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[ { "from": "gpt", "value": "So, Jill, um, I know you're here to talk about your blood pressure today." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Um, before we get into that, I see you filled out our annual screening forms here. So if-if you're okay, can we take a minute to talk about that?" }, { "from": "human", "value": "Sure." }, { "from": "gpt", "value": "Okay, great. It looks like, um, the way you filled out the alcohol form puts you into our, uh, third zone of drinking. Can you- can you tell me a little bit about your drinking habits, where you drink, what do you like to drink?" }, { "from": "human", "value": "I drink wine-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-mostly. Um, I go down to the little pub down the street." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Have a few glasses of wine." }, { "from": "gpt", "value": "Okay. Kind of socializing?" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "All right. How often do you do that?" }, { "from": "human", "value": "Hmm, for four times a week probably." }, { "from": "gpt", "value": "Okay. And on a regular night, how much do you-- how many glasses of wine would you guess you drink?" }, { "from": "human", "value": "Three to four, five." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Maybe if it's on a weekend, maybe six." }, { "from": "gpt", "value": "Okay. Okay." }, { "from": "human", "value": "Over a long-- over a period of time." }, { "from": "gpt", "value": "Mm-hmm. Okay. So let me just show you on this, um, card here, um, from a medical perspective, we know that there's good evidence that shows that women you're age who drink more than, um, three drinks on any one occasion at any- at any sitting or more than seven in a week, are likely to run into health problems from their drinking, either problems they're having right now or maybe in the future." }, { "from": "human", "value": "Are you serious?" }, { "from": "gpt", "value": "Yeah. Surprised, ain't you?" }, { "from": "human", "value": "Seven drinks in a week doesn't seem like that much?" }, { "from": "gpt", "value": "It sounds like you're drinking a bit more than that right now." }, { "from": "human", "value": "Yeah, and I-I didn't think it was much, but that makes it look like I'm drinking way too much." }, { "from": "gpt", "value": "Mm-hmm. From this, uh, drinker's pyramid over on this side of the card, you can see that the-the score on your screening sheet shows that you're up in the harmful category of drinkers. So that it's likely you're drinking, you know, in quantities probably more than about 90% of the folks who come in to see me here at the clinic." }, { "from": "human", "value": "Well, I know my drinking has increased a little since I got divorced and moved to Portland, but I-I don't think it's that much of a problem." }, { "from": "gpt", "value": "It doesn't feel like a problem to you right now, yeah." }, { "from": "human", "value": "No, not really." }, { "from": "gpt", "value": "Yeah, okay. And then the other thing I should mention, Jill, um, drinking more than these quantities, it's-it's possible it could be pushing your blood pressure up a bit, and I'm wondering if that might be affecting the difficulty we're having getting your blood pressure down right now." }, { "from": "human", "value": "I didn't realize that drinking had anything to do with blood pressure." }, { "from": "gpt", "value": "Mm-hmm. Yeah, it can sometimes." }, { "from": "human", "value": "Oh, well. Well, then I guess that could be a problem." }, { "from": "gpt", "value": "My perspective as a doctor, it would be good if you could think about cutting back a little bit or doing something different about your drinking. What-what do you think about that?" }, { "from": "human", "value": "I guess I can cut down some." }, { "from": "gpt", "value": "Okay. So on a scale of 0 to 10, 0 being not ready at all to do that and 10 being very ready, where would you lie on that scale?" }, { "from": "human", "value": "I'd probably a 6." }, { "from": "gpt", "value": "Okay. Okay, so that sounds-- I think that's great. So why would you be up at a six and not down at a two level? What kinds of thing would push you to be there?" }, { "from": "human", "value": "Well, I didn't realize that drinking was related to my blood pressure problems." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "And I did fall earlier this year on my home from the bar and hurt my shoulder. I don't think the drinking made me fall, but it probably didn't help the situation." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And though my son keeps telling me that I'm drinking too much, and it's scary to think that my drinking is harmful. It's a big word." }, { "from": "gpt", "value": "Yeah. Yeah. So you've got some good reasons to try to cut back a little bit." }, { "from": "human", "value": "Sounds like it to me." }, { "from": "gpt", "value": "Yeah. And it sounds like you're willing to maybe try not going to the bar quite as much and maybe drinking a little bit less when you go to the bar." }, { "from": "human", "value": "I think I can try to do that, yeah." }, { "from": "gpt", "value": "Okay. So to what levels do you think you could do that? Where-where would you wanna go with your drinking?" }, { "from": "human", "value": "I guess I could use those numbers, and I can't make any promises, but I could try to drink less than three in a night and less than seven in a week." }, { "from": "gpt", "value": "Okay. Okay." }, { "from": "human", "value": "That mean I can only drink two or three times a week." }, { "from": "gpt", "value": "Mm-hmm. So you'd drink maybe just a couple of times a week and maybe a little bit less on each occasion? Is that what you're saying?" }, { "from": "human", "value": "Like I can try that, yeah." }, { "from": "gpt", "value": "Okay. Okay." }, { "from": "human", "value": "I don't think I need to quit, but I think I can try to cut down." }, { "from": "gpt", "value": "And you think you're-you're able to cut down to those levels of no more than seven a week?" }, { "from": "human", "value": "That's what I'll shoot for." }, { "from": "gpt", "value": "Okay. I think that sounds like a great step for you as your doctor. Why don't we revisit this the next time you come in to talk about your blood pressure in about six weeks or so and, um, then we can see how you're doing with it." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "All right?" }, { "from": "human", "value": "Sounds good." }, { "from": "gpt", "value": "Well, let's get back to your blood pressure then and see what we need to do about that." }, { "from": "human", "value": "Okay." } ]

[ { "from": "gpt", "value": "Hi, Liz. Well, thanks for meeting with me today." }, { "from": "human", "value": "Sure." }, { "from": "gpt", "value": "So what's something that you'd like to change or, um, work towards?" }, { "from": "human", "value": "Well, [sighs] I've been thinking about working out lately. I really want to start working out again. It's-it's been in my mind, I know I need to do it. It's just getting the motivation to do it." }, { "from": "gpt", "value": "And you've been talking about that a lot lately. So I really-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-feel like this is something that you need to do soon because, um, a lot of times, you're just a lot of talk. And then, there's no action. And if you really wanna see results, I think it's something that needs to be done. And, you know, stop being lazy about it and just do it." }, { "from": "human", "value": "Well, I don't know if I'm really being lazy about it. I think it's just that I have a busy schedule." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "I just need to find the time to do it. And, yes, I might be lacking a little bit of motivation, but I think it's more timing and trying to fit it in." }, { "from": "gpt", "value": "And that sounds like a lot of excuses to me. So I feel like you had shared with me before that you do have a gym membership. So I think that's something that you just need to fit in your schedule. So for you to really see results that you want, my guess is you need to go about three to four times a week and really fit in that hour workout, um, on a daily basis." }, { "from": "human", "value": "But I think that part of the problem is that I-I don't have three to four times- three to four times a week to do it, or an hour even. I mean, hour is a long time because if I'm working out for an hour that means I'm leaving home to get there-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-time there, time back. I mean, it's not just an hour, it's like two hours, realistically." }, { "from": "gpt", "value": "And it seems like if you really want to see the results you have to put the time in. And if it's gonna take you two hours, then it's gonna take you two hours. And, again, if you want the results that you want, you need to start, and you need to start now." }, { "from": "human", "value": "Well, oh, um, okay." }, { "from": "gpt", "value": "All right. Well, um, I look forward to talking to you tomorrow. And I'm hoping that you're gonna be able to tell me that you went to the gym." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Thanks." } ]

[ { "from": "gpt", "value": "Thanks for coming back, [unintelligible 00:06:00]. I know last time we talked about, uh, maybe going out and joining some activities in the community-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-to work on meeting some people, so-" }, { "from": "human", "value": "Yes, I guess." }, { "from": "gpt", "value": "-maybe you could tell me about how that's going?" }, { "from": "human", "value": "Well, I didn't do anything yet. I didn't go-- I know I was gonna go, but I didn't. But, um, I did look at-- there's the YMCA, they've got some classes that I think will be pretty cool to go to, and then there's this yoga class over at the Women's Center that's only like 10 bucks, so I could do that, um-- but I didn't go because I'm really afraid that like what if-- you know, what if no-one likes me? What if I don't have friends in there?" }, { "from": "gpt", "value": "Yeah, I know you've mentioned that in the past. When we were talking about the pros and cons of going out to one of these activities-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-you really mentioned that anxiety-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-is a big con." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "I remember that." }, { "from": "human", "value": "Yeah, but I'm gonna do it anyway, because this is what I need to do to make-- you know, to make friends." }, { "from": "gpt", "value": "Okay. To make a change-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-that you've wanted for some time." } ]

[ { "from": "gpt", "value": "Before you go, do you mind if I take a look at the questionnaire you filled out before the visit?" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Thanks. I want you to know that whenever patients and I talk about alcohol and drugs, my role is to share information and learn from what they want to do, if anything. Does that make sense?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Great. So, you wrote here that you've used alcohol in the last year on at least eight days?" }, { "from": "human", "value": "Yeah. Somewhere around eight days. I'm not sure." }, { "from": "gpt", "value": "Okay. How would you describe your drinking?" }, { "from": "human", "value": "Um, I really only drink at parties. I don't drink at home or anything." }, { "from": "gpt", "value": "Okay. What kind of alcohol do you drink at parties?" }, { "from": "human", "value": "Um, liquor, whenever people are mixing, um, vodka, sometimes beer, but I don't like beer very much. Um, the drinks at parties are usually like vodka and orange juice or gin and tonics." }, { "from": "gpt", "value": "How much do you think you usually drink at a party?" }, { "from": "human", "value": "You mean the whole time I'm there?" }, { "from": "gpt", "value": "Yes." }, { "from": "human", "value": "Um, probably four or five drinks." }, { "from": "gpt", "value": "Speaker 1: Okay. You checked the box here that drinking helps you feel relaxed, feel better about yourself or fit in?" }, { "from": "human", "value": "Yeah. It makes me feel relaxed." }, { "from": "gpt", "value": "And you also checked that sometimes you forget things when you drink." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "What kind of things do you forget?" }, { "from": "human", "value": "Um, I forget how many drinks I've had like when a friend asks me or I forget whose house I'm at." }, { "from": "gpt", "value": "Sometimes you forget where you're at." }, { "from": "human", "value": "Right." }, { "from": "gpt", "value": "Here's the part where I share information. The safest level of drinking for teenagers is zero drinks. That's because we know a number of negative things are more likely to happen when adolescents drink. We know alcohol can harm how the brain develops as an adolescent and teens who drink are more likely to hurt themselves by accident. Sexual assault is another thing more likely to happen and so are sexually transmitted diseases. I'm curious, do you think your drinking has anything to do what the possibility of having an STD?" }, { "from": "human", "value": "Um, yeah. I was drinking the last time I had sex. Um, the guy had been drinking too, and we didn't use a condom." }, { "from": "gpt", "value": "Do you remember giving consent when you had sex?" }, { "from": "human", "value": "Yeah. We've had sex before and we've used a condom before." }, { "from": "gpt", "value": "How do you think drinking alcohol affected using a condom this time?" }, { "from": "human", "value": "Well, we just didn't stop to put one on. We weren't thinking that way." }, { "from": "gpt", "value": "Sounds like drinking changes how you think in those moments?" }, { "from": "human", "value": "Yeah. I would've definitely told him to put on a condom if I was sober." }, { "from": "gpt", "value": "There's something else I wanna share. When people forget where they are or how many drinks they've had, that's a sign of heavy drinking. And when people keep drinking despite experiencing negative consequences, that can be a sign of what we call alcohol use disorder." }, { "from": "human", "value": "Well, that's not me. I don't need help from anyone." }, { "from": "gpt", "value": "I'm curious. What do you like about drinking alcohol?" }, { "from": "human", "value": "Um, well, it's fun. I like drinking when my friends are drinking too. Um, I laugh more. It's just fun." }, { "from": "gpt", "value": "Okay. And what about your drinking do you not like?" }, { "from": "human", "value": "Um, I don't like forgetting where I'm at sometimes." }, { "from": "gpt", "value": "Anything else?" }, { "from": "human", "value": "I really don't want any STDs." }, { "from": "gpt", "value": "Right. So, on one hand, you like the feeling of being relaxed and having fun when you're drinking and on the other hand, you don't like forgetting where you are or forgetting how many drinks you've had and you don't like putting yourself at risk for STDs?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So, when you think about what you like and not like about your drinking, where do you wanna go from here? What would you like to change about your drinking?" }, { "from": "human", "value": "Well, I definitely don't want to drink too much again." }, { "from": "gpt", "value": "How ready are you to not drink too much? If I asked you to pick a number on a scale of 0 to 10, and 10 being totally ready, what number would you pick?" }, { "from": "human", "value": "Um, a nine." }, { "from": "gpt", "value": "Very ready to stop drinking too much. Why do you think you picked such a high number like nine rather than a lower number like a six or a seven?" }, { "from": "human", "value": "Well, I really don't want any STDs and I don't like wondering whether I have one or not." }, { "from": "gpt", "value": "Okay. What plan could you come up with to make sure you achieve that goal?" }, { "from": "human", "value": "Um, well, I wanna count my drinks so I don't have more than two and I want to stop drinking once I start feeling drunk." }, { "from": "gpt", "value": "Great. Who could help you reach this goal?" }, { "from": "human", "value": "Well, I have this friend who thinks I drink too much. She would probably be willing to make me promise not to have more than two drinks at a party." }, { "from": "gpt", "value": "Okay. And how about unprotected sex? It sounds like you don't want to experience that again." }, { "from": "human", "value": "I'm going to talk with him and I'm gonna make him promise that we always use a condom and that we don't have sex drunk." }, { "from": "gpt", "value": "All right. So, you're very motivated to change your drinking and you have a plan to keep from drinking more than two drinks at parties and keep from having unprotected sex. I would like to share how it's working for you. What do you think about coming back in six weeks or so?" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Great. Thanks for talking with me and I look forward to seeing you again soon." } ]

[ { "from": "gpt", "value": ". So, um, tell me about the exercise." }, { "from": "human", "value": "Well, um, since we spoke last, I've been to the gym a couple of times." }, { "from": "gpt", "value": "You have?" }, { "from": "human", "value": "I have." }, { "from": "gpt", "value": "That's fantastic." }, { "from": "human", "value": "Yeah, and actually, my pants feel a little better too. I'm very pleased with it." }, { "from": "gpt", "value": "So, what else have you noticed other than your-your pants are fitting better?" }, { "from": "human", "value": "Um, I do feel better." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "My back—" }, { "from": "gpt", "value": "Your-- my what?" }, { "from": "human", "value": "Well, my back doesn't hurt nearly so much." }, { "from": "gpt", "value": "Wow." }, { "from": "human", "value": "And, um, but it seems like it's, um-- but it's still hard. I'd like to go more often or I-I guess that I'm-- I just need to be a little more patient with myself because it's, um, I'm not, uh, I'm not-- I wanna be able to like spend more time at the gym but right now, it's um, not, um-- Well, I guess I need to build up to it." }, { "from": "gpt", "value": "Mm-hmm. So and what would you-- What would- What would help you get to building up to it? Spending more time there." }, { "from": "human", "value": "Um, well, I guess just sticking with it and not getting, um, sidetracked." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Like last week, I-I didn't get there at all until like Thursday during the week,-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-so it was- it was a frustrating week like for the gym that way." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "I was kinda busy with some other things, but, um—" }, { "from": "gpt", "value": "Mm-hmm. But you made it-- You made it one day-" }, { "from": "human", "value": "I-I got—" }, { "from": "gpt", "value": "-instead of zero days." }, { "from": "human", "value": "Yeah, and actually, I made it again on Saturday too. So." }, { "from": "gpt", "value": "That's fantastic." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Even with this, you know, pretty horrendous schedule going on." }, { "from": "human", "value": "Yeah. It's been a little-little hectic, you know. And, uh-- But, I-I don't like it too much because there's all these younger guys that can lift a lot more weight than me or they can stay on the treadmill longer and it-it-it's a little discouraging, you know. 'Cause I don't know if you've noticed, I'm not buff and they are. And it's-it's a little discouraging to think how much work it's gonna take to get, you know, kinda back towards that." }, { "from": "gpt", "value": "So you-you'd like to get buffed?" }, { "from": "human", "value": "No, but, um, when-when I'm not at the gym, and I am my normal rational self, I realize that I'm, you know, way, way past the age of where I would really even want to do that, let alone want to spend the time it takes. But then while I'm at the gym, and I see the buff young guys, you know, lifting a lot of weight and all that stuff, then you know, the-- I don't know, the urge to be buff comes up in me." }, { "from": "gpt", "value": "So, but for right now, it sounds like the-- just having the pants fit better-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-sounds really, you know, like it's making you feel good about yourself and—" }, { "from": "human", "value": "It is." }, { "from": "gpt", "value": "What other positive things have you noticed about the exercise?" }, { "from": "human", "value": "Well, I noticed-- Well, I-I still need to work on my diet a lot. I haven't-- I-I'd like to say that by working out at the gym, I have, uh, I've -I've modified my diet, but I haven't very much. I've gotten a little bit better with that, but I'd like to do a lot more." }, { "from": "gpt", "value": "In what way have you gotten a little bit better?" }, { "from": "human", "value": "Um, a little bit less junk food. Um, like at times, when I'm like I feel like, \"Oh, I think I'll just go have a candy bar,\" or some worthless thing like that I'll actually have second thoughts before I do it." }, { "from": "gpt", "value": "So you're at the second thought part. And what do you think would-- might take you, uh, over to actually doing it if you wanted to?" }, { "from": "human", "value": "Well, I think, uh, when I really start seeing some results at the gym, it's kinda, uh, I think the way it works in my mind is if I've worked out really hard and I've- and I've-- say I've lost a pound that week-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-you know, and then as I'm looking at that double or triple fudge four-decker of ice cream Sunday thing, you know, that somebody is eating, I would say, \"Wow, that would be about two hours on the treadmill.\" Then-then that would be probably-- the-- that would keep me from actually ordering one of those." }, { "from": "gpt", "value": "Oh, okay. The payoff just wouldn't be worth that two hours of treadmill versus that double fudgy browny thingy." }, { "from": "human", "value": "Right, decadent-- Why do they put the word decadent in food?" }, { "from": "gpt", "value": "'Cause it is decadent, it's lovely." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Yeah, yummy, so-" }, { "from": "human", "value": "Okay. But it seems to be going so far so good. I-I guess, you know, I can like, you know, um, I-I'm-I'm pretty pleased with who-- how it's going on. Um, I'm really-- I'm glad we talked that last time 'cause it-it was the impetus to get me to go the first time in a long, long time." } ]

[ { "from": "gpt", "value": "Okay, so I wrote a prescription for an antibiotic for Aiden and that should help with the ear infection, but in looking through the chart, I mean, it seems like he's had six or seven of these just in the past year or so." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "That's really a big problem." }, { "from": "human", "value": "Yeah, it's pretty stressful for both of us. He gets really upset." }, { "from": "gpt", "value": "Well, one of the primary risk factors for multiple ear infections in kids is actually smoke exposure. Are you smoking?" }, { "from": "human", "value": "Yeah, I-- Yeah, I do smoke, but I don't smoke around him. I try really hard not to smoke around him." }, { "from": "gpt", "value": "Well, the fact that he's having these ear infections is indicating to me that he is being exposed to smoke, and so, what can you tell me about that?" }, { "from": "human", "value": "I-I don't know. I mean, I try really hard not to smoke around him. I don't smoke in the car. Um, when he's home, I go outside to smoke. I just-- I mean, I know it's bad, and I know it's bad for him, so I don't want him to be around it so I try really hard." }, { "from": "gpt", "value": "I really need you to quit smoking. Both for your health and for Aiden. Did you know s-smoking around your child is associated not only with ear infections, it could get to the point where you have to put tubes in his ears pretty shortly here. Also, things like vitamin C deficiency, cavities, like dental cavities, behavior problems, um, asthma, other upper respiratory infections. It's really putting him at a lot of risk. In addition to that, kids of smokers end up smoking themselves. Do you want him to grow up to be a smoker?" }, { "from": "human", "value": "No, but I don't smoke. I'm-- I-I-I've thought about quitting, but it's just- It's really hard so I just don't know how to do it." }, { "from": "gpt", "value": "Well, now's the time to quit. It's really gotten to the point where you can't keep smoking. Not only for him, like I said, but also for you. You're putting yourself at risk for lung cancer, for emphysema, for oral cancers, for heart disease, for all kinds of things-" }, { "from": "human", "value": "I know, I know. I've heard-- People have told me before, I've heard all that. I just don't know how to do it. How am I supposed to quit? It's-it's so hard." }, { "from": "gpt", "value": "Well, there's all kinds of things you can use now. It's not as hard as it used to be. You can use nicotine replacement. There's patches, there's lozenges, there's gum, there's the inhaler, there's nasal spray. We can talk about medications. You can try Chantix, you can try Zyban, there's quit smoking groups you can go to, there's hotlines you can call." }, { "from": "human", "value": "I just don't have time for any of that." }, { "from": "gpt", "value": "There's no reason why you shouldn't be able to quit, this is really important." }, { "from": "human", "value": "I understand that. I know it is. I mean, everybody has problems, right? It's just really-- It's really, really hard." }, { "from": "gpt", "value": "Well, what can be more important to you than the health of your child?" }, { "from": "human", "value": "I don't know." }, { "from": "gpt", "value": "I really need you to tell me that you're gonna quit smoking. This is really important." }, { "from": "human", "value": "I'll-I'll-I'll go look at all those things and-and I'll find-- I guess I'll-I'll try to find something, and-and I'll talk to my doctor about it." }, { "from": "gpt", "value": "Okay. Well, I think you really need to think about this seriously. Like I said, it's really putting yourself and your child in danger." }, { "from": "human", "value": "Okay, whatever. Okay." }, { "from": "gpt", "value": "Okay." } ]

[ { "from": "gpt", "value": "Well, let's talk about then how you ended up cutting yourself." }, { "from": "human", "value": "Um, pretty obvious [chuckles]." }, { "from": "gpt", "value": "So, what happened. So first of all, tell me what you did, exactly." }, { "from": "human", "value": "What do you mean what I did?" }, { "from": "gpt", "value": "Well, I mean, where did you cut yourself? I know you said you cut yourself when you-" }, { "from": "human", "value": "That's the same as always. Same as always." }, { "from": "gpt", "value": "Like your arm?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "What did you cut yourself with?" }, { "from": "human", "value": "A razor?" }, { "from": "gpt", "value": "How deep?" }, { "from": "human", "value": "Do you wanna see it?" }, { "from": "gpt", "value": "Yeah. Let me see. You know those look to me like they-they-- did you go to the-- It doesn't look like you went and got any stitches, but that looks to me like you could have used them. What do you think?" }, { "from": "human", "value": "I think have you ever been to an ER when you cut yourself, you'd know why I don't go." }, { "from": "gpt", "value": "Okay, but part of the problem is those look deep and like you're going to have significant scars. So my suggestion is in the future, if you do it, is that you put some sort of bandaid on it to keep it closed. But let's talk about how, um, how this happened. First of all, tell me, you were telling me on that phone that you wanted to die. But, um, did you-- Was this a suicide attempt or do you think it was just-just a cutting? Were thinking of killing yourself or wanting to kill yourself or wanting to die when you did it?" }, { "from": "human", "value": "I was thinking about killing myself. You thought you would help me and you didn't. That's what I want to talk about. I wanna talk about how it is that my life is not going better and you are not helping me, and you are not available to me when I need help." }, { "from": "gpt", "value": "Okay. So let's-- Okay, so it sounds like me not being avai-- Was me not being available with you, rela-related to you cutting yourself?" }, { "from": "human", "value": "I cut myself the first time I called you thinking you would help me, you wouldn't help me so then I figured, what the hell I [chuckles] might as well just go all the way. And so, that's why I cut myself that deep." } ]

[ { "from": "gpt", "value": "Well, I want to thank you for coming in today to see me. Um, I do understand from talking with your counselor that you've got quite a bit on your plate, you've got a lot going on. Can you tell me a little bit about that?" }, { "from": "human", "value": "Well, um, I have a two-year-old son, and then I work full time as a server at a restaurant, and then recently, I also started going back to night class, so you know, just the combination of all that, you know. I-I've just been feeling really stressed lately." }, { "from": "gpt", "value": "Yeah, I could see that. Um, may I ask, are you also a single mom?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So you've got a lot of stressors right now. You're a single mom raising a two-year-old, you're working full time, and you're going back to school. What do you think would be the most helpful for us to focus on today?" }, { "from": "human", "value": "Well, I-I told the counselor that I think childcare is probably my-my biggest issue right now." }, { "from": "gpt", "value": "Okay. Can you tell me a little bit about that?" }, { "from": "human", "value": "Yeah. Um, well, my mom normally watches my son, but lately, it's kind of becoming a problem. You know, she like will back out at the last second, and so I've had to call in at work a couple of times. I've had to miss class a few times. So i-it's just stressful worrying about, you know, whether I'll be able to do those things or not." }, { "from": "gpt", "value": "Okay. So I'm hearing you say that the situation with your mom's not ideal. You actually miss class sometime and had to lose some work shifts as well, and that's problematic." }, { "from": "human", "value": "Yeah, exactly." }, { "from": "gpt", "value": "Okay. Um, outside your mom, is there anyone else that can help with childcare?" }, { "from": "human", "value": "Um, well, I have a sister, but I don't really trust her to watch my son, and I don't really know that many people that-- the only thing I can think of, I have this one neighbor who stepped in and helped one time when my mom backed out. She-she actually has, uh, a three-year-old daughter, so you know, kind of worked out." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Um, I don't really know her that well, but I mean, she seems nice and I-I think she did a pretty good job that night." }, { "from": "gpt", "value": "Hmm. So what I hear you saying is this neighbor was supportive when you really needed her to be." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Stepped in last minute. Um, when you picked up your son, you didn't have any concerns and he seemed happy?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. Let's pursue that neighbor a little bit. Um, people like that, I like to think of as natural resources, but I know for a lot of people, the major problem with, uh, childcare is affordability." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Have you given any thought to, if you'll be able to afford to pay someone on a regular basis to watch your son?" }, { "from": "human", "value": "I-- you know, I mean, maybe a little bit, but I don't really make that much money to be able to afford something like daycare or, you know, like full time babysitting." }, { "from": "gpt", "value": "Yeah, I can understand that. Um, what are some of your natural skills?" }, { "from": "human", "value": "Well, I mean, I-I like cooking. I'm-I'm actually in school for culinary arts." }, { "from": "gpt", "value": "Oh, I bet you're a really good cook then. Um, what would you think about a plan where you worked out an arrangement with this neighbor, where in exchange for her watching your son, you would prepare dinner for her and her, um, daughter?" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Um, you know, you could maybe swap a meal for child care. What do you think of a idea like that?" }, { "from": "human", "value": "Hmm. That's, that's interesting. I-I never really thought of something like that, but, yeah, it might work." }, { "from": "gpt", "value": "Okay. Okay, I'm glad you think so. Um, so, other than this neighbor, or is there anyone else that could help you?" }, { "from": "human", "value": "Hmm. No, I-- you know, there-there just aren't that many people I trust right now with my son." }, { "from": "gpt", "value": "Okay, I can respect that. You-you really have to go with kind of your gut and follow your own intuition on that. Um, what about the baby's father, is he of any help?" }, { "from": "human", "value": "[chuckles] No, no, not at all. He, he really hasn't been in the picture since my son was born." }, { "from": "gpt", "value": "Okay, fine. You know what? We've got one really good lead with the neighbor. I think if you would follow up in pursuing that, you might find some relief and resolve some of your childcare issues. Um, how many days a week are you in school?" }, { "from": "human", "value": "It's-it's three nights right now, so I have class on Monday, Wednesday, and Friday nights." }, { "from": "gpt", "value": "Okay. Um, so what would it look like if you had a plan where both your neighbor and your mom were helping you out?" }, { "from": "human", "value": "Um, well, you know, if my neighbor could even just take over one day of watching my son, I think that would help my mom quite a bit." }, { "from": "gpt", "value": "Okay. So what I'm hearing you say is that, if you could just reduce the amount of time that you're needing your mom, she might be more supportive, more onboard?" }, { "from": "human", "value": "I mean, I think so, yeah." }, { "from": "gpt", "value": "All right. Um, so what do you think would be your next steps in working out a plan between your neighbor and your mom?" }, { "from": "human", "value": "Mom, you know, just, I guess talking to my neighbor and seeing if she's even interested in this idea, and if she is, you know, telling my mom about it and, you know, hopefully, that will make her feel a little better and maybe a little bit more reliable." }, { "from": "gpt", "value": "Okay. Sounds like you got a good plan to follow up on there. All right. Um, now you mentioned that your son is two. When will he turn three?" }, { "from": "human", "value": "Just a couple months from now. He's almost three." }, { "from": "gpt", "value": "Okay. Well, in that I-- in that case, I've got another idea for you. Um, what about, um, maybe when he turns three, you could enroll him in Head Start? Are you familiar with that program?" }, { "from": "human", "value": "I've heard of it, but I don't know that much." }, { "from": "gpt", "value": "Okay. Head Start is a very affordable, very high-quality preschool program. Um, it was really created for parents and families, just like yours, folks who have a lower income and fewer resources, but Head Start really prepares your child both socially and intellectually for going to school. Um, and you know, by the time he turns three, you may find that that routine is something that's better for him to get used to before he starts kindergarten. Uh, would you like some more information on local Head Start sites?" }, { "from": "human", "value": "Yeah, I mean, it sounds like it would be really good for my son and, you know, it would help me out in terms of childcare for sure." }, { "from": "gpt", "value": "Okay. Well, good. Um, all right. It sounds like you've got a good plan there going forward. Um, now I did see from the nurse practitioner's notes, you're also working on reducing your smoking and your drinking. How's that going?" }, { "from": "human", "value": "[chuckles] Well, you know, I-I've been working on it a couple of weeks now, and honestly, it's been a lot harder than I expected. Um, trying to break my routine in the evenings, especially has-has been hard, but, um, you know, a couple of nights I have reached my goal in terms of, you know, number of cigarettes I'm going to smoke and number of drinks. So, I mean, I've done okay some days, but others, not so much." }, { "from": "gpt", "value": "Okay. So what I hear you say is that it was a bigger challenge than you expected, yeah, but you're working on it. You're-you're still committed to it. So yeah, that's really to be commended. I just want to ask you one thing though. Have you thought about secondhand smoke and the dangers of that and how that might be impacting your son?" }, { "from": "human", "value": "Yeah, yeah. I definitely have, so I-I try to never smoke around him, and if I do smoke at home, I always go out to the balcony to smoke." }, { "from": "gpt", "value": "Oh, okay, good. You know, I can tell you really have your son's best interest at heart here. You know, just from our conversation today, I can tell you're a really good mom. Um, let's reflect back on what we've discussed here so far. Now, we've got a couple of good options between the neighbor and Head Start programs for childcare. What do you see as your next steps in getting that going?" }, { "from": "human", "value": "Um, well, I guess just first talk to my neighbor and see if she likes this idea, and then if she does, I can talk to my mom about it. Hopefully, that kind of helps her situation out. And then, um, I'm definitely want to look into the Head Start idea because I think that would be really good." }, { "from": "gpt", "value": "Okay, okay. Good. Um, I think you've got a good plan there. Um, what would you say to us getting back together, say, in two weeks, just for us to kind of revisit and see what kind of progress you've made, you know, if you've got something worked out, great, but if you've hit a bump in the road, I tell you what, we'll put our heads together. We'll come up with another plan." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "All right. Good. Well, I want to thank you again for coming in today, Sarah. It was really nice to have met you." }, { "from": "human", "value": "Thanks. All right." }, { "from": "gpt", "value": "You're very welcome." } ]

