, twice daily).\n- Patient advised on ergonomic modifications: getting the load closer to the body when lifting.\n- Follow-up appointment scheduled for 2 weeks.\n- Receipt with provider number for health fund claim to be emailed to the patient.\n","review":113.27631578947368,"saved":58.723684210526315,"clean":false,"effort":6.25,"sig":[],"mb":132.02998,"latency":22.165,"signable":123.28931578947369},{"label":"Run 3","wer":1.1904761904761905,"text":"Morning.\nCome on through. Take a seat wherever's comfortable.\nThanks.\nSo, what's brought you in today?\nIt's my lower back, mostly. And the right shoulder's been playing up as well.\nOkay. Let's start with the back. Whereabouts is it?\nRight across the bottom. Both sides, but the right's worse.\nAnd how long's that been going on?\nYears. On and off.\nIt flares up every few months and settles down again.\nIs this a flare at the moment?\nYeah. Started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday.\nI was bent over most of the day.\nThat'll do it. And your concreting full-time?\nYeah, 15 years now.\nOn a scale of 1 to 10, where's it sitting today?\nProbably a 6. It was an 8 on the weekend.\nWhat makes it worse?\nSitting's the worst. Driving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower. Helps for about an hour, then it comes back.\nAnything shooting down the leg? Pins, a needles, numbness, anything like that?\nNo, nothing like that. It's just an ache.\nAny pain at night that wakes you? Or any trouble with the bladder or bowels?\nNo, none of that.\nGood. Have you had any imaging done, or seen anyone else about it?\nI had an X-ray a few years back. They said it was wear and tear, nothing to worry about.\nRight. And are you on any medications, or any other health conditions I should know about?\nJust blood pressure tablets, nothing else.\nOkay.\nNow, the shoulder—how long's that been there?\nMaybe 6 weeks. It's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, just to get through a work week without it seizing up.\nThat's fair.\nHere's what I'd suggest: I'll work through the lower back and the glutes, because with the lifting that's usually where the load is, then come up to the right shoulder. Does that sound alright?\nYeah, sounds good.\nIt can be a bit tender in spots.\nSing out if anything's too much, and I'll back off.\nWill do.\nRighto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\nHow's that pressure?\nYeah, that's good.\nOoh, that's the spot.\nToo much?\nNah, it's all right.\nI'm going to use the massage gun on this one. It's a bit loud.\nNo worries.\nIs the pain okay?\nYeah, that's fine. Bit intense, but it's all right.\nSing out if you want me to back off.\nRight, roll onto your back for me.\nOkay, sit yourself up slowly when you're ready.\nThat feels a lot looser.\nGood. The lower back was tight through the glutes more than the spine itself. Which is what I'd expect with the lifting. The shoulders mostly the upper trap.\nSo what should I be doing at home?\nTwo things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\nYeah, righto.\nI'd book you back in 2 weeks. Does a Thursday suit?\nThursday's fine. Do I get something for the health fund?\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\nPerfect. Thanks very much.\nNo worries. Take it easy for the rest of today.","marks":[[598,602,"you're",false],[2206,2216,"alright.",false],[2351,2361,"alright.",false],[2632,2641,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","States \"lower back pain, primarily right-sided across the bottom, and right shoulder pain\"."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"ongoing for years, flaring up every few months\" and shoulder \"present for approximately 6 weeks\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"currently a 6/10, previously an 8/10 on the weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"full-time concreter for 15 years\" and \"occupational activities involving heavy lifting and sustained bending\"."],["The output records that radicular symptoms and red flags were denied","yes","\"No reported neurological symptoms such as shooting pain, pins and needles, or numbness\" and no night pain or bladder/bowel issues."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Manual therapy was provided focusing on the lower back (glutes) and right shoulder (upper trap)\"."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch, 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","yes","\"Follow-up appointment scheduled in 2 weeks on a Thursday\"."]],"claims":[],"note":"S (Subjective):\n- Patient presents with lower back pain, primarily right-sided across the bottom, and right shoulder pain.\n- Lower back pain has been ongoing for years, flaring up every few months, with the current flare starting approximately 10 days ago.\n- Patient reports the back pain was initiated after pouring a large concrete slab, requiring them to be bent over most of the day.\n- Back pain severity is currently a 6/10, previously an 8/10 on the weekend. It is worsened by sitting, especially driving, and alleviated temporarily by hot showers.\n- Right shoulder pain has been present for approximately 6 weeks, worsened by reaching overhead and sometimes wakes them when rolling onto it.\n\nO (Objective):\n- Patient is a full-time concreter for 15 years.\n- Patient reports prior imaging (X-ray a few years ago) indicated \"wear and tear\" in their back.\n- Patient is cooperative during the interaction, providing clear history and feedback during treatment.\n- Physical assessment by the therapist identified tightness in the lower back through the glutes, more so than the spine itself, and tightness in the upper trapezius of the shoulder.\n- Patient tolerated massage gun use and manual therapy, noting tenderness in spots but affirming the pressure was acceptable.\n\nA (Assessment):\n- Musculoskeletal pain in the lower back, likely exacerbated by occupational activities involving heavy lifting and sustained bending.\n- Right shoulder pain, consistent with overuse or strain, potentially related to overhead reaching tasks.\n- No reported neurological symptoms such as shooting pain, pins and needles, or numbness in the legs.\n- No reported night pain waking them or issues with bladder/bowels.\n\nP (Plan):\n- Manual therapy was provided focusing on the lower back (glutes) and right shoulder (upper trap).\n- Patient advised on a home exercise program: Hip flexor stretch, 90 seconds each side, twice daily.\n- Patient educated on proper lifting mechanics: getting the load closer to the body before standing.\n- Follow-up appointment scheduled in 2 weeks on a Thursday.\n- Receipt with provider number to be emailed for health fund claim.\n","review":104.21052631578948,"saved":67.78947368421052,"clean":true,"effort":0.0,"sig":[],"mb":132.010722,"latency":24.201,"signable":114.17252631578948},{"label":"Run 4","wer":1.1904761904761905,"text":"Morning.\nCome on through. Take a seat wherever's comfortable.\nThanks.\nSo, what's brought you in today?\nIt's my lower back, mostly. And the right shoulder's been playing up as well.\nOkay. Let's start with the back. Whereabouts is it?\nRight across the bottom. Both sides, but the right's worse.\nAnd how long's that been going on?\nYears. On and off.\nIt flares up every few months and settles down again.\nIs this a flare at the moment?\nYeah. Started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday.\nI was bent over most of the day.\nThat'll do it. And your concreting full-time?\nYeah, 15 years now.\nOn a scale of 1 to 10, where's it sitting today?\nProbably a 6. It was an 8 on the weekend.\nWhat makes it worse?\nSitting's the worst. Driving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower. Helps for about an hour, then it comes back.\nAnything shooting down the leg? Pins, a needles, numbness, anything like that?\nNo, nothing like that. It's just an ache.\nAny pain at night that wakes you? Or any trouble with the bladder or bowels?\nNo, none of that.\nGood. Have you had any imaging done, or seen anyone else about it?\nI had an X-ray a few years back. They said it was wear and tear, nothing to worry about.\nRight. And are you on any medications, or any other health conditions I should know about?\nJust blood pressure tablets, nothing else.\nOkay.\nNow, the shoulder—how long's that been there?\nMaybe 6 weeks. It's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, just to get through a work week without it seizing up.\nThat's fair. Here's what I'd suggest: I'll work through the lower back and the glutes, because with the lifting that's usually where the load is, then come up to the right shoulder.\nDoes that sound alright?\nYeah, sounds good.\nIt can be a bit tender in spots.\nSing out if anything's too much, and I'll back off.\nWill do.\nRighto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\nHow's that pressure?\nYeah, that's good.\nOoh, that's the spot.\nToo much?\nNah, it's all right.\nI'm going to use the massage gun on this one.\nIt's a bit loud.\nNo worries.\nIs the pain okay?\nYeah, that's fine. Bit intense, but it's all right.\nSing out if you want me to back off.\nRight, roll onto your back for me.\nOkay, sit yourself up slowly when you're ready.\nThat feels a lot looser.\nGood. The lower back was tight through the glutes more than the spine itself. Which is what I'd expect with the lifting. The shoulders mostly the upper trap.\nSo what should I be doing at home?\nTwo things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\nYeah, righto.\nI'd book you back in 2 weeks. Does a Thursday suit?\nThursday's fine. Do I get something for the health fund?\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\nPerfect. Thanks very much.\nNo worries.\nTake it easy for the rest of today.","marks":[[598,602,"you're",false],[2206,2216,"alright.",false],[2351,2361,"alright.",false],[2632,2641,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","States lower back pain and right shoulder pain as the presenting complaints."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back pain described as present on and off for years; shoulder pain approximately 6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"currently rated 6/10 (previously 8/10)\" captures today and worst; weekend timing omitted but meaning preserved."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Records full-time concreting for 15 years with bending and lifting demands."],["The output records that radicular symptoms and red flags were denied","partial","Denies radiating pain, paresthesia, numbness and bladder/bowel dysfunction, but night pain waking was not recorded as denied."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Records manual therapy to the lower back, glutes and right shoulder/upper trapezius."],["The output mentions a hip flexor stretch as home advice","yes","Hip flexor stretch 90 seconds each side twice daily."],["The output notes a review in two weeks","yes","Follow-up scheduled in 2 weeks."]],"claims":[],"note":"S (Subjective):\n- The patient reports a chief complaint of lower back pain, predominantly on the right side, and right shoulder pain.\n- Lower back pain is chronic, occurring \"on and off\" for years with flares every few months; the current flare began approximately 10 days ago after pouring concrete.\n- The patient describes their back pain as an ache, currently rated 6/10 (previously 8/10), worsened by sitting and driving, and temporarily alleviated by a hot shower for about an hour. They deny radiating pain, paresthesia, numbness, or bladder/bowel dysfunction.\n- Right shoulder pain has been present for approximately 6 weeks, aggravated by overhead reaching and occasionally causing nocturnal awakenings when rolling onto it.\n- Relevant history includes a prior X-ray years ago indicating \"wear and tear.\" The patient is currently taking blood pressure tablets. Their primary goal is to manage symptoms to complete their work week without a flare-up.\n\nO (Objective):\n- The patient was positioned prone with their head in a cradle for treatment.\n- The therapist applied manual pressure and utilized a massage gun on areas of tenderness in the lower back and shoulder.\n- During treatment, the patient verbally indicated tender spots and tolerated the intensity of the intervention, describing it as \"bit intense, but it's all right.\"\n- Post-treatment, the patient reported feeling \"a lot looser.\"\n- The therapist observed significant tightness in the gluteal region of the lower back, rather than the spine itself, and in the upper trapezius of the right shoulder.\n\nA (Assessment):\n- Musculoskeletal strain affecting the lower back, particularly the gluteal musculature, consistent with the patient's occupational demands involving heavy lifting and prolonged bending.\n- Musculoskeletal strain of the right upper trapezius, likely exacerbated by repetitive overhead reaching activities.\n- These findings correlate with the patient's reported symptoms and their work as a concreter for 15 years.\n\nP (Plan):\n- In-session manual therapy included addressing tightness in the lower back, glutes, and right upper trapezius.\n- Home exercise prescription includes hip flexor stretches, 90 seconds per side, performed twice daily.\n- Ergonomic advice was provided to keep loads closer to the body when lifting.\n- A follow-up appointment is scheduled for 2 weeks.\n- A receipt with the provider number will be emailed to the patient for health fund claiming purposes.\n- The patient was advised to take it easy for the remainder of the day.\n","review":132.7763157894737,"saved":39.2236842105263,"clean":false,"effort":6.25,"sig":[],"mb":132.004718,"latency":34.442,"signable":152.7893157894737},{"label":"Run 5","wer":1.0204081632653061,"text":"Morning. Come on through. Take a seat wherever's comfortable.\nThanks.\nSo, what's brought you in today?\nIt's my lower back, mostly. And the right shoulder's been playing up as well.\nOkay. Let's start with the back.\nWhereabouts is it?\nRight across the bottom. Both sides, but the right's worse.\nAnd how long's that been going on?\nYears. On and off.\nIt flares up every few months and settles down again.\nIs this a flare at the moment?\nYeah. Started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday.\nI was bent over most of the day.\nThat'll do it. And you're concreting full-time?\nYeah, 15 years now.\nOn a scale of 1 to 10, where's it sitting today?\nProbably a 6. It was an 8 on the weekend.\nWhat makes it worse?\nSitting's the worst. Driving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower. Helps for about an hour, then it comes back.\nAnything shooting down the leg? Pins, a needles, numbness, anything like that?\nNo, nothing like that. It's just an ache.\nAny pain at night that wakes you?\nOr any trouble with the bladder or bowels?\nNo, none of that.\nGood. Have you had any imaging done, or seen anyone else about it?\nI had an X-ray a few years back. They said it was wear and tear, nothing to worry about.\nRight. And are you on any medications, or any other health conditions I should know about?\nJust blood pressure tablets, nothing else.\nOkay.\nNow, the shoulder—how long's that been there?\nMaybe 6 weeks. It's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, just to get through a work week without it seizing up.\nThat's fair. Here's what I'd suggest: I'll work through the lower back and the glutes, because with the lifting that's usually where the load is, then come up to the right shoulder.\nDoes that sound alright?\nYeah, sounds good.\nIt can be a bit tender in spots.