Transcript of conference held at Jun 3, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:29:20 PM: Eni - Doctor Paul Hershberger Nick - Patient Transcript, started at 1:29:20 PM: ________________________________________________________________________________ <1:29:20 PM> Paul Hershberger joined the conference <1:29:20 PM> Nick - Patient joined the conference <1:29:20 PM> Eni - Doctor joined the conference <1:29:21 PM> Paul Hershberger: with <1:29:22 PM> Eni - Doctor: hi Nick so I'm glad you came in for your annual so what are the next parts of like the physical or like what we talked about is like like substance use so do you drink alcohol <1:29:27 PM> Nick - Patient: yeah <1:29:45 PM> Eni - Doctor: oh okay so um how much would you say you drink a day <1:29:46 PM> Nick - Patient: um <1:29:53 PM> Nick - Patient: know during the work week I don't really drink too much but usually on the weekends I'll you know drink social and <1:29:53 PM> Eni - Doctor: but <1:30:00 PM> Eni - Doctor: okay and when you say socially um how many drinks would that be <1:30:05 PM> Nick - Patient: oh <1:30:08 PM> Nick - Patient: um honestly I'm not really sure it's usually I mean usually enough to get me pretty <1:30:16 PM> Eni - Doctor: okay and <1:30:17 PM> Nick - Patient: three <1:30:18 PM> Nick - Patient: for sure yeah <1:30:24 PM> Eni - Doctor: can you tell me what type of alcohol is a beer liquor wine <1:30:27 PM> Nick - Patient: oh I do a I do a whole Max I do I'll drink I'll usually start off with a couple of beers and then <1:30:35 PM> Nick - Patient: of like move to maybe a couple shots and then maybe some mixed drinks on top of that <1:30:40 PM> Eni - Doctor: okay so some I'm hearing beer shots and mixed drinks okay and would you use that say that through like the course of a day or the course of like two days like since the weekend <1:30:41 PM> Nick - Patient: oh <1:30:49 PM> Nick - Patient: just <1:30:55 PM> Nick - Patient: kind of <1:30:55 PM> Nick - Patient: I'm usually it's like like a Friday and Saturday <1:31:01 PM> Nick - Patient: um yeah <1:31:03 PM> Nick - Patient: just like a I like to have parties <1:31:03 PM> Eni - Doctor: how <1:31:03 PM> Eni - Doctor: oh I see if they're like yeah like trying to unwind from the week I'm assuming how do you <1:31:07 PM> Nick - Patient: all right <1:31:15 PM> Eni - Doctor: feel about the amount of alcohol that you drink <1:31:17 PM> Nick - Patient: I think it's pretty okay I mean I usually limit it like to just the weekends which I think is is good <1:31:26 PM> Nick - Patient: um like I don't I don't drink during the work week <1:31:30 PM> Nick - Patient: so yeah just like to unwind on the weekend <1:31:34 PM> Eni - Doctor: okay and when you say unwind is there a reason why it has to be alcohol <1:31:35 PM> Nick - Patient: you know it's kind of just like what I've what I've done in the past is kind of like <1:31:45 PM> Nick - Patient: you know me and my wife we like to host parties and <1:31:47 PM> Eni - Doctor: how does your wife feel about the amount of alcohol you drink <1:31:50 PM> Nick - Patient: you know we we have friends over and <1:31:53 PM> Nick - Patient: you know it's kind of just like something we've always done <1:31:56 PM> Nick - Patient: um I think she's decently okay with it I mean <1:31:56 PM> Nick - Patient: she <1:32:06 PM> Nick - Patient: a little bit too not as much as me of course but <1:32:08 PM> Eni - Doctor: okay and <1:32:10 PM> Nick - Patient: you see drinks <1:32:13 PM> Nick - Patient: at you know on the weekends like me <1:32:16 PM> Nick - Patient: she at least hasn't raised any concerns to me I guess <1:32:20 PM> Eni - Doctor: I see and then so you mentioned <1:32:20 PM> Nick - Patient: three <1:32:25 PM> Eni - Doctor: that um you know she seems okay she doesn't drink as much as you um has she ever asked you to like to cut back on the amount of drinking amount of alcohol you're taking <1:32:26 PM> Nick - Patient: oh most popular um <1:32:39 PM> Nick - Patient: I don't think so <1:32:41 PM> Nick - Patient: maybe like I mean there's been like a time or two like after a really have two weekend or like talking and more like oh God maybe we shouldn't this as much but then like it's goes back to the same <1:32:45 PM> Eni - Doctor: and when you say like enough to get you like lit or have a good time what does that look like to you <1:32:55 PM> Nick - Patient: thing <1:33:00 PM> Nick - Patient: mm-hmm <1:33:02 PM> Nick - Patient: um I mean like