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EN_B00000_S06513_W000004
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2138, "duration": 15.382, "id": "EN_B00000_S06513_W000004", "language": "en", "speaker": "EN_B00000_S06513", "text": " Yeah, the impact it would have on people's life. There's a great book by John Ronson called So You've Been Publicly Shamed. Yeah. And it talks all about someone might have don...
EN_B00000_S06513_W000004.mp3
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EN_B00000_S06513_W000005
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1678, "duration": 12.495, "id": "EN_B00000_S06513_W000005", "language": "en", "speaker": "EN_B00000_S06513", "text": " I think it also elevates us and what we want to do. Like when you have an experience like that, you start to think, oh look at the impact he had. What could I be doing for peo...
EN_B00000_S06513_W000005.mp3
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EN_B00000_S06513_W000006
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1187, "duration": 7.911, "id": "EN_B00000_S06513_W000006", "language": "en", "speaker": "EN_B00000_S06513", "text": " So, so what are some of the radio shows around the world that you keep an eye on or that you enjoy?", "wav": "EN_B00000/EN_B00000_S06513/mp3/EN_B00000_S06513_W000006.mp3" }
EN_B00000_S06513_W000006.mp3
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EN_B00000_S06513_W000007
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1263, "duration": 11.676, "id": "EN_B00000_S06513_W000007", "language": "en", "speaker": "EN_B00000_S06513", "text": " Well I think, uh, like Mr97, like one of the things that I feel that I learnt from listening to Howard Stern. So I only found out about Howard Stern October.", "wav": "EN_B0...
EN_B00000_S06513_W000007.mp3
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EN_B00000_S06513_W000008
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1059, "duration": 7.132, "id": "EN_B00000_S06513_W000008", "language": "en", "speaker": "EN_B00000_S06513", "text": " Last year, and I went really deep, like I had a Sirius XM radio in our rental car in the U.S.", "wav": "EN_B00000/EN_B00000_S06513/mp3/EN_B00000_S06513_W000008.mp3" }
EN_B00000_S06513_W000008.mp3
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EN_B00000_S06513_W000009
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1629, "duration": 7.895, "id": "EN_B00000_S06513_W000009", "language": "en", "speaker": "EN_B00000_S06513", "text": " I took from it was what I love about Howard Stern is as much about the characters and the producers as it is him.", "wav": "EN_B00000/EN_B00000_S06513/mp3/EN_B00000_S06513_W0...
EN_B00000_S06513_W000009.mp3
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EN_B00000_S06513_W000010
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1624, "duration": 19.9, "id": "EN_B00000_S06513_W000010", "language": "en", "speaker": "EN_B00000_S06513", "text": " And then I started to relate it back to what I love about Kyle and Jack as well and having that ensemble cast and being able to, uh, I feel like if you are talent, it takes a ce...
EN_B00000_S06513_W000010.mp3
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EN_B00000_S06513_W000011
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0954, "duration": 6.309, "id": "EN_B00000_S06513_W000011", "language": "en", "speaker": "EN_B00000_S06513", "text": " You know, Kyle or Jackie O, if they're tired, they can have the support of you guys to be creating that content.", "wav": "EN_B00000/EN_B00000_S06513/mp3/EN_B00000_S06513_W00...
EN_B00000_S06513_W000011.mp3
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EN_B00000_S06513_W000012
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1636, "duration": 16.124, "id": "EN_B00000_S06513_W000012", "language": "en", "speaker": "EN_B00000_S06513", "text": " And so uhm, uh, the, the international side of things, when you are on a red carpet, uh, or you're, you're doing a press junket or whatever it is, are there characters, I'm th...
EN_B00000_S06513_W000012.mp3
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EN_B00000_S06513_W000013
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2329, "duration": 9.311, "id": "EN_B00000_S06513_W000013", "language": "en", "speaker": "EN_B00000_S06513", "text": " The crazy character, I'm trying to think of his name, the bald, uh, bald dude. But do you get to, do you befriend the international radio people or?", "wav": "EN_B00000/EN_B0...
EN_B00000_S06513_W000013.mp3
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EN_B00000_S06513_W000014
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0623, "duration": 7.555, "id": "EN_B00000_S06513_W000014", "language": "en", "speaker": "EN_B00000_S06513", "text": " Has junkets changed a lot in regards to the amount of cash that companies are spending on? Yeaah, I reckon they've dropped.", "wav": "EN_B00000/EN_B00000_S06513/mp3/EN_B00000...
EN_B00000_S06513_W000014.mp3
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EN_B00000_S06513_W000015
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.074, "duration": 17.164, "id": "EN_B00000_S06513_W000015", "language": "en", "speaker": "EN_B00000_S06513", "text": " It feels like our radio has the reputation of having people with a lot of mental health, uh, challenges. Oh, I'm a mess. Yeah, and, and uhm, I mean, what's that experience been...