[ { "from": "gpt", "value": "Okay, hard part's over. So the good news is no cavities." }, { "from": "human", "value": "Oh, great." }, { "from": "gpt", "value": "Yes, always happy to hear that. I do have some concerns though because I'm seeing some irritation in your mouth in the palate that's called nicotinic stomatitis and-" }, { "from": "human", "value": "That sounds bad." }, { "from": "gpt", "value": "Yeah, it is. It's some damage to the roof of your mouth that happens from tobacco smoking and so I'm wondering if you can tell me a little bit how-- about how tobacco fits in your life right now." }, { "from": "human", "value": "Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco." }, { "from": "gpt", "value": "So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out." }, { "from": "human", "value": "But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them." }, { "from": "gpt", "value": "Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day." }, { "from": "human", "value": "Oh, no. No." }, { "from": "gpt", "value": "The amount you smoke is so miniscule you can't even imagine that it would cause any harm and yet here it is damaging the roof of your mouth." }, { "from": "human", "value": "Well, we've-- you have a point there. Mm, now that you mention it, um, I have started having one or two at work, you know, when we have break since I have a couple of friends at work that smoke and so every time we have a break, you know, we all go out to the- the break place outside, um, and so I- now I go with them and I have one of these Swisher Sweets. Um, I like the peach flavor [unintelligible 00:02:32] they're so cute. But that's really only pretty recently." }, { "from": "gpt", "value": "Uh-huh. So smoking has kind of become a big part of your social life now. When you go out, you're smoking, and even during breaks at work, you're smoking." }, { "from": "human", "value": "Well, yeah, yeah. You know now that you say it like that it's true. Um, I am smoking on a daily basis." }, { "from": "gpt", "value": "So aside from that social aspect, what are the things you like about it?" }, { "from": "human", "value": "Well, it's relaxing and it's just nice to be with people, um. Um, and you know, when, you know, I like to go to Las Vegas, and so when we go to Vegas, it's really fun to go to the cigar bars, is kind of sophisticated and fun and so, you know, it's mostly a social thing." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I wouldn't say I was a chain smoker." }, { "from": "gpt", "value": "Okay. How about the other side? Have you noticed any not-so-good things about the smoking?" }, { "from": "human", "value": "Well, I was going to ask you about, um, whitening my teeth because I've noticed that they have more stains on them up than a few years ago, and so I imagine that has something to do with the smoking." }, { "from": "gpt", "value": "Yeah. So we're noticing some pretty negative effects in terms of your oral health with the smoking. Are there any other things that you're concerned about?" }, { "from": "human", "value": "Um. Well, there's the expense, you know. Wi-with the economy and all, um, I- I have to be careful about my money and so, um, there is the extra expense of if I'm buying more of them than I used to. So the-the money aspect is also a concern." }, { "from": "gpt", "value": "Mm-hmm. So there's your oral health, there's the financial aspect, and then e-earlier you brought up some concerns about smoking cigarettes and how that can be harmful for you." }, { "from": "human", "value": "Oh, yeah." }, { "from": "gpt", "value": "Were you aware of the fact that smoking these little cigarillos, the Swisher Sweets, can have some of the same negative health effects?" }, { "from": "human", "value": "Oh, absolutely not. I mean I thought of it more as a- a fun thing to do with my friends, certainly not a smoking habit or anything that would be harmful." }, { "from": "gpt", "value": "Mm-hmm. So it's kind of surprising to you that something you've been doing and you've been doing more and more of it is actually pretty bad for you." }, { "from": "human", "value": "Oh, yes. I checked the box on your form when you asked if I use tobacco, I checked \"No,\" because I never thought of myself as a smoker." }, { "from": "gpt", "value": "Mm-hmm. What do you kind of make of that now that you realize that you're actually a tobacco user and that you might actually be causing some pretty se-serious health effects." }, { "from": "human", "value": "I'm really concerned, I mean, I don't want to, um, develop cancer, lung cancer, or any of the awful things that happen from smoking, and, you know, really, until this conversation, I never really thought of myself as a smoker at all. So-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-I'm very concerned." }, { "from": "gpt", "value": "Well, the good news is in terms of the nicotinic stomatitis, at the point in which you stop smoking, you can actually reverse all the negative effects that occurred and you might also know that you can stop the progression of any other diseases that had started, just by quitting smoking." }, { "from": "human", "value": "Really?" }, { "from": "gpt", "value": "Yeah. Is that something you'd be interested in?" }, { "from": "human", "value": "Oh, I would. I really would because, like I said, I'm a brand new smoker. I didn't know I was a smoker until I came to see you." }, { "from": "gpt", "value": "Mm-hmm. Well, if you think about it on a scale of 1 to 10 where 1 is really don't think you could do it at all and 10 is really confident that you could quit if you tried, where do you think you fall?" }, { "from": "human", "value": "Oh, I think I will probably be in seven or eight. I'm-I'm pretty confident that I could stop doing this." }, { "from": "gpt", "value": "Okay, what made you choose seven or eight as opposed to a-a five?" }, { "from": "human", "value": "Because it's not a part of my daily life. I don't have to have, uh, a smoke when I get up in the morning. I don't smoke 20 or 30 of them a day, so it's not that much exposure and I-I feel pretty confident that I could stop." }, { "from": "gpt", "value": "Mm-hmm. So, it sounds like just to kind of summarize, you've noticed some negative effects of the smoking, you have some concerns about health effects that could occur, there's the financial aspect, and yet you feel pretty confident that you could quit if you tried. So, where do you think we should go from here?" }, { "from": "human", "value": "Um, I'd really like some more information about quitting. I mean, I've heard there's some-some new medications, there are some new things that can be done to help people make quitting more comfortable and I-I really wanna quit." }, { "from": "gpt", "value": "Okay, well, I'd be happy to talk to you more about that and give you some tips and advice and give you some suggestions about where you can get some support with quitting." }, { "from": "human", "value": "That'd be wonderful. Thank you." }, { "from": "gpt", "value": "I really appreciate you talking to me about this today." }, { "from": "human", "value": "Thank you." } ]

[ { "from": "gpt", "value": "--today." }, { "from": "human", "value": "Well, there's a lot of things that bring me here today, but the one thing that I want to focus on is the fact that I really want my son to grow up in a great environment, and just have, like, more than what I had growing up." }, { "from": "gpt", "value": "Okay. So, you want your son to grow up in a great environment and to have more than you had?" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "Is that right? so that's on your mind right now?" }, { "from": "human", "value": "Yes, that's on my mind. I love my son dearly, and I don't complain about the childhood I had, I had a great childhood. I just-- I guess every parent wants the best for their kids-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-and-and I really want the best for him." }, { "from": "gpt", "value": "Mm-hmm. Is there anything in particular that's happening right now where this is more of a concern for you than usual?" }, { "from": "human", "value": "Yes, um, me and his father, like, we're-- We were engaged and, um, we're just not at that connection anymore. We're focused on what we want to do in life, and that's kind of put a hassle on our relationship." }, { "from": "gpt", "value": "What you want to do in life? Can you explain?" }, { "from": "human", "value": "Yes, I want to become a social worker. I want to help people. That's just what I love to do, and he, um, is currently driving trucks, and so it kind of like puts a damper on everything on our relationship, and we're just like mainly focusing on our son and-and it's just been hard, like, reconnecting." }, { "from": "gpt", "value": "So you feel that your differences in career choices is-is having an impact on your relationship with your son?" }, { "from": "human", "value": "Yes, I feel it is, and I just-- I always really wanted like a family, like me and the dad and-and the child." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "I-- That's how I feel, that I love my son dearly, but I want to provide him with that, like, we are together, we're doing it together as a team-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-because now that we're going away from each other it's made things more difficult." }, { "from": "gpt", "value": "Mm. Okay, so your boyfriend?" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Is he your fiance or your boyfriend?" }, { "from": "human", "value": "Um, he was my fiance, but-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-we called off our engagement." }, { "from": "gpt", "value": "Okay. And he's a truck driver?" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Does he drive long distances-" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "-or just local?" }, { "from": "human", "value": "He drives long distance." }, { "from": "gpt", "value": "And so sometimes he's gone away from home for, what like, days, weeks?" }, { "from": "human", "value": "Yeah. Days, and the longest was, like, a week." }, { "from": "gpt", "value": "Okay. And so he's a truck driver and you are an aspiring social worker, and you have a son who you want to give a really great life to, and you feel that you and your boyfriend are in different, going in different directions-" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "-maybe? Is-- Can you elaborate on the part that you're maybe the most concerned about or that's the most on your mind right now?" }, { "from": "human", "value": "I'm concerned that when he was just local, we were able to do picnics and-and-and do the whole family thing that I just really love, and even though my parents weren't together, we would still, you know-- They were really civil with each other and we would go to Disneyland, we'd go to the-the fairs, and you know, I feel like it's different." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Even though I'm not saying that we-we probably won't be together ever, there's a possibility that that could happen, but I still want that togetherness than apart." }, { "from": "gpt", "value": "Okay, okay. And so that-that realization that you're having right now is, it sounds like, it seems like maybe, just from your nonverbal, that maybe you feel like you need to make some sort of a choice. Is that right?" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "Yeah? Okay." }, { "from": "human", "value": "I feel like, um, I'm not, like, valued. We're not valued from his perspective. I mean, that's-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-what I can sense. I can't really make that a final say because he may feel something different." }, { "from": "gpt", "value": "Well, you know that he's not physically available-" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "-to do these things that you want to do-" }, { "from": "human", "value": "Mm-hmm, mm-hmm." }, { "from": "gpt", "value": "-like go on picnics." }, { "from": "human", "value": "And so when he is available it's kind of like, I guess where he's at and where I'm at is just like, \"Why is that a problem for you?\" And I'm like, \"It is because I want--\"" }, { "from": "gpt", "value": "He's saying to you, \"why is it a problem?\"" }, { "from": "human", "value": "Yeah, \"why is it a problem?\" He feels like it's always me who wants these things and-- but I-I made it clear that, you know, I want our son to grow up with the togetherness-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-especially like how my parents had it, you know." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "They weren't the best of friends but they could come together and, you know, it was better together than apart-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-and so I'm feeling like there's a-a change and I don't know whether to roll with it or just accept it, accept it. And it's all a balance between mind and-and heart and that's the battle." }, { "from": "gpt", "value": "So, your heart says you want this great relationship where there's like a true family unit and you can go on picnics and be together but your mind says, what?" }, { "from": "human", "value": "Well, my mind says that it's not going that way and you can't make it turn that way, you can't change anybody, they have to change themselves." }, { "from": "human", "value": "Mm-hmm." }, { "from": "human", "value": "And if they wanted to do it then, you know, it would definitely work." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And I feel like I don't wanna subject to just accepting things the way they are, especially if that's a concern for me-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-as far as dealing with the togetherness, I feel like if I have a problem, I voice it to you and we solve. You know, we'll try to figure out ways so-- I feel like I'm very more like, the collaborating person. Like, we gotta collab together, let's-- you know, I usually am that person that's, \"Let's solve this issue.\"" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "\"Let's not go over the problem over and over and over.\"" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "\"Let's try to think of ways to make it better.\" And I notice that not everyone's like me in that sense." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And so, do I wanna eventually hurt myself in the long run? Or, you know, help myself by saying, \"Okay this is just accepting that he's not in that position, so let me just do what's for me in my heart and, you know-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-stabilize myself to be the best parent that I can be.\"" }, { "from": "gpt", "value": "Okay, so you know what you want, you're not so sure that your boyfriend wants the same thing. His actions indicate that he doesn't." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "His words indicate that he does or he doesn't? You're not sure? I'm not sure about that part either?" }, { "from": "human", "value": "Yeah, I'm not sure about that part either. [chuckles]" }, { "from": "human", "value": "Oh, okay, all right." }, { "from": "human", "value": "Because I know that dealing with perspectives you can, you know, you can't really tell someone what their, you know, perspective is-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-but I don't-I don't sense it, I don't feel it and, um, I think that's just what I'm going by and I feel like probably 98% true." }, { "from": "gpt", "value": "Mm-hmm. So now you have this information and it's on your mind, is there-- have you given any thought about what you might want to do about it?" }, { "from": "human", "value": "And that's where the sickness comes from." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And that's what I'm confused about because, you know, I'm very-- the type of person that, I don't wanna hold things in but yet I don't want to have to keep explaining-" }, { "from": "gpt", "value": "Mm-hmm. [chuckles]" }, { "from": "human", "value": "-to you, you know like, I don't want to keep going on, iterating what I want in this relationship-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-especially if I'm listening to you." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "You know, I would want you to listen to me. And I understand by like in the position that I'm in, I've always been the receiver and, um, anybody-- so it's hard for people to like receive, you know, from me so, I'm just like-- Lke I was like sitting, um, yesterday I was kinda feeling down and I just never-- I was looking through my phone actually, this is really funny, I was looking through my phone like, \"Who can I talk to?\" Because I never really opened up to anybody." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Cause they open up to me and I'm able to listen-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-and so I'm like, \"Out of all this, I don't know who I'd-who I'd talk to.\"" }, { "from": "gpt", "value": "Oh." }, { "from": "human", "value": "-and open up to—" }, { "from": "gpt", "value": "So that's another realization." }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "It's like, \"Wow,\" it's really, really prevalent for you right now, you realize that you are the caretaker, you are the person who listens to other people but you don't necessarily have someone like that for you and so—" } ]

[ { "from": "gpt", "value": "Hi, are you Katie?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Hi, my name is Beth. I'm the nurse that works with the nurse practitioner Mrs. Smith that you just saw. Do you have a moment to talk?" }, { "from": "human", "value": "Uh, sure. What's this about?" }, { "from": "gpt", "value": "I know you were here to get a prescription for birth control but while you were waiting to see Mrs. Smith, you filled out a healthy habits questionnaire-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-and you answered some questions about your marijuana use. Would it be okay if I asked you some questions about how marijuana plays a role in your life?" }, { "from": "human", "value": "Sure." }, { "from": "gpt", "value": "I notice you use marijuana regularly, and I wanted to ask you more about that." }, { "from": "human", "value": "Well, you know they just decriminalized it in Virginia, it's not a big deal. I'm not in trouble, am I?" }, { "from": "gpt", "value": "No. No, no, no. Not at all. Um, I just wanted to ask you how it helps you and how you use it. Can you tell me a little more about how you use it?" }, { "from": "human", "value": "It's not a big deal. It's just like a couple times a week to relax." }, { "from": "gpt", "value": "Marijuana is really useful in your life in helping you relax?" }, { "from": "human", "value": "Yeah. I mean, I'm here on an academic scholarship so I have to keep my grades up and I'm on the debate team, so there's a lot going on." }, { "from": "gpt", "value": "Mm. You're a very successful student and you have a lot of responsibilities, and it's really adding to your stress." }, { "from": "human", "value": "Well, yeah. The truth is I'm the first in my family to go to college so I don't know, I guess, I'm in a bit over my head." }, { "from": "gpt", "value": "Mm. You've been very successful academically and the transition to college has been hard for you." }, { "from": "human", "value": "I've always been an anxious person. Pot just helps me calm my nerves. I'm I in trouble?" }, { "from": "gpt", "value": "I promise you, you're not in trouble, I wanna help." }, { "from": "gpt", "value": "Uh, tell me besides helping you relax, what are some positives about pot?" }, { "from": "human", "value": "Well, some of these kids are just so much more sophisticated than me so I guess when I party with them, I feel like I'm fitting in. I don't know how else to explain it." }, { "from": "gpt", "value": "Hmm. Uh, when you use pot in a group you feel more at home with your peers and more accepted?" }, { "from": "human", "value": "I don't know if I feel more accepted, more like I'm trying to fit in by using it." }, { "from": "gpt", "value": "So how is it working to help you fit in?" }, { "from": "human", "value": "I'm not sure it is." }, { "from": "gpt", "value": "Mm. So smoking pot with your peers to try to fit in more but it doesn't seem to be making you feel more comfortable with your friends." }, { "from": "human", "value": "Uh, yeah." }, { "from": "gpt", "value": "What are some downsides to smoking pot?" }, { "from": "human", "value": "I don't know. I- It helps me relax but I guess I'm nervous I'll get caught. Um, my parents would kill me if they knew that I smoked." }, { "from": "gpt", "value": "So smoking pot doesn't help you feel more socially comfortable with your peers and it increases your stress because you're worried about your family and legal consequences?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Can you think of any other downsides to smoking pot?" }, { "from": "human", "value": "Well, I don't have the money for it. I just usually bum it off to my roommate, her parents give her a lot of spending money but I don't know, it's kind of embarrassing to have to do that." }, { "from": "gpt", "value": "So smoking pot also reminds you of your financial situation and you don't have extra cash to spend on things?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Katie, it sounds like smoking pot is helping you somewhat in helping you relax and it's also causing you a lot of stress because you're trying to use it to fit in and that's not helping, you're worried about getting caught, you're worried about family disapproval. Having said all that, what do you think you wanna do about your pot use?" }, { "from": "human", "value": "I don't know. When you put it that way, it doesn't sound like a very good habit." }, { "from": "gpt", "value": "Would it be okay if I made a suggestion?" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "You mentioned at the beginning of our conversation that you have a history of dealing with anxiety, have you ever talked to a counselor about that?" }, { "from": "human", "value": "No. We don't do that kind of thing in my family." }, { "from": "gpt", "value": "Can you tell me more?" }, { "from": "human", "value": "It's just not done. I don't know. It's something for crazy people and we definitely do not have the money for it." }, { "from": "gpt", "value": "Mm. So the idea of counseling in your family is for crazy people only and it's looked down upon and the cost would cause a problem too?" }, { "from": "human", "value": "Yeah. I just don't see it happening." }, { "from": "gpt", "value": "Katie, we know that many kids come to college and have a lot of stress and deal with a lot of anxiety, and we've also found that when they talk to our counselors and learn specific skills about dealing with anxiety, they do much better. Um, and it's been really successful for a lot of kids. Um, I'm wondering if you think it might be helpful for you?" }, { "from": "human", "value": "I don't know." }, { "from": "gpt", "value": "Can you describe why you're hesitant?" }, { "from": "human", "value": "Well, I don't have the money for it so I can't pay for it and my parents wouldn't approve." }, { "from": "gpt", "value": "Well, the cost is free and the counseling services we provide, we are legally obligated to protect your privacy. We can't tell your parents. There are some exceptions to that privacy rule, including, uh, mostly if we're concerned about- that your safety." }, { "from": "human", "value": "What, like suicidal?" }, { "from": "gpt", "value": "Exactly." }, { "from": "human", "value": "Uh, I would never do that." }, { "from": "gpt", "value": "Well, uh, we can go into some more specifics if you decide to see the counselor about what-what privacy rules there are, but for the most part, you wouldn't need to worry about us sharing anything with your parents." }, { "from": "human", "value": "Okay. I guess I'll think about it." }, { "from": "gpt", "value": "So, uh, if-if you're walking out now, I can walk out with you and just take you around our counseling center. I can even introduce you to one of the counselors." }, { "from": "human", "value": "Do I have to go there?" }, { "from": "gpt", "value": "No. No, no. I just wanted to show you where it is and let- make sure you know about our resources here at the college." }, { "from": "human", "value": "Okay, sure. I agree, let's go." } ]

[ { "from": "gpt", "value": "So, Chris, I wanted to talk to you. Um, you know, you're one of our star athletes. I really value you as a team player. As Athletic Director, one of my jobs is to, kind of, keep tabs on the players and make sure everybody is performing at their best. And something came up this weekend. I've been hearing some chatter about a big party that went down and understand you were there. And so I wanted to talk to you a little bit about how partying and alcohol fits in your life right now." }, { "from": "human", "value": "Okay, oh, actually, could I confide something in you that has been bothering me lately. Well, prior to that party, like, as you know, I'm a honor student and my parents, like, they keep me very, like k-kept down out of the, like so- like social life." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And, um, about a month ago, my friends invited me to a party. And they used the fact that, Oh, I'm always doing my homework, I'm always studying that to allow me to go to the party. And on-- well, that party, I managed to convince my parents that I would spend the night at my friend's house. So, that's when I started drinking." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "It was a- it was a unique experience, as you can say. I guess you can say. And, I don't know, I-- It was fun, at least, in the moment. So, I kept doing it. Then this past weekend, instead of studying for an exam, I asked my-- I begged my mom to let me go to another party. And she, kind of, knew what I was doing. She asked me to, like, to promise her of no alcohol, no drugs. Then I'll pick you up by 12:00. And I-I was surprised. 12:00-12:00, that's basically when the party starts, but I told her whatever-- I thought- I thought to myself that I'll-I'll come-- I'll figure out to delay her, can you pick me up later? So later, so she-- I promised that-- She dropped me off, I promised her no alcohol, no nothing. So I-- we go, I have fun like I've been having. And I was drinking. And then the time- the time came for her to pick me up. And as soon-- I couldn't delay her from picking me up. And as soon as she picked me up, and I stepped in the car, she said, \"You drank vodka.\" And I'm like, I-I didn't know what to say. I just looked at the floor. And I-I feel terrible because I-I betrayed my mother. I broke my trust with her that she expected me not to indulge in alcohol. And that's exactly what I did." }, { "from": "gpt", "value": "So, here you are. You're an honors student. You're a star athlete. You've, kind of, been doing everything you've been told for all these years, and maybe last month sometime, you started getting more involved in the party scene." }, { "from": "human", "value": "Right." }, { "from": "gpt", "value": "And it was fun at first. But now you're already noticing some consequences." }, { "from": "human", "value": "Yes, right. Like I've been noticing I've been more lethargic and apathetic towards schoolwork." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "I haven't really-- I kind of just sit in class like-- I-- my mind is elsewhere, especially on the weekends, where instead of-- I was- I was instead of studying, I caught up with my friends, trying to find where we can-- I get alcohol based on their age and stuff like that." }, { "from": "gpt", "value": "It's really changed your focus. What do you like about drinking?" }, { "from": "human", "value": "I don't know. It-It's because I'm a very reserved person, for the most part, not when- not when I'm dealing with sports or like-- you know, like a social environment. I tend to keep to myself because I'm very self-conscious, I would say. And when I- when I drink, I feel, I don't know, like, it relaxes me. I'm able to talk or engage with other people more easily. I don't know it just—" }, { "from": "gpt", "value": "So, it helps you, kind of, loosen up, feel more relaxed." }, { "from": "human", "value": "Exactly." }, { "from": "gpt", "value": "Sounds like you're noticing quite a few not so good things about alcohol though your mom got mad at you, you're having decreased focus, you're, kind of, not doing so well in school, maybe-" }, { "from": "human", "value": "Kind of." }, { "from": "gpt", "value": "-or any other things?" }, { "from": "human", "value": "Just different groups, friends or groups, girlfriends, like different people that I'm hanging out with because certain people are associated with that type of scene." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "So, that-that-that's also changed." }, { "from": "gpt", "value": "So, your-your friends that you were hanging out with, there's a little tension there now." }, { "from": "human", "value": "A little bit because not all of them are into that. So, like, I'm in one group of friends, and I would talk to another person that's an another group of friends and they just happen to invite me to that first party." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "So, since then, I've been hanging out more with them, getting to know them. But I can also see that oh, I'm just living life, I guess. But that's also not fair to them that I'm not there for them as much as I was before." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "As they are there for me, you know." }, { "from": "gpt", "value": "Well, given that you've sort of noticed all these changes where it's affecting your friendships, it's affecting your studying, it's affecting your relationship with your mom. Where do you think you should kind of go from here?" }, { "from": "human", "value": "Oh, um, I feel I should st-stop. I mean, like, I'm not-not unrealistic. I understand that situations like this will happen." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "It's just up to me not to take it so far, where I can't remember the night before, if I'm puking. All I remember is the toilet-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-that's-that's not worth it, either. And I have to slowly build back my trust with my mother because that was that's a big blow. It's little so I guess may seem to other people." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "But to me then it's a big thing." }, { "from": "gpt", "value": "Your mom is really important to you." }, { "from": "human", "value": "Of course." }, { "from": "gpt", "value": "And how she feels about you is important to you." }, { "from": "human", "value": "Exactly." }, { "from": "gpt", "value": "How important is it to you to make, uh, an adjustment in your drinking or even to quit?" }, { "from": "human", "value": "A lot at this point because I feel that's a big factor with gaining back my trust with my mother." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And also getting back on top of my school work again my athletics too." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "So I feel that there-there's a future in that." }, { "from": "gpt", "value": "How confident are you that you could actually change your drinking or-or even cut down or quit?" }, { "from": "human", "value": "I'm pretty confident, especially." }, { "from": "gpt", "value": "O-on a scale of 1 to 10 where one is not at all 10 is completely what number would you give." }, { "from": "human", "value": "Probably like an 8 or 9." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And that can't be a ten there's nothing as ten in life I feel. Like there's too many factors but I feel like I'm determined to." }, { "from": "gpt", "value": "Why did you say eight or nine rather than six or seven?" }, { "from": "human", "value": "Because I don't know I feel deter-determined to-to make sure this happens because I don't like how I felt after I-I betrayed my mother. I don't like remembering that the feeling of like vomiting." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "It's not a pleasant experience. Uh, it's not something that I wish to enjoy. So like even if I do drink, I don't want to drink to the point where that happens, like all the fun that I have and prior to that just it's not worth-it's not worth drinking." }, { "from": "gpt", "value": "All right, what do you think's a realistic goal for you then?" }, { "from": "human", "value": "To make sure I have my studies. Well first, try to get-get back my trust with mother-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-then just focus on my studies. Then if I have time for leisure time like I'll go party with my friends and just be as a party with them doesn't mean I have to drink. And I do one cup is not going to do anything to my life either. But I'd prefer not to do that. I prefer just make sure." }, { "from": "gpt", "value": "So your goal is kind of to do not drink at all or if you are at a party, uh, a maximum of one at the very most." }, { "from": "human", "value": "Exactly. Just so I take part with the social convention but it's not. Hey guys." }, { "from": "gpt", "value": "Yeah. Chris, I really appreciate you talking with me about this. I know it seems like something that's been on your mind as it is and, you know, like I said I really care about you as a student and an athlete and want what's best for you. So I'm glad we were able to talk about this. It really seems like you have a good plan going forward, you know, really striving for not drinking alcohol at all and if you find yourself in a situation where there's alcohol, making sure to have that limit of one drink maximum. It sounds like something that will work for you." }, { "from": "human", "value": "And-and thank you for listening me listening to me. It means a lot to me." }, { "from": "gpt", "value": "It's my-- yeah it's my pleasure. It's part of my job and it's probably like this so. I'm going to hurry up and get changed for practice." } ]

