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For English, please press.
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Please be advised, effective November eighteenth, two thousand and twenty-three, the hours of operations for home care nonclinical matters will be changing to AM
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to PM, seven days a week, including holidays. For clinical matters, the hours of operations will remain the same. We value your opinion and want to deliver a great experience when you call us. Would you be willing to take a brief survey at the end of this call? Press one for yes or two for no.
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If you are a patient or calling about a patient, please press one. To comply with federal privacy regulations, we will ask you to verify some personal information. Good morning. Thank you for calling [ORG]. My name is [PERSON]. Who do I have the pleasure of speaking with? Hi, [PERSON]. This is [PERSON]: Hi. Health Plans. How are you?
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I'm doing well, [PERSON]. How about yourself? I'm okay. Thank you. Mm-hmm. So [PERSON], I have a member's daughter on the line. She says Mm-hmm. that she's upset. She says her dad was discharged from the hospital. He they were told that a visiting nurse would come to assess his needs and order medical supplies and things like that. She did mention a [charge?] nurse, um, but she says she has not heard from anyone.
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Um, she says that there's things that he needs, um, and she's upset because she's just that her dad is weak, and he needs things and no one has called and no one has been to the home. Okay. Uh, I'm sorry that has happened. I can, uh, look into the case. No call, no visit. Um, what is the caller's name, or do you wanna send me the consumer request?
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Sure. The Mm-hmm. it's the daughter. Her name is [PERSON]. Uh-huh, okay. Uh, my name is [PERSON] with a V V-A-N. [PERSON]? Okay. [PERSON]. I did I found it, okay. Um, her callback number is, uh, nine hundred and seventeen [PERSON]. six hundred and ninety-seven-five thousand, two hundred
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and ninety-eight. Terrific. Patient [PERSON], right? DeLisa, yes, and she verified [ORG]. And great, okay. Uh, I can take [PERSON]? yes, Judy's Okay. call whenever you're ready. Okay. Thank you, [PERSON]. I appreciate your help. Sure, absolutely. One moment. [PERSON]? Hello?
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Hi. I do have [PERSON] on the other line, and he's gonna be able to assist you going forward, okay? Thank you. You're welcome. Thank you for calling [ORG]. Both of you are
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This is [PERSON].
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Who do I have a pleasure to speak to today?
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[PERSON] is this Julius?
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You said [PERSON]?
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Uh, some [ORG] in [PHONE] call and leave a message for me to speak
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to any some agent or something. My name is [inaudible]. I can spell it. [crosstalk] My date of birth is August twenty-sixth, one thousand, nine hundred and forty-five. My address is eighty-nine-thirteen, one thousand, eight hundred and forty-three,
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[GPE], [GPE], [ZIP]. My telephone number is [PHONE]. Okay. And you said you're returning a call? Uh, uh, there was two people called me. And, uh, I wasn't home. I was doing my prayers and my, my wife took the message. But now when I am calling, all these numbers are,
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like, [GPE]. I suspected something with [ORG]. Something is wrong along the line with all these different numbers and every time you call, "Not available, not so-to-so," not nothing. I'm, I'm very much regrettable that I'm in this company, but I, I, I have to go through what I'm going through. And but, um,
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now I'm calling is not [PERSON]. I'm speaking to someone else. Okay. [PERSON]: Really sorry to hear that. Really sorry to hear that. Um, so y someone called you and you, you know, you just want to know who it is, basically, right? Someone called me. Let me give you. One of them called me from [PHONE]
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nine hundred and fifty-seven. I told you, my wife took the message. I was in my prayers. Later in the day, I was maybe doing something. One Julius call from [PHONE]. And
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tell me I must call. I will get it get through. Calling them number, nobody exists things like that. Anyhow, I call [GPE]. I call my doctor to see if they get anything from them. I-i-it so my opinion, and I've been a diabetic for all years,
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this nonsense what they're doing with me is not right. And they said that I am using a [ORG] testing strip. You got me, sir? Yeah. I got you. Hello? And from the different years, I use CVS. I use [ORG]. I use different, um, my
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place where I pick up my prescriptions in [ORG]. You got me? Yeah. Um Okay. Now they have their vendor. And their vendor from last year has been giving me one of the hardest times a person can get in their lives. Instead of the simplest time
