Transcript of conference held at Jul 17, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:50:46 PM: Paul Hershberger Victor Aballe Mosqueda - Patient Kyle Arens - Doctor Transcript, started at 1:50:46 PM: ________________________________________________________________________________ <1:50:46 PM> Victor Aballe Mosqueda - Patient joined the conference <1:50:46 PM> Paul Hershberger joined the conference <1:50:46 PM> Kyle Arens - Doctor joined the conference <1:50:47 PM> Victor Aballe Mosqueda - Patient: what <1:50:57 PM> Kyle Arens - Doctor: okay all right Victor <1:51:01 PM> Kyle Arens - Doctor: I hear what you're saying about all these medications and <1:51:03 PM> Victor Aballe Mosqueda - Patient: uh-huh <1:51:06 PM> Kyle Arens - Doctor: you know just to make sure that I'm understanding exactly where you're coming from <1:51:10 PM> Kyle Arens - Doctor: tell me a bit more about <1:51:11 PM> Victor Aballe Mosqueda - Patient: yes yes I can <1:51:13 PM> Kyle Arens - Doctor: you know like what the frustrations like like what what it is specifically that <1:51:18 PM> Kyle Arens - Doctor: I'm getting upset about <1:51:21 PM> Kyle Arens - Doctor: please do <1:51:23 PM> Victor Aballe Mosqueda - Patient: I mean <1:51:27 PM> Victor Aballe Mosqueda - Patient: you got me a thousand medication I'm supposed to I'm 60 here oh I'm I'm not like you I have to remember all those things and I just you know <1:51:34 PM> Kyle Arens - Doctor: yeah <1:51:37 PM> Victor Aballe Mosqueda - Patient: managed to count and <1:51:39 PM> Victor Aballe Mosqueda - Patient: you know I just like <1:51:41 PM> Victor Aballe Mosqueda - Patient: I feel like a chicken I'm all the time like putting one pill in my mouth <1:51:41 PM> Kyle Arens - Doctor: yeah <1:51:45 PM> Victor Aballe Mosqueda - Patient: yeah thank <1:51:46 PM> Kyle Arens - Doctor: I mean that sounds <1:51:49 PM> Kyle Arens - Doctor: very frustrating like <1:51:51 PM> Kyle Arens - Doctor: obviously we got a <1:51:53 PM> Victor Aballe Mosqueda - Patient: please <1:51:54 PM> Kyle Arens - Doctor: yeah <1:51:54 PM> Kyle Arens - Doctor: do something about it right I mean I know you you know you want to spend time with your grandkids and do all these things that we used to talk about <1:51:59 PM> Victor Aballe Mosqueda - Patient: yeah <1:52:04 PM> Kyle Arens - Doctor: so how do you feel like it's getting in the way of your daily activities <1:52:04 PM> Victor Aballe Mosqueda - Patient: well if I <1:52:10 PM> Kyle Arens - Doctor: mm-hmm <1:52:13 PM> Victor Aballe Mosqueda - Patient: to begin with I mean if you have to if I have to do a travel I have to get my backpack and just like half of my backpack is so full filled <1:52:13 PM> Victor Aballe Mosqueda - Patient: and then <1:52:22 PM> Victor Aballe Mosqueda - Patient: I if I'm out doing stuff Outdoors like I want to be with my family you have to be keeping all these medications because I have different time for the hours I get distracted I completely go and don't take the medication and to be honest I mean like I have so much spills on my system I feel like I don't want to eat anymore you just like want something to you know to make me ease up my my stuff like I don't know I've been doing some research this cannot be good for my body and more medication than them problems <1:52:29 PM> Kyle Arens - Doctor: mm-hmm <1:52:54 PM> Kyle Arens - Doctor: yeah and now I hear you and I you know I wouldn't want to be taking <1:52:59 PM> Victor Aballe Mosqueda - Patient: I don't know Doug I'm coming to you do you please give me a pill that solve all my problems <1:53:04 PM> Kyle Arens - Doctor: a lot of medications either I think ideally you know we could <1:53:04 PM> Kyle Arens - Doctor: try <1:53:08 PM> Kyle Arens - Doctor: to reduce that for you <1:53:10 PM> Kyle Arens - Doctor: um what's your ideal solution to this look like <1:53:15 PM> Kyle Arens - Doctor: I think that one's still in research right now so we're not able to prescribe it but <1:53:25 PM> Victor Aballe Mosqueda - Patient: I'll be good <1:53:30 PM> Kyle Arens - Doctor: I think what we can do is what we can do is look to get the number down <1:53:33 PM> Victor Aballe Mosqueda - Patient: I mean yes I mean if there would be less bills maybe I'll be able to remember when to take it <1:53:38 PM> Kyle Arens - Doctor: with that work for you <1:53:45 PM> Kyle Arens - Doctor: yeah so what I'm hearing is what what you dislike about it is just effective you know there's too much to remember too much to carry around you know you're worried about the health effects too <1:53:49 PM> Victor Aballe Mosqueda - Patient: I just <1:53:52 PM> Victor Aballe Mosqueda - Patient: I mean I have to <1:53:57 PM> Victor Aballe Mosqueda - Patient: well you know you have me on some bills I'm gonna have some days and then some days on a different hours and then I have to <1:54:03 PM> Kyle Arens - Doctor: mm-hmm <1:54:11 PM> Victor Aballe Mosqueda - Patient: it's <1:54:11 PM> Victor Aballe Mosqueda - Patient: I spent