EN_B00000_S06513_W000015.mp3
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EN_B00000_S06513_W000016
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3059, "duration": 15.9, "id": "EN_B00000_S06513_W000016", "language": "en", "speaker": "EN_B00000_S06513", "text": " No, I think like, uh, Tommy and I always joke about all for content, like always be doing stuff for content. Has there been moments like that where it's like, uh, no, I don't wa...
EN_B00000_S06513_W000016.mp3
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EN_B00000_S06513_W000017
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1397, "duration": 9.276, "id": "EN_B00000_S06513_W000017", "language": "en", "speaker": "EN_B00000_S06513", "text": " Early days where we went really honest and people still talk about the things that we spoke about in that episode. Uh, have there been, you know,", "wav": "EN_B00000/EN_B0000...
EN_B00000_S06513_W000017.mp3
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EN_B00000_S06513_W000018
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1878, "duration": 16.316, "id": "EN_B00000_S06513_W000018", "language": "en", "speaker": "EN_B00000_S06513", "text": " Uh, Kyle and Jack made the switch and how much of a big deal that was. The studios are always, you know, top notch. Do you get a sense that, uh, there's going to be a lot of c...
EN_B00000_S06513_W000018.mp3
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EN_B00000_S06513_W000019
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3464, "duration": 15.653, "id": "EN_B00000_S06513_W000019", "language": "en", "speaker": "EN_B00000_S06513", "text": " That's so exciting. Well, I think you're such a, as I said, the ensemble stuff is such a, uh, massive part of that show. And I think that, um, every time I tune in and I hear ...
EN_B00000_S06513_W000019.mp3
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EN_B00000_S06513_W000020
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1285, "duration": 16.86, "id": "EN_B00000_S06513_W000020", "language": "en", "speaker": "EN_B00000_S06513", "text": " I think it's uhm, similar to what you said with Kyle and Jack, it's just doing more of what we're doing. And we've got, like, we're giving ourselves 10 years. And so, for us, i...
EN_B00000_S06513_W000020.mp3
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EN_B00000_S06513_W000021
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2789, "duration": 15.127, "id": "EN_B00000_S06513_W000021", "language": "en", "speaker": "EN_B00000_S06513", "text": " I think the podcast, like the whole show, we definitely have gotten closer in regards to what we want to do. And I think that that makes it easy too. There's no questioning th...
EN_B00000_S06513_W000021.mp3
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EN_B00000_S06513_W000022
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1976, "duration": 11.358, "id": "EN_B00000_S06513_W000022", "language": "en", "speaker": "EN_B00000_S06513", "text": " It's a lifestyle thing too, right? Like if we didn't enjoy doing it, it'd be fucked. But, and that's what like some people would say, ah, I want to do a podcast, but I hate do...
EN_B00000_S06513_W000022.mp3
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EN_B00000_S06513_W000023
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1569, "duration": 17.308, "id": "EN_B00000_S06513_W000023", "language": "en", "speaker": "EN_B00000_S06513", "text": " Uh, we want to do a podcast because we want to connect with great people. We want to create great work. We want, uh, something that we can put out every single day. And so the...
EN_B00000_S06513_W000023.mp3
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EN_B00000_S06513_W000024
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1753, "duration": 13.884, "id": "EN_B00000_S06513_W000024", "language": "en", "speaker": "EN_B00000_S06513", "text": " Uhm, like what is a podcast? A podcast is literally just a audio on a RSS feed that people can download. Like it's actually not that different to things like radio. It's only ...
EN_B00000_S06513_W000024.mp3
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EN_B00000_S06513_W000025
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1485, "duration": 13.918, "id": "EN_B00000_S06513_W000025", "language": "en", "speaker": "EN_B00000_S06513", "text": " Yeah, what does it mean to have a podcast? Is it longer conversations? Is it because you want to explore a topic that's interesting to you? But uhm, yeah, definitely. I think ...
EN_B00000_S06513_W000025.mp3
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EN_B00000_S06513_W000026
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0665, "duration": 13.455, "id": "EN_B00000_S06513_W000026", "language": "en", "speaker": "EN_B00000_S06513", "text": " We're not necessarily, like I know, like, there'd be heaps of podcasters who are like, oh, who are, who's got Instagram accounts that are huge that we can then leverage? Where...