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that when a guy joins you, he joins for betterment. Am I right? That's correct. Yeah. Okay. So whatever problem I had last year, it, it is a calling back starting January this year for them to give me the same thing that I was refusing last year when I refused last year for
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because I need my [ORG] testing strip. That's all. And the commotion that I went through these two weeks, I don't think I need that. And then we are Hindu people. We keep principles. We keep our principles. We don't d do nonsense. So
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I said I leave the matter like that, and I was doing my prayers, and these people call whenever I'm calling [PERSON] when I'm calling, no, I'm not getting through with none of them. So I don't know where they are or what they're doing. What, what, what should I do? And or what must I
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I don't know what records they got from me there. But I know that [PERSON] whatever th they want to go with they [PERSON] for them. The Guru for all those people that I speak in the in the [inaudible], they, they bend their minds that, um, whatever [ORG] tell them,
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that my strip wouldn't be making back in the old world. And it caused me to go to different, different pharmacy to find out if protocol if that is gonna happen. And the people laughing at me, they say, "Who is telling you this nonsense, man? Who is telling you this?" Because they want to do what they want to
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You got me? I'm explaining myself explicitly clear. No, I understand. You I'm, I'm not I'm not I I'm not really with the total department, so I'm not really familiar with prescription issues. But, um, let me see I'm just looking to see if I can find Oh, my God. who was trying to call
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Uh, I don't know. What type of issues do you have? There's so much people. Boy, if you see the people names that I mark that I spoke to from these two weeks, it's unbelievable. Unbelievable. Just to just to confirm, um, here. Um Yeah. Um, you're calling about the re the remote patient monitoring?
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No, I don't want no remote. I don't want to know this. I just want my testing strip. I have my machine and everything. I don't want what they said and give me yesterday. I told the girl that before I did my prayers. I told her what I receive. I don't want it. I got it in a box and they can come pick it up. I'm not but, but I'm not I'm leaving the insurance.
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Then these people call and tell me these things that they're gonna get it for me. And now they say they send requests, uh, to my doctor. And I need no request. It's what I am using. That is what I'm supposed to be getting. What if they're saying or [PERSON] whatever they want to hear. Uh, my doctor is not stupid. I don't think so.
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And I'm not saying the people in [GPE] stupid, but, um, they want to go with a [PERSON] company, a company who they believes in. And the company is not making back that strip and all these things. So you haven't gotten the test strips from [ORG]? 'Cause you we you were approved for them already.
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Who? The, the test strips you're referring to, you already got them from y-you already were approved. We approved it. So I'm asking if you got the test strips already from [ORG]. [PERSON] send me. That's why, again, I got to go do this nonsense. I don't want to. [ORG] will never send me the right thing because [ORG] sends
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they're not carrying the [ORG] and they're telling the people in the world that [ORG] is not making. So what you said you see, I receive a machine, right? Pay, pay attention to what I'm talking. I receive a machine and six boxes, testing strip. Right?
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It's, it's marked from script thing. And there is no [ORG]. There is no pen. I, I, I come, make complaints with the asset, and I don't even want to use it. They can come and pick it up, but that I need [ORG]. I'm sim I'm simply making,
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uh, how do I tell them that I did I didn't want what they're gonna send. And they still insist on sending it. They send a machine and six boxes, fifty each of their testing strip. Uh, the name you [PERSON] I tell you put up in the box. [inaudible] nonsense, like, and it's not gonna work for me.
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I am a [ORG] person. I explain all of that. That's the reason why I got these two calls from, from the two hundred and twelve or this number. This two but now when I'm calling, nobody's answering. And one body is telling me the extension is wrong. The extension is Whe-when, when did you get the call? When did you get the
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What date? I told you. I'm not gonna repeat myself. Yes. I get the strips, like, because it came in the evening of, uh, Tuesday, and I, uh, opened Wednesday. And I call and tell them, "You all are doing this honor to me.
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You are not honoring me. You're doing what you all wanted to do. And I told you you're not gonna work." And I [GPE] they sent the machine there. It's some one it's a machine and six boxes. People don't test like that. People got to get a thing named [PERSON]. They have to get a pen.
