Transcript of conference held at Aug 28, 2025 in room first_test@conference.miaiconvo.com Initial people present at 3:37:34 PM: Anthony Onochie - Doctor Josie Lowell - Patient Makul Sharma Paul Hershberger Transcript, started at 3:37:34 PM: ________________________________________________________________________________ <3:37:34 PM> Josie Lowell - Patient joined the conference <3:37:34 PM> Paul Hershberger joined the conference <3:37:34 PM> Makul Sharma joined the conference <3:37:34 PM> Anthony Onochie - Doctor joined the conference <3:37:35 PM> Josie Lowell - Patient: can do <3:37:47 PM> Anthony Onochie - Doctor: it so miss Josie throughout this conversation you've mentioned a couple times your frustrations about the amount of medications we have you take it do you <3:37:59 PM> Josie Lowell - Patient: here <3:38:04 PM> Anthony Onochie - Doctor: um helped me understand why <3:38:04 PM> Josie Lowell - Patient: you well I just feel that your character and you're giving me all these meds but they're not doing anything to my conditions they're nothing's going to be better <3:38:07 PM> Anthony Onochie - Doctor: why that's the case <3:38:10 PM> Anthony Onochie - Doctor: well <3:38:21 PM> Anthony Onochie - Doctor: here <3:38:25 PM> Anthony Onochie - Doctor: anymore you'd like to share <3:38:27 PM> Anthony Onochie - Doctor: you said <3:38:27 PM> Anthony Onochie - Doctor: okay so um <3:38:28 PM> Josie Lowell - Patient: I don't think so <3:38:33 PM> Josie Lowell - Patient: just <3:38:34 PM> Anthony Onochie - Doctor: here there's just to make sure I understand you better <3:38:38 PM> Anthony Onochie - Doctor: is a lot of medications and you're not seeing any improvements is that right <3:38:44 PM> Josie Lowell - Patient: like yes I am taking all these meds take off these meds for my conditions and with all these conditions why aren't they curing me making it better <3:38:46 PM> Anthony Onochie - Doctor: oh <3:38:57 PM> Anthony Onochie - Doctor: you see <3:39:03 PM> Anthony Onochie - Doctor: would you <3:39:09 PM> Josie Lowell - Patient: is that wow <3:39:14 PM> Anthony Onochie - Doctor: why would you say there aren't any changes <3:39:20 PM> Josie Lowell - Patient: hi everyone's still up I have to take all these meds get a heart attack <3:39:28 PM> Josie Lowell - Patient: and my other conditions just our bothering me <3:39:33 PM> Josie Lowell - Patient: so <3:39:37 PM> Anthony Onochie - Doctor: it so what what I want us to talk about now are the different Alternatives you have right so <3:39:45 PM> Anthony Onochie - Doctor: talked about the medications the volume is is concerning to you and you also don't feel like they're changing can you tell me <3:39:56 PM> Anthony Onochie - Doctor: tell me how you take your medications <3:39:57 PM> Josie Lowell - Patient: I take them exactly prescribed on the bottle I never miss a dose <3:40:01 PM> Anthony Onochie - Doctor: okay okay and <3:40:09 PM> Anthony Onochie - Doctor: how tell me more about your lifestyle and diet <3:40:09 PM> Josie Lowell - Patient: um my order and a lot of food or I'll go through drive through and <3:40:23 PM> Anthony Onochie - Doctor: here <3:40:25 PM> Josie Lowell - Patient: I I don't sit I mean I sit a lot <3:40:30 PM> Anthony Onochie - Doctor: here <3:40:31 PM> Josie Lowell - Patient: kind of <3:40:33 PM> Josie Lowell - Patient: tired so we just kind of sit around <3:40:35 PM> Anthony Onochie - Doctor: for the <3:40:36 PM> Josie Lowell - Patient: it's not doing much <3:40:36 PM> Anthony Onochie - Doctor: so you're saying you your diet is not necessarily the best and you have a sedentary lifestyle is that right <3:40:38 PM> Josie Lowell - Patient: it's like <3:40:43 PM> Josie Lowell - Patient: yes if you want to raise it that way <3:40:47 PM> Anthony Onochie - Doctor: so help me understand what you think the consequences are for this diet and this lifestyle <3:40:51 PM> Josie Lowell - Patient: probably not good but is it the medication supposed to be <3:41:07 PM> Josie Lowell - Patient: what my conditions better <3:41:11 PM> Anthony Onochie - Doctor: yes you're right the