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71_102
Okay.
other
communication behavior
71_104
Hmm. So, who else could you ask to help you?
question
communication behavior
71_106
Well, have you got the forms with you?
question
communication behavior
71_108
Okay. I'm wondering about-- because it sounds like this whole idea about filling out the forms, is getting in the way of this bigger dream that you've got which is around getting a qualification around something to do with cars-
reflection
communication behavior
71_110
-and getting on this road where you're staying out of trouble because you've got this, um, interest-
reflection
communication behavior
71_112
-which you can do. So, it seems a real shame that the forms are gonna get in the way, so we need to find a way around the forms.
other
communication behavior
71_114
Yeah? So, what do you think, between now and next week, you can do around the forms?
question
communication behavior
71_116
She'd probably help you, but you don't really want to. It sounds like you're a bit embarrassed.
reflection
communication behavior
71_118
Mm.
other
communication behavior
71_120
So, the whole thing about going back to poly-- going back to school-
reflection
communication behavior
71_122
-going back to polytech is-- would-would require a really big change in the way which you're currently living, and you're not quite sure if you can do that.
reflection
communication behavior
71_124
Yeah. So, there's something here about your level of-- about how confident you are around writing or how unconfident you are, that sounds like it's getting in the way.
reflection
communication behavior
71_126
Mm. Okay.
other
communication behavior
71_128
All right. So, it sounds like we might need to have some more conversation around that.
therapist_input
communication behavior
71_130
So, what's really getting in the way?
question
communication behavior
71_132
Well, this writing business. What's really getting in the way?
question
communication behavior
71_134
Well, I'm wondering, like-- it sounds like it's a thing that you're putting up as saying you can't do-
reflection
communication behavior
71_136
-so I'm wondering where you are around your writing and you're reading?
question
communication behavior
71_138
Mm.
other
communication behavior
71_140
Yeah. Well, I have to say, I think it's really obvious that you're not retarded.
other
communication behavior
71_142
[chuckles]
other
communication behavior
71_144
Yeah, we are having a really good conversation here.
other
communication behavior
71_146
So, reading and writing is not a strong point for you.
reflection
communication behavior
71_148
Mm.
other
communication behavior
71_150
So, how much reading and writing is involved in the course that you're gonna go on?
question
communication behavior
71_152
So, what'd it be like if you were more confident in your reading and writing? What'd that be like?
other
communication behavior
71_154
Mm.
other
communication behavior
71_156
Mm-hmm.
other
communication behavior
71_158
Yeah.
other
communication behavior
71_160
And, I guess that there will be manuals and stuff like that on-
other
communication behavior
71_162
-your course that, you know, to-- the hands-on stuff, it sounds like you're really confident around doing, but it's the more reading, writing, book, kind of, stuff that you are not so--
reflection
communication behavior
71_164
Mm.
other
communication behavior
71_166
Mm. Okay. So- so like before you get to here where you got this dream and there's some things that need to happen before that.
reflection
communication behavior
71_168
Yeah. So, mm, we need to think about what's the very first step.
therapist_input
communication behavior
73_1
So with his encouragement, you-you tried some drugs.
reflection
communication behavior
73_3
You tried oxy? Okay.
reflection
communication behavior
73_5
Okay. And he encouraged you to do that.
reflection
communication behavior
73_7
He said that it would help you with some of the pain that you've been having.
reflection
communication behavior
73_9
Yeah.
other
communication behavior
73_11
Okay. So you trusted him on that, and you tried it out and you found that it helped you in certain ways. What are some of the things that you said it's-- takes some of the pain away, it's not just-- you know.
reflection
communication behavior
73_13
Okay, so that's helped you.
reflection
communication behavior
73_15
Mm-hmm. So it help—
reflection
communication behavior
73_17
Okay. So it's not something you wanna rely on, you don't see yourself continuing to use this. It's something that you'v found at least for the moment very helpful?
reflection
communication behavior
73_19
But it's not something that you wanna make a habit of becoming reliant on, or dependent?
