Transcript of conference held at Apr 28, 2025 in room first_test@conference.miaiconvo.com Initial people present at 2:37:11 PM: Angie - Patient Paul Hershberger Tevia OBrien - Doctor Transcript, started at 2:37:11 PM: ________________________________________________________________________________ <2:37:11 PM> Tevia OBrien - Doctor joined the conference <2:37:11 PM> Angie - Patient joined the conference <2:37:11 PM> Paul Hershberger joined the conference <2:37:11 PM> Tevia OBrien - Doctor: like <2:37:11 PM> Tevia OBrien - Doctor: do I just go straight into the like is this a normal doctor's appointment <2:37:18 PM> Tevia OBrien - Doctor: is going straight into <2:37:18 PM> Paul Hershberger: up yeah great great Point let's let's assume that <2:37:19 PM> Tevia OBrien - Doctor: motivational interviewing party <2:37:24 PM> Tevia OBrien - Doctor: okay <2:37:26 PM> Paul Hershberger: she's come in for a work-related physical <2:37:29 PM> Paul Hershberger: and you've asked about her alcohol use and she <2:37:30 PM> Tevia OBrien - Doctor: okay <2:37:35 PM> Paul Hershberger: hates she does some drinking on the weekends and then kind of follow up from there <2:37:41 PM> Paul Hershberger: so <2:37:42 PM> Tevia OBrien - Doctor: Sandy tell me more about your drinking on the weekends <2:37:45 PM> Paul Hershberger: I think we're ready no hang on one more second <2:37:51 PM> Paul Hershberger: I'm going to give you a thumbs up when I'm ready for you to start <2:38:08 PM> Angie - Patient: oh yeah it's not really a big deal you know we go out with a few friends and I have a few drinks <2:38:08 PM> Angie - Patient: you know <2:38:20 PM> Tevia OBrien - Doctor: yeah have you been <2:38:31 PM> Angie - Patient: know like just a way to relax <2:38:34 PM> Angie - Patient: yeah I mean we've been friends since college and <2:38:37 PM> Tevia OBrien - Doctor: friends with those people for a while <2:38:40 PM> Tevia OBrien - Doctor: up that's great that you're able to keep up with them <2:38:44 PM> Angie - Patient: yeah so we've just kind of kept up with our routine on the weekends <2:38:55 PM> Angie - Patient: um yeah I like the way it tastes <2:38:55 PM> Tevia OBrien - Doctor: you like about drinking <2:39:00 PM> Angie - Patient: um I like that you know after a stressful week it kind of feels like a way to relax and <2:39:07 PM> Angie - Patient: stress <2:39:08 PM> Angie - Patient: oftentimes we're you know maybe going to a game or a concert or <2:39:09 PM> Tevia OBrien - Doctor: hmm so you like the social aspect <2:39:14 PM> Angie - Patient: you know some kind of event and there's usually alcohol at those and so I'll have a couple drinks there <2:39:14 PM> Angie - Patient: and <2:39:23 PM> Angie - Patient: and yeah I feel like it's a good way to maybe like disconnect from responsibility from time to time <2:39:28 PM> Angie - Patient: yeah um yeah I mean usually we're with friends and you know any given weekend it might be with you know one couple or a different couple and it feels like a way to spend quality time with them <2:39:40 PM> Tevia OBrien - Doctor: okay so you get to know different people through drinking <2:39:46 PM> Angie - Patient: yeah <2:39:53 PM> Angie - Patient: yeah it seems like you know maybe one group of friends we like to go to hockey with or another group of friends we like to go to a concert with and so it's just like a way to spend time with them <2:39:55 PM> Tevia OBrien - Doctor: up <2:40:04 PM> Angie - Patient: yeah <2:40:04 PM> Tevia OBrien - Doctor: okay seems like you get to spend a lot of time with your friends <2:40:10 PM> Tevia OBrien - Doctor: so what is there anything that you don't like about drinking <2:40:11 PM> Angie - Patient: um <2:40:17 PM> Tevia OBrien - Doctor: hmm <2:40:19 PM> Angie - Patient: not really um you know like maybe if it's a night that I've drank too much I don't love the way I feel the next day <2:40:28 PM> Angie - Patient: um and you know I it does get kind of expensive depending on where you're at so <2:40:29 PM> Tevia OBrien - Doctor: but <2:40:36 PM> Angie - Patient: I mean maybe the cost but you know we me and my husband both have decent jobs so it's not really that big of a deal <2:40:42 PM> Tevia OBrien - Doctor: yeah how do you feel after you drink if you drink too much <2:40:43 PM> Angie - Patient: yeah I mean I don't love the way I feel the next morning <2:40:43 PM> Angie - Patient: you know <2:40:53 PM> Angie - Patient: know I try to eat pretty healthy and exercise during the week so on the weekends I maybe don't get a good workout in if