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-that I could do for longer periods versus more of like you said, the prescriptive approach.
16
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?
30
It's all right, you know, I date a little bit but, uh, you know, I just don't wanna get serious right now.
22
And-and yet, we know we can't make perfect safety, but we know that the more you move and the more active that you stay, the less likely it is that you're going to fall and the more safe you're going to be.
42
Um, well, it's fun. I like drinking when my friends are drinking too. Um, I laugh more. It's just fun.
20
I think you answered all my questions. Thank you.
9
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?
41
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.
25
So for you to create opportunities to create those moments that you can have that feeling again
17
Uh, I don't know. Um, I use maybe a few times a week.
13
Um, I'm definitely it's not-- I think I could probably do it. It's just- it-it comes hard when you're, like, in that moment. You're around your friends and they're drinking and you don't wanna be- you don't wanna be the mom at that moment. You wanna be yourself. You wanna be who you were before.
55
I guess, I mean, since it's just there.
8
Yeah. And that really is to give you feedback about how those other things are doing so that it keeps you on task.
23
Well, a little bit, but nothing too-- you know. I'm not blo- I'm not bloated or anything.
17
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?
26
Okay. And I-- And what I want to do is help you kind of break this up into some-some doable chunks so that we can get your blood sugar down. I, you know, on the one hand, your doctor is right, you know. Your blood sugar is very high and we do wanna get it down so that we don't have those consequences happen. Uh, and-an...
106
-and to keep you there and to keep you feeling safe.
11
And come and see you again-
6
Uh, I don't know. Um, I use maybe a few times a week.
13
-in my life, considering I have big plans for my future. So.
12
And I'm not sure about the Tai Chi anymore. I-I think the physical therapy, I can understand that, but I'm not so sure about the Tai Chi.
27
Oh, I think I will probably be in seven or eight. I'm-I'm pretty confident that I could stop doing this.
20
Um, well, you know, I like the way it feels. Um, you know what I mean? When I shoot up my anxiety, goes away, my depression goes away. Uh, things that usually make life really difficult, uh, get a lot easier.
41
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?
43
Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?
33
Yeah, but I-- Um, let me just clarify, I've seen the materials, I have them-
15
Have my mom check on me to make sure everything's put away.
12
I don't know, something about changing my life even more. You know, the smoking's been changed, and now it's, you know, cut down the drinking, get rid of those extra smokes, get rid of my dog. I don't know what else have to do.
44
Um, they draw you in, don't they?
7
Are you surprised what that might be true?
8
I really, you know, I really enjoy being in that team setting of, you know, being with other people and all working toward- together towards that one goal.
28
-and, uh, and-and also might help you organize and connect up with other services that might be out there or do things, um, like that. I don't know. What it- how does that sound to you?
36
Wh-what do you think about that?
6
Yeah, so then it's, um, right now, uh, tell me a little bit about, um, right now at this point in your life why it's so important to quit.
29
So, yeah, it's probably a signal to-to make some-some changes.
10
Yeah. I suppose just since that kind of intervention thing or I started to give them the benefit of the doubt. And it's-
23
-and the feedback is really nice and the support-
9
-that-that, um, that has to happen. Would you like some suggestions about that?
13
Well, usually I try telling myself to just like, leave it be-
12
And we're g- we're gonna leave labels all that kind of stuff aside 'cause, you know, I'm picking up from you that that's not what that's about.
27
When I went with my girlfriends to the pub last night and I went and hit a bit of a flutter-
21
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.
44
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,...
76
I don't know how you're feeling right now but I'm just wondering if we can take a-just a quick glance at this-
22
All right. Do you have any concerns at all about your alcohol use?
13
So, I'm wondering if something happened that that led you not to go. You look a little, um, down.
19
No, he's not. There's loads more he could do. I'm sure.
11
So at some point, I would imagine that maybe I strike up conversation with the right person-
17
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.
25
You realize it's something you shouldn't have done.
8
Well, when you're self-employed, you haven't got a choice, you know?
11
Right. So you can see the links between your weight and your health, and you'd like things to be a bit better.
22
Yeah. And my garden is coming along, and my neighbors have stuff-- It's-it's good. It's good to be home.
19
-because I think to myself, "Well, if someday, I am diagnosed with diabetes, I'd just carry on and-"
18
How long have I been out?
6
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 o...
76
Were you aware of the fact that smoking these little cigarillos, the Swisher Sweets, can have some of the same negative health effects?
23
It's you that I'm worried about, Sal. It's you that I'm worried about, okay? The-the symptoms are worse. You've had two or three major asthma attacks. And-and do you appreciate how-- This is, uh, a risk to your life that there are some-some adults with severe asthma who actually can die as a result of their symptoms? I...
71
Well, he-he was- he was inside with me the first time I was ever inside, and now he's a drug counselor.
21
Donna is easy to talk to unlike other girls that I don't really get along with. Uh, she's like and a good friend too so-
25
-just being in bed or whatever.
6