Transcript of conference held at Jul 21, 2025 in room first_test@conference.miaiconvo.com Initial people present at 3:05:23 PM: Angie Castle Makul Sharma Witty Kwok - Doctor JP Khouzam - Patient Transcript, started at 3:05:23 PM: ________________________________________________________________________________ <3:05:23 PM> JP Khouzam - Patient joined the conference <3:05:23 PM> Makul Sharma joined the conference <3:05:23 PM> Angie Castle joined the conference <3:05:23 PM> Witty Kwok - Doctor joined the conference <3:05:23 PM> Witty Kwok - Doctor: okay oh JP how have you been <3:05:23 PM> JP Khouzam - Patient: I'm good just here for the work physical just want to get it done get back to work <3:05:32 PM> Witty Kwok - Doctor: all right sounds good so I did see on the screening that we did before we met today that is showing you drinking a bit more alcohol in the weekend then like an average person would can you tell tell me more about kind of your drinking history <3:05:37 PM> JP Khouzam - Patient: yeah I guess <3:05:56 PM> Witty Kwok - Doctor: mm-hmm <3:05:58 PM> JP Khouzam - Patient: yeah I guess I didn't realize I was drinking that much but I I kind of drink on the weekends with my work buddies we all we all go out on Friday and Saturday just you know blow some steam after the week we all worked pretty hard hours <3:06:17 PM> JP Khouzam - Patient: um all of us just kind of go out have a good time make sure we're good for Monday that's all <3:06:25 PM> Witty Kwok - Doctor: that <3:06:26 PM> Witty Kwok - Doctor: how often have you been doing this <3:06:29 PM> JP Khouzam - Patient: yeah it's typically on Fridays and Saturdays I don't drink during the week at all <3:06:37 PM> JP Khouzam - Patient: mostly a weekend thing and I guess I mean as long as I've been at this job probably 10 years I <3:06:43 PM> JP Khouzam - Patient: I just feel like it's a good way for us to you know <3:06:47 PM> JP Khouzam - Patient: like one camaraderie and just like enjoying ourselves after like some hard work <3:06:53 PM> JP Khouzam - Patient: to just like for me it's a way to blow off steam I notice that I just like <3:06:57 PM> JP Khouzam - Patient: kind of need that on the weekends to <3:07:01 PM> JP Khouzam - Patient: like get through the week kind of <3:07:05 PM> Witty Kwok - Doctor: so it sounds like drinking is Steffy one like partly a stress reliever for you and all so just to have a good time with your friends and just kind of people you work with is that sounds good because is there a reason why you wouldn't drink just like during the weekday <3:07:08 PM> JP Khouzam - Patient: yeah I definitely don't want it to affect the work we do so that's why I don't I don't touch any alcohol during the week I know that like I'll be a little bit sluggish on a Saturday morning Sunday morning <3:07:36 PM> JP Khouzam - Patient: like depending on how much we drink that night or whatever <3:07:42 PM> JP Khouzam - Patient: typically during the week I don't want to feel like that so I can just kind of wake up and attack my work and do well <3:07:47 PM> Witty Kwok - Doctor: gotcha <3:07:54 PM> Witty Kwok - Doctor: and <3:07:56 PM> Witty Kwok - Doctor: I guess when you drink on the weekends have you <3:07:59 PM> Witty Kwok - Doctor: are you at really concerned about any issues with drinking <3:08:04 PM> JP Khouzam - Patient: I <3:08:04 PM> JP Khouzam - Patient: yeah that's a good question I guess I'm not that concerned about the drinking Sometimes some of the other guys get a little too drunk or things like that and we have to take care of them but we're in general pretty safe <3:08:04 PM> Witty Kwok - Doctor: here <3:08:04 PM> Witty Kwok - Doctor: you <3:08:21 PM> JP Khouzam - Patient: say decent environment not I've never really had any injuries or anything like that <3:08:29 PM> JP Khouzam - Patient: but yeah <3:08:33 PM> Witty Kwok - Doctor: say like drinking has affected your work over the weekday if you just had it in the weekend <3:08:35 PM> JP Khouzam - Patient: yeah it doesn't I try not to make it affect my work as much but <3:08:38 PM> Witty Kwok - Doctor: okay <3:08:44 PM> Witty Kwok - Doctor: yeah and have you I guess ever noticed drinking alcohol affecting anywhere else in your life <3:08:44 PM> JP Khouzam - Patient: yeah I guess that's the one thing I <3:08:55 PM> JP Khouzam - Patient: if I'm working so hard during the week I don't really see my wife as much and then Friday or Saturday we go out sometimes she joins most of the time she doesn't <3:09:06 PM> JP Khouzam - Patient: so I she has mentioned to me before that I should spend more time you know like <3:09:14 PM> JP Khouzam - Patient: like spend more time with her on the weekend or whatever but I kind of just <3:09:19 PM> Witty Kwok - Doctor: okay sounds like <3:09:19 PM> JP Khouzam - Patient: I tried balance it sort of but yeah <3:09:26 PM> Witty Kwok - Doctor: you are at least aware that drinking has affected your time with your wife but it's still like the stress relief with your friends as well and just kind of with work <3:09:40 PM> Witty Kwok - Doctor: I guess can you tell me or tell me more about kind of your relationship with your wife <3:09:44 PM> JP Khouzam - Patient: yeah it's I would say it's pretty good we've been married for <3:09:52 PM> JP Khouzam - Patient: 12 years now <3:09:56 PM> JP Khouzam - Patient: I think I think in general we don't have any complaints or <3:10:02 PM> JP Khouzam - Patient: of course it's just classic like fights here and there but <3:10:05 PM> Witty Kwok - Doctor: him <3:10:05 PM> JP Khouzam - Patient: it's not <3:10:05 PM> JP Khouzam - Patient: um I guess some of them are focused on what I'm doing on the weekend but not all of them and <3:10:12 PM> JP Khouzam - Patient: is just me you know but but yeah <3:10:13 PM> Witty Kwok - Doctor: you gotcha <3:10:15 PM> Witty Kwok - Doctor: okay does she ever go out with you or is it to me just you and your friends <3:10:16 PM> JP Khouzam - Patient: it depends like if everyone's bringing their significant others then should come but not typically it's kind of just like on a Friday you know you get off work at like <3:10:30 PM> JP Khouzam - Patient: 536 and then you just go right to the bar right we go right to the bar right under where we work so <3:10:33 PM> Witty Kwok - Doctor: sounds fine <3:10:37 PM> JP Khouzam - Patient: yeah this it's a good <3:10:40 PM> Witty Kwok - Doctor: you ever feel was that <3:10:44 PM> Witty Kwok - Doctor: yeah <3:10:46 PM> Witty Kwok - Doctor: you ever feel like that you ever drinking too much <3:10:49 PM> JP Khouzam - Patient: I've definitely felt like that at times I haven't felt like that in a little bit there were I used to like run a lot and like work out a lot and there's very limited time to do that during the week but then if you drink a lot on a Friday or Saturday it's really hard to get up and work out on a Saturday or Sunday morning <3:10:49 PM> JP Khouzam - Patient: but <3:10:50 PM> Witty Kwok - Doctor: you might like feel the need to cut out any of the alcohol <3:10:54 PM> Witty Kwok - Doctor: unique <3:11:17 PM> JP Khouzam - Patient: enforce myself I don't know I don't really do as much of that anymore <3:11:22 PM> JP Khouzam - Patient: so I don't know <3:11:24 PM> Witty Kwok - Doctor: yeah so do you I guess having talked about how alcohol has helped you as well as how alcohol has maybe impacted part of your life <3:11:36 PM> Witty Kwok - Doctor: do you have any thoughts about like changing your alcohol like how much you drink or like when you drink stuff like that <3:11:37 PM> JP Khouzam - Patient: yeah I guess ideally I <3:11:46 PM> JP Khouzam - Patient: I'm open to <3:11:49 PM> JP Khouzam - Patient: like <3:11:50 PM> JP Khouzam - Patient: decreasing I'm not going to cut it out or anything I definitely don't want to do that but <3:11:55 PM> JP Khouzam - Patient: I've definitely noticed that like I could <3:11:55 PM> Witty Kwok - Doctor: it's very <3:11:58 PM> JP Khouzam - Patient: I could just go to the bar I then hang out with everyone <3:12:03 PM> JP Khouzam - Patient: but I I feel like it'd be more fun if I was having more drinks so that's kind of how I feel sometimes but yeah <3:12:10 PM> JP Khouzam - Patient: I don't know <3:12:10 PM> JP Khouzam - Patient: I probably say like a six <3:12:11 PM> Witty Kwok - Doctor: so I guess on a scale of one to ten with like 10 being you're ready to go and one being I'm not ready to change like how would you rate in terms of like reducing the amount of alcohol you drink <3:12:28 PM> Witty Kwok - Doctor: okay <3:12:30 PM> Witty Kwok - Doctor: why why is sick instead of I guess like a foresty <3:12:33 PM> JP Khouzam - Patient: I guess because I had one word talking I guess I did make me really notice that <3:12:41 PM> JP Khouzam - Patient: I am <3:12:43 PM> JP Khouzam - Patient: it has affected kind of like what I like to do sometimes but at the same time <3:12:47 PM> JP Khouzam - Patient: definitely don't want to give it up so that's what I would say probably <3:12:51 PM> JP Khouzam - Patient: takes over a 1 but not definitely not a 10 I'm not cutting it out or anything <3:12:52 PM> Witty Kwok - Doctor: gotcha <3:12:58 PM> Witty Kwok - Doctor: at I'm glad to hear at least I <3:12:59 PM> JP Khouzam - Patient: okay thanks Doc um yeah I guess I'm open to that and <3:13:02 PM> Witty Kwok - Doctor: like <3:13:02 PM> Witty Kwok - Doctor: have kind of the awareness that you know there are things you don't want to give up but also you're not ready to completely quit obviously this <3:13:11 PM> Witty Kwok - Doctor: with all kind of behaviors it's just takes time and obviously this is been a stress reliever and kind of a good time just like hanging out with friends it's not something that you can just kind of get rid of super easy <3:13:25 PM> Witty Kwok - Doctor: to say drinking is bad because drinking a moderation has been shown at least to have some benefits so <3:13:31 PM> Witty Kwok - Doctor: definitely take that whatever time you need and if this is ever something you want to start now we can also adjust that as well or maybe the next visit so <3:13:41 PM> Witty Kwok - Doctor: where that <3:13:47 PM> JP Khouzam - Patient: I'll update you ________________________________________________________________________________ End of transcript at Jul 21, 2025, 3:13:50 PM