Transcript of conference held at Aug 28, 2025 in room first_test@conference.miaiconvo.com Initial people present at 3:00:11 PM: Anthony Onochie - Doctor Josie Lowell - Patient Fellow Jitser Makul Sharma Paul Hershberger Transcript, started at 3:00:11 PM: ________________________________________________________________________________ <3:00:11 PM> Josie Lowell - Patient joined the conference <3:00:11 PM> Paul Hershberger joined the conference <3:00:11 PM> Makul Sharma joined the conference <3:00:11 PM> Anthony Onochie - Doctor joined the conference <3:00:17 PM> Anthony Onochie - Doctor: so um this Josie so can you tell me about your alcohol use <3:00:17 PM> Josie Lowell - Patient: yeah I don't know during the week really good about that I just <3:00:35 PM> Anthony Onochie - Doctor: oh okay so on the weekend how much do you drink <3:00:37 PM> Josie Lowell - Patient: exactly <3:00:44 PM> Josie Lowell - Patient: I <3:00:44 PM> Josie Lowell - Patient: um <3:00:46 PM> Josie Lowell - Patient: say a decent amount <3:00:49 PM> Josie Lowell - Patient: both on Saturday and Sunday <3:00:51 PM> Anthony Onochie - Doctor: okay Saturday and Sunday <3:00:52 PM> Josie Lowell - Patient: it's hard for me to say exactly how much but <3:00:55 PM> Anthony Onochie - Doctor: you tell me more about that <3:00:58 PM> Anthony Onochie - Doctor: tell me about the quantity <3:01:07 PM> Josie Lowell - Patient: I <3:01:09 PM> Josie Lowell - Patient: say it's now I drink more husband and that's for sure <3:01:14 PM> Anthony Onochie - Doctor: okay <3:01:14 PM> Josie Lowell - Patient: um I don't know if you track of how much he's drinking so I'm not sure <3:01:15 PM> Anthony Onochie - Doctor: and how many is your husband drinking <3:01:24 PM> Anthony Onochie - Doctor: okay well so do you remember how how the weekend goes <3:01:31 PM> Josie Lowell - Patient: um <3:01:35 PM> Josie Lowell - Patient: know usually just more off drinking but <3:01:35 PM> Josie Lowell - Patient: after <3:01:39 PM> Josie Lowell - Patient: that I kind of lose my memory of what's going on <3:01:42 PM> Anthony Onochie - Doctor: oh okay and <3:01:46 PM> Anthony Onochie - Doctor: it's just based off what you're saying if I'm understanding well you have you have a good habit of not drinking during the week but over the weekend you drink a certain amount and you don't quite know how much it is but you also drink to a point where you feel like the weekend is like a blurring you don't really have good memory <3:02:05 PM> Josie Lowell - Patient: yes that's right <3:02:10 PM> Anthony Onochie - Doctor: that's is that is that right <3:02:11 PM> Josie Lowell - Patient: yeah <3:02:12 PM> Anthony Onochie - Doctor: okay so can you tell me what you like about this Behavior <3:02:13 PM> Josie Lowell - Patient: he <3:02:18 PM> Josie Lowell - Patient: yeah I just my work really hard during the week it just allows me to relax during the week and don't want people at work I don't want to think about anything that starts me out just kind of <3:02:32 PM> Josie Lowell - Patient: all that away and so I don't have to think about it <3:02:34 PM> Anthony Onochie - Doctor: I've got you so this is more like Work Hard Play Hard kind of situation <3:02:41 PM> Anthony Onochie - Doctor: here okay okay and now so we spoken about what you like about this Behavior can tell me what you don't like about it <3:02:41 PM> Josie Lowell - Patient: you can say that I guess <3:02:47 PM> Josie Lowell - Patient: mmm I don't really see you know I'm working during the week I don't drink during the week so it's not interfering with my work my husband drinks now so something we do together <3:03:00 PM> Anthony Onochie - Doctor: yeah <3:03:08 PM> Anthony Onochie - Doctor: to see <3:03:10 PM> Anthony Onochie - Doctor: so suppose <3:03:13 PM> Anthony Onochie - Doctor: carry on this way just drinking heavily over the weekend and to the point where your memory is impaired how do you <3:03:17 PM> Josie