Transcript of conference held at Jul 18, 2025 in room first_test@conference.miaiconvo.com Initial people present at 2:16:24 PM: Angie Castle Jacob Mardovin - Patient Matt Crudele - Doctor Fellow Jitser Transcript, started at 2:16:24 PM: ________________________________________________________________________________ <2:16:24 PM> Angie Castle joined the conference <2:16:24 PM> Matt Crudele - Doctor joined the conference <2:16:24 PM> Jacob Mardovin - Patient joined the conference <2:16:25 PM> Jacob Mardovin - Patient: not really I think what I'm I don't really have any issues with drinking at this point <2:16:25 PM> Matt Crudele - Doctor: all right Jacob so it was great talking with you today kind of the last thing I wanted to talk about was this survey you filled out regarding your drinking it did screen positive that it's something that we need to look at a little bit more do you happen to know maybe why it screen positive <2:16:43 PM> Matt Crudele - Doctor: do you mind telling me a little bit more about your drinking <2:16:49 PM> Jacob Mardovin - Patient: I mean okay um I don't know I don't drink it all during the week and it's only on the weekends we're all have a little bit so I'll be like maybe like <2:16:53 PM> Matt Crudele - Doctor: how do you feel about your drinking <2:17:03 PM> Jacob Mardovin - Patient: my <2:17:03 PM> Jacob Mardovin - Patient: 10079 drinks per per day but <2:17:08 PM> Jacob Mardovin - Patient: life is also drinking so we're like doing it at the same time and we're not having any issues from it <2:17:14 PM> Jacob Mardovin - Patient: um I mean like <2:17:18 PM> Matt Crudele - Doctor: okay and you mentioned your wife also drinks on the weekends <2:17:21 PM> Jacob Mardovin - Patient: or <2:17:21 PM> Jacob Mardovin - Patient: sometimes The Weeknd can be a little bit of a blur but I haven't had any it's not like affecting my life in any way that I can think of <2:17:29 PM> Jacob Mardovin - Patient: can see I haven't had any like DUIs and anything like that so <2:17:33 PM> Jacob Mardovin - Patient: not too concerned <2:17:35 PM> Jacob Mardovin - Patient: mm-hmm <2:17:40 PM> Matt Crudele - Doctor: does she feel about your drinking <2:17:41 PM> Jacob Mardovin - Patient: um she every now and then we'll make a comment she does drink a little bit less than me but shows every now and then she'll say something but <2:17:55 PM> Jacob Mardovin - Patient: we're all like <2:17:56 PM> Jacob Mardovin - Patient: hasn't gotten too mad at me hasn't caused too many problems with us but <2:17:58 PM> Matt Crudele - Doctor: what kind of things has been saying to you <2:18:01 PM> Jacob Mardovin - Patient: yeah <2:18:03 PM> Jacob Mardovin - Patient: oh I don't know she talks about just how <2:18:05 PM> Matt Crudele - Doctor: you mentioned driving <2:18:09 PM> Jacob Mardovin - Patient: how she thinks it's maybe just a little excessive like the blurriness and having some concerns that I have come home driving after some of these episodes but <2:18:21 PM> Jacob Mardovin - Patient: those are kind of her little bit bigger concerns but I don't think I never gotten in trouble for anything so I don't see any need to necessarily change at this point <2:18:35 PM> Matt Crudele - Doctor: correct <2:18:35 PM> Jacob Mardovin - Patient: mm-hmm <2:18:36 PM> Matt Crudele - Doctor: the influence <2:18:37 PM> Jacob Mardovin - Patient: sometimes mirror is only happened a couple times <2:18:38 PM> Matt Crudele - Doctor: okay how do you feel about that <2:18:42 PM> Jacob Mardovin - Patient: after the fact yeah I realize I probably wasn't probably the smartest choice but <2:18:44 PM> Matt Crudele - Doctor: shein <2:18:47 PM> Matt Crudele - Doctor: do you feel like you're drinking <2:18:52 PM> Jacob Mardovin - Patient: and get a DUI no cop server found out or anything like that but <2:18:57 PM> Jacob Mardovin - Patient: so that's kind of I just left it at that but <2:19:05 PM> Matt Crudele - Doctor: over the past <2:19:07 PM> Matt Crudele - Doctor: months has changed at all <2:19:11 PM> Jacob Mardovin - Patient: not necessarily it's been pretty much the same for a while now I can't remember really a time before <2:19:20 PM> Jacob Mardovin - Patient: I <2:19:20 PM> Jacob Mardovin - Patient: it was <2:19:23 PM> Jacob Mardovin - Patient: maybe a little bit less in the beginning but just after time just you know issues and just wanted to be more social like it with people at the when we go out on weekends and that kind of <2:19:23 PM> Matt Crudele - Doctor: yeah that was I mean that leads in my next question of why do you drink on the weekends <2:19:35 PM> Jacob Mardovin - Patient: and something that sometimes a drink which you can help with that <2:19:43 PM> Jacob Mardovin - Patient: well I think it's just like the week and working is <2:19:44 PM> Matt Crudele - Doctor: okay just to kind of loosen up take the edge off <2:19:49 PM> Jacob Mardovin - Patient: something to just take a break relax just hang out people and just that's one of the things that we usually do we usually go to a bar too and then that's our that's our weekend <2:20:01 PM> Jacob Mardovin - Patient: yeah <2:20:06 PM> Jacob Mardovin - Patient: mm-hmm <2:20:07 PM> Matt Crudele - Doctor: do you feel like you're drinking on the way and I want to preface by saying that this is the screening tests that we went over we care about your health we care about you as a person I'm not trying to grill you I'm not trying to you know change who you are if you're not wanting to change just something that we talk about <2:20:14 PM> Jacob Mardovin - Patient: sure <2:20:24 PM> Matt Crudele - Doctor: um speaking of that is you're drinking something that <2:20:25 PM> Jacob Mardovin - Patient: I've thought about it at a time like those times where I <2:20:29 PM> Matt Crudele - Doctor: you're you feel maybe you want to change in the future <2:20:34 PM> Matt Crudele - Doctor: okay <2:20:39 PM> Jacob Mardovin - Patient: in the morning remembered that I was told that I went and drove home after some of these episodes where <2:20:46 PM> Jacob Mardovin - Patient: occasionally I thought it'd be nice to be able to remember some more about what went on over the weekend but <2:20:52 PM> Jacob Mardovin - Patient: I'm giving it too much thought at this point <2:20:57 PM> Matt Crudele - Doctor: so if you had <2:21:00 PM> Matt Crudele - Doctor: buy it on a scale of 1 to 10 10 being I'm ready to go I'm ready to change and 0 mean <2:21:01 PM> Jacob Mardovin - Patient: like <2:21:01 PM> Jacob Mardovin - Patient: okay yeah maybe like <2:21:07 PM> Matt Crudele - Doctor: not right now doctor <2:21:09 PM> Matt Crudele - Doctor: where would you say you're at in terms of <2:21:12 PM> Matt Crudele - Doctor: in your drinking habits <2:21:14 PM> Matt Crudele - Doctor: okay <2:21:16 PM> Jacob Mardovin - Patient: three years so I guess <2:21:20 PM> Matt Crudele - Doctor: higher <2:21:21 PM> Jacob Mardovin - Patient: I don't know I <2:21:24 PM> Jacob Mardovin - Patient: but <2:21:24 PM> Jacob Mardovin - Patient: I don't really see too much of an issue with everything like I'm not drinking during the week I'm not affected my job or anything like that <2:21:32 PM> Jacob Mardovin - Patient: it so <2:21:33 PM> Jacob Mardovin - Patient: I don't get the feeling that I need to change I haven't seen any <2:21:38 PM> Jacob Mardovin - Patient: in trouble with it because of anything but <2:21:41 PM> Jacob Mardovin - Patient: but yeah <2:21:42 PM> Matt Crudele - Doctor: and <2:21:42 PM> Matt Crudele - Doctor: okay <2:21:42 PM> Jacob Mardovin - Patient: she might be a little higher up maybe like <2:21:44 PM> Matt Crudele - Doctor: for <2:21:44 PM> Matt Crudele - Doctor: I were to ask your wife the same question on a scale of 1 to 10 how ready are you <2:21:50 PM> Matt Crudele - Doctor: them to change where do you think she would be at <2:21:53 PM> Matt Crudele - Doctor: why do you think she'd be higher <2:21:57 PM> Jacob Mardovin - Patient: so probably be a little higher but like a six or so but <2:22:03 PM> Jacob Mardovin - Patient: it well every now like she knows complain every now and then and talk about how I need to cut back a little bit but and so I think just from those conversations that's so she kind of feels about what's going on <2:22:06 PM> Matt Crudele - Doctor: okay <2:22:20 PM> Matt Crudele - Doctor: and I guess <2:22:22 PM> Matt Crudele - Doctor: kind of everybody's everybody looks for the things that drive them drives them in their life what drives you in your life what do you care about the most <2:22:28 PM> Jacob Mardovin - Patient: okay <2:22:31 PM> Matt Crudele - Doctor: it's great <2:22:32 PM> Jacob Mardovin - Patient: I want to be doing well I'm doing good at my job I'm hoping to hopefully move up here soon and just kind of yeah I'm not I don't really have any current health issues or anything like that so I want to kind of keep it that way and <2:22:43 PM> Matt Crudele - Doctor: is there family you care about a lot your wife <2:22:47 PM> Jacob Mardovin - Patient: keep going going the way I'm going or a been going for the for a while now <2:22:52 PM> Jacob Mardovin - Patient: yeah <2:22:52 PM> Jacob Mardovin - Patient: there obviously they're important to me and <2:22:59 PM> Matt Crudele - Doctor: yeah <2:23:03 PM> Jacob Mardovin - Patient: I want to kind of do whatever I don't want to cause for any problems I don't want to get in any fights or anything like that <2:23:10 PM> Matt Crudele - Doctor: I only asked because I with her being you know more ready for you to change than you are to change <2:23:19 PM> Matt Crudele - Doctor: marriage that's something that could you know put a fork in the road and do you feel like this problem could be <2:23:26 PM> Matt Crudele - Doctor: something that increases <2:23:29 PM> Matt Crudele - Doctor: route your life <2:23:30 PM> Jacob Mardovin - Patient: um I mean I haven't really changed what I've been doing it's kind of been that way for a while so maybe in the future like when I'm not able to kind of I'm not able to go out as much of my decrease a little bit but <2:23:43 PM> Angie Castle: okay I'm gonna jump in and stop you ________________________________________________________________________________ End of transcript at Jul 18, 2025, 2:23:49 PM