Transcript of conference held at Dec 8, 2025 in room first_test@conference.miaiconvo.com Initial people present at 8:13:03 PM: Mallory Overberg Rebekah Dalton - Doctor Paul Hershberger Jack - Patient Transcript, started at 8:13:03 PM: ________________________________________________________________________________ <8:13:03 PM> Rebekah Dalton - Doctor joined the conference <8:13:03 PM> Jack - Patient joined the conference <8:13:03 PM> Mallory Overberg joined the conference <8:13:03 PM> Paul Hershberger joined the conference <8:13:04 PM> Jack - Patient: I don't know it's just I feel fine and I'm on like 12 different medications and I read all these side effects that it can cause cancer and everything under the sun and it's just frustrating and it's a lot to remember <8:13:04 PM> Rebekah Dalton - Doctor: okay all right so tell me more about your frustrations with the medications that you're on <8:13:22 PM> Rebekah Dalton - Doctor: mm-hmm <8:13:37 PM> Rebekah Dalton - Doctor: that's fair I mean 12 medications is a lot to keep track of and <8:13:37 PM> Rebekah Dalton - Doctor: having <8:13:37 PM> Jack - Patient: I mean I probably could but usually when I'm feeling okay I it like I don't mind skipping one one dose or two because I feel like what's the big deal so it's a lot to keep track of but um <8:13:43 PM> Rebekah Dalton - Doctor: your refill those and make sure you're taking them every day that's that's a lot that's very fair do you feel like you're able to take them every day <8:13:53 PM> Rebekah Dalton - Doctor: okay <8:14:10 PM> Jack - Patient: I don't know I skipped doses every once in a while <8:14:16 PM> Rebekah Dalton - Doctor: and it sounds like your main reason for skipping doses sometimes it's because you feel okay <8:14:20 PM> Jack - Patient: yeah I feel fine and and then sometimes I'll lose Like a Pill Box so I might I might miss one but what's the harm if I'm if I'm not having any symptoms so <8:14:23 PM> Rebekah Dalton - Doctor: mm-hmm <8:14:35 PM> Rebekah Dalton - Doctor: yeah <8:14:38 PM> Rebekah Dalton - Doctor: so what is your understanding of <8:14:43 PM> Rebekah Dalton - Doctor: the benefits of some of these medications you're on <8:14:47 PM> Jack - Patient: I mean I guess I don't really know I mean I'm on something <8:14:56 PM> Jack - Patient: a Statin that said lowers my cholesterol but all I know is it gave me muscle aches and then they put me on a different one <8:15:00 PM> Rebekah Dalton - Doctor: mm-hmm <8:15:07 PM> Jack - Patient: isn't giving me those anymore but I don't feel any different after taking it so I don't really feel like it's not really doing anything <8:15:08 PM> Rebekah Dalton - Doctor: yeah you know the <8:15:16 PM> Jack - Patient: probably so your numbers look better <8:15:20 PM> Rebekah Dalton - Doctor: are all medications are hard because on the day-to-day basis you're probably not going to feel much different do you know why we like to put patients on cholesterol medications <8:15:36 PM> Rebekah Dalton - Doctor: it that is part of it <8:15:39 PM> Jack - Patient: yeah I have and I didn't really know that so I mean that definitely helps and kind of wondering if maybe some of my other medications or probably kind of the same deal where I don't feel bad I feel the same but it should help long term because I have had people in my family not take those medications and stop going to the doctor and then they had heart attacks pretty early so <8:15:42 PM> Rebekah Dalton - Doctor: you would mention in the beginning of our conversation about you know what are the benefits of these I hear all the you know horror stories about the side effects and the risks that come of taking some of these medications you know there are <8:15:42 PM> Rebekah Dalton - Doctor: side <8:16:00 PM> Rebekah Dalton - Doctor: to every medication that we could take but there's also side effects and risks down the line with some of these medications if we don't take them so with cholesterol for example