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Nothing like that came. I got it how they sent it to me. I put it in a bag. Do you understand that part? Sorry? Uh, no. No. I'm trying I'm trying to figure out the, the issue. Um. No, you're not understanding the part. The part you asked me if I received the script that they order.
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No. The [GPE] so y-you called about an issue you called about, um, missed calls, right? You're returning the call. So I'm asking you when did you get the call? What date did they try to call you? Yesterday. Yesterday. Yesterday is what, date, yeah, twenty-fourth. Okay. The call was [I call them?]. the call was about
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a remote patient monitoring. It's, it's, it's, it's for an item. So they needed to call you to let you know that they need a prescription for it. I, I, I, you know, hmm, I'm a member. I'm telling you, I'm forty-five something. I'm seventy-nine-year-old. I'm forty-five years in diabetic. I w I repeat myself. And if you don't know about these protocols, do like the rest of people you don't know.
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That, that, you know, because I'm not gonna go there. I said I have problems with the care team and all of them people who is dealing with [ORG] that they're gonna send the wrong things that they did with me last year.
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But I still renew my contract with [ORG]. And it's the same thing they're doing. And they send machine to me and send six box of strip. And they didn't send [ORG], and they didn't send this. That is beside the point. That is beside the point.
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I had different conversations with different care team people, and they tell me they're gonna send to my doctor for me to get my [ORG], right? And now I, I spoke to one of them this morning and he said, or she said, "Let me call Dr. [PERSON]." They recommend
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on the twenty-twond, let him I called Dr. [PERSON]. He didn't receive it. I'm gonna call back Dr. [PERSON], which is my primary doctor. I but it doesn't have nothing to do with that. Just they knowing that I'm using [ORG] and I'm picking it up at [ORG]. And then that's
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My doctor when he order, he order all my three months apply one day. I go and I pick it up at [ORG]. Or if I want to go to CVS, I go to CVS and I pick it up, so [foreign]. Yes.
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So, so that's where it is so far, sir. Right. So let me see if they send a letter to the doctor for the prescription. Hold on. They said they sent it twenty-twond. I re I repeated my doctor just now. They respond fast, I think. [As
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So they, they sent the fax to the doctor? The doctor, um How will I know if they send the fax to you know I'm, I'm, I'm te I'm telling you that they sent one over to the to the doctor to request the, the prescription for the, the, the [ORG], the patient mon monitoring, remote patient monitoring. So once we get it, they're gonna process it. That's why they tried to call you
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All right? Yes. But, but as I said, that I receive wrong things that I'm not gonna use. And I told him [PERSON]: the [inaudible], but they didn't reply to that. That is there. Is that, uh, is that about the strips? Is that for the you're talking about the strips? Is that about what they're doing? As I told you, God, my
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I receive a machine, one machine, one machine, and six boxes of testing strips without no [ORG], without no pen. And I call and tell them what they are doing with me? I don't like it. But, that [inaudible], and they realize they're not doing anything good for me.
