{
  "file_id": "dr_JC0228",
  "full_text": "This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Is it okay if I record- Speaker 2: You're fine, yeah. Speaker 1: ... our conversation? Speaker 2: Because- Speaker 1: Okay. Speaker 2: ... go for it. Speaker 1: ID JC 0228. So, I said, I told you explain about this study, now I'm just gonna ask you a couple, , interview style questions. Feel free to stop or add- Speaker 2: Okay. Speaker 1: ... whatever you need. So first, these are about how you take care of your diabetes. What are things that you do day to day that relate to your diabetes? What do you do each day? Speaker 2: , I do take my sugars. I have a, , monitor- Speaker 1: -huh. Speaker 2: ... , Freestyle Libre. Speaker 1: Mm-hmm. Speaker 2: , so I use that and check my sugars with that. Speaker 1: 110101_004 (Completed 06/14/25) Page 1 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Speaker 2: , I have been doing a keto diet, , trying to work on that as far as that. Speaker 1: Mm-hmm. Speaker 2: , when I can, I try to go to the gym. If not, I, I've been going swimming or taking a walk, , things that. But that's been currently, so those are, those are the things I guess that I have been doing. And I do take my medications of course. Speaker 1: Got it, sure. Speaker 2: So. Speaker 1: Mm-hmm. Speaker 3: Make sure this if you need help. It says . Speaker 1: Okay. Speaker 3: Then you'll have to catch them up. (all background) Speaker 1: , what are your biggest priorities with your diabetes care? Speaker 2: , getting my A1C down is my, my one I'm working on the most right now, and trying to keep a, a steady level of my sugar, blood sugar, so. Speaker 1: And what are some things that your doctor has discussed with you that may be important for people with diabetes to do? what has she, or she or he told you to do? Speaker 2: , well, of course, monitoring and checking it. 110101_004 (Completed 06/14/25) Page 2 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm, mm-hmm. Speaker 2: Keeping up knowing where your sugar levels are, , making sure you take your medications at the right times. Speaker 1: Mm-hmm. Speaker 2: So , , if you're going to be eating, make sure you take it before. Speaker 1: Mm-hmm. Speaker 2: , that exercise is very good for it. Those are a few that I can think of. Speaker 1: And what are some signs that you experience if your diabetes are getting worse? what tells you, oh, something might be getting worse? Speaker 2: , for me personally, it's more high than low. Speaker 1: Okay. Speaker 2: , high. It's just more of an irritable feeling- Speaker 1: Mm-hmm. Speaker 2: ... would be one of the things. , headache a little bit. Speaker 1: Mm-hmm. Speaker 2: , , I don't know, well, , I don't really feel, I guess when I get high, if I get too high- 110101_004 (Completed 06/14/25) Page 3 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: ... it makes me feel tired. Speaker 1: Okay. Speaker 2: , you know, - Speaker 1: Mm-hmm. Speaker 2: ... , yeah. I want to sleep- Speaker 1: Mm-hmm. Speaker 2: ... things that. So. Speaker 1: And how has diabetes affected your eyes? what changes have you noticed? Speaker 2: Well (laughs)- Speaker 1: (laughs). Speaker 2: ... this is a good day to ask that. Speaker 1: Ask (laughs). Speaker 2: , I actually, , have some diabetic retinopathy in my eyes. Speaker 1: Okay. 110101_004 (Completed 06/14/25) Page 4 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: , even though I have been doing things, making better choices, this has been going on longer than I knew Speaker 1: Mm-hmm. Speaker 2: And, , so I've had that. , and of course, so my vision, , and then, I said, I've had a little bit of, recently I had a little bit of, , slight floater in my eye. Speaker 1: Oh, okay. Speaker 2: That just started. So I, , that's, , but yeah, I had another doctor where they didn't tell me it'd come to something this until I found out a couple days ago. Speaker 1: Okay. Speaker 2: , the last two doctors just said it should get better. Speaker 1: Was that your primary care doctor? Speaker 2: No, those were my, those were optetricians, optricians. Speaker 1: Oh, optometrists. Okay. Speaker 2: Yeah, optometrists. Yes. Speaker 1: , and when did you start to notice the changes in your eyes? Speaker 2: ... honestly, it would get, it started getting a little bit more serious maybe about four months ago, five Speaker 1: Four months ago. 110101_004 (Completed 06/14/25) Page 5 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: ... months ago. Speaker 1: Okay. And so did you tell your primary care doctor about these changes? Speaker 2: , my primary care doctor is in Weirton currently, and I'm trying to transfer. Speaker 1: Oh, okay. Got it. Speaker 2: So I've had some difficulty with communicating with them about the fl- these few things. Speaker 1: Mm-hmm. Speaker 2: , so no, I didn't- Speaker 1: Were- Speaker 2: ... to think of it, yeah. Speaker 1: ... , were there any doctors that you mentioned this to before? Speaker 2: Well, the, , I did speak with a little bit on, , to Amy about it. - Speaker 1: Okay. Speaker 2: ... that would be my, , endocrinologist. Speaker 1: Oh, okay. Speaker 2: Yeah. 110101_004 (Completed 06/14/25) Page 6 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Got it. Speaker 2: But, and she did say she wanted to make sure that I got it checked again. Speaker 1: Mm-hmm. Speaker 2: So when I got it checked again, just that's whenever I noticed all this extra stuff, so. Speaker 1: Mm-hmm. And what did your doctor today say about these changes? Speaker 2: Well, just that he wants to be aggressive with my treatments- Speaker 1: Okay. Speaker 2: ... and get this taken care of. And I said, I had an injection in the left eye- Speaker 1: Mm-hmm. Speaker 2: ... and I had laser in the right today. Speaker 1: Mm-hmm. Speaker 2: So my- Speaker 1: Yeah. Speaker 2: ... yeah, it was quite a, quite a shock today, but it was good. So it, I, I'm, I'm glad that we're being aggressive. I'd rather be aggressive than not, so. Speaker 1: 110101_004 (Completed 06/14/25) Page 7 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Mm-hmm. You can check the room down there all the way where the laser [inaudible 00:04:22]. Speaker 3: Over there? Speaker 1: Yeah. And see if that's . If there's no one in it, then it's . Speaker 3: Okay. , but is Deanna fine with that? Speaker 1: Yeah, she Said we can use it, there's no one in there. Speaker 3: Okay. (all background noise) Speaker 1: , I'm so sorry. Speaker 2: No, you're fine. Speaker 1: , what does your doctor, has your doctor ever told you anything about how your diabetes might affect your eyes? Speaker 2: Yes. Yes. Speaker 1: Who told you and what did they tell you? Speaker 2: , just that basically the sugars, , it's circulation. Speaker 1: Mm-hmm. Speaker 2: It has to do with your, , blood flow and circulation. And of course, diabetes is, is, , directly linked to that and it can restrict blood flow and that causes the, , tension and the squeezing in your eyes- Speaker 1: 110101_004 (Completed 06/14/25) Page 8 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Speaker 2: ... basically that causes the stress. Speaker 1: Mm-hmm. Speaker 2: ... that also causes the damage that gets done. So. Speaker 1: And where do you typically get your eye exams done? Speaker 2: See, I haven't had a typical doctor for quite a while. Speaker 1: Okay. Speaker 2: I've gone to, , Lenscrafters for a couple years. Speaker 1: Okay. Speaker 2: Which is where I was going. And then, , we had changed insurance a couple times, and then I went to, , a doctor in Weirton, I can't remember his name. Speaker 1: Mm-hmm. Speaker 2: And I just recently started down here, but we are settled and moved into Morgantown, so I'm hoping this will be more consistent, so. Speaker 1: Okay. And when you go last whenever you had your eye exam, when you go, what kinds of steps do they take with your eye exam throughout? Speaker 2: , the last one was very thorough. , she did everything from the ch- the glaucoma, , scanned, , the eye exam, the, , looking in the, the back. 110101_004 (Completed 06/14/25) Page 9 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: And, and , , she had some very good technology too for that. So, it was very thorough, which is why I came here. , I think I went two or three days ago- Speaker 1: Mm-hmm. Speaker 2: ... to the other doctor. And she immediately re- said, I need to come here because- Speaker 1: Okay. Speaker 2: ... she, what she noticed in my eye, so. Speaker 1: Got it. And do you remember when you had your eyes last dilated? Speaker 2: Today. Speaker 1: Today? Speaker 2: Today, and actually three days before that, I didn't get the dilation, but I got the, , there's a, a new technology out that is , you don't need the dilation for. Speaker 1: Mm-hmm. Speaker 2: So I had that just three days before that too. Speaker 1: Okay. Speaker 2: So, yeah. Speaker 1: 110101_004 (Completed 06/14/25) Page 10 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. And how often do you think you should have your eyes checked, , in your opinion? Speaker 2: , where I'm at right now, minimum would be probably three months. Every three months- Speaker 1: Three months? Speaker 2: ... or so, where I'm at now. Speaker 1: Mm-hmm. Speaker 2: , yeah. So. Speaker 1: And what was your experience with your, , getting your eyes dilated today? Speaker 2: It's uncomfortable. Speaker 1: Mm-hmm. Speaker 2: But I mean, it was, they did a good job. Speaker 1: Okay. Speaker 2: So, yeah. Speaker 1: No issues otherwise? Speaker 2: No. Speaker 1: The, no discomfort? Speaker 2: 110101_004 (Completed 06/14/25) Page 11 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. No. I mean, just, just the fact I'm, , the wateriness and everything that happened. Speaker 1: Mm-hmm. Speaker 2: So, but yeah. Speaker 1: And what is your s- of when you try to get eye care, what does the scheduling process look for you, either here or with your optometrist and everything? Speaker 2: , I usually either will call in and get my dates set up. Speaker 1: Mm-hmm. Speaker 2: , try to get here a little bit early. Speaker 1: Mm-hmm. Speaker 2: And, , it flows okay, pretty good- Speaker 1: Mm-hmm. Speaker 2: ... so after that, so, but yeah, it's usually just try to call in and then they'll call me to confirm my appointment or whatever, and then, , I confirm and then come in. Speaker 1: Mm-hmm. Speaker 2: So. Speaker 1: What does your doctor's availability look ? even today and the future? Speaker 2: Today was amazing. It was fast. 110101_004 (Completed 06/14/25) Page 12 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: -huh. Speaker 2: So I mean, I would say here was excellent. Speaker 1: Okay. Speaker 2: Because, I mean, it was literally I, three days ago- Speaker 1: Mm-hmm. Speaker 2: ... and I was expecting to wait for quite a while. Speaker 1: Mm-hmm. Speaker 2: And I got in in three days, so I was very happy with that today. Speaker 1: How about the previously, in (participant speaks over) - Speaker 2: A little bit longer, more waits. Speaker 1: Okay. Speaker 2: Yeah. Trying to get fit in- Speaker 1: Mm-hmm. Speaker 2: ... and then certain places I've been to, I feel rushed, occasionally