Transcript of conference held at Jan 26, 2026 in room first_test@conference.miaiconvo.com Initial people present at 2:35:46 PM: Noreen Altallaa - patient Bryson Arnett - Doctor Evan Hartman Transcript, started at 2:35:46 PM: ________________________________________________________________________________ <2:35:46 PM> Evan Hartman joined the conference <2:35:46 PM> Noreen Altallaa - patient joined the conference <2:35:46 PM> Bryson Arnett - Doctor joined the conference <2:35:50 PM> Bryson Arnett - Doctor: yeah <2:36:01 PM> Noreen Altallaa - patient: hi this is you <2:36:03 PM> Bryson Arnett - Doctor: how things been going <2:36:05 PM> Noreen Altallaa - patient: I mean yeah they've been fine <2:36:05 PM> Noreen Altallaa - patient: just <2:36:10 PM> Noreen Altallaa - patient: trying to keep up with all of those those medications you give me <2:36:12 PM> Bryson Arnett - Doctor: trying to keep up has been any problems with it <2:36:17 PM> Noreen Altallaa - patient: I mean I mean you can see how many meds you're giving me you're giving me so many of them <2:36:22 PM> Bryson Arnett - Doctor: okay um <2:36:30 PM> Bryson Arnett - Doctor: and you are on quite a few medications but they're you know we're trying to make sure that you you're doing well and things are going well have there been any issues with taking your medications <2:36:38 PM> Noreen Altallaa - patient: it I mean because there's so many sometimes I I forget a couple here and there but that's what happens when you give me so many <2:36:41 PM> Bryson Arnett - Doctor: okay um <2:36:53 PM> Bryson Arnett - Doctor: it can you tell me a little bit more about like you know your concern over being on so many medications <2:36:58 PM> Noreen Altallaa - patient: hey <2:37:01 PM> Noreen Altallaa - patient: I mean you tell me there are some benefits to it and and I like take the meds and I don't I don't necessarily feel any different so it just feels like you're just giving me a ton of these little white pills to take every single day so I just sometimes I miss a few here and there and I mean I feel exactly the same <2:37:23 PM> Bryson Arnett - Doctor: okay what makes you feel like you know the there's no change <2:37:32 PM> Bryson Arnett - Doctor: you're not feeling any different <2:37:32 PM> Noreen Altallaa - patient: I mean you know I don't I just don't feel different really I mean it's just you know I feel like <2:37:34 PM> Bryson Arnett - Doctor: thank <2:37:41 PM> Noreen Altallaa - patient: my day-to-day is kind of the same whether I take the meds or not <2:37:48 PM> Noreen Altallaa - patient: so I don't know if I really see some of these benefits <2:37:52 PM> Bryson Arnett - Doctor: okay <2:37:54 PM> Bryson Arnett - Doctor: um <2:37:55 PM> Noreen Altallaa - patient: you <2:37:56 PM> Bryson Arnett - Doctor: you tell me a little bit more about like <2:38:01 PM> Bryson Arnett - Doctor: the benefits that you're not seeing I guess like what benefits are you expecting to see <2:38:03 PM> Noreen Altallaa - patient: here um I mean <2:38:09 PM> Noreen Altallaa - patient: I guess I don't know I mean I I think like I'm taking <2:38:13 PM> Bryson Arnett - Doctor: okay <2:38:16 PM> Noreen Altallaa - patient: a medication like for my heart or whatever but like I don't know like I don't I don't know if I like feel any different about it and like I take my like diabetes medication and you know <2:38:28 PM> Bryson Arnett - Doctor: here <2:38:30 PM> Noreen Altallaa - patient: um I don't know I feel like I'm like eating the same amount I'm not you know nothing changing there and I don't know I just feel like I kind of feel the same <2:38:35 PM> Bryson Arnett - Doctor: okay okay um you know some of these medications that we have you on you know are more <2:38:50 PM> Bryson Arnett - Doctor: kind of like a management kind of role you know they're not necessarily going to completely cure you know what's been going on but we can like I said kind of manage and keep things under control so things don't get worse can you tell me about why you think that you you've missed some dosages <2:38:59 PM> Noreen Altallaa - patient: okay <2:39:08 PM> Noreen Altallaa - patient: I mean because there's so many sometimes it's hard to remember to take <2:39:15 PM> Noreen Altallaa - patient: single dough like every single pill every single day you know it's just so much to have to remember everything like you know when I'm taking like 10 pills or something it's very easy to like miss one of them <2:39:21 PM> Bryson Arnett - Doctor: okay okay um <2:39:33 PM> Bryson Arnett - Doctor: other than the number do you think that there's another reason why it <2:39:40 PM> Bryson Arnett - Doctor: just <2:39:40 PM> Bryson Arnett - Doctor: you haven't been able to make sure you've been taking every single pill is it you know <2:39:48 