Utterance
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12 classes
10 years old
0id
10 years old and then you started working and As a program for the school, so you know, you've known at a young age that it's going to take hard work,
3gc
yeah to achieve something to achieve something.
3gc
Now, what about your dream job? What would be if tomorrow you could say, I'm gonna have this person tomorrow? Or this is my profession tomorrow? What would be your dream job?
1irq
A pilot
0id
Wow. And when what was what's your reasoning behind that?
1irq
I love airplanes I used to make smaller airplane
0id
Tell me more about that. What would you do in your dream job?
1irq
I just want to fly by being in the end, I like going fast.
0id
Fast in the air and being above Yeah, I think being able to see different view. So pilot Have you looked into what it would take to become a pilot.
3gc
You know, the only struggle with thatI dont have to drink, I don't think this will work out
3gc
What is you next dream job?
1irq
A cop.
0id
Police Officer, have you looked into that what it takes?
11orq
yeah trying to get back into this cadet program I was doing for about three weeks ago was doing it but was too far. So to kind of really go forward in my area
10od
right maybe that's something we can discuss to help you find the cadet program close fine. We're able to give you a, you know, some goals to set to get you in the program at that. But let's look at you know, back, let's back up a little bit to the marijuana. Because you and I know being in law enforcement, you know, marijuana and being a cop, pretty much
3gc
Yeah, yeah.
7ack
And you would have to what would you have to do?
1irq
Let it go, I have to let it go.
0id
So, what we want to do while you're here, you know, we want to help you here develop a treatment plan and treatment model where you can pursue some realistic goals. We want to set some goals for you. Also, what about your medical History tongue a little bit about your medical history. Have you ever been in the hospital? Has anything ever happened to a broken bone
1irq
I had surgery on my cybereason
0id
What about in your family? Is there any diseases in your family and you want to know suffer for any illnesses, ailments. Okay. And as far as medical attention is there anyone that needs medical that needed medical attention in the past maybe someone on meds in your family psychological health? Was there anyone maybe that has gone to therapy that has been in therapy Your family and family member
1irq
No.
9on
And what we want to do, what I want to do to help you with this verse is one want to develop a treatment plan to help you with the marijuana use. We want to be able to look at your support system, you know who's in your life right now? What are your friends that you smoke marijuana with? What type of people are they? Would this be a good fit for you? But our whole goal is to start you off with small steps. So today, you're using marijuana how many times a day. So you pretty much said you use it every day.
5yq
Yeah.
7ack
But how many times?
1irq
3-4 times
0id
Do you wake up and you do?
1irq
yeah. It's not my morning routine. Go ahead and do it. And then usually around noon time I'll do it again and then towards five o'clock. I'll do it again at nighttime in Fargo. They'll do Again, right
0id
so one of maybe one of the realistic goals is you're okay you know we can we can narrow down maybe the relationship see which of your friends right now today? How many of them smoke
1irq
about six seven
0id
Yeah so maybe a realistic short term goal is to begin to see which friends to hang out with you know and then also your mom man either way she
3gc
She told me before you fall into the wrong crowd and fall into something just she pretty much said that this if I keep this up is gonna get me into something I don't want to get into right now jail time round because we makes you do things that you shouldn't be doing for other things legal, right so,
3gc
No.
9on
Okay, so maybe that's another thing a realistic goal that we need to look at, and maybe help you pursue is it as a job? Maybe because the idle time sometimes can trigger events, you know, where you begin to want to use marijuana, and then we can identify some of the emotions that you're feeling. Let's go over that maybe briefly. Before you get before you smoke marijuana, is there a feeling that you have that says, hey, you depress, so we can look at the depression and see how we can treat that. What else? What are some of the other feelings that you see?
1irq
so angry, You know
0id
what you think?
11orq
Be a bit boring, but my girlfriend So it's kind of a start. So it still bothers me as much as I'm trying to ignore it. Instead, it still bothers me.
10od
Like Thanksgiving and Christmas and holidays and things like that.
3gc
That's when you become angry.
4crq
Yes.
7ack
How you were brought up?
1irq
Yeah its like that I don't appreciate my foster parents. Right? But just with Billy, I've been born with my biological right.
0id
Yeah
7ack
Maybe even your birthday, Father's Day, Mother's Day, these are all things that we can kind of get you ready for. Because once again, it's gonna take small steps, realistic goals. And then what we want to do after that the real estate goals is just get you ready, you know, for long term goal. But you know what, Curtis? I'm glad you came into my office. It was great meeting you. I look forward to working with you.
0id
All right.
7ack
Is there any other questions that you may have for me? Is there anything?
1irq
How many times a week Am I going to be allowed to come?
1irq
What Well, we can do we'll set you up with a treatment plan. And then I'd like to meet at least have two contacts with you your week. We can go over that. And then maybe during one of the context, we can help you with one, help you with a job. Okay? And then identifying some of the emotions. And then maybe we can get the whole marijuana use, we can begin to kind of taper it down instead of seven, you know, everyday. Yeah, we'll begin to see how we can take with that. Okay, we're down but again, I'm glad that you came. It was a pleasure meeting you and we'll be in touch and we'll be able to do it again.
