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60_21
Okay.
other
communication behavior
60_23
Okay.
other
communication behavior
60_25
Sure.
reflection
communication behavior
60_27
Okay. Yeah, no, all those things are good. I mean, I think you know, the will- picking a quit date has been found to be really effective. And, um, uh, I know you had talked earlier and then we'll end in just a couple minutes, but about, you know, like, the willingness or the readiness and most-- a lot of people, a lot of my clients have shared with me that when they woke up that morning, they truly had no idea that was going to be their last cigarette.
therapist_input
communication behavior
60_29
No. Or- or some of them didn't have an exact date, but m-more importantly, was they-they just didn't know that was the day.
therapist_input
communication behavior
60_31
Right, right. It's just like you-you-you-- Some people pick a quit date, like January 1st is still the most popular quit date—
therapist_input
communication behavior
60_33
There's a smoke update coming up.
therapist_input
communication behavior
60_35
It's for the cancer society.
therapist_input
communication behavior
60_37
Yeah.
other
communication behavior
60_39
Yeah.
other
communication behavior
60_41
Yeah.
other
communication behavior
60_43
Actually, you would be amazed how many people do it.
therapist_input
communication behavior
60_45
Yeah, yeah, they really do, and smokers. Yeah, and drinkers, they do, yes. Yeah.
therapist_input
communication behavior
60_47
Like a new beginning.
reflection
communication behavior
60_49
So, for you, it's your, you know, it sounds like you really want to be prepared.
reflection
communication behavior
60_51
And yet, on some level, you know, that it's gonna be a lot of hard work for you because of, you know, you've already known how anxious you get about a stash-
reflection
communication behavior
60_53
So if you have a stash Nicorette gum if you decide to use it, I mean, you'd have to have other stashes, you know.
therapist_input
communication behavior
60_55
That worries you?
reflection
communication behavior
60_57
Yeah. So, so if-if your doctor says it's okay with the Wellbutrin, one-- uh, we see very little if any weight gain-
therapist_input
communication behavior
60_59
-with the Wellbutrin, yes.
reflection
communication behavior
60_61
Yeah. And, um, the same with the Nicorette gum, because it- nicotine is an appetite suppressant.
therapist_input
communication behavior
60_63
Yeah.
other
communication behavior
60_65
If you will. And that's if you decide you want to try a replacement therapy and that's what we call it and it-it kind of sounds from what you've described with your fear about you know, what it would be like of the withdrawal and everything like that. W-why you don't have to do it that way, you don't have to go cold-cold turkey.
therapist_input
communication behavior
60_67
Yeah.
other
communication behavior
60_69
Yeah.
other
communication behavior
60_71
Yes. Yeah, yeah. So I think that- I think, I'm just a really big advocate of w-whatever is gonna enhance the quality and the length of your life. And if somebody becomes addicted to nicotine go- gum, God bless them. They're still gonna live longer, you know what I mean?
therapist_input
communication behavior
60_73
So—
other
communication behavior
60_75
So, we'll do that so we'll-we'll talk about the hypnosis a little bit more, you know, you'll talk to your doc. Um, you'll do your research, you know, about programs and stuff, I'll give you any information I have and we'll take it from there. But it's sounding like the quit date might be coming up fairly-- like within the next two, three months.
therapist_input
communication behavior
60_77
I, uh, mean that's up to you.
reflection
communication behavior
60_79
You get to decide.
reflection
communication behavior
60_81
Yeah. Is it appealing the thought of quitting with a group at the same time?
therapist_input
communication behavior
60_83
Uh-huh.
other
communication behavior
60_85
Okay, yeah.
other
communication behavior
60_87
Okay. So, that really sounds like something we can do.
reflection
communication behavior
60_89
So, that would be can- the Cancer Society. So, we can look into that.
therapist_input
communication behavior
60_91
All right. Well, I appreciate you coming in. We'll set up another appointment and, um, get our resources together. We'll take it from there and—
reflection
communication behavior
60_93
Oh, you're welcome. My pleasure, thank you.
other
communication behavior
61_0
Hi Mrs. Smith, my name is Terri, I'm one of the nurses who works with Dr. Fields.
other
communication behavior
61_2
Yes, I think when you were in last time.
other
communication behavior
61_4
And I know that, uh, Dr. Fields talked with you last time about maybe trying a tai chi class to see how that would go, and I wanted to-to check in with you and see how tai chi went.
question
communication behavior
61_6
Uh-huh.
other
communication behavior
61_8
Uh-huh.
other
communication behavior
61_10
Mm-hmm.
other
communication behavior
61_12
Uh-huh. So, you thought it was beautiful and you liked the instructor, but you were a little self-conscious because you were in a chair?