Lowell - Patient: oh well I don't need me losing my job or anything like that because that doesn't really affect me the memory stuff <3:03:22 PM> Anthony Onochie - Doctor: what do you see coming out of this <3:03:36 PM> Josie Lowell - Patient: I met her that it's following anyone and bold and anything that really is going on on the weekend from you to feel bad that I don't remember <3:03:48 PM> Anthony Onochie - Doctor: okay so all right thanks for sharing that and let's talk about your hat your habits over the weekend I want to know give me a rundown of what your routine looks like so are you in the house all day are you cooking are you driving tell me what that looks like <3:04:01 PM> Josie Lowell - Patient: um again <3:04:12 PM> Josie Lowell - Patient: I wake up have my coffee and then <3:04:16 PM> Josie Lowell - Patient: probably drinking maybe put some Bailey's in my coffee and then just kind of hanging out at home <3:04:25 PM> Josie Lowell - Patient: not driving anywhere don't do that but just kind of <3:04:29 PM> Josie Lowell - Patient: drinking <3:04:31 PM> Anthony Onochie - Doctor: okay so from from the sounds of things it sounds like you're happy with this current behavior <3:04:36 PM> Josie Lowell - Patient: it I wouldn't say happy what I don't think that it's <3:04:46 PM> Josie Lowell - Patient: fairly doing that <3:04:48 PM> Anthony Onochie - Doctor: I see <3:04:50 PM> Anthony Onochie - Doctor: so on a scale of 0 to 10 with 10 with 10 being <3:04:58 PM> Anthony Onochie - Doctor: thing you would like to change <3:05:02 PM> Anthony Onochie - Doctor: will be most likely to change and 0 being no interest in changing how would you rate your interesting <3:05:10 PM> Anthony Onochie - Doctor: wanting to <3:05:12 PM> Josie Lowell - Patient: purposes that we're working <3:05:12 PM> Anthony Onochie - Doctor: make modifications to this Behavior <3:05:15 PM> Josie Lowell - Patient: maybe a free like I said it's <3:05:18 PM> Josie Lowell - Patient: marooning my jaw or anything but I can see how the loss of more is kind of concerning <3:05:24 PM> Anthony Onochie - Doctor: here I see and speaking of memory <3:05:29 PM> Anthony Onochie - Doctor: because considering the impact we as memory plays for humans <3:05:35 PM> Anthony Onochie - Doctor: and the impact of the drinking on your ability to recall you know life events <3:05:43 PM> Anthony Onochie - Doctor: what do you <3:05:45 PM> Josie Lowell - Patient: yeah pretty important I press it's important for everything in life knowing how to get around how to make that my job <3:05:45 PM> Anthony Onochie - Doctor: what would you say how important is memory to you and what do you think the impact of losing it or having it impaired <3:05:52 PM> Anthony Onochie - Doctor: would do to your life <3:05:55 PM> Anthony Onochie - Doctor: you <3:06:00 PM> Anthony Onochie - Doctor: he <3:06:04 PM> Josie Lowell - Patient: remembering what my husband's saying to me <3:06:08 PM> Josie Lowell - Patient: stuff like that so I guess I use the memory every day <3:06:12 PM> Anthony Onochie - Doctor: right okay so based off what you're saying right the importance of memory and how this impairs it do you does your does your rating of a three possibly go higher or still about the same for you <3:06:16 PM> Paul Hershberger: we'll stop here <3:06:20 PM> Josie Lowell - Patient: let's say it went up higher now knowing how that it's affecting daily life most likely <3:06:32 PM> Anthony Onochie - Doctor: so would you put it <3:06:34 PM> Josie Lowell - Patient: five <3:06:36 PM> Anthony Onochie - Doctor: oh thank you <3:06:38 PM> Josie Lowell - Patient: this <3:06:41 PM> Josie Lowell - Patient: did I forget anything in the morning he was like something <3:06:41 PM> Josie Lowell - Patient: like <3:06:48 PM> Josie Lowell - Patient: important ________________________________________________________________________________ End of transcript at Aug 28, 2025, 3:06:51 PM