Transcript of conference held at Aug 28, 2025 in room first_test@conference.miaiconvo.com Initial people present at 12:55:35 PM: Dev Patel - Patient Stephen Vinczi - Doctor Paul Hershberger Transcript, started at 12:55:35 PM: ________________________________________________________________________________ <12:55:35 PM> Stephen Vinczi - Doctor joined the conference <12:55:35 PM> Dev Patel - Patient joined the conference <12:55:35 PM> Paul Hershberger joined the conference <12:55:36 PM> Stephen Vinczi - Doctor: all right Dev it's good to see you again good to have you back on the office how things been going since we've seen you last <12:55:57 PM> Dev Patel - Patient: fine <12:55:59 PM> Stephen Vinczi - Doctor: fine <12:56:00 PM> Dev Patel - Patient: it's pretty much the same I don't notice a difference <12:56:02 PM> Stephen Vinczi - Doctor: anything can you tell me more about just how you even feel and how things have been going <12:56:07 PM> Stephen Vinczi - Doctor: but okay what don't you notice a difference in <12:56:18 PM> Dev Patel - Patient: everything's the same <12:56:21 PM> Dev Patel - Patient: I I don't have the motivation to do things my sleep is still the same garbage <12:56:29 PM> Dev Patel - Patient: I don't know if anything has improved <12:56:33 PM> Stephen Vinczi - Doctor: okay um however the medications been that you've been taking <12:56:34 PM> Dev Patel - Patient: I mean I take it every day but again I just don't notice any difference <12:56:39 PM> Stephen Vinczi - Doctor: okay I know we recently increased the dose do you feel like that's been helping or do you feel like there hasn't been <12:56:53 PM> Dev Patel - Patient: now it hasn't been helping that at all <12:56:54 PM> Stephen Vinczi - Doctor: change from that <12:56:59 PM> Stephen Vinczi - Doctor: okay <12:56:59 PM> Dev Patel - Patient: know <12:57:02 PM> Stephen Vinczi - Doctor: any side effects at all from the medication at all that you've noticed <12:57:06 PM> Stephen Vinczi - Doctor: okay tell me a little bit more about things that have been going on <12:57:06 PM> Stephen Vinczi - Doctor: in <12:57:12 PM> Dev Patel - Patient: I I think my roommate moved out a few weeks ago so I'm by myself <12:57:13 PM> Stephen Vinczi - Doctor: life since we last met <12:57:25 PM> Dev Patel - Patient: and and that's a little hard <12:57:27 PM> Stephen Vinczi - Doctor: mm-hmm <12:57:29 PM> Dev Patel - Patient: just being by yourself and then <12:57:32 PM> Dev Patel - Patient: hasn't been good either so I mean <12:57:35 PM> Dev Patel - Patient: yeah it's like you think <12:57:38 PM> Dev Patel - Patient: your life is bad already and then things just could keep getting worse and worse <12:57:41 PM> Stephen Vinczi - Doctor: I'm sorry to hear that man can you tell me a little bit more about your roommate and <12:57:48 PM> Stephen Vinczi - Doctor: what's been going on there <12:57:50 PM> Dev Patel - Patient: yeah I I just heard from him a few weeks ago that he was just leaving out of nowhere emergency whatever it is <12:57:50 PM> Dev Patel - Patient: and <12:58:02 PM> Dev Patel - Patient: left <12:58:04 PM> Stephen Vinczi - Doctor: mmm okay I could see that would be pretty difficult do you still stay in touch with them or you guys pretty good friends <12:58:05 PM> Dev Patel - Patient: have any notice I didn't know it until a few days before he was about to leave <12:58:09 PM> Dev Patel - Patient: yeah <12:58:15 PM> Dev Patel - Patient: I think of that often <12:58:20 PM> Stephen Vinczi - Doctor: okay it's kind of sounds like he left for like a family emergency type thing do you know if he'll be moving back in or <12:58:21 PM> Dev Patel - Patient: but I never happens I don't know what to do <12:58:25 PM> Dev Patel - Patient: I don't know <12:58:32 PM> Stephen Vinczi - Doctor: don't know okay and tell me a little bit more about work you said work has been going well <12:58:35 PM> Dev Patel - Patient: um say that one more time I wasn't listening <12:58:37 PM> Stephen Vinczi - Doctor: he said work you said work hasn't been going well if you tell me a little bit more about what what's been going on <12:58:46 PM> Dev Patel - Patient: yeah um <12:58:49 PM> Dev Patel - Patient: I just don't have the energy that drive motivation to do anything I just go there <12:58:50 PM> Stephen Vinczi - Doctor: if you <12:58:58 PM> Dev Patel - Patient: it there like a potato <12:58:59 PM> Stephen Vinczi - Doctor: most different <12:59:01 PM> Dev Patel - Patient: and <12:59:02 PM> Dev Patel - Patient: for the day to end so that I can go home and sleep or try to sleep <12:59:07 PM> Stephen Vinczi - Doctor: okay have you been getting less sleep seems recently <12:59:13 PM> Stephen Vinczi - Doctor: okay <12:59:14 PM> Dev Patel - Patient: I mean I'm in my bed the whole time and yet I'm always tired so I don't know <12:59:19 PM> Dev