\nSing out if anything's too much, and I'll back off.\nWill do.\nRighto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\nHow's that pressure?\nYeah, that's good.\nOoh, that's the spot.\nToo much?\nNah, it's all right.\nI'm going to use the massage gun on this one.\nIt's a bit loud.\nNo worries.\nIs the pain okay?\nYeah, that's fine. Bit intense, but it's all right.\nSing out if you want me to back off.\nRight, roll onto your back for me.\nOkay, sit yourself up slowly when you're ready.\nThat feels a lot looser.\nGood. The lower back was tight through the glutes more than the spine itself. Which is what I'd expect with the lifting. The shoulders mostly the upper trap.\nSo what should I be doing at home?\nTwo things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\nYeah, righto.\nI'd book you back in 2 weeks. Does a Thursday suit?\nThursday's fine. Do I get something for the health fund?\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\nPerfect. Thanks very much.\nNo worries.\nTake it easy for the rest of today.","marks":[[2208,2218,"alright.",false],[2353,2363,"alright.",false],[2634,2643,"shoulder's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","States lower back pain and right shoulder pain as the presenting complaints."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back pain described as present on and off for years; shoulder pain approximately 6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","Records pain 6/10 today and 8/10 over the weekend."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Records full-time concreting for 15 years with bending and lifting demands."],["The output records that radicular symptoms and red flags were denied","yes","Records denial of radiating leg pain, pins and needles, numbness, night pain and bladder/bowel dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Records manual therapy to the lower back, glutes and right shoulder/upper trapezius."],["The output mentions a hip flexor stretch as home advice","yes","Hip flexor stretch 90 seconds each side twice daily."],["The output notes a review in two weeks","yes","Follow-up scheduled in 2 weeks."]],"claims":[],"note":"S (Subjective):\n- The patient presents with a chief complaint of lower back pain and right shoulder pain.\n- Lower back pain is located across the bottom, bilateral but worse on the right, and has been intermittent for years, flaring every few months.\n- Current back flare began approximately 10 days ago, exacerbated by a day of concrete pouring involving prolonged bending; current severity is 6/10, previously 8/10 on the weekend.\n- Back pain is worsened by sitting and driving, and temporarily alleviated by hot showers (approx. 1 hour relief); denies radiating pain, paresthesia, numbness, nocturnal pain, or bladder/bowel dysfunction.\n- Right shoulder pain has been present for approximately 6 weeks, worse with overhead reaching, and occasionally wakes them if they roll onto it.\n- The patient works full-time as a concreter for 15 years, has a history of a back X-ray a few years prior showing \"wear and tear,\" takes blood pressure medication, and their primary goal is to manage symptoms to get through the work week without seizing up.\n\nO (Objective):\n- Palpation revealed significant tightness in the lower back through the glutes, more so than the spinal area.\n- The right shoulder presented with tightness predominantly in the upper trapezius muscle.\n- During treatment, the patient indicated a specific tender spot (\"Ooh, that's the spot\") and reported the intensity of a massage gun application as \"fine\" but \"a bit intense.\"\n- Post-treatment, the patient reported feeling \"a lot looser.\"\n\nA (Assessment):\n- The patient's lower back pain is assessed to be mechanical in nature, significantly influenced by occupational demands (heavy lifting, prolonged bending) leading to gluteal tightness.\n- Right shoulder pain appears to be musculoskeletal, primarily involving the upper trapezius, exacerbated by overhead activities.\n- Previous imaging indicating \"wear and tear\" in the lower back suggests a chronic degenerative component contributing to recurrent flare-ups.\n\nP (Plan):\n- Manual therapy was performed on the lower back, focusing on the glutes, followed by treatment of the right shoulder, specifically the upper trapezius, including the use of a massage gun.\n- Home exercise prescription includes hip flexor stretches, 90 seconds per side, twice daily.\n- Ergonomic advice provided to improve lifting mechanics by keeping the load closer to the body before standing.\n- Follow-up appointment scheduled for 2 weeks.\n- A receipt with the provider number will be emailed for health fund claims; patient advised to take it easy for the remainder of the day.\n","review":125.36842105263159,"saved":46.63157894736841,"clean":true,"effort":0.0,"sig":[],"mb":131.84231,"latency":27.908,"signable":141.3704210526316}],"lyrebird":[{"label":"Run 1","wer":5.272108843537415,"text":"Morning. Come on through. Take a seat wherever's comfortable. Thanks. So what's brought you in today? It's my lower back mostly, and the right shoulder's been playing up as well.\n\nOkay. Let's start with the back. Whereabouts is it? Right across the bottom. Both sides, but the right's worse. And how long has that been going on? Years. On and off. It flares up every few months and settles down again. Is this a flare at the moment?\n\nYeah. Started about 10 days ago. Anything set it off that you can think of? We poured a big slab on the Thursday. I was bent over most of the day. That'll do it. And you're concreting full time?\n\nYeah. 15 years now. On a scale of 1 to 10, where is it sitting today? Probably a 6. It was an 8 on the weekend. What makes it worse? Sitting's the worst. Driving to site in the morning, I'm stiff as anything.\n\nAnd what helps? A hot shower. Helps for about an hour, then it comes back. Anything shooting down the leg? Pins and needles? Numbness? Anything like that? No. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you, or any trouble with the bladder or bowels? No. None of that. Good. Have you had any imaging done or seen anyone else about it? I had an X-ray a few years back. They said it was wear and tear. Nothing to worry about.\n\nRight. And are you on any medications or any other health conditions I should know about? Just blood pressure tablets. Nothing else. Okay. Now the shoulder. How long's that been there?\n\nMaybe 6 weeks. It's worse when I'm reaching overhead. Does it wake you if you roll onto it? Sometimes, yeah. And what would you like to get out of today? Honestly, just to get through a work week without it seizing up.\n\nThat's fair. Here's what I'd suggest. I'll work through the lower back and the glutes because with the lifting, that's usually where the load is, then come up to the right shoulder. Does that sound alright? Yeah. Sounds good. It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\nWill do. Right, Arms. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\n\nYeah.\n\nHow's that pressure? Yeah. That's good.\n\nOkay.\n\nOkay.\n\nOkay.\n\nOh, that's the spot. Too much? Nah. It's alright.\n\nOkay.\n\nOkay.\n\nOkay.\n\nOh\n\nOkay.\n\nOkay.\n\nI'm going to use the massage gun on this 1. It's a bit loud. No worries.\n\nIs the pain okay? Yeah. That's fine. Bit intense, but it's alright.\n\nSing out if you want me to back off.\n\nOkay.\n\nOkay.\n\nOkay.\n\nOkay.\n\nRight. Roll onto your back for me.\n\nHello?\n\nHello?\n\nOkay.\n\nOkay.\n\nOkay. Set yourself up slowly when you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly the upper trap.\n\nSo what should I be doing at home? 2 things: hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand. Yeah. Righto. I'd book you back in 2\n\nWeeks. Does a Thursday suit? Thursday's fine. Do I get something for the health fund? I'll email the receipt through with the provider number on it. You can claim it straight from that. Perfect. Thanks very much. No worries.\n\nTake it easy for the rest of today.\n\nOkay.\n\nOkay.\n\nOkay.\n\nXulane","marks":[[300,308,"long's",false],[673,681,"where's",false],[2016,2028,"Righto.",false],[2189,2212,"Ooh",false],[2545,2558,"",false],[2568,2584,"sit",false],[2773,2782,"shoulder's",false],[3279,3306,"",true]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Lower back pain and 'Right shoulder pain for 6 weeks' recorded."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","'Chronic intermittent lower back pain, years duration'; shoulder 'for 6 weeks'."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","'Pain 6/10 today (was 8/10 over the weekend)'."],["The output notes the patient works in concreting with repeated bending and lifting","yes","'Occupation: concreter for 15 years'; slab pour 'with prolonged forward flexion'."],["The output records that radicular symptoms and red flags were denied","yes","Denies radiculopathy, paraesthesia, numbness, night pain, bladder/bowel dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","'Manual therapy performed to lower back, gluteal muscles, and right shoulder'."],["The output mentions a hip flexor stretch as home advice","yes","'hip flexor stretches, 90 seconds each side, twice daily'."],["The output notes a review in two weeks","yes","'Follow-up appointment in 2 weeks'."]],"claims":[["Right shoulder pain, likely rotator cuff or subacromial pathology","Transcript attributes the shoulder to the upper trap ('The shoulder's mostly the upper trap'); rotator cuff/subacromial pathology never mentioned."],["Tightness through bilateral gluteal muscles, right greater than left","Clinician said tight 'through the glutes more than the spine'; no side asymmetry of gluteal tightness was stated (R>L referred to back pain only)."],["Flare commenced 11/09/2026, onset after pouring slab on 17/09/2026","Invented specific dates that are internally contradictory (trigger dated after flare onset); transcript gives only 'about ten days ago' and 'the Thursday'."]],"note":"SOAP NOTES\n\n\n\n\nSubjective:\n\nChronic intermittent lower back pain, years duration, flares every few months\n\nCurrent flare commenced 10 days ago (11/09/2026), onset after pouring concrete slab on 17/09/2026 (Thursday) with prolonged forward flexion\n\nPain bilateral lower back, right worse than left\n\nPain 6/10 today (was 8/10 over the weekend)\n\nExacerbated by sitting and driving to work site in the morning\n\nRelieved temporarily by hot shower (approximately 1 hour relief)\n\nNo radiculopathy, paraesthesia, or numbness\n\nNo night pain\n\nNo bladder or bowel dysfunction\n\nPrevious X-ray several years ago showed degenerative changes\n\nRight shoulder pain for 6 weeks\n\nShoulder pain worse with overhead reaching\n\nOccasional night pain when rolling onto right side\n\nOccupation: concreter for 15 years\n\nPatient's goal: to complete work week without pain flare\n\n\n\n\nObjective:\n\nMusculoskeletal examination: tightness through bilateral gluteal muscles, right greater than left\n\nLumbar spine unremarkable on examination\n\nRight shoulder: tightness in upper trapezius\n\nManual therapy and massage gun applied to lower back and gluteal region\n\nManual therapy applied to right shoulder\n\n\n\n\nAssessment:\n\nChronic mechanical lower back pain with acute exacerbation secondary to occupational strain\n\nRight shoulder pain, likely rotator cuff or subacromial pathology\n\n\n\n\nPlan:\n\nManual therapy performed to lower back, gluteal muscles, and right shoulder\n\nHome exercise programme: hip flexor stretches, 90 seconds each side, twice daily\n\nErgonomic advice: bring load closer to body before lifting\n\nFollow-up appointment in 2 weeks (05/10/2026, Thursday)\n\nReceipt with provider number to be emailed for health fund claim","review":114.63157894736842,"saved":57.368421052631575,"clean":false,"effort":56.25,"sig":[["fabrication","Right shoulder pain, likely rotator cuff or subacromial pathology","The rotator cuff/subacromial diagnosis is invented and contradicts the clinician's upper-trap attribution."],["fabrication","Tightness through bilateral gluteal muscles, right greater than left","The note invents a side asymmetry (R>L) for the gluteal exam finding; R>L applied only to reported back pain."],["fabrication","Flare commenced 11/09/2026, onset after pouring slab on 17/09/2026","The onset and trigger dates are invented and contradict each other, which corrupts the record of an occupational injury."]],"mb":59.549763,"latency":25.534,"signable":140.16557894736843},{"label":"Run 2","wer":4.931972789115646,"text":"Morning. Come on through. Take a seat wherever's comfortable. Thanks. So what's brought you in today? It's my lower back mostly, and the right shoulder's been playing up as well.\n\nOkay. Let's start with the back. Whereabouts is it? Right across the bottom. Both sides, but the right's worse. And how long has that been going on? Years. On and off. It flares up every few months and settles down again. Is this a flare at the moment?\n\nYeah. Started about 10 days ago. Anything set it off that you can think of? We poured a big slab on the Thursday. I was bent over most of the day. That'll do it. And you're concreting full time?\n\nYeah. 15 years now. On a scale of 1 to 10, where is it sitting today? Probably a 6. It was an 8 on the weekend. What makes it worse? Sitting's the worst. Driving to site in the morning, I'm stiff as anything.\n\nAnd what helps? A hot shower. Helps for about an hour, then it comes back. Anything shooting down the leg? Pins and needles? Numbness? Anything like that? No. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you, or any trouble with the bladder or bowels? No. None of that. Good. Have you had any imaging done or seen anyone else about it? I had an X-ray a few years back. They said it was wear and tear. Nothing to worry about.\n\nRight. And are you on any medications or any other health conditions I should know about? Just blood pressure tablets. Nothing else. Okay. Now the shoulder. How long has that been there?\n\nMaybe 6 weeks. It's worse when I'm reaching overhead. Does it wake you if you roll onto it? Sometimes, yeah. And what would you like to get out of today? Honestly, just to get through a work week without it seizing up.\n\nThat's fair. Here's what I'd suggest. I'll work through the lower back and the glutes because with the lifting, that's usually where the load is, then come up to the right shoulder. Does that sound alright? Yeah, sounds good. It can be a bit tender in spots. Sing out if anything's too much and I'll back off.\n\nWill do. Righto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\n\nYeah.\n\nOkay.\n\nHow's that pressure? Yeah. That's good.\n\nOkay.\n\nOkay.\n\nOkay.\n\nOh, that's the spot. Too much? Nah. It's alright.\n\nOkay.\n\nOkay.\n\nOh\n\nOh\n\nOkay.\n\nOkay.\n\nI'm going to use the massage gun on this 1. It's a bit loud. No worries.\n\nIs the pain okay? Yeah. That's fine. Bit intense, but it's alright.\n\nSing out if you want me to back off.\n\nOkay.\n\nOkay.\n\nOkay.\n\nRight. Roll onto your back for me.\n\nHello?\n\nOkay.\n\nOkay. Set yourself up slowly when you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly the upper trap.\n\nSo what should I be doing at home? 2 things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand. Yeah. Righto. I'd book you back in 2\n\nDoes a Thursday suit? Thursday's fine. Do I get something for the health fund? I'll email the receipt through with the provider number on it. You can claim it straight from that. Perfect. Thanks very much. No worries.\n\nTake it easy for the rest of today.