[ { "from": "gpt", "value": "Hi, Sandra." }, { "from": "human", "value": "Hi." }, { "from": "gpt", "value": "Thanks for coming in and talking with me for a couple of minutes. I understand you don't have very much time, but I really appreciate you stopping by." }, { "from": "human", "value": "Well, I came today because my daughter's in the hospital as well. I think it's important to quit, but I enjoy smoking. I'm not ready to give it up right now. My life is too much in turmoil." }, { "from": "gpt", "value": "So I get the impression that there are some things that you're concerned about, but that overall, coming in here wasn't necessarily the first thing that was on your mind when you came to the hospital with your daughter. Um, so can you tell me, what was it that made it possible for you to even come in? What-what were some of the things you were thinking about?" }, { "from": "human", "value": "I think it's important because I've-- I feel I'm a bad role model for my children, and my daughter's turning 12, and already, some of her friends have tried smoking, so I don't want her to think it's a good thing." }, { "from": "gpt", "value": "So the last thing you'd want is for your daughter to start smoking." }, { "from": "human", "value": "I smoked when I was young, and I certainly don't want it for her." }, { "from": "gpt", "value": "Hmm. And it sounds like your smoking, setting an example, those are some things that-that you're also, uh, a bit concerned about, um, but as you said earlier, not-not really ready to put down your cigarettes immediately." }, { "from": "human", "value": "Well, that's true. It seems so hard. I'm just not ready for this right now." }, { "from": "gpt", "value": "So Sandra, what's good about smoking? What do you like about it?" }, { "from": "human", "value": "It's very enjoyable, relaxing, you know, a stress reliever. When I'm at work, we all go out and smoke and chit chat and, you know, talk about things. I would hate to not smoke, really. I'd be left out." }, { "from": "gpt", "value": "What else? Tell me what else is good about it." }, { "from": "human", "value": "Hmm, I like to have a cigarette after I eat. It sort of tells my brain I'm finished, stop eating, I'm full. So it's a- it's a way to-- you know, sometimes I'll have a cigarette instead of a snack, so it's a way to control my weight." }, { "from": "gpt", "value": "Okay. So is there anything else that you like about it?" }, { "from": "human", "value": "Let me think. Well, I just enjoy it. I think it's, uh-- it's not good for me, I know, but I'm so used to smoking. I don't really think about quitting too much." }, { "from": "gpt", "value": "So let me make sure that I understand all of the good things about smoking, the things that you like about it, and let me know if I've missed anything or left anything out." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "So it sounds like it's a way to relax. It's a way to socialize with your friends from work, and it's hard to imagine what it would be like for you at work if you couldn't go outside and smoke." }, { "from": "human", "value": "That's true. Yeah." }, { "from": "gpt", "value": "You also mentioned that smoking is a way to manage your weight, and concern that if you were-were going to quit smoking, what that would do in terms of, um, gaining weight, and that smoking after meals is pleasurable, that it's something that would be really hard to give up." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "I also heard that it's very much a part of your life. It's something that you've done for a really long time and almost impossible to think about yourself as a non-smoker. Does that capture, for you, some of the good things or things that are keeping you smoking?" }, { "from": "human", "value": "Exactly." }, { "from": "gpt", "value": "So I'm hearing there are some things you really like about smoking. What about the other side? Can you tell me about some of the not-so-good things?" }, { "from": "human", "value": "Well, I-I'm worried about my children. I feel like I'm being a bad parent, and um, I often wonder, you know, they've seen me smoke for years. I certainly don't want my 12-year-old daughter to start smoking, and some of her friends are already smoking." }, { "from": "gpt", "value": "Sandra, can you give me an example of a time that you did something that you think left an impression on your daughter or set a bad example for her?" }, { "from": "human", "value": "Yeah, just this morning, I was outside having a cigarette, and then when I looked up, there she was looking out the window watching me smoke." }, { "from": "gpt", "value": "So this morning, that experience, it really brought home how she does watch you, and she does really look up to you and notice what you do. How did that feel when you looked up and saw her watching you?" }, { "from": "human", "value": "I felt terrible, you know, I was projecting-- I wanna be a good parent, and I don't feel this really is part of the plan." }, { "from": "gpt", "value": "And again, thanks for your honesty in talking about this. I appreciate that this is a- this is a tough topic. This is a-a hard behavior to think about giving up. Um, I guess one thing that- one thing that doesn't make sense to me is that, you know, on the one hand, you talk about how being a good parent is your highest priority, it's really important to you to set a good example for your daughter-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-um, and on the other hand, I'm hearing you say that smoking is important in terms of stress relief, socializing, and it's something you can't imagine ever changing. How do those two things fit together?" }, { "from": "human", "value": "It doesn't fit, you know. It's the opposite side of the coin. You know, I love to do it, but I don't think it's right." }, { "from": "gpt", "value": "So what would it take for quitting or changing your smoking to be something that was more important, that raised it up in the list of priorities for you?" }, { "from": "human", "value": "I can't think of anything right now." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I don't have any plans to quit. It's just something I'm thinking about." }, { "from": "gpt", "value": "So, it's-it's not so much that you don't wanna quit in a way, it's almost, \"How could I do it that would work for me?\"" }, { "from": "human", "value": "Exactly." }, { "from": "gpt", "value": "Okay. I appreciate. We've- we've probably used up the time that we have. I would love to see you next week if you'd be willing to schedule another appointment and talk with you more about this. Is that something that would be helpful?" }, { "from": "human", "value": "Oh, sure. Sure, I'll come in. Yeah." }, { "from": "gpt", "value": "Okay. So I hear-- [crosstalk]" }, { "from": "human", "value": "We can talk about it some more." }, { "from": "gpt", "value": "[chuckles] Not necessarily the-the most exciting thing for you to do, but I appreciate you are willing to do that. Can I also ask you to do a little bit of homework between now and next week? I promise it's not too time-consuming. Um, we have a booklet that we like to give folks who are just thinking about changing, who aren't sure that this is something that they're ready to do, and one of the exercises is to write down your top three reasons for change, why you would even consider quitting smoking. And then to reflect on some of the good things as we talked about, as well as some of the less good things about quitting and about continuing to smoke. Is that something you'd be willing to do over the next few days?" }, { "from": "human", "value": "Okay, okay, I'll give it a try." }, { "from": "gpt", "value": "Okay, here you go." }, { "from": "human", "value": "Thank you." }, { "from": "gpt", "value": "So thanks for coming in, Sandra. We'll see you next week." }, { "from": "human", "value": "All right." } ]

[ { "from": "gpt", "value": "In summary, the Minnesota State Mankato security report states that you were stopped on stadium road last Friday, cited for driving under the influence and you're transported to detox. Plus the report lists your age as 20. Dylan, what is the accuracy of the report? And can you share with me some details leading up to the incident?" }, { "from": "human", "value": "Uh, I guess that sound- that sounds right. I mean, I was- I was kinda drunk and it happened like a week ago. I just, I drove over to my friend's house, um, just to go watch the game and, you know, we're having a couple beers and next thing I know the Vikings are kind of losing pretty big. So we drank a little bit more than usual. And I mean, at the end I had to get home and I couldn't find a ride. So I-I just drove." }, { "from": "gpt", "value": "You decided to drink more than you intended because you were disappointed at how the Vikings were playing. And when your roommate couldn't give you a ride home, you decided to drive yourself home. Did I get that right?" }, { "from": "human", "value": "Yeah. That's-that's exactly how it happened. I mean, I'm a normal college kid. I like to drink and hanging out with my buddies. I mean, I, it wasn't a big house party or anything and I got busted." }, { "from": "gpt", "value": "Yeah, I understand that your intention was to have a good time while watching the game with your friends. You didn't think about what could go wrong when you drank alcohol underage because you were at your friend's house and not a big party and you made an effort to be safe by finding a ride home." }, { "from": "human", "value": "Yeah. I tried to be safe. I mean, I tried to call her roommate, but I don't know, getting in trouble anyways." }, { "from": "gpt", "value": "Dylan, you told me what brought you here today, what do you think the problem really is?" }, { "from": "human", "value": "Um, well, I wanna say I have a drinking problem. I think I'd probably have more of a, like getting caught problem. I mean, my friends, they-they drink like fishes and I-- they don't ever get caught and you got me over here and I get caught and they left." }, { "from": "gpt", "value": "Sounds like you attribute your current situation to bad luck. If that's what you believe and you don't attempt to make any change in your behavior, what consequences might result?" }, { "from": "human", "value": "I guess- I guess more problems with police and school and I really don't have like the time or the money for any of that." }, { "from": "gpt", "value": "How important is it that you avoid future problems with the police or school, Dylan?" }, { "from": "human", "value": "God. It's, I guess, super important, because just-just going to detox alone was-was awful, the experience-- I don't want to do that again. And my dad said if I get suspended from school, um, I have to go- I have to go work on my uncle's farm in Iowa and that would just kill my social life. I won't see any of my friends and I mean, it's already bad enough, like my parents took my car away when I got the DUI." }, { "from": "gpt", "value": "Yeah. What would you be willing to do to prevent going to detox again and getting suspended?" }, { "from": "human", "value": "Well, I guess I- I guess the easy one is I wouldn't- I wouldn't drink so much and I try to avoid situations where I'm more-more likely to get in trouble. So probably I don't wanna drink so much." }, { "from": "gpt", "value": "On a scale of 1 to 10, how confident are you that you'll be able to follow through with that plan with 10 being very confident?" }, { "from": "human", "value": "Um, I guess I would say like, I don't know, like over halfway. So maybe like a six." }, { "from": "gpt", "value": "What steps could you take to move that six to a seven or eight?" }, { "from": "human", "value": "I could probably, um, I don't know. I-I guess, well, the big thing would be like kind of where I drink so like drinking like if I'm only like in my apartment so thenI'm not risking myself to drive or like if I- if I go out to a party waiting till, like, I'm 21 to drink. Um, maybe find stuff to do that doesn't revolve around drinking, like, I'm guessing like a town this size there's got to be more to do than just drink." }, { "from": "gpt", "value": "In what ways might your life be better if you succeed in \nmaking the changes you mentioned?" }, { "from": "human", "value": "Um, I mean, I guess the big one would be like I won't- I won't be hungover all the time like I would make it to my 8:00 AMs then, well, even-even when I make it to my 8:00 AMs now like I just, I sleep like I wake up I'm like, \"Oh my god what's going on?\" And then I get to my 8:00 AM and I'll just sleep through and then miss just about everything that's on the test. So I think if I- if I reprioritize what is important to me, I probably help me succeed. I mean, in high school, I had a 3.5 GPA. So I know I could do it here." }, { "from": "gpt", "value": "College is all about making choices. Can you tell me about your beliefs and values that influenced your decision-making and how do those beliefs and values align with the decisions you plan to make about drinking?" }, { "from": "human", "value": "Um, I mean education is really important to me and-and also my family. My parents are always talking about it and I really- I really wanna be an international journalist, to be on the news like, I mean, I have the face for it, um. So I guess if I reprioritize my- if I reprioritize what I need to do I and I won't drink so much. I probably wouldn't be disappointing my parents and I'd be able to get a really good education." }, { "from": "gpt", "value": "Thanks for coming in for participating today. Your sanction will involve being placed on university disciplinary probation and attending an alcohol education seminar that will cost $150." }, { "from": "human", "value": "All right, all right. When is the seminar?" } ]

[ { "from": "gpt", "value": "Okay, so why don't you have a rinse, David. How are you feeling?" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Good. Here, take a look, see what you think. And that feeling-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-and the color's okay? You know, there is quite a lot of staining so, um, I'm just wondering about, um, some concerns about smoking." }, { "from": "human", "value": "Oh." }, { "from": "gpt", "value": "Possibly-" }, { "from": "human", "value": "Gonna get that again." }, { "from": "gpt", "value": "-coffee, tea. Yeah, you've heard this before, I'm sure." }, { "from": "human", "value": "I do all the above, yeah." }, { "from": "gpt", "value": "Mm-hmm. So, you know, the smoking is going to be related not just to some of the other negative consequences. You know, physically, it affects dental caries, dental cavities-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-um, healing-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-in your mouth." }, { "from": "human", "value": "Okay. Sure." }, { "from": "gpt", "value": "So--" }, { "from": "human", "value": "I've heard it all. I-- but I just want to get my teeth fixed." }, { "from": "gpt", "value": "Yes, and I really want to be helpful. I really want to-- you know, my commitment is to your oral health, so um, there are lots of medications out there, David, that actually take away a lot of the cravings. They're-- they make quitting so much easier." }, { "from": "human", "value": "I did a pill thing, so I did try it. So like, I did try try it. I just did the pills and they didn't work." }, { "from": "gpt", "value": "Mm-hmm. Yeah." }, { "from": "human", "value": "It was a waste and it caused more side effects" }, { "from": "gpt", "value": ".No, it-- but David, it's not a waste. Research shows that people take on average about seven tries before they quit smoking, so think of it as you're one step closer to quitting, so--" }, { "from": "human", "value": "Or seven lectures along the road." }, { "from": "gpt", "value": "Well, I don't think I'm giving you a lecture, that's certainly not what I meant. I--" }, { "from": "human", "value": "No. No, I just feel that way. I get really-- I get very defensive about when they bring-- cause I get it from my family doc, from my cardiologist, everybody. I'm like, I'm not a complete fool. I am for smoking, but—" }, { "from": "gpt", "value": "Well, there's-there's a reason that [crosstalk] people are concerned." }, { "from": "human", "value": "-but it's not easy to quit." }, { "from": "gpt", "value": "No. But as I said, these medications-- so you've tried the medication, you've been willing once." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Then, can I write you a prescription for the medication? Can we talk about how you could use it? Because this is something that-that's very important. Not just for your overall physical health, for your oral health--" }, { "from": "human", "value": "I guess I got to really want to and-- things I've tried usually caused me more problems than they helped." }, { "from": "gpt", "value": "Oh no, the smoking's going to cause you more problems than the-- than anything else. I can promise you that, David." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "The side effects from the medications are nothing compared to what can happen from the smoking." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Like, that's the, I think, thing to really consider." }, { "from": "human", "value": "Okay. Well, can I go now?" }, { "from": "gpt", "value": "I'm-- okay, but you know--" }, { "from": "human", "value": "I-I-I know it, I know- I know, doc, what you're trying to-- but I just don't want to get into that right now." }, { "from": "gpt", "value": "Okay. Well thanks for listening, and honestly, I- I am really worried about the smoking, so--" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "I um--" }, { "from": "human", "value": "I appreciate your care." }, { "from": "gpt", "value": "I'm here to help, okay?" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "So--" } ]

[ { "from": "gpt", "value": "Molly, thank you so much for coming over and yakking with me today." }, { "from": "human", "value": "You're welcome." }, { "from": "gpt", "value": "Yeah, I appreciate it. So, um, uh, your mom had given me a call and said that, um, um, there were some problems with kids kinda given you problems at school and being mean and things like that, and, uh, that's a hurtful thing." }, { "from": "human", "value": "Yeah. I stayed home two times already from school just 'cause of the bullying and everything." }, { "from": "gpt", "value": "That's a- that's a lot of school to, yeah, and, you know--" }, { "from": "human", "value": "And as I was out of school like more rumors started to happen as I was out of school. I come back and like these rumors are going around about me. Like one time when I stayed home, supposedly, I was in the principal's office the whole day and I had security guards like escort me to classes which that was not true 'cause I was home the whole time." }, { "from": "gpt", "value": "People like to make up stories." }, { "from": "human", "value": "I've been getting blamed ever since like fifth or sixth grade about with every single thing that's going on." }, { "from": "gpt", "value": "For, like why do you think, wh-what kinds of-" }, { "from": "human", "value": "I think because the kids-- 'cause I like to nag on things. Like when people tell me things, I like to like talk more like with the person instead of just leaving it be, and I think the kids that like blame me for everything say that I'm an easy target to like hit, to like talk about, it's like annoying." }, { "from": "gpt", "value": "So it's, uh, so when you were talking about like nagging on, tell me a little bit more about, can you give me an example of what you mean?" }, { "from": "human", "value": "If somebody says like, \"Oh, I heard this thing about you.\" I go, \"Oh, really, what is it,\" and I just keep talking and like make things worse. Like, if somebody says that they wanna beat me up, I like go on, and say like, \"Okay, then hit me,\" and like I just don't leave it be, like I just don't walk away. I like stay there and like talk more." }, { "from": "gpt", "value": "And-and what happens when you don't leave it be, what usually happens?" }, { "from": "human", "value": "I think possibly more like talking more like it gets like bigger and bigger. It's just like if you stop it, then they don't know what to say, they-they're like, \"Oh, like she's walking away.\" And like that stops everything but like if I talk it-it keeps building up and we both get in trouble-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-and like called down to the principal's office." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-and get talked to." }, { "from": "gpt", "value": "Okay, so and then what-what's it like for you after that, once you get spanked in the principal's office?" }, { "from": "human", "value": "Well, usually I try telling myself to just like, leave it be-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-but if somebody says something about me, it gets me mad 'cause like what the heck, like you're talking about me so like I try to stop but sometimes I just say like a few words. Like I think now I'm trying to get like better." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Like there's this one incident that somebody was talking to me, I just said like, \"Oh, wow, this is like really lame, like I'm just gonna leave,\" and I like let the conversation be." }, { "from": "gpt", "value": "That's pretty cool that you did that." }, { "from": "human", "value": "Yeah. I felt proud of myself." }, { "from": "gpt", "value": "You should be proud of yourself, and how did you do that?" }, { "from": "human", "value": "I was just like thinking of like when I'm- whenever I like I'm saying like stuff back, mom gets really mad at me, she's like, \"Well, I'm not gonna help you anymore.\" 'Cause, she tells me to like leave it be, but I really don't lis-listen to her so she gets mad. So I tried like thinking of like her feelings and like what would happen after if I say, \"This is lame, leave me alone,\" 'cause then they'll like stop and I won't get like yelled at anymore." }, { "from": "gpt", "value": "Uh, that says a lot about you and your mom's relationship though that you can kind of put yourself in her head and think about how she would feel about it." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "You know what I mean? It's pretty cool, not everybody can do that, so. So you could kind of put yourself ahead, uh, it's almost like watching a movie ahead-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-and knowing how it's gonna turn out." }, { "from": "human", "value": "'Cause usually, if I get in trouble, mom gives me the silent treatment that I don't like. It's like she doesn't talk to me, I'm like trying to talk to her, she don't like wheezing being like, uh, I don't like it." }, { "from": "gpt", "value": "That's the worst, the silent treatment." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah, so, um, so but that worked for you, where you just let it go, you thought about your mom, you like what we would call like, you channeled to your mom, you know, and, uh, channeling mom, and then, um, you were able to walk away, and you were proud of yourself and nothing bad happened." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Is that right?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Does it--" }, { "from": "human", "value": "Like they all like stopped talking to me, and the funny thing was that their eighth-graders that like didn't even go to my old school like I don't even know how they said of talking to me, I was like, creepy." }, { "from": "gpt", "value": "Yeah, so- and so when you- when somebody else told you that they or people said you that you're an easy target, um." }, { "from": "human", "value": "Well, they don't really say that to me like I just like think that 'cause that's what I've like heard from my mom, and people talking to me 'cause I keep talking to them-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-so they keep coming back at me." }, { "from": "gpt", "value": "Okay, so they-they kinda know how to hook you." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-and reel you in-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-right, and get you upset. And then bad things happen and then you get in trouble." }, { "from": "human", "value": "Yeah. [chuckles] That happens a lot." }, { "from": "gpt", "value": "Yeah. So, yeah. And it's, uh-- So, um-- so you-you know that when you're kind of channeling your mom, that helps. It sounds like you taught yourself almost. Like there's-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-a conversation inside. What other ideas do you have about what you could do?" }, { "from": "human", "value": "I was thinking of like, um, if I'm like at school like a peep things are happening during class-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-I just say, can I use the washroom or something to go like walk and like think of like how to like leave them be. And one time during my gym class, there's this girl that I had her like not talking early. And we're playing pickleball, I don't know if you know that, it's like a-" }, { "from": "gpt", "value": "I don't know what pickleball is." }, { "from": "human", "value": "-it's like a badminton, big life-size ping pong ball game." }, { "from": "gpt", "value": "It looks like a pickleball?" }, { "from": "human", "value": "Yeah, you have like a big bracket—" }, { "from": "gpt", "value": "There's no pickle?" }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "No, [chuckles] there's no pick." }, { "from": "gpt", "value": "I wanted to pickle and stuff." }, { "from": "human", "value": "Mm-hmm. And like I was supposed to be like again turn. I told my-- I went to my gym teacher like silently and said I can't be by this person, can I move to the next court. So he like switched us around so I won't be by her. And that like happened." }, { "from": "gpt", "value": "That's a really good decision." }, { "from": "human", "value": "The girls like what the heck like." }, { "from": "gpt", "value": "Yeah. No, but how smart on your part to know that if you would- if you would had to play with her, something bad would've happened." }, { "from": "human", "value": "Yeah. Like I would like smacked her in the face or some- [laughs]" }, { "from": "gpt", "value": "You knew that." }, { "from": "human", "value": "-or something." }, { "from": "gpt", "value": "Right? You knew that. So-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So you know actually which kids-" }, { "from": "human", "value": "Yeah, that's like—" }, { "from": "gpt", "value": "-know how to push your buttons that real you in." }, { "from": "human", "value": "Yeah, there's like four main ones but not that like I can say who." }, { "from": "gpt", "value": "That's okay. That's-- Yeah, 'cause it's not important. The important thing is for you to be happy. And, uh--" }, { "from": "human", "value": "And the friends that I have like I know are my true friends, They're like ones that don't really 'cause drama or like—" }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "I mean, they might but like they're not like bad and they actually like help me. Like some of these girls that like so-called friends like-" }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "-They're like they come to me saying like, \"Oh, did you really have to like punch this girl.\" I'm like, \"No.\" It's like you're not a friend if you'd actually believe that, you know what I mean?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Yeah, it's kind of annoying, 'cause it's kind of hard like going into high school and like knowing how to believe and who not to believe." }, { "from": "gpt", "value": "Yeah. That's-- that-- it's-it's really big unknown territory. Pressure High School class is probably 1,000 kids." }, { "from": "human", "value": "Yeah, 1,003." }, { "from": "gpt", "value": "1,003 kids." }, { "from": "human", "value": "And then there's the sophomores also that you have like another 1,000, so it's like—" }, { "from": "gpt", "value": "2,000-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-potential enemies, friends, who knows which ones." }, { "from": "human", "value": "Yeah, with these like the first rumors had started going around about like my friend and I, and like I lost him just 'cause of rumors. It's like, what the heck. Like I couldn't get over him for like gosh, who knows, it was like three months and I finally just had got over him." }, { "from": "gpt", "value": "That must have been hard for you." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "I was like really, you're probably just jealous 'cause I was friends with him or something." }, { "from": "gpt", "value": "Mm-hmm. So but finally after three months, time went by-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-and you got--" }, { "from": "human", "value": "I just found like other people and just like forgot about it." }, { "from": "gpt", "value": "Okay. And so how else do you identify who your friends are that you can really trust who have your back?" }, { "from": "human", "value": "I say the ones that like not even that I've known the longest, but like the ones that actually hang out with me a lot, or like texting me a lot, or like calling. And the ones that are actually like that helped you before with like situations. And that they tell you stuff and they know they can trust you. Like one of my friends tells me everything about her. And like that's how I know she's a good friend 'cause she trusts me with things." }, { "from": "gpt", "value": "You trust her back then?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. Well, that makes a lot of sense that people-- it goes both ways." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "You know. And, um-- So and for you, friends that, um, kind of, um, give you the attention that you'd like to have. Texting you-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-calling and you hanging out with you, and stuff like that, rather than pretending to be a friend-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-when you know maybe they're gonna--" }, { "from": "human", "value": "Yeah, that happens a lot with me with like a lot of friends. Like this one person like we've been friends since like-- Well, we were friends since fourth grade." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And like she just starts like lying and like just talking smack about me. And it's like, you're not a good friend then. Like I thought you were a friend since you've been my friend since our fourth grade." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And she just like causes a lot of drama now. And like she came- Like the friends I met at high school, she came like into them like, you're not gonna know-- In college, you're not gonna know who to follow 'cause-- since you keep following with my friends, what are you gonna do in college like not being able to find your own friends? It's kind of annoying 'cause they're my friends and like I can't be by her and she comes to my friends. It's like-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-get your own friends, [chuckles] stop following me." }, { "from": "gpt", "value": "Mm-hmm. Wh-what don't you like about her?" }, { "from": "human", "value": "She just lies a lot and like just starts dramas about me and I haven't even talked to her like since eight grade. We only went to school together and she just like makes me lose other friends 'cause of the drama she starts" }, { "from": "gpt", "value": "Okay. So she sounds like she's, um--" }, { "from": "human", "value": "A nobody. I'm gonna say that. She's like—" }, { "from": "gpt", "value": "Or-or not worth your time." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "She's not worth your time. So what would it be like for you to really just spend time with the friends that you know are really--" }, { "from": "human", "value": "I do spend time with them. Like I hang out with them a lot." }, { "from": "gpt", "value": "Good. That's really good. Yeah. And if-if you need like some extra support from them--" }, { "from": "human", "value": "Ask for it. Yeah." }, { "from": "gpt", "value": "Right, and what kind of things do you ask from them?" }, { "from": "human", "value": "I just ask them like if I'm like gonna get like sent down to the principal's office for like something happening, I call them to come down to, like, support my, like, backup information." }, { "from": "gpt", "value": "'Cause they can do that. They can- they can kinda give you some, uh, information like, uh, um-- they can give some accurate information, um, and back up your story versus the other person's story." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So, okay. So we're-- You know what? Um, it sounds like you actually have some pretty good ideas about, um, how to handle this, and yet kids are-- I know kids-- actually, adults can be really mean too. But, um, I know in high school, i-it's really bad." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So I'm wondering if, um, uh, if-if you wanted to, we could get together again and continue to talk 'cause you-you've got some good ideas already. And I'm very open that if you wanted to bring any of your good friends in, that that would also be totally cool too." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So would that be something--" }, { "from": "human", "value": "Yeah, there's one friend that might wanna like talk about it." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "And she's really like-- she doesn't know, like, who to talk 'cause her mom is not always there for her." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And so like she's like doesn't know where to go." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Like she doesn't know who to believe." }, { "from": "gpt", "value": "Well, I would want this session though to be for you though, Molly." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "I mean I'm willing to see her too, you know." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "It sounds like she really needs-- she'd like someone to listen to her." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah. So, um, we could maybe talk about some other ways of, um, helping, uh, deal with this because, um, it does sound like, um, people are, you know, just being plain old mean to you for no good darn reason." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Yeah. And, um, so you'd be willing to come back and talk about it then? Okay. All right. And I just wanna let you know that I think that you're, um, really doing a good job of-of, uh, dealing with how hard it is to be in high school, 'cause it is hard." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "It is." }, { "from": "human", "value": "I've noticed that." }, { "from": "gpt", "value": "Yeah. And it is hard, and-and I-I think it gets better. My experience was it got a little better. The freshman and sophomore year, you know." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "But, um, anyway, I think you are hanging in there beautifully, and I love hearing that you're involved in swimming and some other things 'cause they must help connect you up with some pretty-- I would hope-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-[unintelligible 00:13:12] people. So okay, anything else? No? Okay. All right." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Thank you." } ]

