Transcript of conference held at Jul 21, 2025 in room first_test@conference.miaiconvo.com Initial people present at 3:24:26 PM: Angie Castle Makul Sharma Witty Kwok - Patient JP Khouzam - Doctor Transcript, started at 3:24:26 PM: ________________________________________________________________________________ <3:24:26 PM> JP Khouzam - Doctor joined the conference <3:24:26 PM> Makul Sharma joined the conference <3:24:26 PM> Angie Castle joined the conference <3:24:26 PM> Witty Kwok - Patient joined the conference <3:24:26 PM> Witty Kwok - Patient: hey <3:24:27 PM> JP Khouzam - Doctor: all right what do you get to see you again <3:24:36 PM> JP Khouzam - Doctor: how is everything going <3:24:38 PM> Witty Kwok - Patient: as good as it can be <3:24:39 PM> JP Khouzam - Doctor: okay okay last time we talked I know we we have you on a good amount of medication <3:24:42 PM> Witty Kwok - Patient: um honestly <3:24:50 PM> JP Khouzam - Doctor: how has that regimen been helping your symptoms so far <3:24:58 PM> Witty Kwok - Patient: I can't really tell if they've been helping my symptoms <3:25:02 PM> Witty Kwok - Patient: and I know I shouldn't be telling you this really but I haven't really been taking my medications consistently either just <3:25:02 PM> Witty Kwok - Patient: because <3:25:10 PM> Witty Kwok - Patient: we haven't noticed any difference when I'm on or off the medications <3:25:11 PM> JP Khouzam - Doctor: okay fair enough how how often are you taking your medication <3:25:14 PM> Witty Kwok - Patient: she honestly I don't think I really take him much if not at all for the past couple weeks <3:25:24 PM> JP Khouzam - Doctor: oh okay so you haven't taken any of your pills for the last two weeks or so <3:25:28 PM> Witty Kwok - Patient: Notepad <3:25:34 PM> JP Khouzam - Doctor: okay <3:25:36 PM> Witty Kwok - Patient: he just a lot of medications and I really don't want to deal with it and half the time I don't even remember what to take when to take that and like I said kind of doesn't really seem to make any difference is at least not that I've noticed and my family doesn't really seem to <3:25:38 PM> JP Khouzam - Doctor: why <3:26:02 PM> Witty Kwok - Patient: notice any differences either so I'm just like well if it doesn't really do anything for me if I can't figure out what I'm taking then why am I really taking it <3:26:09 PM> JP Khouzam - Doctor: yeah and that makes sense you we do have you on a pretty long regimen of medications <3:26:22 PM> JP Khouzam - Doctor: know the ones that you take twice a day versus once a day and which ones you take in the morning versus the night can definitely get confusing is that <3:26:30 PM> Witty Kwok - Patient: yep definitely just trying to <3:26:30 PM> Witty Kwok - Patient: yeah <3:26:32 PM> JP Khouzam - Doctor: is that something that you're feeling <3:26:36 PM> JP Khouzam - Doctor: it's <3:26:40 PM> Witty Kwok - Patient: trying to figure out <3:26:42 PM> Witty Kwok - Patient: what I'm taking on a like there's so many pills and half of them I can't even figure out what they do so I just I don't know <3:26:48 PM> JP Khouzam - Doctor: sure and what's and I did notice you mentioned something about you know you can't really see that they're helping your symptoms at all what symptoms are you having and why did you come in for those symptoms <3:26:52 PM> Witty Kwok - Patient: here <3:27:02 PM> Witty Kwok - Patient: um I didn't really feel like I had any symptoms I mean I get tired walking around but like <3:27:15 PM> Witty Kwok - Patient: kind of just diagnosed by the docs I see and they just kind of gave me the medications kind of just it just tell me yeah looks like you have high sugar in your blood and so like fat and we want you to have some medications and like well <3:27:33 PM> Witty Kwok - Patient: not really the feeling anything and I'm kind of just slipping my life so I don't know I don't know why I'm on these medications really <3:27:34 PM> JP Khouzam - Doctor: extra I understand that like <3:27:40 PM> Witty Kwok - Patient: mmm <3:27:43 PM> JP Khouzam - Doctor: what matters the most to you about staying healthy and things like that <3:27:51 PM> Witty Kwok - Patient: I think right now <3:27:55 PM> Witty Kwok - Patient: feel like <3:27:56 PM> Witty Kwok - Patient: he's just being able to get around and visit my like granddaughters Grand grandson just kind of hanging out with them yeah I know this sometimes I get short of breath I can't hang out with them as often in a lot of times that kind of just stay on the side just kind of sit and watch <3:28:15 PM> Witty Kwok - Patient: other side like <3:28:18 PM> Witty Kwok - Patient: student doing whatever <3:28:19 PM> JP Khouzam - Doctor: hey I understand that and <3:28:20 PM> Witty Kwok - Patient: mmm <3:28:24 PM> JP Khouzam - Doctor: it seems like you spend a lot of your time with your grandparents or your grandkids and things like that <3:28:31 PM> JP Khouzam - Doctor: you've mentioned <3:28:31 PM> Witty Kwok - Patient: I'm also time I would go outside and maybe like go to the park and watch them kind of go on a playground play around sometimes they like playing like tag and hide and seek obviously I a little bigger so I can sometimes catch up to them but a lot of times I run out of breath and you just kind of get away from me but it's like hanging out with them and seeing them grow up it's been kind of cool it's been it's been a blessing but <3:28:33 PM> JP Khouzam - Doctor: just them in general what do you do with them <3:29:03 PM> Witty Kwok - Patient: I can't say I have been able to be as active as I would want with them but <3:29:06 PM> JP Khouzam - Doctor: okay so you're getting