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And they try to get they try to get, um. So let me see what good will help me. I, I because a lot of people aren't speaking like they don't know insurance. And I I've been in this thing now. I was an insurance agent in [GPE]. I used to sell insurance. I know all
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you got the rules. You got a loan and all these things. But when I speak to these some of these people, they don't know. And they bend their mind that [ORG] is one of the best gurus in the world. And that's what it is. So but let's see. Let me check back with my doctor to see what
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All right. Have a nice day. Yeah. All right. Do you do have have any Yeah. other questions before you go? Hello? Hello? Yes, sir. Are you hearing me? Hello? Yeah. Do you have any other questions before you go? No. That's the only s problem I have, that I am not getting my right testing strip and, uh, too much a different answer and too much a different
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version from I also spoke to [GPE]. I have no not, not against these people, vendors. But give me what I got to give me. And don't tell me the strip is not making back in no part of the world. I'm wasting my time going to Global, going to [GPE], going to my [ORG]
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going to another pharmacy, and speaking to the people that [mistake?] if I want to buy, um, um, um, [ORG] strips, can I get they said, "Yes, there is no problem. There's no problem." "What is your problem?" I said, "Uh, my problem is [ORG] has a guru by the name of
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And [ORG] is telling them all these lies and they're trying to put to this [ORG] to this old man. And, and giving me a hard time. That it happened last year when, and the same thing I had to go through. But one, Mr. [PERSON] sett uh, settled that matter. And he said, "You're gonna get here." And I ha and I had it. But
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why come just this January here? Now, when I'm supposed to be peaceful, I am this sort of disruption. It makes no sense. But at the same time, I'm gonna call Dr. [PERSON]. You cannot do anything else [crosstalk]. for me because this is this I hope there is no other problem to solve when, when this finished because
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when I signed up with them and the girl over the phone, they always sign over the phone. They don't come to your house. I make my statement that all protocols of two thousand and twenty-three must remain the same. And I sign in and I join back [GPE]. And the first thing, January, you're going back to the same scenario. If you check my
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that happened last year, and it's occurring now and, and I don't want it to occur. I'm trying to stop it right away. So I'm going to call and ask my doctor if you receive any information on the twenty-seventh [crosstalk] Perfect. Perfect. Mm-hmm. And I don't know whether what get approval of that. That doctor is a master. He's an excellent
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And he when he I call him, he order what I want right away. Yeah, it's just that we need the prescription on file. Once it's on file, they'll be able to [process it?]. So I don't know what prescription you're all going to need. I'm going to tell them you all need a prescription for me to get my, my [ORG]. So that because what you're telling me, that's what you want me to tell my doctor. Like, he that's stupid, man. So what I'm gonna tell him
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he's one of the greatest doctor you have that [ORG] people need a, a, what is a prescription? That's correct. Okay. Uh, I know the prescription used to come go at the at the pharmacy. He'll say pharmacy. And then I go pick it up.
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But I don't know where. Yeah, but yeah, but these people, you see what they're doing with me. So have a nice time. Same to you. Thanks for calling [ORG]. If you did opt in for the survey, feel free to stay on [crosstalk]. I and see if we can help whatever.
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No problem, [ORG].
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Okay, hold on. Let me put down some information. [inaudible]. Okay. Can I have your date of birth, please? September seventeenth, one thousand, nine hundred and sixty-three. Okay, thank you.
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And the mailing address, could you confirm it, please? Yes. [ADDRESS], Apartment threeH, [GPE], [GPE], [GPE] [ZIP]. Mm-hmm. Okay. Thank you for verifying all the information, [ORG]. Hold on. Let me check into the account. You're welcome.
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One moment. Okay. How could I help you, [ORG]? Um, I was supposed to be receiving supplies since last Friday, um Uh-huh. medical supplies. Yes. Um, if you check in if you check into the system Uh-huh. I even spoke to somebody from [PERSON]:
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Yes. um, called me early today Yes. and she confirmed that they was they told her they were gonna deliver supplies Uh-huh. today. It's the end of the work business day, and I still Oh. have not received them. However, I've been promised them since last week. Oh, let me check. And I still haven't gotten them. Okay, let me uh, medical supply. Hold on. Let me see who's the
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[ORG]'s the vendor for glove, [ORG], and liners and, and on the or reusable underpad. Excuse me? On the uh, [PERSON]: And underpad. The Let me see if they open now because more than . Uh, can I put you in a [inaudible] for one moment? Okay.
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Thank you. One
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I just need you to give me a moment, okay?
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Because this hold might be another two days from now.
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I do have [PERSON] on the other line, and she's gonna be able to help you, okay?
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Okay. I know [inaudible] you're talking about. Oh, okay. One moment. Hi. This is [PERSON], the case manager [speaking?] ].
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May I may you, uh, uh may I s ask your name again?
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You speak so fast I could not get it.
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[PERSON], right?
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L L-A-N Uh, if you can spell it back for me. L-A L-A-N Yes, I got that. Huh? N [ORG] Are you with me?
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My name is L-A-N-E-K-E. L-A-N-E-K-E, right? Yes, yes. Uh, uh, [PERSON]. Yes. I have that. Okay. How can I help you?
