{
  "file_id": "dr_RC0426",
  "full_text": "Transcription details: Date: 30-Jul-2025 Input sound file: dr_RC0426.MP3 Transcription results: S1: 00:00 ID RC0426 DR. What are some things that you do each day related to your diabetes care? S2: 00:14 Mostly, I check my sugar quite a bit. S1: 00:16 Check your sugar. Do you have a-- S2: 00:16 Maybe three or four times a day. I have a pump. S1: 00:18 Oh, you have a pump? Okay. S2: 00:19 That's about the easiest thing I got. S1: 00:22 Mm-hmm. What about taking meds or other, , diet watches, anything that? S2: 00:27 No problems. S1: 00:28 Is that something you do day-to-day? S2: 00:30 Oh, yeah. S1: 00:31 , and what do you see as-- what do you see as the biggest priority for you with your diabetes? S2: 00:38 Keeping it under control. S1: 00:40 And what does that mean? Could you elaborate on keeping it under control? S2: 00:43 , watching what I eat. S1: 00:45 Mm-hmm. S2: 00:45 And it's helped because I was in the hospital a couple of months ago with heart failure, so-- S1: 00:49 Oh, okay. S2: 00:49 --they put me to watch my sodium-- S1: 00:51 Mm-hmm. S2: 00:51 --and watch my water. And that has been the biggest help. S1: 00:54 Mm-hmm. With also managing your diet. S2: 00:57 Yeah, because I've lost 30-some pounds. S1: 00:58 Oh, okay. And what are some things that your doctor has told you that is important for people with diabetes to do? S2: 01:06 Watch your sugar, watch what you eat, , exercise. Right now I can't, so. TranscribeMe 1 S1: 01:14 You said-- you mentioned you had a fall, right? S2: 01:15 Yeah, I did. S1: 01:17 And how has diabetes affected your eyes? S2: 01:19 , I get the, , fluid buildup in the eyes. And then right now, I have, -- it's called the Fuch disease or something. S1: 01:31 Oh, Fuchs' dystrophy? S2: 01:32 Yeah. I have that, and that makes this eye go shady sometimes. S1: 01:36 , any other vision changes you've noticed related to your diabetes? S2: 01:40 Well, reading-- S1: 01:41 Reading. S2: 01:41 --, sometimes. S1: 01:43 , when did you first start to notice changes related to your vision pertaining to diabetes? S2: 01:50 Probably a couple of years ago. S1: 01:53 A couple of years ago. , and at the time, what did your doctor say about those-- these changes? S2: 02:00 Just keep my eye appointments and watch-- mainly, it's just he has to watch the fluid and the blood in the eyes, I guess. S1: 02:09 Okay. And what has your doctor told you about how diabetes has affected or may affect your eyes? S2: 02:17 Well, between the diabetic doctor and the eye doctor, , basically about the same thing. S1: 02:24 And what-- what have they told you? S2: 02:25 I'm sorry? S1: 02:26 What have they told you? What have the two doctors told you? S2: 02:28 Repeat your question. I'm forgetting. S1: 02:31 Oh, yeah, yeah. , so you mentioned they both said the same thing, right? Your diabetes doctor and your eye doctor-- what did they say? S2: 02:37 Oh, just mainly watch what you eat, watch your sugars, , mainly the sugars. S1: 02:44 What did they say about how diabetes affects your eyes? S2: 02:48 Oh, with the diabetes? S1: 02:50 Mm-hmm. S2: 02:50 Mostly the sugar buildup in-- , not sugar, but the fluids buildup in the eyes. S1: 02:56 Mm-hmm. And, , did they elaborate more on how that can cause problems for you? TranscribeMe 2 S2: 03:01 Not really. S1: 03:02 Not really. Okay. And where do you typically get your eye exams? Is it here, or is it somewhere else? S2: 03:08 Here. S1: 03:09 Here at the Eye Institute. And when you go for your eye exam, can you describe the steps that they take from start to finish throughout the examination? S2: 03:17 Oh, yeah. The, , little guy checks you-- whoever brings you back there-- S1: 03:20 Yes. S2: 03:20 --checks you in, checks your eyes, , , reading on the chart, and checking, , your medicines and stuff that. And then I have to go get the pictures done, and then the doctor comes in and goes over everything, and then he'll look at them too. S1: 03:36 Mm-hmm. S2: 03:38 I know. It's no noisy. S1: 03:42 When did you have your last dilated eye exam? S2: 03:44 Today. S1: 03:45 Today. And how often do you think you should have your eyes checked? S2: 03:49 Well, he's been bringing me back every-- it started as three months when I first started coming, and we've been six months. Now it's nine months. S1: 03:56 Nine months. Okay. I'll actually have you just hold this up. I'm just so worried that it won't pick up. S2: 04:01 Oh, I'm supposed to be-- S1: 04:02 Yeah. Usually-- S2: 04:03 Hello, hello. S1: 04:03 --. S2: 04:05 Okay. S1: 04:07 , and what was your experience with your, , eyes getting dilated during your eye exam? S2: 04:13 What was the experience? S1: 04:15 Yeah. Any discomfort, any issues, any--? S2: 04:18 Oh, no. No, I don't ever have a problem with it. S1: 04:21 Super comfortable ? S2: 04:22 Yeah. S1: 04:23 , so with your visits for getting eye care, what does the scheduling process look ? Scheduling, getting an appointment-- what does that look ? S2: 04:31 What do you mean? TranscribeMe 3 S1: 04:33 , , any difficulties trying to find a time that works for you? S2: 04:36 Oh, no. I've never had a problem with that. S1: 04:39 So your doctor's availability has been good? You're able to-- no issues with scheduling? S2: 04:43 No. S1: 04:44 Okay. , what recommendations on eye care do you get from your doctor? S2: 05:02 Same thing. Just same thing-- S1: 05:03 Same things as before? S2: 05:05 --as before. S1: 05:06 Any challenges you face in receiving eye care? S2: 05:11 I don't think so. S1: 05:13 Transportation, keeping up with appointments, getting here, anything-- S2: 05:17 No. S1: 05:17 -- that? S2: 05:18 No. No. S1: 05:19 , how about, , keeping up with your management of diabetes diet? Any of that is a challenge for you? S2: 05:25 Well, before I got on what I'm doing, it was a challenge because, , being off of it, being good with it, , and then not caring sometimes. So it was a challenge. Has been. S1: 05:37 Any suggestions for improving your eye care experience? S2: 05:42 No. S1: 05:43 , to make it easier, better. S2: 05:45 No, I think they do pretty good. S1: 05:48 , what are some ways you take care of your eyes? , do you wear sunglasses to protect--? S2: 05:54 Well, these are-- these darken up in the sun. S1: 05:57 Okay. S2: 05:57 , plus I do-- I'm supposed to do drops every-- twice a day, and I do those. S1: 06:02 , any supplements you take for your eyes, fish oil? S2: 06:07 No. S1: 06:07 Vitamin C? S2: 06:09 No. S1: 06:09 Multivitamins? TranscribeMe 4 S2: 06:10 I do multivitamins. S1: 06:12 Okay. Any medications you're taking for your eyes? S2: 06:17 No. S1: 06:18 Not at all. And do you give your eyes a rest while either working on a computer for a long time or watching TV for a long time? S2: 06:27 Probably when I sleep-- S1: 06:29 Asleep. S2: 06:30 --or if I'm outside. S1: 06:33 , how long before you feel you need to give a rest if you're watching TV-- S2: 06:39 Well-- S1: 06:39 --for a long time? S2: 06:39 I-- the only thing I get on the computer for anymore is, , to do bills, check the banking, stuff that. So that doesn't take very long. I play games on the computer-- is my worst problem. S1: 06:53 How about TV? S2: 06:54 TV is-- we usually watch it at night. S1: 06:57 Okay. And your eyes don't get tired by the time you're, , done? S2: 07:00 No. S1: 07:00 Okay. S2: 07:00 No. S1: 07:01 Are you currently using any eye drops for your eyes? S2: 07:06 Just the drops I'm supposed to take, the ketorola-ketorolac. S1: 07:09 Ketorolac. S2: 07:09 Yeah. Plus I do, -- I forgot what it's called. Because my eyes get dry, so I use that. S1: 07:16 Oh, , artificial tears? S2: 07:18 Yeah. S1: 07:18 Okay. And how many times a day do you take those drops? S2: 07:21 Twice a day. S1: 07:22 Twice a day. And what has your eye doctor or your diabetes doctor told you about the risk of vision loss or blindness due to diabetes? S2: 07:30 , if you don't watch your sugars and you don't watch what you eat, it could be very bad. S1: 07:37 Did they say how it can be very bad, what can happen with-- if your diabetes maybe gets out of control? S2: 07:46 I don't know exactly. TranscribeMe 5 S1: 07:48 Okay. , how comfortable are you to talk about your diabetes-related eye problems with your eye doctor? S2: 07:57 None. S1: 07:57 Oh, you're very comfortable, so no problems? S2: 08:00 Yeah. S1: 08:00 , can you give an example of a concern that you've expressed with your eyes to your eye doctor, something you brought up? S2: 08:07 Only about this disease that I have. S1: 08:11 The Fuchs'-- S2: 08:11 Yeah. S1: 08:11 --dystrophy? What did you-- what was the consern? S2: 08:14 Just the fear of it getting worse. S1: 08:18 Okay. Anytime you weren't able to express a concern you had? S2: 08:22 No. S1: 08:23 Can you give an example of a question that you typically ask your eye doctor or your diabetes doctor? S2: 08:30 The eye doctor, I don't think I usually ask any questions. Only, , if we have-- I'll ask if there's-- if he doesn't tell me, I'll ask if there is fluid buildup or whatever, or just, , if it's getting worse. But he-- I mean, he walked in today and just said everything was looking good. S1: 08:51 , do you ever tell them what's good for you, so advocating for yourself, that, \"This is something I'd to do; this is something that I need\"? S2: 08:57 No. No. S1: 08:59 , if you had to tell your eye doctor and your diabetes doctor what to do to give you care that's best for you, what would you tell them? S2: 09:07 I'm not sure. I really don't know. Now, the diabetes doctor, I'm pretty comfortable with too, so I don't think I'd have trouble talking to her about anything-- S1: 09:20 Anything-- S2: 09:21 --. S1: 09:21 --at all-- anything that would make your life easier if there was something? S2: 09:24 , no, I don't think so because, I mean, they tell me everything I should be doing, so. S1: 