you know we like to have patients on those types of medications to prevent long-term bad things happening so things like heart attack stroke Etc <8:16:28 PM> Rebekah Dalton - Doctor: how do you like heard of any of those things happening in either friends or family <8:16:35 PM> Rebekah Dalton - Doctor: high cholesterol <8:16:46 PM> Rebekah Dalton - Doctor: I'm sorry to hear that <8:17:04 PM> Jack - Patient: it's all right <8:17:06 PM> Rebekah Dalton - Doctor: if you are <8:17:06 PM> Rebekah Dalton - Doctor: where are you at in terms of <8:17:07 PM> Jack - Patient: um I guess I'd probably end up a lot like the family members that I know that aren't taking those medications because they have a lot of the same diseases that I do <8:17:12 PM> Rebekah Dalton - Doctor: of continuing down this path of skipping doses here and there because right now you feel fine <8:17:18 PM> Rebekah Dalton - Doctor: do you see that going in the next five 10 years if you stay on that path <8:17:37 PM> Jack - Patient: me <8:17:37 PM> Jack - Patient: I would say it helps <8:17:39 PM> Rebekah Dalton - Doctor: yeah and I mean <8:17:41 PM> Rebekah Dalton - Doctor: a real possibility to be fully honest with you but you know like you were saying it's hard when in the day to day you feel normal you don't really feel a difference with these medications and you're on a lot of them and that's really taxing to keep track of so that's fair but <8:18:00 PM> Rebekah Dalton - Doctor: hopefully <8:18:02 PM> Rebekah Dalton - Doctor: we're kind of understanding the long-term things that can come about if we aren't taking these medications <8:18:10 PM> Rebekah Dalton - Doctor: do you feel like that helps you to maybe want to be more motivated to take your medications every day <8:18:18 PM> Rebekah Dalton - Doctor: that you know day-to-day you might not feel any different but it could prevent long-term <8:18:24 PM> Rebekah Dalton - Doctor: effects <8:18:29 PM> Jack - Patient: to take them more it still is a lot of medications to remember to take but I think I can work on that <8:18:35 PM> Rebekah Dalton - Doctor: yeah it's something else too <8:18:39 PM> Rebekah Dalton - Doctor: where <8:18:39 PM> Rebekah Dalton - Doctor: so we always recommend diet and exercise <8:18:44 PM> Rebekah Dalton - Doctor: you out with those things <8:18:48 PM> Jack - Patient: I mean I try to eat okay <8:18:52 PM> Jack - Patient: I don't really have a lot of time to exercise I usually I usually eat fast food like for lunch just because it's hard to pack a lunch every day but <8:19:06 PM> Jack - Patient: on dinner during dinner as I try to I try to have a vegetable and in a meet and <8:19:12 PM> Jack - Patient: yeah <8:19:13 PM> Rebekah Dalton - Doctor: okay <8:19:14 PM> Rebekah Dalton - Doctor: what's <8:19:14 PM> Rebekah Dalton - Doctor: yeah well the reason I bring that up is you know you have mentioned you're on a lot of medications it's hard to keep track of which again is totally fair and we recommend diet and exercise one just because it's good for your overall health right but also because it can help us with some of these conditions that you do have the things like high blood pressure high cholesterol <8:19:42 PM> Jack - Patient: um I mean I've heard that it can it can help <8:19:44 PM> Rebekah Dalton - Doctor: like urine knowledge base of how diet and exercise can be helpful in managing some of these conditions <8:19:58 PM> Jack - Patient: as I've never really seen anybody in my family <8:20:03 PM> Jack - Patient: not have to take these medications <8:20:07 PM> Jack - Patient: but we also kind of are all doing the same kind of we're all eating the same kind of things and not really doing the exercise so I guess I've never really seen the benefit of it <8:20:14 PM> Rebekah Dalton - Doctor: mm-hmm <8:20:15 PM> Paul Hershberger: we'll stop here ________________________________________________________________________________ End of transcript at Dec 8, 2025, 8:20:23 PM