Transcript of conference held at Jun 12, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:26:32 PM: Quyen Thai - Doctor Paul Hershberger Brandon - Patient Transcript, started at 1:26:32 PM: ________________________________________________________________________________ <1:26:32 PM> Quyen Thai - Doctor joined the conference <1:26:32 PM> Paul Hershberger joined the conference <1:26:32 PM> Brandon - Patient joined the conference <1:26:32 PM> Quyen Thai - Doctor: okay Brandon thank you for telling me a little bit about your past medical history I'm just gonna ask you a question about your social history so <1:26:52 PM> Brandon - Patient: um I'm just a manager <1:26:54 PM> Quyen Thai - Doctor: get started with that <1:26:56 PM> Quyen Thai - Doctor: tell me what you do for work <1:27:02 PM> Quyen Thai - Doctor: okay great um <1:27:03 PM> Brandon - Patient: at the base you know pretty good job <1:27:07 PM> Brandon - Patient: normal boring desk job <1:27:12 PM> Brandon - Patient: yeah <1:27:13 PM> Quyen Thai - Doctor: ask you a couple questions about <1:27:16 PM> Quyen Thai - Doctor: um <1:27:17 PM> Quyen Thai - Doctor: just use of any substances so we can just get started that can tell me about any usage of alcohol <1:27:21 PM> Brandon - Patient: um you know I drink on the weekends but during the week I'm pretty pretty clean from the alcohol I would I don't want to affect my job in any way <1:27:26 PM> Quyen Thai - Doctor: good that's good you don't want to affect your job but can you tell me a little bit more about what you mean by drink on the weekends <1:27:37 PM> Brandon - Patient: yeah so my wife and I we you know we have some friends from work or we either go to one of their houses they come to our house sometimes they go to the bars and we just you know get drunk and have fun <1:27:56 PM> Quyen Thai - Doctor: the amount <1:27:56 PM> Quyen Thai - Doctor: he told me a little bit more about <1:27:57 PM> Brandon - Patient: good morning <1:28:02 PM> Quyen Thai - Doctor: do you drink <1:28:03 PM> Brandon - Patient: yeah so usually I drink you know I'll drink seven to eight beers you know nothing too crazy but <1:28:11 PM> Brandon - Patient: usually get I usually get pretty drunk <1:28:14 PM> Brandon - Patient: it takes less than when I was a young young kid but <1:28:18 PM> Brandon - Patient: know I still like to have fun <1:28:19 PM> Quyen Thai - Doctor: okay so it seems that on the weekends you just <1:28:26 PM> Quyen Thai - Doctor: in <1:28:26 PM> Brandon - Patient: mm-hmm <1:28:28 PM> Quyen Thai - Doctor: get drunk while also not to have a good time <1:28:31 PM> Quyen Thai - Doctor: okay and <1:28:32 PM> Brandon - Patient: you know I just <1:28:34 PM> Quyen Thai - Doctor: can you tell me what you enjoy about having this kind of fun on the weekends <1:28:41 PM> Quyen Thai - Doctor: right <1:28:43 PM> Brandon - Patient: my desk job so boring that <1:28:43 PM> Brandon - Patient: I just <1:28:47 PM> Brandon - Patient: want to go out and party you know dance have fun with my friends hang out <1:28:48 PM> Quyen Thai - Doctor: yeah and <1:28:48 PM> Quyen Thai - Doctor: okay <1:28:53 PM> Brandon - Patient: I guess I just like <1:28:56 PM> Brandon - Patient: like to not remember sometimes you know <1:29:01 PM> Brandon - Patient: like you know the mornings the next day are the worst I feel like <1:29:04 PM> Quyen Thai - Doctor: then you know tell me a little bit about is there anything that you don't like about <1:29:10 PM> Quyen Thai - Doctor: having this kind of fun on the weekends <1:29:15 PM> Quyen Thai - Doctor: mmm <1:29:18 PM> Brandon - Patient: pretty bad and most of the day <1:29:21 PM> Brandon - Patient: but <1:29:23 PM> Brandon - Patient: you know it's kind of worth it for the night before I guess I'm I feel like maybe I'm getting a little old and I can't keep going <1:29:30 PM> Brandon - Patient: too many more years so I want to get as much out of it as I can you know <1:29:32 PM> Quyen Thai - Doctor: mmm <1:29:36 PM> Brandon - Patient: um usually Friday night Saturday night maybe I'll have a couple drinks with my wife on Sunday but not as much as you know Friday Saturday <1:29:38 PM> Quyen Thai - Doctor: can you clarify for me are you also drinking on Sunday <1:29:45 PM> Quyen Thai - Doctor: okay so it seems like <1:29:55 PM> Brandon - Patient: mm-hmm <1:29:59 PM> Quyen Thai - Doctor: you know just for the sake of having the fun time you sacrifice a