Transcript of conference held at Nov 5, 2025 in room first_test@conference.miaiconvo.com Initial people present at 11:50:00 PM: Bianca Oteng - Patient Empress James - Doctor Paul Hershberger Tamiel Murray Transcript, started at 11:50:00 PM: ________________________________________________________________________________ <11:50:00 PM> Tamiel Murray joined the conference <11:50:00 PM> Paul Hershberger joined the conference <11:50:00 PM> Empress James - Doctor joined the conference <11:50:00 PM> Bianca Oteng - Patient joined the conference <11:50:18 PM> Empress James - Doctor: hello Mr John <11:50:19 PM> Bianca Oteng - Patient: hi Dr <11:50:24 PM> Empress James - Doctor: how are you <11:50:26 PM> Bianca Oteng - Patient: I'm okay how are you <11:50:28 PM> Empress James - Doctor: I'm doing well thank you for asking and thank you so much for coming in today <11:50:32 PM> Bianca Oteng - Patient: hehe thanks for having me <11:50:35 PM> Empress James - Doctor: yes so what we're what were you thinking that we were going to maybe discuss today <11:50:44 PM> Empress James - Doctor: um yes yes we <11:50:44 PM> Bianca Oteng - Patient: I thought maybe we're gonna discuss some results for some tests that I did last time <11:50:52 PM> Empress James - Doctor: can go wait <11:50:56 PM> Empress James - Doctor: I'm sorry is Dr oh sorry my videos showing never mind okay um yes we can go over your results as well as maybe discuss some precautions for this year going into the holiday season <11:51:05 PM> Bianca Oteng - Patient: okay <11:51:12 PM> Empress James - Doctor: okay um <11:51:15 PM> Empress James - Doctor: so yes as we discussed last time it does appear that when you got sick or at some point your lungs did have an injury we you know our glad that right now it looks like it's in a not affecting you you know you seem to be doing okay how have you been affected <11:51:37 PM> Bianca Oteng - Patient: oh I feel like I've been doing pretty well I'm not having any difficulties breathing and so I'm happy to know that there's not anything concerning on that Imaging that was done that was something that I was thinking about <11:51:38 PM> Empress James - Doctor: if at all <11:51:40 PM> Empress James - Doctor: up the Imaging does show that there's been some changes to your lung tissue and we you know our monitoring that mainly via your symptoms right now just considering you know you don't have trouble breathing like you said how is your cough been doing <11:51:59 PM> Bianca Oteng - Patient: but <11:51:59 PM> Bianca Oteng - Patient: oh now that you mention it I'm still having that dry cough but I would say it's about the same I don't have I noticed it getting any worse at this point <11:52:14 PM> Empress James - Doctor: okay <11:52:24 PM> Bianca Oteng - Patient: there <11:52:25 PM> Empress James - Doctor: okay um and yes and you as you remember we did this work up after you got sick last year can you just like tell me more about what you think about <11:52:25 PM> Empress James - Doctor: how <11:52:40 PM> Bianca Oteng - Patient: yeah I would say I do get winded sometimes especially when I'm exerting myself a little bit more I'm not Super Active so when I do get outside and start walking around and things like that that I'm not used to I do feel a little bit short of breath or winded or fatigued I should say sooner than I had in the past but I would say when I take a break for a little bit and know that I've been pushed past my limit <11:52:40 PM> Bianca Oteng - Patient: that usually <11:52:41 PM> Empress James - Doctor: things I've been going with your lungs and your breathing ever since that illness <11:52:57 PM> Empress James - Doctor: so <11:52:57 PM> Empress James - Doctor: okay I'm glad to hear that um yes you know right now we're monitoring you largely by symptoms since we did get that Imaging on you last time we weren't thinking that yet we were going to do that Imaging again so I'm glad to hear that you sound like you're doing okay but it does sound like this is been a change <11:53:17 PM> Bianca Oteng - Patient: helps me kind of get back to my Baseline <11:53:44 PM> Empress James - Doctor: so this year we're coming up on about a year since you were sick <11:53:49 PM> Empress James - Doctor: what have you considered in terms of protecting yourself from illness <11:53:54 PM> Bianca Oteng - Patient: yeah doc so I know I'm older and I know I should get in my flu vaccine so I got my flu vaccine this year I also went ahead and got my covid vaccine as well so I know that that's important to get immune and not immunized so I went ahead and got that done doc but that's the biggest thing that I've done so far I'm not sure what else I should be doing to protect myself but yeah <11:53:54 PM> Empress James - Doctor: that's so awesome I'm glad to hear that you are already got vaccinated that yes everyone we need to get vaccinated every year and so that's really awesome that you're protecting yourself in that way I know you were saying you're not sure what else you could do to protect yourself would you be open to hearing more about what you may be able to do this year to protect yourself from getting sick again <11:54:41 PM> Bianca Oteng - Patient: yeah I'm open to