Transcript of conference held at Jun 9, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:13:54 PM: Angie Castle Neil Sarkar - Doctor Austin Garza - patient Transcript, started at 1:13:54 PM: ________________________________________________________________________________ <1:13:54 PM> Austin Garza - patient joined the conference <1:13:54 PM> Angie Castle joined the conference <1:13:54 PM> Neil Sarkar - Doctor joined the conference <1:13:55 PM> Neil Sarkar - Doctor: all right <1:14:05 PM> Neil Sarkar - Doctor: soon as we go and <1:14:05 PM> Austin Garza - patient: I'm doing all right how are you <1:14:07 PM> Neil Sarkar - Doctor: pretty good so I saw and check in and see how you're doing and the last time you came in and kind of upped your dose just want to see how that's been <1:14:10 PM> Austin Garza - patient: yeah I mean I'm still having some symptoms and not feeling the best <1:14:19 PM> Neil Sarkar - Doctor: yeah yeah absolutely sounds like you're having a bit of a tough time <1:14:26 PM> Austin Garza - patient: um and you know better but the performance at work hasn't been so great <1:14:32 PM> Austin Garza - patient: you know so <1:14:34 PM> Austin Garza - patient: yeah I don't know <1:14:37 PM> Austin Garza - patient: yeah just being like chronically kind of just fatigued and you know it's really hindering work <1:14:42 PM> Neil Sarkar - Doctor: you tell me like some you know there's some some things going on in your life that are you know making it harder to you know for you to function or you know all that stuff <1:14:51 PM> Neil Sarkar - Doctor: yeah absolutely can you can you tell me more about that motivation part of it <1:15:01 PM> Austin Garza - patient: um <1:15:02 PM> Austin Garza - patient: you know and then just <1:15:05 PM> Austin Garza - patient: not having the motivation to do <1:15:07 PM> Austin Garza - patient: the work in the first place but then the fatigue on top of it you know just really <1:15:12 PM> Austin Garza - patient: it's a <1:15:14 PM> Austin Garza - patient: you know making things difficult so <1:15:18 PM> Austin Garza - patient: yeah I mean there's like things I know I need to do <1:15:23 PM> Neil Sarkar - Doctor: mm-hmm <1:15:29 PM> Austin Garza - patient: I used to make sure I was on top of and it's just seems like <1:15:33 PM> Austin Garza - patient: now I'm less likely to be you know staying on top of things and <1:15:40 PM> Austin Garza - patient: kind of <1:15:41 PM> Austin Garza - patient: you know <1:15:44 PM> Austin Garza - patient: caused the issues and all bunch of different areas you know like social you know doing <1:15:49 PM> Neil Sarkar - Doctor: yeah absolutely <1:15:50 PM> Austin Garza - patient: things with with friends you know stuff like that so <1:15:57 PM> Neil Sarkar - Doctor: how is this you know kind of new <1:16:00 PM> Austin Garza - patient: it just kind of <1:16:01 PM> Neil Sarkar - Doctor: of new motivation issues how is that made you feel like mood wise <1:16:06 PM> Neil Sarkar - Doctor: mm-hmm <1:16:07 PM> Austin Garza - patient: adds to the <1:16:09 PM> Austin Garza - patient: you know lack of interest in things and <1:16:15 PM> Austin Garza - patient: you know I mean the biggest thing is the work performance kind of <1:16:20 PM> Austin Garza - patient: an issue <1:16:22 PM> Austin Garza - patient: so <1:16:22 PM> Neil Sarkar - Doctor: yeah yeah there's there's your work that like matter a lot to you <1:16:26 PM> Austin Garza - patient: oh yeah definitely <1:16:29 PM> Neil Sarkar - Doctor: mm-hmm <1:16:32 PM> Austin Garza - patient: kind of makes me worried about if I did have to find a new job or something you know <1:16:37 PM> Austin Garza - patient: don't know what I would do then <1:16:41 PM> Austin Garza - patient: obviously it would cause much of financial strain <1:16:44 PM> Austin Garza - patient: so <1:16:45 PM> Neil Sarkar - Doctor: yeah yeah sounds like it just kind of you know compounding on each other you know fatigues make any more stress and that you know stress is making me more fatigued <1:16:55 PM> Neil Sarkar - Doctor: um you know it's not not great for your own health and how how much you care about your your job <1:17:02 PM> Neil Sarkar - Doctor: what <1:17:02 PM> Neil Sarkar - Doctor: means to