Transcript of conference held at Jul 21, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:29:10 PM: Emma Gunn - Doctor Jake Trzybinski-Viars - Patient Evan Hartman Fellow Jitser Paul Hershberger Transcript, started at 1:29:10 PM: ________________________________________________________________________________ <1:29:10 PM> Jake Trzybinski-Viars - Patient joined the conference <1:29:10 PM> Emma Gunn - Doctor joined the conference <1:29:10 PM> Paul Hershberger joined the conference <1:29:10 PM> Evan Hartman joined the conference <1:29:18 PM> Emma Gunn - Doctor: all right Jake well thank you for sharing all that with me so far I'd like to kind of switch gears now and talk a little bit about what life is like for you outside work at home I'm gonna start by asking how often do you have a drink containing alcohol <1:29:30 PM> Jake Trzybinski-Viars - Patient: um really just on the weekends I don't drink during the weekdays at all <1:29:51 PM> Emma Gunn - Doctor: and when you are drinking how many drinks do you have <1:29:55 PM> Emma Gunn - Doctor: typically <1:29:58 PM> Jake Trzybinski-Viars - Patient: you know I like to have a good time I'd say <1:30:01 PM> Jake Trzybinski-Viars - Patient: anywhere between like six and ten drinks <1:30:05 PM> Jake Trzybinski-Viars - Patient: on Saturday <1:30:07 PM> Jake Trzybinski-Viars - Patient: same thing on Friday <1:30:08 PM> Emma Gunn - Doctor: okay has that been pretty consistent for you or is that different recently <1:30:09 PM> Jake Trzybinski-Viars - Patient: oh no I mean <1:30:19 PM> Jake Trzybinski-Viars - Patient: I've been going out with my buddies every Friday and Saturday for <1:30:24 PM> Jake Trzybinski-Viars - Patient: the past few years now kind of doing that same thing just after work and on the weekend <1:30:30 PM> Jake Trzybinski-Viars - Patient: oh no not I mean <1:30:32 PM> Emma Gunn - Doctor: do you feel like the amount that you're drinking makes it difficult for you to get things done that you need to on the weekend <1:30:42 PM> Jake Trzybinski-Viars - Patient: I don't think it's really interfered with anything like I said I never let it interfere with my work I guess sometimes over the weekend <1:30:53 PM> Jake Trzybinski-Viars - Patient: like <1:30:54 PM> Jake Trzybinski-Viars - Patient: don't really remember much sometimes I do drink a little too much and my my memory gets a little hazy but <1:30:57 PM> Emma Gunn - Doctor: mmm <1:31:04 PM> Jake Trzybinski-Viars - Patient: other than <1:31:04 PM> Jake Trzybinski-Viars - Patient: Maybe <1:31:06 PM> Emma Gunn - Doctor: it has anyone ever told you that they're concerned about the amount you're drinking <1:31:06 PM> Jake Trzybinski-Viars - Patient: missing a little time with my spouse that's that's about it <1:31:10 PM> Jake Trzybinski-Viars - Patient: um my spouse is mentioned it he said you know he doesn't really drink as much as as me or go out as much as me <1:31:27 PM> Jake Trzybinski-Viars - Patient: and sometimes they're concerned if I'm coming home especially if I've driven myself back home they're not a huge fan of that but I've never really gotten in trouble or anything so <1:31:40 PM> Jake Trzybinski-Viars - Patient: no I mean <1:31:41 PM> Emma Gunn - Doctor: yeah yeah I I'd be a little concerned too if you're driving and not feeling the best have you or anyone else ever been injured while you're drinking <1:31:55 PM> Jake Trzybinski-Viars - Patient: other than feeling sick the night of or the morning after I haven't gotten in any wrecks or anything like that <1:32:02 PM> Emma Gunn - Doctor: mmm I see oh what is it exactly that you enjoy about drinking <1:32:04 PM> Jake Trzybinski-Viars - Patient: I mean the social aspect is nice like I said I'm drinking with my buddies I'm not drinking home alone or anything like that and I don't know it just kind of helps take the stress away from the week <1:32:28 PM> Emma Gunn - Doctor: what are some things that you don't like about drinking <1:32:29 PM> Jake Trzybinski-Viars - Patient: I mean <1:32:37 PM> Jake Trzybinski-Viars - Patient: the hangovers I could definitely do without it <1:32:42 PM> Jake Trzybinski-Viars - Patient: sometimes especially when my husband tells me I get a little concerned about the driving but <1:32:51 PM> Jake Trzybinski-Viars - Patient: I don't think I would ever drive those two <1:32:54 PM> Jake Trzybinski-Viars - Patient: toxicated <1:32:57 PM> Jake