hearing what you think I could be doing <11:54:45 PM> Empress James - Doctor: had right <11:54:45 PM> Empress James - Doctor: yeah so um for individuals like you you know we discussed last time that we did see more changes on your Imaging than we would have expected for your lungs just considering you know you don't smoke you don't have certain risk factors for the things that we saw on the Imaging and that did concern us a little bit about the future of your lungs and so I think that and during the flu covid season it might be really beneficial for you to think about masking I say this because as we know many different viral illnesses linger in the air and can linger for extended amounts of time and for you in particular I think that they're you know we don't know we're all still learning about a specially particularly the covid virus together which you got I like to consider the last pandemic we <11:55:37 PM> Bianca Oteng - Patient: mmm <11:55:49 PM> Empress James - Doctor: which was a while ago so we are still learning together but there is concern that it can cause insults to your lungs that lasts for a long time so that's why I was wondering if you would consider masking out in the community or in places like the hospital where we are now and Clinic pharmacies what does that sound like to you <11:56:05 PM> Bianca Oteng - Patient: it seems like <11:56:14 PM> Bianca Oteng - Patient: bit of a hurdle for me I feel like I have to go get the mass and every time I'm leaving I have to remember to put the mask on and I'm not having any issues with my breathing right now and I feel pretty good <11:56:26 PM> Bianca Oteng - Patient: and so when I do wear a mask sometimes I know during covid I was wearing a mask every once in a while and I was feeling claustrophobic I didn't like that feeling of every time I was taking a breath I was feeling the mask on my face and feeling like pieces of the Mask we're getting into my mouth and my lungs I just didn't like that uncomfortable feeling there with that <11:56:30 PM> Empress James - Doctor: oh yeah <11:56:47 PM> Bianca Oteng - Patient: just something you're really suggest I do <11:56:48 PM> Empress James - Doctor: well I totally understand what you're where you're coming from so many people just don't like the feeling of wearing a mask and I understand that and you know even people in healthcare you know there's plenty of people that don't like it um in terms of what I think you could do I feel like this is really ultimately up to you what I would say is you know we know that last year you got sick and you know your lungs have some changes to them that are concerning for things that could lead to permanent changes in your lung functioning that you would not be able to recover you know which we discussed last time and so I guess what I'm wondering is um <11:56:48 PM> Empress James - Doctor: how <11:57:11 PM> Bianca Oteng - Patient: cop <11:57:32 PM> Empress James - Doctor: so often are you comfortable getting sick like that again um with the risk that it poses to your lungs and their function <11:57:38 PM> Bianca Oteng - Patient: so <11:57:38 PM> Bianca Oteng - Patient: well when you put it that way doc I was pretty sick last year and and ended up in the hospital is not something I I want to do during the holidays I want to you know be able to see my family and my grandkids <11:57:50 PM> Empress James - Doctor: yeah you know I think you know I think what you're saying makes a lot of sense it sounds like you really value your family and spending time with them <11:57:56 PM> Bianca Oteng - Patient: when you put it that way doc I really don't want to risk getting sick again and <11:58:01 PM> Bianca Oteng - Patient: possibly ended up worse ended up dead <11:58:14 PM> Empress James - Doctor: I guess on a scale of like maybe one to 10 how do you think you would feel about wearing a mask the next time you go into a pharmacy or the grocery store or like a medical space like this <11:58:23 PM> Bianca Oteng - Patient: oh yeah well I know when I'm out in the community I can't be 100% sure that everybody's safe and not sick or you know on the verge of having an illness so I would say I'm about at like a six <11:58:35 PM> Empress James - Doctor: okay um and why is that not like a two or three <11:58:44 PM> Bianca Oteng - Patient: um yeah doc will you brought up these changes in my lungs that have appeared since my last visit and you know you brought up the potential that I could worsen and I could even end up dying and I can't even imagine myself off dead you know so <11:59:04 PM> Bianca Oteng - Patient: that makes me a little bit more inclined to want to put on the mask even though it might be <11:59:04 PM> Bianca Oteng - Patient: un <11:59:09 PM> Bianca Oteng - Patient: trouble for me <11:59:12 PM> Empress James - Doctor: um yeah I I understand it sounds like you're concerned about your lung function too <11:59:14 PM> Bianca Oteng - Patient: yeah dark I am <11:59:18 PM> Empress James - Doctor: here okay <11:59:26 PM> Empress James - Doctor: okay <11:59:28 PM> Empress James - Doctor: all right ________________________________________________________________________________ End of transcript at Nov 5, 2025, 11:59:32 PM