09:30 And you're able to keep up with doing those things? S2: 09:32 Yeah, now I am. I wasn't before. S1: 09:34 Okay. , what was the things you weren't able to keep up with before-- before the heart failure? S2: 09:39 The way I eat. TranscribeMe 6 S1: 09:41 The way you eat? S2: 09:41 Yeah, mostly. S1: 09:42 How has that changed now? Is it just the weight loss that you were referring to? S2: 09:46 It was because of having the heart failure. S1: 09:48 -huh. S2: 09:49 And-- S1: 09:50 Are you eating differently now? You're you able to eat ? S2: 09:52 I'm eating differently. S1: 09:53 Okay. What kinds of ? S2: 09:55 I'm watching my sodium-- S1: 09:56 Sodium. Okay. S2: 09:57 --as much as I can, and then I try to watch the water or stuff that I drink. S1: 10:02 Got it. , how serious do you think diabetes can cause vision loss for you? S2: 10:10 For me? S1: 10:10 Yes. S2: 10:11 Very serious. It could, , and I know that. S1: 10:14 Mm-hmm. Why do you feel that way? S2: 10:16 I guess because of how much I guess I've gone down with that over the years since I've had it. S1: 10:24 Diabetes? , how likely are you to lose your eyesight, either partially or fully, because of diabetes? S2: 10:34 Repeat. S1: 10:35 , how likely are you to lose your eyesight, partially or fully, because of your diabetes, in your opinion? S2: 10:40 How likely? S1: 10:40 Yeah. S2: 10:42 Now I would say not very likely. S1: 10:45 Because, , since you've made the changes, you feel that? S2: 10:48 Yeah. S1: 10:50 Okay. How would you describe your current vision? What things can you see and not see, things that? S2: 10:55 Well, I have a hard time, -- when they do the eye exam and you have to look up on the wall and see those letters, I have a hard time with that. S1: 11:03 Okay. Any other vision changes or vision difficulties? TranscribeMe 7 S2: 11:10 Not that I've noticed. S1: 11:11 Okay. Any changes in the last year, year and a half with your vision? S2: 11:17 Only because of this disease. S1: 11:19 The Fuchs' dystrophy? S2: 11:21 Yeah. S1: 11:22 What-- what changes have you noticed in your eyes because of that disease? S2: 11:25 The shadiness that I get in this eye. S1: 11:28 Okay. Anything else? S2: 11:29 No. S1: 11:31 And have you ever been-- have you ever been diagnosed with the following eye conditions: cataracts? S2: 11:40 Yes, I've had them both removed. S1: 11:42 , glaucoma? S2: 11:43 , I have that, yes. S1: 11:45 , age-related eyesight decline? S2: 11:48 Probably. S1: 11:50 Dry eyes? S2: 11:51 Yes. S1: 11:52 Any other eye conditions? You mentioned the Fuchs' dystrophy-- anything else? S2: 11:56 Just, , getting the fluid buildup and stuff. S1: 12:00 , and anyone in your family with the following conditions: glaucoma? S2: 12:05 I don't know. My sisters have never said they had it. S1: 12:08 , what about diabetes? Any family history? S2: 12:11 I have a-- oh, yeah. My father, my mother, my grandmother, my two sisters. S1: 12:18 Both of them have it? Pretty big family history. Any age-related eyesight decline in the family history? S2: 12:31 Probably my older sister-- S1: 12:33 Okay. S2: 12:33 --but she also had, -- she had kidney problems. S1: 12:41 And any macular degeneration in your family? S2: 12:44 That I don't know. S1: 12:46 , how would you describe your overall experience of being diagnosed with eye issues? Overall experience, what has it been for you? TranscribeMe 8 S2: 12:55 Not really a problem, I guess, because I really haven't worried about it, , since I come to the doctor, , and get checked out regularly. I never had-- S1: 13:08 So it's been a good experience as far as receiving-- S2: 13:10 Oh, yes. S1: 13:11 So as far as, , follow-ups and the treatments, all of that, it's been a good experience. Why do you think that it's been a good experience for you? S2: 13:19 My number one answer would be because of the doctor-- S1: 13:21 Okay. S2: 13:21 --the doctors that I have. S1: 13:24 What has the doctor done that's made you feel this way? S2: 13:28 Probably talk to you more. S1: 13:31 Okay. S2: 13:31 A lot of doctors don't sit down and really talk to you, and they're not in plain language. These ones that I have now and the other two were really, really-- they're really good about that. S1: 13:41 Oh, that's good. , what helps you keep up with using regular healthcare services? So coming for your eye exams, , getting your follow-ups, doing your treatment-- what helps you keep doing those things? Any resources? S2: 13:55 Just because I need to. I know I need to, and I know I need to do it for my health. S1: 14:00 Mm-hmm. What about any, , transportation services, MyChart, any of those things that help-- help with them? S2: 14:08 Transportation, I don't have a problem with. S1: 14:10 Okay. What about MyChart? S2: 14:11 MyChart, I-- I use it a lot. S1: 14:13 And that's been helpful? S2: 14:14 Yeah. S1: 14:14 As far as appointment reminders? S2: 14:15 Yeah. S1: 14:16 Anything else that you think helps you keep up with appointments? S2: 14:19 No. S1: 14:20 Okay. , what-- anything that discourages you from using healthcare services to help with your vision problems? S2: 14:28 No. S1: 14:29 Nothing discourages you? S2: 14:30 No. TranscribeMe 9 S1: 14:30 Wait times, anything that? S2: 14:32 No. S1: 14:33 , can you share a time with me you had a positive experience with using healthcare services that has formed your attitude about seeking care for your eyes or your diabetes? Anything that happened that, , you were , \"I want to keep up with this. I want to keep doing this because this is working for me.