After having a ruptured cyst, she had a laparoscopy to remove some endometriosis, which eased her symptoms for a while, but she still experiences severe pain during flare-ups.
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That’s still quite far from Vapi’s ~840ms latency for a comparable configuration - more than twice as slow. At that point, the delay becomes noticeable. Conversations start to feel hesitant. Pauses stretch just long enough to feel awkward.