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I just bought the full version started up the game but I don’t hear any voice acting when the nurse or doctor is speaking.  Does anyone have a fix for that ? 

Voice acting gets automatically enabled later in the story. Just keep playing and the game should enable it automatically. Also, can you please let me know if after like playing  through around 1-2hrs of the story, does the game's graphics change? I have the free version and my graphics really look bad now (they were fine earlier). I just wanna confirm it in the paid version. Thanks

Yes it does seem like the graphics change.  The face of at least the younger "room mate" / Best friend seems to look a bit different.  That is how I noticed it changed some.  I seem to be caught in a loop of nothing to do.  Gonna go back and replay the game and see if I missed something.