Transcript of conference held at Jul 14, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:49:52 PM: Martha N. - Doctor Alex Johnston Paul Hershberger Domenick - Patient Transcript, started at 1:49:52 PM: ________________________________________________________________________________ <1:49:52 PM> Paul Hershberger joined the conference <1:49:52 PM> Domenick - Patient joined the conference <1:49:52 PM> Alex Johnston joined the conference <1:49:52 PM> Martha N. - Doctor joined the conference <1:49:52 PM> Domenick - Patient: here <1:49:52 PM> Martha N. - Doctor: so <1:49:52 PM> Martha N. - Doctor: hi Dominic <1:50:04 PM> Domenick - Patient: he <1:50:08 PM> Martha N. - Doctor: I understand your frustrated with all these medications that you have to take <1:50:15 PM> Martha N. - Doctor: are tell me more about your frustrates <1:50:16 PM> Domenick - Patient: yeah I just I mean I know I understand I have all these problems and I have to take a med form but I mean with my old age it's just I don't care to sort through these pills every day to make sure I'm taking this one at 8 a.m. and this one at 6 p.m. and I got <1:50:16 PM> Domenick - Patient: to take <1:50:18 PM> Martha N. - Doctor: please <1:50:35 PM> Domenick - Patient: the other one at 4 p.m. like it's it's just a lot I don't want to deal with it I'd rather just just go along my way <1:50:43 PM> Martha N. - Doctor: okay do you understand the importance of medication are you of what each one does <1:50:54 PM> Domenick - Patient: yeah I know they're they all serve like some purpose for like my diabetes and <1:51:03 PM> Domenick - Patient: you know I have like heart issues so I know they all help that <1:51:07 PM> Martha N. - Doctor: here <1:51:08 PM> Domenick - Patient: I just hate the time I have to take them <1:51:12 PM> Domenick - Patient: makes it not worth it <1:51:15 PM> Martha N. - Doctor: okay <1:51:17 PM> Martha N. - Doctor: so <1:51:19 PM> Domenick - Patient: um I would say like a seven seven or eight in importance <1:51:19 PM> Martha N. - Doctor: suppose we don't change the medication how does you get in well on a scale on what to 10 how is getting better and managing your chronic <1:51:34 PM> Martha N. - Doctor: is how important is that kind of scale of 1 to 10 <1:51:43 PM> Martha N. - Doctor: a seven or eight that's great so we're both in agreeance that we want you to get better <1:51:48 PM> Domenick - Patient: mm-hmm yeah <1:51:51 PM> Martha N. - Doctor: it's okay so other thing your medication how else could we improve your health moving forward <1:51:53 PM> Domenick - Patient: um <1:52:03 PM> Domenick - Patient: I I don't know I probably could eat better I am a little I am a little fat so I think maybe I could lose some pounds but <1:52:14 PM> Martha N. - Doctor: oh okay we've talked about diet and exercise in the past so what can we better your diet what do you think we should do <1:52:25 PM> Domenick - Patient: oh isn't that your job <1:52:25 PM> Martha N. - Doctor: it I want to talk to you about how we could do that so let's put in our flow for nutrition to help increase your diet how to download <1:52:28 PM> Domenick - Patient: great <1:52:31 PM> Domenick - Patient: probably <1:52:31 PM> Domenick - Patient: yeah that sounds fine I think I just <1:52:44 PM> Domenick - Patient: a lot of fast food and stuff and I just eat out a lot because I don't want to cook so <1:52:51 PM> Martha N. - Doctor: Okay so <1:52:56 PM> Martha N. - Doctor: so you're willing to move forward and talking to nutrition about changing your diet that's one thing we can do <1:52:59 PM> Domenick - Patient: yeah yeah sure <1:53:04 PM> Martha N. - Doctor: okay how about <1:53:06 PM> Domenick - Patient: hear the you're the doctor <1:53:08 PM> Martha N. - Doctor: I am but this is your health so in terms of you mentioned nutrition which is great you also mentioned concern tell me more about your weight how do you feel about that <1:53:12 PM> Domenick - Patient: uh <1:53:17 PM> Domenick - Patient: I mean not great I mean I used to be a skinny guy and I used to work out all the time and you know ever since I've just been dealing with all this stuff and just getting older <1:53:31 