Transcript of conference held at Aug 28, 2025 in room first_test@conference.miaiconvo.com Initial people present at 2:38:13 PM: Anthony Onochie Josie Lowell - Doctor Makul Sharma Paul Hershberger Transcript, started at 2:38:13 PM: ________________________________________________________________________________ <2:38:13 PM> Anthony Onochie joined the conference <2:38:13 PM> Paul Hershberger joined the conference <2:38:13 PM> Josie Lowell - Doctor joined the conference <2:38:13 PM> Makul Sharma joined the conference <2:38:21 PM> Paul Hershberger: I I did forget one thing <2:38:22 PM> Josie Lowell - Doctor: oh <2:38:25 PM> Paul Hershberger: it Josie if you will click on your name <2:38:29 PM> Anthony Onochie: here <2:38:29 PM> Paul Hershberger: and then after your name space Dash space doctor with an uppercase d <2:38:29 PM> Paul Hershberger: and <2:38:37 PM> Paul Hershberger: Anthony same thing for you after your name space Dash space patient with an uppercase p <2:38:37 PM> Anthony Onochie: oh <2:38:42 PM> Josie Lowell - Doctor: okay like that <2:38:43 PM> Paul Hershberger: yes yes only I need a dash not an underscore <2:38:46 PM> Anthony Onochie: yes <2:38:50 PM> Anthony Onochie: oh sorry one second I I don't know what I did but I ended up <2:38:52 PM> Paul Hershberger: okay <2:38:58 PM> Josie Lowell - Doctor: about it <2:38:58 PM> Anthony Onochie: changing my screen so now I see only myself I don't see anyone else <2:39:05 PM> Anthony Onochie: here let me refresh it one second <2:39:06 PM> Paul Hershberger: or if okay or if you want to sign off and sign back on that'll work too <2:39:12 PM> Anthony Onochie joined the conference <2:39:12 PM> Anthony Onochie left the conference <2:39:13 PM> Anthony Onochie: okay yeah <2:39:20 PM> Josie Lowell - Doctor: did it work I feel like there's a if you like kind of toggle below there like a four boxes <2:39:30 PM> Anthony Onochie: mm-hmm <2:39:31 PM> Josie Lowell - Doctor: alcohol <2:39:32 PM> Anthony Onochie: oh <2:39:34 PM> Anthony Onochie: except it doesn't show <2:39:37 PM> Anthony Onochie: is completely taken me out <2:39:40 PM> Anthony Onochie: hmm one second <2:39:43 PM> Paul Hershberger: um Josie did you click on your name or did you click on dot by your name <2:39:45 PM> Anthony Onochie left the conference <2:39:47 PM> Anthony Onochie joined the conference <2:39:47 PM> Josie Lowell - Doctor: I Just Call My Name <2:39:50 PM> Paul Hershberger: I'm sorry <2:39:50 PM> Anthony Onochie: people <2:39:53 PM> Josie Lowell - Doctor: is it is it showing that I my name changed <2:39:55 PM> Paul Hershberger: oh yeah yeah we're seeing Josie a little doctor <2:39:56 PM> Anthony Onochie left the conference <2:39:59 PM> Josie Lowell - Doctor: yeah I just click like right above where my name was and I was able to like all did it <2:40:01 PM> Paul Hershberger: okay <2:40:06 PM> Josie Lowell - Doctor: course <2:40:07 PM> Anthony Onochie - Patient joined the conference <2:40:09 PM> Anthony Onochie - Patient: oh yeah still not working I'm not sure what I did <2:40:10 PM> Josie Lowell - Doctor: you <2:40:12 PM> Josie Lowell - Doctor: Trust <2:40:16 PM> Paul Hershberger: he <2:40:17 PM> Anthony Onochie - Patient: a one second let me see camera <2:40:20 PM> Paul Hershberger: oh yes we can see you again and we can hear you okay <2:40:22 PM> Anthony Onochie - Patient: can you guys see me <2:40:26 PM> Anthony Onochie - Patient: and let me see <2:40:28 PM> Anthony Onochie - Patient: which you have participants <2:40:31 