\" S2: 14:55 I'm not sure. I don't know how to answer that one. S1: 14:58 Any bad experiences? S2: 14:59 No. S1: 15:00 Has ever been , \"Oh, dang, I wish this wasn't--\" S2: 15:04 Only from myself. S1: 15:06 Oh, okay. But not from, , a-- S2: 15:07 Not from an-- any medical, no. S1: 15:09 , do you have any suggestions of what we can do to help patients have a better experience diabetes and eye care? S2: 15:20 Probably if people could remind doctors, , on their attitude sometimes, you know, talking-- talking to your patient. , a lot of doctors just want to come in and leave. They don't take time, and that I don't . S1: 15:37 Fair enough. , do you have somebody to help you with your daily diabetes care? S2: 15:41 Yes, my husband. S1: 15:42 And how-- in what ways have they helped manage your diabetes? S2: 15:47 , well, he has diabetes himself. S1: 15:49 Okay. S2: 15:49 So he's pretty good about, , \"If you don't eat-- if you're eating what you're not supposed to--\" especially when we get on this dessert thing, , he's -- he don't watch it for himself, but he makes sure he tells me. S1: 16:03 Nice. Any other ways that he helps with, maybe, , meds, bringing you to appointments, anything that? S2: 16:08 , medications, he'll ask sometimes, \"Did you take this? Did you take that?\" S1: 16:13 , have you ever participated in any diabetes education class? S2: 16:18 Oh, yes. S1: 16:18 When was that? S2: 16:19 Oh, years ago, but three or four. S1: 16:23 And when was it and how-- oh, you just mentioned that. How long were those classes? Was it a one-time thing? Was it a couple of sessions? S2: 16:30 Probably a one-time thing. TranscribeMe 10 S1: 16:35 Okay. And how-- do you remember how long it was time-wise? S2: 16:40 Six hours maybe, four hours, something that. S1: 16:43 Okay. It's the longest one I've heard. And what did they tell you in the class? S2: 16:50 The usual. How to eat. How do you take care of your sugar? Make sure you go to your doctor. , same-- same thing. S1: 16:59 Was it helpful for you? Was it implementable? S2: 17:02 It didn't work. S1: 17:03 It didn't. S2: 17:03 It just didn't work. S1: 17:04 And why do you feel it didn't work? S2: 17:05 Because of me. I didn't want to change my diet. I didn't want to, , do the things I should be doing. S1: 17:12 Were the suggestions just hard to do? S2: 17:14 They weren't hard to do-- S1: 17:15 Oh, okay. S2: 17:15 --it's just I didn't want to do it. S1: 17:17 Okay. , do you have people who you can share your worries and fears about your diabetes and your eyesight? S2: 17:24 I do, but it would be my sister. S1: 17:27 Your sister. And when you do share your worries with them, do you feel that they understand you and support-- S2: 17:31 Yes. S1: 17:31 --you-- S2: 17:32 Yes. S1: 17:32 --in trying to get better? And then when you're sick, do you have someone to help you with your chores, food, transportation? S2: 17:39 My husband. S1: 17:40 Your husband. Is there someone you could call or ask for advice about handling health eye problems, family, friends, relatives? Do you ask anybody about, --? S2: 17:50 My sister. S1: 17:51 What kinds of things do you ask her about, -- or, , what advice do you ask her? S2: 18:00 Well, , with her, nothing about the eyes. S1: 18:04 Okay. S2: 18:05 , probably nobody. S1: 18:07 Nobody for advice, you mean? TranscribeMe 11 S2: 18:09 Yeah. S1: 18:10 Except from your doctors? S2: 18:11 Yeah. S1: 18:11 , how much does your eyesight currently limit your ability to do the things you want to do? S2: 18:17 Not really. S1: 18:18 There's nothing that you do that's harder because of your eyesight? S2: 18:21 No. Maybe reading, , computer there for a long time it was so hard. S1: 18:26 But no major-- S2: 18:27 But it's better since they took the cataract out. S1: 18:30 Any hobbies or anything that you used to do that's harder to do now? S2: 18:34 Oh yeah. , cross-stitch. I love to cross-stitch, but I just can't, yeah. S1: 18:42 , any day-to-day, , chores or things that are hard for you to do because of your eyesight? S2: 18:47 No. Only because of being tired or, , COPD and all that, , heart stuff. S1: 18:54 What were your expectations for your eye care visit today? S2: 19:01 Just getting good news. S1: 19:03 What was the good news you wanted to hear? S2: 19:04 That nothing's really changed and everything looks good. S1: 19:07 And were your expectations met? S2: 19:09 Yes. Because I was afraid this was getting worse. S1: 19:12 And he said it was ? S2: 19:13 He said it was fine. S1: 19:14 Perfect. Is there anything else you want to share about diabetes-related eye problems, vision loss, anything that you think is helpful for people to know about diabetes, eye care, getting better, anything? S2: 19:25 No. S1: 19:28 Thank you so much for holding it. TranscribeMe 12",