EN_B00000_S06513_W000026.mp3
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EN_B00000_S06513_W000027
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.231, "duration": 6.027, "id": "EN_B00000_S06513_W000027", "language": "en", "speaker": "EN_B00000_S06513", "text": " And then, oh, if they've got an audience, great. If they don't, uh, no worries. And so...", "wav": "EN_B00000/EN_B00000_S06513/mp3/EN_B00000_S06513_W000027.mp3" }
EN_B00000_S06513_W000027.mp3
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EN_B00000_S06513_W000028
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.13, "duration": 10.364, "id": "EN_B00000_S06513_W000028", "language": "en", "speaker": "EN_B00000_S06513", "text": " Community of everyone supporting everyone. And I think that that's like, if The Daily Talk Show can be the dot connector to help that, to help celebrate.", "wav": "EN_B00000/E...
EN_B00000_S06513_W000028.mp3
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EN_B00000_S06513_W000029
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1965, "duration": 7.063, "id": "EN_B00000_S06513_W000029", "language": "en", "speaker": "EN_B00000_S06513", "text": " What other formats, what other opportunities can people hear you talking about this stuff? Because I think people are really interested.", "wav": "EN_B00000/EN_B00000_S06513/...
EN_B00000_S06513_W000029.mp3
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EN_B00000_S06523_W000000
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1058, "duration": 18.716, "id": "EN_B00000_S06523_W000000", "language": "en", "speaker": "EN_B00000_S06523", "text": " So let's just dive right in here. Let's talk about what you guys found or discovered. What the more interesting thing was, which I think we're gonna get to at some point. Can ...
EN_B00000_S06523_W000000.mp3
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EN_B00000_S06523_W000001
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2297, "duration": 7.723, "id": "EN_B00000_S06523_W000001", "language": "en", "speaker": "EN_B00000_S06523", "text": " Expression for these, you know, for happy, mad, sad, angry, whatever. Can you kinda explain where they come from?", "wav": "EN_B00000/EN_B00000_S06523/mp3/EN_B00000_S06523_W0...
EN_B00000_S06523_W000001.mp3
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EN_B00000_S06523_W000002
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.275, "duration": 12.615, "id": "EN_B00000_S06523_W000002", "language": "en", "speaker": "EN_B00000_S06523", "text": " And we definitely want to talk to you more about how we can shift those predictions. But before we go there, as you were explaining, you know, I started kind of putting some th...
EN_B00000_S06523_W000002.mp3
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EN_B00000_S06523_W000003
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3518, "duration": 12.412, "id": "EN_B00000_S06523_W000003", "language": "en", "speaker": "EN_B00000_S06523", "text": " And we, you know, right, so there's a lot of research, whether or not the literature is correct or not, that, you know, adverse childhood experiences, trauma often plays into ...
EN_B00000_S06523_W000003.mp3
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EN_B00000_S06523_W000004
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1794, "duration": 10.236, "id": "EN_B00000_S06523_W000004", "language": "en", "speaker": "EN_B00000_S06523", "text": " And then those individuals with the addiction, right, that they have hired instances of binge eating disorder, bulimia nervosa, anorexia nervosa, whatever it might be.", "wa...
EN_B00000_S06523_W000004.mp3
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EN_B00000_S06523_W000005
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1091, "duration": 14.076, "id": "EN_B00000_S06523_W000005", "language": "en", "speaker": "EN_B00000_S06523", "text": " So am I correct in putting this together that because of the chaos that these individuals maybe lived in, like the soup that their developing brain was waiting for the program...
EN_B00000_S06523_W000005.mp3
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EN_B00000_S06523_W000006
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1692, "duration": 8.156, "id": "EN_B00000_S06523_W000006", "language": "en", "speaker": "EN_B00000_S06523", "text": " Yeah, as you were sharing, I just keep thinking about, I literally have just gone through probably the toughest 12 months of my life that I can remember.", "wav": "EN_B00000/...
EN_B00000_S06523_W000006.mp3
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EN_B00000_S06523_W000007
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1826, "duration": 4.892, "id": "EN_B00000_S06523_W000007", "language": "en", "speaker": "EN_B00000_S06523", "text": " Tragic accents. Oh yeah, I mean it's, but at the same, you know, it's really interesting because", "wav": "EN_B00000/EN_B00000_S06523/mp3/EN_B00000_S06523_W000007.mp3" }
EN_B00000_S06523_W000007.mp3
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EN_B00000_S06523_W000008
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1139, "duration": 16.22, "id": "EN_B00000_S06523_W000008", "language": "en", "speaker": "EN_B00000_S06523", "text": " I've kind of learned this skill along the way. I'm calling it a skill, I don't know, where like I've learned to like lean into the suck, right? Like it's this idea of like all ...