the, , , the doctor I had in Weirton and I felt it wasn't very thorough, and- Speaker 1: Mm-hmm. 110101_004 (Completed 06/14/25) Page 13 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: ... it was more, , , just in and out. Didn't really take the time to really do the, the work. Speaker 1: Mm-hmm. Speaker 2: But here it's been very good. So. Speaker 1: And what recommendations did you receive on your eye care today? Speaker 2: , right now, , just to basically , , rest my eyes a little bit. Speaker 1: Mm-hmm. Speaker 2: , I'm gonna be, , rescheduling a new appointment. Speaker 1: Mm-hmm. Speaker 2: , the fact that just keep on my, , eating the low carbs, trying to keep my sugar levels, , down in the 70 range-ish- Speaker 1: Mm-hmm. Speaker 2: ... , which I have been working on better recently, of course. , but, , , cont- controlling my sugars, , and of course, what I'm personally working on and even I've been told is stress. Speaker 1: Mm-hmm. Speaker 2: So working on my stress levels, so. Speaker 1: 110101_004 (Completed 06/14/25) Page 14 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. And what kind- do you face any challenges in receiving eye care? If so, which, what challenges would you say you received or you faced? Speaker 2: Personal or? Speaker 1: Yeah. You, what challenges have you faced in receiving an eye care? Speaker 2: , so for, , the, usually when it comes to the doctors and the things of that nature, I don't have as much- Speaker 1: Mm-hmm. Speaker 2: ... as more I have my own personal, , self issues- Speaker 1: Okay. Speaker 2: ... that restrict me a little bit from getting into the doctor- Speaker 1: Okay. Speaker 2: ... or doing things that. So, , but as far as anything to do with their, or their facilities or things that, , the business sometimes of it being- Speaker 1: Sure. Speaker 2: ... just crowded- Speaker 1: 110101_004 (Completed 06/14/25) Page 15 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Speaker 2: ... or the fact that, I said, sometimes you'll get there and you'll have to wait- Speaker 1: Mm-hmm. Speaker 2: ... for such a period in time or, , I don't know, that, those are the big ones, just, , , the waiting and things sometimes. Speaker 1: Mm-hmm. You mentioned the personal challenges. What were those that you feel you had? Speaker 2: , well I have anxiety issues. Speaker 1: Oh, okay. Got it. Speaker 2: I have ADHD- Speaker 1: Okay. Speaker 2: ... adult, which is, I just found out not that long ago. Speaker 1: Mm-hmm. Speaker 2: , and with between the little bit of anxiety and then the, the frustration issues with the problems I have with things that I'm trying to get better at. Speaker 1: Mm-hmm. Speaker 2: And not seeing the results and the speed I'd to, it gets a little bit frustrating, so. Speaker 1: Got it. 110101_004 (Completed 06/14/25) Page 16 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: And so, yeah. Speaker 1: Do you have any suggestions for improving your eye care experience? Speaker 2: Honestly, I would say one of the things that I would suggest personally is somehow a better linkage to a dietary certain thing. Speaker 1: Oh, okay, sure. Speaker 2: , so that, , you could almost connect someone to something, especially if you're diabetic. Speaker 1: Mm-hmm. Speaker 2: How food is such a relate- relative thing to do- Speaker 1: Mm-hmm. Speaker 2: ... with the, , , , it's hand-in-hand with basically diabetes. Speaker 1: Mm-hmm. Speaker 2: So, having something for people that would be able to go to, for a, a beginner - Speaker 1: Mm-hmm. Speaker 2: ... plan for food management or, or things of that nature. Possibly even discussing walking or ways to relieve stress, because I feel, feel that all builds off of, , the eye care and the, , , the diabetes. Speaker 1: Speaker 2: 110101_004 (Completed 06/14/25) Page 17 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. So I think maybe certain ways of managing the things that you would, , , self-management. Speaker 1: Yeah. Speaker 2: And, and, and possibly even to the level of, , minor holistic things that you could do. Speaker 1: Yeah. No, that's a really good idea. , what are ways you take care of your eyes? , do you wear sunglasses? What things do you just generally do to protect your eyes? Speaker 2: , well, I, these are transition lenses. Speaker 1: Oh okay. Speaker 2: So I, I do do that whenever I can. Speaker 1: Mm-hmm. Speaker 2: ... I- Speaker 1: Any supplements that you take for your eyes? Speaker 2: I do take supplements. Yeah. I do. I take, I take multivitamins and supplements and things that, so. Speaker 1: Okay. Speaker 2: And I am trying, I said, I'm working on meditation and breathing. Speaker 1: Mm-hmm Speaker 2: , I, I do try to do things that mean not only for stress, but because of my eyes and things- 110101_004 (Completed 06/14/25) Page 18 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: ... of that nature. , my grandmother had glaucoma, my aunt had, , eye issues, and my grand- my aunt had diabetes. So I'm trying to be more preventative of the things that, , for that. So, and because of that, I said, I'm trying to eat better and do things, anything I can do to, , as I basically turned 50, and I'm trying to take things a little bit more serious, I guess you could say. Speaker 1: Mm-hmm. Speaker 2: So. Speaker 1: , are you taking any medications specifically for your eyes right now? Speaker 2: Not right now, no. Speaker 1: Okay. And- Speaker 2: Probably will be, but. Speaker 1: Mm-hmm. Yeah. , do you take any, do you take rest in between, , watching TV or being on the computer for a long time? Speaker 2: No, no, I should. Speaker 1: Okay. Speaker 2: But I don't, there are times where I will probably overstress my eyes with certain things that. Speaker 1: Speaker 2: But that's something I definitely would to work on- 110101_004 (Completed 06/14/25) Page 19 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Speaker 1: Mm-hmm. Speaker 2: ... so. Speaker 1: Mm-hmm. Do you, are you currently using any eye drops? Speaker 2: No. Speaker 1: Okay. And what has your, you mentioned a little bit earlier, but what has your doctor told you about diabetes and the risk of vision loss or blindness due to diabetes? Speaker 2: , well, exactly that if you don't treat, if untreated, it can lead to blindness. Speaker 1: Mm-hmm. Speaker 2: So that's the big one. And, and even today I was spoken to, , about that, that, , that, , but he's, , he did say I was doing a better path, but I have been warned, and I, I am, I'm a little self-educated enough to know it as well. Speaker 1: Mm-hmm. Speaker 2: , I have, have some nursing background and some medical background and, and dietary actually. Speaker 1: Mm-hmm. Speaker 2: , so yeah, I do know that there are consequences to your actions when it comes to those things. Speaker 1: Mm-hmm. , how comfortable you, are you to talk about your diabetes to your eye doctor? Speaker 2: 110101_004 (Completed 06/14/25) Page 20 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Very, I'm, I'm fine with it. Speaker 1: Mm-hmm. Speaker 2: I'm not a very shy or, - Speaker 1: Mm-hmm. Speaker 2: ... I'm open. So. Speaker 1: Do you, do you have an example of when, maybe even today, that you were able to experience the concerns you had about your eyes? Speaker 2: Yeah, I actually did because I wanted to know what the needle would feel . I- Speaker 1: Mm-hmm. Speaker 2: ... I wasn't, , wasn't sure about that. I wanted to know, I even asked about a dietitian, if there's- Speaker 1: Mm-hmm. Speaker 2: ... which I'm gonna go through another route. I have other, - Speaker 1: Mm-hmm. Speaker 2: ... another method, but, , because, , but yeah, I, I feel I need to ask questions, whatever it is as far as how is this doing, or what do I need to do, or what's the next step? Things that, so. Speaker 1: 110101_004 (Completed 06/14/25) Page 21 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. , anytime where you weren't able to express any concerns, maybe not if, if today for sure, but another time as well that you weren't able to experience or express concerns with your eye? Speaker 2: I felt there were certain places that I went that if I expressed the concern, it wasn't gonna make a difference. Speaker 1: Mm-hmm. Speaker 2: , they weren't really going to gimme any answers. They were just moving over, shuffling it along. Speaker 1: Mm-hmm. Speaker 2: I w- again, not here, but- Speaker 1: Mm-hmm. Speaker 2: ... yeah. I have felt that way before, so- Speaker 1: Mm-hmm. Speaker 2: ... yeah. Speaker 1: , you exam- gave an example of a question you asked your eye doctor too about how the injection feels. Do you ever tell them what you feel is good for you, advocating for yourself? Speaker 2: Absolutely. Yeah. Speaker 1: Mm-hmm. What kinds of stuff do you tell them? Speaker 2: , well, I try to tell them the things that, , as far as , what, what things that I'm trying to do 110101_004 (Completed 06/14/25) Page 22 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: ... to, to make things better. I try to ask, , as far as , , or if I, I feel I need something, if I need to ask a doctor, , \"Can I have, , this or that?\" Speaker 1: Mm-hmm. Speaker 2: I, I mean, I don't try to , not, I'm not talking about pain medicine or things- Speaker 1: Oh yeah, yeah, yeah. Speaker 2: ... that, but I'm talking about more or less , , , well, for example, if I did need, , an eye drop or something. Speaker 1: Mm-hmm. Speaker 2: Or if I did need, , I don't know, if I did need a laser or whatever, I would definitely advocate for myself to be , \"Can we move this along or could we do that?