\n\nOkay.\n\nOkay.\n\nZoloft","marks":[[300,308,"long's",false],[673,681,"where's",false],[1450,1458,"long's",false],[2192,2215,"Ooh",false],[2538,2543,"",false],[2553,2562,"sit",false],[2751,2760,"shoulder's",false],[2992,2992,"weeks.",true],[3250,3270,"",true]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Chronic lower back pain and right shoulder pain both recorded."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"Chronic intermittent lower back pain\" and \"Right shoulder pain for 6 weeks\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain severity 6/10 today, was 8/10 over the weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"Occupation: concreter for 15 years\" with prolonged bending and occupational lifting."],["The output records that radicular symptoms and red flags were denied","yes","\"No radicular symptoms, paraesthesia, or numbness\"; no night pain or bladder/bowel dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Manual therapy performed to lower back, gluteal muscles, and right shoulder\"."],["The output mentions a hip flexor stretch as home advice","yes","\"hip flexor stretches 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","partial","Follow-up dated \"Thursday 01/10/2026\", which is 9 days after a flare dated 10 days before 12/09 implies session 22/09, not two weeks; 'two weeks' not stated."]],"claims":[["Triggered by concrete slab work on 17/09/2026","Transcript says the slab was poured 'on the Thursday' that set off a flare starting ~10 days ago; the note's own flare start of 12/09 precedes this invented trigger date, so the date is unsupported."],["Follow-up appointment scheduled for Thursday 01/10/2026","Clinician said 'back in two weeks' on a Thursday; 01/10 is 9 days after the implied session date, so the specific date is unsupported."]],"note":"SOAP NOTES\n\n\n\n\nSubjective:\n\nChronic intermittent lower back pain, flares every few months\n\nCurrent flare commenced approximately 12/09/2026 (10 days ago)\n\nTriggered by concrete slab work on 17/09/2026 involving prolonged bending\n\nBilateral lumbar pain, right side worse than left\n\nPain severity 6/10 today, was 8/10 over the weekend\n\nExacerbated by sitting and driving to work site in the morning\n\nTemporary relief with hot shower lasting approximately 1 hour\n\nNo radicular symptoms, paraesthesia, or numbness\n\nNo night pain, no bladder or bowel dysfunction\n\nPrevious X-ray several years ago demonstrated degenerative changes\n\nOccupation: concreter for 15 years\n\nRight shoulder pain for 6 weeks duration\n\nWorse with overhead reaching\n\nOccasional night pain when rolling onto right side\n\nCurrent medications: antihypertensive agent (specific medication not stated)\n\nPatient goal: to complete work week without pain flare\n\n\n\n\nObjective:\n\nLower back: tightness predominantly through gluteal muscles, spine itself less affected\n\nRight shoulder: tight upper trapezius muscle\n\nManual therapy performed to lower back, gluteal muscles, and right shoulder\n\nMassage gun utilised during treatment\n\n\n\n\nAssessment:\n\nMechanical lower back pain secondary to occupational lifting and prolonged bending\n\nRight shoulder pain, likely upper trapezius strain\n\n\n\n\nPlan:\n\nManual therapy completed today\n\nHome exercise programme: hip flexor stretches 90 seconds each side, twice daily\n\nErgonomic advice: bring load closer to body before standing when lifting\n\nFollow-up appointment scheduled for Thursday 01/10/2026\n\nReceipt with provider number to be emailed for health fund claim","review":110.1578947368421,"saved":61.842105263157904,"clean":false,"effort":37.5,"sig":[["partial","The output notes a review in two weeks","Follow-up recorded as 9 days out on a specific date instead of the two weeks stated."]],"mb":60.02862,"latency":22.769,"signable":132.9268947368421},{"label":"Run 3","wer":4.931972789115646,"text":"Morning. Come on through. Take a seat wherever's comfortable. Thanks. So what's brought you in today? It's my lower back mostly, and the right shoulder's been playing up as well.\n\nOkay. Let's start with the back. Whereabouts is it? Right across the bottom. Both sides, but the right's worse. And how long has that been going on? Years. On and off. It flares up every few months and settles down again. Is this a flare at the moment?\n\nYeah. Started about 10 days ago. Anything set it off that you can think of? We poured a big slab on the Thursday. I was bent over most of the day. That'll do it. And you're concreting full time?\n\nYeah. 15 years now. On a scale of 1 to 10, where is it sitting today? Probably a 6. It was an 8 on the weekend. What makes it worse? Sitting's the worst. Driving to site in the morning, I'm stiff as anything.\n\nAnd what helps? A hot shower. Helps for about an hour, then it comes back. Anything shooting down the leg? Pins and needles? Numbness? Anything like that? No. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you, or any trouble with the bladder or bowels? No. None of that. Good. Have you had any imaging done or seen anyone else about it? I had an X-ray a few years back. They said it was wear and tear. Nothing to worry about.\n\nRight. And are you on any medications or any other health conditions I should know about? Just blood pressure tablets. Nothing else. Okay. Now the shoulder. How long has that been there?\n\nMaybe 6 weeks. It's worse when I'm reaching overhead. Does it wake you if you roll onto it? Sometimes, yeah. And what would you like to get out of today? Honestly, just to get through a work week without it seizing up.\n\nThat's fair. Here's what I'd suggest. I'll work through the lower back and the glutes because with the lifting, that's usually where the load is, then come up to the right shoulder. Does that sound alright? Yeah, sounds good. It can be a bit tender in spots. Sing out if anything's too much and I'll back off.\n\nWill do. Righto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\n\nYeah.\n\nOkay.\n\nHow's that pressure? Yeah. That's good.\n\nOkay.\n\nOkay.\n\nYeah.\n\nOh, that's the spot. Too much? Nah. It's alright.\n\nOkay.\n\nOh\n\nOh\n\nOkay.\n\nOkay.\n\nI'm going to use the massage gun on this 1. It's a bit loud. No worries.\n\nIs the pain okay? Yeah. That's fine. Bit intense, but it's alright.\n\nSing out if you want me to back off.\n\nOkay.\n\nOkay.\n\nRight. Roll onto your back for me.\n\nHello?\n\nOkay.\n\nOkay.\n\nOkay. Set yourself up slowly when you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly the upper trap.\n\nSo what should I be doing at home? 2 things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand. Yeah. Righto. I'd book you back in 2\n\nDoes it Thursday suit? Thursday's fine. Do I get something for the health fund? I'll email the receipt through with the provider number on it. You can claim it straight from that. Perfect. Thanks very much. No worries.\n\nTake it easy for the rest of today.\n\nOkay.\n\nOkay.\n\nZoloft","marks":[[300,308,"long's",false],[673,681,"where's",false],[1450,1458,"long's",false],[2192,2215,"Ooh",false],[2524,2529,"",false],[2539,2555,"sit",false],[2744,2753,"shoulder's",false],[2985,2985,"weeks.",true],[3244,3264,"",true]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Lower back pain and right shoulder pain documented."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Years-duration back pain; shoulder ~6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain currently 6/10, was 8/10 over the weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","Concreter 15 years; flare after concrete slab work with prolonged bending."],["The output records that radicular symptoms and red flags were denied","yes","No radicular symptoms, paraesthesia, numbness, night pain, bladder/bowel dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Manual therapy performed to lower back, gluteal muscles, and right shoulder\"."],["The output mentions a hip flexor stretch as home advice","yes","\"hip flexor stretches, 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","no","Follow-up is dated \"Thursday 24/09/2026\", two days after the session, not two weeks."]],"claims":[["Follow-up appointment scheduled for Thursday 24/09/2026","Clinician said \"I'd book you back in two weeks\" on a Thursday; 24/09/2026 is two days after the session, not two weeks."],["Right shoulder pain, likely rotator cuff or subacromial pathology","No rotator cuff or subacromial diagnosis was raised; the clinician said \"The shoulder's mostly the upper trap.\""]],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\nChronic intermittent lower back pain, years duration, flares every few months\n\nCurrent flare commenced approximately 10 days ago (12/09/2026)\n\nTriggered by concrete slab work on 11/09/2026 involving prolonged bending\n\nBilateral lower back pain, right side worse than left\n\nPain currently 6/10, was 8/10 over the weekend\n\nExacerbated by sitting and driving to work site in the morning\n\nRelieved temporarily by hot shower (approximately 1 hour duration)\n\nNo radicular symptoms, paraesthesia, or numbness\n\nNo night pain, no bladder or bowel dysfunction\n\nPrevious X-ray several years ago demonstrated degenerative changes\n\nOccupation: concreter for 15 years\n\nRight shoulder pain for approximately 6 weeks\n\nShoulder pain worse with overhead reaching\n\nOccasional night pain when rolling onto right side\n\nPatient goal: to complete work week without pain flare\n\n\n\n\nObjective:\n\nMusculoskeletal examination: tightness through bilateral gluteal muscles, spine unremarkable\n\nRight shoulder: tightness in upper trapezius muscle\n\nManual therapy performed to lower back, gluteal muscles, and right shoulder\n\nMassage gun therapy applied\n\n\n\n\nAssessment:\n\nChronic mechanical lower back pain with acute exacerbation\n\nRight shoulder pain, likely rotator cuff or subacromial pathology\n\n\n\n\nPlan:\n\nManual therapy and massage gun therapy completed during consultation\n\nHome management: hip flexor stretches, 90 seconds each side, twice daily\n\nErgonomic advice: bring load closer to body before lifting\n\nFollow-up appointment scheduled for Thursday 24/09/2026\n\nReceipt with provider number to be emailed for health fund claim","review":114.57894736842105,"saved":57.421052631578945,"clean":false,"effort":43.75,"sig":[["missing","The output notes a review in two weeks","Review recorded as two days away instead of two weeks; follow-up timing wrong."],["fabrication","Right shoulder pain, likely rotator cuff or subacromial pathology","Rotator cuff/subacromial pathology invented; clinician attributed shoulder to upper trap."]],"mb":59.637222,"latency":21.109,"signable":135.68794736842105},{"label":"Run 4","wer":4.931972789115646,"text":"Morning. Come on through. Take a seat wherever's comfortable. Thanks. So what's brought you in today? It's my lower back mostly, and the right shoulder's been playing up as well.\n\nOkay. Let's start with the back. Whereabouts is it? Right across the bottom. Both sides, but the right's worse. And how long has that been going on? Years. On and off. It flares up every few months and settles down again. Is this a flare at the moment?\n\nYeah. Started about 10 days ago. Anything set it off that you can think of? We poured a big slab on the Thursday. I was bent over most of the day. That'll do it. And you're concreting full time?\n\nYeah. 15 years now. On a scale of 1 to 10, where is it sitting today? Probably a 6. It was an 8 on the weekend. What makes it worse? Sitting's the worst. Driving to site in the morning, I'm stiff as anything.\n\nAnd what helps? A hot shower. Helps for about an hour, then it comes back. Anything shooting down the leg? Pins and needles? Numbness? Anything like that? No. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you, or any trouble with the bladder or bowels? No. None of that. Good. Have you had any imaging done or seen anyone else about it? I had an X-ray a few years back. They said it was wear and tear. Nothing to worry about.\n\nRight. And are you on any medications or any other health conditions I should know about? Just blood pressure tablets. Nothing else. Okay. Now the shoulder. How long has that been there?\n\nMaybe 6 weeks. It's worse when I'm reaching overhead. Does it wake you if you roll onto it? Sometimes, yeah. And what would you like to get out of today? Honestly, just to get through a work week without it seizing up.\n\nThat's fair. Here's what I'd suggest. I'll work through the lower back and the glutes because with the lifting, that's usually where the load is, then come up to the right shoulder. Does that sound alright? Yeah, sounds good. It can be a bit tender in spots. Sing out if anything's too much and I'll back off.\n\nWill do. Righto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\n\nYeah.\n\nOkay.\n\nHow's that pressure? Yeah. That's good.\n\nOkay.\n\nOkay.\n\nOkay.\n\nOh, that's the spot. Too much? Nah. It's alright.\n\nOkay.\n\nOkay.\n\nOh\n\nOh\n\nOkay.\n\nOkay.\n\nI'm going to use the massage gun on this 1. It's a bit loud. No worries.\n\nIs the pain okay? Yeah. That's fine. Bit intense, but it's alright.\n\nSing out if you want me to back off.\n\nOkay.\n\nOkay.\n\nOkay.\n\nRight. Roll onto your back for me.\n\nHello?\n\nOkay.\n\nOkay. Set yourself up slowly when you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly the upper trap.\n\nSo what should I be doing at home? 2 things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand. Yeah. Righto. I'd book you back in 2\n\nDoes it Thursday suit? Thursday's fine. Do I get something for the health fund? I'll email the receipt through with the provider number on it. You can claim it straight from that. Perfect. Thanks very much. No worries.\n\nTake it easy for the rest of today.\n\nOkay.\n\nLucent","marks":[[300,308,"long's",false],[673,681,"where's",false],[1450,1458,"long's",false],[2192,2215,"Ooh",false],[2538,2543,"",false],[2553,2562,"sit",false],[2751,2760,"shoulder's",false],[2992,2992,"weeks.",true],[3251,3264,"",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","\"Chief complaints: lower back pain and right shoulder pain\"."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"chronic intermittent, present for years\" and \"Right shoulder pain: 6 weeks duration\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain severity: 6/10 today, was 8/10 on weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"Occupation: concreting for 15 years\"; \"occupational lifting and repetitive bending\"."],["The output records that radicular symptoms and red flags were denied","yes","\"No radicular symptoms, paraesthesia, or numbness\"; \"No night pain, no bladder or bowel dysfunction\"."