EN_B00000_S06523_W000008.mp3
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EN_B00000_S06523_W000009
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1719, "duration": 4.764, "id": "EN_B00000_S06523_W000009", "language": "en", "speaker": "EN_B00000_S06523", "text": " What is going- a waiting for me today kind of deal, like as soon as my feet hit the floor.", "wav": "EN_B00000/EN_B00000_S06523/mp3/EN_B00000_S06523_W000009.mp3" }
EN_B00000_S06523_W000009.mp3
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EN_B00000_S06523_W000010
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1533, "duration": 22.172, "id": "EN_B00000_S06523_W000010", "language": "en", "speaker": "EN_B00000_S06523", "text": " Amazing. Well, it has definitely been an eye-opening hour for me and I'm sure for Clarissa too. And I just so appreciate the work that you've done. I had the opportunity to re...
EN_B00000_S06523_W000010.mp3
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EN_B00000_S06523_W000011
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0696, "duration": 10.812, "id": "EN_B00000_S06523_W000011", "language": "en", "speaker": "EN_B00000_S06523", "text": " So I'm gonna get to read that soon. Thanks. Thanks. So before you go, before you go, we always want to know what's next for you. And then we have a signature question. So what...
EN_B00000_S06523_W000011.mp3
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EN_B00000_S06533_W000000
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3317, "duration": 8.732, "id": "EN_B00000_S06533_W000000", "language": "en", "speaker": "EN_B00000_S06533", "text": " Hello again, friends. This will be an update to a lecture that I gave way back in 2013 on peptic ulcer disease and gastritis.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B000...
EN_B00000_S06533_W000000.mp3
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EN_B00000_S06533_W000001
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3257, "duration": 16.732, "id": "EN_B00000_S06533_W000001", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, updating those lectures, uhm, and obviously hoping to get to you a, uh, a lecture that actually does have sound. So uhm, that is why I am updating this, but I do have some...
EN_B00000_S06533_W000001.mp3
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EN_B00000_S06533_W000002
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2886, "duration": 7.42, "id": "EN_B00000_S06533_W000002", "language": "en", "speaker": "EN_B00000_S06533", "text": " But for the most part, the, uh, the diagnosis and treatment remains, uh, pretty similar to what it was before.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06533_W00000...
EN_B00000_S06533_W000002.mp3
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EN_B00000_S06533_W000003
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.4055, "duration": 17.929, "id": "EN_B00000_S06533_W000003", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uhm, so this will come up on the USMLE, Peptic Ulcer Disease and Gastritis are the number two causes of epigastric pain. So, uh, you do want to understand these approaches, uh...
EN_B00000_S06533_W000003.mp3
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EN_B00000_S06533_W000004
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3574, "duration": 17.3, "id": "EN_B00000_S06533_W000004", "language": "en", "speaker": "EN_B00000_S06533", "text": " If you haven't had the opportunity yet, please consider subscribing to my Patreon page at www.patreon.com forward slash PWBMD. You can get there by clicking the link below in th...
EN_B00000_S06533_W000004.mp3
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EN_B00000_S06533_W000005
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.325, "duration": 19.966, "id": "EN_B00000_S06533_W000005", "language": "en", "speaker": "EN_B00000_S06533", "text": " Little bit goes a very long way to help keep these videos free. And if you subscribe, you'll have access to some of my premium content in which I go over case reviews, how to f...
EN_B00000_S06533_W000005.mp3
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EN_B00000_S06533_W000006
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0837, "duration": 6.061, "id": "EN_B00000_S06533_W000006", "language": "en", "speaker": "EN_B00000_S06533", "text": " We're going to be focusing on the stomach and the first part of the small intestine, otherwise known as the duodenum.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S0653...
EN_B00000_S06533_W000006.mp3
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EN_B00000_S06533_W000007
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3867, "duration": 13.852, "id": "EN_B00000_S06533_W000007", "language": "en", "speaker": "EN_B00000_S06533", "text": " So you can have ulcers either in your stomach or in your duodenum. They're a little bit different. Uh, however, for the most part, you can't really tell them apart clinically....
EN_B00000_S06533_W000007.mp3
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EN_B00000_S06533_W000008
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2002, "duration": 7.132, "id": "EN_B00000_S06533_W000008", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uhm, so they are different, but again, very difficult to distinguish clinically. Your approach is going to be the same.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06...
EN_B00000_S06533_W000008.mp3
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EN_B00000_S06533_W000009
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1711, "duration": 6.652, "id": "EN_B00000_S06533_W000009", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, the difference is how, uh, one will respond and the other really won't, uh, so much. So,", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06533_W000009.mp3" }
EN_B00000_S06533_W000009.mp3
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EN_B00000_S06533_W000010
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.4107, "duration": 14.108, "id": "EN_B00000_S06533_W000010", "language": "en", "speaker": "EN_B00000_S06533", "text": " We will go into the intricacies of how these are different. Obviously, from a pathologic perspective, they are quite different. But from a clinical perspective, they can be a ...