\" So. Speaker 1: Mm-hmm. ... how serious do you think diabetes can cause vision loss for you? Speaker 2: Very, , yeah. Very s- very, very serious. Yeah. Speaker 1: Mm-hmm. Speaker 2: I don't know if that's the best (laughs) way to put it, but, yeah. Speaker 1: I mean, yeah. (laughs) Speaker 2: Extremely. , , yeah. 110101_004 (Completed 06/14/25) Page 23 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: This is touching on that question a little bit earlier, but I'm just gonna ask it for the sake- Speaker 2: That's fine, okay. Speaker 1: ... of completeness. , if you have to tell your eye or your diabetes doctor on what to do to provide eye care that is best for you, what will those be? What would you tell them? Speaker 2: ... , I would, I would say, , be honest. Speaker 1: Mm-hmm. Speaker 2: , be forward. Speaker 1: Mm-hmm. Speaker 2: , but be kind. Speaker 1: Mm-hmm. Speaker 2: , , , th- shoot me straight, but, , try not to, , try not to, , just have a bedside manner. Speaker 1: Sure. Speaker 2: I guess would be a, a big one for me. , but I do , I the honesty. I to know what it is. Speaker 1: Mm-hmm. Speaker 2: ? , and, , yeah. And, and, , that would be the biggest, I would say. 110101_004 (Completed 06/14/25) Page 24 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. And in your opinion, how likely are you to lose your eyesight partially or fully because of your diabetes? How likely do you think you are? Speaker 2: I think not very likely. Speaker 1: Not very likely? Speaker 2: Yeah. I, I, I, I don't think I'm going to- Speaker 1: Mm-hmm. Speaker 2: ... , I said, I'm, I'm taking steps to not make that happen. Speaker 1: Mm-hmm. Speaker 2: But yeah. So, , it's easy to slip, but you gotta be a little bit more vigilant with that kind of stuff, so. Speaker 1: Mm-hmm. And how would you describe your current vision? Speaker 2: , phew... I would say good. Speaker 1: Okay. Speaker 2: Even though I've had these things- Speaker 1: Mm-hmm. Speaker 2: ... I still drive well, I still, , I still have overall pretty good. So I would say good. Mm-hmm. 110101_004 (Completed 06/14/25) Page 25 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Speaker 2: Not great, but good. Speaker 1: And you said you've noticed some changes recently in your vision. Speaker 2: Right. Right. Speaker 1: Mm-hmm. Speaker 2: The things that I wish I would've caught just a little bit sooner. Speaker 1: Sure. Speaker 2: I wish the, that would be a big thing. I wish the other doctors would've told me to go to the, the- Speaker 1: Eye doctor? Speaker 2: ... yeah. Before this. Speaker 1: Mm-hmm. Speaker 2: I wish I would, they, , when they first saw this, that would've been something that I would've pushed a little harder on if I would've known it was at the level it was. So. Speaker 1: Makes sense. Speaker 2: Yeah. Speaker 1: 110101_004 (Completed 06/14/25) Page 26 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. , have you ever been diagnosed with any of these eye conditions? Cataracts? Speaker 2: No. Speaker 1: Glaucoma? Speaker 2: No. Speaker 1: Age-related eyesight decline? Speaker 2: , yes. A little bit because of the mac, , the, , whatever. Speaker 1: Bifocals? Speaker 2: Whatever. Yeah. Speaker 1: Dry eye? Speaker 2: No. Speaker 1: And you mentioned you have a family history. Your, so your aunt had diabetes, you said? Speaker 2: Yes. Speaker 1: You said someone had glaucoma, who was it? Speaker 2: My grandmother. Speaker 1: Grandma? Speaker 2: 110101_004 (Completed 06/14/25) Page 27 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. , yeah. My grandmother had glaucoma and I believe my mom does actually, or, yeah. Speaker 1: ... , your mom had it. Speaker 2: Yeah. It's mild, but. Speaker 1: Any other, , family history of glaucoma, diabetes, or age-related eyesight declines? Speaker 2: No, not really. Those are the two I can think the, the main ones, the three. Speaker 1: Have you been advised to, , to go, for about, , the potential of you having glaucoma because you have a family history of glaucoma? Speaker 2: Yes. To, to keep it checked? Yeah. Speaker 1: Mm-hmm. And who was it that , , had, , advised you about that? Speaker 2: Today. Speaker 1: Today? Speaker 2: (laughs) Yeah. Speaker 1: , and how would you describe your overall experience of being diagnosed with eye issues? I know, and maybe potentially follow-ups for treatment. Speaker 2: There was a time where I'd more, be in more denial and be a little bit more, more worried. And not that I'm not worried, but- Speaker 1: -huh. Speaker 2: 110101_004 (Completed 06/14/25) Page 28 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. ... , I mean, I'd rather, I'm trying to figure a way to answer this. Just, I mean, overall the experience was at least, , what I expected. Speaker 1: Okay. Speaker 2: So, yeah. Speaker 1: And I guess the follow-up doesn't really apply 'cause you haven't had any follow-ups yet, right? This was your first- Speaker 2: Mm- Speaker 1: ... appointment today? Speaker 2: ... yes. When it comes to this- Speaker 1: Yeah. Speaker 2: ... yes. Speaker 1: , what helps you keep using regular healthcare services, , including dilated eye exams, follow-ups, or treatments? what's gonna keep you to keep coming? Speaker 2: Oh, prevention. Speaker 1: Mm-hmm. Speaker 2: , motivation to, , I, , people that go to the doctors, people that get check-ups. I think it, it definitely benefits on their longevity versus the people that don't get Speaker 1: Sure. 110101_004 (Completed 06/14/25) Page 29 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: So that, that, that's a big one, is wanting to live longer and have a health, , a happy, healthy life. Speaker 1: .Mm-hmm Speaker 2: So. Speaker 1: , anything that discourages you from using healthcare services for your vision problems? Speaker 2: Depending, cost can be. Speaker 1: Sure. Absolutely. Speaker 2: , cost can be a factor. Speaker 1: Mm-hmm. Speaker 2: , frustration, , timing. Speaker 1: Mm-hmm. Speaker 2: , personal mood. Speaker 1: Mm-hmm. Speaker 2: (laughs) Those are the big ones- Speaker 1: Yeah, sure. (laughs). Speaker 2: ... I can think of. 110101_004 (Completed 06/14/25) Page 30 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: I totally get it. Speaker 2: Yeah. Speaker 1: , you mentioned a couple before, but any, , positive experiences with using healthcare services that have formed your attitudes towards seeking eye and diabetes care? Speaker 2: , yeah. When I first, my first doctor, I didn't, I was terrified to go to a doctor and- Speaker 1: -huh. Speaker 2: ... he became comforting to me and made me, guided me in a good way. Speaker 1: Mm-hmm. Speaker 2: , , to, I don't know, g- make me more comfortable with being around doctors. Speaker 1: Mm-hmm. Speaker 2: And of course, that led to more doctors- Speaker 1: Mm-hmm. Speaker 2: ... and, , to where I am now. So, definitely, , someone that told me, \"Look, , we're not looking to find anything, , we're just, we're here to help you and get you to that next level.\" Speaker 1: Mm-hmm. Speaker 2: So I would say that, , just personality of staff and people. Speaker 1: 110101_004 (Completed 06/14/25) Page 31 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Okay. Speaker 2: the, the, the girls that work here- Speaker 1: Mm-hmm. Speaker 2: ... and that are there with that er- and a good attitude, , , , things of that nature. , it always helps when you don't feel a, a, just the patient I guess- Speaker 1: Sure. Speaker 2: ... you could say, so. Speaker 1: Absolutely. Any negative experiences along those same lines? Speaker 2: - Speaker 1: Than- Speaker 2: ... exactly the opposite of what I said. Speaker 1: Mm-hmm. Speaker 2: When you don't feel , , when you're just a, a patient X- Speaker 1: Mm-hmm. Speaker 2: ... when you're not getting treated that. You are, you're not any different than anyone else, and you're not feeling uniquely, , or you just, , it's a panacea. , \"We give this to everyone, we're giving it to you too.\" 110101_004 (Completed 06/14/25) Page 32 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: That a thing. So, yeah. Speaker 1: , do you have something, t- not something, do you have someone to help you with your daily diabetes care? Speaker 2: , , , my wife to truth for, yeah. I would say my wife who's a nurse. Speaker 1: Mm-hmm. , anyone else who's, , assisted you in managing? It could be, , children, friends, relatives, neighbors- Speaker 2: - Speaker 1: ... church support person? Speaker 2: ... a little bit with my daughter. She's a type one diabetic. Speaker 1: Oh, okay. Speaker 2: We try to help each other. Speaker 1: That's good. Speaker 2: Yeah. I didn't mention that earlier. Speaker 1: Yeah. (laughs). Speaker 2: But I know, yeah. She's type one and, - Speaker 1: 110101_004 (Completed 06/14/25) Page 33 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. She's type one. Speaker 2: ... so we, we, we work a lot together. She's a good, she's a very good support system. We, we help each other. Speaker 1: What kinds of things do you guys do to help each other, , have the assistance (tails off) [inaudible 00:22:02]? Speaker 2: We go to the gym. Speaker 1: Mm-hmm. Speaker 2: , we talk about it. We try to, , team up a little bit with our diets. what, , maybe she's not going on exactly what I'm going on. Speaker 1: Mm-hmm. Speaker 2: But we try to, , encourage each other. Speaker 1: Mm-hmm. Speaker 2: , that a thing. So, yeah. Speaker 1: , have you ever participated in any diabetes education class that gives you, , advice on, you know, how to eat well, monitor your blood pressures? Speaker 2: Oh, , I have a little bit, but at- Speaker 1: -huh. Speaker 2: ... the time I really didn't. I wasn't really mentally ready for what I was experiencing at that time. 110101_004 (Completed 06/14/25) Page 34 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: When was that class that you took? Speaker 2: Oh gosh, it was year- years ago when I took it. It was thew, 10 years ago or more. Speaker 1: And how long was that was a one-time thing? Was it - Speaker 2: Yeah, it was two, one class. Yeah. It was just a sit down and we reviewed stuff. Speaker 1: How, how long was the class? Speaker 2: , 30 minutes. Speaker 1: Oh, okay. Speaker 2: Yeah, it was quick. Speaker 1: Probably went through a lot of it, yeah. Speaker 2: This spreadsheet, a couple worksheets and- Speaker 1: Yeah. (laughs) Speaker 2: ... yeah. 1200 calorie a day diet and- Speaker 1: (laughs). Speaker 2: ... , that thing (laughs) yeah. Speaker 1: Easier said than done. (laughs) 110101_004 (Completed 06/14/25) Page 35 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: Yes. (laughs) Speaker 1: , do you have people who you can share your worries or fears about your diabetes and your eyesight? Speaker 2: Sometimes. Speaker 1: Okay. Speaker 2: Depending on people's, sometimes days are worse than others, but- Speaker 1: Mm-hmm. Speaker 2: ... yeah. I, I feel there are days where I can, I feel certain people, very specific people, but yes. Speaker 1: Mm-hmm. , when you do share your worries with them, do you feel that, ... do they understand you and support you in the things that you need to do to get better? Speaker 2: I think they do to a point, but I don't think they do fully. Speaker 1: Mm-hmm. Speaker 2: So I think sometimes it's, , I, I think sometimes you don't, you get it, but sometimes there's so much more to it unless you're actually in it that they, they just don't understand when it comes to certain things. Speaker 1: And when you get sick, do you have someone to help you with your chores, your food, things that? Speaker 2: Yeah. 110101_004 (Completed 06/14/25) Page 36 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: You do? Speaker 2: Yeah, I do. And that would again, be my wife when it comes- Speaker 1: Mm-hmm. Speaker 2: ... to that thing. Speaker 1: Going back a little bit, what kinds of things do you think they don't understand? You were mentioning sometimes they don't get things? Speaker 2: , just the emotional beat up it takes sometimes on you, the, the wear and tear of the flustration. you're doing, you're trying to do the best you can and you're not getting the results you think you should be. Speaker 1: Mm-hmm. Speaker 2: The sacrifices sometimes you make- Speaker 1: Mm-hmm. Speaker 2: ... when you're sitting there and everyone's eating bread and you're going, \"No, I don't want that.\" Or just , , how tired you feel at times or- Speaker 1: Mm-hmm. Speaker 2: ... just, just that stuff more or less- Speaker 1: Yeah. Speaker 2: 110101_004 (Completed 06/14/25) Page 37 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. ... the, and , oh, I don't know. I just feel just a lot of people are selfish with their feelings. Speaker 1: Mm-hmm. Speaker 2: But it's really hard for them to- Speaker 1: Understand. Speaker 2: ... be empathetic to other- Speaker 1: Yeah. Speaker 2: ... people. Speaker 1: No, that- Speaker 2: Yeah. Speaker 1: ... totally makes sense. Is there anyone you can call or ask for advice about handling your health or eye problems? Speaker 2: I do a lot of my own research. Speaker 1: Or your own research? Okay. Speaker 2: I do a lot of that. I even use ChatGPT certain things, so. Speaker 1: Don't we all. (laughs). Speaker 2: Yeah. (laughs). 