Transcript of conference held at Jun 9, 2025 in room first_test@conference.miaiconvo.com Initial people present at 2:13:00 PM: Angie Castle Neil Sarkar - Patient Austin Garza - doctor Transcript, started at 2:13:00 PM: ________________________________________________________________________________ <2:13:00 PM> Austin Garza - doctor joined the conference <2:13:00 PM> Angie Castle joined the conference <2:13:00 PM> Neil Sarkar - Patient joined the conference <2:13:01 PM> Austin Garza - doctor: okay <2:13:01 PM> Neil Sarkar - Patient: okay have a whole bunch I need refill today so <2:13:02 PM> Austin Garza - doctor: all right Neil so how are things going with the with your medications <2:13:12 PM> Austin Garza - doctor: okay so you so I know you mentioned that it's kind of difficult to take all of your medications <2:13:18 PM> Neil Sarkar - Patient: yeah going okay how about have a lot of them so kind of hard to make sure I take all of them but <2:13:18 PM> Neil Sarkar - Patient: is what it is <2:13:30 PM> Neil Sarkar - Patient: yeah I mean I've got you know me you know in my doctor for a long time I feel like <2:13:36 PM> Austin Garza - doctor: so tell me tell me some more about that <2:13:39 PM> Austin Garza - doctor: oh yeah I <2:13:45 PM> Neil Sarkar - Patient: I'll do <2:13:45 PM> Neil Sarkar - Patient: eight different meds I need to take like different times of the day and different pill boxes for each one I just I don't know just I'm already taking so much I feel like you know <2:13:56 PM> Neil Sarkar - Patient: I can but just a lot to deal with and <2:14:01 PM> Neil Sarkar - Patient: just annoying <2:14:03 PM> Neil Sarkar - Patient: yeah I mean I my daughter set up some app on my phone that tells me when to take it and you know have all the the pill boxes laid out but I don't know just <2:14:06 PM> Austin Garza - doctor: you know with with having to take a bunch of medications on a daily basis and <2:14:11 PM> Austin Garza - doctor: um it makes sense that it can be frustrating for sure <2:14:17 PM> Austin Garza - doctor: so have you <2:14:20 PM> Austin Garza - doctor: have you tried kind of <2:14:23 PM> Austin Garza - doctor: read anything to help the process be a little easier <2:14:32 PM> Austin Garza - doctor: okay so it sounds like the <2:14:41 PM> Neil Sarkar - Patient: it just takes a toll on me so I just you know I do I I take it for the most part but like if I miss a <2:14:49 PM> Neil Sarkar - Patient: miss a couple bills here and there like you know I don't take my blood pressure meds on a certain day then you know <2:14:56 PM> Neil Sarkar - Patient: what can we do <2:14:57 PM> Neil Sarkar - Patient: yeah I mean being as like you know <2:15:01 PM> Austin Garza - doctor: the sheer amount of medications <2:15:05 PM> Austin Garza - doctor: is is kind of overwhelming it sounds like <2:15:09 PM> Austin Garza - doctor: okay okay so being able to <2:15:13 PM> Neil Sarkar - Patient: just <2:15:13 PM> Neil Sarkar - Patient: different illnesses and a bunch of a bunch of meds just I don't know just <2:15:18 PM> Neil Sarkar - Patient: but keep track of and honestly I don't even know what I'm taking half the time <2:15:28 PM> Austin Garza - doctor: identify like know the reason behind which medication <2:15:35 PM> Austin Garza - doctor: um <2:15:36 PM> Austin Garza - doctor: it sounds like it would potentially <2:15:38 PM> Neil Sarkar - Patient: yeah I mean I know you know we've talked about it you told me you know and we talked about it sound like I'm taking a foreman for my diabetes and then beta blocker for my blood pressure but <2:15:40 PM> Austin Garza - doctor: help the situation <2:15:43 PM> Austin Garza - doctor: okay <2:15:54 PM> Neil Sarkar - Patient: you know just I don't I don't know just just a lot of them and it seems like if I'm if I missed a couple of this you know I'll take you the next day sort of thing and you know <2:16:08 PM> Austin Garza - doctor: it doesn't seem like too big of a concern currently if you miss any doses <2:16:15 PM> Austin Garza - doctor: okay how so <2:16:15 PM> Neil Sarkar - Patient: you know <2:16:15 PM> Neil Sarkar - Patient: yeah no I mean <2:16:18 PM> Neil Sarkar - Patient: age you're gonna have a bunch of illnesses anyway so yeah <2:16:23 PM> Neil Sarkar - Patient: I'm I don't know <2:16:25 PM> Neil Sarkar - Patient: yeah I mean you know it's <2:16:31 PM> Austin Garza - doctor: what are some <2:16:33 PM> Austin Garza - doctor: do you feel when you do you know happen to <2:16:37 PM> Austin Garza - doctor: have a good day of taking all your medications you know how do you how do you feel on those days <2:16:46 PM> Neil Sarkar - Patient: annoying at the time to have to take <2:16:49 PM> Neil Sarkar - Patient: is huge pills several times a day but I mean I guess I do feel <2:16:50 PM> Austin Garza - doctor: okay yeah it's it sounds like you <2:16:50 PM> Austin Garza - doctor: both <2:16:55 PM> Neil