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Manual therapy performed to lower back, gluteal region, and right shoulder\"."],["The output mentions a hip flexor stretch as home advice","yes","\"hip flexor stretches, 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","partial","Follow-up recorded as \"scheduled for 01/10/2026\", about 9 days after the session rather than two weeks."]],"claims":[["Follow-up appointment scheduled for 01/10/2026","Clinician said to book back in two weeks on a Thursday; 01/10/2026 is only 9 days after the 22/09 session."],["Lumbar spine: unremarkable on examination","Transcript only says tightness was in the glutes \"more than the spine itself\"; no spinal exam finding of unremarkable was stated."]],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\nChief complaints: lower back pain and right shoulder pain\n\nLower back pain: chronic intermittent, present for years with flares every few months\n\nCurrent flare commenced approximately 10 days ago (around 12/09/2026)\n\nTriggered by prolonged bending during concrete slab work on 17/09/2026\n\nPain location: bilateral lower back, right side worse than left\n\nPain severity: 6/10 today, was 8/10 on weekend (approximately 19-20/09/2026)\n\nAggravating factors: sitting, driving to work site in morning causes significant stiffness\n\nRelieving factors: hot shower provides approximately 1 hour relief\n\nNo radicular symptoms, paraesthesia, or numbness\n\nNo night pain, no bladder or bowel dysfunction\n\nPrevious imaging: X-ray performed several years ago showed degenerative changes\n\nRight shoulder pain: 6 weeks duration\n\nWorse with overhead reaching\n\nOccasional night pain when rolling onto affected shoulder\n\nPatient goal: to complete work week without pain flare\n\nOccupation: concreting for 15 years\n\nPast medical history: hypertension\n\nCurrent medications: antihypertensive agent (unspecified)\n\n\n\n\nObjective:\n\nMusculoskeletal examination performed\n\nLower back: tightness noted through gluteal muscles bilaterally\n\nLumbar spine: unremarkable on examination\n\nRight shoulder: upper trapezius tightness identified\n\nManual therapy performed to lower back, gluteal region, and right shoulder\n\nMassage gun therapy applied\n\nPatient tolerated treatment well\n\n\n\n\nAssessment:\n\nMechanical lower back pain secondary to occupational lifting and repetitive bending\n\nGluteal muscle tightness\n\nRight shoulder pain, likely upper trapezius strain\n\n\n\n\nPlan:\n\nManual therapy completed during consultation\n\nHome exercise programme prescribed: hip flexor stretches, 90 seconds each side, twice daily\n\nErgonomic advice provided: modify lifting technique by bringing load closer to body before standing\n\nFollow-up appointment scheduled for 01/10/2026\n\nReceipt with provider number to be emailed for private health insurance claim\n\nAdvised to take it easy for remainder of day","review":125.3157894736842,"saved":46.684210526315795,"clean":false,"effort":37.5,"sig":[["partial","The output notes a review in two weeks","Follow-up recorded as 01/10/2026 (~9 days) instead of two weeks."],["fabrication","Lumbar spine: unremarkable on examination","'Lumbar spine unremarkable on examination' is an invented exam finding."]],"mb":59.543043,"latency":22.976,"signable":148.29178947368422},{"label":"Run 5","wer":5.442176870748299,"text":"Morning. Come on through. Take a seat wherever's comfortable. Thanks. So what's brought you in today? It's my lower back mostly, and the right shoulder's been playing up as well.\n\nOkay. Let's start with the back. Whereabouts is it? Right across the bottom. Both sides, but the right's worse. And how long has that been going on? Years. On and off. It flares up every few months and settles down again. Is this a flare at the moment?\n\nYeah. Started about 10 days ago. Anything set it off that you can think of? We poured a big slab on the Thursday. I was bent over most of the day. That'll do it. And you're concreting full time?\n\nYeah. 15 years now. On a scale of 1 to 10, where is it sitting today? Probably a 6. It was an 8 on the weekend. What makes it worse? Sitting's the worst. Driving to site in the morning, I'm stiff as anything.\n\nAnd what helps? A hot shower. Helps for about an hour, then it comes back. Anything shooting down the leg? Pins and needles? Numbness? Anything like that? No. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you or any trouble with the bladder or bowels? No. None of that. Good. Have you had any imaging done or seen anyone else about it? I had an X-ray a few years back. They said it was wear and tear. Nothing to worry about.\n\nRight. And are you on any medications or any other health conditions I should know about? Just blood pressure tablets. Nothing else. Okay. Now the shoulder. How long has that been there?\n\nMaybe 6 weeks. It's worse when I'm reaching overhead. Does it wake you if you roll onto it? Sometimes, yeah. And what would you like to get out of today? Honestly, just to get through a work week without it seizing up.\n\nThat's fair. Here's what I'd suggest. I'll work through the lower back and the glutes because with the lifting, that's usually where the load is, then come up to the right shoulder. Does that sound alright? Yeah. Sounds good. It can be a bit tender in spots. Sing out if anything's too much, and I'll back off.\n\nWill do. Righto. I'll step out while you get comfortable. Face down for me, head in the cradle, and pull the towel up over you.\n\nHow's that pressure? Yeah. That's good.\n\nOkay.\n\nLidex\n\nOkay.\n\nOkay.\n\nYeah.\n\nOh, that's the spot. Too much? No. It's alright.\n\nOkay.\n\nOkay.\n\nOkay.\n\nYes, stop.\n\nI'm going to use the massage gun on this 1. It's a bit loud. No worries.\n\nIs the pain okay? Yeah. That's fine. Bit intense, but it's alright.\n\nSing out if you want me to back off.\n\nOh\n\nOkay.\n\nOkay.\n\nRight. Roll onto your back for me.\n\nHello?\n\nOkay.\n\nOkay.\n\nOkay.\n\nOkay. Set yourself up slowly when you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly the upper trap.\n\nSo what should I be doing at home? 2 things: hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand. Yeah. Righto. I'd book you back in 2\n\nDoes it Thursday suit? Thursday's fine. Do I get something for the health fund? I'll email the receipt through with the provider number on it. You can claim it straight from that. Perfect. Thanks very much. No worries.\n\nTake it easy for the rest of today.\n\nOkay.\n\nOkay.\n\nLucent","marks":[[300,308,"long's",false],[673,681,"where's",false],[1449,1457,"long's",false],[2178,2215,"Ooh",true],[2244,2247,"Nah",false],[2263,2294,"",false],[2531,2536,"",false],[2546,2569,"sit",false],[2758,2767,"shoulder's",false],[2999,2999,"weeks.",true],[3258,3278,"",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Lower back pain and right shoulder pain both documented."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"chronic intermittent, years duration\"; \"Right shoulder pain, 6 weeks duration.\""],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"6/10 today, was 8/10 over the weekend.\""],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"Occupation: concreting for 15 years\", flare after pouring slab, lifting advice."],["The output records that radicular symptoms and red flags were denied","yes","No radicular symptoms, paraesthesia, numbness, night pain or bladder/bowel dysfunction."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Manual therapy performed to lower back, gluteal muscles and right shoulder.\""],["The output mentions a hip flexor stretch as home advice","yes","\"hip flexor stretches 90 seconds each side, twice daily.\""],["The output notes a review in two weeks","no","States follow-up \"Thursday 24/09/2026\", two days after the session, not the two-week review."]],"claims":[["Follow-up appointment scheduled for Thursday 24/09/2026","Clinician said \"book you back in two weeks\" on a Thursday; 24/09 is two days after the session date, not two weeks."],["Right shoulder pain, likely rotator cuff/upper trapezius strain","Clinician only said \"the shoulder's mostly the upper trap\"; rotator cuff is never mentioned."]],"note":"Subjective:\n\nLower back pain, chronic intermittent, years duration\n\nCurrent flare commenced 10 days ago (12/09/2026) following pouring concrete slab\n\nPain bilateral lumbar region, right worse than left\n\nPain severity 6/10 today, was 8/10 over the weekend\n\nExacerbated by sitting and driving to work site\n\nRelieved temporarily by hot shower (approximately 1 hour duration)\n\nNo radicular symptoms, paraesthesia or numbness\n\nNo night pain, no bladder or bowel dysfunction\n\nPrevious X-ray several years ago demonstrated degenerative changes\n\nOccupation: concreting for 15 years\n\nRight shoulder pain, 6 weeks duration\n\nWorse with overhead reaching\n\nOccasional night pain when rolling onto affected side\n\nPatient goal: to complete work week without pain flare\n\n\n\n\nObjective:\n\nMusculoskeletal examination: tightness through gluteal muscles bilaterally, spine unremarkable\n\nRight shoulder: tightness upper trapezius muscle\n\nManual therapy performed to lower back, gluteal muscles and right shoulder\n\nMassage gun therapy applied\n\n\n\n\nAssessment:\n\nChronic mechanical lower back pain with acute exacerbation\n\nRight shoulder pain, likely rotator cuff/upper trapezius strain\n\n\n\n\nPlan:\n\nManual therapy completed today\n\nHome exercise programme: hip flexor stretches 90 seconds each side, twice daily\n\nErgonomic advice: bring load closer to body before lifting\n\nFollow-up appointment scheduled for Thursday 24/09/2026\n\nReceipt with provider number to be emailed for health fund claim","review":106.36842105263159,"saved":65.63157894736841,"clean":false,"effort":43.75,"sig":[["missing","The output notes a review in two weeks","Follow-up recorded as two days away (24/09) instead of the two-week review; wrong follow-up timing."],["fabrication","Right shoulder pain, likely rotator cuff/upper trapezius strain","Adds rotator cuff to the shoulder assessment, a structural diagnosis never raised that could prompt different investigation or referral."]],"mb":59.507254,"latency":19.898,"signable":126.26642105263159}],"preve":[{"label":"Run 1","wer":3.571428571428571,"text":"Morning. Come on through. Take a seat wherever is comfortable.\n\nThanks.\n\nSo what's brought you in today?\n\nIt's my lower back mostly, and the right shoulder has been playing up as well.\n\nOkay. Let's start with the back. We're about to\n\nit?\n\nRight across the bottom.\n\nBoth sides, but the right's worse.\n\nAnd how long has that been going on?\n\nYears on and off,\n\nIt flares up every few months and settles down again.\n\nIs this a flare at the moment?\n\nYeah. Started about ten days\n\nago.\n\nAnything set it off that you can think\n\nof?\n\nWe poured a big slab on the Thursday. I was bent over most of the day.\n\nThat'll do it. And you're concreting full time?\n\nYeah. Fifteen years now.\n\nOn a scale of one to 10, where is it sitting today?\n\nHi.\n\nProbably a six. It was an eight on the weekend.\n\nWhat makes it worse?\n\nSitting's the worst. Driving\n\nto sight in the morning, I'm stiff as anything.\n\nAnd what helps?\n\nA hot shower helps for about an hour then it comes back.\n\nAnything shooting down the leg?\n\nPins and needles, numbness, anything like that?\n\nNo. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you or any trouble with the bladder or bowels?\n\nNo. None\n\nof that.\n\nGood.\n\nHave you had any imaging done or seen anyone else about it?\n\nI had an\n\nX-ray a few years back. They said it was wear and tear, nothing to worry about.\n\nRight.\n\nAnd are you on any medications or any other health conditions I should know about?\n\nJust blood pressure tablets. Nothing else.\n\nOkay. Now the shoulder, how long has that been there?\n\nMaybe six weeks.\n\nIt's worse when I'm reaching overhead.\n\nDoes it wake you if you roll onto it?\n\nSometimes, yeah.\n\nAnd what would you like to get out of today?\n\nHonestly, just to get through a work week without it seizing up.\n\nThat's fair. Here's what I'd suggest.\n\nI'll work through the lower back and the glutes because with the lifting,\n\nthat's usually where the load is, then come up to the right shoulder.\n\nDoes that sound alright?\n\nYeah. Sounds good.\n\nIt can be a bit tender in spots. Sing out\n\nanything's too much, and I'll back off.\n\nWill do.\n\nRighto. I'll step out while you get comfortable.\n\nFace down for me, head in the cradle, and pull the towel up over you.\n\nHow's that pressure?\n\nYeah. That's good.\n\nOh, that's the spot.\n\nToo much?\n\nNah. It's alright.\n\nI'm going to use the massage gun on this one. It's a bit loud.\n\nNo\n\nworries.\n\nIs the pain okay?\n\nYeah. That's fine. Bit intense, but it's alright.\n\nSing out if you want me to back off.\n\nRight. Roll onto your back for me.\n\nOkay. Sit yourself up slowly when you're ready.\n\nThat feels a lot looser.\n\nGood. The lower back was tight through the glute\n\nmore than the spine itself which is what I'd expect with the lifting.\n\nThe shoulders mostly the upper trap.\n\nSo what should I be doing at home?\n\nTwo\n\nthings:\n\nhip flexor stretch ninety seconds each side twice a\n\nday. And when you're lifting, get the load closer to you before you stand.\n\nYeah. Righto.\n\nI'd book you back in two weeks. Does a Thursday\n\nsuit?\n\nThursday is fine. Do I get something for the health fund?\n\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\n\nPerfect.\n\nThanks very much.\n\nNo\n\nworries. Take it easy for the rest of today.","marks":[[38,49,"wherever's",false],[147,159,"shoulder's",false],[219,233,"Whereabouts is",false],[310,318,"long's",false],[699,707,"where's",false],[727,730,"",false],[836,841,"site",false],[1502,1510,"long's",false],[2028,2028,"if",false],[2244,2246,"Ooh",false],[2637,2642,"glutes",false],[2719,2728,"shoulder's",false],[3003,3014,"Thursday's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","States lower back pain (bilateral, R worse) and 'R shoulder pain ~6 weeks'."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","'Chronic pattern: years on/off' and 'R shoulder pain ~6 weeks'."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","'Pain today 6/10; peak 8/10 on weekend'."],["The output notes the patient works in concreting with repeated bending and lifting","yes","'Concreter full time for 15 years'; flare after 'full day bent over pouring a concrete slab'; lifting advice recorded."],["The output records that radicular symptoms and red flags were denied","yes","Red flag section denies radicular symptoms, paraesthesia/numbness, night pain and bladder/bowel changes."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Soft tissue massage to lumbar/gluteal region and R upper trapezius."],["The output mentions a hip flexor stretch as home advice","yes","'Hip flexor stretch: 90 seconds each side, twice daily'."],["The output notes a review in two weeks","yes","'Review in 2 weeks (Thursday)'."]],"claims":[],"note":"Presenting Condition\n\nLower back pain across lumbar region, bilateral with R worse\n\nCurrent flare started ~10 days ago after full day bent over pouring a concrete slab\n\nChronic pattern: years on/off, flares every few months then settles\n\nPain today 6/10; peak 8/10 on weekend\n\nAgg: sitting, driving to site in morning; morning stiffness\n\nEase: hot shower gives ~1 hour relief\n\nNo leg pain, pins/needles, or numbness reported\n\nNo night pain waking related to back; no bladder/bowel issues\n\nR shoulder pain ~6 weeks, worse with overhead reach; sometimes wakes when rolling onto it\n\nGoal: get through a work week without back seizing up\n\n\n\n\nRadiology\n\nPrior lumbar X-ray “a few years back”: wear and tear, nothing concerning per report to patient\n\n\n\n\nPast Medical History\n\nHypertension\n\n\n\n\nMedications\n\nAntihypertensive tablets (unspecified)\n\n\n\n\nRed Flag/Screening Questions\n\nRadicular Sx: denies\n\nParaesthesia/numbness: denies\n\nNight pain waking (back): denies\n\nBladder/bowel changes: denies\n\n\n\n\nSocial History\n\nConcreter full time for 15 years\n\n\n\n\nObjective\n\n(Consent obtained)\n\nObservation:\n\nLumbopelvic/gluteal soft tissue tightness > spinal segmental tenderness per clinician comment\n\nR shoulder upper trapezius tightness\n\n\n\n\nDiagnosis\n\nMechanical low back pain with gluteal soft tissue overload\n\nR shoulder upper trapezius overactivity/strain pattern\n\nPrognosis: improving post-session; expect short‑term symptom relief with manual Rx and loading advice\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nHands-on:\n\nSoft tissue massage to lumbar/gluteal region\n\nPercussive massage gun to involved areas\n\nSoft tissue work to R upper trapezius\n\nEducation:\n\nLifting tip: bring load closer before standing\n\n// Patient reported feeling “a lot looser” post-treatment\n\n\n\n\nHome Exercise Program\n\nHip flexor stretch: 90 seconds each side, twice daily\n\n\n\n\nPlan\n\nReview in 2 weeks (Thursday)\n\nContinue HEP and lifting modification until next appointment\n\nEmail receipt with provider number for health fund claiming\n","review":90.94736842105263,"saved":81.05263157894737,"clean":true,"effort":0.0,"sig":[],"mb":56.732809,"signable":115.48936842105263},{"label":"Run 2","wer":3.571428571428571,"text":"Morning. Come on through. Take a seat wherever is comfortable.