[ { "from": "gpt", "value": "Hello, nice to meet you again. And, uh, and what seems to be the-the problem or what-what prompted you to come along?" }, { "from": "human", "value": "Uh, just I'm sick of my drinking. I'm drinking too much. Um, I just thought, uh, maybe I need someone to talk to, get some help about it." }, { "from": "gpt", "value": "Okay, so you feel as if drinking is a problem for you at the moment?" }, { "from": "human", "value": "Yeah, it's just- it's just got worse over the last six months?" }, { "from": "gpt", "value": "Okay. Wh-What makes you say that it's gotten worse?" }, { "from": "human", "value": "Well, I guess, I drank, you know, like most people do before, um, but I broke up with my boyfriend, uh, about a year ago and then six months ago I guess I wanted to go out again and see if I can meet people." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And I've been, yeah, getting into this habit of going out every Friday and Saturday, now, uh, drinking a lot." }, { "from": "gpt", "value": "Yes." }, { "from": "human", "value": "Um, to try to meet guys." }, { "from": "gpt", "value": "Sure." }, { "from": "human", "value": "And, uh, in the last few months I've been, you know, just drinking even more on week nights, and I never even used to do that before." }, { "from": "gpt", "value": "Okay, okay, so you've noticed over, I guess, uh, the last six months in particular since you decided, you know what? I'm going to take a risk and-a-and go out to try to meet a-a-a pot-potential partner again that it's with an increase in drinking." }, { "from": "human", "value": "Yeah. Well, I just, I don't feel comfortable talking to guys normally. [chuckles]" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I don't know what to say, um, and I just, drinking helps." }, { "from": "gpt", "value": "Sure, sure. So you're noticing that the drinking at the moment is a way of perhaps calming the nerves?" }, { "from": "human", "value": "Yeah, for sure." }, { "from": "gpt", "value": "To-to-to speak to-to potential partners?" }, { "from": "human", "value": "Yeah, definitely." }, { "from": "gpt", "value": "Who-who-who, boys?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I mean, I guess, like most people do when they go out they drink." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I've been doing that and just drinking more and more I guess." }, { "from": "gpt", "value": "Sure." }, { "from": "human", "value": "Um, and it's just-- it's not even working, I'm not really meeting people and I just end up with massive hangover for the rest of the weekend and—" }, { "from": "gpt", "value": "That's interesting isn't it? You-- 'cause you kind of mentioned it there, like, you know, on one side of the coin, um, it helps calm the nerves to get yourself get out there and-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-talk to guys at the same time, on the other side it's not working you're finding. And i-i-it results in hangovers or?" }, { "from": "human", "value": "Yeah, I mean, I've maybe talked to people but it's just, uh, that I've just I think I'm just too-too drunk and I just, my friends drive me home and just the end of the night I don't-- yeah." }, { "from": "gpt", "value": "Okay, and so I guess, you know, what would you like to do given the circumstances?" }, { "from": "human", "value": "I guess I just wanna stop. I just feel like I'm drinking more and more 'cause I'm doing it now in the weekdays-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-and I mean, I just don't-- I don't wanna do that every now and now I just think it's a bit too much." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Yeah, I'm just I'm not eating properly anymore, I'm just eating less or just getting takeaway, getting crap food and-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-um, I'm just, I feel like I'm not exerc-- well I'm not exercising like I used to. So, I just wanna cut, you know, stop drinking so much." }, { "from": "gpt", "value": "Okay, okay, so, uh, sounds like you really want to stop drinking, particularly during the weekdays?" }, { "from": "human", "value": "Yeah. Yeah I do. Yeah." }, { "from": "gpt", "value": "Right, because you're noticing it's having a negative impact on what you're eating." }, { "from": "human", "value": "Yeah. I don't wanna- I don't wanna, I mean, I don't wanna stop altogether, so." }, { "from": "gpt", "value": "No, I get it. Yeah. I mean, you know, it sounds like it's, it is helpful to a degree for you when you go out because it makes you feel a little bit more calm to talk to-to guys is that right?" }, { "from": "human", "value": "Yeah and just and all my friends go out and drink. Like I-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-I'd have no social life if I didn't." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "If I just said-said, \"No, I'm not drinking at all,\" and, you know, I don't feel like I'm an alcoholic-" }, { "from": "gpt", "value": "Sure." }, { "from": "human", "value": "-or I don't feel like I need to" }, { "from": "gpt", "value": "Yeah, yeah. So, you've got, you know, some benefits there then, you know. The social element, hanging with friends and-and going out together is something which is-is quite enjoyable. So, it's not a case of removing it completely but it’s a case of, \"Okay, I’m noticing this is impacting on me more than what I’d like to.\" Yeah. Yeah, okay." }, { "from": "human", "value": "Yeah, it just got a bit out of control." }, { "from": "gpt", "value": "Has there been times in the past where you’ve tried to cut back on drinking?" }, { "from": "human", "value": "No, this hasn’t happened before." }, { "from": "gpt", "value": "Oh, this is the first time anything like this has come up?" }, { "from": "human", "value": "Um, due to just circumstance of, I mean, I just yeah, had my boyfriend for six years before that and-" }, { "from": "gpt", "value": "Yes, yes." }, { "from": "human", "value": "Um, before that yeah just my friends weren't drinking so much, and yeah it’s just not, it's just new. Yeah." }, { "from": "gpt", "value": "Okay, yeah. Well, it’s great that you’re able to identify, you know, what’s going on at the moment and you've-- not only know that, you almost picked up on a bit of a pattern too you're in-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-as to why you’re-you're drinking. In terms of looking at cutting back on-on drinking, you know, on a scale of 0 to 100 and 100, uh, meaning it’s tremendously important for you and 0 not important at all. How important is it for you to cut back on the drinking?" }, { "from": "human", "value": "I believe 80, I mean I guess that’s why I’m here so—" }, { "from": "gpt", "value": "Okay, yeah yeah sure, you're already taking a huge step forward in many ways by coming along to-to start talking about it." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Um, I guess 80 is quite high, what makes you say an 80 over say 50?" }, { "from": "human", "value": "Um, I don’t know, I just-just I don’t know, it just sort-- it just got up to a point where just, um, it seemed just too much, like no-nobody else is really drinking as much in the week as well and-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-it seemed, as just, yeah, for the reasons I was saying, just seeing like I need to do something about it now." }, { "from": "gpt", "value": "Okay, yes, so you’ve got this real sense of, \"I've gotta do something.\"" }, { "from": "human", "value": "Just seeing it’s just gonna get worse, uh, wha-- that’s what it seems like." }, { "from": "gpt", "value": "That’s what it seems like." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So, at the moment, it's been a case of the last six months, this is a pattern that you’ve been noticing more and more, um, a sign that it has had negative impacts on your lifestyle which you’re not happy with and you are in you're in a position where, you know what? I wanna do something about it." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay, I mean what do you think that next step is?" }, { "from": "human", "value": "Um, I guess that’s why I’m here. [chuckles]" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Just to, uh, but um-- I is-is-- I think the weekdays is what I really need to do." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Um, and then, I don’t know, try to plan it out a little bit more on the weekends-" }, { "from": "gpt", "value": "Okay." }, { "from": "gpt", "value": "-so it just doesn’t go crazy." }, { "from": "gpt", "value": "Okay, okay, so you’re thinking about perhaps looking at trying to keep weekdays free of alcohol? Was that what you were saying?" }, { "from": "human", "value": "Yeah, yeah. Yep." }, { "from": "gpt", "value": "Okay, how does that sound like a first step goal for you?" }, { "from": "human", "value": "No, that’s good, that’s-that's, yeah, that's- that is definitely what I’m gonna do." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I just, you know, I'm so out of the routine, not exercising, I need to get back into things." }, { "from": "gpt", "value": "Okay, you sound really mad about it to-to turn it around." }, { "from": "human", "value": "Yeah, but I mean, I guess, just talking about it makes me think oh yeah, I need to- I need to do something about it." }, { "from": "gpt", "value": "Okay, oh, that-that's excellent, okay." } ]

[ { "from": "gpt", "value": "Hi, come in. [door closes] Sit- sit yourself down. Uh, what can I do for you today?" }, { "from": "human", "value": "Well, I've got myself all worked up now I've been sat outside." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I'm not-- I'm now late. I'm sorry. Um, I've come to see you because I've got a really sore throat. It's been like this for a good few days, um, and I think I need some more antibiotics." }, { "from": "gpt", "value": "All right. Um, okay. Um, well let's, uh, let's just have a look shall we? See what's going on. You just wanna open your mouth for me. Say ah." }, { "from": "human", "value": "Ah." }, { "from": "gpt", "value": "Okay. Right. Uh, to be honest, you know, looking there, it just looks like one of those viruses that are going around at the moment that are causing these sore throats. So, uh, I think that we should just perhaps go for a bit of paracetamol and, uh, some fluids and let nature sort it out." }, { "from": "human", "value": "I've been sat here for half an hour. Do you not want to know a little bit more about it, or? I mean, it- it's really painful. I- I've barely been able to swallow today and I'm so worried about passing things on to the kids. Um—" }, { "from": "gpt", "value": "Well, I mean, I'm sorry we're a bit late, but you know that's the general practice, isn't it? You know, sometimes these things happen. Um, but it doesn't alter the fact that you do just have a virus, uh, and they are very common. And the nice thing is that it will get better with paracetamol and fluids, and the paracetamol will help the pain. Um, with giving it to the kids, I'm afraid there's nothing we can do about that. It's unlikely they'll get it, but I can't guarantee it." }, { "from": "human", "value": "[sighs] Well, I mean, this is gonna affect my job. I talk on the phone quite a lot at work, and I'm just-- I don't think at the moment I'm going to be able to go to work. Can- can I, at least, get a sick note?" }, { "from": "gpt", "value": "Uh, well- well, not really. Uh, you need to self-certify in your first seven days off sick so if you're going to take some time off, just take some paracetamol, lots of fluids, get a self-certified note, uh, in to your employer, and put sore throat there." }, { "from": "human", "value": "Well, I don't think my employer are gonna take that. I mean, they- they've given us so much hassle at things in the past. I mean, can- can I get a private note? Can- can I ask you to write me a letter, at least?" }, { "from": "gpt", "value": "Uh, well, obviously that's a non-NHS thing so we have to charge you for that and our going rate for that is, uh, £12." }, { "from": "human", "value": "Just- it's just not good enough. I just-- [sighs]" }, { "from": "gpt", "value": "Oh, I'm sorry. But, you know, if you have just got a sore throat, then there's not much I can do about that. It's just, you know, something that we all get from time to time. Perhaps, what you really need to do is, uh, you know, just take some paracetamol and get some fluids." }, { "from": "human", "value": "Parace- paracetamol. Do you understand how difficult this is gonna be for me? I mean, I could lose my job or something." }, { "from": "gpt", "value": "Okay, that's pretty unlikely with sore throat. I think that's so, you know, a little bit of grand staging there." }, { "from": "human", "value": "I'm sorry, uh, I think I'm gonna say something that I don't- I don't want to, so I'm actually going to go." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Thank you." }, { "from": "gpt", "value": "Bye." } ]

[ { "from": "gpt", "value": "Thanks for coming in. Tell me what's been happening since we last spoke." }, { "from": "human", "value": "Well, I, um, I did get an interview for a job. Um—" }, { "from": "gpt", "value": "Wow, that's so great." }, { "from": "human", "value": "Yeah, but I wasn't able to go, um, cause my kids, I didn't have any one to watch them. And, um, you know, so the- that was sort of game over. I just, I had to cancel the interview and this, it's too bad because it was a really, a- actually was a job that would have been good, but I don't know." }, { "from": "gpt", "value": "You sound disappointed." }, { "from": "human", "value": "Well, yeah, because it's- it's, you know, I didn't really have a choice. I guess I have to be- I have to make sure my kids are taken care of first. And, um, you know, I'm worried that this is gonna keep happening." }, { "from": "gpt", "value": "It's gonna keep happening that you have to turn down opportunities." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Mm-hmm, okay. Well, tell me, um, on a scale from one to 10, how important is it for you to get a job?" }, { "from": "human", "value": "Um, it sits about at a 10 because yeah, I mean, I'm the only one supporting my kids and, um, you know, it's just, what I'm getting from welfare is just not cutting it. So I really need to have a job and soon." }, { "from": "gpt", "value": "Yeah. You're-you're-you're it." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "You have to provide for your children." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Um, and tell me on a scale from one to 10, how confident are you that you could get a job?" }, { "from": "human", "value": "I mean, right now, I think I'm about at a three. I just seems like, you know, even if I'm able to get into the interview and get childcare, you know, when I show up, I've got this resume that it's- it's not impressive and it's got all these gaps of employment and I'm not as educated as other people going in for the same job. So I just feel like I'm not, um, I don't know, that employable." }, { "from": "gpt", "value": "So, it sounds like, you know, the childcare issue has been getting in the way, and so finding something that would work for you would be really helpful." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And then also it sounds like you're kinda feeling not so great about your resume and your experience." }, { "from": "human", "value": "Yeah. Yeah, because it's so limited and I've been out of the workforce and even when I was working, I mean, it's not, I don't know, it's not stuff that I feel like can lead to the job that I want now." }, { "from": "gpt", "value": "Okay. What is it that you- what is it that you want?" }, { "from": "human", "value": "I just want something that is- is gonna be steady and where I can be, you know, even if my kids are in childcare during the day, that I can be home every night and spending time with them and, um, know you really like to get something where, um, I'm just making good money and- and I don't have to worry all the time about money." }, { "from": "gpt", "value": "Yeah. Yeah. So, if you had- if you had consistent work, it would change your life in a lot of ways." }, { "from": "human", "value": "Yeah. It would be huge." }, { "from": "gpt", "value": "Mm-hmm. It would provide the income that you need and you wouldn't worry so much." }, { "from": "human", "value": "Yeah. And it'd be nice to just know what I'm doing and just have my routine." }, { "from": "gpt", "value": "Right. So every day you know where you're going." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. And you know, what's- what's happening for the- for the day, for the week." }, { "from": "human", "value": "Right. Well, it would be good if I knew, you know, that my kids are taken care of too-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "- so I'm not worried about them while I'm at work." }, { "from": "gpt", "value": "Right. Yeah. Because you're- you're the kind of parent that wants to make sure your kids are doing well." }, { "from": "human", "value": "Right." }, { "from": "gpt", "value": "Yeah. Um, so tell me, what would it take to get you to like a five in confidence, to feel a little bit more confident about getting work?" }, { "from": "human", "value": "Well, I mean, being able to make the interviews would be the priority." }, { "from": "gpt", "value": "Okay, Yeah." }, { "from": "human", "value": "Um, so chi- you know, taking care, having some childcare, having-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "- having someone I trust that I can call when I know I've got an interview." }, { "from": "gpt", "value": "Yeah. Because you definitely need to go to an interview in order to get the job." }, { "from": "human", "value": "Right. Yeah." }, { "from": "gpt", "value": "So having taken care of that part, having some reliable childcare would definitely help." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "What else would get you to a five?" }, { "from": "human", "value": "Um, I just wish that I had- I had more experience or, um, you know, more education. It seems like everyone's got a college education and I don't have that on my resume." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I get asked about education and training and –" }, { "from": "gpt", "value": "Mm-hmm, mm-hmm." }, { "from": "human", "value": "- um, you know, I just, it, as soon as I asked about it, I just feel just like I'm not good enough-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "- since I don't have that." }, { "from": "gpt", "value": "Yeah, so if you had something on your resume that was around education training, maybe a certificate of some kind of a field that you're interested in, that you would feel proud of yourself." }, { "from": "human", "value": "Yeah. Well, something I could talk about in the interview too. You know, even if I was some type of certification where I could say, I could, you know, with confidence talk about- about that." }, { "from": "gpt", "value": "Mm-hmm. Okay. What-- do you have any ideas as to what fields you might be interested in getting some more education, more training?" }, { "from": "human", "value": "I mean, I guess, I just don't really know what it's gonna be because I need to have a job now so I'm not really sure." }, { "from": "gpt", "value": "Like what's going to be fastest." }, { "from": "human", "value": "Right. I almost feel like that's more important than what I'm interested in, you know, because I'm like, I'm not going to go back to school for four years right now." }, { "from": "gpt", "value": "Okay, and so if- if you were, it sounds like if you were going to do something you'd wanna to do something really quickly like a short- a short certificate." }, { "from": "human", "value": "Yeah or something-- yeah, something that I could get immediate skills that would, you know, get me into some kind of a job now, even if it's not my long-term goal or, you know, career just- just get me into something and then I can always focus on." }, { "from": "gpt", "value": "Yeah, sort of like a short-term or transition into something else." }, { "from": "human", "value": "Yeah. Great. Exactly." }, { "from": "gpt", "value": "But that would be steady and pays well?" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Okay, and allow you to afford everything you need to afford." }, { "from": "human", "value": "Yeah, because even those jobs right now don't feel accessible for me. They seem like, you know-- seems like if-- maybe if I were better on the computer or you know." }, { "from": "gpt", "value": "Okay, so specifically getting some computer skills will help?" }, { "from": "human", "value": "Yeah. I think so- I think so because I don't-- I can't-- I don't really have anything on my resume that talks about—" }, { "from": "gpt", "value": "The technology." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Mm-hmm. Okay. So whatever and so far it sounds like getting a job is really important right now and you really need the money and you really need to take care of your children and it sounds like you have some ideas as to how you could get to these interviews for one, and then once you're there at the interview, feeling more confident about your skills, um, getting some child-- reliable child care certainly sounds very important." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Um, as well as maybe doing some sort of certificate or getting some classes and training in computers?" }, { "from": "human", "value": "Yeah, that would be great." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "That would be great." }, { "from": "gpt", "value": "So what would you like to do next, you think?" }, { "from": "human", "value": "Well, find the childcare resources-" }, { "from": "gpt", "value": "Okay, okay." }, { "from": "human", "value": "- is- seems to be- that seems to be the—" }, { "from": "gpt", "value": "That's a priority." }, { "from": "human", "value": "The priority 'cause I can't even do an interview without that." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "And then, um, I mean-- I guess getting into some type of- some type of a training program that's, you know, short-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "- like maybe there's a weekend, I mean—" } ]

[ { "from": "gpt", "value": "Well, I'm glad we figured that out and I think you'll feel better over the next few days." }, { "from": "human", "value": "Oh, thanks so much doctor. I'll just take it easy for a couple of days." }, { "from": "gpt", "value": "Well, since I have you here and we still have a few minutes left, I'd like to bring up another topic. I noticed that your blood pressure and your weight have been climbing a bit over the past few years. We haven't really had time to talk about this much before and I may be able to offer some useful strategies. Would it be okay if we discussed weight and health for a few minutes?" }, { "from": "human", "value": "Yeah, I suppose. I know my weight is a problem, but every time I try to take it off, I end up gaining it back. I don't know what to do." }, { "from": "gpt", "value": "I know how you feel. Managing weight can be frustrating. Maybe we can just start trying to figure it out together and I'll be here to help you through the challenges." }, { "from": "human", "value": "Okay, thank you doctor, but I'm just concerned about how I can possibly lose weight now since work is so busy and the kids take up so much of my time." }, { "from": "gpt", "value": "Yeah, that's certainly understandable. We both know that there's a lot that plays into weight management, but there's no need to figure it all out today, especially since things are so busy for you right now. Maybe we could put our heads together and think about something small that fits reasonably into your life and then we can take further steps when you're ready." }, { "from": "human", "value": "Okay, that sounds great. So, what should I do?" }, { "from": "gpt", "value": "Well, let's see. One of the things that's involved in managing weight and health is being active. Physical activity benefits the whole body. It's healthy for our joints, our stress levels, and especially for weight management. Perhaps we could talk about some ways of adding activity that fit into your life." }, { "from": "human", "value": "I knew you were gonna say that, but I don't have time in my schedule. I can't afford to take an hour to go to the gym every day." }, { "from": "gpt", "value": "Well, I understand that. I don't have an hour to go to the gym every day either, but one of the great things about physical activity is that any amount in any type of activity can be very helpful. For example, let's think about some activities that you enjoy doing." }, { "from": "human", "value": "I like to walk." }, { "from": "gpt", "value": "Me too. Walking is great exercise." }, { "from": "human", "value": "Wait a minute, isn't walking too mild to help you lose weight, though?" }, { "from": "gpt", "value": "Actually, even just a few minutes of walking is really healthy and worthwhile, and then when you have time to do even more, that's great. Walking is also great because you can do it anywhere, it doesn't need to be at the gym." }, { "from": "human", "value": "Oh, wow, that sounds good. You know what? Come to think of it, I have some time before I have to go back to work and I saw a nice park on the way over here, maybe I can take a short walk after this appointment." }, { "from": "gpt", "value": "That sounds great." }, { "from": "human", "value": "And you know what? I used to really love to dance, but I haven't done that in such a long time." }, { "from": "gpt", "value": "Well, dancing is a great exercise, especially because it's fun." }, { "from": "human", "value": "Hmm. And I know my family would support me if I could just find some place where I can go dancing." }, { "from": "gpt", "value": "Oh, that's great to hear that your family is so supportive. And I bet there's a dance class somewhere around where you live or maybe even a dance fitness class at the gym." }, { "from": "human", "value": "Yeah, and you know what? I really like to try that." }, { "from": "gpt", "value": "Would you like to do some research on this and give it a shot?" }, { "from": "human", "value": "Actually, I really would. I'm kind of excited about it. What else you got?" }, { "from": "gpt", "value": "Well, small steps can go a long way. So, even things like taking the stairs instead of the elevator every once in a while or parking just a bit further from the door when you go to a store can be ways to increase movement in your day." }, { "from": "human", "value": "Mm-hmm. I can do that." }, { "from": "gpt", "value": "How about we start there and let's plan to follow up in a few weeks so we can see how it's going and then maybe talk about some other strategies that might help." }, { "from": "human", "value": "Diet, the D word." }, { "from": "gpt", "value": "Not necessarily. What we eat is certainly important for weight and health, but just like we did today, we can talk about some small steps that can fit into your life, and especially ones that you feel good about." }, { "from": "human", "value": "Yeah, I like that. Okay, I'll make an appointment and I'll start dancing right away, doc." }, { "from": "gpt", "value": "That's great. I'll see you soon" } ]

