Transcript of conference held at Aug 25, 2025 in room first_test@conference.miaiconvo.com Initial people present at 5:38:42 PM: Bethany - patient Anthony - doctor Angie Castle Transcript, started at 5:38:42 PM: ________________________________________________________________________________ <5:38:42 PM> Anthony - doctor joined the conference <5:38:42 PM> Bethany - patient joined the conference <5:38:42 PM> Angie Castle joined the conference <5:38:42 PM> Anthony - doctor: okay <5:38:44 PM> Bethany - patient: yeah I mean <5:38:47 PM> Anthony - doctor: so thanks for coming in Bethany on your screening survey that you did at the beginning of this I noticed that you had indicated you're drinking five or six weeks or five or six drinks a day for two or three days over the weekend tell me more about that <5:39:03 PM> Anthony - doctor: okay <5:39:05 PM> Bethany - patient: after a week you know I have a good job but <5:39:09 PM> Bethany - patient: and <5:39:09 PM> Bethany - patient: the theme while going on I just like to you know relax so yeah I'll have you know five or six drinks maybe Friday night after work <5:39:18 PM> Bethany - patient: then on Saturday usually about the same just going out with my husband <5:39:23 PM> Bethany - patient: I mean not really I don't drink the rest of the week and so yeah just have a good time on the weekend <5:39:26 PM> Anthony - doctor: does that drinking concern you at all <5:39:31 PM> Anthony - doctor: okay have you ever or have you thought about reducing the amount of you drink <5:39:37 PM> Bethany - patient: hmm <5:39:45 PM> Anthony - doctor: okay has anybody talked about drinking that much with you before <5:39:46 PM> Bethany - patient: no not not really <5:39:50 PM> Bethany - patient: like what do you mean <5:39:56 PM> Anthony - doctor: has anybody been concerned about how much you drink <5:39:58 PM> Bethany - patient: now I don't think so <5:40:02 PM> Anthony - doctor: have you ever caught <5:40:02 PM> Anthony - doctor: have <5:40:04 PM> Bethany - patient: know usually I think about drinking more <5:40:06 PM> Anthony - doctor: ever contemplated about drinking less <5:40:10 PM> Anthony - doctor: sleep okay um and if you drink more how do you see that ending <5:40:13 PM> Bethany - patient: uh probably wouldn't see it ending because I don't really remember what happens after I drink <5:40:20 PM> Anthony - doctor: okay how how often are you not remembering <5:40:25 PM> Bethany - patient: oh well usually it's a little hazy like I remember like my husband getting us an Uber back to our place and I don't really remember like getting into bed or anything <5:40:30 PM> Anthony - doctor: are you concerned that <5:40:42 PM> Bethany - patient: probably not not what the crowd we hang out with <5:40:46 PM> Anthony - doctor: getting things you might want to remember <5:40:49 PM> Anthony - doctor: okay tell me more about that crowd <5:40:53 PM> Bethany - patient: just friends we've accumulated over the years they want me to them out for drinks on the weekend <5:41:02 PM> Bethany - patient: can be a little rambunctious <5:41:03 PM> Anthony - doctor: okay why is your physician it's a little concerning five or six drinks is a lot each day two three days over the weekend how does that make you feel <5:41:05 PM> Bethany - patient: um <5:41:16 PM> Anthony - doctor: okay what possible outcomes are bad you said you haven't seen any bad outcomes from this drinking what are possible about outcomes from the amount you drink and forgetting your weekends <5:41:17 PM> Bethany - patient: I guess a little concerned but I've really never had any you know <5:41:23 PM> Bethany - patient: add outcomes or Consequences from my drinking <5:41:43 PM> Bethany - patient: I have a couple friends who've gotten DUIs in the past <5:41:44 PM> Anthony - doctor: okay and how would you feel if you were to get a DUI <5:41:48 PM> Bethany - patient: hmm wouldn't be the best thing <5:41:55 PM> Anthony - doctor: how it how would it affect your life <5:41:59 PM> Bethany - patient: I mean it'd be expensive to get a lawyer but <5:42:02 PM> Anthony - doctor: do you