110101_004 (Completed 06/14/25) Page 38 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Do you feel that you're able to call, , family, friends or relatives for any , , , , an- Speaker 2: When it's bad, yeah. Speaker 1: Okay. Speaker 2: Yeah. I try not to do that, but- Speaker 1: Okay. Speaker 2: ... yeah, I will sometimes. Speaker 1: Do you feel that you can call your doctor or your eye or, , healthcare professionals? Or, , I guess access them? Speaker 2: If wh- if, if I need that- Speaker 1: Yes. Speaker 2: ... thing. Yeah. I wouldn't do it for more sympathy, but yeah. Speaker 1: Sure. Speaker 2: Yeah. Speaker 1: , how much do you think your eyesight currently limits your ability to do the things that you want to do in your life? Speaker 2: I try not to let it, to be honest with you. 110101_004 (Completed 06/14/25) Page 39 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Okay. Speaker 2: I try not to let it, so there's a few small things, but overall I just deal with it, what I mean? Speaker 1: What are the small things where you see it impacting you? Speaker 2: , more, it, it, it's been a little, a lot less since I've been trying to change some things with my life. But, , , mostly it's certain times when I can't see certain things really well and , , 'cause I want to be safe. Speaker 1: Sure. Speaker 2: I don't wanna get anybody hurt. Speaker 1: Mm-hmm. Speaker 2: , but I'm not having anything where I feel I'm in even remotely in that area. But if you're assigned as farther away and it takes a little longer- Speaker 1: Longer. Speaker 2: ... to see it coming up, - Speaker 1: Yeah. Speaker 2: ... smaller writing, things that, but. Speaker 1: Makes sense. Speaker 2: Yeah. 110101_004 (Completed 06/14/25) Page 40 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: , what were your expectations for your eye care visit today going in? Speaker 2: I had, I honestly, I just wanted to get, know what was wrong. Speaker 1: Sure. Speaker 2: I wanted to, I wanted to get an answer today, so- Speaker 1: And were you, oh, sorry, go ahead. Speaker 2: No, you're good. Speaker 1: , did you feel that your expectations were met? Speaker 2: Yeah, definitely. Speaker 1: Mm-hmm. Speaker 2: Definitely today- Speaker 1: You- Speaker 2: ... I did. Yes. Speaker 1: You got- Speaker 2: I felt I got full, the best. I don't think I could have walked out here with a better treatment than I got today, to be honest. Speaker 1: 110101_004 (Completed 06/14/25) Page 41 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Happy to hear that. Speaker 2: Yeah. Even though it was painful (laughs) and- Speaker 1: Yeah. (laughs). Speaker 2: ... a lot went on, but yeah. Speaker 1: No, I'm really happy and glad to hear that- Speaker 2: Yeah. Speaker 1: ... because I think that makes all the difference. Speaker 2: Yeah. Speaker 1: Those are all kinda the questions I had set for you. Do you have anything else you wanna share about your diabetes-related eye problems or your vision loss or any of your care management, anything that? Speaker 2: I just think a lot of it is, , it, personally, I think it's a lot more of a mental game than it is a physical game. Speaker 1: Mm-hmm. Speaker 2: And I do think support is extremely important if you can get it and have people to communicate with. Speaker 1: Mm-hmm. Speaker 2: , is, , is another large part of it. I, I think those are two of the big ones. And I think a lot of people, the biggest problem is denial- 110101_004 (Completed 06/14/25) Page 42 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: ... of what you have, too many people because it's a silent killer. Speaker 1: Yeah. Speaker 2: People deny it until- Speaker 1: Mm-hmm. Speaker 2: ... it gets very real. Speaker 1: Mm-hmm. Speaker 2: And then it's too late. Speaker 1: Sure. Speaker 2: So, yeah. Speaker 1: Makes sense. Thank you so much for your time. I really appreciate it. Speaker 2: Thank- 110101_004 (Completed 06/14/25) Page 43 of 43 Transcript by Rev.com",
  "chunks": [
    "This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Is it okay if I record- Speaker 2: You're fine, yeah. Speaker 1: ... our conversation? Speaker 2: Because- Speaker 1: Okay. Speaker 2: ... go for it. Speaker 1: ID JC 0228. So, I said, I told you explain about this study, now I'm just gonna ask you a couple, , interview style questions. Feel free to stop or add- Speaker 2: Okay. Speaker 1: ... whatever you need. So first, these are about how you take care of your diabetes. What are things that you do day to day that relate to your diabetes? What do you do each day? Speaker 2: , I do take my sugars. I have a, , monitor- Speaker 1: -huh. Speaker 2: ... , Freestyle Libre. Speaker 1: Mm-hmm. Speaker 2: , so I use that and check my sugars with that. Speaker 1: 110101_004 (Completed 06/14/25) Page 1 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm",
    ", Freestyle Libre. Speaker 1: Mm-hmm. Speaker 2: , so I use that and check my sugars with that. Speaker 1: 110101_004 (Completed 06/14/25) Page 1 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Speaker 2: , I have been doing a keto diet, , trying to work on that as far as that. Speaker 1: Mm-hmm. Speaker 2: , when I can, I try to go to the gym. If not, I, I've been going swimming or taking a walk, , things that. But that's been currently, so those are, those are the things I guess that I have been doing. And I do take my medications of course. Speaker 1: Got it, sure. Speaker 2: So. Speaker 1: Mm-hmm. Speaker 3: Make sure this if you need help. It says . Speaker 1: Okay. Speaker 3: Then you'll have to catch them up. (all background) Speaker 1: , what are your biggest priorities with your diabetes care? Speaker 2: , getting my A1C down is my, my one I'm working on the most right now, and trying to keep a, a steady level of my sugar, blood sugar, so. Speaker 1: And what are some things that your doctor has discussed with you that may be important for people with diabetes to do? what has she, or she or he told you to do? Speaker 2: , well, of course, monitoring and checking it",
    "It says . Speaker 1: Okay. Speaker 3: Then you'll have to catch them up. (all background) Speaker 1: , what are your biggest priorities with your diabetes care? Speaker 2: , getting my A1C down is my, my one I'm working on the most right now, and trying to keep a, a steady level of my sugar, blood sugar, so. Speaker 1: And what are some things that your doctor has discussed with you that may be important for people with diabetes to do? what has she, or she or he told you to do? Speaker 2: , well, of course, monitoring and checking it. 110101_004 (Completed 06/14/25) Page 2 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm, mm-hmm. Speaker 2: Keeping up knowing where your sugar levels are, , making sure you take your medications at the right times. Speaker 1: Mm-hmm. Speaker 2: So , , if you're going to be eating, make sure you take it before. Speaker 1: Mm-hmm. Speaker 2: , that exercise is very good for it. Those are a few that I can think of. Speaker 1: And what are some signs that you experience if your diabetes are getting worse? what tells you, oh, something might be getting worse? Speaker 2: , for me personally, it's more high than low. Speaker 1: Okay. Speaker 2: , high. It's just more of an irritable feeling- Speaker 1: Mm-hmm. Speaker 2: ... would be one of the things. , headache a little bit",
    "Speaker 2: , high. It's just more of an irritable feeling- Speaker 1: Mm-hmm. Speaker 2: ... would be one of the things. , headache a little bit. Speaker 1: Mm-hmm. Speaker 2: , , I don't know, well, , I don't really feel, I guess when I get high, if I get too high- 110101_004 (Completed 06/14/25) Page 3 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: ... it makes me feel tired. Speaker 1: Okay. Speaker 2: , you know, - Speaker 1: Mm-hmm. Speaker 2: ... , yeah. I want to sleep- Speaker 1: Mm-hmm. Speaker 2: ... things that. So. Speaker 1: And how has diabetes affected your eyes? what changes have you noticed? Speaker 2: Well (laughs)- Speaker 1: (laughs). Speaker 2: ..",
    "Speaker 2: ... things that. So. Speaker 1: And how has diabetes affected your eyes? what changes have you noticed? Speaker 2: Well (laughs)- Speaker 1: (laughs). Speaker 2: ... this is a good day to ask that. Speaker 1: Ask (laughs). Speaker 2: , I actually, , have some diabetic retinopathy in my eyes. Speaker 1: Okay. 110101_004 (Completed 06/14/25) Page 4 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: , even though I have been doing things, making better choices, this has been going on longer than I knew Speaker 1: Mm-hmm. Speaker 2: And, , so I've had that. , and of course, so my vision, , and then, I said, I've had a little bit of, recently I had a little bit of, , slight floater in my eye. Speaker 1: Oh, okay. Speaker 2: That just started. So I, , that's, , but yeah, I had another doctor where they didn't tell me it'd come to something this until I found out a couple days ago. Speaker 1: Okay. Speaker 2: , the last two doctors just said it should get better. Speaker 1: Was that your primary care doctor? Speaker 2: No, those were my, those were optetricians, optricians. Speaker 1: Oh, optometrists",
    "So I, , that's, , but yeah, I had another doctor where they didn't tell me it'd come to something this until I found out a couple days ago. Speaker 1: Okay. Speaker 2: , the last two doctors just said it should get better. Speaker 1: Was that your primary care doctor? Speaker 2: No, those were my, those were optetricians, optricians. Speaker 1: Oh, optometrists. Okay. Speaker 2: Yeah, optometrists. Yes. Speaker 1: , and when did you start to notice the changes in your eyes? Speaker 2: ... honestly, it would get, it started getting a little bit more serious maybe about four months ago, five Speaker 1: Four months ago. 110101_004 (Completed 06/14/25) Page 5 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: ... months ago. Speaker 1: Okay. And so did you tell your primary care doctor about these changes? Speaker 2: , my primary care doctor is in Weirton currently, and I'm trying to transfer. Speaker 1: Oh, okay. Got it. Speaker 2: So I've had some difficulty with communicating with them about the fl- these few things. Speaker 1: Mm-hmm. Speaker 2: , so no, I didn't- Speaker 1: Were- Speaker 2: ..",
    "Speaker 1: Oh, okay. Got it. Speaker 2: So I've had some difficulty with communicating with them about the fl- these few things. Speaker 1: Mm-hmm. Speaker 2: , so no, I didn't- Speaker 1: Were- Speaker 2: ... to think of it, yeah. Speaker 1: ... , were there any doctors that you mentioned this to before? Speaker 2: Well, the, , I did speak with a little bit on, , to Amy about it. - Speaker 1: Okay. Speaker 2: ... that would be my, , endocrinologist. Speaker 1: Oh, okay. Speaker 2: Yeah. 110101_004 (Completed 06/14/25) Page 6 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Got it. Speaker 2: But, and she did say she wanted to make sure that I got it checked again. Speaker 1: Mm-hmm. Speaker 2: So when I got it checked again, just that's whenever I noticed all this extra stuff, so. Speaker 1: Mm-hmm. And what did your doctor today say about these changes? Speaker 2: Well, just that he wants to be aggressive with my treatments- Speaker 1: Okay",