  "chunks": [
    "Transcription details: Date: 30-Jul-2025 Input sound file: dr_RC0426.MP3 Transcription results: S1: 00:00 ID RC0426 DR. What are some things that you do each day related to your diabetes care? S2: 00:14 Mostly, I check my sugar quite a bit. S1: 00:16 Check your sugar. Do you have a-- S2: 00:16 Maybe three or four times a day. I have a pump. S1: 00:18 Oh, you have a pump? Okay. S2: 00:19 That's about the easiest thing I got. S1: 00:22 Mm-hmm. What about taking meds or other, , diet watches, anything that? S2: 00:27 No problems. S1: 00:28 Is that something you do day-to-day? S2: 00:30 Oh, yeah. S1: 00:31 , and what do you see as-- what do you see as the biggest priority for you with your diabetes? S2: 00:38 Keeping it under control. S1: 00:40 And what does that mean? Could you elaborate on keeping it under control? S2: 00:43 , watching what I eat. S1: 00:45 Mm-hmm. S2: 00:45 And it's helped because I was in the hospital a couple of months ago with heart failure, so-- S1: 00:49 Oh, okay. S2: 00:49 --they put me to watch my sodium-- S1: 00:51 Mm-hmm. S2: 00:51 --and watch my water. And that has been the biggest help. S1: 00:54 Mm-hmm. With also managing your diet. S2: 00:57 Yeah, because I've lost 30-some pounds",
    "S2: 00:51 --and watch my water. And that has been the biggest help. S1: 00:54 Mm-hmm. With also managing your diet. S2: 00:57 Yeah, because I've lost 30-some pounds. S1: 00:58 Oh, okay. And what are some things that your doctor has told you that is important for people with diabetes to do? S2: 01:06 Watch your sugar, watch what you eat, , exercise. Right now I can't, so. TranscribeMe 1 S1: 01:14 You said-- you mentioned you had a fall, right? S2: 01:15 Yeah, I did. S1: 01:17 And how has diabetes affected your eyes? S2: 01:19 , I get the, , fluid buildup in the eyes. And then right now, I have, -- it's called the Fuch disease or something. S1: 01:31 Oh, Fuchs' dystrophy? S2: 01:32 Yeah. I have that, and that makes this eye go shady sometimes. S1: 01:36 , any other vision changes you've noticed related to your diabetes? S2: 01:40 Well, reading-- S1: 01:41 Reading. S2: 01:41 --, sometimes. S1: 01:43 , when did you first start to notice changes related to your vision pertaining to diabetes? S2: 01:50 Probably a couple of years ago. S1: 01:53 A couple of years ago. , and at the time, what did your doctor say about those-- these changes? S2: 02:00 Just keep my eye appointments and watch-- mainly, it's just he has to watch the fluid and the blood in the eyes, I guess. S1: 02:09 Okay. And what has your doctor told you about how diabetes has affected or may affect your eyes? S2: 02:17 Well, between the diabetic doctor and the eye doctor, , basically about the same thing",
    "S1: 01:43 , when did you first start to notice changes related to your vision pertaining to diabetes? S2: 01:50 Probably a couple of years ago. S1: 01:53 A couple of years ago. , and at the time, what did your doctor say about those-- these changes? S2: 02:00 Just keep my eye appointments and watch-- mainly, it's just he has to watch the fluid and the blood in the eyes, I guess. S1: 02:09 Okay. And what has your doctor told you about how diabetes has affected or may affect your eyes? S2: 02:17 Well, between the diabetic doctor and the eye doctor, , basically about the same thing. S1: 02:24 And what-- what have they told you? S2: 02:25 I'm sorry? S1: 02:26 What have they told you? What have the two doctors told you? S2: 02:28 Repeat your question. I'm forgetting. S1: 02:31 Oh, yeah, yeah. , so you mentioned they both said the same thing, right? Your diabetes doctor and your eye doctor-- what did they say? S2: 02:37 Oh, just mainly watch what you eat, watch your sugars, , mainly the sugars. S1: 02:44 What did they say about how diabetes affects your eyes? S2: 02:48 Oh, with the diabetes? S1: 02:50 Mm-hmm. S2: 02:50 Mostly the sugar buildup in-- , not sugar, but the fluids buildup in the eyes. S1: 02:56 Mm-hmm. And, , did they elaborate more on how that can cause problems for you? TranscribeMe 2 S2: 03:01 Not really. S1: 03:02 Not really. Okay. And where do you typically get your eye exams? Is it here, or is it somewhere else? S2: 03:08 Here. S1: 03:09 Here at the Eye Institute. And when you go for your eye exam, can you describe the steps that they take from start to finish throughout the examination? S2: 03:17 Oh, yeah. The, , little guy checks you-- whoever brings you back there-- S1: 03:20 Yes. S2: 03:20 --checks you in, checks your eyes, , , reading on the chart, and checking, , your medicines and stuff that",