\n\nThanks.\n\nSo what's brought you in today?\n\nIt's my lower back mostly, and the right shoulder has been playing up as well.\n\nOkay. Let's start with the back. We're about to\n\nit?\n\nRight across the bottom.\n\nBoth sides, but the right's worse.\n\nAnd how long has that been going on?\n\nYears on and off,\n\nIt flares up every few months and settles down again.\n\nIs this a flare at the moment?\n\nYeah. Started about ten days\n\nago.\n\nAnything set it off that you can think of?\n\nWe poured a big slab on the Thursday. I was bent over most of the day.\n\nThat'll do it. And you're concreting full time?\n\nYeah. Fifteen years now.\n\nOn a scale of one to 10, where is it sitting today?\n\nHi.\n\nProbably a six. It was an eight on the weekend.\n\nWhat makes it worse?\n\nSitting's the worst. Driving\n\nto sight in the morning, I'm stiff as anything.\n\nAnd what helps?\n\nA hot shower helps for about an hour then it comes back.\n\nAnything shooting down the leg?\n\nPins and needles, numbness, anything like that?\n\nNo. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you or any trouble with the bladder or bowels?\n\nNo. None\n\nof that.\n\nGood.\n\nHave you had any imaging done or seen anyone else about it?\n\nI had an\n\nX-ray a few years back. They said it was wear and tear, nothing to worry about.\n\nRight.\n\nAnd are you on any medications or any other health conditions I should know about?\n\nJust blood pressure tablets. Nothing else.\n\nOkay. Now the shoulder, how long has that been there?\n\nMaybe six weeks.\n\nIt's worse when I'm reaching overhead.\n\nDoes it wake you if you roll onto it?\n\nSometimes, yeah.\n\nAnd what would you like to get out of today?\n\nHonestly, just to get through a work week without it seizing up.\n\nThat's fair. Here's what I'd suggest.\n\nI'll work through the lower back and the glutes because with the lifting\n\nthat's usually where the load is, then come up to the right shoulder.\n\nDoes that sound alright?\n\nYeah. Sounds good.\n\nIt can be a bit tender in spots. Sing out\n\nanything's too much, and I'll back off.\n\nWill do.\n\nRighto. I'll step out while you get comfortable.\n\nFace down for me, head in the cradle, and pull the towel up over you.\n\nHow's that pressure?\n\nYeah. That's good.\n\nOh, that's the spot.\n\nToo much?\n\nNah. It's alright.\n\nI'm going to use the massage gun on this one. It's a bit loud.\n\nNo\n\nworries.\n\nIs the pain okay?\n\nYeah. That's fine. Bit intense, but it's alright.\n\nSing out if you want me to back off.\n\nRight. Roll onto your back for me.\n\nOkay. Sit yourself up slowly when you're ready.\n\nThat feels a lot looser.\n\nGood. The lower back was tight through the glute\n\nmore than the spine itself which is what I'd expect with the lifting.\n\nThe shoulders mostly the upper trap.\n\nSo what should I be doing at home?\n\nTwo\n\nthings:\n\nhip flexor stretch ninety seconds each side twice a\n\nday. And when you're lifting, get the load closer to you before you stand.\n\nYeah. Righto.\n\nI'd book you back in two weeks. Does a Thursday\n\nsuit?\n\nThursday is fine. Do I get something for the health fund?\n\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\n\nPerfect.\n\nThanks very much.\n\nNo\n\nworries. Take it easy for the rest of today.","marks":[[38,49,"wherever's",false],[147,159,"shoulder's",false],[219,233,"Whereabouts is",false],[310,318,"long's",false],[698,706,"where's",false],[726,729,"",false],[835,840,"site",false],[1501,1509,"long's",false],[2026,2026,"if",false],[2242,2244,"Ooh",false],[2635,2640,"glutes",false],[2717,2726,"shoulder's",false],[3001,3012,"Thursday's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Low back pain and right shoulder pain both recorded."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"recurrent 'years on and off'\" and \"Right shoulder pain ~6 weeks\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"6/10 today; peaked 8/10 on weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"Occupation: concreter full time, 15 years\"; \"Occupational heavy lifting and bending\"."],["The output records that radicular symptoms and red flags were denied","yes","Red flag section: radicular symptoms, night pain waking, bladder/bowel all denied."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Soft tissue to glutes and lumbar region, massage gun, and right upper trapezius."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch: 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","yes","\"Review in 2 weeks (Thursday)\"."]],"claims":[["Prognosis: favourable with load management, soft tissue work, and mobility work","The clinician never stated a prognosis; this is an invented clinical judgement."],["Likely next session: reassess symptoms; progress mobility and introduce trunk/hip strengthening","No next-session plan or strengthening was discussed; only a two-week rebook was mentioned."]],"note":"Presenting Condition\n\nLow back pain across bilateral lumbar region, worse on right\n\nMechanism: prolonged bending while pouring a large concrete slab\n\nDuration: recurrent “years on and off”; current flare started ~10 days ago\n\nPain intensity: 6/10 today; peaked 8/10 on weekend\n\nPain type: dull ache; no radiation\n\nAggravating factors: sitting; driving to site in the morning; overhead reaching aggravates right shoulder\n\nEasing factors: hot shower gives ~1 hour relief\n\n24‑hour pattern: morning stiffness when driving\n\nNeuro signs: denies pins/needles or numbness\n\nAssociated symptoms: denies night pain waking, bladder/bowel issues\n\nReasons for visit/goals: get through a work week without back seizing up\n\nRight shoulder pain ~6 weeks; worse with reaching overhead; sometimes wakes when rolling onto it\n\nProgression: recurrent flares every few months\n\n\n\n\nRadiology\n\nPrior lumbar X‑ray “a few years back”: reported as wear and tear, nothing concerning\n\n\n\n\nPast Medical History\n\nHypertension\n\n\n\n\nMedications\n\nAntihypertensive (“blood pressure tablets”)\n\n\n\n\nRed Flag/Screening Questions\n\nRadicular symptoms: denies\n\nNight pain waking: denies\n\nBladder/bowel dysfunction: denies\n\n\n\n\nSocial History\n\nOccupation: concreter full time, 15 years\n\n\n\n\nSport & Exercise History\n\nOccupational heavy lifting and bending noted\n\n\n\n\nGoals\n\nShort-term: complete a work week without back seizing\n\n\n\n\nObjective\n\n(Consent obtained)\n\nObservation: increased tissue tension in glutes > lumbar paraspinals\n\nPalpation: tenderness/tightness greater in gluteal region than lumbar spine; right upper trapezius tightness\n\n\n\n\nDiagnosis\n\nMechanical low back pain with gluteal muscle overload related to lifting/bending\n\nRight shoulder upper trapezius overactivity/strain pattern\n\nPrognosis: favourable with load management, soft tissue work, and mobility work\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nHands-on:\n\nSoft tissue techniques to glutes and lumbar region\n\nMassage gun applied to involved areas\n\nSoft tissue release to right upper trapezius\n\nEducation:\n\nLift with load kept closer to body before standing\n\nActive therapy/exercises:\n\nHip flexor stretch prescribed\n\n// Patient reported feeling “a lot looser” post-session\n\n\n\n\nHome Exercise Program\n\nHip flexor stretch: 90 seconds each side, twice daily\n\n\n\n\nPlan\n\nReview in 2 weeks (Thursday)\n\nContinue HEP and lifting modification at work\n\nLikely next session: reassess symptoms; progress mobility and introduce trunk/hip strengthening\n\nAdmin: receipt with provider number to be emailed for health fund claim\n","review":134.8421052631579,"saved":37.15789473684211,"clean":false,"effort":37.5,"sig":[],"mb":56.782499,"signable":174.3661052631579},{"label":"Run 3","wer":2.5510204081632653,"text":"Morning. Come on through. Take a seat wherever is comfortable.\n\nThanks.\n\nSo what's brought you in today?\n\nIt's my lower back mostly, and the right shoulder's been playing up as well.\n\nOkay. Let's start with the back. Where about to\n\nit?\n\nRight across the bottom.\n\nBoth sides, but the right's worse.\n\nAnd how long has that been going on?\n\nYears on and off\n\nIt flares up every few months and settles down again.\n\nIs this a flare at the moment?\n\nYeah. Started about ten days\n\nago.\n\nAnything set it off that you can think of?\n\nWe poured a big slab on the Thursday. I was bent over most of the day.\n\nThat'll do it. And you're concreting full time?\n\nYeah. Fifteen years now.\n\nOn a scale of one to 10, where is it sitting today?\n\nProbably a six.\n\nIt was an eight on the weekend.\n\nWhat makes it worse?\n\nSitting's the worst. Driving to sight in the morning, I'm stiff as anything.\n\nAnd what helps?\n\nA hot shower helps for about an hour then it comes back.\n\nAnything shooting down the leg?\n\nPins and needles? Numbness? Anything like that?\n\nNo. Nothing like that. It's just an ache.\n\nAny pain at\n\nnight that wakes you or any trouble with the bladder or bowels?\n\nNo.\n\nNone of that.\n\nGood. Have you had any imaging done or seen anyone else about it?\n\nI had an X-ray a few years back. They said it was wear and tear, nothing to worry about.\n\nRight.\n\nAnd are you on any medications or any other health conditions I should know about?\n\nJust blood pressure tablets. Nothing else.\n\nOkay. Now the shoulder, how long has that been there?\n\nMaybe six weeks.\n\nIt's worse when I'm reaching overhead.\n\nDoes it wake you if you roll onto it?\n\nSometimes, yeah.\n\nAnd what would you like to get out of today?\n\nHonestly, just to get through a work week without it seizing up,\n\nThat's fair.\n\nHere's what I'd suggest. I'll work through the lower back and the glutes.\n\nBecause with the lifting, that's usually where the load is,\n\nthen come up to the right shoulder. Does that sound alright?\n\nYeah. Sounds good.\n\nIt can be a bit tender in spots,\n\nSing out if anything's too much, and I'll back off.\n\nWill do.\n\nRighto. I'll step out while you get comfortable. Face\n\ndown for me, head in the cradle, and pull the towel up over you.\n\nHow's that pressure?\n\nYeah.\n\nThat's good.\n\nOh, that's the spot.\n\nToo much?\n\nNah. It's alright.\n\nI'm going to use the massage gun on this one. It's a bit loud.\n\nNo\n\nworries.\n\nIs the pain okay?\n\nYeah. That's\n\nfine. Bit intense, but it's alright.\n\nSing out if you want me to back off.\n\nRight. Roll onto your back for me.\n\nOkay. Sit yourself up slowly when you're ready.\n\nThat feels a lot looser.\n\nGood. The lower back was tight through the glutes more than the spine itself.\n\nWhich is what I'd expect with the lifting. The shoulders mostly the upper trap\n\nSo what should I be doing at home?\n\nTwo things. Hip flexor stretch, ninety seconds each side, twice a\n\nday. And when you're lifting, get the load closer to you before you stand.\n\nYeah.\n\nI'd book you back in two weeks.\n\nDoes a Thursday suit?\n\nThursday's fine.\n\nDo I get something for the health fund?\n\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\n\nPerfect.\n\nThanks very much.\n\nNo worries. Take it easy for the rest of today.","marks":[[38,49,"wherever's",false],[217,231,"Whereabouts is",false],[308,316,"long's",false],[695,703,"where's",false],[827,832,"site",false],[1492,1500,"long's",false],[2239,2241,"Ooh",false],[2716,2725,"shoulder's",false],[2933,2933,"righto.",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Back pain and R shoulder pain as reasons for visit."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","partial","Back pain recorded as chronic over years, but the shoulder pain's ~6-week duration is not stated."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain today 6/10; peaked at 8/10 on weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"Concreter, full time, ~15 years\"; bent over pouring slab; occupational heavy lifting."],["The output records that radicular symptoms and red flags were denied","yes","Denies neuro symptoms, night pain waking, bladder/bowel issues."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","Soft tissue to glutes and lumbar region, massage gun, R upper trapezius."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch: 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","yes","\"Review in 2 weeks (Thursday)\"."]],"claims":[["Prognosis: good with load modification, soft-tissue work, and mobility","No prognosis was stated anywhere in the session."],["Education: Expected post-treatment soreness","The clinician only said \"Take it easy for the rest of today\"; post-treatment soreness was never discussed."]],"note":"Presenting Condition\n\nLower back pain across lumbosacral region, R>L; current flare started ~10 days ago after day bent over pouring a concrete slab\n\nChronic, recurrent flares every few months over years\n\nPain today 6/10; peaked at 8/10 on weekend\n\nPain type: dull ache; no leg radiation, no pins/needles, no numbness reported\n\nAgg: sitting, driving to site in morning; feels very stiff\n\nEase: hot shower gives ~1 hour relief\n\nNight pain: denies sleep disturbance from back\n\nReasons for visit: back pain and R shoulder pain management\n\nImpact: wants to get through a work week without back seizing up\n\n\n\n\nRadiology\n\nLumbar X-ray a few years ago reportedly “wear and tear,” nothing concerning\n\n\n\n\nPast Medical History\n\nHypertension\n\n\n\n\nMedications\n\nAntihypertensive tablets (unspecified)\n\n\n\n\nRed Flag/Screening Questions\n\nNight pain waking: denies\n\nBladder/bowel issues: denies\n\nNeuro symptoms (leg pain, pins/needles, numbness): denies\n\n\n\n\nSocial History\n\nOccupation: Concreter, full time, ~15 years\n\n\n\n\nSport & Exercise History\n\nOccupational heavy lifting and overhead reaching noted\n\n\n\n\nGoals\n\nShort-term: get through a work week without back seizing up\n\n\n\n\nObjective\n\n(Consent obtained)\n\nObservation: Increased soft-tissue tightness noted in glutes > lumbar spine; R shoulder upper trapezius tightness\n\nPalpation: Tender, tight gluteal musculature; tight R upper trapezius\n\n\n\n\nDiagnosis\n\nMechanical/nonspecific low back pain with gluteal muscle tightness\n\nRight shoulder upper trapezius overactivity/tightness with overhead aggravation\n\nPrognosis: good with load modification, soft-tissue work, and mobility\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nHands-on:\n\nSoft tissue techniques to glutes and lumbar region\n\nMassage gun applied to involved areas\n\nSoft tissue to R upper trapezius\n\nEducation:\n\nLifting strategy: bring load closer before standing\n\nExpected post-treatment soreness and to take it easy rest of day\n\n// Patient reported feeling “a lot looser” post-session\n\n\n\n\nHome Exercise Program\n\nHip flexor stretch: 90 seconds each side, twice daily\n\n\n\n\nPlan\n\nReview in 2 weeks (Thursday)\n\nContinue HEP and lifting modifications until next appointment\n\nLikely further soft-tissue work and progress exercises for lumbar/hip and shoulder as tolerated\n\nEmail receipt with provider number for health fund claim\n","review":144.34210526315792,"saved":27.65789473684208,"clean":false,"effort":43.75,"sig":[],"mb":56.88655,"signable":167.0011052631579},{"label":"Run 4","wer":3.571428571428571,"text":"Morning. Come on through. Take a seat wherever is comfortable.