    "Speaker 2: But, and she did say she wanted to make sure that I got it checked again. Speaker 1: Mm-hmm. Speaker 2: So when I got it checked again, just that's whenever I noticed all this extra stuff, so. Speaker 1: Mm-hmm. And what did your doctor today say about these changes? Speaker 2: Well, just that he wants to be aggressive with my treatments- Speaker 1: Okay. Speaker 2: ... and get this taken care of. And I said, I had an injection in the left eye- Speaker 1: Mm-hmm. Speaker 2: ... and I had laser in the right today. Speaker 1: Mm-hmm. Speaker 2: So my- Speaker 1: Yeah. Speaker 2: ... yeah, it was quite a, quite a shock today, but it was good. So it, I, I'm, I'm glad that we're being aggressive. I'd rather be aggressive than not, so. Speaker 1: 110101_004 (Completed 06/14/25) Page 7 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Mm-hmm. You can check the room down there all the way where the laser [inaudible 00:04:22]",
    "I'd rather be aggressive than not, so. Speaker 1: 110101_004 (Completed 06/14/25) Page 7 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Mm-hmm. You can check the room down there all the way where the laser [inaudible 00:04:22]. Speaker 3: Over there? Speaker 1: Yeah. And see if that's . If there's no one in it, then it's . Speaker 3: Okay. , but is Deanna fine with that? Speaker 1: Yeah, she Said we can use it, there's no one in there. Speaker 3: Okay. (all background noise) Speaker 1: , I'm so sorry. Speaker 2: No, you're fine. Speaker 1: , what does your doctor, has your doctor ever told you anything about how your diabetes might affect your eyes? Speaker 2: Yes. Yes. Speaker 1: Who told you and what did they tell you? Speaker 2: , just that basically the sugars, , it's circulation. Speaker 1: Mm-hmm. Speaker 2: It has to do with your, , blood flow and circulation. And of course, diabetes is, is, , directly linked to that and it can restrict blood flow and that causes the, , tension and the squeezing in your eyes- Speaker 1: 110101_004 (Completed 06/14/25) Page 8 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm",
    "Speaker 1: Who told you and what did they tell you? Speaker 2: , just that basically the sugars, , it's circulation. Speaker 1: Mm-hmm. Speaker 2: It has to do with your, , blood flow and circulation. And of course, diabetes is, is, , directly linked to that and it can restrict blood flow and that causes the, , tension and the squeezing in your eyes- Speaker 1: 110101_004 (Completed 06/14/25) Page 8 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Speaker 2: ... basically that causes the stress. Speaker 1: Mm-hmm. Speaker 2: ... that also causes the damage that gets done. So. Speaker 1: And where do you typically get your eye exams done? Speaker 2: See, I haven't had a typical doctor for quite a while. Speaker 1: Okay. Speaker 2: I've gone to, , Lenscrafters for a couple years. Speaker 1: Okay. Speaker 2: Which is where I was going. And then, , we had changed insurance a couple times, and then I went to, , a doctor in Weirton, I can't remember his name. Speaker 1: Mm-hmm. Speaker 2: And I just recently started down here, but we are settled and moved into Morgantown, so I'm hoping this will be more consistent, so. Speaker 1: Okay",
    "Speaker 2: Which is where I was going. And then, , we had changed insurance a couple times, and then I went to, , a doctor in Weirton, I can't remember his name. Speaker 1: Mm-hmm. Speaker 2: And I just recently started down here, but we are settled and moved into Morgantown, so I'm hoping this will be more consistent, so. Speaker 1: Okay. And when you go last whenever you had your eye exam, when you go, what kinds of steps do they take with your eye exam throughout? Speaker 2: , the last one was very thorough. , she did everything from the ch- the glaucoma, , scanned, , the eye exam, the, , looking in the, the back. 110101_004 (Completed 06/14/25) Page 9 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: And, and , , she had some very good technology too for that. So, it was very thorough, which is why I came here. , I think I went two or three days ago- Speaker 1: Mm-hmm. Speaker 2: ... to the other doctor. And she immediately re- said, I need to come here because- Speaker 1: Okay. Speaker 2: ... she, what she noticed in my eye, so. Speaker 1: Got it. And do you remember when you had your eyes last dilated? Speaker 2: Today. Speaker 1: Today? Speaker 2: Today, and actually three days before that, I didn't get the dilation, but I got the, , there's a, a new technology out that is , you don't need the dilation for",
    "Speaker 2: ... she, what she noticed in my eye, so. Speaker 1: Got it. And do you remember when you had your eyes last dilated? Speaker 2: Today. Speaker 1: Today? Speaker 2: Today, and actually three days before that, I didn't get the dilation, but I got the, , there's a, a new technology out that is , you don't need the dilation for. Speaker 1: Mm-hmm. Speaker 2: So I had that just three days before that too. Speaker 1: Okay. Speaker 2: So, yeah. Speaker 1: 110101_004 (Completed 06/14/25) Page 10 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. And how often do you think you should have your eyes checked, , in your opinion? Speaker 2: , where I'm at right now, minimum would be probably three months. Every three months- Speaker 1: Three months? Speaker 2: ... or so, where I'm at now. Speaker 1: Mm-hmm. Speaker 2: , yeah. So. Speaker 1: And what was your experience with your, , getting your eyes dilated today? Speaker 2: It's uncomfortable. Speaker 1: Mm-hmm. Speaker 2: But I mean, it was, they did a good job. Speaker 1: Okay",
    "So. Speaker 1: And what was your experience with your, , getting your eyes dilated today? Speaker 2: It's uncomfortable. Speaker 1: Mm-hmm. Speaker 2: But I mean, it was, they did a good job. Speaker 1: Okay. Speaker 2: So, yeah. Speaker 1: No issues otherwise? Speaker 2: No. Speaker 1: The, no discomfort? Speaker 2: 110101_004 (Completed 06/14/25) Page 11 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. No. I mean, just, just the fact I'm, , the wateriness and everything that happened. Speaker 1: Mm-hmm. Speaker 2: So, but yeah. Speaker 1: And what is your s- of when you try to get eye care, what does the scheduling process look for you, either here or with your optometrist and everything? Speaker 2: , I usually either will call in and get my dates set up. Speaker 1: Mm-hmm. Speaker 2: , try to get here a little bit early. Speaker 1: Mm-hmm. Speaker 2: And, , it flows okay, pretty good- Speaker 1: Mm-hmm. Speaker 2: ... so after that, so, but yeah, it's usually just try to call in and then they'll call me to confirm my appointment or whatever, and then, , I confirm and then come in. Speaker 1: Mm-hmm",
    "Speaker 1: Mm-hmm. Speaker 2: And, , it flows okay, pretty good- Speaker 1: Mm-hmm. Speaker 2: ... so after that, so, but yeah, it's usually just try to call in and then they'll call me to confirm my appointment or whatever, and then, , I confirm and then come in. Speaker 1: Mm-hmm. Speaker 2: So. Speaker 1: What does your doctor's availability look ? even today and the future? Speaker 2: Today was amazing. It was fast. 110101_004 (Completed 06/14/25) Page 12 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: -huh. Speaker 2: So I mean, I would say here was excellent. Speaker 1: Okay. Speaker 2: Because, I mean, it was literally I, three days ago- Speaker 1: Mm-hmm. Speaker 2: ... and I was expecting to wait for quite a while. Speaker 1: Mm-hmm. Speaker 2: And I got in in three days, so I was very happy with that today. Speaker 1: How about the previously, in (participant speaks over) - Speaker 2: A little bit longer, more waits. Speaker 1: Okay. Speaker 2: Yeah",
    "Speaker 1: Mm-hmm. Speaker 2: And I got in in three days, so I was very happy with that today. Speaker 1: How about the previously, in (participant speaks over) - Speaker 2: A little bit longer, more waits. Speaker 1: Okay. Speaker 2: Yeah. Trying to get fit in- Speaker 1: Mm-hmm. Speaker 2: ... and then certain places I've been to, I feel rushed, occasionally the, , , the doctor I had in Weirton and I felt it wasn't very thorough, and- Speaker 1: Mm-hmm. 110101_004 (Completed 06/14/25) Page 13 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: ... it was more, , , just in and out. Didn't really take the time to really do the, the work. Speaker 1: Mm-hmm. Speaker 2: But here it's been very good. So. Speaker 1: And what recommendations did you receive on your eye care today? Speaker 2: , right now, , just to basically , , rest my eyes a little bit. Speaker 1: Mm-hmm. Speaker 2: , I'm gonna be, , rescheduling a new appointment. Speaker 1: Mm-hmm. Speaker 2: , the fact that just keep on my, , eating the low carbs, trying to keep my sugar levels, , down in the 70 range-ish- Speaker 1: Mm-hmm",
    "Speaker 1: And what recommendations did you receive on your eye care today? Speaker 2: , right now, , just to basically , , rest my eyes a little bit. Speaker 1: Mm-hmm. Speaker 2: , I'm gonna be, , rescheduling a new appointment. Speaker 1: Mm-hmm. Speaker 2: , the fact that just keep on my, , eating the low carbs, trying to keep my sugar levels, , down in the 70 range-ish- Speaker 1: Mm-hmm. Speaker 2: ... , which I have been working on better recently, of course. , but, , , cont- controlling my sugars, , and of course, what I'm personally working on and even I've been told is stress. Speaker 1: Mm-hmm. Speaker 2: So working on my stress levels, so. Speaker 1: 110101_004 (Completed 06/14/25) Page 14 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. And what kind- do you face any challenges in receiving eye care? If so, which, what challenges would you say you received or you faced? Speaker 2: Personal or? Speaker 1: Yeah. You, what challenges have you faced in receiving an eye care? Speaker 2: , so for, , the, usually when it comes to the doctors and the things of that nature, I don't have as much- Speaker 1: Mm-hmm. Speaker 2: ... as more I have my own personal, , self issues- Speaker 1: Okay. Speaker 2: ... that restrict me a little bit from getting into the doctor- Speaker 1: Okay. Speaker 2: ... or doing things that",
    "as more I have my own personal, , self issues- Speaker 1: Okay. Speaker 2: ... that restrict me a little bit from getting into the doctor- Speaker 1: Okay. Speaker 2: ... or doing things that. So, , but as far as anything to do with their, or their facilities or things that, , the business sometimes of it being- Speaker 1: Sure. Speaker 2: ... just crowded- Speaker 1: 110101_004 (Completed 06/14/25) Page 15 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Speaker 2: ... or the fact that, I said, sometimes you'll get there and you'll have to wait- Speaker 1: Mm-hmm. Speaker 2: ... for such a period in time or, , I don't know, that, those are the big ones, just, , , the waiting and things sometimes. Speaker 1: Mm-hmm. You mentioned the personal challenges. What were those that you feel you had? Speaker 2: , well I have anxiety issues. Speaker 1: Oh, okay. Got it. Speaker 2: I have ADHD- Speaker 1: Okay. Speaker 2: ..",