Patel - Patient: I would say it's the same here <12:59:19 PM> Stephen Vinczi - Doctor: has that been the same over the past six months or how's that been different <12:59:24 PM> Stephen Vinczi - Doctor: it's the same okay loss of interest at all and things you used to enjoy <12:59:29 PM> Dev Patel - Patient: here <12:59:33 PM> Dev Patel - Patient: yeah <12:59:34 PM> Stephen Vinczi - Doctor: okay any feelings of like guilt or shame anything like that <12:59:37 PM> Dev Patel - Patient: here <12:59:41 PM> Dev Patel - Patient: guilt about what <12:59:41 PM> Stephen Vinczi - Doctor: up just in general <12:59:46 PM> Stephen Vinczi - Doctor: times people can feeling like can feel potentially just like different senses of guilt about things like going on in their lives and that sometimes they're pretty common symptom we hear so I was just curious if that's something that you've been experiencing <12:59:54 PM> Dev Patel - Patient: now <1:00:00 PM> Stephen Vinczi - Doctor: okay any problems concentrating at all throughout the day <1:00:04 PM> Dev Patel - Patient: here <1:00:07 PM> Stephen Vinczi - Doctor: okay has it been getting worse since we last met <1:00:08 PM> Dev Patel - Patient: yes <1:00:12 PM> Dev Patel - Patient: yes <1:00:12 PM> Dev Patel - Patient: it <1:00:17 PM> Stephen Vinczi - Doctor: okay and all these things that we've been talking about kind of sounds like even going up on the medication said from your point of view hasn't helped too much have things going on with your roommate not being able to see him this thing's going on at work what have you been what have you been doing to kind of cope with everything that's been going on or just deal with it <1:00:38 PM> Dev Patel - Patient: let's try to go to sleep <1:00:43 PM> Stephen Vinczi - Doctor: you just try to go to sleep <1:00:44 PM> Dev Patel - Patient: yeah <1:00:47 PM> Stephen Vinczi - Doctor: and do you do anything else <1:00:48 PM> Dev Patel - Patient: it's <1:00:50 PM> Stephen Vinczi - Doctor: try to help with like how you're feeling you know <1:00:54 PM> Stephen Vinczi - Doctor: take the medications okay <1:00:55 PM> Dev Patel - Patient: it shake the medications I don't know <1:01:00 PM> Dev Patel - Patient: yeah <1:01:01 PM> Stephen Vinczi - Doctor: um have you been able to spend time with friends or do things you enjoy <1:01:08 PM> Stephen Vinczi - Doctor: I've been able to do <1:01:09 PM> Dev Patel - Patient: you say that one more time sorry <1:01:16 PM> Stephen Vinczi - Doctor: what are some things that you like to enjoy what are some things you like to do for fun or things that you enjoy doing <1:01:24 PM> Dev Patel - Patient: at the moment I don't feel like I enjoy a lot of things I did used to read a lot that was one thing I liked I think that it was my <1:01:36 PM> Dev Patel - Patient: peace time where I would just sit the book go through <1:01:40 PM> Stephen Vinczi - Doctor: for you <1:01:41 PM> Dev Patel - Patient: it for hours and hours and not get bored but I have not interested in reading a book and in a long time now <1:01:45 PM> Stephen Vinczi - Doctor: here what types of books do you like to read <1:01:50 PM> Dev Patel - Patient: I <1:01:50 PM> Dev Patel - Patient: and fictional books <1:02:00 PM> Dev Patel - Patient: like to read <1:02:01 PM> Stephen Vinczi - Doctor: okay you said you haven't it's been interested in doing that in a while are there any books potentially that you might be interested in reading that you think that might be <1:02:02 PM> Dev Patel - Patient: called realism <1:02:12 PM> Dev Patel - Patient: now I just can't concentrate <1:02:16 PM> Stephen Vinczi - Doctor: think you might enjoy <1:02:18 PM> Stephen Vinczi - Doctor: know <1:02:20 PM> Stephen Vinczi - Doctor: hi gotcha <1:02:21 PM> Dev Patel - Patient: I <1:02:24 PM> Stephen Vinczi - Doctor: and then asking about different substances are you drinking any caffeine at all <1:02:28 PM> Dev Patel - Patient: you know <1:02:30 PM> Stephen Vinczi - Doctor: now okay do you smoke <1:02:32 PM> Dev Patel - Patient: know <1:02:35 PM> Stephen Vinczi - Doctor: and then using any alcohol at all <1:02:36 PM> Dev Patel - Patient: yes <1:02:38 PM> Stephen Vinczi - Doctor: yeah you tell me more about <1:02:42 PM> Stephen Vinczi - Doctor: okay how much how often is once in a while <1:02:43 PM> Dev Patel - Patient: once in a while just when I'm by myself and don't know what to do I just <1:02:43 PM> Dev Patel - Patient: drink <1:02:53 PM> Stephen Vinczi - Doctor: okay <1:02:54 PM> Dev Patel - Patient: probably <1:02:57 PM> Dev Patel - Patient: once every couple days <1:03:00 PM> Paul Hershberger: I'll stop here Steven <1:03:05 PM> Paul Hershberger: so let's hear your thoughts about how that went ________________________________________________________________________________ End of transcript at Aug 28, 2025, 1:03:12 PM