[ { "from": "gpt", "value": "Uh, welcome. And, uh—" }, { "from": "human", "value": "Thank you." }, { "from": "gpt", "value": "I'd say my name is Mark and I work here at Green Prescriptions. And-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "I know a little bit about you from the referral letter from the doctor." }, { "from": "human", "value": "From my GP?" }, { "from": "gpt", "value": "From your GP, yeah." }, { "from": "human", "value": "Uh." }, { "from": "gpt", "value": "But before we get to anything, I'll probably want to just ask you a little bit about what's led you to come here today and get a bit of an idea about what's been going on for you." }, { "from": "human", "value": "What's led me to come here?" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "My GP." }, { "from": "gpt", "value": "And what did he have to say?" }, { "from": "human", "value": "Well, um, you know, I had my sort of, uh, checkup." }, { "from": "gpt", "value": "mm." }, { "from": "human", "value": "And it revealed that apparently, I might have diabetes 2. Well, that's what he says." }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "Um, I-I think that I feel perfectly well. I-I'm, you know-- I understand people with diabetes are a little bit plumper than I am." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "But, um, that's really why I'm here. I'm on his command, almost." }, { "from": "gpt", "value": "Right, so he kinda gave you a directive?" }, { "from": "human", "value": "Well, he did. He says he's going to put me on some sort of program if it gets worse." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "But as I say, I-I feel absolutely fine now." }, { "from": "gpt", "value": "So it kind of came a bit of a surprise, you feeling okay." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "You go for this checkup with the doctor. And he says, \"You've got Type II diabetes.\"" }, { "from": "human", "value": "Mm, I'm very surprised." }, { "from": "gpt", "value": "Mm. Came out of the blue for you?" }, { "from": "human", "value": "Yes. I think it did." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "And you said you kind of don't fit that kinda Type II diabetes look. That you kinda have had this idea-" }, { "from": "human", "value": "I-" }, { "from": "gpt", "value": "-you've been-been overweight with it." }, { "from": "human", "value": "That's what I understand." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "You know, and I'm not overweight." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "I-I sort of look after myself to a limited extent in that way. Um, but I'm a busy person, I suppose I burn off the calories. And-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "I don't know, really." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "My lifestyle—" }, { "from": "gpt", "value": "Hmm. So it doesn't quite fit in your head, Type II diabetes and-" }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "-your lifestyle?" }, { "from": "human", "value": "No, not at all." }, { "from": "gpt", "value": "Comes as a big surprise. And what was your reaction when he told you that at the time?" }, { "from": "human", "value": "Well, I-I thought he must be joking. To be honest. I thought-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-you know, why you are-- Look around you." }, { "from": "gpt", "value": "Mm, mm." }, { "from": "human", "value": "um, I just felt that, um-- I mean, I don't think he was wasting my time because why would he do that?" }, { "from": "gpt", "value": "Yeah, yeah." }, { "from": "human", "value": "Right?" }, { "from": "gpt", "value": "He's got a lot to do." }, { "from": "human", "value": "Um-- Absolutely right." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "He's got a job to do. And obviously, the tests have come through. And I have got these signs of diabetes 2." }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "Right? Um, I just think that-- Well, I just don't feel like it, Mark." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "Um—" }, { "from": "gpt", "value": "So how are you feel in your head-" }, { "from": "human", "value": "I feel absolutely fine." }, { "from": "gpt", "value": "-and what the tests say kind of like don't join up." }, { "from": "human", "value": "Yeah. Well, physically, I feel absolutely fine." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "I'm-I'm-- I didn't see anything wrong with me at all." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "I mean, I get around, I sleep pretty well-" }, { "from": "gpt", "value": "Hmm-hmm." }, { "from": "human", "value": "I sort of you know-" }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "- I'm-I'm compos mentis. So I don't—" }, { "from": "gpt", "value": "Yeah. What's the problem? Mm." }, { "from": "human", "value": "What is the problem?" }, { "from": "gpt", "value": "And how did this happen is probably kind of what you're also thinking. Well, how did this--?" }, { "from": "human", "value": "Well, uh, yes. I mean-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-I must admit, I haven't done too much research. I've been a bit busy." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Um, but he-he was saying something about, I don't know, family or whatever. I don't know." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "And I don't know if it's hereditary." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "I think he said something about it being hereditary." }, { "from": "gpt", "value": "So he mentioned, it might be a family thing. And so you-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-maybe got from your parents or something of the sort." }, { "from": "human", "value": "Yeah, it could be-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-because, um, my mother mentioned-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-that, uh, my father had diabetes-" }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "-diabetes 2. And if I think about it, um, his brother-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-uh, I haven't seen him for years." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "But he might well have it because he is-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-a pretty cuddly guy. You know-" }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "He's pretty big." }, { "from": "gpt", "value": "So he fits the picture-" }, { "from": "human", "value": "Well, yes, the stereotype,-" }, { "from": "gpt", "value": "-when you think about what he-he-- Yeah, he's stereotypical." }, { "from": "human", "value": "Yeah, I guess." }, { "from": "gpt", "value": "A little bit bigger, perhaps doesn't look after himself that well, and he fits that foot" }, { "from": "human", "value": "Well, yeah. I mean, as far as I know, I hadn't seen him for-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-I don't know how many years." }, { "from": "gpt", "value": "Mm. So you got this knowledge as a witness there's some family history of diabetes in the past?" }, { "from": "human", "value": "Apparently so. Yes, apparently so." }, { "from": "gpt", "value": "Doctor mentioned that as being a factor." }, { "from": "human", "value": "Mm, I mean, it is hereditary, is it?" }, { "from": "gpt", "value": "That's certainly true. Yes. We know that people who've had parents or have been in the past, there is a hereditary factor or genetic factor in-involved." }, { "from": "human", "value": "A genetic factor. And so, does that mean that if you've got, um, if you've got a history of this within your family-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-if it's a gene-- you are more likely than not to get it?" }, { "from": "gpt", "value": "Correct. Yeah." }, { "from": "human", "value": "Also, it's—" }, { "from": "gpt", "value": "But it's not inevitable." }, { "from": "human", "value": "Right. Okay." }, { "from": "gpt", "value": "Because its genes or the-the-the-the hereditary factor is not the only factor that causes it or is involved in it happening to you. So there's other factors that come into play." }, { "from": "human", "value": "I'm sure you're going to tell me what they are." }, { "from": "gpt", "value": "Well, you've-you've mentioned some of the things you know, and one of those is hereditary factors. You mentioned that the doctor mentioned that. And what else do you know or have you heard? You say you haven't had a lot of time to do the research. What else? Other things you've." }, { "from": "human", "value": "To be frank, Mark, I honestly don't know. I mean, I honestly don't know what causes it because I've never had any reason. It came upon me from the GP and it took me back." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Um, the hereditary thing I thought, well, maybe that's the explanation." }, { "from": "gpt", "value": "That makes a bit of sense." }, { "from": "human", "value": "And why go any further, it's there?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Can't help it." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "They live pretty long lives, they did, all right." }, { "from": "gpt", "value": "They managed with it." }, { "from": "human", "value": "Relatives relatively went into their 70s." }, { "from": "gpt", "value": "Okay. I don't know if it'd be helpful for you if you'd like to know a little bit more about some of the factors involved in time Type II diabetes." }, { "from": "human", "value": "Well." }, { "from": "gpt", "value": "If that would help." }, { "from": "human", "value": "If there's something that you think that-- Yes. Yes, of course." }, { "from": "gpt", "value": "Well, I'll perhaps share with you what I know from working with other people and some of the things I've experienced in working with people." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "And see what you make of it. See if it fits a little bit more with where you're at. We know that there is a strong family factor or hereditary factor, so that's one aspect. So also it tends to happen a little bit later in life, rather than something you might get when you're a teenager, this type of diabetes. So-so it's a later onset. It takes a bit of time for it to develop maybe. And the main reason I think, um, the main aspect of it is that it, have you heard about insulin." }, { "from": "human", "value": "I've heard of it yeah." }, { "from": "gpt", "value": "So that's a hormone or a chemical, it allows you to utilize sugar in your body." }, { "from": "human", "value": "Right." }, { "from": "gpt", "value": "All right. And Type II diabetes typically people have a resistance or a resistance to insulin in their cells, in their fat cells or their muscle cells or liver cells. They can't use insulin. And so sugar builds up in your system." }, { "from": "human", "value": "Are you saying that they-they like they can't digest insulin or is that?" }, { "from": "gpt", "value": "You need insulin in your cells, individual cells in muscle or in fat or wherever to, um, use up excess sugar or to utilize sugar." }, { "from": "human", "value": "Oh, I see. So-so it's like a-it's like a balance." }, { "from": "gpt", "value": "That's right." }, { "from": "human", "value": "So insulin you-you." }, { "from": "gpt", "value": "Kind of, as your." }, { "from": "human", "value": "You have yourself draws bar." }, { "from": "gpt", "value": "Yap." }, { "from": "human", "value": "Or something, and then what balances that out in the body is the insulin taking off the excess." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Or-or digesting? Should I say the excessive sugars?" }, { "from": "gpt", "value": "That's a good way to think." }, { "from": "human", "value": "Is that what happened?" }, { "from": "gpt", "value": "Exactly. And what's happening in Type II diabetes is your-your fat cells and liver cells and muscle cells are resistant to insulin. It's almost like they're saying we can't use that." }, { "from": "human", "value": "Why?" }, { "from": "gpt", "value": "And if-- Well, there's a number of-- We're not entirely sure, there's a lot of research still going on as to how this happens and how that could be modified. But what we do know is that, um, one of the key things in managing it is to try and modify or modulate, control the amount of sugar that are in your system." }, { "from": "human", "value": "Right. Okay." }, { "from": "gpt", "value": "Yeah. So there's a couple of things that we know that people with Type II diabetes have to look after and have to think about if they want to control the amount of sugar that's in their system, which is the main issue that's causing some of the health problems that people have with Type II diabetes. Too much sugar, and if it's not able to be utilized in the blood cell, in the fat cells, or liver cells, and the muscle cells stays in your bloodstream. And that can cause problems with your circulation. So too high blood sugar and too low a blood sugar can be a problem. So sugar is the main concern in Type II- Type II diabetes.And you mentioned earlier on, a couple of things that the doctor-- You've mentioned some signs that he was kind of a little bit concerned about. Well, what things did you notice over the-over the last month or so?" }, { "from": "human", "value": "You mean, personally?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Well, I didn't know. I mean, the thing is you see that-- I mean, I did think about this a little bit and I thought, well, over time, if things happen slowly, you don't really notice." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "As you get older." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "I mean, I don't-I don't leap over five bar gates like I used to, you know, um, as opposed to, uh, running with the backs now, I tend to spend more time, you know, with my old mates in the bar." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "At the rugby club and-and-and the such like, yeah. And, um, the fish I'm hooking, I'm not after the kings anymore, I go for the snapper now, it's a bit easier, you know." }, { "from": "gpt", "value": "A slightly more sedate lifestyle." }, { "from": "human", "value": "Yeah, absolutely. You just do." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "You just do. Um, so you're less demanding, I guess, on your-on your body, you realize, and you don't really want to do these things anyway. You know, you let the youngsters get home." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Been there, done that. So you don't really notice. So I'm coming back to this diagnosis I had from my GP and him saying, \"You've got diabetes 2,\" well, I should feel like that, shouldn't I?" }, { "from": "gpt", "value": "Yeah. It should feel like there's something really wrong with you." }, { "from": "human", "value": "Yeah, I mean." }, { "from": "gpt", "value": "What's-how have you been feeling over the last month? So, you say you're very busy you're doing a lot of work." }, { "from": "human", "value": "Yeah, I mean I'm a busy person. All right? I uh, my work uh, I work in insurance, so I'm always hopping from one place to another place." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Um, I haven't noticed." }, { "from": "gpt", "value": "Mh-hmm." }, { "from": "human", "value": "I really haven't noticed how, um, okay I get a bit--I suppose I get a bit out of breath sometimes." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "If I rush too much that-that's true. Um, I suppose, um, I don't go upstairs two at a time anymore, I use one at a time." }, { "from": "gpt", "value": "So a little bit sort of energy is not quite there sometimes? The vitality." }, { "from": "human", "value": "Oh, certainly the energy I have is-is not what I-what I had. I mean I do need to, you know, I'm busy but I do need to sit down, um, uh, I do need to sit down and relax with a cup of coffee, you know, and, uh, things." }, { "from": "gpt", "value": "Yeah, Mh-hmm." }, { "from": "human", "value": "Um, more than I would normally." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "But that would be, that would be about it." }, { "from": "gpt", "value": "Mh-hmm." }, { "from": "human", "value": "Um, is it getting worse? I don't know. I-I-I suppose. What worse? Is it-is it increasing? Well, to say, I don't really notice it." }, { "from": "gpt", "value": "You haven't noticed it. So it's a progressive, you know, you've just seen this, as-as you got older, things have slowed down. You know those activities you used to do, but that's kind of like what happens." }, { "from": "human", "value": "Yeah, yeah. Um, at least, that's what I think. I mean I don't know if you're telling me that I should be more active or my GP is saying I should be more active." }, { "from": "gpt", "value": "Mh-hmm." }, { "from": "human", "value": "Um, as I say, uh, you know I-I don't do any regular form of exercise, I have to say, not anymore." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Um." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "But maybe I-maybe I don't know." }, { "from": "gpt", "value": "Hmm, a bit of a mystery there." }, { "from": "human", "value": "I mean I've got uh, well I-I mean I've got a great lifestyle. I mean if it's very-it-it's very good. I mean I've got all my mates in down at the rugby club. And I've got uh, you know even in the summer when that's a bit damn. I used to coach rugby and I coached cricket when I finished playing. So-so I've got the-the guys in the cricket club, um, you know, for the-for the, uh, for the summer evenings. And, uh, and then, uh, the-then, of course, we've got the fishing, and that's all of us combined. We're a big gang, really." }, { "from": "gpt", "value": "Really? So what I'm hearing is there's actually a lot of aspects in your life which are really good." }, { "from": "human", "value": "Oh, I think my life yeah. My life is great." }, { "from": "gpt", "value": "From your perspective, things are going well?" }, { "from": "human", "value": "My life is great, and then you turn around and say, \"Hey you've got-- you-you're ill, you're sick." }, { "from": "gpt", "value": "Yeah. It doesn't fit." }, { "from": "human", "value": "And um, no I'm not. But you see, he said to me that he's gonna put me on some sort of, uh, a daily monitoring of, is it sugar levels?" }, { "from": "gpt", "value": "Mh-hmm." }, { "from": "human", "value": "And I'm gonna have to take regular pills." }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "Well frankly, the only pills I take are sort of paracetamols." }, { "from": "gpt", "value": "Yeah. When you get uh, a headache." }, { "from": "human", "value": "For a bit of the head in the morning, you know." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Um." }, { "from": "gpt", "value": "So the idea of having to test-test your blood sugar and take medications is kinda like off--" }, { "from": "human", "value": "Come on, you know." }, { "from": "gpt", "value": "And you know that's a bit too-" }, { "from": "human", "value": "Well, life is too short." }, { "from": "gpt", "value": "Too much." }, { "from": "human", "value": "You know it's the truth." }, { "from": "gpt", "value": "Yeah. Okay." }, { "from": "human", "value": "I mean you know—" }, { "from": "gpt", "value": "And you're here today and that's probably something in you you've thought well I'll follow this through, you know I'll-I'll come along and see what-see what they've got to say. And I'm just wondering for this session, for the time we have today, there's a number of things we could talk about. You mentioned a couple of things about your lifestyle and, um, medication is one thing you've been told by the doctor you might need to do that. And a number of things that we could talk about today. Which-which area would you think would be useful for you to focus on?" }, { "from": "human", "value": "Well there is-there is something that you sort of prompted me to think about, and, um, I split up-- My wife and I, we split up several years ago now. And, um, you know we've been married for many many years." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "And um, I think she used to look after me because she used to do the cooking and-and-and stuff like that." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And I have to say that I'm not the best cook in the world." }, { "from": "gpt", "value": "Mh-hmm." }, { "from": "human", "value": "Um, and-and being on the run all the time and you know once I get back home, it's, you know, it's time to go down to the rugby club or whatever it might be, uh, we're out with the mates. And, uh, I-I do I suppose my food is not as healthy perhaps as it used to be when she was around. She's moved down to Hamilton to live with her mother, if you've met her mother. Anyway, but, um." }, { "from": "gpt", "value": "So then, since you've been on your own since you've separated, divorced and you've noticed that the things you eat and how you eat has changed." }, { "from": "human", "value": "Yeah, I mean mates and their wives are pretty cool about it sometimes." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "Because, you know, they'll invite me for dinner and so on." }, { "from": "gpt", "value": "Yeah, yeah." }, { "from": "human", "value": "And, yeah, yeah, yeah. I guess, you know, that's when you, well, or whatever reason, you split up in life." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "You start looking at the home life of somebody else, you're thinking, \"Hmm, I use d to have this.\"" }, { "from": "gpt", "value": "Hmm. Yeah, yeah." }, { "from": "human", "value": "And you think, \" This is nice food, \" isn't it? and you know." }, { "from": "gpt", "value": "Yeah. And your-- part of your wife used to do a lot of that for you?" }, { "from": "human", "value": "Oh, she would do all the cooking. Yeah, yeah," }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "I mean, I never bothered to boil an egg in the water, you know." }, { "from": "gpt", "value": "And so she would kinda look after what you ate and healthy things that you had, spread in front of you and off you go." }, { "from": "human", "value": "Totally. I mean, I was just in charge of the wine, you know." }, { "from": "gpt", "value": "Mm-hmm. And now you have to think about what you might eat and sometimes you don't eat the best." }, { "from": "human", "value": "Well I-- This is what I'm saying. Maybe I'm not thinking about it. Maybe that's the thing." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Maybe I'm just—" }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "You know, because it-- you know this-- the pizza shop's just on the road." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "And then there's-- I mean, okay, I confess that lunchtime, occasionally, it's uh, I'm hungry and McDonald's is very convenient" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-or Kentucky Fried or whatever." }, { "from": "gpt", "value": "Very appealing, isn't it?" }, { "from": "human", "value": "You know, it's very easy. and then, um, then you think to yourself, well-- I mean, I do think of myself that maybe I should have a few vegetables around here or whatever. But then you go out into the supermarkets, you know, and you can pick up, uh, your- one of your TV dinners." }, { "from": "gpt", "value": "Mm-hmm, Mm-hmm." }, { "from": "human", "value": "So you bring those in and you open them up and put them in the microwave and there's vegetables there." }, { "from": "gpt", "value": "Yeah they look pretty good on the plate, don't they?" }, { "from": "human", "value": "Yeah, it looks- it looks fine, you know, et cetera. I mean, so that will happen occasionally if I've got a night in. But cooking-wise, no, I haven't cooked anything, um, other than boil the water for the kettle for a cup o coffee." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-for ages." }, { "from": "gpt", "value": "They're food choices in what you eat and what's in your diet it's not what-something you actually you've actually been aware of or had to think about in the past." }, { "from": "human", "value": "Yeah. I do miss her breakfast. I have to say, we used to have get a nice breakfast." }, { "from": "gpt", "value": "So one thing that you noticed is diet and the eating patterns and-" }, { "from": "human", "value": "Well—" }, { "from": "gpt", "value": "-when you eat. That's one aspect. What other aspects do you think you've-- you would be--?" }, { "from": "human", "value": "Well, I used to be quite a heavy smoker, right? I mean, I'd smoke a pack in a half a day. And I knew that wasn't doing me any good." }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "I mean the thing is when you're a-- I mean, I've always smoked. So, but when you're young and you're a sportsman, you know—" }, { "from": "gpt", "value": "You kinda juggle those two things and kinda--" }, { "from": "human", "value": "Well, the two things they balance out, you know and everybody else is" }, { "from": "gpt", "value": "You still run and have a cigarette?" }, { "from": "human", "value": "You know, you pass a cigarette down the backline almost, don't you? You know, just before the game gets—" }, { "from": "gpt", "value": "Hmm. Hmm. Yeah, part of the culture." }, { "from": "human", "value": "Yeah, part of the of the whole thing. And it's changed a bit now, because in my day when we were playing, of course, it was a very much more of a social game, which was spent-spent in the rugby club." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "That's why you played and it was a big buddy-buddy thing." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "That was rugby and cricket was the same really." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "Um, but now—" }, { "from": "gpt", "value": "But over the years, you've actually reduced your smoking or you've stopped altogether or at times?" }, { "from": "human", "value": "Well I-I, yeah. I was getting a bit sort of-- I was getting a bit, you know, a bit wheezy and I thought, \"I'll cut this out.\"" }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "But I enjoy smoking. I really do enjoy it. So I cut it down to I suppose it's about 10 a day now." }, { "from": "gpt", "value": "Okay, so you meant to reduce." }, { "from": "human", "value": "Yeah, yeah." }, { "from": "gpt", "value": "You were noticing that it's having an impact on your breathing and health wasn't so good." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "When you related that to your smoking, so you managed to reduce your smoking." }, { "from": "human", "value": "Yeah, yeah. I sort of—" }, { "from": "gpt", "value": "So you've made our decision to do that?" }, { "from": "human", "value": "it-it-it's-- you know, she will, \"Why don't you give up? You've gone so far, why don't you just stop?\" But I don't want to." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "It's-it's-- I-I enjoy it, um—" }, { "from": "gpt", "value": "Yeah, and it's hard to get to stop something you enjoy, isn't it?" }, { "from": "human", "value": "Well, yeah. I mean, you know, the thing is that you get to, you know, you've got to-- when you get down to that, you, uh, you have to regulate sort of-" }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "You know, you have to be quite strong-willed about, I suppose, in a way." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "So you say, \"Okay, well, you don't have a cigarette unless you have a cup of coffee. [laughs]" }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "Of course, that's a double-edged sword a bit, because then I found I was drinking more coffee, you know." }, { "from": "gpt", "value": "But they go together so well. And sugar in the coffee?" }, { "from": "human", "value": "Oh, yeah, yeah. I have two sugars. A couple of sugar in coffee. Yeah, yeah." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "So we cut that down as I say." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "But the problem goes that coffee, we're up to 8 or so, 10 cups of coffee a day now." }, { "from": "gpt", "value": "You're drinking more coffee. So what I've heard you say so far is, if I can just start right back from the beginning and you used to come in and sais, \"I went to the doctor.\" You went for-- it sounds like you went for just a checkup." }, { "from": "human", "value": "No, you know, there's a friend of mine, one of the guys down the rugby club, he said- he said, \"I'm going for my annual, you know-" }, { "from": "gpt", "value": "MIT." }, { "from": "human", "value": "-warranty of fitness, sort of thing, you know. And I thought, now that's an idea, not been to one of those." }, { "from": "gpt", "value": "Got to check out, why not?" }, { "from": "human", "value": "So I'm 55, and you read in the papers, you know, it's that at 55 you will-- you know, heart disease is more prevalent" }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "-and all these sorts of things that you get around this middle-age time. So I thought, \"Well, I'll go and have one.\" And frankly, when I went along, I was very confident. I thought, you know, the doctor is going to saying, \"Hmm, I wish I was as healthy as you,\" sort of thing." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Um, but unfortunately, uh, he-he came up with this. And it's the only thing I think he really came up with. I think-" }, { "from": "gpt", "value": "So everything else looked pretty good?" }, { "from": "human", "value": "My cholesterol is quite good, not too bad." }, { "from": "gpt", "value": "Cholesterol good, your weight is good." }, { "from": "human", "value": "Yeah-yeah. Not too bad." }, { "from": "gpt", "value": "Um, you are smoking, but you've managed to reduce that." }, { "from": "human", "value": "Well, yeah, I've cut it down, yeah. I mean, that's been three years, mind." }, { "from": "gpt", "value": "And anything else, you know, you go ticking down the list. The tire is good, oil good." }, { "from": "human", "value": "Absolutely." }, { "from": "gpt", "value": "So we're looking good." }, { "from": "human", "value": "And then we come to this-" }, { "from": "gpt", "value": "And ah, hang on." }, { "from": "human", "value": "-too much sugar in the tank, or something. I don't know." }, { "from": "gpt", "value": "Yeah, there's something wrong with the, uh, with this bit." }, { "from": "human", "value": "So, yeah." }, { "from": "gpt", "value": "And it doesn't quite fit with how you see your own lifestyle." }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "Because you've-- it sounds like what you've been doing, you've made some conscious effort to be aware of some of those things you might think are important." }, { "from": "human", "value": "I mean, yeah. I mean, you know, the thing is, you see, the thing is, and I mean, and probably you've-- I think you've heard this before, but people, they turn around, oh, uh, you know, doom and gloom prophets, you shouldn't drink." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "You shouldn't smoke." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "And then I think to myself, \"Well, maybe I shouldn't socialize.\" And then after that, \"Well, maybe I shouldn't be alive.\"" }, { "from": "gpt", "value": "So like a domino effect, and they'll all be just sitting-" }, { "from": "human", "value": "You know. I mean, what-what-what's going on here? This is- this is- this is so many people's lives." }, { "from": "gpt", "value": "Mm-hm." }, { "from": "human", "value": "And um, I suppose, you know, if it came down to it, then, and somebody said, \"Well, you can solve this problem by taking a pill once a day, um, you know, it will keep it down, and there will be no problems,\" Then I-I could go with that. But what I don't want to do, um, the doctor was saying, or insinuating, that I'd have to change my lifestyle." }, { "from": "gpt", "value": "A bit broad kind of like you've gotta change everything." }, { "from": "human", "value": "Yeah. It was um, and I-I said, well, no. I'm sorry. [coughs] I'm not going to change my lifestyle. I've got to where I am. I'm reasonably happy. Okay, I wish I wasn't separated. Okay, I wish my kids were-were still around, um, you know. One of them is off now in, um, in-- back in Europe playing rugby in France." }, { "from": "gpt", "value": "Yeah. And your thought was, yeah, right, I hear that, but actually, I don't want to make all these big changes in my life." }, { "from": "human", "value": "No, I don't want to, because I don't feel that I need to." }, { "from": "gpt", "value": "Feel like you need to. Yeah." }, { "from": "human", "value": "I mean, it's you know, why?" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "Um, I can't argue with a medical professional, Mark, because I know nothing, you know." }, { "from": "gpt", "value": "The test, is the test, and experience, yeah." }, { "from": "human", "value": "So, I mean, what-what-what-what suggestions would you have? I mean, what-what sort of-" }, { "from": "gpt", "value": "I don't know. I think it's up to you where we start, and that's the question I've got in my mind. You've mentioned a couple of things that you've already made some effort, or been conscious of. You've mentioned the diet, you've mentioned your smoking, those are two quite important aspects that we often talk about here in how people work." }, { "from": "human", "value": "Is smoking related to diabetes then?" }, { "from": "gpt", "value": "It can have an impact, yes. So smoking, um, affects your blood system, so it hardens the arteries, um, and over time, it can have a significant impact on the healing of wounds. So people with Type II diabetes, often, if they get a cut, or a bruise, or something, it takes a long time to heal. Smoking reduces the amount of oxygen in your system, so that can further, you know, limit the time it takes your body to heal." }, { "from": "human", "value": "Oh." }, { "from": "gpt", "value": "So we know that smoking and Type II diabetes together-" }, { "from": "human", "value": "Don't help." }, { "from": "gpt", "value": "-isn't a good combination." }, { "from": "human", "value": "Is it okay if you have one without the other? I'm sorry, it's a silly question. [laughs]" }, { "from": "gpt", "value": "Well, the question is, I suppose, that I have for you is, where would you think, for you, would be a good place to start? If you were gonna make any changes, even small changes at the beginning, rather than just thinking, oh, I got to change everything, which it sounds like you're not prepared to, you know, do a whole lifestyle change, and I don't think that's what we're talking about here. Where would you feel most comfortable to start if you were gonna make any changes at all?" }, { "from": "human", "value": "Where would I start? Well, I-- What if about if I cut down on sugar in the coffee? If we could have long blacks, no milk, and no sugar." }, { "from": "gpt", "value": "Yeah. Hmm, that might be a start." }, { "from": "human", "value": "I think I could- I think I could probably handle that." }, { "from": "gpt", "value": "Hm. What we also find is that people make these little changes, small changes, and that starts to kind of well, it makes them-" }, { "from": "human", "value": "Something of a rollover effect." }, { "from": "gpt", "value": "-rollover, the domino effect starts to happen, and they start looking at other aspects." }, { "from": "human", "value": "Domino effect, yeah." }, { "from": "gpt", "value": "So rather than thinking, \"oh, my God, I have to change all these things. I've gotta stop smoking, I've gotta exercise more, I've gotta, you know, start eating more fruit and vegetables,\" you might start with these small changes, and then-" }, { "from": "human", "value": "I mean, how much exercise should I do a week?" }, { "from": "gpt", "value": "Um, I-I'm reluctant to give a prescription for that because I think it's really up to you. And I think it depends on how things go, as to how much you need to do." }, { "from": "human", "value": "Right." }, { "from": "gpt", "value": "You mentioned earlier on, the doctors talking about you monitoring your blood sugar." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So on how-- It depends on how-how that goes. Let's say, if you started doing that and you do some more exercise, you start to have longer blacks, rather than short blacks with lots of sugar. And you get down the sugar and you find your blood sugar starts to come down, then we're heading in the right direction." }, { "from": "human", "value": "Okay, so—" }, { "from": "gpt", "value": "So it's really, I suppose, up to how things go for you, and you get that feedback. And if that's going in the right direction, you carry on doing and do some more of that." }, { "from": "human", "value": "So, a-are we saying then that-that, really all I need to do, for this moment, is I can forget about everything, but cut out the sugar, uh, in the coffee and the milk-- I don't know, but you might as well, you know, milk without sugar is silly. But, um, if we do that, is that where we start?" }, { "from": "gpt", "value": "I think where we start is where you feel comfortable starting." }, { "from": "human", "value": "Well, I mean that's something that's not difficult to do." }, { "from": "gpt", "value": "Apples for breakfast." }, { "from": "human", "value": "You start off at breakfast and get yourself an apple, a bit-a bit of apple and-and so on. Um—" }, { "from": "gpt", "value": "So what I'm hearing you're kind of saying is, that there's-- You're now starting to think of some very useful little starting points." }, { "from": "human", "value": "Maybe." }, { "from": "gpt", "value": "Not huge changes, but some little things you could do." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And it's kind of dawning on you there may be some possibilities here for making some changes. Let me ask you this. Um, let's say you put some of these things in place and you start to make some of these small changes." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Um, where do you see that taking you in the next set of three, four, five years? You know, where do you want to be in three to four years' time? What would be your ideal picture?" }, { "from": "human", "value": "Well, you know, and this is difficult because I don't feel unhealthy now." }, { "from": "gpt", "value": "No." }, { "from": "human", "value": "So, I suppose it would be fun to-- Maybe I should join a club or two, that's what I'm thinking because I'll be with mates." }, { "from": "gpt", "value": "Yeah? You like the social aspect?" }, { "from": "human", "value": "I love the social aspect of it, and, um, there's-there's-- I know there's a bar in this club as well. I-- Don't-don't misunderstand me, I don't drink-" }, { "from": "gpt", "value": "No, no, I get that. I get that." }, { "from": "human", "value": "-till-- You know, I'm not an alcoholic or anything like that, I—" }, { "from": "gpt", "value": "So part of that whole keeping fit and exercise stuff is actually the social side of it, isn't it?" }, { "from": "human", "value": "So yeah, so to get that balance, and maybe that's what I'm actually missing in life, and maybe this is, um-- I mean yes I do get up in the morning sometimes, and I suppose I do feel a bit—" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "You know? Even after a decent night's sleep, you know?" }, { "from": "gpt", "value": "Haven't quite that-" }, { "from": "human", "value": "And you need-- I'm getting this cup of coffee and maybe I'm—" }, { "from": "gpt", "value": "And the coffee helps a little bit because it perks you up?" }, { "from": "human", "value": "And that gets me going. Yeah." }, { "from": "gpt", "value": "And the sugar in it helps too." }, { "from": "human", "value": "Yeah, the sugar gives me the boost, I suppose. I-it's fantastic." }, { "from": "gpt", "value": "So what I'm hearing is that your life, your work, your routines are-- Sometimes you're driving or you've got to keep awake, get up in the morning sometimes and you haven't quite got that buzz or the energy. You need a shot, and then throughout the day you might need just more shots to keep that energy up." }, { "from": "human", "value": "Hmm. If I give up sugar in my coffee, give up the milk, black coffees, right?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "if I find some social form of exercise, like squash." }, { "from": "gpt", "value": "And an activity which has got a starting to finish and it's something you do for a slot." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And then there's maybe some social aspects to it as well." }, { "from": "human", "value": "Yeah, and then—" }, { "from": "gpt", "value": "You can see some benefits and some enjoyment that." }, { "from": "human", "value": "And then, you know, give this, say, six months, I don't know what period it would be, then go back to the GP and say, \"Test me again.\"" }, { "from": "gpt", "value": "That sounds like a great plan." }, { "from": "human", "value": "And so maybe that would, uh—" }, { "from": "gpt", "value": "Yeah, sounds like a good idea." }, { "from": "human", "value": "Maybe it's an idea. I mean—" }, { "from": "gpt", "value": "I think anything you do, it has to be something you've decided. You know, just start where you want to start. You've mentioned some really good ideas about possibly getting a little bit more exercise into your life, doing something like squash or something of that nature. You've mentioned some really good ideas about reducing the amount of sugar you-you-you're-you're intaking during the day, and coffee is a good place to start. Having an apple for breakfast, I think you mentioned that, a bit of fruit." }, { "from": "human", "value": "Yeah, like my wife used to. Yeah." }, { "from": "gpt", "value": "Those are some really good ideas and good starting points. So thinking about it like that, what-- Where are you now? What's your-- What-what-- Where-where is your thinking now?" }, { "from": "human", "value": "Well, you see, I mean, I'm thinking, \"Actually it might not be a bad idea this,\" because [chuckles] it would mean I could socialize harder, couldn't I? No, no I'm just joking. Uh, but, um, yeah, I mean, why not? Why not? Why not? It might be fun, it's a new path." }, { "from": "gpt", "value": "What's to lose? What's to gain?" }, { "from": "human", "value": "Well, it would appear that there is something to gain, and-- I mean, I-- What do I lose? I don't know until I do it. But I'm thinking that if I do it and I do what I'm enjoying doing, I won't miss what I'm not doing. Does that make sense?" }, { "from": "gpt", "value": "It does make sense, yeah." }, { "from": "human", "value": "Um, yeah I don't mind. I-- It's not a—" }, { "from": "gpt", "value": "So when you look at it, there's probably more to gain from making these changes than there is to lose." }, { "from": "human", "value": "I'll talk to Billy about, um-- Billy is, um, he's the gym bloke." }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "I'll have a word with him because I'm due down the club tonight." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Really." }, { "from": "gpt", "value": "So you've got to work these things on your mind. You know, the-- And workout where's the place to start." }, { "from": "human", "value": "Yeah, I think that you say where-where you're at now, where you're going, where—" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-and-and-and this is what I've got to do. I think I'm in a rut. I think that's where I've—" }, { "from": "gpt", "value": "You've been stuck?" }, { "from": "human", "value": "I'm-I'm just-- I'm-I'm satisfiedly sort of contented, uh, sitting in this- in this rut and, um, that my doctor has actually di-diagnosed me with diabetes 2-" }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "-which he says can be managed, and you seem to be insinuating that it can be managed." }, { "from": "gpt", "value": "Indeed, yeah." }, { "from": "human", "value": "Uh, maybe this is a blessing, actually-" }, { "from": "gpt", "value": "So rather than--" }, { "from": "human", "value": "-because I think to myself, \"Well, if someday, I am diagnosed with diabetes, I'd just carry on and-\"" }, { "from": "gpt", "value": "Carrying on." }, { "from": "human", "value": "\"-sitting in the corner of the bar, and chat, and talk and probably get fat.\" I don't know, and make it worse. And, yeah, maybe, maybe, maybe, maybe." }, { "from": "gpt", "value": "So it's been a bit of a-a bit of a shock, but now you kinda reflect on it." }, { "from": "human", "value": "Yeah, that's cool." }, { "from": "gpt", "value": "Maybe this is the-" }, { "from": "human", "value": "That's really cool." }, { "from": "gpt", "value": "-bit of a shake that I needed, you know, just sort of remind me. I might feel okay. I might-- From my perspective, your perspective, you're thinking, \"Well, what's the problem? Everything's fine.\"" }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "But now you seem to be thinking looking and thinking, \"Maybe things weren't, or aren't, as good as I thought they were.\"" }, { "from": "human", "value": "Yeah, I mean, I think you're quite right. I think you just—" }, { "from": "gpt", "value": "Things could be better?" }, { "from": "human", "value": "I don't know, you become sedentary, don't you? No, it seems that-- No, actually, this is quite exciting. It quite [unintelligible 00:31:28]" }, { "from": "gpt", "value": "Yeah, I sense that. I sense that in you that you're--" }, { "from": "human", "value": "I think to myself, I think, \"Oh,\" I think go—" }, { "from": "gpt", "value": "Quite invigorated with the idea of--" }, { "from": "human", "value": "Yeah. I mean, this is- this is- this is cool, it's like an old challenge again." }, { "from": "gpt", "value": "Making some of these changes. Yeah." }, { "from": "human", "value": "This is good. And, um—" }, { "from": "gpt", "value": "You're up for the challenge?" }, { "from": "human", "value": "I think I am. I mean, I never thought about it, but when I think about it now it's, \"What am I doing here?\" Why am I like this? Why am I just happy contented to drift?" }, { "from": "gpt", "value": "So think about when you were-- This-this is an interesting question to see what you think. You were- you were a coach. You-- Maybe you'll be a coach again." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "What would you say if you were talking to yourself, if you like, you know, if you were the coach saying, \"Right--\"" }, { "from": "human", "value": "Oh, so if I was obs- if I was sort of-" }, { "from": "gpt", "value": "Yeah, what-what would you be saying?" }, { "from": "human", "value": "-observing as it were?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Watching myself, what would I say? I-I-- Well, I would say, you know, are you happy?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "That-- Are you contented with that performance of you and your team?" }, { "from": "gpt", "value": "And, I suppose, our own personalized a little bit like that, there's lots of different aspects that need to be tweaked." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Modified and looked at, to get the best out of ourselves, to get the best out of the opportunities we have." }, { "from": "human", "value": "I think you're- I think you're right. I think, um-- And again, you put them together and it's-it's-it's becoming-- It's-it's a sort of a-an individual team job, isn't it really?" }, { "from": "gpt", "value": "Yeah, yeah." }, { "from": "human", "value": "That, okay, do a bit of this and do a bit of that." }, { "from": "gpt", "value": "Some good things I'm- some things I'm good at and there are some other aspects we think, \"Well--\"" }, { "from": "human", "value": "Yeah, but I don't have to give up anything really, do I?" }, { "from": "gpt", "value": "It's not about giving up your personality or-" }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "-changing who you are fundamentally." }, { "from": "human", "value": "No it's not. It's not." }, { "from": "gpt", "value": "It's just tweaking things. Just fine-tuning a few areas and being a bit more aw-aware of one aspect of your life a bit more, like the food choices or whatever. Well, Mike, I-I've really enjoyed listening to your perspective, and your story a little bit, and it's helped me a lot to get an idea about where you're coming from, and a little bit about who you are, and what's happened in your past. And-and we've also talked a bit about what's going to happen next. And you've come up with some great ideas. What I hear you saying is that, you know, before all this, before you met the GP, things are going fine.Well, as you would of-- As, you know, as you'd seen it, you were just doing your thing, and getting on working, and being busy, and being successful, and then suddenly this diagnosis, this doctor tells you that you've got a problem." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "It comes along to me and talk today a bit about how you felt about that. Initially, it can be quite a bit of a-bit of a shock. It didn't quite fit with how you saw things." }, { "from": "human", "value": "True, true." }, { "from": "gpt", "value": "And as we've been talking, I'm hearing you're saying that maybe if you look back to where you were before you went to the doctor, things weren't quite that right, maybe. Things weren't as good as you thought they were." }, { "from": "human", "value": "Now that I think about it- now that I think about it, maybe." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Maybe they were." }, { "from": "gpt", "value": "And what I also hear you saying, it's possibly the-- It's now possibly more possible, in your mind, that you could make some of these changes, rather than bring broad-brush, you know, huge changes to your lifestyles. It's not about changing who you are, it's not changing huge facets of your life, but maybe small steps that need to be taken." }, { "from": "human", "value": "Yeah, you see—" }, { "from": "gpt", "value": "What you're kind of thinking about what those might." }, { "from": "human", "value": "Mm. When your life comes to a halt-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-your family splits up, or whatever, and you don't have anymore, I-I think you stop caring really. Uh, y-you know, you stop caring about yourself" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Because everything is just f-" }, { "from": "gpt", "value": "Nobody there too." }, { "from": "human", "value": "Nobody there, [crosstalk] it's true and so,-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-you know,-" }, { "from": "gpt", "value": "Mhm." }, { "from": "human", "value": "-you don't care." }, { "from": "gpt", "value": "So now it's time-" }, { "from": "human", "value": "So that's maybe [crosstalk]" }, { "from": "gpt", "value": "-to think about looking after yourself a bit more." }, { "from": "human", "value": "Maybe, a bit selfish but maybe why not?" }, { "from": "gpt", "value": "Why not?" }, { "from": "human", "value": "Why not? Yeah, that's a good idea." }, { "from": "gpt", "value": "Yeah. So, we've run out of time but I also want to ask you a final question, where to from here, what's next?" }, { "from": "human", "value": "Oh right, well, wha-what we talked about. Now, you know, uh, okay, uh, coffee. Right? No sugar." }, { "from": "gpt", "value": "You'll start with that?" }, { "from": "human", "value": "I'll start with that." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Um, I'm gonna, um, I'll be talking to Bill, uh-" }, { "from": "gpt", "value": "The gym." }, { "from": "human", "value": "-about the gym but-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-I like the idea of, actually again doing squash-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-or something else-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-and I'm gonna go down to the rugby club and I'll- I know that will be accepted. I'll offer my services again because-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-it was reasonably successful." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "And, uh—" }, { "from": "gpt", "value": "And you also mentioned you'll perhaps go and- back and see the doctor and just give him a bit of an update as to-" }, { "from": "human", "value": "No, [crosstalk] oh, well, okay, yeah I didn't- yeah, I'll go back and say-- Well, look, I'd-I'd rather not go back to the doctor and say, \"I'm gonna do this, this, this-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-this and this." }, { "from": "gpt", "value": "Mhm." }, { "from": "human", "value": "This is between you and me." }, { "from": "gpt", "value": "Yep." }, { "from": "human", "value": "All right?" }, { "from": "gpt", "value": "It's fine." }, { "from": "human", "value": "But this is what I'm gonna do. All right? And like I said, I'm gonna make the inquiries, I will start there-" }, { "from": "gpt", "value": "Sure." }, { "from": "human", "value": "-I will give up, uh, I'll give up the V drinks,-" }, { "from": "gpt", "value": "Mhm." }, { "from": "human", "value": "-I think, um, look for some better wine. [laughter] Um, and-and I-I'd take an interest really." }, { "from": "gpt", "value": "You are gonna make a start?" }, { "from": "human", "value": "I'll take an interest really and-and, uh, but it is quite exciting, Mark." }, { "from": "gpt", "value": "It is. Well, just to help you, because there's probably a lot of other questions you might have, other questions that might come up after this session." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-before we go, I'd like to just-just give you a lot of- some information that might help-help you." }, { "from": "human", "value": "Not too much." }, { "from": "gpt", "value": "Not too much, just some stuff that might just give you a little bit of background information on-" }, { "from": "human", "value": "Yeah, yeah." }, { "from": "gpt", "value": "-some of the things that have-" }, { "from": "human", "value": "Just give me a bit of background, really." }, { "from": "gpt", "value": "-around type- around Type II diabetes and some,-" }, { "from": "human", "value": "Oh, yeah, and what it is-" }, { "from": "gpt", "value": "[unintelligible 00:36:53] some of that." }, { "from": "human", "value": "-because I don't really know. Yeah, yeah." }, { "from": "gpt", "value": "Um, and I'd like to us- for us to meet again, so to catch up with you and make an appointment before you leave. Just to see how things are going and-" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "-see what sort of little changes you've managed to make. I'd be really [unintelligible 00:37:07]-" }, { "from": "human", "value": "Wha-what are we talking about, sort of few months down the line?" }, { "from": "gpt", "value": "It's really up to you. Probably a little bit sooner would be good." }, { "from": "human", "value": "What, in about a month's time?" }, { "from": "gpt", "value": "That'd be great." }, { "from": "human", "value": "Yeah, okay, I'm up for that." }, { "from": "gpt", "value": "How does that sound?" }, { "from": "human", "value": "I'm up for that. Yeah, now-now that's putting me, um, that's very gently putting my head on the block" }, { "from": "gpt", "value": "Because you don't know the timeline?" }, { "from": "human", "value": "-and I don't mind that because, um, yeah, that's cool." }, { "from": "gpt", "value": "Mhm." }, { "from": "human", "value": "Yeah, yeah. I'll see you in a month." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "No worries." }, { "from": "gpt", "value": "Excellent, excellent. Thanks, Mike. [croostalk]" }, { "from": "human", "value": "And I appreciate it. Thank you." } ]

