Transcript of conference held at Nov 25, 2025 in room first_test@conference.miaiconvo.com Initial people present at 6:31:06 PM: Paul Hershberger - Patient Isaac Stokes - Patient Rachel - Doctor Transcript, started at 6:31:06 PM: ________________________________________________________________________________ <6:31:06 PM> Isaac Stokes - Patient joined the conference <6:31:06 PM> Paul Hershberger - Patient joined the conference <6:31:06 PM> Rachel - Doctor joined the conference <6:31:07 PM> Rachel - Doctor: hi my name is Rachel I'm the doctor are you Isaac <6:31:12 PM> Isaac Stokes - Patient: yep that's me <6:31:20 PM> Rachel - Doctor: hi <6:31:24 PM> Rachel - Doctor: I'm just going to finish up with your interview today so I'm just going to kind of get <6:31:32 PM> Rachel - Doctor: ask you some more social questions kind of ask you about <6:31:32 PM> Bianca Oteng joined the conference <6:31:36 PM> Rachel - Doctor: some of like your substance use so <6:31:40 PM> Rachel - Doctor: uh can you just kind of tell me <6:31:43 PM> Isaac Stokes - Patient: yeah I usually wake up in the mornings have a cup of coffee and then I'll probably have another cup of coffee later throughout the day just to keep me going through I get sleepy after lunch <6:31:44 PM> Rachel - Doctor: little bit about like your caffeine usage <6:31:48 PM> Rachel - Doctor: yeah yeah I hear you there for sure <6:32:01 PM> Isaac Stokes - Patient: oh Sharon an occasional cigar but that's very rarely and only on special occasions <6:32:05 PM> Rachel - Doctor: and do you use any tobacco products <6:32:09 PM> Rachel - Doctor: gotcha um and what is your alcohol use look like <6:32:17 PM> Isaac Stokes - Patient: it's <6:32:21 PM> Isaac Stokes - Patient: oh I I drink some <6:32:23 PM> Rachel - Doctor: okay <6:32:26 PM> Isaac Stokes - Patient: quickly just on the weekends though I'll have I'll have a few <6:32:30 PM> Isaac Stokes - Patient: well <6:32:32 PM> Rachel - Doctor: what does that look like for you <6:32:34 PM> Rachel - Doctor: okay <6:32:36 PM> Isaac Stokes - Patient: I mean it's it's typically a lengthy weak at work and by the time I hit Friday we'll go out to the bars me and my spouse and just throw a few back with our friends just have a great time out and then typically we'll run that on Friday and Saturday night and then we take Sunday night for more of a recovery night for the work week <6:33:02 PM> Isaac Stokes - Patient: yeah I'll probably <6:33:05 PM> Rachel - Doctor: you said you know you'll go out usually have a few um Friday Saturday <6:33:11 PM> Rachel - Doctor: all right tell me more about you know how many is a few what are you guys usually drinking <6:33:18 PM> Rachel - Doctor: mm-hmm <6:33:20 PM> Isaac Stokes - Patient: hmm I think I'll probably drink around <6:33:25 PM> Isaac Stokes - Patient: who actually maybe like seven or eight beers <6:33:30 PM> Isaac Stokes - Patient: every night but then we also we'll throw in a few shots of liquor you know just to spice it up that evening have a good time with it <6:33:31 PM> Rachel - Doctor: okay <6:33:40 PM> Isaac Stokes - Patient: probably upwards of maybe 10 drinks on Friday and another ten on on Saturday I'd say right right around there <6:33:52 PM> Rachel - Doctor: and is this usually like most weeks or <6:33:56 PM> Isaac Stokes - Patient: oh yeah I I gotta go out for drinks every week and that's the only thing that's getting me through the weeks at this point just looking forward to going and spending some time and drinking with my friends and my spouse <6:33:59 PM> Rachel - Doctor: gotcha tell me more about your friends and like your your spouse that you're usually going on with <6:34:15 PM> Isaac Stokes - Patient: yeah so it's it's typically just a bunch of the work friends I'm working with and they'll bring their significant others as well and after a long week shift we're all about ready to go out and party for a bit well we'll go bar hopping here and there sometimes we'll spend a night in at someone's place and and just drink it their place that's typically what that kind of seems looks like for us <6:34:17 PM> Rachel - Doctor: yeah it seems like just kind of kind of how you guys you know relax from the week what do you guys do for work together <6:34:45 