\n\nThanks.\n\nSo what's brought you in today?\n\nIt's my lower back mostly, and the right shoulder has been playing up as well.\n\nOkay. Let's start with the back. We're about to\n\nit?\n\nRight across the bottom.\n\nBoth sides, but the right's worse.\n\nAnd how long has that been going on?\n\nYears on and off,\n\nIt flares up every few months and settles down again.\n\nIs this a flare at the moment?\n\nYeah. Started about ten days\n\nago.\n\nAnything set it off that you can think\n\nof?\n\nWe poured a big slab on the Thursday. I was bent over most of the day.\n\nThat'll do it. And you're concreting full time?\n\nYeah. Fifteen years now.\n\nOn a scale of one to 10, where is it sitting today?\n\nHi.\n\nProbably a six. It was an eight on the weekend.\n\nWhat makes it worse?\n\nSitting's the worst. Driving\n\nto sight in the morning, I'm stiff as anything.\n\nAnd what helps?\n\nA hot shower helps for about an hour then it comes back.\n\nAnything shooting down the leg?\n\nPins and needles, numbness, anything like that?\n\nNo. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you or any trouble with the bladder or bowels?\n\nNo. None\n\nof that.\n\nGood.\n\nHave you had any imaging done or seen anyone else about it?\n\nI had an\n\nX-ray a few years back. They said it was wear and tear, nothing to worry about.\n\nRight.\n\nAnd are you on any medications or any other health conditions I should know about?\n\nJust blood pressure tablets. Nothing else.\n\nOkay. Now the shoulder, how long has that been there?\n\nMaybe six weeks.\n\nIt's worse when I'm reaching overhead.\n\nDoes it wake you if you roll onto it?\n\nSometimes, yeah.\n\nAnd what would you like to get out of today?\n\nHonestly, just to get through a work week without it seizing up.\n\nThat's fair. Here's what I'd suggest.\n\nI'll work through the lower back and the glutes because with the lifting,\n\nthat's usually where the load is, then come up to the right shoulder.\n\nDoes that sound alright?\n\nYeah. Sounds good.\n\nIt can be a bit tender in spots. Sing out\n\nanything's too much, and I'll back off.\n\nWill do.\n\nRighto. I'll step out while you get comfortable.\n\nFace down for me, head in the cradle, and pull the towel up over you.\n\nHow's that pressure?\n\nYeah. That's good.\n\nOh, that's the spot.\n\nToo much?\n\nNah. It's alright.\n\nI'm going to use the massage gun on this one. It's a bit loud.\n\nNo\n\nworries.\n\nIs the pain okay?\n\nYeah. That's fine. Bit intense, but it's alright.\n\nSing out if you want me to back off.\n\nRight. Roll onto your back for me.\n\nOkay. Sit yourself up slowly when you're ready.\n\nThat feels a lot looser.\n\nGood. The lower back was tight through the glute\n\nmore than the spine itself which is what I'd expect with the lifting.\n\nThe shoulders mostly the upper trap.\n\nSo what should I be doing at home?\n\nTwo\n\nthings:\n\nhip flexor stretch ninety seconds each side twice a\n\nday. And when you're lifting, get the load closer to you before you stand.\n\nYeah. Righto.\n\nI'd book you back in two weeks. Does a Thursday\n\nsuit?\n\nThursday is fine. Do I get something for the health fund?\n\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\n\nPerfect.\n\nThanks very much.\n\nNo\n\nworries. Take it easy for the rest of today.","marks":[[38,49,"wherever's",false],[147,159,"shoulder's",false],[219,233,"Whereabouts is",false],[310,318,"long's",false],[699,707,"where's",false],[727,730,"",false],[836,841,"site",false],[1502,1510,"long's",false],[2028,2028,"if",false],[2244,2246,"Ooh",false],[2637,2642,"glutes",false],[2719,2728,"shoulder's",false],[3003,3014,"Thursday's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Lower back pain and right shoulder pain documented."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"years on/off\"; \"Right shoulder pain ~6 weeks\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"6/10 today, 8/10 on weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"Concreter full time, ~15 years\"; bent over pouring slab; lifting posture."],["The output records that radicular symptoms and red flags were denied","yes","Denies leg pain, pins/needles, numbness, night pain waking, bladder/bowel issues."],["The output notes treatment covered the lower back, glutes and right shoulder","partial","Treatment to glutes and right upper trapezius documented, but lower back treatment is not listed."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch: 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","yes","\"Review in 2 weeks (Thursday)\"."]],"claims":[["Palpation: Tenderness/tightness R gluteal region","No side was given for gluteal tightness or tenderness; clinician only said the back was \"tight through the glutes\"."],["Prognosis: Favourable with load management, soft-tissue work, and mobility","No prognosis was stated anywhere in the session."]],"note":"Presenting Condition\n\nLower back pain across the low back, R>L\n\nCurrent flare started ~10 days ago after a full day bent over pouring a concrete slab\n\nPain intensity: 6/10 today, 8/10 on weekend\n\nPain type: ache; no leg symptoms\n\nAggravating factors: sitting, driving to site in the morning\n\nEasing factors: hot shower helps ~1 hour\n\nDuration/progression: years on/off; flares every few months and settles\n\nRight shoulder pain ~6 weeks, worse reaching overhead\n\nNight pain: sometimes when rolling onto right shoulder\n\nReason for visit/goal: get through a work week without back seizing up\n\n\n\n\nRadiology\n\nPrior lumbar X-ray “a few years back” reported as wear and tear, nothing concerning\n\n\n\n\nPast Medical History\n\nHypertension\n\n\n\n\nMedications\n\nBlood pressure tablets\n\n\n\n\nRed Flag/Screening Questions\n\nDenies leg pain, pins/needles, numbness\n\nDenies night back pain waking, bladder/bowel issues\n\n\n\n\nSocial History\n\nOccupation: Concreter full time, ~15 years\n\n\n\n\nGoals\n\nShort-term: Work a full week without back seizing up\n\n\n\n\nObjective\n\n(Consent obtained)\n\nObservation: Increased soft-tissue tightness in glutes > lumbar spine\n\nPalpation: Tenderness/tightness R gluteal region\n\nShoulder: Tightness predominantly right upper trapezius\n\n\n\n\nDiagnosis\n\nMechanical low back pain with gluteal soft-tissue overload related to lifting posture\n\nRight shoulder upper trapezius overactivity/strain pattern\n\nPrognosis: Favourable with load management, soft-tissue work, and mobility\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nHands-on:\n\nSoft-tissue release to gluteal region\n\nMassage gun to gluteal area\n\nSoft-tissue work to right upper trapezius\n\nEducation:\n\nLift with load closer to the body before standing\n\n// Patient reported feeling “a lot looser” post-session\n\n\n\n\nHome Exercise Program\n\nHip flexor stretch: 90 seconds each side, twice daily\n\n\n\n\nPlan\n\nReview in 2 weeks (Thursday)\n\nContinue HEP and lifting cue; monitor symptom response\n\nEmail receipt with provider number for health fund claim\n","review":129.57894736842104,"saved":42.42105263157896,"clean":false,"effort":43.75,"sig":[],"mb":56.520355,"signable":161.22494736842106},{"label":"Run 5","wer":3.571428571428571,"text":"Morning. Come on through. Take a seat wherever is comfortable.\n\nThanks.\n\nSo what's brought you in today?\n\nIt's my lower back mostly, and the right shoulder has been playing up as well.\n\nOkay. Let's start with the back. We're about to\n\nit?\n\nRight across the bottom.\n\nBoth sides, but the right's worse.\n\nAnd how long has that been going on?\n\nYears on and off,\n\nIt flares up every few months and settles down again.\n\nIs this a flare at the moment?\n\nYeah. Started about ten days\n\nago.\n\nAnything set it off that you can think\n\nof?\n\nWe poured a big slab on the Thursday. I was bent over most of the day.\n\nThat'll do it. And you're concreting full time?\n\nYeah. Fifteen years now.\n\nOn a scale of one to 10, where is it sitting today?\n\nHi.\n\nProbably a six. It was an eight on the weekend.\n\nWhat makes it worse?\n\nSitting's the worst. Driving\n\nto sight in the morning, I'm stiff as anything.\n\nAnd what helps?\n\nA hot shower helps for about an hour then it comes back.\n\nAnything shooting down the leg?\n\nPins and needles, numbness, anything like that?\n\nNo. Nothing like that. It's just an ache.\n\nAny pain at night that wakes you or any trouble with the bladder or bowels?\n\nNo. None\n\nof that.\n\nGood.\n\nHave you had any imaging done or seen anyone else about it?\n\nI had an\n\nX-ray a few years back. They said it was wear and tear, nothing to worry about.\n\nRight.\n\nAnd are you on any medications or any other health conditions I should know about?\n\nJust blood pressure tablets. Nothing else.\n\nOkay. Now the shoulder, how long has that been there?\n\nMaybe six weeks.\n\nIt's worse when I'm reaching overhead.\n\nDoes it wake you if you roll onto it?\n\nSometimes, yeah.\n\nAnd what would you like to get out of today?\n\nHonestly, just to get through a work week without it seizing up.\n\nThat's fair. Here's what I'd suggest.\n\nI'll work through the lower back and the glutes because with the lifting\n\nthat's usually where the load is, then come up to the right shoulder.\n\nDoes that sound alright?\n\nYeah. Sounds good.\n\nIt can be a bit tender in spots. Sing out\n\nanything's too much, and I'll back off.\n\nWill do.\n\nRighto. I'll step out while you get comfortable.\n\nFace down for me, head in the cradle, and pull the towel up over you.\n\nHow's that pressure?\n\nYeah. That's good.\n\nOh, that's the spot.\n\nToo much?\n\nNah. It's alright.\n\nI'm going to use the massage gun on this one. It's a bit loud.\n\nNo\n\nworries.\n\nIs the pain okay?\n\nYeah. That's fine. Bit intense, but it's alright.\n\nSing out if you want me to back off.\n\nRight. Roll onto your back for me.\n\nOkay. Sit yourself up slowly when you're ready.\n\nThat feels a lot looser.\n\nGood. The lower back was tight through the glute\n\nmore than the spine itself which is what I'd expect with the lifting.\n\nThe shoulders mostly the upper trap.\n\nSo what should I be doing at home?\n\nTwo\n\nthings:\n\nhip flexor stretch ninety seconds each side twice a\n\nday. And when you're lifting, get the load closer to you before you stand.\n\nYeah. Righto.\n\nI'd book you back in two weeks. Does a Thursday\n\nsuit?\n\nThursday is fine. Do I get something for the health fund?\n\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\n\nPerfect.\n\nThanks very much.\n\nNo\n\nworries. Take it easy for the rest of today.","marks":[[38,49,"wherever's",false],[147,159,"shoulder's",false],[219,233,"Whereabouts is",false],[310,318,"long's",false],[699,707,"where's",false],[727,730,"",false],[836,841,"site",false],[1502,1510,"long's",false],[2027,2027,"if",false],[2243,2245,"Ooh",false],[2636,2641,"glutes",false],[2718,2727,"shoulder's",false],[3002,3013,"Thursday's",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","Low back pain is the presenting condition and right shoulder symptoms are documented (\"overhead reach aggravates R shoulder\")."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","partial","Back is \"Chronic recurrent pattern for years\", but the shoulder's ~6-week duration is not stated."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain intensity today 6/10; peaked 8/10 on weekend\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"concreter full time x15 years\", flare after \"a full day bent over pouring a concrete slab\", \"Lifting at work noted\"."],["The output records that radicular symptoms and red flags were denied","yes","\"Denies leg symptoms (radicular), pins/needles, numbness\", night pain and bladder/bowel issues."],["The output notes treatment covered the lower back, glutes and right shoulder","yes","\"Soft tissue massage to lumbar/gluteal region\" and \"Soft tissue work to R upper trapezius\"."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch: 90 seconds each side, twice daily\"."],["The output notes a review in two weeks","yes","\"Review in 2 weeks (Thursday)\"."]],"claims":[],"note":"Presenting Condition\n\nLow back pain across lumbar region, R > L\n\nChronic recurrent pattern for years; flares every few months and settles\n\nCurrent flare began ~10 days ago after a full day bent over pouring a concrete slab\n\nPain intensity today 6/10; peaked 8/10 on weekend\n\nAgg: sitting, driving to site in the morning, overhead reach aggravates R shoulder\n\nEase: hot shower provides ~1 hour relief\n\nNo leg pain, pins/needles, or numbness reported\n\nNo night pain waking him due to back; R shoulder sometimes wakes when rolled onto\n\nGoal: get through a work week without back seizing up\n\nWork: concreter full time x15 years\n\n\n\n\nRadiology\n\nPrior lumbar X-ray “a few years back”: wear and tear, nothing concerning per report\n\n\n\n\nPast Medical History\n\nHypertension\n\n\n\n\nMedications\n\nBlood pressure tablets\n\n\n\n\nRed Flag/Screening Questions\n\nDenies leg symptoms (radicular), pins/needles, numbness\n\nDenies night pain waking (for back)\n\nDenies bladder or bowel issues\n\n\n\n\nSocial History\n\nOccupation: concreter, full time\n\n\n\n\nSport & Exercise History\n\nLifting at work noted\n\n\n\n\nObjective\n\n(Consent obtained)\n\nObservation: Lumbar region reported tight; therapist notes greater tightness through gluteals vs spinal segments\n\nPalpation: Increased tone/tenderness in gluteals; R shoulder upper trapezius predominant tightness\n\n\n\n\nDiagnosis\n\nMechanical low back pain with gluteal overload related to lifting/bent postures\n\nRight shoulder upper trapezius overactivity/strain pattern\n\nPrognosis: Expected to improve with load management, manual therapy, and HEP\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nHands-on:\n\nSoft tissue massage to lumbar/gluteal region\n\nMassage gun applied to gluteals\n\nSoft tissue work to R upper trapezius\n\nEducation:\n\nBring load closer before lifting/standing to reduce lumbar load\n\nActive therapy/exercises:\n\nHip flexor stretch prescribed\n\n// Patient reported feeling “a lot looser” post-session\n\n\n\n\nHome Exercise Program\n\nHip flexor stretch: 90 seconds each side, twice daily\n\n\n\n\nPlan\n\nReview in 2 weeks (Thursday)\n\nContinue HEP and lifting modification\n\nEmail receipt with provider number for health fund claim\n","review":112.44736842105263,"saved":59.55263157894737,"clean":false,"effort":6.25,"sig":[],"mb":56.59917,"signable":134.00036842105263}],"patientnotes":[{"label":"Run 1","wer":8.503401360544217,"text":"Morning. Come on through. Take a seat wherever's comfortable.\nThanks.\nSo what's brought you in today?\nIt's my lower back, mostly. And the right shoulder has been playing up as well.\nOkay, let's start with the back. Whereabouts is it?\nRight across the bottom, both sides. But the right's worse.\nAnd how long's that been going on?\nYears, on and off. It flares up every few months and settles down again. It.