I'm drinking or you know just feeling a little sluggish to the next morning <2:41:05 PM> Tevia OBrien - Doctor: mmm <2:41:08 PM> Angie - Patient: yeah I mean from time to time if I've maybe had too much you know piecing the night before together might be a little difficult but <2:41:10 PM> Tevia OBrien - Doctor: you mentioned sometimes the weekend is a blur you might have a hard time remembering what happens over the weekend <2:41:18 PM> Tevia OBrien - Doctor: yeah so you mentioned you like to drink for social reasons but then you also mentioned you have a hard time remembering <2:41:28 PM> Angie - Patient: yeah I'm just having a good time <2:41:41 PM> Tevia OBrien - Doctor: the those times sometimes after if you drink too much does that seem like a true statement <2:41:43 PM> Angie - Patient: um yeah <2:41:48 PM> Tevia OBrien - Doctor: does that bother you at all <2:41:50 PM> Angie - Patient: you know <2:41:50 PM> Angie - Patient: I mean like I feel like most people my age are kind of doing the same thing <2:41:52 PM> Tevia OBrien - Doctor: hmm <2:41:58 PM> Tevia OBrien - Doctor: okay <2:41:58 PM> Angie - Patient: so I feel like it's pretty normal <2:42:01 PM> Angie - Patient: um maybe like a three or a four <2:42:04 PM> Tevia OBrien - Doctor: um <2:42:05 PM> Tevia OBrien - Doctor: on a scale of 1 to 10 how likely do you think you are to drink less <2:42:13 PM> Tevia OBrien - Doctor: okay why do you think a three or four and not like seven or eight <2:42:18 PM> Angie - Patient: well I mean I just you know like it's one of the ways that I de-stress and have a good time so it's you know I just don't feel much reason to make a change it's definitely I work hard during the week and just <2:42:39 PM> Tevia OBrien - Doctor: mmm yeah that makes sense Angie that you want some stress free time <2:42:40 PM> Angie - Patient: you know appreciate the little bit of stress free time I get on the weekend <2:42:47 PM> Angie - Patient: yeah I mean I guess maybe when I think about how much time I focus on eating healthy and working out during the week that I'm sure maybe alcohol is setting me back in regards to you know my health goals during the week like I try to drink like low calorie <2:42:51 PM> Tevia OBrien - Doctor: um you said it's a three or four what makes it that high and not like a one or two <2:43:17 PM> Angie - Patient: like staff on the weekends but <2:43:18 PM> Tevia OBrien - Doctor: hmm what makes you say that <2:43:20 PM> Angie - Patient: I'm sure my focus on health during the week is probably being undone a little bit on the weekends <2:43:26 PM> Angie - Patient: well I mean you know we both know that I'll cause not great for your body and I'm trying to process out you know whatever alcohol that I am drinking <2:43:30 PM> Tevia OBrien - Doctor: mmm <2:43:39 PM> Angie - Patient: but I mean the goals that I have during the week of you know <2:43:41 PM> Tevia OBrien - Doctor: okay so where do you see your health if you keep drinking the way you are where do you see your health and maybe five years <2:43:44 PM> Angie - Patient: the having better exercise and just eating healthier don't really seem to align <2:44:00 PM> Angie - Patient: yeah I mean like if I continued to drink at this rate and continue to try to eat like at some point you know my health healthy eating and <2:44:11 PM> Angie - Patient: working out might not be able to overcome the alcohol that I'm drinking on the weekend <2:44:16 PM> Tevia OBrien - Doctor: But <2:44:16 PM> Tevia OBrien - Doctor: hmm <2:44:17 PM> Angie - Patient: I <2:44:17 PM> Angie - Patient: I might <2:44:18 PM> Angie - Patient: to cut back in order to <2:44:21 PM> Angie - Patient: not feel as terrible <2:44:24 PM> Angie - Patient: oh yeah like if I've just like <2:44:26 PM> Tevia OBrien - Doctor: mean by field terrible <2:44:31 PM> Angie - Patient: have a headache and M tired I'm sure those symptoms will probably slowly get worse <2:44:35 PM> Tevia OBrien - Doctor: yeah so does that change your scale at all <2:44:38 PM> Angie - Patient: come <2:44:45 PM> Tevia OBrien - Doctor: hmm <2:44:47 PM> Angie - Patient: yeah I mean like the more I think about you know how I focus on things during the week <2:44:54 PM> Angie - Patient: makes me feel like maybe I should have more of a health conscious focus on the weekend as well <2:45:04 PM> Tevia OBrien - Doctor: mmm <2:45:14 PM> Tevia OBrien - Doctor: oh sorry I ran out of questions ________________________________________________________________________________ End of transcript at Apr 28, 2025, 2:45:20 PM