[ { "from": "human", "value": "Well, I'm here because my mom wants me to be here." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "I don't really wanna be here, but it-it-- whatever." }, { "from": "gpt", "value": "Got it." }, { "from": "human", "value": "Um, she-she found my stash-" }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "-and she freaked out, and she's going crazy over it. Um, I don't why she was going through stuff in the first place, but whatever, so, now I'm here." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Um, I've been hanging out with a new cool crowd of people that I really like." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Uh, a-and-and that's-that's basically it." }, { "from": "gpt", "value": "Yeah. So-so you've got this new group of friends and-and, um, you-you actually kind of like where you're at with things right now. And your mom was going through your stuff and found your stash, and it's just turned into a, you know, all of this." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Yeah, basically." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "And, uh, sounds like you're-you're pretty upset with your mom for-for doing that?" }, { "from": "human", "value": "I am." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "I mean, it's my stuff, I don't know why she's—" }, { "from": "gpt", "value": "Right. It's like your private place and, you know, it's-- that's-- it's your stuff." }, { "from": "human", "value": "I-I don't go- I don't go through her s- I don't go through her stuff. I don't go through her purse. I don't—" }, { "from": "gpt", "value": "Yeah. So why should she go through yours?" }, { "from": "human", "value": "Right." }, { "from": "gpt", "value": "Yeah. Yeah" } ]

[ { "from": "gpt", "value": "Okay, I finished the exam. I have some good news and I have some not-so-good news. Looks like you don't have any cavities, so that's the good news." }, { "from": "human", "value": "That's great." }, { "from": "gpt", "value": "However, I'm pretty concerned about something I'm noticing in your mouth. Actually, if you look up here, the roof of your mouth, I'm noticing a lot of irritation that's really consistent with tobacco use. And you had said on your form that you're not a tobacco user, so I'm just wondering what's going on." }, { "from": "human", "value": "I don't smoke cigarettes." }, { "from": "gpt", "value": "Okay. Well, as I said, there's a lot of irritation, in particular, like I was mentioning, up here in the roof of your mouth, it's turned really definitely white-colored and there's little red spots. And you probably didn't notice because we don't spend a lot of time looking at the roof of our mouth, but you're really damaging this tissue in your mouth, which can really cause some severe problems in terms of your oral health. It's called nicotinic stomatitis. And this is something we don't see in any patients who don't use tobacco. So, maybe you're not smoking cigarettes, are you smoking a pipe or cigars? Or is there something else that could be contributing to this? Because I don't know what else might be causing it." }, { "from": "human", "value": "Well, the only thing-- I've never smoked cigarettes ever, um, but, um, when, um, when I go out with my friends, um, we like to go to, you know, we like to go out to lounges." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And, um, you know, sometimes they're those- those, uh, nice young men that gift you different sorts of things. And we got some of those mini cigars that are Swisher sweets, they come in peach and-and grape and-and, you know, that's the only time that really, you know, I've ever really used anything that-that's got tobacco in it." }, { "from": "gpt", "value": "Okay, so I think that's a pretty common misconception, because they're fruit-flavored, people think they're okay. Those are really bad for you. Did you know that?" }, { "from": "human", "value": "Really? Bad? But they're just little, mini, little, cute little girly cigars." }, { "from": "gpt", "value": "Right. They're still cigars and they're still tobacco and so they still cause lung cancer, oral cancer, emphysema, all those same kinds of things that you would see with cigarette, so it's really important." }, { "from": "human", "value": "Well, I only use them just to relax. I mean, it's not like it's something that I would smoke 20 or 30 cigarettes a day, I mean, I only do it when we go out." }, { "from": "gpt", "value": "Uh-huh. Well, that's, I mean, at least you're not doing that, so that's good, but it's still causing a lot of problems. And as I said, I can see that the evidence in the roof of your mouth, you're causing some serious damage, and this needs to stop. Have you thought about quitting?" }, { "from": "human", "value": "Well, I didn't really know I'd started." }, { "from": "gpt", "value": "What do you mean?" }, { "from": "human", "value": "I didn't really think that it was anything more than just like social drinking, just something that I do in a social setting when me and my friends go out to the bars." }, { "from": "gpt", "value": "So you're gonna quit then?" }, { "from": "human", "value": "Uh, maybe." }, { "from": "gpt", "value": "What do you mean, maybe? I just told you how bad it is for you. It's messing up your mouth, you're putting yourself at risk for all these other diseases. This is really important. You need to quit." }, { "from": "human", "value": "Well, it's something that I'll have to think about." }, { "from": "gpt", "value": "What's there to think about? [chuckles] You said it's not that something you do all that often, and there's all these negative side effects, there's all these risks that you're putting yourself in." }, { "from": "human", "value": "Well, it's just something that I do to relax, and I don't do it that often. And so I probably could cut back." }, { "from": "gpt", "value": "Okay, well, that's a good start, but cutting back isn't going to do it. If you actually quit the smoking, you can reverse all the damage you've done in your mouth, and you can stop yourself from- from being at risk for these other diseases. But as long as you're continuing to use these cigars you're really putting yourself in a lot of danger." }, { "from": "human", "value": "Well, I don't believe that they are cigars. And what I do believe is that it's a choice and it's my right, and it's something that I choose to do. And so I will think about cutting back, but I'm not at a point where I'm ready to do that. And I'm not really sure that I even believe that what you're telling me is real." }, { "from": "gpt", "value": "You're choosing to really damage your mouth and actually, it can cause problems with your teeth too. I don't know if you notice your teeth might be getting yellower than they were before. That's another side effect. There are a lot of really negative things that go along with any tobacco use, whether it's cigarettes, cigars, dip, chew, snuffs, snus, hookah, any of it. This is a really important decision that you're making and you said it's your choice, but you're really choosing to make yourself sick and potentially die." }, { "from": "human", "value": "Well, it's something that I'll think about." }, { "from": "gpt", "value": "Well, I appreciate you thinking about it. I hope you'll think about it really hard. You know, this is something that I'm gonna continue to ask you about because it's something that really needs to change." } ]

[ { "from": "gpt", "value": "Okay. So what ideas do you have, Natalie for, um, getting started in adding more physical activity?" }, { "from": "human", "value": "Well, I think, um, like when I was really active in the past, I enjoy going to the gym and I like that regardless of what's happening with the weather outside, that-that's always an option. Um, so I've kind of already started to look and see, like, how much gym memberships cost in the area. Um, I really like one that's like month to month and doesn't require me to pay out for like a year because, in the summertime, I just don't use that when the weather is nice, I like to be outside." }, { "from": "human", "value": "So, um, I do think that that would be an option. Um, I did enjoy doing yoga in the past. I, um, I don't care for swimming, uh, because it requires a lot of extra prep time, and like, I don't- chlorine in my hair just doesn't really go very well usually. Um, but I really like walking, um, weightlifting, running is okay. Um, that was more at my, like, peak activity level, so I don't think I could start out running now, but I'd like to work up to it." }, { "from": "gpt", "value": "Great. It sounds like there are a lot of activities that you do like-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-and I'm hearing a theme of climate control, [chuckles] being important to you and you've already been researching gyms." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Tell me more about that." }, { "from": "human", "value": "Yeah. So I just- on my phone, if I'm like in the grocery store, I'm kind of just looking through, and on Google, I'll type in like \"Gyms in the area\" and I'll look and see what's there. And, um, I don't ever want to sign up to learn more 'cause I feel like then they just keep emailing you forever. So at this point, I'm just trying to kind of figure out what I can, based on their website as far as cost goes, but that, um, month to month is kind of really important for me. Just like I mentioned, I don't want to be paying for six months or a year out." }, { "from": "gpt", "value": "Right. Okay. So you're looking for some-something that's reasonably priced-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-and that you don't have to sign a contract and you're right. It's hard to tell what the cost is just from looking on the website." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And I completely agree [laughs]about wanting to avoid the sales pitch-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-um, element of it. What seems like a logical next step based on-- You've kind of already gotten the ball rolling. What feels like a logical next step?" }, { "from": "human", "value": "Yeah, I think, um, you know, I've kind of looked around and seen what I- what's available to me. Um, I think the next step would be to maybe go visit one place and just see, like, what equipment they have. Um, I also think too, I'd like to be outside when the weather permits. I like to walk. I just- I don't like rain or snow or cold, like, um, I don't like doing things when I'm just not in a climate that's enjoyable. So if there is, uh, decent weather, I think going outside and, you know, getting some steps in or just walking would be a good first start for me." }, { "from": "gpt", "value": "Okay. So maybe visiting a gym and then also choosing a non-gym activity to sort of get started when the weather's permitting." }, { "from": "human", "value": "Right. Yeah." }, { "from": "gpt", "value": "I have one, um, idea that is jumping into my mind as you're talking. Is it okay if I share that?" }, { "from": "human", "value": "Sure. Yeah." }, { "from": "gpt", "value": "I'm wondering about the price of the YMCA compared to other gyms. Uh, is that one that you have an interest in or have looked at already?" }, { "from": "human", "value": "I don't know that I've looked closely at that. I don't know much about their pricing or anything like that." }, { "from": "gpt", "value": "Yes. And honestly, I don't either. [chuckles] I just suspect that it might be slightly cheaper than some of the more private gyms." }, { "from": "human", "value": "I agree." }, { "from": "gpt", "value": "So something to look into if you're interested." }, { "from": "human", "value": "Yeah, definitely." }, { "from": "gpt", "value": "And they-- I would suspect they'd be less sales pitch-oriented than a private gym. So it might be a safe place to explore first-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-and to build some confidence in that conversation." }, { "from": "human", "value": "Yeah, no, yeah. That's a good-good recommendation. I'll definitely check it out." }, { "from": "gpt", "value": "Okay. Great. So, um, in addition to exploring the gym possibility, what sounds like a logical next step for a non-gym activity to get started, some small goal that feels doable, um, and you have control over because it doesn't require the perfect weather-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-or the perfect gym?" }, { "from": "human", "value": "Yeah. I think, you know, finding ways to walk more would be good, um, even if that is inside somewhere. Uh, I've done the like trick of parking in the back of the parking lot and walking up to the store. Um, and like I've also been in Target and taken an extra lap, which is kind of dangerous too 'cause you might spend more money. Um, but I- I think if the weather's nice too, I would like to get outside and try to find a place to walk. Um, and two, I really did enjoy yoga, it's- it was good for my, like, flexibility and posture, and so I would be interested in maybe seeing too what classes are available in the area. I haven't looked at that at all." }, { "from": "gpt", "value": "Okay. So exploring some yoga classes. Is-is doing yoga in your living room appealing to you at all?" }, { "from": "human", "value": "Home workouts have never really worked for me in the past just because there's so many distractions, and I can, like, set the mat out there and everything and get everything ready, like bottled water, everything's good to go. And then it just sits there and I don't actually do it, whereas if I go somewhere else, I'm already there. And so I'm doing it." }, { "from": "gpt", "value": "That's great. It's important to know this about yourself, what works, and what doesn't work, and what you feel motivated to do. So, it sounds like we sort of have two small goals right now. One is to maybe visit the YMCA and-and find out how much that costs-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-and the other goal being maybe just a walk, um, one time between now and the next time I see you. Um, and I say one time, you can, of course, go more than that, but just with snow in the forecast, it might be reasonable to start with a small goal like that and go for one nice day between now and a few weeks from now when I get to see you again. How do those two goals sound?" }, { "from": "human", "value": "No, that sounds good. I-I definitely think, um, I'll walk probably more than one time in the next couple of weeks, but, um, I also have this app on my phone that tracks my steps, uh, and it was like built into the phone. It's nothing I downloaded or anything. So I can also use that to kind of see if I'm getting more active 'cause right now I think I'm averaging like 2,000 steps a day, so it's like a lot of sitting." }, { "from": "gpt", "value": "Okay. So you'd like to kind of get motivated with- with the use of an app and that might help you get started." }, { "from": "human", "value": "Yeah, I think so." }, { "from": "gpt", "value": "Okay, fantastic. So, on a scale from 0 to 10, 10 being really confident, I can research a gym and go for one walk, and zero being not at all confident, how are you feeling about these two small goals?" }, { "from": "human", "value": "I think I'm at a 10." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Yeah. I think that, like I said, I think I'll find ways to walk. Um, and I'm at a point now where I've done as much research, I've found out as much information, I think, as I can on the gyms that are local here. Um, but I will check out the- the Y to see if it maybe is a bit cheaper and also a bit more, like, welcoming and doesn't require a- like, a six-month contract or anything like that. So I feel like those would both be good starts. Yeah." }, { "from": "gpt", "value": "Wonderful. Are there any other barriers that would be helpful to sort of talk through?" }, { "from": "human", "value": "Um, well, if I'm trying to walk outside, the weather's always going to be one, but I, again, like I said, if I'm checking, uh, using the app on my phone to see my step count, I can maybe make more of a priority to walk indoors, um, and just find places inside that I could walk, even if it's just around the hallway or whatever that looks like-" }, { "from": "gpt", "value": "Okay. So being creative with your indoor space is a-is a solution you've come up with yourself for - f there just aren't any good days, nice days outside." }, { "from": "human", "value": "Yeah, but hopefully there's one. So, yeah." }, { "from": "gpt", "value": "Great. Well, you came in today feeling pretty discouraged about your energy levels and your mood and, um, feeling lousy about your body in general. And, uh, today we've talked about a small-small step to get started and you're hoping to experience some mood boost and some energy as you get rolling here. Um, how are you feeling about today's session?" }, { "from": "human", "value": "No, I feel really good. I think even coming in, I didn't have a like step-by-step idea of what I wanted to do next, but no, this has been helpful to know what those small steps are, and like you said, hopefully, I do start feeling better. Yeah." }, { "from": "gpt", "value": "Great. Well, I look forward to checking in with you, and thanks so much for coming in." }, { "from": "human", "value": "Thanks for having me. All right." } ]

[ { "from": "human", "value": "The baby was up all night and I'm exhausted." }, { "from": "gpt", "value": "So, what you're saying is you've had a rough night?" }, { "from": "human", "value": "Yes. She was up every three hours to eat, I don't understand it." }, { "from": "gpt", "value": "So, she needed to eat every three hours last night and that was really frustrating for you?" }, { "from": "human", "value": "Yes. My mom told me that I started sleeping through the night when I was a month old, Lilly is six weeks." }, { "from": "gpt", "value": "Hmm. So, based on what your mom told you, you were expecting Lilly at this point to be sleeping through the night?" }, { "from": "human", "value": "Well, what is normal for a baby this age?" } ]

[ { "from": "gpt", "value": "Hello, Kaylie. It looks like you're here to pick up a prescription today." }, { "from": "human", "value": "Yeah. My doctor said he called something in." }, { "from": "gpt", "value": "Okay. It looks like cholesterol statin. Do you know how you're supposed to take the medication?" }, { "from": "human", "value": "No, not really." }, { "from": "gpt", "value": "Well, you just take it once a day. Did he tell you what side effects to expect?" }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "Well, some of the common ones are nausea, vomiting, headache. There are some severe ones like dermatomyositis, liver failure, lupus, rhabdomyolysis, hemorrhagic cerebral infarction. If you have any of those, just call your doctor." }, { "from": "human", "value": "Okay. Um, why am I taking this medication?" }, { "from": "gpt", "value": "It's for your dyslipidemia. Oh yeah, just one tablet a day. Do you have any questions for me?" }, { "from": "human", "value": "No, I guess not." }, { "from": "gpt", "value": "All right. Great. Have a good day." }, { "from": "gpt", "value": "Hello, Kaylie. I see you're here to pick up a prescription today." }, { "from": "human", "value": "Yeah. My doctor said he called something in." }, { "from": "gpt", "value": "Oh, it looks like he called in cholesterol statin. Do you know how you're supposed to take this medication?" }, { "from": "human", "value": "No, not really." }, { "from": "gpt", "value": "Okay. Well, you take this one once a day. Did he tell you what side effects to expect?" }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "All right. Well, some of the common side effects are nausea, vomiting, headache. There are some severe side effects like dermatomyositis, liver failure, lupus, rhabdomyolysis, hemorrhagic, cerebral infarction. If you have any of those, you should call your doctor." }, { "from": "human", "value": "Okay. Um, so why am I taking this medication?" }, { "from": "gpt", "value": "It's for your dyslipidemia. Oh, and you should take one every day. Do you have any questions for me?" }, { "from": "human", "value": "I guess not." }, { "from": "gpt", "value": "All right. Great. Well, have a good afternoon." }, { "from": "gpt", "value": "Hello, Kaylie, I'm Lori, the pharmacist here at Bulldog Pharmacy. I see that you have a new prescription for cholesterol statin 20 called in by Dr. Ferris today. I wondered if you had a minute to talk to me. I just want to make sure that you know how best to take it, and if you have any questions." }, { "from": "human", "value": "Sure. I'm just getting a few groceries." }, { "from": "gpt", "value": "Okay. What did the doctor tell you cholesterol statin is for?" }, { "from": "human", "value": "Well, he told me that I had a blood test for cholesterol, and that I should start taking this." }, { "from": "gpt", "value": "He's right. This medicine is designed to help lower your cholesterol, and that means that it will help lower your risk of having a heart attack or a stroke. How did your doctor tell you to take this medicine?" }, { "from": "human", "value": "He didn't really tell me. He just phoned it in." }, { "from": "gpt", "value": "Okay. Well, you're going to take one tablet of cholesterol statin 20 one time a day by mouth, and you can take that with or without food. When do you normally take your medications?" }, { "from": "human", "value": "Well, I take all of my other medications right before I go to bed. So I guess I could take it then." }, { "from": "gpt", "value": "Okay. That's perfect because cholesterol statin works best if it's taken at night, though you can take it any time of the day. And you should take it every single day. It's important to keep that up. Where do you store your medications?" }, { "from": "human", "value": "I store my medications, uh, in my nightstand, right by my bed." }, { "from": "gpt", "value": "All right. Do you have any children in your home?" }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "Okay. Well, then that sounds like a perfect location for you. Medicines keep best if they're stored away from light and heat and moisture. What did the doctor tell you to expect in terms of side effects?" }, { "from": "human", "value": "He didn't mention anything about that." }, { "from": "gpt", "value": "All right. Well, this medication is pretty well tolerated, which means it doesn't have very many side effects. But you might experience some mild muscle aches and pains. If they seem really severe to you, then you should call Dr. Ferris and talk to him about that. Also this medicine can interact with a lot of other medications, and even over the counter things. So check with the doctor or myself before you start anything new. And lastly, grapefruit juice can interact with cholesterol statin 20. So if you use grapefruit juice every day, I probably would switch to a different juice while you're on this medication." }, { "from": "gpt", "value": "Just so I know we're on the same page, can you repeat back to me how you'll take this medicine?" }, { "from": "human", "value": "Sure. I'm just gonna take one tablet right before I go to bed with my other medications. And I guess I will switched to orange juice. And if I notice any muscle pain that is severe, I'll call Dr. Ferris right away." }, { "from": "gpt", "value": "Great, Kaylie. I know we went over a lot today. What other questions do you have for me?" }, { "from": "human", "value": "Uh, I think you answered all my questions. Thank you." }, { "from": "gpt", "value": "Fantastic. All right. Well, here's your prescription. I even put it on auto fill for you so that it will be filled for you every- at the same time every month. And if you have any other questions later, our phone number is right here on the bottle, and you can call me at any time. Thanks so much. Have a great day." }, { "from": "gpt", "value": "Hello, Kaylie. I'm Lori, the pharmacist here at Bulldog Pharmacy. I see that you have a new medication to pick up today. Called in by Dr. Ferris for cholesterol statin 20. Do you have a minute to talk about it? I want to make sure that you know how best to take this medicine and to answer any questions that you might have." }, { "from": "human", "value": "Sure. I'm just getting a few groceries." }, { "from": "gpt", "value": "All right. What did the doctor tell you cholesterol statin is for?" }, { "from": "human", "value": "He told me that I had a blood test for cholesterol so that I should start taking this medication." }, { "from": "gpt", "value": "All right, and he's right. This medication will help lower your cholesterol, and it will help lower your risk of having a heart attack or a stroke. How did the doctor tell you to take this medicine?" }, { "from": "human", "value": "He didn't tell me, he just phoned it in." }, { "from": "gpt", "value": "All right. Well, you're going to take one tablet of cholesterol statin 20 one time a day by mouth, and you can take that with or without food. When do you usually take your medications?" }, { "from": "human", "value": "I take all my other medications right before I go to bed. So I guess I could take it then." }, { "from": "gpt", "value": "That's perfect. This medication can be taken any time of the day, but it does work best if taken in the evening, and it's important to take it every day." }, { "from": "gpt", "value": "Where do you store your medications?" }, { "from": "human", "value": "I store them all in the nightstand by my bed." }, { "from": "gpt", "value": "Do you have children in your house?" }, { "from": "human", "value": "No. I don't have any kids." }, { "from": "gpt", "value": "All right. So that sounds like a perfect place for you to store those. Medications are best when they're stored away from light, heat and moisture." }, { "from": "gpt", "value": "What did your doctor tell you to expect in terms of side effects?" }, { "from": "human", "value": "He didn't mention anything about that." }, { "from": "gpt", "value": "All right. Well, this medication is usually well tolerated, which means that it doesn't have very many side effects, but you might experience some muscle aches or pains. If they seem really severe to you, then you should call Dr. Ferris and talk to him about that. Also, this medication can interact with over-the-counter medicines or even other medications. So before you start something new, you should check with either Dr. Ferris or myself. And lastly, this medication can interact with grapefruit juice. So while you're taking this medicine, I would avoid grapefruit juice." }, { "from": "gpt", "value": "Just so we know we're on the same page, can you repeat back to me how you are going to take this medicine?" }, { "from": "human", "value": "Sure. I'm just gonna take one tablet of the cholesterol statin, uh, in the evening with all my other medications. And I guess I'll switch to orange juice. And if I notice any bad muscle pains, then I'll be sure to call Dr. Ferris right away." }, { "from": "gpt", "value": "That's great, Kaylie. I know we went over a lot today. What questions do you still have for me?" }, { "from": "human", "value": "I think you answered all my questions. Thank you." }, { "from": "gpt", "value": "All right, good. Well, here's your prescription. I even put it on autofill for you so it'll be ready at the same time every month for you. And if you have any questions later, our phone number is right here on the bottle, and you can call me at any time. Thanks so much. Have a great day." } ]