EN_B00000_S06533_W000010.mp3
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EN_B00000_S06533_W000011
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1511, "duration": 8.535, "id": "EN_B00000_S06533_W000011", "language": "en", "speaker": "EN_B00000_S06533", "text": " So when it comes to answering step two and step three questions where you're not given pathologic specimens, uh, it should be pretty straightforward to go at these.", "wav": ...
EN_B00000_S06533_W000011.mp3
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EN_B00000_S06533_W000012
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2715, "duration": 16.622, "id": "EN_B00000_S06533_W000012", "language": "en", "speaker": "EN_B00000_S06533", "text": " So as you know, the causes of epigastric pain, the number one cause is idiopathic. However, when you do know the cause, the number one cause, if you've ever worked in an ER, y...
EN_B00000_S06533_W000012.mp3
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EN_B00000_S06533_W000013
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0895, "duration": 14.492, "id": "EN_B00000_S06533_W000013", "language": "en", "speaker": "EN_B00000_S06533", "text": " 95% of the patients who come into the ER with quote unquote chest pain actually have reflux disease. And it makes sense because when you have reflux, it's actually going up th...
EN_B00000_S06533_W000013.mp3
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EN_B00000_S06533_W000014
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.4503, "duration": 13.158, "id": "EN_B00000_S06533_W000014", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, so whether or not that presents as epigastric pain, uh, you know, we don't really know, but, uh, we can safely say that the number one cause of epigastric pain is GERD jus...
EN_B00000_S06533_W000014.mp3
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EN_B00000_S06533_W000015
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3232, "duration": 13.084, "id": "EN_B00000_S06533_W000015", "language": "en", "speaker": "EN_B00000_S06533", "text": " Beyond that, peptic ulcer disease and gastritis are the number two causes. Pancreatitis, a little bit further down, certainly causes pain, but the pain scale is going to be wa...
EN_B00000_S06533_W000015.mp3
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EN_B00000_S06533_W000016
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0429, "duration": 6.793, "id": "EN_B00000_S06533_W000016", "language": "en", "speaker": "EN_B00000_S06533", "text": " Look for a history of alcoholism in patients with pancreatitis. Typically the pain is so bad it goes right through to the back.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B0...
EN_B00000_S06533_W000016.mp3
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EN_B00000_S06533_W000017
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3598, "duration": 17.884, "id": "EN_B00000_S06533_W000017", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, so these patients are in really severe pain. Like I said, look for a history of alcoholism. Not always present, but it is in many cases. Others include esophagitis, cholec...
EN_B00000_S06533_W000017.mp3
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EN_B00000_S06533_W000018
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0235, "duration": 14.937, "id": "EN_B00000_S06533_W000018", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, to maybe refer isn't the best word, but they can, uh, they, they can manifest in the epigastric area, but they'll typically, uh, if you ask these patients, they're, they w...
EN_B00000_S06533_W000018.mp3
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EN_B00000_S06533_W000019
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2553, "duration": 5.596, "id": "EN_B00000_S06533_W000019", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uhm, look for alarm signs like weight loss and anemia, fatigue and things like that.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06533_W000019.mp3" }
EN_B00000_S06533_W000019.mp3
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EN_B00000_S06533_W000020
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3136, "duration": 18.076, "id": "EN_B00000_S06533_W000020", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, so that can be gastric, esophageal, pancreatic, these can all cause epigastric pain, and then referred or misappropriated pain, kind of going along the same lines as these...
EN_B00000_S06533_W000020.mp3
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EN_B00000_S06533_W000021
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1624, "duration": 6.844, "id": "EN_B00000_S06533_W000021", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uhm, and so a pregnancy test is always good to get in any, uh, woman of childbearing age who, uh,", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06533_W000021.mp3" }
EN_B00000_S06533_W000021.mp3
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EN_B00000_S06533_W000022
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3184, "duration": 4.54, "id": "EN_B00000_S06533_W000022", "language": "en", "speaker": "EN_B00000_S06533", "text": " Who has abdominal pain. It's a very cheap test, very easy to get.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06533_W000022.mp3" }
EN_B00000_S06533_W000022.mp3
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EN_B00000_S06533_W000023
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1792, "duration": 4.252, "id": "EN_B00000_S06533_W000023", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uhm, and you can rule out one of the more, uh, problematic", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06533_W000023.mp3" }
EN_B00000_S06533_W000023.mp3
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EN_B00000_S06533_W000024
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2045, "duration": 18.716, "id": "EN_B00000_S06533_W000024", "language": "en", "speaker": "EN_B00000_S06533", "text": " That should just be a reflex for you. So you need to remember to order a pregnancy test when you're dealing with a woman of childbearing age who has abdominal pain, even thoug...