    "What were those that you feel you had? Speaker 2: , well I have anxiety issues. Speaker 1: Oh, okay. Got it. Speaker 2: I have ADHD- Speaker 1: Okay. Speaker 2: ... adult, which is, I just found out not that long ago. Speaker 1: Mm-hmm. Speaker 2: , and with between the little bit of anxiety and then the, the frustration issues with the problems I have with things that I'm trying to get better at. Speaker 1: Mm-hmm. Speaker 2: And not seeing the results and the speed I'd to, it gets a little bit frustrating, so. Speaker 1: Got it. 110101_004 (Completed 06/14/25) Page 16 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: And so, yeah. Speaker 1: Do you have any suggestions for improving your eye care experience? Speaker 2: Honestly, I would say one of the things that I would suggest personally is somehow a better linkage to a dietary certain thing. Speaker 1: Oh, okay, sure. Speaker 2: , so that, , you could almost connect someone to something, especially if you're diabetic. Speaker 1: Mm-hmm. Speaker 2: How food is such a relate- relative thing to do- Speaker 1: Mm-hmm. Speaker 2: ... with the, , , , it's hand-in-hand with basically diabetes",
    "Speaker 2: , so that, , you could almost connect someone to something, especially if you're diabetic. Speaker 1: Mm-hmm. Speaker 2: How food is such a relate- relative thing to do- Speaker 1: Mm-hmm. Speaker 2: ... with the, , , , it's hand-in-hand with basically diabetes. Speaker 1: Mm-hmm. Speaker 2: So, having something for people that would be able to go to, for a, a beginner - Speaker 1: Mm-hmm. Speaker 2: ... plan for food management or, or things of that nature. Possibly even discussing walking or ways to relieve stress, because I feel, feel that all builds off of, , the eye care and the, , , the diabetes. Speaker 1: Speaker 2: 110101_004 (Completed 06/14/25) Page 17 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. So I think maybe certain ways of managing the things that you would, , , self-management. Speaker 1: Yeah. Speaker 2: And, and, and possibly even to the level of, , minor holistic things that you could do. Speaker 1: Yeah. No, that's a really good idea. , what are ways you take care of your eyes? , do you wear sunglasses? What things do you just generally do to protect your eyes? Speaker 2: , well, I, these are transition lenses. Speaker 1: Oh okay. Speaker 2: So I, I do do that whenever I can",
    "Speaker 1: Yeah. No, that's a really good idea. , what are ways you take care of your eyes? , do you wear sunglasses? What things do you just generally do to protect your eyes? Speaker 2: , well, I, these are transition lenses. Speaker 1: Oh okay. Speaker 2: So I, I do do that whenever I can. Speaker 1: Mm-hmm. Speaker 2: ... I- Speaker 1: Any supplements that you take for your eyes? Speaker 2: I do take supplements. Yeah. I do. I take, I take multivitamins and supplements and things that, so. Speaker 1: Okay. Speaker 2: And I am trying, I said, I'm working on meditation and breathing. Speaker 1: Mm-hmm Speaker 2: , I, I do try to do things that mean not only for stress, but because of my eyes and things- 110101_004 (Completed 06/14/25) Page 18 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: ... of that nature. , my grandmother had glaucoma, my aunt had, , eye issues, and my grand- my aunt had diabetes. So I'm trying to be more preventative of the things that, , for that. So, and because of that, I said, I'm trying to eat better and do things, anything I can do to, , as I basically turned 50, and I'm trying to take things a little bit more serious, I guess you could say",
    "Speaker 2: ... of that nature. , my grandmother had glaucoma, my aunt had, , eye issues, and my grand- my aunt had diabetes. So I'm trying to be more preventative of the things that, , for that. So, and because of that, I said, I'm trying to eat better and do things, anything I can do to, , as I basically turned 50, and I'm trying to take things a little bit more serious, I guess you could say. Speaker 1: Mm-hmm. Speaker 2: So. Speaker 1: , are you taking any medications specifically for your eyes right now? Speaker 2: Not right now, no. Speaker 1: Okay. And- Speaker 2: Probably will be, but. Speaker 1: Mm-hmm. Yeah. , do you take any, do you take rest in between, , watching TV or being on the computer for a long time? Speaker 2: No, no, I should. Speaker 1: Okay. Speaker 2: But I don't, there are times where I will probably overstress my eyes with certain things that. Speaker 1: Speaker 2: But that's something I definitely would to work on- 110101_004 (Completed 06/14/25) Page 19 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Speaker 1: Mm-hmm. Speaker 2: ... so",
    "Speaker 1: Speaker 2: But that's something I definitely would to work on- 110101_004 (Completed 06/14/25) Page 19 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. Speaker 1: Mm-hmm. Speaker 2: ... so. Speaker 1: Mm-hmm. Do you, are you currently using any eye drops? Speaker 2: No. Speaker 1: Okay. And what has your, you mentioned a little bit earlier, but what has your doctor told you about diabetes and the risk of vision loss or blindness due to diabetes? Speaker 2: , well, exactly that if you don't treat, if untreated, it can lead to blindness. Speaker 1: Mm-hmm. Speaker 2: So that's the big one. And, and even today I was spoken to, , about that, that, , that, , but he's, , he did say I was doing a better path, but I have been warned, and I, I am, I'm a little self-educated enough to know it as well. Speaker 1: Mm-hmm. Speaker 2: , I have, have some nursing background and some medical background and, and dietary actually. Speaker 1: Mm-hmm. Speaker 2: , so yeah, I do know that there are consequences to your actions when it comes to those things. Speaker 1: Mm-hmm. , how comfortable you, are you to talk about your diabetes to your eye doctor? Speaker 2: 110101_004 (Completed 06/14/25) Page 20 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Very, I'm, I'm fine with it. Speaker 1: Mm-hmm",
    "Speaker 2: , so yeah, I do know that there are consequences to your actions when it comes to those things. Speaker 1: Mm-hmm. , how comfortable you, are you to talk about your diabetes to your eye doctor? Speaker 2: 110101_004 (Completed 06/14/25) Page 20 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Very, I'm, I'm fine with it. Speaker 1: Mm-hmm. Speaker 2: I'm not a very shy or, - Speaker 1: Mm-hmm. Speaker 2: ... I'm open. So. Speaker 1: Do you, do you have an example of when, maybe even today, that you were able to experience the concerns you had about your eyes? Speaker 2: Yeah, I actually did because I wanted to know what the needle would feel . I- Speaker 1: Mm-hmm. Speaker 2: ... I wasn't, , wasn't sure about that. I wanted to know, I even asked about a dietitian, if there's- Speaker 1: Mm-hmm. Speaker 2: ... which I'm gonna go through another route. I have other, - Speaker 1: Mm-hmm. Speaker 2: ... another method, but, , because, , but yeah, I, I feel I need to ask questions, whatever it is as far as how is this doing, or what do I need to do, or what's the next step? Things that, so. Speaker 1: 110101_004 (Completed 06/14/25) Page 21 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here",
    "which I'm gonna go through another route. I have other, - Speaker 1: Mm-hmm. Speaker 2: ... another method, but, , because, , but yeah, I, I feel I need to ask questions, whatever it is as far as how is this doing, or what do I need to do, or what's the next step? Things that, so. Speaker 1: 110101_004 (Completed 06/14/25) Page 21 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Mm-hmm. , anytime where you weren't able to express any concerns, maybe not if, if today for sure, but another time as well that you weren't able to experience or express concerns with your eye? Speaker 2: I felt there were certain places that I went that if I expressed the concern, it wasn't gonna make a difference. Speaker 1: Mm-hmm. Speaker 2: , they weren't really going to gimme any answers. They were just moving over, shuffling it along. Speaker 1: Mm-hmm. Speaker 2: I w- again, not here, but- Speaker 1: Mm-hmm. Speaker 2: ... yeah. I have felt that way before, so- Speaker 1: Mm-hmm. Speaker 2: ... yeah. Speaker 1: , you exam- gave an example of a question you asked your eye doctor too about how the injection feels. Do you ever tell them what you feel is good for you, advocating for yourself? Speaker 2: Absolutely. Yeah",
    "Speaker 2: ... yeah. Speaker 1: , you exam- gave an example of a question you asked your eye doctor too about how the injection feels. Do you ever tell them what you feel is good for you, advocating for yourself? Speaker 2: Absolutely. Yeah. Speaker 1: Mm-hmm. What kinds of stuff do you tell them? Speaker 2: , well, I try to tell them the things that, , as far as , what, what things that I'm trying to do 110101_004 (Completed 06/14/25) Page 22 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: ... to, to make things better. I try to ask, , as far as , , or if I, I feel I need something, if I need to ask a doctor, , \"Can I have, , this or that?\" Speaker 1: Mm-hmm. Speaker 2: I, I mean, I don't try to , not, I'm not talking about pain medicine or things- Speaker 1: Oh yeah, yeah, yeah. Speaker 2: ... that, but I'm talking about more or less , , , well, for example, if I did need, , an eye drop or something. Speaker 1: Mm-hmm. Speaker 2: Or if I did need, , I don't know, if I did need a laser or whatever, I would definitely advocate for myself to be , \"Can we move this along or could we do that?\" So. Speaker 1: Mm-hmm. ... how serious do you think diabetes can cause vision loss for you? Speaker 2: Very, , yeah. Very s- very, very serious",
    "Speaker 2: Or if I did need, , I don't know, if I did need a laser or whatever, I would definitely advocate for myself to be , \"Can we move this along or could we do that?\" So. Speaker 1: Mm-hmm. ... how serious do you think diabetes can cause vision loss for you? Speaker 2: Very, , yeah. Very s- very, very serious. Yeah. Speaker 1: Mm-hmm. Speaker 2: I don't know if that's the best (laughs) way to put it, but, yeah. Speaker 1: I mean, yeah. (laughs) Speaker 2: Extremely. , , yeah. 110101_004 (Completed 06/14/25) Page 23 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: This is touching on that question a little bit earlier, but I'm just gonna ask it for the sake- Speaker 2: That's fine, okay. Speaker 1: ... of completeness. , if you have to tell your eye or your diabetes doctor on what to do to provide eye care that is best for you, what will those be? What would you tell them? Speaker 2: ... , I would, I would say, , be honest. Speaker 1: Mm-hmm. Speaker 2: , be forward. Speaker 1: Mm-hmm",