reflection
communication behavior
61_14
A lot self-conscious, uh-huh.
reflection
communication behavior
61_16
What were you hoping to achieve with the, um, by going to tai chi?
question
communication behavior
61_18
Uh-huh. So, you're hoping that it would help with balance, but you didn't see the- maybe the results you were looking for?
reflection
communication behavior
61_20
Not yet.
reflection
communication behavior
61_22
Uh-huh. What is your overall goal? What are you working towards?
question
communication behavior
61_24
Uh-huh.
other
communication behavior
61_26
Mm-hmm, and what is it that's important to you about getting home?
question
communication behavior
61_28
Mm-hmm.
other
communication behavior
61_30
Yeah.
other
communication behavior
61_32
Uh-huh. So, you're wanting to get home to your dog, your garden, back to your life, your independence?
reflection
communication behavior
61_34
Mm-hmm.
other
communication behavior
61_36
What do you think you need to do in order to be able to achieve that goal of getting home?
question
communication behavior
61_38
Uh-huh.
other
communication behavior
61_40
And do you agree that that's what you need to do in order to be able to get home?
question
communication behavior
61_42
Uh-huh.
other
communication behavior
61_44
Uh-huh.
other
communication behavior
61_46
Uh-huh, and tell me how your physical therapy is going?
question
communication behavior
61_48
Mm-hmm.
other
communication behavior
61_50
Mm-hmm.
other
communication behavior
61_52
So, it sounds like, um, you can see that you're making some progress in physical therapy-
reflection
communication behavior
61_54
-and that you were hoping that the tai chi would help you with the wobblies. Uh-huh?
reflection
communication behavior
61_56
And so, are you wanting to go back to tai chi?
question
communication behavior
61_58
Uh-huh. I think it's important, um, that you know that you're the one who has to make the decision about whether or not tai chi works for you.
other
communication behavior
61_60
Uh-huh.
other
communication behavior
61_62
So, you haven't seen the results that you want yet-
reflection
communication behavior
61_64
-but because Dr. Fields has recommended it and your friend has-
reflection
communication behavior
61_66
-and it sounds like you like the instructor-
reflection
communication behavior
61_68
-it sounds like you'd like to try and give it another chance?
reflection
communication behavior
61_70
So, what has to happen in order for you to get to tai chi again?
question
communication behavior
61_72
Uh-huh. Yeah.
other
communication behavior
61_74
Uh-huh. So, how confident are you on a scale of 1 to 10 with one being not at all confident and 10 being very confident that you can make the arrangements in order to get to tai chi.
question
communication behavior
61_76
Mm-hmm.
other
communication behavior
61_78
Five.
reflection
communication behavior
61_80
Uh-huh, so-
other
communication behavior
61_82
Uh-huh. What is it that makes it a five instead of a one, no confidence?
question
communication behavior
61_84
Mm-hmm.
other
communication behavior
61_86
Uh-huh.
other
communication behavior
61_88
Uh-huh.
other
communication behavior
61_90
So, in order for you to feel more confident, you would like some help in making those arrangements?
reflection
communication behavior
61_92
Uh-huh.
other
communication behavior
61_94
And is that something that your daughter can do for you?
reflection
communication behavior
61_96
Okay. Um, so is that something that you'd like us to help you with?
question
communication behavior
61_98
Uh-huh.
other
communication behavior
61_100
Sure we can make those arrangements with the rehab center. They have a van-
therapist_input
communication behavior
61_102
-and-and they've done this for other patients so we can certainly make those arrangements if you'd like.
therapist_input
communication behavior
61_104
Okay. So, are there any other barriers or obstacles in the way to you getting to tai chi?
question
communication behavior
61_106
Okay.
other
communication behavior
61_108
All right.
other
communication behavior
61_110
Well, it sounds like you can see that you're making some progress in your physical therapy.
reflection
communication behavior
61_112
And that you're wanting to give tai chi another chance, and that if we can help make arrangements for you to get there with the van to the rehab center, that you'll give it another chance.
reflection
communication behavior
61_114
Okay.
other
communication behavior
61_116
Well, um, before you leave today, we'll go ahead and, um, I'll call the rehab center and make those arrangements.
other
communication behavior
61_118
Sure. I'm-I'm happy to do that.
other
communication behavior
61_120
And then when you come back in, I know you've got another follow up appointment with Dr. Fields, I'd like to check back with you then and see how class went the second time.
other
communication behavior
61_122
All right.
other
communication behavior
61_124
Well, thank you very much for coming in today Mrs. Smith and I look forward to hearing about the progress that you're making.
other
communication behavior