you so you know it sounds like a lot and sounds like a terrible time so I am sorry can you kind of tell me like <1:17:11 PM> Austin Garza - patient: um I mean the medication is as worked some <1:17:11 PM> Neil Sarkar - Doctor: done to <1:17:13 PM> Neil Sarkar - Doctor: to try to you know pick you back up or anything that's helped <1:17:18 PM> Neil Sarkar - Doctor: mm-hmm <1:17:24 PM> Austin Garza - patient: um not <1:17:26 PM> Austin Garza - patient: you know not like <1:17:28 PM> Austin Garza - patient: it doesn't really all the symptoms <1:17:32 PM> Neil Sarkar - Doctor: mm-hmm <1:17:32 PM> Austin Garza - patient: you know try to <1:17:35 PM> Austin Garza - patient: just kind of brute force my self to do <1:17:40 PM> Austin Garza - patient: know the things I need to get done around the house and all that <1:17:46 PM> Austin Garza - patient: you know <1:17:48 PM> Austin Garza - patient: try to sleep in a little more <1:17:51 PM> Austin Garza - patient: it's taking some melatonin but then I just still end up waking up <1:17:52 PM> Neil Sarkar - Doctor: yeah <1:17:55 PM> Austin Garza - patient: you know we're you know get to sleep fine but then waking up early you know <1:18:01 PM> Neil Sarkar - Doctor: the couch <1:18:02 PM> Austin Garza - patient: yeah <1:18:06 PM> Neil Sarkar - Doctor: can you tell me kind of <1:18:07 PM> Austin Garza - patient: yeah <1:18:09 PM> Neil Sarkar - Doctor: you know how how you see your life <1:18:13 PM> Neil Sarkar - Doctor: moving forward how you kind of Envision it if you continue down like this you know trajectory of how you're feeling right now <1:18:18 PM> Austin Garza - patient: oh yeah probably end up losing my job <1:18:24 PM> Austin Garza - patient: um <1:18:26 PM> Neil Sarkar - Doctor: yeah <1:18:26 PM> Austin Garza - patient: you know which I know would not be good <1:18:31 PM> Austin Garza - patient: I know we talked about like therapy at one point <1:18:35 PM> Neil Sarkar - Doctor: here <1:18:36 PM> Austin Garza - patient: I just don't really see how it would do much <1:18:40 PM> Austin Garza - patient: so you know and gone <1:18:43 PM> Neil Sarkar - Doctor: about <1:18:44 PM> Austin Garza - patient: you know follow through with that <1:18:44 PM> Austin Garza - patient: so <1:18:48 PM> Neil Sarkar - Doctor: what's your what's your kind of idea of what <1:18:50 PM> Austin Garza - patient: um <1:18:53 PM> Neil Sarkar - Doctor: if you would look like for you or for you <1:18:59 PM> Austin Garza - patient: I mean if I really know how it would help but maybe just kind of talking through <1:19:05 PM> Austin Garza - patient: how to mitigate some of the <1:19:10 PM> Austin Garza - patient: mitigate some of the symptoms by like I don't know if there's like breathing techniques or something <1:19:18 PM> Neil Sarkar - Doctor: yeah yeah I mean you know there's nothing that <1:19:18 PM> Austin Garza - patient: or yeah I'm not really sure how it would work but <1:19:23 PM> Austin Garza - patient: um <1:19:24 PM> Austin Garza - patient: on a meal but may not I don't really know <1:19:32 PM> Neil Sarkar - Doctor: over like forcing or anything we're just something that you know <1:19:36 PM> Neil Sarkar - Doctor: um <1:19:37 PM> Neil Sarkar - Doctor: tool that you can always use at your disposal if that's something you're very interested in <1:19:42 PM> Neil Sarkar - Doctor: but you know like we already discussed a bit <1:19:44 PM> Austin Garza - patient: just <1:19:47 PM> Neil Sarkar - Doctor: you know <1:19:47 PM> Neil Sarkar - Doctor: you you are concerned about your job and how how this is kind of affecting that can you tell me like other aspects of your life that are being affected by how you're feeling and kind of <1:19:53 PM> Austin Garza - patient: oh yeah <1:20:00 PM> Neil Sarkar - Doctor: your concerned about them <1:20:02 PM> Neil Sarkar - Doctor: mm-hmm <1:20:05 PM> Austin Garza - patient: well I don't think this is a reason well it's adding to the stress and symptoms I think that my roommate's going to be moving out <1:20:14 PM> Austin Garza - patient: um <1:20:16 PM> Austin Garza - patient: know that's more like Financial strain potentially or having to deal with finding under roommate <1:20:23 PM> Austin Garza - patient: um <1:20:25 PM> Austin Garza - patient: so <1:20:27 PM> Austin Garza - patient: yeah that's kind of another area <1:20:32 PM> Austin Garza - patient: leads in the kind of like the social side not wanting to go do things anymore <1:20:38 PM> Austin Garza - patient: friends <1:20:38 PM> Neil Sarkar - Doctor: yeah yeah absolutely I mean it sounds like you're your roommates you know important part of your life <1:20:39 PM> Austin Garza - patient: so <1:20:41 PM> Austin Garza - patient: that's a little big area the social social side I think <1:20:52 PM> Austin Garza - patient: yeah there's some other like a few family members close by <1:20:53 PM> Neil Sarkar - Doctor: you know socially is there anyone else in your kind of like support system <1:20:59 PM> Neil Sarkar - Doctor: sure <1:21:05 PM> Austin Garza - patient: you know <1:21:08 PM> Austin Garza - patient: yeah a couple friends I hang out with it you know go work out with and stuff <1:21:12 PM> Neil Sarkar - Doctor: mm-hmm they noticed anything <1:21:12 PM> Neil Sarkar - Doctor: like different <1:21:13 PM> Austin Garza - patient: so <1:21:15 PM> Austin Garza - patient: not that they've <1:21:17 PM> Neil Sarkar - Doctor: about you <1:21:20 PM> Austin Garza - patient: not that they've said they may you know they may think that there's something different but not that they've <1:21:20 PM> Austin Garza - patient: said <1:21:21 PM> Neil Sarkar - Doctor: mm-hmm <1:21:27 PM> Neil Sarkar - Doctor: okay <1:21:28 PM> Austin Garza - patient: so <1:21:30 PM> Austin Garza - patient: yeah <1:21:31 PM> Neil Sarkar - Doctor: um yeah but um <1:21:36 PM> Neil Sarkar - Doctor: <1:21:36 PM> Neil Sarkar - Doctor: you know seems like <1:21:38 PM> Neil Sarkar - Doctor: something that <1:21:40 PM> Neil Sarkar - Doctor: you really care about wanting to you know <1:21:43 PM> Neil Sarkar - Doctor: get a you know work on and hopefully get you in better spirits <1:21:49 PM> Neil Sarkar - Doctor: you know how motivated would you say you are to implement you know whatever you know we can discuss that later but like some sort of change in your life to help you be where you want to be <1:21:59 PM> Neil Sarkar - Doctor: and what is where you want to be like for you as well <1:22:03 PM> Austin Garza - patient: I'm probably like a <1:22:06 PM> Austin Garza - patient: 7 out of 10 motivated I guess <1:22:11 PM> Austin Garza - patient: I mean if the symptoms were to get better <1:22:15 PM> Austin Garza - patient: I wouldn't feel the pressure from <1:22:18 PM> Austin Garza - patient: the underperforming it work <1:22:21 PM> Austin Garza - patient: um probably be more social <1:22:24 PM> Austin Garza - patient: so it probably really enhance a lot of areas <1:22:28 PM> Austin Garza - patient: my life <1:22:30 PM> Austin Garza - patient: so <1:22:30 PM> Austin Garza - patient: yeah just being able <1:22:32 PM> Neil Sarkar - Doctor: yeah absolutely <1:22:33 PM> Austin Garza - patient: function better at work and then <1:22:33 PM> Austin Garza - patient: being <1:22:36 PM> Austin Garza - patient: our social I think <1:22:40 PM> Neil Sarkar - Doctor: um you know music and seven pretty high <1:22:45 PM> Neil Sarkar - Doctor: that's <1:22:45 PM> Neil Sarkar - Doctor: is there anything that you know <1:22:48 PM> Neil Sarkar - Doctor: keeping you from saying like a higher number <1:22:49 PM> Austin Garza - patient: um <1:22:52 PM> Neil Sarkar - Doctor: okay <1:22:54 PM> Austin Garza - patient: just not fully <1:22:56 PM> Austin Garza - patient: believing that it would work like there's something that would <1:23:01 PM> Austin Garza - patient: like <1:23:01 PM> Austin Garza - patient: help a whole lot Maybe <1:23:04 PM> Austin Garza - patient: yes that's why I'm a little apprehensive <1:23:07 PM> Austin Garza - patient: so <1:23:08 PM> Neil Sarkar - Doctor: so you know sounds like maybe a little <1:23:09 PM> Austin Garza - patient: yeah <1:23:13 PM> Neil Sarkar - Doctor: to call that <1:23:14 PM> Neil Sarkar - Doctor: will be able to <1:23:16 PM> Neil Sarkar - Doctor: find that motivation again <1:23:18 PM> Neil Sarkar - Doctor: first <1:23:20 PM> Neil Sarkar - Doctor: 5 body feel that way ________________________________________________________________________________ End of transcript at Jun 9, 2025, 1:23:25 PM