Sarkar - Patient: feel good that I'm taking care of myself a lot of family members who care about me so I know you know they want me to be diligent with it so I try as best as I can <2:17:07 PM> Neil Sarkar - Patient: I don't always follow through with taking that but now you're right I mean I do feel <2:17:13 PM> Neil Sarkar - Patient: you feel like you know some sort of accomplishment in the sense when I I'm good with that <2:17:23 PM> Austin Garza - doctor: of like an intrinsic <2:17:27 PM> Austin Garza - doctor: kind of <2:17:29 PM> Austin Garza - doctor: more positive feeling knowing that you've done something taken steps that are you know good for your health and then it also sounds like you recognize the benefits long-term with for those around you and yourself <2:17:37 PM> Neil Sarkar - Patient: yeah yeah I mean I know I know they're all good for me I'm just I don't know <2:17:52 PM> Neil Sarkar - Patient: but <2:17:52 PM> Neil Sarkar - Patient: just annoyed that I'm I'm in a position where I need a you know it's my life I have to take so many pills every day and you know get them refilled all the time and you know I don't know <2:17:54 PM> Austin Garza - doctor: okay <2:18:03 PM> Neil Sarkar - Patient: what I know why I know why it's important to take it this kind of frustrating to have to <2:18:08 PM> Neil Sarkar - Patient: do a Non-Stop <2:18:10 PM> Neil Sarkar - Patient: mm-hmm <2:18:14 PM> Austin Garza - doctor: so I get that it's you know it's just frustrating it feels like a relentless <2:18:19 PM> Austin Garza - doctor: um just taking medications all the time <2:18:23 PM> Austin Garza - doctor: okay and <2:18:23 PM> Neil Sarkar - Patient: yeah the control <2:18:26 PM> Austin Garza - doctor: what are you know what do you see the future being like if you were to <2:18:26 PM> Neil Sarkar - Patient: yeah I mean <2:18:32 PM> Austin Garza - doctor: miss a bunch of doses really frequently you know where do you see things going if that were to happen <2:18:41 PM> Austin Garza - doctor: okay so it sounds like you you do feel <2:18:44 PM> Neil Sarkar - Patient: probably not great you know <2:18:46 PM> Neil Sarkar - Patient: some days we'll go by where like I miss my entire morning regimen and you know I know it's probably not great for anything and you know keeping my <2:18:57 PM> Neil Sarkar - Patient: um you know sugar and check and my you know all that sort of stuff and yeah I mean <2:19:06 PM> Neil Sarkar - Patient: I realize it's I'm probably not doing my body a favor so I you know I do feel kind of <2:19:14 PM> Neil Sarkar - Patient: kind of guilty about that but I don't know just just such a chore to have to do a Non-Stop <2:19:21 PM> Neil Sarkar - Patient: for him <2:19:26 PM> Austin Garza - doctor: you you know you of course understand the <2:19:29 PM> Austin Garza - doctor: sides of not taking it your medications <2:19:33 PM> Neil Sarkar - Patient: I mean really just you know the biggest one is my family I get to <2:19:34 PM> Austin Garza - doctor: and then <2:19:35 PM> Austin Garza - doctor: you know overall you understand that you know potential drawbacks <2:19:40 PM> Austin Garza - doctor: so what what what areas of your life would you say are most important to you <2:19:52 PM> Neil Sarkar - Patient: live close with my kids and they care about me a lot and then my partner and yeah I mean seeing them and being there for <2:19:54 PM> Austin Garza - doctor: okay so it sounds like the really just being there and spending time with your your family is kind of the most important to you <2:20:03 PM> Neil Sarkar - Patient: you know soccer games and graduations and all that all that stuff is <2:20:09 PM> Neil Sarkar - Patient: for gives me the most Joy <2:20:11 PM> Neil Sarkar - Patient: yeah yeah absolutely nothing more than that <2:20:22 PM> Austin Garza - doctor: okay and how do you you know what do you see <2:20:22 PM> Austin Garza - doctor: what type <2:20:24 PM> Neil Sarkar - Patient: yeah I mean I know they care a lot I mean <2:20:31 PM> Austin Garza - doctor: the things that you see <2:20:34 PM> Austin Garza - doctor: or how do you think it would affect your your family or you to you know not <2:20:40 PM> Austin Garza - doctor: continue take your your medications regularly <2:20:49 PM> Neil Sarkar - Patient: the long term of how it impacts my you know how long I live and how healthy I live and you know whether I'll be you know wheelchair and fight you know that's sort of thing and then you know in the short term I know <2:21:03 PM> Neil Sarkar - Patient: a little <2:21:03 PM> Neil Sarkar - Patient: my family sees that I have my whole pill box still at the end of the day and I didn't take anything of that that really worries them a lot so <2:21:11 PM> Neil Sarkar - Patient: bit of guilt there as well ________________________________________________________________________________ End of transcript at Jun 9, 2025, 2:21:16 PM