text: Gemma: Actually I can't breath
  Armando: So you need to get off your ass and go see this doctor then
  Gemma: First I need to make an appointment
  Armando: So what are you waiting for?
  Gemma: Last week I went to see one doctor to get some paper
  Armando: What paper?
  Gemma: Because without a paper from my family doctor I can't see Laryngologist
  Armando: Oh ok
target: Gemma has trouble breathing. She has already seen her General Practitioner in order to get a referral to a laryngologist.