medications are meant to make your conditions better but at the same time we something we encourage is better lifestyle habits <3:41:20 PM> Josie Lowell - Patient: here <3:41:24 PM> Anthony Onochie - Doctor: can you keep saying can you <3:41:28 PM> Anthony Onochie - Doctor: from <3:41:28 PM> Anthony Onochie - Doctor: tell me what you like about ordering food <3:41:34 PM> Anthony Onochie - Doctor: from restaurants <3:41:37 PM> Josie Lowell - Patient: and what's not to like you don't have to cook you don't have to clean you can just sit there until your food's brought out <3:41:46 PM> Josie Lowell - Patient: usually tastes a lot better than what you cook at home <3:41:50 PM> Josie Lowell - Patient: it and sometimes it ends up being less expensive than buying all these ingredients but and having to make it yourself <3:41:50 PM> Anthony Onochie - Doctor: here <3:42:02 PM> Anthony Onochie - Doctor: so what are the nutritional benefits of ordering outside as opposed to making your own meals <3:42:05 PM> Josie Lowell - Patient: so <3:42:14 PM> Josie Lowell - Patient: I'm not sure I haven't really got that <3:42:19 PM> Josie Lowell - Patient: not something I think about <3:42:24 PM> Anthony Onochie - Doctor: here so we've had from this conversation we've talked about one intake get rid of some of those chronic conditions but at the same time you've said you're ordering fast food and things from outside <3:42:41 PM> Anthony Onochie - Doctor: do you see a conflict here <3:42:47 PM> Josie Lowell - Patient: I don't know how they're related <3:42:49 PM> Anthony Onochie - Doctor: I see well <3:42:53 PM> Anthony Onochie - Doctor: um <3:42:58 PM> Anthony Onochie - Doctor: hard with Josie so what what about your current behavior do you like <3:42:59 PM> Josie Lowell - Patient: like <3:43:06 PM> Josie Lowell - Patient: um what do you mean <3:43:08 PM> Anthony Onochie - Doctor: so you talked about the sedentary lifestyle the food we've talked a little bit more about the food so tell me about the just the sedentary lifestyle <3:43:18 PM> Josie Lowell - Patient: um I just enjoyed <3:43:27 PM> Josie Lowell - Patient: I just enjoy being lazy you know <3:43:31 PM> Josie Lowell - Patient: like I want to get up and go on a run <3:43:34 PM> Anthony Onochie - Doctor: okay so given there's some things that you've you've said about this and the the health goes we have <3:43:45 PM> Anthony Onochie - Doctor: are you on a scale of zero to ten zero being the lowest and 10 being the <3:43:45 PM> Josie Lowell - Patient: was <3:43:52 PM> Anthony Onochie - Doctor: like the most likely for change how like we are you to <3:43:58 PM> Anthony Onochie - Doctor: to want something different and How likely to want to change your current situation <3:44:04 PM> Josie Lowell - Patient: um <3:44:08 PM> Josie Lowell - Patient: not so likely that they said I thought the medication is <3:44:14 PM> Josie Lowell - Patient: what's supposed to be <3:44:16 PM> Josie Lowell - Patient: and I feel like it's not getting control you're just keeping me on these medications and it's not doing it <3:44:24 PM> Anthony Onochie - Doctor: here so if we if your opinion or your understanding of it now is the medications aren't working <3:44:27 PM> Josie Lowell - Patient: for <3:44:34 PM> Anthony Onochie - Doctor: suppose we don't change anything the medication is not working <3:44:39 PM> Josie Lowell - Patient: but can I <3:44:40 PM> Anthony Onochie - Doctor: also working out <3:44:42 PM> Josie Lowell - Patient: now that it's not working there's too many medications I think that's mine issue here <3:44:42 PM> Anthony Onochie - Doctor: you <3:44:49 PM> Anthony Onochie - Doctor: what <3:44:51 PM> Anthony Onochie - Doctor: do you have any alternatives to what you want to do <3:44:54 PM> Josie Lowell - Patient: I don't <3:44:58 PM> Josie Lowell - Patient: you're the best <3:45:01 PM> Paul Hershberger: we'll stop here <3:45:03 PM> Paul Hershberger: so Josie have you seen this patient before ________________________________________________________________________________ End of transcript at Aug 28, 2025, 3:45:13 PM