\nIs this a flare at the moment?\nYeah, started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday. I was bent over most of the day.\nThat'll do it. And you're concreting full time?\nYeah, 15 years now.\nOn a scale of one to ten, where's it sitting today?\nProbably a six. It was an eight on the weekend.\nWhat makes it worse,\nsitting's the worst. Driving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower helps for about an hour, then it comes back.\nAnything shooting down the leg? Pins and needles, numbness, anything like that?\nNo, nothing like that. It's just an ache.\nAny pain at night that wakes you or any trouble with the bladder or bowels?\nNo, none of that.\nGood. Have you had any imaging done or seen anyone else about it?\nI had an X ray a few years back. They said it was wear and tear, Nothing to do.\nWorry about.\nRight. And are you on any medications or any other health conditions I should know about?\nJust blood pressure tablets. Nothing else.\nOkay. Now, the shoulder. How long's that been there?\nMaybe six weeks. It's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, Just to get through a work week without it seizing up.\nThat's fair. Here's what I'd suggest. I'll work through the lower back and the glutes because with the lifting, that's usually where the load is. Then come up to the right shoulder. Does that sound all right? Yeah, sounds good. It can be a bit tender in spots. Sing out if anything's too much and I'll back off. Will do. Righto. I'll step out while you get comfortable. Face down for me. Head in the cradle and pull the towel up over you. It.\nIt's it.\nHow's that pressure? Yeah, that's good.\nIt. It's. It.\nIt's it.\nOh, that's the spot. Too much? Nah, it's all right.\nThere's.\nIt's it.\nIt's it.\nIt. It's.\nIt, Sam, It.\nIt's it.\nIt's it.\nI'm going to use the massage gun on this one. It's a bit loud. No worries. It. Sam.\nIs the pain okay? Yeah, that's fine. Bit intense, but it's all right. Sing out if you want me to back off.\nIt. It's.\nIt. It's it.\nRight, roll onto your back for.\nIt's it.\nIt's it.\nOkay. Sit yourself up slowly. When you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly. The upper trap. So what should I be doing at home?\nTwo things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\nYeah, right. O.\nI'd book you back in two weeks. Does it Thursday suit?\nThursday's fine. Do I get something for the health fund?\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\nPerfect. Thanks very much.\nNo worries. Take it easy for the rest of today.\nIt's it.","marks":[[144,156,"shoulder's",false],[1281,1284,"",false],[1903,1912,"alright",false],[2144,2156,"",false],[2197,2222,"Ooh",false],[2261,2339,"alright.",false],[2415,2423,"",false],[2483,2493,"alright.",false],[2531,2553,"",false],[2586,2603,"me.",false],[2803,2812,"shoulder's",false],[3016,3025,"righto.",false],[3313,3321,"",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","'Patient presents with lower back pain and right shoulder pain.'"],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back 'chronic years with intermittent flares'; shoulder '~6 weeks'."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","'rated 8/10 over weekend, now 6/10'."],["The output notes the patient works in concreting with repeated bending and lifting","partial","Mentions 'bending while pouring slab' but never states the patient works as a concreter."],["The output records that radicular symptoms and red flags were denied","partial","'No leg radiation, numbness, or night pain' but bladder/bowel denial omitted."],["The output notes treatment covered the lower back, glutes and right shoulder","no","No treatment delivered in session is documented; only home advice and follow-up in plan."],["The output mentions a hip flexor stretch as home advice","yes","'Hip flexor stretch 90 seconds each side, twice daily'."],["The output notes a review in two weeks","yes","'Follow-up appointment in two weeks on Thursday'."]],"claims":[["Right shoulder discomfort likely overuse/impingement of upper trapezius","Clinician only said 'The shoulder's mostly the upper trap'; impingement was never raised or suggested."]],"note":"Subjective\n\nChief Complaint::\n\nPatient presents with lower back pain and right shoulder pain.\n\nHistory of Presenting Complaint::\n\nSubjective:\n\nLower back pain across lower lumbar region bilaterally, worse on right, chronic years with intermittent flares; current flare 10 days after bending while pouring slab.\n\nPain aggravated by sitting and driving to site in the morning, rated 8/10 over weekend, now 6/10.\n\nRelief from hot shower ~1 hour.\n\nNo leg radiation, numbness, or night pain.\n\nRight shoulder pain ~6 weeks, worsens with overhead reaching, occasionally wakes patient when rolling onto it.\n\nObjective\n\nObjective:\n\nTightness noted in lower back gluteal region more than spine.\n\nTenderness in right upper trapezius.\n\nPatient rates current lower back pain as 6/10, peaked at 8/10 over the weekend.\n\nAssessment\n\nAssessment:\n\nChronic mechanical lower back pain with recent activity‑related flare.\n\nRight shoulder discomfort likely overuse/impingement of upper trapezius.\n\nPlan\n\nMedications::\n\nPatient is taking blood pressure tablets.\n\nPlan:\n\nHip flexor stretch 90 seconds each side, twice daily.\n\nKeep load close to body when lifting.\n\nFollow‑up appointment in two weeks on Thursday.\n\nEmail receipt with provider number for health fund claim.","review":119.05263157894737,"saved":52.94736842105263,"clean":false,"effort":43.75,"sig":[["partial","The output records that radicular symptoms and red flags were denied","The bladder/bowel (cauda equina) screen was asked and denied but is missing from the record."],["missing","The output notes treatment covered the lower back, glutes and right shoulder","No treatment given in the session is documented, so the legal record of the intervention is missing."],["fabrication","Right shoulder discomfort likely overuse/impingement of upper trapezius","Impingement was never raised; the clinician only attributed the shoulder to the upper trap."]],"mb":122.15436,"latency":68.269,"signable":187.32163157894738},{"label":"Run 2","wer":6.802721088435375,"text":"Morning. Come on through. Take a seat wherever's comfortable.\nThanks.\nSo what's brought you in today?\nIt's my lower back, mostly. And the right shoulder's been playing up as well.\nOkay, let's start with the back. Whereabouts is it?\nRight across the bottom, both sides, but the right's worse.\nAnd how long's that been going on?\nYears, on and off. It flares up every few months and settles down again. It.\nIs this a flare at the moment?\nYeah, started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday. I was bent over most of the day.\nThat'll do it. And you're concreting full time?\nYeah, 15 years now.\nOn a scale of one to ten, where's it sitting today?\nProbably a six. It was an eight on the weekend.\nWhat makes it worse,\nsitting's the worst. Driving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower helps for about an hour, then it comes back.\nAnything shooting down the leg? Pins and needles, numbness, anything like that?\nNo, nothing like that. It's just an ache.\nAny pain at night that wakes you or any trouble with the bladder or bowels?\nNo, none of that.\nGood. Have you had any imaging done or seen anyone else about it?\nI had an X ray a few years back. They said it was wear and tear. Nothing.\nWorry about.\nRight. And are you on any medications or any other health conditions I should know about?\nJust blood pressure tablets. Nothing else.\nOkay. Now, the shoulder. How long's that been there?\nMaybe six weeks. It's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, Just to get through a work week without it seizing up.\nThat's fair. Here's what I'd suggest. I'll work through the lower back and the glutes because with the lifting, that's usually where the load is. Then come up to the right shoulder. Does that sound all right? Yeah, sounds good. It can be a bit tender in spots. Sing out if anything's too much and I'll back off. Will do. Righto. I'll step out while you get comfortable. Face down for me. Head in the cradle and pull the towel up over you. It.\nIt's it.\nHow's that pressure? Yeah, that's good.\nIt's it.\nOh, that's the spot. Too much? Nah, it's all right.\nIt's it.\nIt's it.\nIt's.\nIt. It's.\nIt's it.\nIt's it.\nI'm going to use the massage gun on this one. It's a bit loud. No worries.\nIs the pain okay? Yeah, that's fine. Bit intense, but it's all right. Sing out if you want me to back off.\nIt. It's.\nIt. It's it.\nRight, roll onto your back for.\nIt's it.\nIt's it.\nOkay. Sit yourself up slowly. When you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly. The upper trap. So what should I be doing at home?\nTwo things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\nYeah, right. O.\nI'd book you back in two weeks. Does it Thursday suit?\nThursday's fine. Do I get something for the health fund?\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\nPerfect. Thanks very much.\nNo worries. Take it easy for the rest of today.\nIt's it.","marks":[[1895,1904,"alright",false],[2136,2148,"",false],[2189,2200,"Ooh",false],[2239,2301,"alright.",false],[2436,2446,"alright.",false],[2484,2506,"",false],[2539,2556,"me.",false],[2756,2765,"shoulder's",false],[2969,2978,"righto.",false],[3266,3274,"",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","\"lower back pain and right shoulder discomfort\"."],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"years duration, intermittent\" and \"~6 weeks duration\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"Pain intensity 6/10 currently (was 8/10 over weekend)\"."],["The output notes the patient works in concreting with repeated bending and lifting","partial","\"after concrete work\" and \"occupational lifting and prolonged flexion\" but occupation as concreter not explicit."],["The output records that radicular symptoms and red flags were denied","no","No record that radicular symptoms, night pain or bladder/bowel red flags were denied."],["The output notes treatment covered the lower back, glutes and right shoulder","no","Treatment delivered (lower back, glutes, right shoulder) is not documented."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch 90 seconds each side, twice daily.\""],["The output notes a review in two weeks","yes","\"Follow-up appointment in 2 weeks on Thursday.\""]],"claims":[["Right shoulder discomfort consistent with overuse/possible impingement","Clinician only said 'the shoulder's mostly the upper trap'; impingement is never raised in the transcript."]],"note":"Subjective\n\nChief Complaint::\n\nPatient reports lower back pain and right shoulder discomfort.\n\nHistory of Presenting Complaint::\n\nLower back pain: years duration, intermittent; current flare started 10 days ago after concrete work; worsened by sitting and driving; hot shower provides ~1 hour relief.\n\nRight shoulder pain: ~6 weeks duration; aggravated by overhead reach and occasionally wakes patient when rolling onto it.\n\nObjective\n\nExamination: gluteal tightness greater than lumbar spine tension; tenderness noted in lower back region; upper trapezius tension on right shoulder.\n\nPain intensity 6/10 currently (was 8/10 over weekend).\n\nAssessment\n\nMechanical low back pain likely related to occupational lifting and prolonged flexion posture.\n\nRight shoulder discomfort consistent with overuse/possible impingement affecting upper trapezius.\n\nPlan\n\nMedications::\n\nBlood pressure tablets.\n\nHip flexor stretch 90 seconds each side, twice daily.\n\nMaintain load close to body when lifting.\n\nFollow‑up appointment in 2 weeks on Thursday.\n\nEmail receipt with provider number for health fund claim.","review":113.88157894736841,"saved":58.11842105263159,"clean":false,"effort":50.0,"sig":[["missing","The output records that radicular symptoms and red flags were denied","Negative screen for radicular symptoms, night pain and cauda equina features not documented."],["missing","The output notes treatment covered the lower back, glutes and right shoulder","The treatment actually delivered is absent from the record."],["fabrication","Right shoulder discomfort consistent with overuse/possible impingement","Invented shoulder impingement differential never raised by the clinician."]],"mb":120.846997,"latency":66.394,"signable":180.27557894736842},{"label":"Run 3","wer":8.503401360544217,"text":"Morning. Come on through. Take a seat wherever's comfortable.\nThanks.\nSo what's brought you in today?\nIt's my lower back, mostly. And the right shoulder has been playing up as well.\nOkay, let's start with the back. Whereabouts is it?\nRight across the bottom, both sides. But the right's worse.\nAnd how long's that been going on?\nYears, on and off. It flares up every few months and settles down again. It.\nIs this a flare at the moment?\nYeah, started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday. I was bent over most of the day.\nThat'll do it. And you're concreting full time?\nYeah, 15 years now.\nOn a scale of one to ten, where's it sitting today?\nProbably a six. It was an eight on the weekend.\nWhat makes it worse,\nsitting's the worst. Driving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower helps for about an hour, then it comes back.\nAnything shooting down the leg? Pins and needles, numbness, anything like that?\nNo, nothing like that. It's just an ache.\nAny pain at night that wakes you or any trouble with the bladder or bowels?\nNo, none of that.\nGood. Have you had any imaging done or seen anyone else about it?\nI had an X ray a few years back. They said it was wear and tear, Nothing to do.\nWorry about.\nRight. And are you on any medications or any other health conditions I should know about?\nJust blood pressure tablets. Nothing else.\nOkay. Now, the shoulder. How long's that been there?\nMaybe six weeks. It's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, Just to get through a work week without it seizing up.\nThat's fair. Here's what I'd suggest. I'll work through the lower back and the glutes because with the lifting, that's usually where the load is. Then come up to the right shoulder. Does that sound all right? Yeah, sounds good. It can be a bit tender in spots. Sing out if anything's too much and I'll back off. Will do. Righto. I'll step out while you get comfortable. Face down for me. Head in the cradle and pull the towel up over you. It.\nIt's it.\nHow's that pressure? Yeah, that's good.\nIt. It's. It.\nIt's it.\nOh, that's the spot. Too much? Nah, it's all right.\nThere's.\nIt's it.\nIt's it.\nIt. It's.\nIt, Sam, It.\nIt's it.\nIt's it.\nI'm going to use the massage gun on this one. It's a bit loud. No worries. It. Sam.\nIs the pain okay? Yeah, that's fine. Bit intense, but it's all right. Sing out if you want me to back off.\nIt. It's.\nIt. It's it.\nRight, roll onto your back for.\nIt's it.\nIt's it.\nOkay. Sit yourself up slowly. When you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly. The upper trap. So what should I be doing at home?\nTwo things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\nYeah, right. O.\nI'd book you back in two weeks. Does it Thursday suit?\nThursday's fine. Do I get something for the health fund?\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\nPerfect. Thanks very much.\nNo worries. Take it easy for the rest of today.