reflection
communication behavior
73_21
Yeah, okay. Um, and-and so that's a lot going on right now for you? Yeah.
reflection
communication behavior
73_23
You've been managing in the best way you can. You also have some doubts about it too, it sounds like?
reflection
communication behavior
73_25
Okay, so for now you know that it makes you feel good.
reflection
communication behavior
76_1
Hi, Deborah. How are you doing today?
question
communication behavior
76_3
Yes, um, so you did do your Values Clarification Sheet. Is there anything that you'd like to talk about that you discovered?
question
communication behavior
76_5
Oh, so it's your first?
question
communication behavior
76_7
Mm-hmm.
other
communication behavior
76_9
So, health being your number one, um, which is kind of pushing you into this new direction, as far as you being a prior officer worker? You're doing something that you're actually living to do.
reflection
communication behavior
76_11
Now, have you done this sheet more than once?
question
communication behavior
76_13
And then, has health always been number one for you?
question
communication behavior
76_15
Inner harmony is number two?
question
communication behavior
76_17
Mm-hmm.
other
communication behavior
76_19
So, would you like to express more on the inner harmony part of how that affects your life?
question
communication behavior
76_21
Mm-hmm.
other
communication behavior
76_23
So, yoga, is that based on the number two, like inner harmony? That's where that comes from?
question
communication behavior
76_25
Mm-hmm.
other
communication behavior
76_27
Yes, yes, yes. So, basically, reflecting on how you felt before about you were coming second, third, and fourth. Um, it was- it was really a problem, you know, like, how could you be so, you know, selfish, and think about yourself when-
reflection
communication behavior
76_29
-the reality is inner peace and inner harmony is based around, you know, self-self worth, and you know, self-- and-and dealing with-
reflection
communication behavior
77_0
Hi, Mrs. Smith. It's really nice to see you again. I see you're back to follow up on the stroke you had. How are things going for you at the rehab facility?
question
communication behavior
77_2
Kind of slow?
question
communication behavior
77_4
What kind of things have you been in your rehab?
question
communication behavior
77_6
It hurts? Oh, I'm sorry to hear that. Where are you having pain?
question
communication behavior
77_8
Well, you know, I-I understand that pain is hard to work through but a lot of time when you're having rehab after a stroke, that pain is telling you that your muscles and joints are starting to work again. So you can kind of think of it as a positive way to, you know, know that your-your body's getting back to normal.
therapist_input
communication behavior
77_10
But what are your goals for the long term?
question
communication behavior
77_12
Oh, of course, of course. And what are the things that you'd like to be able to do once you get home?
question
communication behavior
77_14
Yeah, yeah. And so that's a very important goal to be able to get back home, to be able to get back to your independence. Have you thought about what it might take to get there?
question
communication behavior
77_16
Mm-hmm. Yeah, you're absolutely right. And it's also going to be very important that once you're home, you're able to continue on a regular activity program. Have you thought about what that might look like?
question
communication behavior
77_18
Not really, okay. Well, have you ever heard of something called Tai Chi? Is that a familiar term to you?
question
communication behavior
77_20
You've heard of it?
question
communication behavior
77_22
Okay.
other
communication behavior
77_24
Well, you know, Tai Chi is one of the best ways to get your balance back after you've had something like a stroke. And it's also really good for preventing falls. And if you wanna be home and you wanna be doing the things you wanna do and going for walks with your dog, it's very important to make sure that you don't fall 'cause that would cause more problems down the road.
therapist_input
communication behavior
77_26
So what do you think about Tai Chi? Is that something you think you might be able to try sometime?
question
communication behavior
77_28
Mm-hmm.
other
communication behavior
77_30
Yeah, yeah, yeah. Well, it's not that easy to get started. You do certainly have to have some motivation to want to do it. Um, and when you first start, oftentimes you do feel a little wobbly or a little insecure.
therapist_input
communication behavior
77_32
Yeah, yeah, I understand. So there are lots of places around that have it. Your local senior center would have it. And what I recommend is that you start by doing it in a chair. Just sitting in the chair.