like 15 to 20 minutes reading all these battle to make sure what days I'm supposed to take if it is a Monday I have to like remember what's a Monday and then like think about like if I have to take it another time in a later on the day it's just like <1:54:29 PM> Victor Aballe Mosqueda - Patient: order to keep up because it's not that I'd take them all at one time you know I'm saying <1:54:33 PM> Kyle Arens - Doctor: you know <1:54:33 PM> Kyle Arens - Doctor: yeah so like <1:54:36 PM> Victor Aballe Mosqueda - Patient: I don't know I mean look at me <1:54:37 PM> Kyle Arens - Doctor: in the past we've talked about things like Diet exercise things like these that you could <1:54:44 PM> Kyle Arens - Doctor: alternatively do to kind of help reduce the medication burden that you're having <1:54:51 PM> Kyle Arens - Doctor: um how do you feel about <1:54:53 PM> Kyle Arens - Doctor: trying some of those things in order to alleviate the problem with the too many pills <1:55:03 PM> Victor Aballe Mosqueda - Patient: I <1:55:05 PM> Victor Aballe Mosqueda - Patient: to go walking around there I just fall completely I mean and to be honest like my I think on that taking more pills for for my pain if I start like walking around with this like arthritic snakes that I have and all this way that I have I mean I'm not eating much <1:55:09 PM> Kyle Arens - Doctor: here <1:55:14 PM> Kyle Arens - Doctor: mm-hmm <1:55:26 PM> Victor Aballe Mosqueda - Patient: I might look I ate much but I I'm not <1:55:28 PM> Kyle Arens - Doctor: okay <1:55:32 PM> Kyle Arens - Doctor: so on a scale of one to ten would you say how one being you don't want to do it at all 10 being you're ready to start going out trying to run marathons <1:55:40 PM> Victor Aballe Mosqueda - Patient: Town Hall like a three <1:55:44 PM> Kyle Arens - Doctor: go do <1:55:44 PM> Kyle Arens - Doctor: how motivated would you be to you know <1:55:47 PM> Kyle Arens - Doctor: exercise change your diet more things like that <1:55:51 PM> Kyle Arens - Doctor: three okay <1:55:54 PM> Victor Aballe Mosqueda - Patient: mom <1:55:56 PM> Kyle Arens - Doctor: to bring <1:55:56 PM> Kyle Arens - Doctor: what would motivate you more <1:56:00 PM> Kyle Arens - Doctor: ever up <1:56:05 PM> Victor Aballe Mosqueda - Patient: never think about doing this thing I mean <1:56:11 PM> Victor Aballe Mosqueda - Patient: maybe if I <1:56:13 PM> Kyle Arens - Doctor: mm-hmm okay and then what if in addition to that you were able to take Leslie of those pills <1:56:15 PM> Victor Aballe Mosqueda - Patient: maybe valuable have I don't know more time to <1:56:22 PM> Victor Aballe Mosqueda - Patient: like something that I can go and feel safe about doing <1:56:27 PM> Victor Aballe Mosqueda - Patient: I mean we will take me to take less bills I think I'll I'll go up all the way to attend how about that <1:56:34 PM> Kyle Arens - Doctor: okay that's great um so what is what are some changes look like for let's say you start doing that <1:56:43 PM> Victor Aballe Mosqueda - Patient: small <1:56:53 PM> Kyle Arens - Doctor: and what would be like changes in like a month from now that you would be happy with seeing <1:56:59 PM> Kyle Arens - Doctor: mm-hmm <1:57:03 PM> Victor Aballe Mosqueda - Patient: you know that I'm able to like be more on my family <1:57:10 PM> Victor Aballe Mosqueda - Patient: you know and often like this that I like you know sometimes feel like tires sometimes feel like <1:57:17 PM> Victor Aballe Mosqueda - Patient: you know like if I go out just like too hot right now in this whether the dog you don't want to be out on this whether this way now <1:57:23 PM> Kyle Arens - Doctor: yeah yeah I mean either <1:57:27 PM> Victor Aballe Mosqueda - Patient: fulfilling better <1:57:29 PM> Kyle Arens - Doctor: okay <1:57:30 PM> Kyle Arens - Doctor: well I think going out with your family would be a great change to be able to see in a month from now and maybe you know from from my end something that we could set a goal for is that we're at the very least reducing the dosage on some medications <1:57:47 PM> Kyle Arens - Doctor: um but in order to do that <1:57:50 PM> Kyle Arens - Doctor: I just to be totally Frank with you the lifestyle changes would need to be pretty consistent over that month to have a great enough impact that we can do that <1:57:51 PM> Victor Aballe Mosqueda - Patient: I'm glad we're in the same page <1:58:01 PM> Kyle Arens - Doctor: um but I'm here to do that with you and work through all that with you because you know if you're not happy with what we're doing <1:58:10 PM> Kyle Arens - Doctor: and I'm not happy either <1:58:12 PM> Kyle Arens - Doctor: okay <1:58:15 PM> Paul Hershberger: what's up here <1:58:21 PM> Kyle Arens - Doctor: I hate this stuff <1:58:22 PM> Paul Hershberger: let's hear your thoughts Kyle <1:58:25 PM> Paul Hershberger: what do you hate about it ________________________________________________________________________________ End of transcript at Jul 17, 2025, 1:58:31 PM