Utterance
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10 years old | 0id
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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
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yeah to achieve something to achieve something. | 3gc
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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
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A pilot | 0id
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Wow. And when what was what's your reasoning behind that? | 1irq
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I love airplanes I used to make smaller airplane | 0id
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Tell me more about that. What would you do in your dream job? | 1irq
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I just want to fly by being in the end, I like going fast. | 0id
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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
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You know, the only struggle with thatI dont have to drink, I don't think this will work out | 3gc
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What is you next dream job? | 1irq
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A cop. | 0id
|
Police Officer, have you looked into that what it takes? | 11orq
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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
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Let it go, I have to let it go. | 0id
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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
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I had surgery on my cybereason | 0id
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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
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No. | 9on
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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
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But how many times? | 1irq
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3-4 times | 0id
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Do you wake up and you do? | 1irq
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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
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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
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about six seven | 0id
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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
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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
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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
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And how long has this been going on? | 1irq
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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
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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
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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
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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
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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
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I hardly noticed them. Yes. It seemed to clear up | 0id
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nice | 3gc
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which was good, | 1irq
|
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