PM> Isaac Stokes - Patient: um we are in a law firm <6:34:55 PM> Rachel - Doctor: okay so it sounds like it's a stressful job <6:34:58 PM> Isaac Stokes - Patient: most definitely um we are in the defendant courts and there's a lot of tough cases that come through there and it definitely takes its toll on us by the end of the week and it's a lot of long hard hours <6:35:02 PM> Rachel - Doctor: how do <6:35:02 PM> Rachel - Doctor: yeah yeah for sure <6:35:22 PM> Rachel - Doctor: you feel about <6:35:24 PM> Rachel - Doctor: you know <6:35:26 PM> Rachel - Doctor: sounds like you're going to the bar spending you know <6:35:29 PM> Isaac Stokes - Patient: you know I think it's I think it's been pretty good I just pretty much go and drink and <6:35:29 PM> Isaac Stokes - Patient: drink <6:35:30 PM> Rachel - Doctor: our time with <6:35:33 PM> Rachel - Doctor: your co-workers and <6:35:35 PM> Rachel - Doctor: um having a lot of drinks on the weekends with them and how do you feel about you're drinking and in terms of coping with kind of the stress that you're under <6:35:46 PM> Rachel - Doctor: mm-hmm <6:35:52 PM> Isaac Stokes - Patient: stress away to the best of my ability the mornings are definitely a bit rough don't give me wrong sometimes I'll even have to have a drink or two in the morning just to kind of take the eye drop but um it it helps me wind down from the week it can definitely be hard to go back into the work week after coming off of a week of heavy drinking though <6:36:19 PM> Rachel - Doctor: are there any <6:36:22 PM> Rachel - Doctor: other things that you don't like about your drinking <6:36:24 PM> Isaac Stokes - Patient: actually don't like about my drinking um <6:36:32 PM> Isaac Stokes - Patient: here's my my wife definitely <6:36:36 PM> Isaac Stokes - Patient: has asked me to cut down a little bit and she seems to be a little worried about it but I don't I don't really think it's a problem at this point I think she's just overreacting <6:36:48 PM> Isaac Stokes - Patient: mm-hmm <6:36:50 PM> Rachel - Doctor: your wife wants you to cut down she's she's worried <6:36:55 PM> Rachel - Doctor: my why do you think why do you feel like she's worried <6:36:55 PM> Isaac Stokes - Patient: she says that drinking this much is gonna negatively impact my health down the line and I don't know I feel great right now I'm 40 years old and I feel like I'm a young bucket 26 and honestly I don't feel like it's going to negatively impact me down the line <6:37:03 PM> Rachel - Doctor: yeah is there anything else she's worried about or how does this impact your relationship with her now <6:37:22 PM> Isaac Stokes - Patient: since <6:37:22 PM> Isaac Stokes - Patient: I think she definitely wishes we spent some more quality time on the weekends because <6:37:31 PM> Rachel - Doctor: mm-hmm <6:37:37 PM> Isaac Stokes - Patient: were pretty much <6:37:39 PM> Isaac Stokes - Patient: going out and drinking on Friday and Saturday night <6:37:44 PM> Isaac Stokes - Patient: during the day on Saturday and Sunday it's more of a recovery period for me so we don't really go out and spend much time just by ourselves and appreciating that time together <6:37:56 PM> Isaac Stokes - Patient: I guess I haven't really thought about it too much <6:37:57 PM> Rachel - Doctor: what do you think it would look like if <6:38:04 PM> Rachel - Doctor: who did kind of cut back <6:38:07 PM> Rachel - Doctor: on your drinking to kind of <6:38:10 PM> Rachel - Doctor: change that relationship with your spouse <6:38:20 PM> Isaac Stokes - Patient: I don't really know I've been doing this for so long that I've just kind of gotten into that rhythm <6:38:26 PM> Isaac Stokes - Patient: that's like <6:38:28 PM> Rachel - Doctor: mmm <6:38:28 PM> Isaac Stokes - Patient: one thing would be if I if I were to cut down then <6:38:33 PM> Isaac Stokes - Patient: I would have other ways to spend the weekend and other things to do on the weekend <6:38:33 PM> Isaac Stokes - Patient: and I <6:38:39 PM> Isaac Stokes - Patient: I guess not avoid using all of Saturday and Sunday just to recover from Friday and Saturday night ________________________________________________________________________________ End of transcript at Nov 25, 2025, 6:38:51 PM