PM> Bryson Arnett - Doctor: it just the pure quantity or is it maybe you'd like to have a little pill organizer that could help or <2:39:53 PM> Noreen Altallaa - patient: I mean I think the main thing really is like the number of them and and trying to get them all straight so maybe I mean maybe a pill organizer would work but you know I mean you said prevention or something but you know I don't know like <2:39:55 PM> Bryson Arnett - Doctor: what are your thoughts about them <2:39:57 PM> Bryson Arnett - Doctor: okay <2:40:10 PM> Bryson Arnett - Doctor: progress <2:40:10 PM> Bryson Arnett - Doctor: you see yeah they do you know they are beneficial I will say that and helping prevent you know future things from coming along and you know preventing some of these illnesses from progression <2:40:14 PM> Noreen Altallaa - patient: am I like truly preventing I mean I'm getting old anyway I mean is it really going to be making that big of a difference if I take them <2:40:37 PM> Noreen Altallaa - patient: mmm <2:40:39 PM> Bryson Arnett - Doctor: sing to where you become you know really severely ill <2:40:44 PM> Bryson Arnett - Doctor: can you think of some things that maybe <2:40:51 PM> Bryson Arnett - Doctor: would help and you know decreasing the amount of pills you know maybe some lifestyle modifications you'd be willing to make because a lot of these things you know we could reduce but <2:41:02 PM> Bryson Arnett - Doctor: you know it will take some time and some effort but do you think of anything that you know you'd be interested in doing to help <2:41:12 PM> Bryson Arnett - Doctor: decrease that number <2:41:14 PM> Bryson Arnett - Doctor: so <2:41:14 PM> Noreen Altallaa - patient: I mean I don't know I mean what are what are my options I mean you know I can always try to do some some changes if it means I can take less pills I just I don't know what's there that I could that could help <2:41:24 PM> Bryson Arnett - Doctor: mm-hmm well I you know <2:41:32 PM> Bryson Arnett - Doctor: specifically you know when we were talking like your diabetes medications some things that can help or you know just buy it in exercise can really help as special if we were you know we're trying to get into our Target area for they want to see and things like that a lot of patients have some pretty good success you know modifying their diet and you know being more active is that something that you'd be interested in or I guess what are your thoughts regarding that <2:41:40 PM> Noreen Altallaa - patient: here <2:41:45 PM> Noreen Altallaa - patient: okay <2:41:56 PM> Noreen Altallaa - patient: will it like <2:41:56 PM> Noreen Altallaa - patient: I mean yeah I guess it like sounds good but like <2:42:03 PM> Bryson Arnett - Doctor: mm-hmm yeah um <2:42:09 PM> Noreen Altallaa - patient: actually make a difference <2:42:16 PM> Bryson Arnett - Doctor: I won't lie to even say it's going to happen immediately but you know with with some good time and good effort you know patients have been fairly successful and lowering you know and being within their goal for where they want to be you know if we can get you down into that goal you know we can start you know kind of removing some of these medications as needed <2:42:38 PM> Bryson Arnett - Doctor: so is that something that you would be open to <2:42:38 PM> Noreen Altallaa - patient: you know <2:42:38 PM> Noreen Altallaa - patient: I mean yeah it means I can <2:42:42 PM> Bryson Arnett - Doctor: okay great <2:42:44 PM> Noreen Altallaa - patient: to be cutting down on some of these pills yeah I would I would like to you know get more information about what I could do for that <2:42:55 PM> Bryson Arnett - Doctor: um <2:42:56 PM> Bryson Arnett - Doctor: I guess <2:42:59 PM> Bryson Arnett - Doctor: what are some activities that you'd be interested in doing <2:43:03 PM> Noreen Altallaa - patient: um I know <2:43:07 PM> Noreen Altallaa - patient: I know they have some of these classes <2:43:10 PM> Noreen Altallaa - patient: got some nearby <2:43:13 PM> Noreen Altallaa - patient: near gym that's really close by I think I heard some of my friends that I go to bingo with <2:43:21 PM> Noreen Altallaa - patient: do some of these classes I think they're you know like some movement type classes <2:43:21 PM> Noreen Altallaa - patient: I don't know <2:43:27 PM> Noreen Altallaa - patient: if you have an in any input on those kinds of things or if you feel like those would help <2:43:33 PM> Bryson Arnett - Doctor: yeah of course I think any kind of movement is good you know specially you know just trying to get up and out of the chair off the couch for a little bit just <2:43:40 PM> Noreen Altallaa - patient: mm-hmm ________________________________________________________________________________ End of transcript at Jan 26, 2026, 2:43:45 PM