EN_B00000_S06533_W000024.mp3
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EN_B00000_S06533_W000025
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2297, "duration": 3.344, "id": "EN_B00000_S06533_W000025", "language": "en", "speaker": "EN_B00000_S06533", "text": " It is a focal ulceration of the stomach or duodenal tissue.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06533_W000025.mp3" }
EN_B00000_S06533_W000025.mp3
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EN_B00000_S06533_W000026
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3996, "duration": 17.916, "id": "EN_B00000_S06533_W000026", "language": "en", "speaker": "EN_B00000_S06533", "text": " The profile of this pain is that it tends to occur after eating. A lot of times patients will refer to this as a gnawing pain that comes and goes in waves. Now, you may read i...
EN_B00000_S06533_W000026.mp3
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EN_B00000_S06533_W000027
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3702, "duration": 10.328, "id": "EN_B00000_S06533_W000027", "language": "en", "speaker": "EN_B00000_S06533", "text": " Whereas with duodenal ulcers, it tends to be relieved by eating and then comes on a few hours after eating, post-prandial. That's not always reliable.", "wav": "EN_B00000/EN...
EN_B00000_S06533_W000027.mp3
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EN_B00000_S06533_W000028
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1991, "duration": 12.124, "id": "EN_B00000_S06533_W000028", "language": "en", "speaker": "EN_B00000_S06533", "text": " So you really can't differentiate between gastric and duodenal ulcer by symptoms alone. And it really doesn't matter because the causes are the same. So we're always thinking ...
EN_B00000_S06533_W000028.mp3
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EN_B00000_S06533_W000029
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0824, "duration": 8.188, "id": "EN_B00000_S06533_W000029", "language": "en", "speaker": "EN_B00000_S06533", "text": " You know, step one, I think when I took step one, I did get a question on, uh, gastric or duodenal ulcers, although I took step one, like,", "wav": "EN_B00000/EN_B00000_S0653...
EN_B00000_S06533_W000029.mp3
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EN_B00000_S06533_W000030
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3682, "duration": 11.676, "id": "EN_B00000_S06533_W000030", "language": "en", "speaker": "EN_B00000_S06533", "text": " In, for all intents and purposes, when you're practicing clinically, it doesn't matter and it's really not reliable to go on the nature of the symptoms as far as eating, does ...
EN_B00000_S06533_W000030.mp3
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EN_B00000_S06533_W000031
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3194, "duration": 11.74, "id": "EN_B00000_S06533_W000031", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uhm, so that's just a rule of thumb, but really you can't rely on that. The only way that you can know definitively if it's gastric versus duodenal is to do a scope. And that's...
EN_B00000_S06533_W000031.mp3
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EN_B00000_S06533_W000032
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0703, "duration": 14.428, "id": "EN_B00000_S06533_W000032", "language": "en", "speaker": "EN_B00000_S06533", "text": " But as you're gonna see, it'll come a little bit more clear that it really doesn't matter so much because the way we are going to approach this is going to be the same regardl...
EN_B00000_S06533_W000032.mp3
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EN_B00000_S06533_W000033
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1396, "duration": 18.67, "id": "EN_B00000_S06533_W000033", "language": "en", "speaker": "EN_B00000_S06533", "text": " Remember that ulcers can occur as part of a larger disease process, so certainly in Crohn's, remember that can affect anywhere from the mouth, you can get aftis ulcers in the m...
EN_B00000_S06533_W000033.mp3
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EN_B00000_S06533_W000034
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3075, "duration": 19.933, "id": "EN_B00000_S06533_W000034", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uhm, with Zollinger-Ellison syndrome, again, you can also get ulcers, but this, remember, Zollinger-Ellison syndrome is due to a gastrin-secreting tumor. Uh, so with Crohn's, ...
EN_B00000_S06533_W000034.mp3
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EN_B00000_S06533_W000035
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2166, "duration": 14.635, "id": "EN_B00000_S06533_W000035", "language": "en", "speaker": "EN_B00000_S06533", "text": " Zollinger-Ellison syndrome, it can be really tricky. It's very rare, thankfully. Uh, but look for a history of MEN1, uh, multiple endocrine neoplasia type 1. It tends to, uh, ...