    "And where do you typically get your eye exams? Is it here, or is it somewhere else? S2: 03:08 Here. S1: 03:09 Here at the Eye Institute. And when you go for your eye exam, can you describe the steps that they take from start to finish throughout the examination? S2: 03:17 Oh, yeah. The, , little guy checks you-- whoever brings you back there-- S1: 03:20 Yes. S2: 03:20 --checks you in, checks your eyes, , , reading on the chart, and checking, , your medicines and stuff that. And then I have to go get the pictures done, and then the doctor comes in and goes over everything, and then he'll look at them too. S1: 03:36 Mm-hmm. S2: 03:38 I know. It's no noisy. S1: 03:42 When did you have your last dilated eye exam? S2: 03:44 Today. S1: 03:45 Today. And how often do you think you should have your eyes checked? S2: 03:49 Well, he's been bringing me back every-- it started as three months when I first started coming, and we've been six months. Now it's nine months. S1: 03:56 Nine months. Okay. I'll actually have you just hold this up. I'm just so worried that it won't pick up. S2: 04:01 Oh, I'm supposed to be-- S1: 04:02 Yeah. Usually-- S2: 04:03 Hello, hello. S1: 04:03 --",
    "I'll actually have you just hold this up. I'm just so worried that it won't pick up. S2: 04:01 Oh, I'm supposed to be-- S1: 04:02 Yeah. Usually-- S2: 04:03 Hello, hello. S1: 04:03 --. S2: 04:05 Okay. S1: 04:07 , and what was your experience with your, , eyes getting dilated during your eye exam? S2: 04:13 What was the experience? S1: 04:15 Yeah. Any discomfort, any issues, any--? S2: 04:18 Oh, no. No, I don't ever have a problem with it. S1: 04:21 Super comfortable ? S2: 04:22 Yeah. S1: 04:23 , so with your visits for getting eye care, what does the scheduling process look ? Scheduling, getting an appointment-- what does that look ? S2: 04:31 What do you mean? TranscribeMe 3 S1: 04:33 , , any difficulties trying to find a time that works for you? S2: 04:36 Oh, no. I've never had a problem with that. S1: 04:39 So your doctor's availability has been good? You're able to-- no issues with scheduling? S2: 04:43 No. S1: 04:44 Okay. , what recommendations on eye care do you get from your doctor? S2: 05:02 Same thing. Just same thing-- S1: 05:03 Same things as before? S2: 05:05 --as before. S1: 05:06 Any challenges you face in receiving eye care? S2: 05:11 I don't think so. S1: 05:13 Transportation, keeping up with appointments, getting here, anything-- S2: 05:17 No. S1: 05:17 -- that? S2: 05:18 No. No",
    "Just same thing-- S1: 05:03 Same things as before? S2: 05:05 --as before. S1: 05:06 Any challenges you face in receiving eye care? S2: 05:11 I don't think so. S1: 05:13 Transportation, keeping up with appointments, getting here, anything-- S2: 05:17 No. S1: 05:17 -- that? S2: 05:18 No. No. S1: 05:19 , how about, , keeping up with your management of diabetes diet? Any of that is a challenge for you? S2: 05:25 Well, before I got on what I'm doing, it was a challenge because, , being off of it, being good with it, , and then not caring sometimes. So it was a challenge. Has been. S1: 05:37 Any suggestions for improving your eye care experience? S2: 05:42 No. S1: 05:43 , to make it easier, better. S2: 05:45 No, I think they do pretty good. S1: 05:48 , what are some ways you take care of your eyes? , do you wear sunglasses to protect--? S2: 05:54 Well, these are-- these darken up in the sun. S1: 05:57 Okay. S2: 05:57 , plus I do-- I'm supposed to do drops every-- twice a day, and I do those. S1: 06:02 , any supplements you take for your eyes, fish oil? S2: 06:07 No. S1: 06:07 Vitamin C? S2: 06:09 No. S1: 06:09 Multivitamins? TranscribeMe 4 S2: 06:10 I do multivitamins. S1: 06:12 Okay. Any medications you're taking for your eyes? S2: 06:17 No. S1: 06:18 Not at all",
    "S1: 06:07 Vitamin C? S2: 06:09 No. S1: 06:09 Multivitamins? TranscribeMe 4 S2: 06:10 I do multivitamins. S1: 06:12 Okay. Any medications you're taking for your eyes? S2: 06:17 No. S1: 06:18 Not at all. And do you give your eyes a rest while either working on a computer for a long time or watching TV for a long time? S2: 06:27 Probably when I sleep-- S1: 06:29 Asleep. S2: 06:30 --or if I'm outside. S1: 06:33 , how long before you feel you need to give a rest if you're watching TV-- S2: 06:39 Well-- S1: 06:39 --for a long time? S2: 06:39 I-- the only thing I get on the computer for anymore is, , to do bills, check the banking, stuff that. So that doesn't take very long. I play games on the computer-- is my worst problem. S1: 06:53 How about TV? S2: 06:54 TV is-- we usually watch it at night. S1: 06:57 Okay. And your eyes don't get tired by the time you're, , done? S2: 07:00 No. S1: 07:00 Okay. S2: 07:00 No. S1: 07:01 Are you currently using any eye drops for your eyes? S2: 07:06 Just the drops I'm supposed to take, the ketorola-ketorolac. S1: 07:09 Ketorolac. S2: 07:09 Yeah. Plus I do, -- I forgot what it's called. Because my eyes get dry, so I use that",