\nIt's it.","marks":[[144,156,"shoulder's",false],[1281,1284,"",false],[1903,1912,"alright",false],[2144,2156,"",false],[2197,2222,"Ooh",false],[2261,2339,"alright.",false],[2415,2423,"",false],[2483,2493,"alright.",false],[2531,2553,"",false],[2586,2603,"me.",false],[2803,2812,"shoulder's",false],[3016,3025,"righto.",false],[3313,3321,"",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","\"Lower back pain and right shoulder pain.\""],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back pain for years, intermittent; shoulder ~6 weeks."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"current pain 6/10 (up to 8/10 weekend)\"."],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"Occupation: concreting 15 yrs\"; flare after heavy bending; occupational lifting."],["The output records that radicular symptoms and red flags were denied","yes","\"No leg radiation, nocturnal pain, bladder/bowel issues\"."],["The output notes treatment covered the lower back, glutes and right shoulder","no","Only exam findings are recorded; the treatment delivered to lower back, glutes and right shoulder is not documented."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch 90 s each side, twice daily\"."],["The output notes a review in two weeks","yes","\"Follow-up in 2 weeks Thursday\"."]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nLower back pain and right shoulder pain.\n\nHistory of Presenting Complaint::\n\nOnset: years, intermittent, flare 10 days ago after heavy bending.\n\nLocation: lower back across both sides, right worse.\n\nAggravators: sitting, driving, lifting.\n\nRelievers: hot shower (~1 hr).\n\nShoulder: ~6 weeks, worse with overhead reach, occasional night pain when rolling.\n\nNo leg radiation, nocturnal pain, bladder/bowel issues.\n\nPrior X‑ray: wear‑and‑tear.\n\nOccupation: concreting 15 yrs.\n\nObjective\n\nExamination: gluteal tightness > lumbar spine.\n\nUpper trapezius tension on right.\n\nPatient reports current pain 6/10 (up to 8/10 weekend).\n\nPain score today: 6/10.\n\nPeak pain score weekend: 8/10.\n\nAssessment\n\nLower back pain likely mechanical related to occupational lifting with gluteal dysfunction.\n\nRight shoulder pain likely overuse/upper trap strain from overhead activity.\n\nPlan\n\nMedications::\n\nBlood pressure tablets.\n\nHip flexor stretch 90 s each side, twice daily.\n\nKeep load close to body when lifting.\n\nFollow‑up in 2 weeks Thursday.\n\nEmail receipt with provider number for health fund claim.\n\nAdvise to take it easy today.","review":76.68421052631578,"saved":95.31578947368422,"clean":false,"effort":12.5,"sig":[["missing","The output notes treatment covered the lower back, glutes and right shoulder","Treatment actually delivered is absent, leaving no legal record of what was done."]],"mb":120.500521,"latency":30.281,"signable":106.96521052631579},{"label":"Run 4","wer":8.503401360544217,"text":"Morning. Come on through. Take a seat wherever's comfortable.\nThanks.\nSo what's brought you in today?\nIt's my lower back, mostly. And the right shoulder has been playing up as well.\nOkay, let's start with the back. Whereabouts is it?\nRight across the bottom, both sides. But the right's worse.\nAnd how long's that been going on?\nYears, on and off. It flares up every few months and settles down again. It.\nIs this a flare at the moment?\nYeah, started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday. I was bent over most of the day.\nThat'll do it. And you're concreting full time?\nYeah, 15 years now.\nOn a scale of one to ten, where's it sitting today?\nProbably a six. It was an eight on the weekend.\nWhat makes it worse,\nsitting's the worst. Driving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower helps for about an hour, then it comes back.\nAnything shooting down the leg? Pins and needles, numbness, anything like that?\nNo, nothing like that. It's just an ache.\nAny pain at night that wakes you or any trouble with the bladder or bowels?\nNo, none of that.\nGood. Have you had any imaging done or seen anyone else about it?\nI had an X ray a few years back. They said it was wear and tear, Nothing to do.\nWorry about.\nRight. And are you on any medications or any other health conditions I should know about?\nJust blood pressure tablets. Nothing else.\nOkay. Now, the shoulder. How long's that been there?\nMaybe six weeks. It's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, Just to get through a work week without it seizing up.\nThat's fair. Here's what I'd suggest. I'll work through the lower back and the glutes because with the lifting, that's usually where the load is. Then come up to the right shoulder. Does that sound all right? Yeah, sounds good. It can be a bit tender in spots. Sing out if anything's too much and I'll back off. Will do. Righto. I'll step out while you get comfortable. Face down for me. Head in the cradle and pull the towel up over you. It.\nIt's it.\nHow's that pressure? Yeah, that's good.\nIt. It's. It.\nIt's it.\nOh, that's the spot. Too much? Nah, it's all right.\nThere's.\nIt's it.\nIt's it.\nIt. It's.\nIt, Sam, It.\nIt's it.\nIt's it.\nI'm going to use the massage gun on this one. It's a bit loud. No worries. It. Sam.\nIs the pain okay? Yeah, that's fine. Bit intense, but it's all right. Sing out if you want me to back off.\nIt. It's.\nIt. It's it.\nRight, roll onto your back for.\nIt's it.\nIt's it.\nOkay. Sit yourself up slowly. When you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly. The upper trap. So what should I be doing at home?\nTwo things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\nYeah, right. O.\nI'd book you back in two weeks. Does it Thursday suit?\nThursday's fine. Do I get something for the health fund?\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\nPerfect. Thanks very much.\nNo worries. Take it easy for the rest of today.\nIt's it.","marks":[[144,156,"shoulder's",false],[1281,1284,"",false],[1903,1912,"alright",false],[2144,2156,"",false],[2197,2222,"Ooh",false],[2261,2339,"alright.",false],[2415,2423,"",false],[2483,2493,"alright.",false],[2531,2553,"",false],[2586,2603,"me.",false],[2803,2812,"shoulder's",false],[3016,3025,"righto.",false],[3313,3321,"",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","\"lower back pain and right shoulder pain.\""],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","Back pain present \"for years on and off\"; shoulder began \"approximately six weeks ago\"."],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"6/10 currently and 8/10 over the weekend.\""],["The output notes the patient works in concreting with repeated bending and lifting","partial","Slab-pouring job with prolonged bending and lifting noted, but concreting as his occupation is not stated."],["The output records that radicular symptoms and red flags were denied","yes","\"no leg radiation, numbness, night pain, or bladder/bowel disturbance.\""],["The output notes treatment covered the lower back, glutes and right shoulder","partial","Findings in lower back, glutes and shoulder are described, but the treatment delivered to those areas is not documented."],["The output mentions a hip flexor stretch as home advice","yes","\"hip flexor stretches for 90 seconds each side twice daily.\""],["The output notes a review in two weeks","yes","\"follow-up appointment was scheduled for two weeks later on Thursday.\""]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nPatient presents with lower back pain and right shoulder pain.\n\nHistory of Presenting Complaint::\n\nThe patient reports lower back pain that has been present for years on and off, flaring up every few months and currently active for about 10 days after a heavy slab‑pouring job that involved prolonged bending. The pain is described as an ache, worsened by sitting, driving to the site in the morning, and activity, and is temporarily relieved by a hot shower for about an hour. There is no leg radiation, numbness, night pain, or bladder/bowel disturbance. The right shoulder pain began approximately six weeks ago, is aggravated by reaching overhead and sometimes wakes the patient when rolling onto it.\n\nObjective\n\nExamination revealed tenderness in the lower back region with tightness noted through the glutes more than the spine itself. The right shoulder examination showed tightness in the upper trapezius.\n\nPain intensity reported as 6/10 currently and 8/10 over the weekend.\n\nAssessment\n\nClinician attributes the lower back pain to mechanical strain from lifting with associated gluteal tightness, and the shoulder pain to involvement of the upper trapezius with overhead activity.\n\nPlan\n\nMedications::\n\nPatient is taking blood pressure tablets.\n\nPatient advised to perform hip flexor stretches for 90 seconds each side twice daily and to keep the load close to the body when lifting.\n\nA follow‑up appointment was scheduled for two weeks later on Thursday, with the receipt to be emailed for health fund claim.","review":106.75,"saved":65.25,"clean":false,"effort":12.5,"sig":[["partial","The output notes treatment covered the lower back, glutes and right shoulder","Hands-on treatment actually delivered (lower back, glutes, shoulder, massage gun) is not recorded, a gap in the legal record of the session."]],"mb":120.3519,"latency":29.135,"signable":135.885},{"label":"Run 5","wer":9.183673469387756,"text":"Morning. Come on through. Take a seat wherever's comfortable.\nThanks.\nSo what's brought you in today?\nIt's my lower back, mostly. And the right shoulder's been playing up as well.\nOkay, let's start with the back. Whereabouts is it?\nRight across the bottom, both sides, but the right's worse.\nAnd how long's that been going on?\nYears, on and off. It flares up every few months and settles down again. It.\nIs this a flare at the moment?\nYeah, started about 10 days ago.\nAnything set it off that you can think of?\nWe poured a big slab on the Thursday. I was bent over most of the day.\nThat'll do it. And you're concreting full time?\nYeah, 15 years now.\nOn a scale of one to ten, where's it sitting today?\nProbably a six. It was an eight on the weekend.\nWhat makes it worse,\nsitting's the worst. Driving to site in the morning, I'm stiff as anything.\nAnd what helps?\nA hot shower helps for about an hour, then it comes back.\nAnything shooting down the leg? Pins and needles, numbness, anything like that?\nNo, nothing like that. It's just an ache.\nAny pain at night that wakes you or any trouble with the bladder or bowels?\nNo, none of that.\nGood. Have you had any imaging done or seen anyone else about it?\nI had an X ray a few years back. They said it was wear and tear, Nothing to do.\nWorry about.\nRight. And are you on any medications or any other health conditions I should know about?\nJust blood pressure tablets. Nothing else.\nOkay. Now, the shoulder. How long's that been there?\nMaybe six weeks. It's worse when I'm reaching overhead.\nDoes it wake you if you roll onto it?\nSometimes, yeah.\nAnd what would you like to get out of today?\nHonestly, Just to get through a work week without it seizing up.\nThat's fair. Here's what I'd suggest. I'll work through the lower back and the glutes because with the lifting, that's usually where the load is. Then come up to the right shoulder. Does that sound all right? Yeah, sounds good. It can be a bit tender in spots. Sing out if anything's too much and I'll back off. Will do. Ryder. I'll step out while you get comfortable. Face down for me. Head in the cradle and pull the towel up over you. It.\nIt's it.\nHow's that pressure? Yeah, that's good.\nIt. It's it.\nIt. It's. It.\nIt's it.\nOh, that's the spot. Too much? Nah, it's all right.\nThat. It's. It.\nIt's it.\nIt's it.\nIt. It's it.\nIt, Sam, It.\nIt's it.\nIt's it.\nI'm going to use the massage gun on this one. It's a bit loud. No worries.\nIs the pain okay? Yeah, that's fine. Bit intense, but it's all right. Sing out if you want me to back off. It.\nIt's it.\nIt. It's it.\nRight, roll onto your back for.\nIt's it.\nIt's it.\nOkay. Sit yourself up slowly. When you're ready. That feels a lot looser. Good. The lower back was tight through the glutes more than the spine itself, which is what I'd expect with the lifting. The shoulders, mostly. The upper trap. So what should I be doing at home?\nTwo things. Hip flexor stretch, 90 seconds each side, twice a day. And when you're lifting, get the load closer to you before you stand.\nYeah, right. O.\nI'd book you back in two weeks. Does it Thursday suit?\nThursday's fine. Do I get something for the health fund?\nI'll email the receipt through with the provider number on it. You can claim it straight from that.\nPerfect. Thanks very much.\nNo worries. Take it easy for the rest of today.\nIt's it.","marks":[[1279,1282,"",false],[1901,1910,"alright",false],[2024,2030,"Righto.",false],[2141,2153,"",false],[2194,2232,"Ooh",false],[2271,2359,"alright.",false],[2494,2504,"alright.",false],[2542,2567,"",false],[2600,2617,"me.",false],[2817,2826,"shoulder's",false],[3030,3039,"righto.",false],[3327,3335,"",false]],"facts":[["The output states the presenting complaint is lower back pain and right shoulder pain","yes","\"Lower back pain and right shoulder discomfort.\""],["The output states the back pain is longstanding and the shoulder pain is about six weeks old","yes","\"Onset: years, intermittent\"; \"right shoulder pain ~6 weeks.\""],["The output records pain as six out of ten today, eight at worst on the weekend","yes","\"6/10 currently (was 8/10 weekend).\""],["The output notes the patient works in concreting with repeated bending and lifting","yes","\"heavy concrete work (bending)\" and \"occupational lifting.\""],["The output records that radicular symptoms and red flags were denied","yes","\"No radiculopathy, night pain, bladder/bowel issues.\""],["The output notes treatment covered the lower back, glutes and right shoulder","no","Treatment delivered to lower back, glutes and shoulder is not documented."],["The output mentions a hip flexor stretch as home advice","yes","\"Hip flexor stretch 90s each side, twice daily.\""],["The output notes a review in two weeks","yes","\"Follow-up in 2 weeks Thursday.\""]],"claims":[["relieving: hot shower ~1h, rest","Only a hot shower was reported to help; rest as a relieving factor is not mentioned."]],"note":"Subjective\n\nChief Complaint::\n\nLower back pain and right shoulder discomfort.\n\nHistory of Presenting Complaint::\n\nOnset: years, intermittent, flare 10 days after heavy concrete work (bending).\n\nLocation: lower back bilateral, right worse; right shoulder pain ~6 weeks, worse with overhead reach.\n\nAggravating: sitting, driving, lifting; relieving: hot shower ~1h, rest.\n\nNo radiculopathy, night pain, bladder/bowel issues.\n\nObjective\n\nTenderness lower back with gluteal tightness > spine; upper trapezius tension on right shoulder.\n\nPain intensity 6/10 currently (was 8/10 weekend).\n\nAssessment\n\nMechanical low back pain secondary to occupational lifting with gluteal tightness.\n\nRight shoulder strain involving upper trapezius.\n\nPlan\n\nMedications::\n\nBlood pressure tablets.\n\nHip flexor stretch 90s each side, twice daily.\n\nKeep load close to body when lifting.\n\nFollow‑up in 2 weeks Thursday.\n\nEmail receipt with provider number for health fund claim.","review":76.6842105263158,"saved":95.3157894736842,"clean":false,"effort":31.25,"sig":[["missing","The output notes treatment covered the lower back, glutes and right shoulder","Treatment delivered in session is not documented at all, a gap in the legal record of the session."]],"mb":122.042069,"latency":32.212,"signable":108.8962105263158}]}}