EN_B00000_S06533_W000035.mp3
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EN_B00000_S06533_W000036
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.4002, "duration": 4.348, "id": "EN_B00000_S06533_W000036", "language": "en", "speaker": "EN_B00000_S06533", "text": " So do keep in mind that ulcers can be a symptom of a larger disease process.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06533_W000036.mp3" }
EN_B00000_S06533_W000036.mp3
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EN_B00000_S06533_W000037
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2931, "duration": 15.375, "id": "EN_B00000_S06533_W000037", "language": "en", "speaker": "EN_B00000_S06533", "text": " The causes of peptic ulcer disease far and away, the most common causes are NSAID use, ongoing long-term NSAID use. So think a patient that is older, uh, maybe has osteoarthri...
EN_B00000_S06533_W000037.mp3
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EN_B00000_S06533_W000038
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2786, "duration": 9.966, "id": "EN_B00000_S06533_W000038", "language": "en", "speaker": "EN_B00000_S06533", "text": " And then Helicobacter pylori. Think of younger people who really don't have any other risk factors for peptic ulcer disease. Typically H. pylori is behind those.", "wav": "EN...
EN_B00000_S06533_W000038.mp3
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EN_B00000_S06533_W000039
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3341, "duration": 17.372, "id": "EN_B00000_S06533_W000039", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, so these make up the majority of cases, and like I said, there are other syndromes that can manifest with ulcers. Head Trauma, remember that's your Cushing's Ulcer. Burns,...
EN_B00000_S06533_W000039.mp3
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EN_B00000_S06533_W000040
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3927, "duration": 12.476, "id": "EN_B00000_S06533_W000040", "language": "en", "speaker": "EN_B00000_S06533", "text": " So remember to keep in mind your gastrointestinal alarm symptoms. So you should always remember these. Anytime you have a patient with GI symptoms, if they also have one of th...
EN_B00000_S06533_W000040.mp3
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EN_B00000_S06533_W000041
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3863, "duration": 13.628, "id": "EN_B00000_S06533_W000041", "language": "en", "speaker": "EN_B00000_S06533", "text": " The, uh, your approach is going to be a little bit more emergent and you're probably going to move on to endoscopy because you really want to find out what the cause is. Reall...
EN_B00000_S06533_W000041.mp3
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EN_B00000_S06533_W000042
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2126, "duration": 14.812, "id": "EN_B00000_S06533_W000042", "language": "en", "speaker": "EN_B00000_S06533", "text": " And, uh, gastric cancer, esophageal cancer can mimic ulcer or disease as far as the pain, uh, goes. You know, you can get pain from those things. And so whenever you have a pa...
EN_B00000_S06533_W000042.mp3
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EN_B00000_S06533_W000043
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1764, "duration": 10.588, "id": "EN_B00000_S06533_W000043", "language": "en", "speaker": "EN_B00000_S06533", "text": " You, you, you wanna take this into consideration. So if you have a patient with weight loss, anemia, heme-positive stools, or hematomasis. So I say heme-positive stools, reall...
EN_B00000_S06533_W000043.mp3
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EN_B00000_S06533_W000044
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3403, "duration": 11.996, "id": "EN_B00000_S06533_W000044", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, heme positive would be like a lab result. Uh, so if they have dark, uh, dark stools, uh, if they have hematomasis, uh, we're thinking of a bleed. So anything consistent wi...
EN_B00000_S06533_W000044.mp3
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EN_B00000_S06533_W000045
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2963, "duration": 8.406, "id": "EN_B00000_S06533_W000045", "language": "en", "speaker": "EN_B00000_S06533", "text": " Early satiety, adenophagia or dysphagia, or they're older than 45, then you really want to think of maybe scoping these patients.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_...
EN_B00000_S06533_W000045.mp3
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EN_B00000_S06533_W000046
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0896, "duration": 7.063, "id": "EN_B00000_S06533_W000046", "language": "en", "speaker": "EN_B00000_S06533", "text": " Not always, but, uh, but just bear in mind these symptoms and use your clinical judgement.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06533_W000046.mp3" }
EN_B00000_S06533_W000046.mp3
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EN_B00000_S06533_W000047
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0626, "duration": 3.292, "id": "EN_B00000_S06533_W000047", "language": "en", "speaker": "EN_B00000_S06533", "text": " Almost always be part of your workup when you suspect an ulcer.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06533_W000047.mp3" }
EN_B00000_S06533_W000047.mp3
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EN_B00000_S06533_W000048
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1105, "duration": 17.852, "id": "EN_B00000_S06533_W000048", "language": "en", "speaker": "EN_B00000_S06533", "text": " So there are several commonly used ways to test. Serology is going to be the most sensitive. Now if a patient gets, uh, has an infection with H. pylori, they will always test ...