PM> Martha N. - Doctor: okay <1:53:31 PM> Domenick - Patient: been sitting around a lot <1:53:34 PM> Domenick - Patient: I feel like that <1:53:35 PM> Domenick - Patient: also not eating great and then like also I just sit around a lot now I feel like I've just been putting on weight and I'm not happy about it <1:53:44 PM> Domenick - Patient: like my image <1:53:46 PM> Domenick - Patient: yeah <1:53:46 PM> Martha N. - Doctor: you say you don't like your image okay so that your weight is concerned for you and it's different from before so you're not happy with that <1:53:59 PM> Martha N. - Doctor: Osteo of 1 to 10 how willing are you to engage in an exercise plan <1:54:10 PM> Domenick - Patient: I mean you could make one I I don't know how well I would complete it but I could try <1:54:18 PM> Martha N. - Doctor: well this is your health right so I don't want to make the plan I want to enforce whatever plan and goals that you have and so <1:54:19 PM> Domenick - Patient: here um I used to do a lot of weight lifting before all this stuff started happening that's I guess the exercise I had <1:54:29 PM> Martha N. - Doctor: what forms of exercise are you willing to engage in <1:54:43 PM> Domenick - Patient: was it a big Runner or anything <1:54:46 PM> Martha N. - Doctor: okay so we have a starting point here you're even interested in weightlifting so first and foremost Dominic I know you mentioned that you're concerned about how many medications but it seems like you're it seems like you're willing to take control of diet and exercise those are in combination with your medications could potentially help reduce the number of medications that we're taking right and so that is excellent but I also do so we've made some positive changes their <1:55:18 PM> Domenick - Patient: um <1:55:21 PM> Martha N. - Doctor: out the better help you and taking your medications on The Daily the ones that you currently have <1:55:32 PM> Domenick - Patient: I mean I would like it just to be like simplified to be honest and or either have less of them <1:55:40 PM> Domenick - Patient: um <1:55:41 PM> Martha N. - Doctor: okay so you feel as if if you reduce the frequency that you would be able to take it more often and consistently <1:55:41 PM> Domenick - Patient: yeah I think it just gets confusing really fast of like I have three different meds that have to be taken at three different times and <1:55:57 PM> Martha N. - Doctor: right <1:56:01 PM> Domenick - Patient: just I'm just giving an example I have Ted meds that I have to take on a daily basis I mean it just gets really confusing which ones I need to take with the meal or at night and <1:56:12 PM> Domenick - Patient: all this stuff I just it's so frustrating I just <1:56:16 PM> Domenick - Patient: I hate talking about it <1:56:16 PM> Martha N. - Doctor: I hear your first situation there Dominic <1:56:23 PM> Martha N. - Doctor: how usually open to having a pill manager or do you have a pill box <1:56:24 PM> Domenick - Patient: I have a pill box <1:56:33 PM> Domenick - Patient: I I just been lazy to do it <1:56:35 PM> Martha N. - Doctor: understandable but how do you spell us making a plan today for how we can best manage your medication and <1:56:43 PM> Domenick - Patient: yeah I mean I love to do that if we could find out a way that's better than what I've been doing for the past several months I I'd be happy with that <1:56:51 PM> Martha N. - Doctor: to increase your frequency and consistency <1:57:03 PM> Martha N. - Doctor: Okay so <1:57:04 PM> Domenick - Patient: um I'm nervous but <1:57:08 PM> Martha N. - Doctor: are open to a lot of changes here Dominic and I think that although you were frustrated that we were coming out here with a lot of positive support how do you feel about your treatment plan right now <1:57:08 PM> Paul Hershberger: will stop here <1:57:22 PM> Martha N. - Doctor: okay <1:57:26 PM> Domenick - Patient: a lot of moving Parts but we'll see what happens <1:57:30 PM> Domenick - Patient: perfect time <1:57:36 PM> Domenick - Patient: yes ________________________________________________________________________________ End of transcript at Jul 14, 2025, 1:57:39 PM