think those around you would be concerned if you had a DUI from your drinking <5:42:08 PM> Bethany - patient: other than that hopefully it wouldn't really have an effect <5:42:19 PM> Anthony - doctor: oh okay and what's say you were out drinking and you were driving what would happen if you were <5:42:22 PM> Bethany - patient: I mean <5:42:24 PM> Bethany - patient: I guess it might change how you know people think about me but I think it's fairly common to have a DUI nowadays <5:42:33 PM> Bethany - patient: you know feel really bad that would be a terrible thing <5:42:41 PM> Anthony - doctor: to get into a car accident and severely hurt somebody else <5:42:45 PM> Anthony - doctor: yeah and so at this point like I I would like to see you reduce the amount you're drinking it would be good to avoid those horrible possibilities and maybe <5:43:02 PM> Anthony - doctor: you start remembering your weekends again how motivated are you at this point to reduce the amount you drink <5:43:09 PM> Bethany - patient: maybe like a three <5:43:10 PM> Anthony - doctor: free out of 10 okay why not six out of 10 <5:43:15 PM> Bethany - patient: well <5:43:18 PM> Anthony - doctor: okay like I mentioned it can be detrimental to your health so even though that you're young now how do you foresee your health changing in the future with this amount of drinking <5:43:20 PM> Bethany - patient: I'm Yan and I'm you know enjoy hanging out with friends and that's what we do so <5:43:38 PM> Bethany - patient: I mean I might want to start cutting back if you know my labs change but you know in the meantime my labs have been good and it's only on the weekends so it's not like I'm an alcoholic <5:43:45 PM> Anthony - doctor: okay um <5:43:49 PM> Bethany - patient: mmm <5:43:52 PM> Anthony - doctor: ideally you would make changes before those labs so if those labs begin to change that means you're injuring yourself that <5:43:59 PM> Anthony - doctor: we aren't at a good place we want to try to cut that off beforehand okay <5:44:01 PM> Bethany - patient: Oh by cutting back drinking <5:44:05 PM> Anthony - doctor: um <5:44:06 PM> Anthony - doctor: so how could we prevent those labs from getting to the point where we're already concerned <5:44:13 PM> Anthony - doctor: oh okay but what we're cutting back drinking look like to you <5:44:17 PM> Bethany - patient: um <5:44:17 PM> Bethany - patient: maybe <5:44:20 PM> Anthony - doctor: okay um <5:44:22 PM> Bethany - patient: like getting one or two drinks less at the bar <5:44:26 PM> Bethany - patient: Maybe <5:44:29 PM> Anthony - doctor: and do you think you would be better off at that point <5:44:32 PM> Anthony - doctor: okay well that's good that um you have this idea and I agree with you that cutting down to one maybe two drinks or cutting that by one or two drinks would be beneficial but what would prevent you from cutting down more <5:44:35 PM> Bethany - patient: well it's not fun being the sober person at the party <5:44:49 PM> Anthony - doctor: yeah okay um <5:44:54 PM> Bethany - patient: being surrounded by intoxicated people <5:44:57 PM> Anthony - doctor: hear you but what prevents you from having Sun fun while you're sober <5:45:03 PM> Anthony - doctor: okay um I hear that and <5:45:08 PM> Bethany - patient: I mean yeah I could but that's just what our friends do so if I wasn't around them then I just be at the home by myself I guess <5:45:13 PM> Anthony - doctor: do you enjoy if you wouldn't enjoy being around intoxicated people while you're sober could you not be around people that are drinking <5:45:26 PM> Anthony - doctor: oh okay are you concerned about about how much any of your friends drink you said you knew a couple people with the ui's <5:45:42 PM> Bethany - patient: yeah I mean not really I think they've made mistakes in their past but not really concerned about them <5:45:50 PM> Anthony - doctor: what do you think LED them to those mistakes <5:45:51 PM> Bethany - patient: being young and stupid ________________________________________________________________________________ End of transcript at Aug 25, 2025, 5:45:58 PM