therapist_input
communication behavior
77_34
You could. You can talk to the instructor and that way you won't fall, you'll feel confident and you'll start to learn some of the moves. And then gradually over time, as you get a little bit better at doing the moves in a chair, you can start to stand up, use the chair to lean on, and then eventually, you'll be able to get to the point where you can do it on your own.
therapist_input
communication behavior
77_36
You know, it cuts your risk of falls in half. It also helps to reduce pain although that's not a short-term benefit, you do have to stick with it for at least three to six months to start have it help reduce your pain. But it does have a number of things that I think would get you to your goals of being home and able to play with your dog and doing your own cooking and things like that.
therapist_input
communication behavior
77_38
I do Tai Chi. I do it three days a week and it's really helped my balance as well.
therapist_input
communication behavior
77_40
All right. Well, I'm delighted. It's a pleasure to see you again. I hope your rehab continues to go well and we can talk some more about this at our next visit.
other
communication behavior
77_42
All right. Thank you for coming in.
other
communication behavior
78_0
Hi. Are you Julie Thompson?
question
communication behavior
78_2
Hi, I'm Bruce Berger. I work in the clinic and, uh, I noticed that you're in to pick up a prescription for Sarah's, uh, rescue inhaler-
therapist_input
communication behavior
78_4
-for her asthma. I noticed that she's been in the emergency room five times in the last year for her asthma. What's that- what's that been like for you?
question
communication behavior
78_6
Yeah, it sounds like you'd be willing to do whatever you can to try to prevent that from happening.
reflection
communication behavior
78_8
Okay. I-I also noticed that, uh, it's been about three months or so since you picked up the prescription for her chronic inhaler.
therapist_input
communication behavior
78_10
Are you having some difficulties with that?
other
communication behavior
78_12
Okay.
other
communication behavior
78_14
Well, it sounds like you care about Sarah a great deal. You-you don't want her, uh, using steroids. You're worried about what kind of effects those would have on her and you're- you're working hard to keep your smoking away from her so it doesn't affect her asthma.
reflection
communication behavior
78_16
Okay. Uh, would you mind if we talked a little bit about the chronic inhaler and the medicine that you're concerned about with, you know, the steroids because, you know, I certainly don't want her using a medicine that has steroids in it, like the ones that you're worried about for athletes. Uh, can we talk about that just a little bit?
question
communication behavior
78_18
Okay. Even though, uh, even though this medicine isn't the-the medicine that's in this is in the same broad family as the steroids you're worried about, and those are called anabolic steroids.
therapist_input
communication behavior
78_20
Which build people up and have masculinizing effects.
therapist_input
communication behavior
78_22
If-if I can draw an analogy-- Again, even though this medicine is in the same family as those big broad-broad family. If I could draw an analogy, a grape and a watermelon are in the same family of fruits, you know, and obviously, grape is much smaller than a watermelon. And if you eat one grape, you'd be fine. If you ate an entire watermelon, it can make you very sick. If we look at the grape as the medicine your daughter's taking, again, it's in the same broad family, the amount of drug that your daughter is getting is very small. Uh, and not only that it's not an anabolic steroid, even though it's in the same big family. And what this drug does is actually reduces the inflammation in your daughter's lungs. And-and it doesn't even get absorbed into the body. It only goes to her lungs. And as I said, I wouldn't want your daughter taking a medication that could have the impact of those anabolic steroids. This is really safe for your daughter to use. So what-what are your thoughts about considering having her using this?
therapist_input
communication behavior
78_24
Mm-hmm.
other
communication behavior
78_26
Yeah, def-definitely would not. I mean, probably you saw the name corticosteroid and thought, "uh-oh."
therapist_input
communication behavior
78_28
You know. And so-- yeah, and that- and that does concern people. But I do want to reassure you that this is medication that only goes to her lungs, and won't get in her body and they're not the same kind of drugs as the ones you're worried about.
therapist_input
communication behavior
78_30
Do you mind if I talk to you a little bit about what your daughter's lungs are like when she's having these inflammations and needing to go to the emergency room?
question
communication behavior