[ { "from": "gpt", "value": "So, where you said you'd like to start, Sal, is talking about your asthma and specifically about your dog and how one is affecting the other." }, { "from": "human", "value": "Mm-hmm. Um, yeah, my asthma has just been out of control lately and my doctor says that might be connected to Oscar." }, { "from": "gpt", "value": "Hmm. So, what- can you let me know or-or what do you know about your asthma and the things that affected or might make it worse?" }, { "from": "human", "value": "Um, I've got allergy testing. It's just, uh, the dust makes it bad. I thought the smoking was the main thing-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-that's cut down. Um, and then they said the drinking might contribute to it, too. So, I got a lot of different things I'm working on. So that's what I know." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "The drinking, the smoking and the dust that I got, the, um, the scratch test for." }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "And-and-and that's what I know, and that I take the medicine for it." }, { "from": "gpt", "value": "Okay. And that your pet has never been mentioned as a concern?" }, { "from": "human", "value": "No, I've had it for-for 12 years and now it's a concern. I don't understand." }, { "from": "gpt", "value": "Hmm. Yeah. And I-I can see that you've already worked hard to make some changes. You've almost quit smoking." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "You're just down to your last couple of cigarettes-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-and you're not even smoking those in the house." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "So, your house is totally smoke-free." }, { "from": "human", "value": "Yes, just that work with the [unintelligible 00:01:24]." }, { "from": "gpt", "value": "Yeah, okay. And you have also thought about cutting back on alcohol." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-and-and I think you mentioned done-done a little bit towards that." }, { "from": "human", "value": "Mm-hmm. I'm a little I'm a couple of down. I used to drink four at night, now I'm down to three at least." }, { "from": "gpt", "value": "Okay, okay." }, { "from": "human", "value": "Uh-huh." }, { "from": "gpt", "value": "So now almost like that's not good enough, like now you have to, now it's the dog and now-" }, { "from": "human", "value": "Mm-hmm, what's next, yeah, yeah." }, { "from": "gpt", "value": "-what's next. Right. Okay. So, I mean, there is certainly a lot of evidence that pets in the home and the dander from their fur can make asthma worse." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-but I wonder what are your experiences with Oscar, you know, when he's in the house or-or maybe sleeping near you or you're around him, what happens with your asthma symptoms?" }, { "from": "human", "value": "Well, we keep them clean, like he's cleaned. So, all the dander doesn't really make sense, but I have been noticing that sometimes when he comes on the bed or just beside, I wheeze a little bit, but I think it has to do with, um, the hair, the, in my lungs cleaning itself up from the smoking." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "So, I don't know if it's that-that's where I'm confused. I don't know how this could be happening." }, { "from": "gpt", "value": "Hmm. So, it doesn't make total sense to you that-that it's all Oscar's fault and that-" }, { "from": "human", "value": "Mm-hmm, Mm-hmm." }, { "from": "gpt", "value": "That's that the only solution." }, { "from": "human", "value": "But-but the wheezing is something that I've definitely noticed a little bit." }, { "from": "gpt", "value": "I guess I also wonder whether, regardless of-of if your asthma symptoms are connected to Oscar, that may be part of you feels like it's worth it because he's been-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-such a big part of your life for so long." }, { "from": "human", "value": "Mm-hmm, Mm-hmm. I just want some medicine and I want to keep Oscar and I wanna feel better about myself because I'm making all these changes in my life and it honestly feels like my-my nose is just above the water." }, { "from": "gpt", "value": "Hmm. Yeah. And-and in the end, you know, whatever you- whatever you do, about Oscar, about your asthma, about all the other things that we talked about on that agenda-setting worksheet, I mean, you are in the driver's seat solid. It really is your choice." }, { "from": "human", "value": "Mm-hmm. Yeah, no, that feels good. That I, you know, at least it is my choice. I just feel like just about, I'm not feeling happy about just all these different things that are coming up. Um, and I'm kind of sad about things." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And I don't know, I don't know what to do." }, { "from": "gpt", "value": "There's a lot of decisions and a lot of change with your wife, with the new baby." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "And now thinking about, looking after your health and wanting to be healthy for your wife and your baby." }, { "from": "human", "value": "Mm-hmm. I want- I want John Carlos to grow up with Oscar. So he has his friend when he's young, too. And, um, I just, it's a lot of stress and a lot of things you-you gotta think about then, um, I'm not feeling good about it." }, { "from": "gpt", "value": "Mm-hmm, so what-what would need to happen or how would you know, when you- when or if you ever did have to make a decision about whether to keep Oscar with you or not?" }, { "from": "human", "value": "Man, uh, how would I know? I don't know. I think if my asthma got really bad and the medicine- she gave me the strongest medicine and it wasn't working." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "That would be the way right now 'cause I can't see, I don't know how I'm going to give this dog up." }, { "from": "gpt", "value": "Yeah and I get the feeling that it's something that you wanna think about that this is a really big decision-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-and it's not one that you're gonna make in a hurry." }, { "from": "human", "value": "No, no. It's something I got to just sit there and-and kind of, um, put the pros and the cons on the table about, but-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-something's going on." } ]

[ { "from": "human", "value": "Wow, I can't believe he stopped crying finally and fell asleep. Poor guy." }, { "from": "gpt", "value": "Yeah. He wasn't too happy with the exam, was he Hailey?" }, { "from": "human", "value": "No he wasn't." }, { "from": "gpt", "value": "Um, well the good news is that the exam's over and I don't think Jake has pneumonia. What I actually think he has is a cold. So there are some things you could do to manage his symptoms. Would you be interested in knowing?" }, { "from": "human", "value": "Yeah, absolutely." }, { "from": "gpt", "value": "What I would recommend is that you avoid over-the-counter cold remedies, keep him away from any friends or family who may have the flu, keep him well hydrated, um, avoid excessive dust, and avoid smoking. And at least that last one's easy because you are an ex-smoker now." }, { "from": "human", "value": "Well, you're right actually, I-I did quit smoking but just last week my mom took Jake for the first time. It was a Friday night, so friends were going out to celebrate a birthday." }, { "from": "gpt", "value": "Oh, fun." }, { "from": "human", "value": "Yeah. At one point in the night, though, they all went out to have a cigarette and I joined them. Since then, I've been having a couple of cigarettes at night, but never near Jake and never near his clothes or his toys. I mean, I've heard about second-hand smoking. And I-I don't want to be- expose him to it, so I've been avoiding him when I smoke." }, { "from": "gpt", "value": "All right, Well, first I'd just like to commend you for your honesty and that's really helpful information that you shared with me. Thank you for letting me know that you're smoking again and-and, um, I also appreciate the fact you're taking so many measures to protect your son from secondhand smoke. Can I give you some advice on how you could protect him, even the- even further?" }, { "from": "human", "value": "Yeah, sure." }, { "from": "gpt", "value": "So, my sense is that you're smoking and you're minimizing hi-his exposure by not smoking in the same room and smoking near windows. Is that-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-correct?" }, { "from": "human", "value": "Exactly." }, { "from": "gpt", "value": "So what I would recommend then, is to move your smoking outside completely. As a smoker, the ideal situation for a smoker in the house is if their home can be made smoke-free and the smoking is moved entirely outside, especially while he's experiencing this cold." }, { "from": "human", "value": "Yeah, well, you know that sounds okay. While he's sick, I might be able to smoke outside in the next couple days or so, but the thing is, usually I'm craving a cigarette the most when I have a glass of wine at the end of the day. I put Jake to bed, I open up a bottle and I pour myself a glass and I'm finally able to unwind, so, I get a craving for a cigarette, so, I'm not sure long-term I'd be able to smoke outside." }, { "from": "gpt", "value": "Okay, so, what I'm hearing you say is that, it sounds like a feasible short-term plan, not ideal and not comfortable because what you really enjoy is that cigarette with a glass of wine, kicking back up on the sofa and chilling out perhaps while you're watching TV. And to maintain that long-term outside smoking outside in Canadian winters where it's cold and snowy, not realistic." }, { "from": "human", "value": "Yeah, exactly and another thing is that sometimes in the morning, after I've had a couple of glasses of wine, I kinda feel tired or groggy or low on energy, so, even that I'm not sure is completely relaxing. Especially if I've had a cigarette the night before, I always feel so bad." }, { "from": "gpt", "value": "So, on the one hand I'm hearing smoking and drinking at night as a way to chill out but at the same time the next day, you're not feeling so great." }, { "from": "human", "value": "Exactly." }, { "from": "gpt", "value": "Would it be helpful to give you some information on low risk drinking guidelines?" }, { "from": "human", "value": "Sure. I've never heard of them." }, { "from": "gpt", "value": "Okay. Well, Hailey, what they suggest is that women don't have more than one to two standard drinks a day or a total of nine standard drinks in a week. How does that fit for you?" }, { "from": "human", "value": "Well, usually I'm having more than two glasses but if you're saying that's gonna minimize some risk and I guess some of the grogginess I'm feeling the next morning, then maybe I should just try and have one glass of wine in the evenings?" }, { "from": "gpt", "value": "So, it sounds like you'd be open to reducing as a way to still enjoy the wine but perhaps alleviate the way you feel in the morning, some of the hangover effects that sounds like you're experiencing." }, { "from": "human", "value": "Yeah, I-I'd absolutely maybe reduce. I'll try my best to reduce, but I'm not sure about the smoking." }, { "from": "gpt", "value": "Okay. So, you're gonna try to reduce the drinking, not sure about the smoking, what the plan is but I think we did agree upon earlier that you would move it outside, at least while he's sick?" }, { "from": "human", "value": "Yeah. I think that sounds okay." }, { "from": "gpt", "value": "That's okay. All right and, um, I guess we'll see you next week for Jake's six-month checkup. Is there anything else we could talk about that might be helpful?" }, { "from": "human", "value": "No. I think just talking about it was helpful, you know, and I'm- I'm glad you've given me some information. Maybe just this week I can think about it a little more, you know, I-I feel pretty overwhelmed right now. There's so much to do. My days are pretty full, so, maybe I can just s-sit on it for a week." }, { "from": "gpt", "value": "Sure, of course, Hailey a-and again I really appreciate your openness and honesty about letting me know what's going on with, you know, the stress levels and coping and drinking. I just had a thought that there's also a good mom's group, we run out of our center. So if you'd like a referral to that or some information, I'd be happy to give you and while you think about it, if you want to, um, talk about this further with one of my colleagues, I'd be happy to make you an appointment." }, { "from": "human", "value": "All right. That sounds good. Thanks, Dr." }, { "from": "gpt", "value": "Thanks, Hailey. We'll see you next week." } ]

[ { "from": "human", "value": "Dr. Morrow, I'm so relieved I'm not pregnant." }, { "from": "gpt", "value": "Huh, you feel like you dodged the bullet." }, { "from": "human", "value": "I really feel like I dodged the bullet. That was- that was probably the scariest like two days of my life." }, { "from": "gpt", "value": "It feels like it was like two days was a year?" }, { "from": "human", "value": "Yup." }, { "from": "gpt", "value": "Ah." }, { "from": "human", "value": "Yeah, it went so slow." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Even just being here today is like minutes ticking by." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "It's really good news." }, { "from": "gpt", "value": "So what would have happened if you found out that you were pregnant?" }, { "from": "human", "value": "I don't even know. I'm-I'm not ready to have a kid. I know that. I know my life is not ready for that step." }, { "from": "gpt", "value": "Okay. That's a big step and that's not the direction you want to go in right now." }, { "from": "human", "value": "Yeah, no." }, { "from": "gpt", "value": "Would you be open to kind of exploring the idea of birth control and family planning?" }, { "from": "human", "value": "Um, I don't really want to go there. I just-- that sort of stuff just weirds me out. Yeah, I take something fun and just makes it really medical." }, { "from": "gpt", "value": "Now, it's a discussion you don't really wanna have." }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "At the same time, you have some concerns about the possibility of getting pregnant." }, { "from": "human", "value": "Yeah, I mean I'm-I'm careful. I do what I can, but I don't wanna take anything for that." }, { "from": "gpt", "value": "So you found some ways to prevent pregnancy up until-- well, maybe, um, you've been pretty fortunate, and then there is also some times where you feel like, \"Oh, no. What if I didn't dodge the bullet?\"" }, { "from": "human", "value": "Yeah. It's-it's scary. I mean, this is the first time I've ever had that sort of feeling of \"What am I gonna do?\"" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And-and that fear was like-- yeah. Up until now, I've been good, yeah." }, { "from": "gpt", "value": "Okay. So, you've been able to kind of avoid any kind of consequences, and right now, you're not feeling that talking about birth control is something on your-your list." }, { "from": "human", "value": "Yeah. No, it- it's just- it's just weird for me. I don't- I don't like thinking about that stuff, yeah." }, { "from": "gpt", "value": "Sure. I totally appreciate that, and it's your decision, Olivia. You know yourself best and what fits for you. If you ever feel like you like to open up the idea of conversation about family planning or birth control, I'd love to talk to you about that another time." }, { "from": "human", "value": "Yeah, maybe another time. Just, I'm not ready for it." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I'm not ready for that conversation right now." }, { "from": "gpt", "value": "Okay. I respect that. Thanks though for coming in to see me today." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And I'm glad that this appointment was a positive one for you." }, { "from": "human", "value": "Thank you." }, { "from": "gpt", "value": "You're welcome." } ]

[ { "from": "human", "value": "Wow. I can't believe he fell asleep after all of that crying, poor guy." }, { "from": "gpt", "value": "Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy." }, { "from": "human", "value": "Well, you're right. I-I did quit smoking when I was pregnant, but actually, um, a couple of weeks ago, I went out, my mom was able to take Jake for the night and my friends they were having a birthday party and we had a couple of glasses of wine and it felt like old times. So before I knew it, I was out having a cigarette with them. And since then I've been having a couple of cigarettes a day, you know, just at the end of the day after I put Jake to bed. But that sounds like it has nothing to do with what you're talking about, right?" }, { "from": "gpt", "value": "No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now." }, { "from": "human", "value": "Well, I had no idea that it was such a big deal. I-I didn't think it would have anything to do with Jake getting sick or, you know, hurting him." }, { "from": "gpt", "value": "Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?" }, { "from": "human", "value": "Well, you know, I-I was doing perfectly well. It was just when I went out with my friends and, you know, usually, I'm fine with the cravings. It's just when I have a glass of wine at the end of the day. And if I have more than two or three, I just get that craving for a cigarette. And if I have cigarettes in the house, it just happens. You know, I'm doing pretty good." }, { "from": "gpt", "value": "So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit." }, { "from": "human", "value": "Okay. Um, well, yeah, I-I guess I can throw the cigarettes. And tomorrow night when I have my glass of wine, I'll-I'll just try to avoid that craving." }, { "from": "gpt", "value": "And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?" }, { "from": "human", "value": "Only a couple of drinks a night. You know, it's pretty rare if I have anything more than that. It's just my way of relaxing at the end of the day. It's been so stressful since Jake came along. It's just how I fall asleep at the end of the night." }, { "from": "gpt", "value": "Well, no one said motherhood was going to be easy, Hailey. So let's talk about these drinks. Are we talking about the-the low-risk drinking guidelines, one to two standard drinks a night or are we talking about a mug of Margarita's?" }, { "from": "human", "value": "Well." }, { "from": "gpt", "value": "What are you drinking? What's the quantity that you're drinking." }, { "from": "human", "value": "I guess about- I have about a half a glass a night and maybe two. Very rarely I'll have more than that. You know, it just helps me kind of relax." }, { "from": "gpt", "value": "There's other ways to relax. There's yoga. There's deep breathing. You need to stop raising the roof and raise your kid. This is not okay. You're not just worrying about Hailey anymore. It's Hailey and Jake. You're a mom now." }, { "from": "human", "value": "I didn't know it was such a big deal. I-I never thought that there would be any impacts on Jake because of it." }, { "from": "gpt", "value": "I'm trying not to be hard on you, Hailey, but I've got to tell you as a position, it's a very big deal. Your drinking and your tobacco use are red flags for me and they need to stop immediately. So we've already talked about your plan for smoking. You're going home. You're throwing out your cigarettes. You're putting on the patches. What's the plan for the alcohol?" }, { "from": "human", "value": "I guess I'll do the same thing. I'll go home and throw out the bottles of wine and stop having a glass at the end of the day." }, { "from": "gpt", "value": "Sounds good. And if you need to relax, go for a walk, join a moms group, read a book. How about you come back in a week when we have Jake's six months checkup and you can let me know how that quit plan is going." }, { "from": "human", "value": "Okay, I'll try my best." }, { "from": "gpt", "value": "Thanks." } ]

[ { "from": "gpt", "value": "Good morning. It's really nice that you've come along to see me to talk about stopping smoking." }, { "from": "human", "value": "Good morning." }, { "from": "gpt", "value": "What have you got in mind, what do you want from us?" }, { "from": "human", "value": "Well, I need some medication if you can offer me some." }, { "from": "gpt", "value": "Absolutely, we're in the right place for that." }, { "from": "human", "value": "And, uh, whatever else you can do just to get me to go smoke-free." }, { "from": "gpt", "value": "Okay. Well, just remind me again why it is you want to stop." }, { "from": "human", "value": "It's, uh, just these days-- I think these days I'm-I'm finding that, um, I'm smoking 20, 30 a day, I'm getting sick of it. It's, you know, I've seen my friends have stopped smoking too and it's kind of they're looking at me weird these days like I'm the only one left who's still smoking." }, { "from": "gpt", "value": "Oh, good, and so feeling under pressure here." }, { "from": "human", "value": "Especially the other night I was at the restaurant, it was a bit-- you know, it was a bit embarrassing I'm the only one walk walking out." }, { "from": "gpt", "value": "And so that-that can't feel a little uncomfortable being by yourself. So that sounds like one of the reasons you have to quit is it's a little getting smelly and it's getting embarrassing." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Any other reasons?" }, { "from": "human", "value": "Um, it's expensive these days." }, { "from": "gpt", "value": "How much does it actually cost you a week?" }, { "from": "human", "value": "It's-it's about-- Um, I'll buy and go through a pack a day, so it's almost £7." }, { "from": "gpt", "value": "£7 a week or a day?" }, { "from": "human", "value": "£7 a day today, so-" }, { "from": "gpt", "value": "So your pack a day—" }, { "from": "human", "value": "-you're talking about £40, uh—" }, { "from": "gpt", "value": "£50 a week." }, { "from": "human", "value": "£50 a week." }, { "from": "gpt", "value": "Even more mess, you see." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. So we're talking about spending £50 a week-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-being one of the few left smoking in your crowd, and not liking the smell. That sounds like three reasons." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Do you think that's enough to make you say goodbye to cigarettes?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Great, okay. So have you got a date in mind when you'd like to stop smoking?" }, { "from": "human", "value": "Well, what you do-- What do you suggest?" }, { "from": "gpt", "value": "Generally, it works well if you find a time when you're not under a huge amount of other stresses and strains." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "What are the main reasons why you actually smoke? What do you enjoy most about it?" }, { "from": "human", "value": "Um, it's just entertainment. Something, um, when I bored, it's got-- I've got-- I smoke-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-or sometimes I go out, but as I said, I'm the only one kind of outside." }, { "from": "gpt", "value": "Okay. What do you think you'll miss most about it?" }, { "from": "human", "value": "The-- Um, it takes away a lot of my stresses." }, { "from": "gpt", "value": "Mm-hmm, what sort of stresses?" }, { "from": "human", "value": "Just, uh, when I- when I go down, uh, for-for a break at work." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "I never go down, I just need a break away from it all, just shut off. So, uh, I-I really enjoyed that. The cigarette just helps me calm down." }, { "from": "gpt", "value": "Yeah. And what is your favorite cigarette of the day?" }, { "from": "human", "value": "It's definitely the one at the end of the evening." }, { "from": "gpt", "value": "Okay, so the end of the day-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-the thing that helps you just unwind, put an end to the work section and move into your own time." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. So after you've had the quit date, what do you think you might do when it it's the first day at work and it's time to go home if you're not gonna have a cigarette?" }, { "from": "human", "value": "I guess, um, I'll just- I'll just have, you know, some fresh air as well, but this time without a cigarette in my hand but to try and give myself regular breaks maybe, I don't know." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "It's one of those tough things." }, { "from": "gpt", "value": "Have you managed to stop smoking in the past?" }, { "from": "human", "value": "I've managed for a couple of weeks." }, { "from": "gpt", "value": "Okay. And what got you back?" }, { "from": "human", "value": "It was, um-- To be honest, it was stress from an argument with my partner I remember." }, { "from": "gpt", "value": "So something just happened-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-so it took you back into it. All right. Let me just make sure I've understood what's going on here. You really want to stop smoking because you're kind of the last guy in your group still smoking, it costs a lot of money, and you don't really like the smell." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "The main reason that you smoke is because, at the end of the day, it gives you a kind of relaxation, and if there's quite a little stress that's going on which you're using cigarettes to help you cope with." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "What you'd like to do is stop and you'd like to sort of like choose a time to quit when it's going to be there's not as much stress around as possible. When do you think would be a good time for you to choose to be your quit date?" }, { "from": "human", "value": "I guess, um, at the weekend I've got a party coming up." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "So, uh, maybe Monday morning." }, { "from": "gpt", "value": "So Monday morning after the party will be a good day, and that's next week. Okay. Now, one of the things that we do in the pharmacy is recommend that you use medication to help you. You know this increases your chance of success and it makes it more likely that can manage any cravings that come along. A lot of people like using nicotine replacement therapy which comes in a variety of formats like patches, gum, you've probably seen people using any of these products. And other options are tablets which you can get from the GP." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "So, yeah, again-- Um, so have you something in mind that you might like to use to help you through managing the cravings?" }, { "from": "human", "value": "Yeah. I'm thinking, um, one of these patches." }, { "from": "gpt", "value": "Okay. So a patch is something you've already seen, and-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-and, again, I'll get some out and I'll show you what they look like. This course of medication lasts for 10 to 12 weeks. And we strongly recommend that people stay on the whole course of medication and that that gives you the best chance of success. Stopping smoking is not easy but it's possible and with the type of support that we offer here in the pharmacy, you absolutely make your chance of success four times greater than trying on your own, so, that's why it's really good that you've come to see me. Now, what you said is you really want to do it and that next week sounds like a good day for you to start because the party is over and done with." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "You've got the time at the end of the day when you finish work, which might be the first time you've gone without a cigarette. So, what I'd like to recommend is that you use two products perhaps and I'm thinking of you're having a patch and then suggesting that you might use something that you can top up with. Often, a person who smokes knows exactly what it feels like when they're craving for a cigarette. What does it feel like to you, when you can't have a cigarette and you want one?" }, { "from": "human", "value": "I just get irritable." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And that's exactly one of the symptoms of nicotine withdrawal that I'm looking to stop happening to you." }, { "from": "human", "value": "Hmm." }, { "from": "gpt", "value": "So, I would strongly recommend that you have the patch. I'll talk to you about how to use that and that we have another product that I leave you to use as when any of those feelings of irritation are coming up, particularly in that first week." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "So, you're happy with the date for [unintelligible 00:06:16]?" }, { "from": "human", "value": "Yeah, absolutely." }, { "from": "gpt", "value": "Okay and would you like to come back and see me again?" }, { "from": "human", "value": "Well, definitely." }, { "from": "gpt", "value": "And what would you like me to do if you don't come back?" }, { "from": "human", "value": "A nice phone call." }, { "from": "gpt", "value": "I'd be very happy to do that." } ]

[ { "from": "gpt", "value": "Hello, again, Mr. Green. It's really nice to see you again. If you remember last week, we looked at your results here and you've got impaired glucose tolerance and you were a bit worried about type two diabetes, your blood pressure and your cholesterol are up a bit too. So today, we're meeting up to talk through some of the things that you could do for yourself that might improve the situation. And as you know, there's all sorts of things can affect your health. So can we just have a bit of a general chat, but how are you getting on?" }, { "from": "human", "value": "Well, I suppose you're gonna give me a row and tell me it's all self-inflicted and I've got to change my ways and give up the things I enjoy." }, { "from": "gpt", "value": "Actually, I'm not going to do that because you're the boss. It's up to you what you want to do with you about your own health." }, { "from": "human", "value": "The doc said I've got to take pills for the rest of my life." }, { "from": "gpt", "value": "You don't seem too happy about that." }, { "from": "human", "value": "Well, I feel fine, but the-the doc said it could save my life." }, { "from": "gpt", "value": "Well, there's a lot of things you can do yourself that will improve the situation as well. So what we can do today is wee up some of those things, smoking, diet, exercise, weight, loss, all those kinds of things. So we're just gonna start and see how you feel as we go." }, { "from": "human", "value": "Okay, what should I do first?" }, { "from": "gpt", "value": "Well, it's very much up to you, you're the boss of your own life. Where would you like to start?" }, { "from": "human", "value": "Where do you think I should start?" }, { "from": "gpt", "value": "Well, I could give you my opinion. Um, and I can give you lots of information, but I think you know the score pretty well. And I think you'd know what I would say." }, { "from": "human", "value": "Yeah, uh, you tell me, stop smoking and lose weight and take more exercise, wouldn’t you?" }, { "from": "gpt", "value": "Absolutely. Spot on. So stopping smoking would have a huge impact, that would have a big impact very early on. Losing weight would also have a big impact because that would help with your blood pressure, your cholesterol, and also lower your diabetes risk. So what-what'd you think about those things? Uh," }, { "from": "human", "value": "Uh, I loved to lose weight but it's so hard giving up the things you enjoy." }, { "from": "gpt", "value": "It’s really tough. It's hard to know where to start, isn't it?" }, { "from": "human", "value": "I really should do. Or shouldn't I," }, { "from": "gpt", "value": "How important is it for you then to lose weight?" }, { "from": "human", "value": "Well, I'd like to see my children settled and my grandchildren growing up and I should,suppose I should be an example to them." }, { "from": "gpt", "value": "So can it be in there for your-your family's important to you?" }, { "from": "human", "value": "Yes. I want to be there for them, but not a burden to them." }, { "from": "gpt", "value": "Yeah. So w-where do you think you can start with that?" }, { "from": "human", "value": "Uh, I've been thinking about them a lot lately, and I want to be there for them. So have to do what I need to, to improve my health." }, { "from": "gpt", "value": "What's kind of the first thing you might think about doing?" }, { "from": "human", "value": "You know, to start with, I could cut down on my drinking. Um, that's adding to my weight and to my blood pressure, isn't it?" }, { "from": "gpt", "value": "Yeah. That would be a really good place to start, mm-hmm." }, { "from": "human", "value": "In fact, I think I'll try and cut out the booze altogether. My wife says I drink too much at the weekends." }, { "from": "gpt", "value": "So I think it should be really supportive of that then." }, { "from": "human", "value": "And I suppose I could cut out the crisps and pies at works." }, { "from": "gpt", "value": "So what would you do to make sure you didn't get hungry at work?" }, { "from": "human", "value": "I'm gonna start having soup at lunchtime. I suppose a big bowl of soup would be far better than two pies." }, { "from": "gpt", "value": "Yeah. Well, a big bowl of vegetable soup. You could probably count that as one or maybe even two of your five a day. So it'd be a really good place to start. Anything else you could think about doing?" }, { "from": "human", "value": "Well, there's one, one thing uh, I've done already, I've stopped adding salt to my food. The doc said that would help with my blood pressure." }, { "from": "gpt", "value": "Well, that's good. That's probably benefited you already. And the other thing you might not be aware of is that salt intake is linked to loss of calcium from our bones, which makes the bones more fragile. So reducing your salt intake will really help with that too." }, { "from": "human", "value": "Well, I didn't know that. Um, it's good to know. I'll tell my wife, um, she's still very fond of her salt and her mother had osteoporosis." }, { "from": "gpt", "value": "So well, maybe you can help her as well and that would be good. Well, I think you've got off to a really great start, Mr. Green. You're very well aware of what you-you need to do, and you've obviously thought about it and got some good plans in place. So you're going to reduce your-your alcohol intake, you've already started by reducing your salt intake. Um, perhaps when we meet up next time we could talk a little bit about smoking and exercise as well, when you're ready for that. So how do you feel now?" }, { "from": "human", "value": "I feel if I go ahead and do as I say with cutting down on the pies, the crisps, um, and cutting out the booze, I feel I'm making a start but let's take it a step at a time and see how it goes. But, uh, the next day when we look at it, the figures might be a lot better." }, { "from": "gpt", "value": "That's great. So should we meet up at the same time next week then?" }, { "from": "human", "value": "Yes, that’s fine with me." }, { "from": "gpt", "value": "That’s great. All the very best then." }, { "from": "human", "value": "Thanks. You too." } ]