Trzybinski-Viars - Patient: but yeah really just how it makes me feel the next day I suppose <1:33:00 PM> Emma Gunn - Doctor: mmm <1:33:02 PM> Jake Trzybinski-Viars - Patient: you know <1:33:02 PM> Jake Trzybinski-Viars - Patient: um I guess just that it's <1:33:03 PM> Emma Gunn - Doctor: and you say too intoxicated but you've also told me that sometimes you don't remember the night before so what is too intoxicated mean to you <1:33:19 PM> Jake Trzybinski-Viars - Patient: have kind of blacked out or something or I'm throwing up at that point I know like yeah I've taken it a little too far but if that's the case <1:33:30 PM> Jake Trzybinski-Viars - Patient: usually I'll have a buddy drive me home <1:33:35 PM> Jake Trzybinski-Viars - Patient: but yeah <1:33:35 PM> Emma Gunn - Doctor: all right and if you were to stop drinking or not even stopped but just cut back on the weekends how do you think that might change things <1:33:37 PM> Jake Trzybinski-Viars - Patient: I don't <1:33:37 PM> Jake Trzybinski-Viars - Patient: I'd have less fun that's for sure <1:33:54 PM> Jake Trzybinski-Viars - Patient: it's <1:33:55 PM> Jake Trzybinski-Viars - Patient: I'd feel a little out of place in my social group I guess we all kind of drink the same amount have the same amount of fun so that would be a little difficult to see all my friends having a great time and I may not be feeling the same way <1:34:13 PM> Emma Gunn - Doctor: so you're mostly wearing about the implications that would have on your social life <1:34:15 PM> Jake Trzybinski-Viars - Patient: yeah yeah like I said I'm not really concerned about <1:34:24 PM> Jake Trzybinski-Viars - Patient: anything else I haven't seen it impact my health other than <1:34:28 PM> Emma Gunn - Doctor: what kind of Health impacts do you think this amount of drinking can have <1:34:28 PM> Jake Trzybinski-Viars - Patient: a narly hangover once in a while <1:34:31 PM> Jake Trzybinski-Viars - Patient: um <1:34:38 PM> Jake Trzybinski-Viars - Patient: I don't know I mean <1:34:40 PM> Jake Trzybinski-Viars - Patient: I know technically that's a lot of drinks all at once but throughout the week it's only like an average of <1:34:48 PM> Jake Trzybinski-Viars - Patient: two drinks a day so I don't really think that can be that harmful to me <1:34:49 PM> Emma Gunn - Doctor: okay do you think there could be any health risks that you aren't able to see <1:34:52 PM> Jake Trzybinski-Viars - Patient: uh maybe and I mean I guess like <1:35:04 PM> Jake Trzybinski-Viars - Patient: probably <1:35:04 PM> Jake Trzybinski-Viars - Patient: yeah the driving <1:35:06 PM> Jake Trzybinski-Viars - Patient: isn't the best idea <1:35:10 PM> Jake Trzybinski-Viars - Patient: so I could get hurt then I suppose but <1:35:14 PM> Jake Trzybinski-Viars - Patient: I don't know of too much else I know like <1:35:18 PM> Jake Trzybinski-Viars - Patient: it affects the liver or something but <1:35:21 PM> Jake Trzybinski-Viars - Patient: I don't think I drink enough to really <1:35:24 PM> Jake Trzybinski-Viars - Patient: any issues <1:35:25 PM> Emma Gunn - Doctor: okay it doesn't seem like you're too concerned at it about it at this point <1:35:26 PM> Jake Trzybinski-Viars - Patient: not really know <1:35:32 PM> Emma Gunn - Doctor: here so if I were to ask you right now on a scale of 0 to 10 with 0 being there's no problem not willing to change anything about my drinking and Ted being I'm ready to make the change today where would you say you are <1:35:34 PM> Jake Trzybinski-Viars - Patient: um <1:35:48 PM> Emma Gunn - Doctor: and what could make you say a number higher than a two what could get you to a five or <1:35:50 PM> Jake Trzybinski-Viars - Patient: yeah I didn't really think anything needed to change so maybe like it too <1:36:06 PM> Jake Trzybinski-Viars - Patient: I guess <1:36:06 PM> Jake Trzybinski-Viars - Patient: I don't know <1:36:08 PM> Jake Trzybinski-Viars - Patient: of like if I did get hurt driving home or got a DUI that would kind of be <1:36:14 PM> Jake Trzybinski-Viars - Patient: a wake up call <1:36:17 PM> Jake Trzybinski-Viars - Patient: but yeah I don't know much else <1:36:20 PM> Emma Gunn - Doctor: here okay <1:36:23 PM> Paul Hershberger: I'm going to stop you here I'm <1:36:25 PM> Emma Gunn - Doctor: sure ________________________________________________________________________________ End of transcript at Jul 21, 2025, 1:36:32 PM