little bit of the morning after <1:30:07 PM> Quyen Thai - Doctor: yeah <1:30:08 PM> Brandon - Patient: oh yeah you know <1:30:09 PM> Quyen Thai - Doctor: can you tell me a little bit about your understanding of alcohol and how it affects your body <1:30:17 PM> Brandon - Patient: I've heard from a lot of people you know you get you can get liver problems <1:30:23 PM> Brandon - Patient: dad actually had cirrhosis from alcohol use <1:30:27 PM> Quyen Thai - Doctor: okay you mentioned that your father had cirrhosis can you tell me a little bit about your experience with him and his how he was dealing with that <1:30:27 PM> Brandon - Patient: you know <1:30:27 PM> Brandon - Patient: so it it seemed to affect them but you know in the end it wasn't what killed him <1:30:34 PM> Brandon - Patient: I've heard Cancer all that kind of stuff but that seems like such a <1:30:39 PM> Brandon - Patient: like <1:30:40 PM> Brandon - Patient: a later in life kind of thing to worry about you know <1:30:45 PM> Brandon - Patient: yeah so um when he was 56 probably closer to 60 he got the circus got a lot of liver problems and I guess <1:31:04 PM> Quyen Thai - Doctor: okay so it seemed like the Ciroc set of pretty major impacting your father when he was able to do <1:31:09 PM> Brandon - Patient: you know thinking about it it really did limit how much he was able to do and his life you know he wasn't able to <1:31:16 PM> Brandon - Patient: really go out and see the grandkids as much so <1:31:21 PM> Brandon - Patient: I mean I guess it's not what killed him but it did really limit his life <1:31:26 PM> Brandon - Patient: yeah <1:31:36 PM> Quyen Thai - Doctor: are you worried at all that that might be <1:31:36 PM> Brandon - Patient: um I guess I am yeah I didn't you know never really thought that it would happen to me because you know I'm a little younger than he was when he had it and I drank a little bit less than he did but <1:31:41 PM> Quyen Thai - Doctor: happened to you in the future <1:31:55 PM> Brandon - Patient: I guess I don't I don't really want to be in the same situation that he was in <1:31:57 PM> Quyen Thai - Doctor: okay <1:32:04 PM> Quyen Thai - Doctor: yeah so you just going through seems like you're a little bit worried about <1:32:04 PM> Quyen Thai - Doctor: how <1:32:11 PM> Quyen Thai - Doctor: my affect you in the future just as your father did just <1:32:11 PM> Brandon - Patient: mm-hmm <1:32:16 PM> Quyen Thai - Doctor: going through all this <1:32:17 PM> Brandon - Patient: I guess a three probably <1:32:18 PM> Quyen Thai - Doctor: on a scale of 1 to 10 the current point <1:32:22 PM> Quyen Thai - Doctor: are you willing to make any changes in your behavior <1:32:25 PM> Quyen Thai - Doctor: okay yeah I understand can you tell me why wasn't like a two or one <1:32:29 PM> Brandon - Patient: I really enjoy you know going out hanging out with the boys <1:32:38 PM> Brandon - Patient: yeah so I guess you know kind of <1:32:40 PM> Quyen Thai - Doctor: yes so <1:32:43 PM> Brandon - Patient: making me think about my dad and and how that affected him <1:32:47 PM> Brandon - Patient: rather rather not go through that and I guess I could hang out with my friends more if I'm around longer you know <1:32:57 PM> Brandon - Patient: good <1:33:03 PM> Quyen Thai - Doctor: it does seem like your the thought of your father does <1:33:11 PM> Quyen Thai - Doctor: is good warranting you to think of some change what would that change look like for you what can we get what can we get you to maybe consider cutting back down on the alcohol on the weekends like it's got one to 10 <1:33:15 PM> Brandon - Patient: yeah um <1:33:29 PM> Brandon - Patient: I guess <1:33:31 PM> Brandon - Patient: I guess I could just you know start start small with just like drinking drinking less you know I don't know if I'm ready to completely cut out the partying on the weekend and the alcohol but I guess I could you know kind of taper down a little bit kind of cut it down and maybe four four drinks <1:33:50 PM> Brandon - Patient: kind <1:33:50 PM> Brandon - Patient: and then maybe you know after a while kind of <1:33:52 PM> Paul Hershberger: we'll stop here <1:33:53 PM> Brandon - Patient: Department that down a little <1:33:55 PM> Brandon - Patient: I don't think that would be too hard ________________________________________________________________________________ End of transcript at Jun 12, 2025, 1:33:58 PM