    ", if you have to tell your eye or your diabetes doctor on what to do to provide eye care that is best for you, what will those be? What would you tell them? Speaker 2: ... , I would, I would say, , be honest. Speaker 1: Mm-hmm. Speaker 2: , be forward. Speaker 1: Mm-hmm. Speaker 2: , but be kind. Speaker 1: Mm-hmm. Speaker 2: , , , th- shoot me straight, but, , try not to, , try not to, , just have a bedside manner. Speaker 1: Sure. Speaker 2: I guess would be a, a big one for me. , but I do , I the honesty. I to know what it is. Speaker 1: Mm-hmm. Speaker 2: ? , and, , yeah. And, and, , that would be the biggest, I would say. 110101_004 (Completed 06/14/25) Page 24 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. And in your opinion, how likely are you to lose your eyesight partially or fully because of your diabetes? How likely do you think you are? Speaker 2: I think not very likely. Speaker 1: Not very likely? Speaker 2: Yeah. I, I, I, I don't think I'm going to- Speaker 1: Mm-hmm",
    "110101_004 (Completed 06/14/25) Page 24 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. And in your opinion, how likely are you to lose your eyesight partially or fully because of your diabetes? How likely do you think you are? Speaker 2: I think not very likely. Speaker 1: Not very likely? Speaker 2: Yeah. I, I, I, I don't think I'm going to- Speaker 1: Mm-hmm. Speaker 2: ... , I said, I'm, I'm taking steps to not make that happen. Speaker 1: Mm-hmm. Speaker 2: But yeah. So, , it's easy to slip, but you gotta be a little bit more vigilant with that kind of stuff, so. Speaker 1: Mm-hmm. And how would you describe your current vision? Speaker 2: , phew... I would say good. Speaker 1: Okay. Speaker 2: Even though I've had these things- Speaker 1: Mm-hmm. Speaker 2: ... I still drive well, I still, , I still have overall pretty good. So I would say good. Mm-hmm. 110101_004 (Completed 06/14/25) Page 25 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here",
    "Speaker 2: ... I still drive well, I still, , I still have overall pretty good. So I would say good. Mm-hmm. 110101_004 (Completed 06/14/25) Page 25 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Speaker 2: Not great, but good. Speaker 1: And you said you've noticed some changes recently in your vision. Speaker 2: Right. Right. Speaker 1: Mm-hmm. Speaker 2: The things that I wish I would've caught just a little bit sooner. Speaker 1: Sure. Speaker 2: I wish the, that would be a big thing. I wish the other doctors would've told me to go to the, the- Speaker 1: Eye doctor? Speaker 2: ... yeah. Before this. Speaker 1: Mm-hmm. Speaker 2: I wish I would, they, , when they first saw this, that would've been something that I would've pushed a little harder on if I would've known it was at the level it was. So. Speaker 1: Makes sense",
    "Before this. Speaker 1: Mm-hmm. Speaker 2: I wish I would, they, , when they first saw this, that would've been something that I would've pushed a little harder on if I would've known it was at the level it was. So. Speaker 1: Makes sense. Speaker 2: Yeah. Speaker 1: 110101_004 (Completed 06/14/25) Page 26 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. , have you ever been diagnosed with any of these eye conditions? Cataracts? Speaker 2: No. Speaker 1: Glaucoma? Speaker 2: No. Speaker 1: Age-related eyesight decline? Speaker 2: , yes. A little bit because of the mac, , the, , whatever. Speaker 1: Bifocals? Speaker 2: Whatever. Yeah. Speaker 1: Dry eye? Speaker 2: No. Speaker 1: And you mentioned you have a family history. Your, so your aunt had diabetes, you said? Speaker 2: Yes. Speaker 1: You said someone had glaucoma, who was it? Speaker 2: My grandmother. Speaker 1: Grandma? Speaker 2: 110101_004 (Completed 06/14/25) Page 27 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. , yeah. My grandmother had glaucoma and I believe my mom does actually, or, yeah",
    "Your, so your aunt had diabetes, you said? Speaker 2: Yes. Speaker 1: You said someone had glaucoma, who was it? Speaker 2: My grandmother. Speaker 1: Grandma? Speaker 2: 110101_004 (Completed 06/14/25) Page 27 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. , yeah. My grandmother had glaucoma and I believe my mom does actually, or, yeah. Speaker 1: ... , your mom had it. Speaker 2: Yeah. It's mild, but. Speaker 1: Any other, , family history of glaucoma, diabetes, or age-related eyesight declines? Speaker 2: No, not really. Those are the two I can think the, the main ones, the three. Speaker 1: Have you been advised to, , to go, for about, , the potential of you having glaucoma because you have a family history of glaucoma? Speaker 2: Yes. To, to keep it checked? Yeah. Speaker 1: Mm-hmm. And who was it that , , had, , advised you about that? Speaker 2: Today. Speaker 1: Today? Speaker 2: (laughs) Yeah. Speaker 1: , and how would you describe your overall experience of being diagnosed with eye issues? I know, and maybe potentially follow-ups for treatment. Speaker 2: There was a time where I'd more, be in more denial and be a little bit more, more worried. And not that I'm not worried, but- Speaker 1: -huh. Speaker 2: 110101_004 (Completed 06/14/25) Page 28 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here",
    "Speaker 1: Today? Speaker 2: (laughs) Yeah. Speaker 1: , and how would you describe your overall experience of being diagnosed with eye issues? I know, and maybe potentially follow-ups for treatment. Speaker 2: There was a time where I'd more, be in more denial and be a little bit more, more worried. And not that I'm not worried, but- Speaker 1: -huh. Speaker 2: 110101_004 (Completed 06/14/25) Page 28 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. ... , I mean, I'd rather, I'm trying to figure a way to answer this. Just, I mean, overall the experience was at least, , what I expected. Speaker 1: Okay. Speaker 2: So, yeah. Speaker 1: And I guess the follow-up doesn't really apply 'cause you haven't had any follow-ups yet, right? This was your first- Speaker 2: Mm- Speaker 1: ... appointment today? Speaker 2: ... yes. When it comes to this- Speaker 1: Yeah. Speaker 2: ... yes. Speaker 1: , what helps you keep using regular healthcare services, , including dilated eye exams, follow-ups, or treatments? what's gonna keep you to keep coming? Speaker 2: Oh, prevention. Speaker 1: Mm-hmm. Speaker 2: , motivation to, , I, , people that go to the doctors, people that get check-ups. I think it, it definitely benefits on their longevity versus the people that don't get Speaker 1: Sure",
    "yes. Speaker 1: , what helps you keep using regular healthcare services, , including dilated eye exams, follow-ups, or treatments? what's gonna keep you to keep coming? Speaker 2: Oh, prevention. Speaker 1: Mm-hmm. Speaker 2: , motivation to, , I, , people that go to the doctors, people that get check-ups. I think it, it definitely benefits on their longevity versus the people that don't get Speaker 1: Sure. 110101_004 (Completed 06/14/25) Page 29 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: So that, that, that's a big one, is wanting to live longer and have a health, , a happy, healthy life. Speaker 1: .Mm-hmm Speaker 2: So. Speaker 1: , anything that discourages you from using healthcare services for your vision problems? Speaker 2: Depending, cost can be. Speaker 1: Sure. Absolutely. Speaker 2: , cost can be a factor. Speaker 1: Mm-hmm. Speaker 2: , frustration, , timing. Speaker 1: Mm-hmm. Speaker 2: , personal mood. Speaker 1: Mm-hmm. Speaker 2: (laughs) Those are the big ones- Speaker 1: Yeah, sure. (laughs). Speaker 2: ..",
    "Speaker 2: , personal mood. Speaker 1: Mm-hmm. Speaker 2: (laughs) Those are the big ones- Speaker 1: Yeah, sure. (laughs). Speaker 2: ... I can think of. 110101_004 (Completed 06/14/25) Page 30 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: I totally get it. Speaker 2: Yeah. Speaker 1: , you mentioned a couple before, but any, , positive experiences with using healthcare services that have formed your attitudes towards seeking eye and diabetes care? Speaker 2: , yeah. When I first, my first doctor, I didn't, I was terrified to go to a doctor and- Speaker 1: -huh. Speaker 2: ... he became comforting to me and made me, guided me in a good way. Speaker 1: Mm-hmm. Speaker 2: , , to, I don't know, g- make me more comfortable with being around doctors. Speaker 1: Mm-hmm. Speaker 2: And of course, that led to more doctors- Speaker 1: Mm-hmm. Speaker 2: ... and, , to where I am now. So, definitely, , someone that told me, \"Look, , we're not looking to find anything, , we're just, we're here to help you and get you to that next level.\" Speaker 1: Mm-hmm",
    "Speaker 1: Mm-hmm. Speaker 2: And of course, that led to more doctors- Speaker 1: Mm-hmm. Speaker 2: ... and, , to where I am now. So, definitely, , someone that told me, \"Look, , we're not looking to find anything, , we're just, we're here to help you and get you to that next level.\" Speaker 1: Mm-hmm. Speaker 2: So I would say that, , just personality of staff and people. Speaker 1: 110101_004 (Completed 06/14/25) Page 31 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Okay. Speaker 2: the, the, the girls that work here- Speaker 1: Mm-hmm. Speaker 2: ... and that are there with that er- and a good attitude, , , , things of that nature. , it always helps when you don't feel a, a, just the patient I guess- Speaker 1: Sure. Speaker 2: ... you could say, so. Speaker 1: Absolutely. Any negative experiences along those same lines? Speaker 2: - Speaker 1: Than- Speaker 2: ... exactly the opposite of what I said. Speaker 1: Mm-hmm. Speaker 2: When you don't feel , , when you're just a, a patient X- Speaker 1: Mm-hmm. Speaker 2: ..",
    "Any negative experiences along those same lines? Speaker 2: - Speaker 1: Than- Speaker 2: ... exactly the opposite of what I said. Speaker 1: Mm-hmm. Speaker 2: When you don't feel , , when you're just a, a patient X- Speaker 1: Mm-hmm. Speaker 2: ... when you're not getting treated that. You are, you're not any different than anyone else, and you're not feeling uniquely, , or you just, , it's a panacea. , \"We give this to everyone, we're giving it to you too.\" 110101_004 (Completed 06/14/25) Page 32 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: That a thing. So, yeah. Speaker 1: , do you have something, t- not something, do you have someone to help you with your daily diabetes care? Speaker 2: , , , my wife to truth for, yeah. I would say my wife who's a nurse. Speaker 1: Mm-hmm. , anyone else who's, , assisted you in managing? It could be, , children, friends, relatives, neighbors- Speaker 2: - Speaker 1: ... church support person? Speaker 2: ... a little bit with my daughter. She's a type one diabetic. Speaker 1: Oh, okay. Speaker 2: We try to help each other",
    "church support person? Speaker 2: ... a little bit with my daughter. She's a type one diabetic. Speaker 1: Oh, okay. Speaker 2: We try to help each other. Speaker 1: That's good. Speaker 2: Yeah. I didn't mention that earlier. Speaker 1: Yeah. (laughs). Speaker 2: But I know, yeah. She's type one and, - Speaker 1: 110101_004 (Completed 06/14/25) Page 33 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. She's type one. Speaker 2: ... so we, we, we work a lot together. She's a good, she's a very good support system. We, we help each other. Speaker 1: What kinds of things do you guys do to help each other, , have the assistance (tails off) [inaudible 00:22:02]? Speaker 2: We go to the gym. Speaker 1: Mm-hmm. Speaker 2: , we talk about it",