    "S1: 07:01 Are you currently using any eye drops for your eyes? S2: 07:06 Just the drops I'm supposed to take, the ketorola-ketorolac. S1: 07:09 Ketorolac. S2: 07:09 Yeah. Plus I do, -- I forgot what it's called. Because my eyes get dry, so I use that. S1: 07:16 Oh, , artificial tears? S2: 07:18 Yeah. S1: 07:18 Okay. And how many times a day do you take those drops? S2: 07:21 Twice a day. S1: 07:22 Twice a day. And what has your eye doctor or your diabetes doctor told you about the risk of vision loss or blindness due to diabetes? S2: 07:30 , if you don't watch your sugars and you don't watch what you eat, it could be very bad. S1: 07:37 Did they say how it can be very bad, what can happen with-- if your diabetes maybe gets out of control? S2: 07:46 I don't know exactly. TranscribeMe 5 S1: 07:48 Okay. , how comfortable are you to talk about your diabetes-related eye problems with your eye doctor? S2: 07:57 None. S1: 07:57 Oh, you're very comfortable, so no problems? S2: 08:00 Yeah. S1: 08:00 , can you give an example of a concern that you've expressed with your eyes to your eye doctor, something you brought up? S2: 08:07 Only about this disease that I have. S1: 08:11 The Fuchs'-- S2: 08:11 Yeah. S1: 08:11 --dystrophy? What did you-- what was the consern? S2: 08:14 Just the fear of it getting worse. S1: 08:18 Okay. Anytime you weren't able to express a concern you had? S2: 08:22 No. S1: 08:23 Can you give an example of a question that you typically ask your eye doctor or your diabetes doctor? S2: 08:30 The eye doctor, I don't think I usually ask any questions",
    "S1: 08:11 The Fuchs'-- S2: 08:11 Yeah. S1: 08:11 --dystrophy? What did you-- what was the consern? S2: 08:14 Just the fear of it getting worse. S1: 08:18 Okay. Anytime you weren't able to express a concern you had? S2: 08:22 No. S1: 08:23 Can you give an example of a question that you typically ask your eye doctor or your diabetes doctor? S2: 08:30 The eye doctor, I don't think I usually ask any questions. Only, , if we have-- I'll ask if there's-- if he doesn't tell me, I'll ask if there is fluid buildup or whatever, or just, , if it's getting worse. But he-- I mean, he walked in today and just said everything was looking good. S1: 08:51 , do you ever tell them what's good for you, so advocating for yourself, that, \"This is something I'd to do; this is something that I need\"? S2: 08:57 No. No. S1: 08:59 , if you had to tell your eye doctor and your diabetes doctor what to do to give you care that's best for you, what would you tell them? S2: 09:07 I'm not sure. I really don't know. Now, the diabetes doctor, I'm pretty comfortable with too, so I don't think I'd have trouble talking to her about anything-- S1: 09:20 Anything-- S2: 09:21 --. S1: 09:21 --at all-- anything that would make your life easier if there was something? S2: 09:24 , no, I don't think so because, I mean, they tell me everything I should be doing, so. S1: 09:30 And you're able to keep up with doing those things? S2: 09:32 Yeah, now I am. I wasn't before. S1: 09:34 Okay. , what was the things you weren't able to keep up with before-- before the heart failure? S2: 09:39 The way I eat. TranscribeMe 6 S1: 09:41 The way you eat? S2: 09:41 Yeah, mostly. S1: 09:42 How has that changed now? Is it just the weight loss that you were referring to? S2: 09:46 It was because of having the heart failure. S1: 09:48 -huh",
    "S1: 09:34 Okay. , what was the things you weren't able to keep up with before-- before the heart failure? S2: 09:39 The way I eat. TranscribeMe 6 S1: 09:41 The way you eat? S2: 09:41 Yeah, mostly. S1: 09:42 How has that changed now? Is it just the weight loss that you were referring to? S2: 09:46 It was because of having the heart failure. S1: 09:48 -huh. S2: 09:49 And-- S1: 09:50 Are you eating differently now? You're you able to eat ? S2: 09:52 I'm eating differently. S1: 09:53 Okay. What kinds of ? S2: 09:55 I'm watching my sodium-- S1: 09:56 Sodium. Okay. S2: 09:57 --as much as I can, and then I try to watch the water or stuff that I drink. S1: 10:02 Got it. , how serious do you think diabetes can cause vision loss for you? S2: 10:10 For me? S1: 10:10 Yes. S2: 10:11 Very serious. It could, , and I know that. S1: 10:14 Mm-hmm. Why do you feel that way? S2: 10:16 I guess because of how much I guess I've gone down with that over the years since I've had it. S1: 10:24 Diabetes? , how likely are you to lose your eyesight, either partially or fully, because of diabetes? S2: 10:34 Repeat. S1: 10:35 , how likely are you to lose your eyesight, partially or fully, because of your diabetes, in your opinion? S2: 10:40 How likely? S1: 10:40 Yeah. S2: 10:42 Now I would say not very likely. S1: 10:45 Because, , since you've made the changes, you feel that? S2: 10:48 Yeah",