PM> Anthony Onochie - Patient: Josie can you tell me the thing again about the video <2:40:35 PM> Josie Lowell - Doctor: you like put your mouse in the lower middle and they'll be like the bar that comes up and there's four squares that say all tile View <2:40:48 PM> Anthony Onochie - Patient: he <2:40:48 PM> Paul Hershberger: here <2:40:49 PM> Josie Lowell - Doctor: that's what mine is on and I can see everyone <2:40:50 PM> Anthony Onochie - Patient: yeah that's that's how mine was before until <2:40:54 PM> Paul Hershberger: it what what happens if you clicked on your name in the <2:40:57 PM> Anthony Onochie - Patient: remember I did <2:40:59 PM> Anthony Onochie - Patient: I don't even see my name anymore to click on <2:41:02 PM> Paul Hershberger: oh not in the your name box or I mean not in your <2:41:03 PM> Anthony Onochie - Patient: yeah yeah it doesn't it's not there <2:41:06 PM> Paul Hershberger: are there if you go to the upper right corner of your box are there three dots well that <2:41:08 PM> Josie Lowell - Doctor: for you <2:41:13 PM> Anthony Onochie - Patient: let me let me quickly <2:41:14 PM> Paul Hershberger: huge <2:41:15 PM> Josie Lowell - Doctor: there's any place <2:41:17 PM> Anthony Onochie - Patient: share my screen so you <2:41:19 PM> Josie Lowell - Doctor: and <2:41:21 PM> Anthony Onochie - Patient: see if anyone can help me with this <2:41:24 PM> Anthony Onochie - Patient: a screen sharing <2:41:27 PM> Anthony Onochie - Patient: and <2:41:29 PM> Anthony Onochie - Patient: know just <2:41:32 PM> Anthony Onochie - Patient: okay you can have <2:41:38 PM> Anthony Onochie - Patient: can you see my screen <2:41:44 PM> Paul Hershberger: um <2:41:46 PM> Paul Hershberger: yes <2:41:47 PM> Anthony Onochie - Patient: Okay so <2:41:49 PM> Anthony Onochie - Patient: and this is what I see and I don't even see that thing to change my name or <2:41:51 PM> Paul Hershberger: if try <2:41:56 PM> Josie Lowell - Doctor: for <2:41:56 PM> Anthony Onochie - Patient: so <2:41:58 PM> Paul Hershberger: here now if if you go into the square with your <2:42:02 PM> Makul Sharma: careful picture <2:42:05 PM> Paul Hershberger: picture do you see three dots at the upper right <2:42:09 PM> Makul Sharma: my picture <2:42:09 PM> Anthony Onochie - Patient: Naruto see my picture at all <2:42:10 PM> Paul Hershberger: oh you're not see how about if you go to the people <2:42:13 PM> Anthony Onochie - Patient: yeah <2:42:15 PM> Anthony Onochie - Patient: it's <2:42:17 PM> Josie Lowell - Doctor: you know more <2:42:18 PM> Paul Hershberger: icon at the bottom <2:42:20 PM> Josie Lowell - Doctor: on you <2:42:21 PM> Anthony Onochie - Patient: this that's this one right here right <2:42:27 PM> Paul Hershberger: yeah now yeah now right after your name there <2:42:28 PM> Josie Lowell - Doctor: one of the three dots there <2:42:29 PM> Anthony Onochie - Patient: here <2:42:30 PM> Makul Sharma: okay yeah <2:42:32 PM> Anthony Onochie - Patient: do this it says <2:42:35 PM> Josie Lowell - Doctor: well <2:42:37 PM> Josie Lowell - Doctor: anymore <2:42:39 PM> Paul Hershberger: if you go back one screen where your name was <2:42:40 PM> Anthony Onochie - Patient: here <2:42:42 PM> Makul Sharma: family <2:42:44 PM> Paul Hershberger: yeah click on your name and see if you and then yeah now put a space dot dash space <2:42:45 PM> Makul Sharma: and yeah <2:42:46 PM> Anthony Onochie - Patient: okay <2:42:53 PM> Paul Hershberger: yeah <2:42:54 PM> Anthony Onochie - Patient: and then patient <2:42:58 PM> Makul Sharma: but <2:42:58 PM> Paul Hershberger: it but make sure there's a dash between <2:43:02 PM> Anthony Onochie - Patient: so I have space that patient <2:43:03 PM> Josie Lowell - Doctor: whatever <2:43:04 PM> Paul Hershberger: up your name and your page <2:43:08 PM> Paul Hershberger: the space Dash space patient yeah <2:43:11 PM> Anthony Onochie - Patient: that street <2:43:12 PM> Josie Lowell - Doctor: one <2:43:15 PM> Paul Hershberger: here and then go ahead and stop sharing <2:43:21 PM> Paul Hershberger: yep now I think we're good to go so let me make one more click and then Josie I'll give you a thumbs up <2:43:26 PM> Josie Lowell - Doctor: would <2:43:34 PM> Josie Lowell - Doctor: okay hi Anthony <2:43:49 PM> Josie Lowell - Doctor: it looks like you're here for your three-month-old from one I saw you last or we upped your dose of the medication how are things going <2:43:57 PM> Anthony Onochie - Patient: um hi Dr um it's it's going okay <2:43:57 PM> Anthony Onochie - Patient: not <2:44:00 PM> Josie Lowell - Doctor: but <2:44:06 PM> Anthony Onochie - Patient: great as as I expected there's nothing like what we spoke about earlier on <2:44:12 PM> Josie Lowell - Doctor: website <2:44:13 PM> Anthony Onochie - Patient: at the last visit I feel like <2:44:16 PM> Anthony Onochie - Patient: even after you increase my dose I still feel the same I'm still <2:44:23 PM> Anthony Onochie - Patient: I'm still not really motivated about anything I kind of struggled to get out of bed in the morning and <2:44:30 PM> Josie Lowell - Doctor: over <2:44:31 PM> Anthony Onochie - Patient: I don't know in general there's just I don't feel like there's a lot of improvements and <2:44:38 PM> Anthony Onochie - Patient: I think <2:44:40 PM> Anthony Onochie - Patient: I mean I know you spoke to me about being in a little bit more social going out <2:44:45 PM> Anthony Onochie - Patient: and do things differently <2:44:45 PM> Anthony Onochie - Patient: but <2:44:47 PM> Josie Lowell - Doctor: he <2:44:50 PM> Anthony Onochie - Patient: it just quite hasn't worked out that way I had my roommate moved out <2:44:55 PM> Anthony Onochie - Patient: so it's just me again in this apartment I've got this trust of paying for the paper rent by myself <2:45:04 PM> Anthony Onochie - Patient: that's what you <2:45:07 PM> Anthony Onochie - Patient: and hang out with I don't really have that anymore and <2:45:12 PM> Anthony Onochie - Patient: I don't know I think <2:45:14 PM> Josie Lowell - Doctor: here <2:45:15 PM> Anthony Onochie - Patient: all of this is affecting me negatively so I have a big thing at work and that's added a lot of stress to my life right now <2:45:20 PM> Josie Lowell - Doctor: nice <2:45:22 PM> Josie Lowell - Doctor: yeah it sounds like you're having fun <2:45:29 PM> Josie Lowell - Doctor: struggles going on with your roommate moving out and big raw evaluation going on at work I know you've just said you haven't seen much improvement what have you been you know to kind of proactively <2:45:42 PM> Anthony Onochie - Patient: I mean I've been taking my medications like you prescribe them and go into the gym <2:45:46 PM> Josie Lowell - Doctor: improve <2:45:54 PM> Josie Lowell - Doctor: mm-hmm <2:45:55 PM> Anthony Onochie - Patient: I've been trying to you know <2:45:58 PM> Anthony Onochie - Patient: I <2:45:58 PM> Anthony Onochie - Patient: like have better habits so I'm sleeping I'm sleeping early trying to wake up early <2:46:02 PM> Josie Lowell - Doctor: believe <2:46:04 PM> Josie Lowell - Doctor: point <2:46:05 PM> Anthony Onochie - Patient: not to be alone for too long so I don't get lost in my thoughts and <2:46:07 PM> Josie Lowell - Doctor: it's like <2:46:11 PM> Anthony Onochie - Patient: I'm <2:46:11 PM> Anthony Onochie - Patient: I think I don't know I think I'm doing most of the things <2:46:15 PM> Josie Lowell - Doctor: here you <2:46:17 PM> Anthony Onochie - Patient: possible <2:46:18 PM> Anthony Onochie - Patient: and I don't know maybe something's just wrong with me <2:46:20 PM> Josie Lowell - Doctor: well I'm glad that you need some habits and working on not being alone for too long and going out early and having a good morning routine I think those are great ways to continue towards improving your mood what else do you think could be helpful in increasing your mood <2:46:22 PM> Anthony Onochie - Patient: what <2:46:42 PM> Anthony Onochie - Patient: he <2:46:46 PM> Josie Lowell - Doctor: absolutely <2:46:48 PM> Anthony Onochie - Patient: know really maybe having <2:46:50 PM> Josie Lowell - Doctor: when you are <2:46:52 PM> Anthony Onochie - Patient: having a roommate again might be good but I don't know who I'd want to invite or who are want to be my roommate most of my friends already have like established living situations <2:47:04 PM> Josie Lowell - Doctor: mmm <2:47:05 PM> Anthony Onochie - Patient: and <2:47:07 PM> Anthony Onochie - Patient: what that <2:47:07 PM> Josie Lowell - Doctor: yeah so yeah it's hard not something you can necessarily control I think about <2:47:15 PM> Anthony Onochie - Patient: mm-hmm <2:47:17 PM> Anthony Onochie - Patient: yeah I checked my chart and I saw the referral you put in for me but <2:47:18 PM> Josie Lowell - Doctor: be seen a therapist <2:47:21 PM> Josie Lowell - Doctor: have you thought about that at all <2:47:33 PM> Anthony Onochie - Patient: I don't know I don't know how I feel about therapy I feel like <2:47:38 PM> Anthony Onochie - Patient: I feel like I'm just going to go complain to someone else and <2:47:43 PM> Josie Lowell - Doctor: here <2:47:44 PM> Anthony Onochie - Patient: they're not going to do anything for me I mean you already giving me medication <2:47:49 PM> Anthony Onochie - Patient: and that should help me so I don't know why <2:47:50 PM> Josie Lowell - Doctor: for me <2:47:52 PM> Anthony Onochie - Patient: talk into someone <2:47:54 PM> Anthony Onochie - Patient: going to be different from talking to you or friends or my family I <2:48:01 PM> Anthony Onochie - Patient: I don't know so and then it also doesn't help that <2:48:05 PM> Anthony Onochie - Patient: I'm busy with work so <2:48:08 PM> Anthony Onochie - Patient: get off work I want to rest and <2:48:08 PM> Josie Lowell - Doctor: so <2:48:11 PM> Anthony Onochie - Patient: that would be ideally when I'd be going to a therapist and I don't talk into someone for one hour an hour and a half <2:48:13 PM> Josie Lowell - Doctor: it's <2:48:19 PM> Anthony Onochie - Patient: all I've done is talk and I'm not seeing an improvement so not sure why I should go to someone else <2:48:21 PM> Josie Lowell - Doctor: of course <2:48:24 PM> Josie Lowell - Doctor: mm-hmm I can understand that it's definitely hard with finding the time with a busy schedule and your friends you like to talk to you and you might not think that <2:48:38 PM> Josie Lowell - Doctor: talking to it would be the same as talking to your friend <2:48:43 PM> Josie