sometimes like I like can't really remember the night <1:33:14 PM> Nick - Patient: oh you know like just kind of forget a couple of things of the night I mean enough to get like pretty drunk <1:33:14 PM> Nick - Patient: and then <1:33:24 PM> Nick - Patient: like wake up and <1:33:26 PM> Nick - Patient: feel like crap and then <1:33:29 PM> Nick - Patient: that's why Saturday night will kind of do the same thing and then Sunday we just leave to like recover so that I can go to work <1:33:34 PM> Eni - Doctor: okay and when you say that it makes you feel like crap like what is that like <1:33:36 PM> Nick - Patient: for the week <1:33:38 PM> Nick - Patient: I mean I'm sure we're both I mean I'm 40 years old now so it's kind of like <1:33:50 PM> Nick - Patient: you know I'm not like I used to be when I was young in 20 and could have a whole night of drinking and feel okay the next day just kind of like you know some some nausea Sometimes some vomiting <1:34:02 PM> Eni - Doctor: it's like nausea vomiting headaches <1:34:03 PM> Nick - Patient: headaches you know like the typical hangover <1:34:06 PM> Nick - Patient: yeah <1:34:10 PM> Eni - Doctor: you mention that so um <1:34:14 PM> Eni - Doctor: was a like how that makes you feel for the rest of your week or Preparation of your week <1:34:14 PM> Eni - Doctor: like <1:34:19 PM> Eni - Doctor: um are those the type of like like feelings you want to have before starting your week <1:34:20 PM> Nick - Patient: I mean not typically which is why you usually Sunday I kind of like have a day of rest <1:34:29 PM> Eni - Doctor: here <1:34:31 PM> Nick - Patient: and just like reset and then that way usually then by Monday like I'm ready to go back to work <1:34:38 PM> Eni - Doctor: okay okay and do you ever find yourself <1:34:40 PM> Nick - Patient: okay <1:34:45 PM> Eni - Doctor: like it's not safe to drink as much as you're drinking <1:34:52 PM> Nick - Patient: I mean maybe a little bit I mean like feeling like <1:34:58 PM> Nick - Patient: having a hangovers most weeks like I'm sure isn't like all that good but I mean I feel like sometimes I'm just limiting it to the weekend like it's probably fine like it's not like I'm an alcoholic or anything I'm like only limiting it to the weekends <1:35:12 PM> Eni - Doctor: okay so you're saying um you know it's not good and it's not like you're an alcoholic what would you define as like an alcoholic <1:35:23 PM> Nick - Patient: I mean I'm I'm thinking like I had like this uncle and he was just like constantly drinking like every single night he was like always strong <1:35:33 PM> Nick - Patient: so I'm like <1:35:35 PM> Nick - Patient: I mean he couldn't like get through a day without drinking alcohol but like <1:35:40 PM> Nick - Patient: mean I'm not there which is nice like it's just like a weekend thing for me <1:35:46 PM> Nick - Patient: place <1:35:46 PM> Eni - Doctor: fancy and then so you mentioned like your uncle and like <1:35:51 PM> Nick - Patient: um just kind of like <1:35:52 PM> Eni - Doctor: what stops you from drinking during the week <1:36:00 PM> Nick - Patient: I know like I don't want it to affect my work or anything like that kind of how he said like <1:36:07 PM> Nick - Patient: it's fun on the weekends to like party and have a good time but then like I mean I need to keep my job and I don't necessarily like crave the taste of alcohol and stuff I just like to use it for <1:36:20 PM> Nick - Patient: kind of just like a good time and <1:36:23 PM> Nick - Patient: then you work during the week kind of work hard play hard I like to have that mindset <1:36:27 PM> Eni - Doctor: let's see yeah so it seems like <1:36:32 PM> Eni - Doctor: like a positive like reinforcement to like not drink during the week it seems like it's the <1:36:38 PM> Eni - Doctor: the what's it called your work but like what about like you mentioned that you know you're 40 and you're getting nauseous how does that make you feel in terms of your health <1:36:38 PM> Eni - Doctor: you know <1:36:49 PM> Eni - Doctor: as you're getting older so like you don't drink during the week for work but how do you feel about not drinking for your health <1:36:55 PM> Nick - Patient: are <1:36:57 PM> Paul Hershberger: I'm going to stop you here <1:36:58 PM> Eni - Doctor: sorry I'll stop <1:37:01 PM> Paul Hershberger: so let's hear your thoughts any ________________________________________________________________________________ End of transcript at Jun 3, 2025, 1:37:10 PM