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Yes. I'm calling because this is the third person I'm talking to for the morning. And they're, they're, they're trying to make contact with, with, uh, [ORG] to transfer my case over to [ORG]. And, a-and so now they're trying to get to [ORG] to get back to me to let me know who's the coordinator and her extension, right, number,
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and the name of the coordinator. And actually, now nobody could get back to me. So are you the member of [ORG]? Yes. Okay. And who am I speaking with? [PERSON]. Okay. And can you tell me your date of birth and your home address, please? My date of birth is [DATE].
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My home address is [ADDRESS], Apartment oneA, [inaudible]. That's it. The zip code is And the zip code is [ZIP], [GPE], [GPE]. Is that all you need?
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And can you just give me a callback number in case we get disconnected? My callback number is [PHONE]. Thank you. Okay. So what's going on? You said Anchor is trying you need to get in contact with [ORG]? Huh? What i what's going on? How can I help you? Yes.
| 24.975
| 139.772995
| 164.748001
|
train
|
|
VNS transfer my case to [ORG]. Mm-hmm. And [ORG] is supposed to start today, right? Okay. And they didn't send no aid until now, right? Okay. So I don't have no aid. So I don't know what's going on.
| 17.382
| 165.067993
| 182.449997
|
train
|
|
So the, the, the, um, the [ORG] the, the, the, the person that I talked to just now is trying to get to [ORG] to find out who is the coordinator and her [PERSON]. the coordinator extension so I can call the coordinator and find out what's going on. But until now, they never get back to me. Since yesterday, I'm trying to do that.
| 24.215
| 183.141998
| 207.356995
|
train
|
|
[silence] So give me one moment. I'm gonna see if I can get a number for them.
| 24.874001
| 208.470993
| 233.345001
|
train
|
|
Give me one moment. [ORG]. [silence] [inaudible]. Okay. Give me one moment. Just stay on the line, okay? Yes.
| 24.131001
| 233.968994
| 258.100006
|
train
|
|
You're speaking with [PERSON].
| 2.244
| 5.294
| 7.538
|
train
|
|
May you verify your date of birth and mailing address, Ms.
| 2.329
| 10.035
| 12.364
|
train
|
|
It's, uh, January twenty-sixth, one thousand, nine hundred and forty-two, and my address is two
| 11.35
| 13.559
| 24.909
|
train
|
|
and six-[ADDRESS], Apartment twoH as in [GPE], [GPE], [GPE] [ZIP]. Ooh, what is that noise? What noise? Thank you. May um, how may I assist you
| 21.094
| 25.377001
| 46.471001
|
train
|
|
I need to speak with my care manager, [[PERSON]?]. And what would you like me to leave a message letting them know you're requesting a call back in regards to? I have to talk to her about taking care of my ostomy.
| 18.157
| 46.926998
| 65.084
|
train
|
|
Ooh, what is that noise? What's a good callback number for you, [PERSON]? It's [PHONE]. If she's not available,
| 21.347
| 82.499001
| 103.846001
|
train
|
|
I'll speak to anybody that can talk to me from my care team. It's important. The, the message was left over to, um, Ms. [[PERSON]?]. She does have forty-eight hours to respond to her messages. Based off the ostomy, um, did you want me to give you the nurse so that you could call a nurse line and speak with someone now? But otherwise, I sent a message to your care manager, and she does have forty-eight
| 24.080999
| 104.182999
| 128.264008
|
train
|
|
to respond. forty-eight hours I could be dead. Uh, let me speak with the nurse, but please send a message through to Miss [[PERSON]?]. Okay. Let's see
| 16.115
| 128.602005
| 144.716995
|
train
|
|
here. Did you want the number or just to be transferred to the nurse? Just transfer me, please. Okay. All right. Thank you for calling [ORG], and hopefully it transferred. Thank
| 17.601
| 152.259995
| 169.860992
|
train
|
|
you for calling [ORG].
| 2.146
| 0.031
| 2.177
|
train
|
|
Is this here my, uh, caretaker?
| 2.828
| 7.353
| 10.181
|
train
|
|
Uh, you're calling to for the care tech uh, take care, um, service?
| 4.433
| 11.866
| 16.299
|
train
|
|
August sixteenth, one thousand, nine hundred and
| 2.467
| 21.816
| 24.283001
|
train
|
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