0id
Okay. All right.
2gt
Hello there. My name is Dr. Betty. I'm one of the new GPS in the practice. First of all, what would you like me to call you?
2gt
Well, you can call me Barbara. That'll be fine.
2gt
Yes. Dr. Brown is my doctor.
0id
Okay. What is it this boy you see me today?
1irq
Well, I've come about my tummy problem. I've got terrible trouble with my stomach. And Dr. Brown just doesn't seem to be able to get to the bottom of it. I thought perhaps I'd come and see you to see if you could help.
0id
Right. Okay. Can you tell me a bit more about your tummy problems?
1irq
Umm Well, I have this terrible discomfort nearly all the time. It very often feels bloated. I I swing between being constipated and having diarrhea. I have sort of cramping feelings sometimes and other times it stops. It's a real stabbing feeling. I often have the urge to go to the toilet, and and I pass very smelly wind.
0id
So quite a few symptoms and some of them sound more troublesome to you.
4crq
Yes. Okay.
7ack
And how long has this been going on?
1irq
Well, I I've traced it back to a holiday I had in Egypt about four years ago. I had a horrible bout of sickness and diarrhea And I don't think my stomach's ever been really right since then.
0id
Okay. Okay. So you think it began about four years ago after this holiday?
5yq
Yes,Yes.
7ack
Okay.And What sort of treatments have you tried for this before?
1irq
Well, Dr. Brown gave me some muscle relaxants at the beginning. But I've been to the health shop and and they've been really helpful. They've given me lots of different tablets and medicines for different things. Now oh and Imodium, I have Imodium in my hand back all the time, just in case, right.
0id
So these different tablets that you've got from the herbal shop, how are you taking them?
1irq
Oh, well, different tablets. You know, I don't have the same problem every day. So I'll take some tablets for certain symptoms, right. Other tablets for other things.
0id
So my my writing thinking you perhaps decide on a day to day basis, what you're going to take depending on what your stomach's doing.
5yq
Yeah
7ack
okay. Okay. And what About tests if you have any tests for these problems.
1irq
Yes, I had in the early days, I had a gastros,, guess.
0id
they're are the gastroscopy?
4crq
Okay.
7ack
But now I've tried you. I don't think he's tried enough tests because he said after that, that they didn't find anything. He's, he's just not sent me for anymore. That's it now, as far as he's concerned, sent me back to the doctor.
6cd
Right. sounds as though you're not happy with that?
1irq
Well, you know, I think that actually, the NHS are running out of money out there. And he's decided that I've had enough tests small and you know, if you go on the internet, there's loads of tests that he could have sent me for.
0id
Right
7ack
If I had a bit more money, I'd go Private. I just don't think he's got to the bottom of it.
0id
So you feel as though actually enough hasn't been done in the way.
4crq
He's not. There's loads more he could do, I'm sure. Right. Okay.
6cd
It sounds like you've had these problems now for about four years, you've you've got a lot of various symptoms in your stomach. You've tried a lot of tablets, some prescribed some herbal remedies, and you've had some investigations, but you're not entirely happy that you've been investigated thoroughly enough. Is that is that about it? So I got the stor?
5yq
Yes
7ack
Right. Okay. And can I ask you, Barbara, how is all of this affecting you day to day, how's how's it affecting your life?
1irq
Well, it's had quite, quite a big impact. I mean, the first thing the biggest thing, I suppose is that I, I went from being full time to part time at work. I just couldn't sit all day comfortably. And so in part time, In the end, I hope about a year ago I stopped work altogether, right. I missed that. I missed the girls we used to use least once a week night to the pictures or drink. That's one thing.
0id
That's something you quite enjoyed.
3gc
Yes, yes. Yes, we just have a laugh.
7ack
Okay.
7ack
I used to go to swing in shape. I used to go to an exercise class that was I missed the exercise Actually, that was once a week, but you know, the thing was, I wasn't comfortable. Never felt quite right doing all this exercise. I was always worried I was going to be taken shorter So I stopped that.
0id
right
7ack
Then well, my husband and I used to go out for meals. That's another thing we don't do anymore Now.That's Quite a few things really.
3gc
Yeah, it does, It does sound as though over the last few years, your life has really changed quite a lot because of the symptoms. It's It sounds like you're doing very few of the things that you used to do.
3gc
Hmm, right.
7ack
What is it you spend your average day doing now?
1irq
Well, I put around the house. I spent perhaps a little bit too much time watching. I've got a bit hooked on daytime television, I have to say draw you in don't do. I read a bit the old magazines but generally I'm at home.
0id
Right. Okay. Okay. And have you been any times of the last four years that you've noticed any significant changes in your symptoms for example, have there been any times when things have been better for you?
1irq
Last year My son got married. And I have to say I was worried that that I wouldn't be able to cope with it that I wouldn't be feeling well enough. But surprisingly enough, I was in good form. I think it was about three weeks in the summer getting ready for it and the whole heart of the wedding, but I was in good, really good form for that. Yeah. That was a good time.
0id
Right. And how were you told me symptoms then?
1irq
I hardly noticed them. Yes. It seemed to clear up
0id
nice
3gc
which was good,
1irq