EN_B00000_S06533_W000048.mp3
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EN_B00000_S06533_W000049
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3219, "duration": 7.769, "id": "EN_B00000_S06533_W000049", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, and it will always be positive even after you treat these patients. So this is the most sensitive test, uh, to diagnose H. pylori.", "wav": "EN_B00000/EN_B00000_S06533/mp...
EN_B00000_S06533_W000049.mp3
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EN_B00000_S06533_W000050
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3247, "duration": 17.942, "id": "EN_B00000_S06533_W000050", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, but the most time-tested way is to actually look at it under a microscope. Obviously, this is going to require endoscopy, so it's not necessarily going to be the first thi...
EN_B00000_S06533_W000050.mp3
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EN_B00000_S06533_W000051
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.1467, "duration": 14.295, "id": "EN_B00000_S06533_W000051", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, stool antigen checks for present infection. So this is really good to use if the patient doesn't respond to therapy. It's also very commonly used to see if the patient is ...
EN_B00000_S06533_W000051.mp3
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EN_B00000_S06533_W000052
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2905, "duration": 10.3, "id": "EN_B00000_S06533_W000052", "language": "en", "speaker": "EN_B00000_S06533", "text": " If the patient responds to therapy. So unlike the serology, a stool antigen, if you've actually resolved the H. pylori infection that will then test negative.", "wav": "EN_B00...
EN_B00000_S06533_W000052.mp3
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EN_B00000_S06533_W000053
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2592, "duration": 13.596, "id": "EN_B00000_S06533_W000053", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, so, serology will always be positive if the patient's ever had an infection with H. pylori, stool antigen will be positive if they have an active infection, but then withi...
EN_B00000_S06533_W000053.mp3
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EN_B00000_S06533_W000054
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3251, "duration": 19.836, "id": "EN_B00000_S06533_W000054", "language": "en", "speaker": "EN_B00000_S06533", "text": " So it's a good test to check for response to therapy. And then there's the urea breath test. Uh, the problem with the urea breath test is that the patient has to discontinue t...
EN_B00000_S06533_W000054.mp3
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EN_B00000_S06533_W000055
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.4401, "duration": 15.9, "id": "EN_B00000_S06533_W000055", "language": "en", "speaker": "EN_B00000_S06533", "text": " And so, you know, the patient is going to have these symptoms. They're going to have pain. It's difficult to tell them to go off your, your PPI, uh, for some time, uh, prior to ...
EN_B00000_S06533_W000055.mp3
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EN_B00000_S06533_W000056
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.3046, "duration": 18.716, "id": "EN_B00000_S06533_W000056", "language": "en", "speaker": "EN_B00000_S06533", "text": " The best first step in management of a patient with suspected peptic ulcer disease is therefore H. pylori serology. It is the most sensitive test. As long as they don't have a...
EN_B00000_S06533_W000056.mp3
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EN_B00000_S06533_W000057
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0908, "duration": 5.564, "id": "EN_B00000_S06533_W000057", "language": "en", "speaker": "EN_B00000_S06533", "text": " The most accurate test for H. pylori infection is gastric biopsy. That is your gold standard.", "wav": "EN_B00000/EN_B00000_S06533/mp3/EN_B00000_S06533_W000057.mp3" }
EN_B00000_S06533_W000057.mp3
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EN_B00000_S06533_W000058
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.0907, "duration": 18.489, "id": "EN_B00000_S06533_W000058", "language": "en", "speaker": "EN_B00000_S06533", "text": " So going back to peptic ulcer disease, what are the symptoms? So it can be post-prandial epigastric pain, it can be pain with eating, it can wake the patient up in the middle ...
EN_B00000_S06533_W000058.mp3
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EN_B00000_S06533_W000059
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.4443, "duration": 16.124, "id": "EN_B00000_S06533_W000059", "language": "en", "speaker": "EN_B00000_S06533", "text": " Some of these or all of these can present and be the presentation of peptic ulcer disease. The history, you may have frequent NSAID use, very common in older people who have a...
EN_B00000_S06533_W000059.mp3
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EN_B00000_S06533_W000060
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.4149, "duration": 10.411, "id": "EN_B00000_S06533_W000060", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uhm, but they don't necessarily, you know, you can have a younger person who's never touched an insect in their life and then they develop an ulcer. So you don't have to have ...
EN_B00000_S06533_W000060.mp3
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EN_B00000_S06533_W000061
hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000003.tar
{ "dnsmos": 3.2509, "duration": 16.672, "id": "EN_B00000_S06533_W000061", "language": "en", "speaker": "EN_B00000_S06533", "text": " Uh, diagnosis. So as we said, patients without alarm symptoms, the first thing that you should do is get an H. pylori serology. You're going to do a number of other things for...
EN_B00000_S06533_W000061.mp3
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