Transcript of conference held at Dec 1, 2025 in room first_test@conference.miaiconvo.com Initial people present at 3:07:46 PM: Justice Williams - Patient matt Paul Hershberger - Patient Steffen Fallini - Doctor Transcript, started at 3:07:46 PM: ________________________________________________________________________________ <3:07:46 PM> Steffen Fallini - Doctor joined the conference <3:07:46 PM> Justice Williams - Patient joined the conference <3:07:46 PM> matt joined the conference <3:07:46 PM> Paul Hershberger - Patient joined the conference <3:07:47 PM> Justice Williams - Patient: here <3:07:47 PM> Steffen Fallini - Doctor: okay so Justice I hear that you are frustrated about all these medications what sort of things have you been trying <3:08:02 PM> Steffen Fallini - Doctor: mm-hmm <3:08:03 PM> Justice Williams - Patient: I've tried to watch my salt and my diet I don't put as much salt on my food I drink water sometimes <3:08:12 PM> Justice Williams - Patient: I come to see you every time I'm supposed to <3:08:16 PM> Justice Williams - Patient: I just take too many it's too many pills I have to take them at night in the morning sometimes they make my stomach upset if I don't eat with them it just it's just too many pills <3:08:17 PM> Steffen Fallini - Doctor: you've been doing a great job very grateful that you come I mean wonderful job like this all is a huge factor and you've been drinking water as well it sounds like you're doing some very important things you're doing a great job <3:08:30 PM> Steffen Fallini - Doctor: what are some of your concerns with the medications <3:08:34 PM> Steffen Fallini - Doctor: mm-hmm <3:08:47 PM> Steffen Fallini - Doctor: yeah I can be difficult to try and manage I'm sure yeah you've had these these chronic conditions for a long time I can imagine that every single time we add something it can be very fear and furi and I'm sorry that you're dealing with that <3:09:05 PM> Steffen Fallini - Doctor: it's sort of things do you think might benefit <3:09:10 PM> Steffen Fallini - Doctor: sort of things do you think you might be able to change in order to take less medications <3:09:15 PM> Steffen Fallini - Doctor: mm-hmm absolutely <3:09:16 PM> Justice Williams - Patient: I don't know I told you what I changed on my diet I felt like that would lower my blood pressure I try to eat better it's not changing my weight I don't know every time I come in here it's a new medication and I've said I don't want to keep taking a lot of medications so I don't know what everyone needs to do so we can all be on the same page <3:09:39 PM> Justice Williams - Patient: I'm active I have grandkids and I keep them from my kids while they are at work sometimes so I'm active <3:09:41 PM> Steffen Fallini - Doctor: are your thoughts on exercise <3:09:43 PM> Steffen Fallini - Doctor: okay so still active what <3:09:55 PM> Steffen Fallini - Doctor: where are you able to exercise or get exercise daily <3:09:56 PM> Justice Williams - Patient: and <3:10:02 PM> Steffen Fallini - Doctor: how freaking you <3:10:05 PM> Steffen Fallini - Doctor: okay um how about more of the moderate to like more intense intensity exercise how often are you getting to do that <3:10:06 PM> Justice Williams - Patient: somet <3:10:06 PM> Justice Williams - Patient: I would say I see them my grandkids like two to three times a week so I'm active on those days <3:10:14 PM> Justice Williams - Patient: will go out to the store but yeah that's how I'm active <3:10:19 PM> Justice Williams - Patient: I would say none I mean if if you count walking like to the store <3:10:28 PM> Steffen Fallini - Doctor: does walking make it difficult to breathe <3:10:37 PM> Justice Williams - Patient: from other than I know <3:10:40 PM> Justice Williams - Patient: I don't think I walk that fast so no <3:10:43 PM> Steffen Fallini - Doctor: okay okay how my you how might your conditions be impacted by increasing your exercise <3:10:47 PM> Justice Williams - Patient: I think I'd probably lose some weight and maybe feel a little bit better <3:10:58 PM> Steffen Fallini - Doctor: mm-hmm and what do you know about your weights contribution to your conditions <3:11:11 PM> Steffen Fallini - Doctor: yeah I mean the diabetes can be connected and then it on top of that then that leads to the coronary artery disease and that makes it more difficult for this and then it kind of keeps on spiraling in that sense but <3:11:12 PM> Justice Williams - Patient: I just love my diabetes and my weight are probably connected and I don't know about anything else <3:11:34 PM> Steffen Fallini - Doctor: glad that you're at least bringing up these concerns it seems like we want to make sure that we can manage your medications while also managing your chronic conditions <3:11:45 PM> Steffen Fallini - Doctor: how my ear life <3:11:48 PM> Steffen Fallini - Doctor: be impacted if you were to kind of stay on the same route that you currently are <3:11:48 PM> Justice Williams - Patient: I guess I'm not going to be able to get off the medication keep having to be on them <3:11:53 PM> Steffen Fallini - Doctor: okay versus how might your life look if you were to increase your exercise <3:12:00 PM> Justice Williams - Patient: lower the amount of medication I'm on and <3:12:07 PM> Steffen Fallini - Doctor: okay <3:12:11 PM> Justice Williams - Patient: not forget sometimes because it's hard to remember to take all these medications so I don't always take them I try to and <3:12:19 PM> Justice Williams - Patient: doesn't always happen but maybe that would help <3:12:23 PM> Steffen Fallini - Doctor: what have you done to help you remember to take your medications <3:12:23 PM> Justice Williams - Patient: um I have a pill box so every every morning and I try to remember to take them but I use my pill box <3:12:28 PM> Steffen Fallini - Doctor: what makes you forget <3:12:37 PM> Justice Williams - Patient: um <3:12:39 PM> Steffen Fallini - Doctor: okay is that something that you think you'd be able to do <3:12:42 PM> Justice Williams - Patient: having a change in my routine <3:12:45 PM> Justice Williams - Patient: be a fire like <3:12:46 PM> Justice Williams - Patient: set an alarm on my phone or something like that then I would remember <3:12:51 PM> Justice Williams - Patient: I can try that <3:12:55 PM> Steffen Fallini - Doctor: okay and then how do you think that might benefit you <3:12:57 PM> Justice Williams - Patient: I think it would help me remember to take my medicine but it's still not lowering the amount that I have to take but it'll help me remember to take the ones I have to take <3:13:00 PM> Steffen Fallini - Doctor: yeah I hear you it's not lowering the amounts but hopefully by not taking or by taking those medications the next time that you come to me we don't have to add another one <3:13:21 PM> Steffen Fallini - Doctor: so there's the benefit in that as well and it seems like you're ready to take these measures to help your member and you have a lot of very good ideas too it's you are working on your diet decreasing the salt you're still trying to move around but we kind of talked about some of the more <3:13:32 PM> Justice Williams - Patient: maybe we can work on lowering some doses and getting me off of these things <3:13:40 PM> Steffen Fallini - Doctor: was exercise that might help you lose your weights and then we discuss a little bit about your medication management <3:13:46 PM> Steffen Fallini - Doctor: if we do all these changes how do you think things might change next time you can see me <3:13:52 PM> Steffen Fallini - Doctor: I agree um what is something that you think you'd be able to change today <3:14:05 PM> Steffen Fallini - Doctor: okay and then how about a goal that you might have for this week <3:14:08 PM> Justice Williams - Patient: I can set my alarms for my medication <3:14:14 PM> Justice Williams - Patient: mmm <3:14:20 PM> Justice Williams - Patient: I could watch something on on YouTube to work out at home <3:14:21 PM> Steffen Fallini - Doctor: okay what's your goal for how many times you want to work out this week <3:14:29 PM> Justice Williams - Patient: I can watch a YouTube video probably once this week and then with my grandkids be active within two or three times <3:14:30 PM> Steffen Fallini - Doctor: okay when do you think you'd be able to do that <3:14:43 PM> Steffen Fallini - Doctor: okay okay so before the end of the week we're going to try and get that exercise done at least once I think that'll be a great start just kind of getting you into the rhythm of things we're going to set the alarm for your phone and then we're just going to continue to manage your salt and do everything that you've already been doing because I think you've been doing a wonderful job and I really do think that if we do that by the next time we're going to be able to start lowering your medications a little bit <3:14:44 PM> Justice Williams - Patient: mmm <3:14:47 PM> Justice Williams - Patient: for the end of the week <3:15:06 PM> Justice Williams - Patient: okay that sounds good ________________________________________________________________________________ End of transcript at Dec 1, 2025, 3:15:19 PM