Transcript of conference held at Dec 9, 2025 in room first_test@conference.miaiconvo.com Initial people present at 3:16:31 PM: Empress James Nick - Patient Paul Hershberger Murad - Doctor Transcript, started at 3:16:31 PM: ________________________________________________________________________________ <3:16:31 PM> Murad - Doctor joined the conference <3:16:31 PM> Nick - Patient joined the conference <3:16:31 PM> Paul Hershberger joined the conference <3:16:31 PM> Empress James joined the conference <3:16:31 PM> Murad - Doctor: okay all right all right Nick so from our conversation so far it seems like we might be a little my have some concerns about all the medications that <3:16:47 PM> Murad - Doctor: we're taking for some of our chronic conditions <3:16:50 PM> Nick - Patient: yeah just I'm just tired of taking all these meds and getting older <3:16:51 PM> Murad - Doctor: tell me more about that <3:16:57 PM> Murad - Doctor: okay <3:16:58 PM> Nick - Patient: the diseases are always going to be there there's nothing I can do for it so <3:17:03 PM> Nick - Patient: I just I I'm having a hard time taking all these meds with no hope in the future <3:17:08 PM> Murad - Doctor: here I see and I know it can be pretty pretty overwhelming having all these pill bottles but <3:17:20 PM> Murad - Doctor: I can definitely be very very aggravating <3:17:25 PM> Murad - Doctor: but <3:17:26 PM> Murad - Doctor: I I just want to hear from you what <3:17:29 PM> Murad - Doctor: what might be some of the you know downsides or what might happen in the future for if we don't take these medicines consistently <3:17:34 PM> Nick - Patient: well I mean I know I would get worse if I if I didn't take the meds I know that my heart would would have a little bit more trouble because I have the coronary artery disease I have the high blood pressure <3:17:56 PM> Nick - Patient: I know I might have a heart attack <3:17:59 PM> Nick - Patient: and that's that's kind of scary in itself <3:18:04 PM> Nick - Patient: I know that I have the type 2 diabetes and <3:18:07 PM> Nick - Patient: I was also told that that could affect my heart as well I might have heart failure because of that <3:18:15 PM> Nick - Patient: and but I've thought about it and you know it's just these diseases are always going to be there <3:18:15 PM> Nick - Patient: it's gonna <3:18:24 PM> Nick - Patient: stuff's gonna happen to me eventually I just feel like I'm putting off <3:18:24 PM> Murad - Doctor: here and <3:18:28 PM> Nick - Patient: available and a lot of ways <3:18:30 PM> Nick - Patient: just being more sick and <3:18:32 PM> Murad - Doctor: is that inevitable <3:18:37 PM> Nick - Patient: not being able to <3:18:39 PM> Nick - Patient: function in my day-to-day life <3:18:42 PM> Nick - Patient: yes yeah <3:18:43 PM> Murad - Doctor: do you think the rate at which you would get sick would be <3:18:49 PM> Murad - Doctor: lower if you were to take your medicines <3:18:51 PM> Murad - Doctor: okay <3:18:54 PM> Nick - Patient: I can see that <3:18:56 PM> Murad - Doctor: mmm well if if you were to not take the medicines and <3:19:04 PM> Murad - Doctor: about things might go south a little bit <3:19:09 PM> Murad - Doctor: guess how would that <3:19:13 PM> Murad - Doctor: what would it be like to be in that situation <3:19:18 PM> Nick - Patient: I mean it would be pretty crummy you know I I recently retired and my wife of 40 years we've been together for 40 years like we've all these <3:19:30 PM> Nick - Patient: dreams of going and traveling the United States together and our RV <3:19:37 PM> Nick - Patient: um I wouldn't be able to experience that as much <3:19:41 PM> Nick - Patient: um also with <3:19:41 PM> Nick - Patient: it <3:19:43 PM> Nick - Patient: would be with our grandkids as much <3:19:46 PM> Nick - Patient: um <3:19:48 PM> Nick - Patient: and then <3:19:51 PM> Nick - Patient: and I just want to be able to spend quality time with her all this time that we worked so hard for over the last several years <3:19:59 PM> Nick - Patient: last 40 years especially to just enjoy each other I feel like I'll be missing out on that <3:20:05 PM> Murad - Doctor: it sounds like you care about your family a lot <3:20:05 PM> Nick - Patient: yeah I care about the more than anything <3:20:10 PM> Murad - Doctor: what would it mean to you if you weren't around for your wife and your grandkids as much as you would want to be <3:20:17 PM> Nick - Patient: you <3:20:21 PM> Nick - Patient: mmm <3:20:25 PM> Nick - Patient: um well <3:20:28 PM> Nick - Patient: it made me feel really guilty like I fail them <3:20:32 PM> Nick - Patient: um you know <3:20:34 PM> Nick - Patient: and <3:20:34 PM> Nick - Patient: we've had these dreams together we've set expectations together <3:20:38 PM> Nick - Patient: that we're happy about say expectations for we're happy about it we're looking forward to these things <3:20:45 PM> Nick - Patient: um I would just feel like I just let everyone else's Ambitions and dreams down if I if I wasn't around <3:20:47 PM> Murad - Doctor: okay I see that <3:21:00 PM> Murad - Doctor: Maybe <3:21:01 PM> Murad - Doctor: I think we have a strong reason of <3:21:04 PM> Murad - Doctor: know trying to stay healthy for <3:21:07 PM> Murad - Doctor: you know <3:21:07 PM> Murad - Doctor: long as we can and I think it's very Noble of you to <3:21:11 PM> Murad - Doctor: try and put your family first you know especially trying to make your family happy and to validate the work that <3:21:20 PM> Murad - Doctor: YouTube special you and your wife have worked towards for so long you guys deserve to have that free time <3:21:21 PM> Nick - Patient: here <3:21:26 PM> Murad - Doctor: deserve to have that time to enjoy the fruits of your labor <3:21:31 PM> Murad - Doctor: if you <3:21:35 PM> Murad - Doctor: already do you feel like <3:21:37 PM> Murad - Doctor: how ready would you be to make a change today <3:21:41 PM> Murad - Doctor: on scale like 1 to 10 <3:21:43 PM> Nick - Patient: ah <3:21:46 PM> Nick - Patient: right now or before coming in to the meeting and just talking the style with you I was probably at like a two but now I'm like out of six <3:21:55 PM> Murad - Doctor: okay <3:21:59 PM> Murad - Doctor: why not why not a lower number <3:22:02 PM> Murad - Doctor: like three or four <3:22:04 PM> Murad - Doctor: to <3:22:06 PM> Nick - Patient: my <3:22:06 PM> Nick - Patient: um just because I have <3:22:09 PM> Nick - Patient: my family to care for and are our dreams to experience I think I think that <3:22:17 PM> Murad - Doctor: 33 <3:22:18 PM> Nick - Patient: just talking this out as like really beneficial in a lot of ways and having the soft realization I've been so fixated on <3:22:18 PM> Paul Hershberger: I'm going to stop you <3:22:21 PM> Murad - Doctor: I see <3:22:28 PM> Nick - Patient: the disease <3:22:30 PM> Nick - Patient: the multiple disease have an enduring and like <3:22:34 PM> Nick - Patient: yeah it just feels like snowball I can't catch up with <3:22:41 PM> Nick - Patient: and I've spent all my time focusing on that I haven't eaten a lot of time to focus on my family ________________________________________________________________________________ End of transcript at Dec 9, 2025, 3:22:50 PM