    "She's a good, she's a very good support system. We, we help each other. Speaker 1: What kinds of things do you guys do to help each other, , have the assistance (tails off) [inaudible 00:22:02]? Speaker 2: We go to the gym. Speaker 1: Mm-hmm. Speaker 2: , we talk about it. We try to, , team up a little bit with our diets. what, , maybe she's not going on exactly what I'm going on. Speaker 1: Mm-hmm. Speaker 2: But we try to, , encourage each other. Speaker 1: Mm-hmm. Speaker 2: , that a thing. So, yeah. Speaker 1: , have you ever participated in any diabetes education class that gives you, , advice on, you know, how to eat well, monitor your blood pressures? Speaker 2: Oh, , I have a little bit, but at- Speaker 1: -huh. Speaker 2: ... the time I really didn't. I wasn't really mentally ready for what I was experiencing at that time. 110101_004 (Completed 06/14/25) Page 34 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: When was that class that you took? Speaker 2: Oh gosh, it was year- years ago when I took it. It was thew, 10 years ago or more. Speaker 1: And how long was that was a one-time thing? Was it - Speaker 2: Yeah, it was two, one class",
    "I wasn't really mentally ready for what I was experiencing at that time. 110101_004 (Completed 06/14/25) Page 34 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: When was that class that you took? Speaker 2: Oh gosh, it was year- years ago when I took it. It was thew, 10 years ago or more. Speaker 1: And how long was that was a one-time thing? Was it - Speaker 2: Yeah, it was two, one class. Yeah. It was just a sit down and we reviewed stuff. Speaker 1: How, how long was the class? Speaker 2: , 30 minutes. Speaker 1: Oh, okay. Speaker 2: Yeah, it was quick. Speaker 1: Probably went through a lot of it, yeah. Speaker 2: This spreadsheet, a couple worksheets and- Speaker 1: Yeah. (laughs) Speaker 2: ... yeah. 1200 calorie a day diet and- Speaker 1: (laughs). Speaker 2: ... , that thing (laughs) yeah. Speaker 1: Easier said than done. (laughs) 110101_004 (Completed 06/14/25) Page 35 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: Yes",
    "Speaker 2: ... , that thing (laughs) yeah. Speaker 1: Easier said than done. (laughs) 110101_004 (Completed 06/14/25) Page 35 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 2: Yes. (laughs) Speaker 1: , do you have people who you can share your worries or fears about your diabetes and your eyesight? Speaker 2: Sometimes. Speaker 1: Okay. Speaker 2: Depending on people's, sometimes days are worse than others, but- Speaker 1: Mm-hmm. Speaker 2: ... yeah. I, I feel there are days where I can, I feel certain people, very specific people, but yes. Speaker 1: Mm-hmm. , when you do share your worries with them, do you feel that, ... do they understand you and support you in the things that you need to do to get better? Speaker 2: I think they do to a point, but I don't think they do fully. Speaker 1: Mm-hmm. Speaker 2: So I think sometimes it's, , I, I think sometimes you don't, you get it, but sometimes there's so much more to it unless you're actually in it that they, they just don't understand when it comes to certain things. Speaker 1: And when you get sick, do you have someone to help you with your chores, your food, things that? Speaker 2: Yeah. 110101_004 (Completed 06/14/25) Page 36 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: You do? Speaker 2: Yeah, I do. And that would again, be my wife when it comes- Speaker 1: Mm-hmm",
    "Speaker 2: So I think sometimes it's, , I, I think sometimes you don't, you get it, but sometimes there's so much more to it unless you're actually in it that they, they just don't understand when it comes to certain things. Speaker 1: And when you get sick, do you have someone to help you with your chores, your food, things that? Speaker 2: Yeah. 110101_004 (Completed 06/14/25) Page 36 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: You do? Speaker 2: Yeah, I do. And that would again, be my wife when it comes- Speaker 1: Mm-hmm. Speaker 2: ... to that thing. Speaker 1: Going back a little bit, what kinds of things do you think they don't understand? You were mentioning sometimes they don't get things? Speaker 2: , just the emotional beat up it takes sometimes on you, the, the wear and tear of the flustration. you're doing, you're trying to do the best you can and you're not getting the results you think you should be. Speaker 1: Mm-hmm. Speaker 2: The sacrifices sometimes you make- Speaker 1: Mm-hmm. Speaker 2: ... when you're sitting there and everyone's eating bread and you're going, \"No, I don't want that.\" Or just , , how tired you feel at times or- Speaker 1: Mm-hmm. Speaker 2: ... just, just that stuff more or less- Speaker 1: Yeah. Speaker 2: 110101_004 (Completed 06/14/25) Page 37 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. ... the, and , oh, I don't know. I just feel just a lot of people are selfish with their feelings. Speaker 1: Mm-hmm",
    "Speaker 2: 110101_004 (Completed 06/14/25) Page 37 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. ... the, and , oh, I don't know. I just feel just a lot of people are selfish with their feelings. Speaker 1: Mm-hmm. Speaker 2: But it's really hard for them to- Speaker 1: Understand. Speaker 2: ... be empathetic to other- Speaker 1: Yeah. Speaker 2: ... people. Speaker 1: No, that- Speaker 2: Yeah. Speaker 1: ... totally makes sense. Is there anyone you can call or ask for advice about handling your health or eye problems? Speaker 2: I do a lot of my own research. Speaker 1: Or your own research? Okay. Speaker 2: I do a lot of that. I even use ChatGPT certain things, so. Speaker 1: Don't we all. (laughs). Speaker 2: Yeah",
    "Speaker 2: I do a lot of that. I even use ChatGPT certain things, so. Speaker 1: Don't we all. (laughs). Speaker 2: Yeah. (laughs). 110101_004 (Completed 06/14/25) Page 38 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Do you feel that you're able to call, , family, friends or relatives for any , , , , an- Speaker 2: When it's bad, yeah. Speaker 1: Okay. Speaker 2: Yeah. I try not to do that, but- Speaker 1: Okay. Speaker 2: ... yeah, I will sometimes. Speaker 1: Do you feel that you can call your doctor or your eye or, , healthcare professionals? Or, , I guess access them? Speaker 2: If wh- if, if I need that- Speaker 1: Yes. Speaker 2: ... thing. Yeah. I wouldn't do it for more sympathy, but yeah. Speaker 1: Sure. Speaker 2: Yeah",
    "thing. Yeah. I wouldn't do it for more sympathy, but yeah. Speaker 1: Sure. Speaker 2: Yeah. Speaker 1: , how much do you think your eyesight currently limits your ability to do the things that you want to do in your life? Speaker 2: I try not to let it, to be honest with you. 110101_004 (Completed 06/14/25) Page 39 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Okay. Speaker 2: I try not to let it, so there's a few small things, but overall I just deal with it, what I mean? Speaker 1: What are the small things where you see it impacting you? Speaker 2: , more, it, it, it's been a little, a lot less since I've been trying to change some things with my life. But, , , mostly it's certain times when I can't see certain things really well and , , 'cause I want to be safe. Speaker 1: Sure. Speaker 2: I don't wanna get anybody hurt. Speaker 1: Mm-hmm. Speaker 2: , but I'm not having anything where I feel I'm in even remotely in that area. But if you're assigned as farther away and it takes a little longer- Speaker 1: Longer. Speaker 2: ... to see it coming up, - Speaker 1: Yeah. Speaker 2: ... smaller writing, things that, but. Speaker 1: Makes sense",
    "Speaker 2: ... to see it coming up, - Speaker 1: Yeah. Speaker 2: ... smaller writing, things that, but. Speaker 1: Makes sense. Speaker 2: Yeah. 110101_004 (Completed 06/14/25) Page 40 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: , what were your expectations for your eye care visit today going in? Speaker 2: I had, I honestly, I just wanted to get, know what was wrong. Speaker 1: Sure. Speaker 2: I wanted to, I wanted to get an answer today, so- Speaker 1: And were you, oh, sorry, go ahead. Speaker 2: No, you're good. Speaker 1: , did you feel that your expectations were met? Speaker 2: Yeah, definitely. Speaker 1: Mm-hmm. Speaker 2: Definitely today- Speaker 1: You- Speaker 2: ... I did. Yes. Speaker 1: You got- Speaker 2: I felt I got full, the best. I don't think I could have walked out here with a better treatment than I got today, to be honest. Speaker 1: 110101_004 (Completed 06/14/25) Page 41 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Happy to hear that",
    "Yes. Speaker 1: You got- Speaker 2: I felt I got full, the best. I don't think I could have walked out here with a better treatment than I got today, to be honest. Speaker 1: 110101_004 (Completed 06/14/25) Page 41 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Happy to hear that. Speaker 2: Yeah. Even though it was painful (laughs) and- Speaker 1: Yeah. (laughs). Speaker 2: ... a lot went on, but yeah. Speaker 1: No, I'm really happy and glad to hear that- Speaker 2: Yeah. Speaker 1: ... because I think that makes all the difference. Speaker 2: Yeah. Speaker 1: Those are all kinda the questions I had set for you. Do you have anything else you wanna share about your diabetes-related eye problems or your vision loss or any of your care management, anything that? Speaker 2: I just think a lot of it is, , it, personally, I think it's a lot more of a mental game than it is a physical game. Speaker 1: Mm-hmm. Speaker 2: And I do think support is extremely important if you can get it and have people to communicate with. Speaker 1: Mm-hmm. Speaker 2: , is, , is another large part of it",
    "Do you have anything else you wanna share about your diabetes-related eye problems or your vision loss or any of your care management, anything that? Speaker 2: I just think a lot of it is, , it, personally, I think it's a lot more of a mental game than it is a physical game. Speaker 1: Mm-hmm. Speaker 2: And I do think support is extremely important if you can get it and have people to communicate with. Speaker 1: Mm-hmm. Speaker 2: , is, , is another large part of it. I, I think those are two of the big ones. And I think a lot of people, the biggest problem is denial- 110101_004 (Completed 06/14/25) Page 42 of 43 Transcript by Rev.com This transcript was exported on Jun 17, 2025 - view latest version here. Speaker 1: Mm-hmm. Speaker 2: ... of what you have, too many people because it's a silent killer. Speaker 1: Yeah. Speaker 2: People deny it until- Speaker 1: Mm-hmm. Speaker 2: ... it gets very real. Speaker 1: Mm-hmm. Speaker 2: And then it's too late. Speaker 1: Sure. Speaker 2: So, yeah. Speaker 1: Makes sense. Thank you so much for your time",
    "Speaker 2: And then it's too late. Speaker 1: Sure. Speaker 2: So, yeah. Speaker 1: Makes sense. Thank you so much for your time. I really appreciate it. Speaker 2: Thank- 110101_004 (Completed 06/14/25) Page 43 of 43 Transcript by Rev.com"
  ],
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}