[ { "from": "gpt", "value": "Thanks for coming in today. I guess you've, uh, sat in that seat with lots of people like me in the past." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "Yeah. And you have some ideas about that and some experiences about that. So today I wanna- be good for us to talk about that and, um, I'm really interested to know what you've been thinking about in terms of what you may wanna change in your life 'cause we're gonna be working together for a while here." }, { "from": "human", "value": "Right. Neat. What, um, what have I changed, what am I—" }, { "from": "gpt", "value": "What you've been thinking about, um, over the last little while about getting your life back on track. 'Cause I noticed you've—" }, { "from": "human", "value": "I've been thinking about how easy it would be to deal P again." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "I mean, I've been thinking about, um, how I could actually set myself up the right way doing it the wrong way." }, { "from": "gpt", "value": "Sure. So what I'm picking up is-is that-that-that's a life that you know a lot about." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "And you can make lots of money and set yourself up well. What's the other side, because I guess when I talk to guys like yourself who have done time, often they're thinking about actually, mm, maybe life can be with different. So I'm wondering where-where you're at with the kind of thinking about—" }, { "from": "human", "value": "Well, at the end of, you know, that last week inside, I was- I had that kind of, okay, what's next buzz? And, you know, it just doesn't work out here." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I don't have a, uh, uh, I don't know what that is." }, { "from": "gpt", "value": "Sure. So life on the outside is pretty different than the kind of-" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "-the expectation of life on the inside something?" }, { "from": "human", "value": "Yeah, it's worse." }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So tell me how you've been managing. 'Cause I don't know if you'd been back dealing? How have you been managing to-to-to—" }, { "from": "human", "value": "I haven't yet, I mean-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-the, uh, the offer's there." }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "Um, I don't know why I haven't said that I will yet but I mean-" }, { "from": "gpt", "value": "Uh, tell me-" }, { "from": "human", "value": "-it's there." }, { "from": "gpt", "value": "It's there and-and-and you've a lot of contacts?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "You've been in the system, so lots of context. So this isn't a new challenge for you." }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "So what stopped you over the last-- How long have you been out now?" }, { "from": "human", "value": "How long have I been out?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Three weeks, one day." }, { "from": "gpt", "value": "Three weeks, isn't it?" }, { "from": "human", "value": "Three weeks, one day." }, { "from": "gpt", "value": "So what's been there? What's it about that you haven't done in three weeks one day?" }, { "from": "human", "value": "I don't know." }, { "from": "gpt", "value": "22 days you've actually made a decision not to-to pick up your old life and continue on." }, { "from": "human", "value": "Um, I'd- I- you know, I kind of told myself not to, you know, just before I left. And then I'm just kind of with it and I don't quite know why. [clears throat] I dunno, if, uh, there's no real reason why I haven't yet. It's just that I don't- I just don't think it'll work the way I always dream it will you know, I see myself up like, whatever, if I do that again, the next leg is a long one. A real long one." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And I-I can't go back there. There's no way I'm going back there." }, { "from": "gpt", "value": "Right. So the one hand you've-you-you could sit yourself up and-and take the risk, but on the other hand, you know, that actually it might not last?" }, { "from": "human", "value": "No, never lasts." }, { "from": "gpt", "value": "Never lasts. Mm. You seem like a bit of a crossroads to me." }, { "from": "human", "value": "Yep. I've been in crossroads for 12 years." }, { "from": "gpt", "value": "Mm. But there've been times when those crossroads would be more sort of focused than other times." }, { "from": "human", "value": "Yeah. And- [crosstalk]" }, { "from": "gpt", "value": "Yeah. And it sounds like maybe like-" }, { "from": "human", "value": "-sort of opposite, yeah." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "You know, we're in the middle, you know, and it's actually at the moment, I guess." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "But I don't know. You know, that's quite clear that no fucking idea." }, { "from": "gpt", "value": "Okay. Okay. So—" }, { "from": "human", "value": "Do you have an idea?" }, { "from": "gpt", "value": "No. Well, I've-I've got lots of ideas, but I'm really interested to hearing your ideas kind of first though because you know, and there might be some things that we can work on." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "But I guess what I'm really interested in is-is you've made a commitment 22 days, drug-free. Haven't gone back into that lifestyle. What-what's keeping you, 'cause you're at the crossroads, you kind of just pause there at the moment. I'm not sure about this other bit over here. What keeping you in that place?" }, { "from": "human", "value": "Fiona?" }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Tell me about Fiona?" }, { "from": "human", "value": "She's told me that it's over if I do it. You know, I mean, she-- What tell you about, Fiona I mean she's been with me. She's the one who stayed through all the shit. And I owe her-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-something." }, { "from": "gpt", "value": "Okay. So you've been with Fiona for how long?" }, { "from": "human", "value": "12 years." }, { "from": "gpt", "value": "12 years. Okay. So she's stood by you then for the time, [crosstalk] but this time she said, it happens again I'm out of here?" }, { "from": "human", "value": "Yeah. She's actually got the black and white line down now." }, { "from": "gpt", "value": "Okay. And it sounds like you're listening to that black and white line." }, { "from": "human", "value": "It's pretty she- you know, she could be pretty full-on." }, { "from": "gpt", "value": "Yeah, yeah." }, { "from": "human", "value": "Yeah, so it's hard to ignore that line." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "I mean. And it comes with a whole lot of different rules, and you know, she's never been quite like she is now." }, { "from": "gpt", "value": "Okay. So something's changed in your relationship between you, yeah?" }, { "from": "human", "value": "Yeah. I think she has. I don't think I have." }, { "from": "gpt", "value": "Okay. So what's Fiona want you from you?" }, { "from": "human", "value": "She just wants me. I mean, she just wants someone to be there. Me. She-she remembers me and she wants- she wants him." }, { "from": "gpt", "value": "She wants him. So which him does she want, Daryl?" }, { "from": "human", "value": "The one that, you know—" }, { "from": "gpt", "value": "Does she want the- did she want the-the him that she fell in love with and saw great things in?" }, { "from": "human", "value": "Yeah, that's the one." }, { "from": "gpt", "value": "Or does she want the-the-the-the him that's- that keeps on getting into trouble?" }, { "from": "human", "value": "No, no. No one would want him. I don't want him. He's a fuckwit, right? She wants the one that she fell in love with." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So what's it gonna take to reclaim this Daryl that she fell in love with?" }, { "from": "human", "value": "If I had the answer to that, I wouldn't need to be sitting here." }, { "from": "gpt", "value": "Sure, yeah." }, { "from": "human", "value": "And I mean, I honest- I don't know, man. I don't know. I-I wish I knew somewhere I could start that, you know, could give it to her, but I-I can't. I-I don't know." }, { "from": "gpt", "value": "All right. Well, let's-let's just play with this idea a little bit, Daryl. So what did Fiona fall in love with? What were the qualities of Daryl that she said, \"This is him\"?" }, { "from": "human", "value": "I was pretty romantic. I mean, I was pretty quite smooth, and, um, you know, I was on top of my game, like, she- and she loved it. And we used to laugh in the [unintelligible 00:06:45], you know? And just- it was always really sweet, and people used to say, \"Oh, man, you two. You two have just got it,\" you know? And we lost it, so whatever that was, that's what she wants. We were young. How do you become young? Uh, you know, I'm old, and we'll keep growing old, but you know?" }, { "from": "gpt", "value": "I know." }, { "from": "human", "value": "Like if I'm not careful, I will be." }, { "from": "gpt", "value": "Sure. Everyone will age, but that will happen on time." }, { "from": "human", "value": "Yeah, certainly." }, { "from": "gpt", "value": "Um, but that's okay. So-so it's she fell in love with this, the sense of fun, the sense of Daryl, and things have changed, but she's still with you?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah. And you're still with her?" }, { "from": "human", "value": "Yeah, yep." }, { "from": "gpt", "value": "Yeah. So catch me up with the conversations you've had with Fiona about this crossroads you're at. You know, these 22 days, you haven't gone back, you've coming out and you're not back? You could pick up this dealing quite easily and probably some workout here tomorrow and get back into it." }, { "from": "human", "value": "You know what? She hasn't even talked about the dealing, like, she won't even broach that subject. That's how black and white she is. She's- she'll be- she offers suggestions, you know? What I could do, and- or I kind of go with that, but none of them are-- You know, it's lovely that she's really finding things, but they're not the things. I mean, it-- I started kind of placating her and making it okay to keep giving me suggestions, but like, I need to come up with something because it's like awesome love, but you know, not in love, and she's getting sick of it already." }, { "from": "gpt", "value": "Okay. All right. So-so back together, things are starting to get tense at home, and your relationship a little bit?" }, { "from": "human", "value": "A little bit that. Yeah, little-little bit tense. Yeah, that's fair." }, { "from": "gpt", "value": "Yeah. Don't put words in your mouth. I'm sure if that is—" }, { "from": "human", "value": "No, they are." }, { "from": "gpt", "value": "Oh, yeah? Yeah?" }, { "from": "human", "value": "I mean, not like they have been because we've only just started on the new road, but I mean, yeah, tense is the right word." }, { "from": "gpt", "value": "Second, I'd like to talk, Daryl, about this all- whole idea, that's this crossroads idea, yep? So on the one hand here, you've got this 12 year history of being in the other system and done some time and being away from Fiona, but you're now back, sitting back together, and you've got some choice about where to go. So, in that 'where to go', what ideas have you been thinking about in terms of where this-this Daryl, non-dealing [crosstalk] guy—" }, { "from": "human", "value": "Well, I don't know. I haven't got little, um, nuggets of where I could go. I've just got like this feeling that I should go somewhere." }, { "from": "gpt", "value": "Okay. Yep. So a part of you knows you need to go something different, but the direction doesn't seem to be that clear at the moment?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "It [unintelligible 00:09:33] picking up?" }, { "from": "human", "value": "Yeah. No idea." }, { "from": "gpt", "value": "No idea. Okay. So I'm wondering, you've been in the system a while. You're now 34, is it right from the pick-up?" }, { "from": "human", "value": "[nods]." }, { "from": "gpt", "value": "Yeah. So, you know, often at 34, guys start to think about being with a girl in their life and what's important. And-and you would have also been part- not as a guy, so they've actually made some shifts and changes and thought, \"Time to move on\"." }, { "from": "human", "value": "Yeah. Well, um—" }, { "from": "gpt", "value": "And now you've got—" }, { "from": "human", "value": "Not many." }, { "from": "gpt", "value": "Not many?" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "But some." }, { "from": "human", "value": "Um, oh, I've got. Yeah, one. [chuckles]" }, { "from": "gpt", "value": "One?" }, { "from": "human", "value": "One." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Mm, yeah." }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "Okay, so, um—" }, { "from": "gpt", "value": "Tell me something about that." }, { "from": "human", "value": "Well, he-he was- he was inside with me the first time I was ever inside, and now he's a drug counselor." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "So, he's the- he did it." }, { "from": "gpt", "value": "He did it?" }, { "from": "human", "value": "I don't know how the fuck he did that, but, 'cause because he wasn't even a real addict, he was just-- Well, I mean, I don't know. He's very good with people." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Really good at talking, and, uh, but anyway, I don't know how he did it." }, { "from": "gpt", "value": "Cool. So how interested would you be to find out more information about how he did it? 'Cause I'm thinking about this is someone who you know, you've done time with, got a relationship." }, { "from": "human", "value": "Yeah, but I can't ever be a drug counselor." }, { "from": "gpt", "value": "No, I'm not suggesting you-- No, not about being a drug counselor, but about he made that transition from-from being involved in crime-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-to a transition about being in a different place." }, { "from": "human", "value": "Yeah. I think he would have found some higher power. They find-- I'm not gonna find one of them." }, { "from": "gpt", "value": "Okay, no 12-step higher power idea?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So that might work for him, but what might work for you?" }, { "from": "human", "value": "I don't know. That's why I'm here." }, { "from": "gpt", "value": "Sure." }, { "from": "human", "value": "I don't know what that is." }, { "from": "gpt", "value": "Okay, so part of being here with me, and the work we might do, will be to find- try and find- search for that-" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "-thing. Whatever it is." }, { "from": "human", "value": "Good luck." }, { "from": "gpt", "value": "Well, it's a search, isn't it?" }, { "from": "human", "value": "Yeah, I don't mean to be rude-" }, { "from": "gpt", "value": "No." }, { "from": "human", "value": "-but I do mean it's a big ask." }, { "from": "gpt", "value": "Yep, it is a big ask. So what qualities would you need to have to-to go there?" }, { "from": "human", "value": "Fucking guts." }, { "from": "gpt", "value": "Guts? Yeah?" }, { "from": "human", "value": "Is it a quality?" }, { "from": "gpt", "value": "I think it is." }, { "from": "human", "value": "Yeah, I'd need some of them." }, { "from": "gpt", "value": "Yeah? So you're the sort of guy, Daryl, with guts?" }, { "from": "human", "value": "Am I?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "No, not yet." }, { "from": "gpt", "value": "Not yet?" }, { "from": "human", "value": "Well, no I'm not." }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "No, I don't have that-that-that much courage.\\" }, { "from": "gpt", "value": "Yet you're sitting here with me today-" }, { "from": "human", "value": "Oh, I have to." }, { "from": "gpt", "value": "-and-and-and you're talking about stuff." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Well, you're sitting here, and you're talking with me-" }, { "from": "human", "value": "Oh, okay." }, { "from": "gpt", "value": "-about stuff that's-that's quite deep-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-in a way. Um, that takes guts. That takes courage." }, { "from": "human", "value": "All right." }, { "from": "gpt", "value": "In my view, it does." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "'Cause you could've come in here and said-" }, { "from": "human", "value": "It's a bit awkward." }, { "from": "gpt", "value": "-\"Look, Ken, you know, I'll come in, report in, I'm outta here.\"" }, { "from": "human", "value": "Ah, yeah. I could've done that" }, { "from": "gpt", "value": "You could've done that, but you're not. So I'm wondering what's different? 'Cause you may have done that in the past, I don't know, Daryl, with other people like me, but-but sounds like something's different this time." }, { "from": "human", "value": "I'm older, you know? It's not as much fun." }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "I used to take the piss outta you guys-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-all day long. We all do, but-" }, { "from": "gpt", "value": "Sure." }, { "from": "human", "value": "-it's not funny. I mean, and you're-you're a good guy, I imagine. I mean, in fact, you don't deserve my shit. I just-- I don't know. Good luck." }, { "from": "gpt", "value": "I kind of see a sense of sadness there when you have to kind of think about this." }, { "from": "human", "value": "Oh, sadness. You know, I don't wanna wallow, you know? You know, you've gotta take, you know-- You make your own opportunity in life, don't you?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "I just never did." }, { "from": "gpt", "value": "Okay. So I'm interested in this idea, let's, uh-- Opportunities come and go all the time." }, { "from": "human", "value": "Do they?" }, { "from": "gpt", "value": "They do." }, { "from": "human", "value": "All right. Not to me." }, { "from": "gpt", "value": "Well you said before you had an opportunity to pick up and start dealing again." }, { "from": "human", "value": "Oh, yeah. Oh, heaps of those opportunities." }, { "from": "gpt", "value": "And-and so-so-so there's opportunities- there's opportunities in one world, and I'm wondering about what might make it hard to see opportunities in a different world?" }, { "from": "human", "value": "Yeah, well, the different world isn't offering me opportunities. The different world is offering me a night shift, and minimum wage, and, you know, nothing. So it's like, set-set yourself up, set your goal up, or, um, don't, and that's your-your pro-social living, and that's your, you know, old behaviors." }, { "from": "gpt", "value": "Sure, sure. You're in the system-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-you're not in the system. Pick up that, where is it gonna take you?" }, { "from": "human", "value": "The system?" }, { "from": "gpt", "value": "Yeah, what-what's gonna happen if you start dealing again?" }, { "from": "human", "value": "Man, I've been fighting that system-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-and all it takes me back is to the-the inside-" }, { "from": "gpt", "value": "Okay, okay." }, { "from": "human", "value": "-I mean—" }, { "from": "gpt", "value": "So-So again, I'm-I'm wondering about this other world, and you're saying it doesn't look to attractive at the moment." }, { "from": "human", "value": "Well, I can't see it." }, { "from": "gpt", "value": "You can't se it?" }, { "from": "human", "value": "You know what, if I knew what they'd look like-" }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "-I-I might, you know, buy that." }, { "from": "gpt", "value": "Yeah? You just described to me how it looked like a minute ago." }, { "from": "human", "value": "Did I?" }, { "from": "gpt", "value": "Minimum wage-" }, { "from": "human", "value": "Oh yeah." }, { "from": "gpt", "value": "-night shift, petrol station." }, { "from": "human", "value": "Yeah, that's not much fun. That doesn't look very good." }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "Yeah, that looks really hard." }, { "from": "gpt", "value": "Yeah? It is really hard." }, { "from": "human", "value": "I know that's the right thing, uh, don't get me wrong." }, { "from": "gpt", "value": "Sure." }, { "from": "human", "value": "That is gut right there, going to a job you hate, going home, cooking yet missus a dinner, looking after your kids. I mean, that is-- That's what it real mean does, but I don't have that-- Th-those guts to do- to do what you do." }, { "from": "gpt", "value": "Sure. We talked about courage before and you've got the guts to be talking with me about this stuff today, and I'm wondering if you actually do have some courage to think about these ideas. I'm not saying that pumping gas at minimum wage is where you wanna go, but-but the guts to actually start steeping into this other world. I wonder if you do have, I'm-I'm-I'm just not sure." }, { "from": "human", "value": "I-- Hmm, maybe." }, { "from": "gpt", "value": "Maybe. You're not convinced at the moment, I understand that and, um—" }, { "from": "human", "value": "No. You know, convince me because, you know, I kind of want to be." }, { "from": "gpt", "value": "Sure. Well, it's hard to me to convince you-" }, { "from": "human", "value": "Right." }, { "from": "gpt", "value": "-'cause this is your life and this is your story, and you-you've got to walk your life and I can't walk your life for you. I only walk my. And so, but I can walk with you on this life to try and think about-- 'Cause I-I-- You know, I-I've no interest in actually you falling over and going back into-into a lifestyle a crime 'cause I know where it'll take you. And I'm hearing that with your relationship, where it's going to take your relationship too, [unintelligible 00:16:39] got the bottom line drawn pretty clearly." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "So it seems like what's gonna push in this direction, just tip that balance a little bit to give this other world of go? Because it is new, it's different. It means doing stuff, a lot of stuff actually that-that's kind of mundane." }, { "from": "human", "value": "It is the little things, yeah, like waking up, and having a cup of tea and sitting on the porch is kind of cool." }, { "from": "gpt", "value": "It's kind of cool?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Not part of on the wire?" }, { "from": "human", "value": "No, you don't get to sit outside-" }, { "from": "gpt", "value": "No?" }, { "from": "human", "value": "-on the porch." }, { "from": "gpt", "value": "You don't. And who's sitting on the porch with you?" }, { "from": "human", "value": "No one. It's morning, it's just me." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Birds, trees, yada yada." }, { "from": "gpt", "value": "Cool. So I'm picking up this world actually has the freedom to you to be your own man?" }, { "from": "human", "value": "Mm, you know, maybe." }, { "from": "gpt", "value": "Maybe?" }, { "from": "human", "value": "I don't-- You know, that-that was nice. If it was full of bits like that, sure, but I mean, you know, eventually you have to go off to your job and-" }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "-you know, pay your-your wages, I mean your-your mortgage and-and-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-it's just massive." }, { "from": "gpt", "value": "Yeah it is. It is." }, { "from": "human", "value": "It is." }, { "from": "gpt", "value": "Absolutely massive. And, uh-- So, is there a challenge you're up to, to start creating some-some-some of that sort of world for Fiona? 'Cause I'm hearing that—" }, { "from": "human", "value": "You know, people like me are unaccepted into that world though. You know? I've got-- I don't have qualifications. All my mates are in Australia working awesome jobs, mining for 160K a year, you know? Just being men digging holes. Like, if I could do that, yeah, all good but fuck, I have just come out of prison, I don't have any NCEA. I, uh, I had one opportunity and I fucked that because I can't do night shift 'cause I'm lazy. You know? Maybe the world is giving me opportunities and I just don't need them. Maybe I can't do that." }, { "from": "gpt", "value": "Sure. So what I'm hearing is, you're not convinced at the moment." }, { "from": "human", "value": "No, I'm definitely not convinced." }, { "from": "gpt", "value": "No. So what would convince you to-to make that shift? 'Cause I hear a lot of kind of-- And in this hard, like, y-you've done time and then once you've got a record, the employers- you know, we know, I know that. That's-that's not easy. You can't just wonder into a job, a high-paying job and go, \"Pick me, pick me, pick me.\" I know that." }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "You know that." }, { "from": "human", "value": "Yeah, I know." }, { "from": "gpt", "value": "So, um-- And-and maybe it's about small steps and first steps." }, { "from": "human", "value": "Yeah. I mean, yeah, it is obviously, it is first steps, but I mean, what's that? What's the first step into the pro-social life?" }, { "from": "gpt", "value": "Well, you trying to get a job, maybe and get into some routine." }, { "from": "human", "value": "I just know if I get a job that I hate, I just won't do it." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "You know, I can make in an hour what I can make in a night or a week of nights. It's pretty-- You know, from where I'm from that a really-- You know, there's no decision at all, that's just like, what are you up to if you don't?" }, { "from": "gpt", "value": "Yeah. I'm confused though at the moment because you're saying, \"Yeah, I could make in a night what you make in a week,\" but you've haven't. 22-22 days-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-and you haven't done that. So-so tell me what that's about." }, { "from": "human", "value": "I just told myself I wouldn't this time and then Fiona said, \"You will not\" this time." }, { "from": "gpt", "value": "So you told yourself you wouldn't, so you're once you- you're the sort of guy that once you make a decision you're gonna go, you're staunch with that decision?" }, { "from": "human", "value": "Yeah, even if it's the wrong one, yes." }, { "from": "gpt", "value": "Oh, it's a decision whether it's right or wrong-- It's not gonna be-" }, { "from": "human", "value": "Yeah, but I'm that kinda guy." }, { "from": "gpt", "value": "Yeah, you're that kinda guy okay, so once you make a decision. So you made a decision that you're not gonna- you're not gonna go back to dealing?" }, { "from": "human", "value": "Oh no there wasn't a decision to made, I just said, \"I won't yet\"." }, { "from": "gpt", "value": "Yet." }, { "from": "human", "value": "Yeah, I said yet." }, { "from": "gpt", "value": "You're keeping the door open-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-at the moment, is what I'm picking up." }, { "from": "human", "value": "I hate that." }, { "from": "gpt", "value": "Yeah, okay, so that will be a call you-you've got to make." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "I'm-I'm not gonna- I'm not gonna make that call. You'll make that call, but there's a consequence of making that call, and there's big consequences more time probably and Fiona not being around. On the other hand, what I'm picking up is a call to-to do some- do some stuff that may not be racy and exciting and in the big dollars, but me being with Fiona and engaging in this transition into a-a different life." }, { "from": "human", "value": "Mm, yeah." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "And we're still no closer." }, { "from": "gpt", "value": "No." }, { "from": "human", "value": "But I mean yeah it's there." }, { "from": "gpt", "value": "But we're talking about it." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So how much time have you been talking about this-" }, { "from": "human", "value": "Oh, fuck." }, { "from": "gpt", "value": "-position?" }, { "from": "human", "value": "With anyone other than Fiona? No time at all, I'd say for about 10 hours with you." }, { "from": "gpt", "value": "Okay-okay, so the fact we're even having a conversation about it, it's kind of interesting?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah, so I wanna summarize, Daryl, what-what I picked up so far and then just so I make sure I'm really listening to you well 'cause it's important, isn't it? 'Cause, you know, it's important you're listened to-" }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "-by people me. So what I'm picking up is-is-is that if you've-you've got this long 12-year history, you can make some big money or you can dealing, doing crime, that stuff, I'm-I'm picking up that Fiona's set the bottom line, is if you go back in that lifestyle, she's out of here, yet she stayed here for 13, 12, 13 years?" }, { "from": "human", "value": "Yeah, 12, nearly 13." }, { "from": "gpt", "value": "Nearly 13 years, so and-and so-so she stuck with you, and I'm pick up that's important to you, um, and-and-and yet you talk about it, it just seems easy, this bit over here, this whole lifestyle." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "This other lifestyle over here though when we talk about, actually thinking about, you know, doing stuff, doing the stuff that-that everybody else generally does, [unintelligible 00:22:30] will gets on doing, it doesn't have that same kinda seem to excitement, and it doesn't seem to be a-a starting point for you over here." }, { "from": "human", "value": "Uh, that it-it does kinda seem exciting." }, { "from": "gpt", "value": "Oh, it does?" }, { "from": "human", "value": "It does, because it's so different." }, { "from": "gpt", "value": "Right, okay." }, { "from": "human", "value": "And I'm kinda over that one." }, { "from": "gpt", "value": "Okay, you're over that one, okay. So, let's start to think about what might be the first step." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah, with while going in, I think you got a high steep." }, { "from": "human", "value": "Okay, I." }, { "from": "gpt", "value": "Yeah, a steep, you see before you had a mate who turned his back on offending." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And for him this 12-- You wondered that the 12-step stuff working for him." }, { "from": "human", "value": "Yeah-yeah, it does work for him." }, { "from": "gpt", "value": "Yeah, maybe that, I'm wondering the conve- the conversation with him that might be around actually how did he do it, and how did he stay without slipping back across the line, 'cause like-like get this crossroads you've got the path and go the other path and go here, so I'm wondering about conversation with him, what would it take to have that conversation?" }, { "from": "human", "value": "Uh, ringing him." }, { "from": "gpt", "value": "Ringing him?" }, { "from": "human", "value": "Mm, yeah." }, { "from": "gpt", "value": "Yeah. You seem a little surprised, I'm-I'm [crosstalk] wondering about, surprising face." }, { "from": "human", "value": "You-you know, it was a long time ago that we were inside. I just know that's what he's doing. It would be pretty odd calling but the- he'd probably be okay with it." }, { "from": "gpt", "value": "So possibility to call?" }, { "from": "human", "value": "Possibility to call yeah." }, { "from": "gpt", "value": "Yeah there's possible." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah, okay, and Fiona's been pretty staunch." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "Is someone who actually who has some pretty clear ideas about where she wants you as a couple to go-" }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "-I get a sense." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Well, I just have to do what I'm told. I don't know." }, { "from": "gpt", "value": "Yeah, but I'm picking up though behind that doing what you're told, she's got some hopes." }, { "from": "human", "value": "Oh, yeah, I was being, um, chipping, I mean, yeah she has more hopes than me, you know." }, { "from": "gpt", "value": "So what will it take for you to start thinking about some of her hopes and sharing some of her hopes?" }, { "from": "human", "value": "Um, like I do- I do but what it would take, you know, I mean, that's pretty freaking scary shit." }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "Yeah. And I would never admit to that." }, { "from": "gpt", "value": "You said before you're sort of guy that once you make a decision you're pretty staunch with that decision." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So if you made a decision to go there, it might be a scary as shit but again it seems that, uh, it could work if see it look, this is important, this relationship's important, let me go for—" }, { "from": "human", "value": "Yeah, but my-when I made my decision to not do that yet like I was very clear I understood I know that picture. If I'm gonna make a decision to do this, I kinda need to really-really know what that is. You know, not only to talk I mean-" }, { "from": "gpt", "value": "Sure." }, { "from": "human", "value": "-what is the whole plan to-to call-call up you know and say, hey bro, hey bro, uh, how did you do that? I mean, really? Is it—" }, { "from": "gpt", "value": "Yeah. That's-that's what I'm thinking- I'm thinking actually. Here's someone that actually has made a different decision then, uh, it sounds like that's the pathway that starts over here and I'm wondering. I wonder whether you might have wisdom about what it's like to t-to tread that path." }, { "from": "human", "value": "Yeah, like, I guess I could be wondering that too." }, { "from": "gpt", "value": "So you know there's a part of you going, I was thinking in this place that's hard work." }, { "from": "human", "value": "Hmm." }, { "from": "gpt", "value": "And this is a pretty lonely road to-to walk by yourself. I'm wondering who else might be around you that might actually walk with you?" }, { "from": "human", "value": "There's Fiona." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "[unintelligible 00:26:37] getting out so what-what he did. Um, dad's only as mean. There's Fiona." }, { "from": "gpt", "value": "You know maybe they'll walk that road with you too." }, { "from": "human", "value": "Yeah, okay, uh, all right, yeah. All right." }, { "from": "gpt", "value": "There's a couple of people." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "If you want to do that. It gotta be your call." } ]