Lowell - Doctor: what how do you see like your life if you <2:48:44 PM> Anthony Onochie - Patient: what <2:48:48 PM> Josie Lowell - Doctor: understand consistently at this mood like it does that how does that make you feel if you <2:48:54 PM> Anthony Onochie - Patient: I mean staying <2:48:55 PM> Josie Lowell - Doctor: better <2:48:58 PM> Anthony Onochie - Patient: if I just stay like this forever I go <2:48:59 PM> Josie Lowell - Doctor: you <2:49:02 PM> Anthony Onochie - Patient: I don't think that would be system sustainable it's not I don't like the way I feel <2:49:07 PM> Anthony Onochie - Patient: this like to feel hard for a couple years ago <2:49:11 PM> Anthony Onochie - Patient: that's been a long time so <2:49:14 PM> Anthony Onochie - Patient: I know this just living this way is <2:49:17 PM> Anthony Onochie - Patient: most sustainable I mean <2:49:20 PM> Anthony Onochie - Patient: it affects everything in my life it affects my work <2:49:24 PM> Anthony Onochie - Patient: X my relationships I talked to new people meet new people and then you know after a while I start drinking so it feels like I'm draining them so yeah I wouldn't like to be <2:49:24 PM> Anthony Onochie - Patient: at <2:49:33 PM> Josie Lowell - Doctor: you know <2:49:33 PM> Josie Lowell - Doctor: mm-hmm so I think <2:49:37 PM> Anthony Onochie - Patient: Point forever <2:49:41 PM> Anthony Onochie - Patient: he <2:49:45 PM> Josie Lowell - Doctor: you talked about how you improvements in your life <2:49:48 PM> Anthony Onochie - Patient: you <2:49:50 PM> Josie Lowell - Doctor: bit early and stuff like that <2:49:53 PM> Josie Lowell - Doctor: how would you feel about <2:49:55 PM> Josie Lowell - Doctor: and we talked about how that's important how would you feel about you know maybe once a week you know some time to talk to someone <2:50:02 PM> Anthony Onochie - Patient: I mean if if there's a guarantee that it's going to help me <2:50:11 PM> Anthony Onochie - Patient: because <2:50:11 PM> Anthony Onochie - Patient: I'll be more open to it <2:50:13 PM> Anthony Onochie - Patient: initially I was told you know taking the medications will do it that's not done it <2:50:15 PM> Josie Lowell - Doctor: oh <2:50:19 PM> Anthony Onochie - Patient: I was told having better habits will help that's not done it so now it just feels like one more thing but if there's some kind of guarantee <2:50:19 PM> Anthony Onochie - Patient: that <2:50:28 PM> Anthony Onochie - Patient: a therapist would help me you know achieve some kind of like better stability or Improvement in my mood then I'll be open to it <2:50:31 PM> Josie Lowell - Doctor: the <2:50:39 PM> Josie Lowell - Doctor: mm-hmm of course there's no warranty in the life of anything but I know you mentioned that <2:50:49 PM> Josie Lowell - Doctor: staying like this isn't super sustainable for you and it's not something that you necessarily want to continue on <2:50:56 PM> Josie Lowell - Doctor: and so I feel like <2:51:00 PM> Josie Lowell - Doctor: making another step to see someone could be a potential increase that so you're not no longer staying at this level <2:51:07 PM> Anthony Onochie - Patient: it makes me feel much better yeah <2:51:09 PM> Josie Lowell - Doctor: how does that make you feel <2:51:10 PM> Paul Hershberger: I'm gonna go ahead and stop you here <2:51:13 PM> Josie Lowell - Doctor: everybody ________________________________________________________________________________ End of transcript at Aug 28, 2025, 2:51:23 PM