a little shorter breath you're having some trouble it just kind of affecting you hanging out with them <3:29:18 PM> JP Khouzam - Doctor: do you feel like that's related at all to your health conditions <3:29:19 PM> Witty Kwok - Patient: possibly I don't know too much about my health conditions but <3:29:33 PM> Witty Kwok - Patient: it's possible that I guess maybe like some of the things that the doctors mentioned previously could have impacted me and just kind of <3:29:35 PM> JP Khouzam - Doctor: here <3:29:41 PM> Witty Kwok - Patient: me not taking my medication and not really adjusting to anything <3:29:46 PM> Witty Kwok - Patient: might have added on to it <3:29:50 PM> Witty Kwok - Patient: another we've seen it becoming a little bit worse but I like I said I don't feel like the medications have necessarily helped with that either though <3:29:57 PM> JP Khouzam - Doctor: okay what what do you know about your Medicare your medication regimen and your health issues right now <3:29:59 PM> Witty Kwok - Patient: um so what I remember <3:30:10 PM> Witty Kwok - Patient: I think like some kind of hard condition I mean you have like diabetes <3:30:18 PM> Witty Kwok - Patient: something like hyperlipidemia or something like that have like two to three medications if not more per like condition that they've given me and <3:30:31 PM> Witty Kwok - Patient: I don't know what to do about them and I don't really know if how like these impacts my lifestyle and like what <3:30:38 PM> Witty Kwok - Patient: I impact my house or if my health has impacted the development of these conditions so I don't know too much honestly <3:30:46 PM> JP Khouzam - Doctor: okay it seems like you know in general kind of the diagnoses that you've been given do you know like what happens with these diseases and how they progress <3:30:47 PM> Witty Kwok - Patient: no not really <3:30:58 PM> JP Khouzam - Doctor: things like <3:30:58 PM> JP Khouzam - Doctor: okay there's a couple of like important things that the reason we give you these medications is to prevent bad things from happening like going to the hospital for a long Extended Stays <3:31:16 PM> JP Khouzam - Doctor: like the shortness of breath you're having and the you know the trouble walking those are things that we want to help you with in general and I know that maybe some doctors in the past have just kind of <3:31:29 PM> JP Khouzam - Doctor: on the medication at you and said you need to take it <3:31:34 PM> JP Khouzam - Doctor: I know on one hand it's hard to keep up with the medications on the other hand you may want to prevent like an extended Hospital stay or to spend more time with your grandchildren being able to hang out with them <3:31:40 PM> Witty Kwok - Patient: I never really considered I guess issues with these conditions like the long-term effects that they're just kind of there and I just have to live with them but definitely if <3:31:48 PM> JP Khouzam - Doctor: how do those kind of fit together for you <3:32:06 PM> Witty Kwok - Patient: if I knew more about these conditions and kind of what I should be looking out for <3:32:13 PM> Witty Kwok - Patient: so like I can just kind of live a better life and kind of hang out with my grandchildren I think I would <3:32:20 PM> Witty Kwok - Patient: you more open to at least figuring out some Planet take my medication and make some changes <3:32:23 PM> JP Khouzam - Doctor: okay <3:32:27 PM> JP Khouzam - Doctor: seems like you're sort of open to starting to look at your medications again what's like one small step we can try do you use a pill box or do you link medications to a routine or anything <3:32:34 PM> Witty Kwok - Patient: know that I just got them from the pharmacy and they just kind of sits in the house <3:32:44 PM> JP Khouzam - Doctor: oh <3:32:47 PM> Witty Kwok - Patient: live with my wife and it's <3:32:47 PM> JP Khouzam - Doctor: and who lives at home with you <3:32:50 PM> JP Khouzam - Doctor: okay um how has <3:32:50 PM> JP Khouzam - Doctor: she <3:32:53 PM> Witty Kwok - Patient: um she does remind me from time to time to take my medication should be like oh have you have you taken your immense this morning or if it's at night like <3:32:53 PM> Witty Kwok - Patient: don't forget <3:32:59 PM> JP Khouzam - Doctor: played a role in your health <3:33:11 PM> Witty Kwok - Patient: take your medicine before you go to bed <3:33:15 PM> Witty Kwok - Patient: she doesn't like force me to do it or anything she just kind of reminds me and typically I just kind of don't do it or like I forget <3:33:24 PM> JP Khouzam - Doctor: it I understand because you have a lot of medications what do you think is a good way to begin maybe starting to take one of your pills <3:33:25 PM> Witty Kwok - Patient: from there <3:33:27 PM> Witty Kwok - Patient: yeah <3:33:31 PM> Witty Kwok - Patient: mmm <3:33:41 PM> Witty Kwok - Patient: potentially I guess if I just chose like one and just follow it and like if I follow for a long time maybe it'll kind of become more of a routine <3:33:52 PM> Witty Kwok - Patient: and then I wouldn't forget about it as often <3:33:57 PM> Witty Kwok - Patient: or <3:33:59 PM> Witty Kwok - Patient: some people have kind of mentioned <3:34:02 PM> Witty Kwok - Patient: a little bit I like put it in a certain location that I go to office and maybe I if I go there like if I brush my teeth and it's always there then I might be more willing to kind of take it or at least remember to do it <3:34:15 PM> Angie Castle: all right <3:34:16 PM> JP Khouzam - Doctor: okay ________________________________________________________________________________ End of transcript at Jul 21, 2025, 3:34:18 PM