    "Why do you feel that way? S2: 10:16 I guess because of how much I guess I've gone down with that over the years since I've had it. S1: 10:24 Diabetes? , how likely are you to lose your eyesight, either partially or fully, because of diabetes? S2: 10:34 Repeat. S1: 10:35 , how likely are you to lose your eyesight, partially or fully, because of your diabetes, in your opinion? S2: 10:40 How likely? S1: 10:40 Yeah. S2: 10:42 Now I would say not very likely. S1: 10:45 Because, , since you've made the changes, you feel that? S2: 10:48 Yeah. S1: 10:50 Okay. How would you describe your current vision? What things can you see and not see, things that? S2: 10:55 Well, I have a hard time, -- when they do the eye exam and you have to look up on the wall and see those letters, I have a hard time with that. S1: 11:03 Okay. Any other vision changes or vision difficulties? TranscribeMe 7 S2: 11:10 Not that I've noticed. S1: 11:11 Okay. Any changes in the last year, year and a half with your vision? S2: 11:17 Only because of this disease. S1: 11:19 The Fuchs' dystrophy? S2: 11:21 Yeah. S1: 11:22 What-- what changes have you noticed in your eyes because of that disease? S2: 11:25 The shadiness that I get in this eye. S1: 11:28 Okay. Anything else? S2: 11:29 No. S1: 11:31 And have you ever been-- have you ever been diagnosed with the following eye conditions: cataracts? S2: 11:40 Yes, I've had them both removed. S1: 11:42 , glaucoma? S2: 11:43 , I have that, yes. S1: 11:45 , age-related eyesight decline? S2: 11:48 Probably. S1: 11:50 Dry eyes? S2: 11:51 Yes. S1: 11:52 Any other eye conditions? You mentioned the Fuchs' dystrophy-- anything else? S2: 11:56 Just, , getting the fluid buildup and stuff",
    "S1: 11:31 And have you ever been-- have you ever been diagnosed with the following eye conditions: cataracts? S2: 11:40 Yes, I've had them both removed. S1: 11:42 , glaucoma? S2: 11:43 , I have that, yes. S1: 11:45 , age-related eyesight decline? S2: 11:48 Probably. S1: 11:50 Dry eyes? S2: 11:51 Yes. S1: 11:52 Any other eye conditions? You mentioned the Fuchs' dystrophy-- anything else? S2: 11:56 Just, , getting the fluid buildup and stuff. S1: 12:00 , and anyone in your family with the following conditions: glaucoma? S2: 12:05 I don't know. My sisters have never said they had it. S1: 12:08 , what about diabetes? Any family history? S2: 12:11 I have a-- oh, yeah. My father, my mother, my grandmother, my two sisters. S1: 12:18 Both of them have it? Pretty big family history. Any age-related eyesight decline in the family history? S2: 12:31 Probably my older sister-- S1: 12:33 Okay. S2: 12:33 --but she also had, -- she had kidney problems. S1: 12:41 And any macular degeneration in your family? S2: 12:44 That I don't know. S1: 12:46 , how would you describe your overall experience of being diagnosed with eye issues? Overall experience, what has it been for you? TranscribeMe 8 S2: 12:55 Not really a problem, I guess, because I really haven't worried about it, , since I come to the doctor, , and get checked out regularly. I never had-- S1: 13:08 So it's been a good experience as far as receiving-- S2: 13:10 Oh, yes. S1: 13:11 So as far as, , follow-ups and the treatments, all of that, it's been a good experience. Why do you think that it's been a good experience for you? S2: 13:19 My number one answer would be because of the doctor-- S1: 13:21 Okay. S2: 13:21 --the doctors that I have. S1: 13:24 What has the doctor done that's made you feel this way? S2: 13:28 Probably talk to you more. S1: 13:31 Okay",
    "S1: 13:11 So as far as, , follow-ups and the treatments, all of that, it's been a good experience. Why do you think that it's been a good experience for you? S2: 13:19 My number one answer would be because of the doctor-- S1: 13:21 Okay. S2: 13:21 --the doctors that I have. S1: 13:24 What has the doctor done that's made you feel this way? S2: 13:28 Probably talk to you more. S1: 13:31 Okay. S2: 13:31 A lot of doctors don't sit down and really talk to you, and they're not in plain language. These ones that I have now and the other two were really, really-- they're really good about that. S1: 13:41 Oh, that's good. , what helps you keep up with using regular healthcare services? So coming for your eye exams, , getting your follow-ups, doing your treatment-- what helps you keep doing those things? Any resources? S2: 13:55 Just because I need to. I know I need to, and I know I need to do it for my health. S1: 14:00 Mm-hmm. What about any, , transportation services, MyChart, any of those things that help-- help with them? S2: 14:08 Transportation, I don't have a problem with. S1: 14:10 Okay. What about MyChart? S2: 14:11 MyChart, I-- I use it a lot. S1: 14:13 And that's been helpful? S2: 14:14 Yeah. S1: 14:14 As far as appointment reminders? S2: 14:15 Yeah. S1: 14:16 Anything else that you think helps you keep up with appointments? S2: 14:19 No. S1: 14:20 Okay. , what-- anything that discourages you from using healthcare services to help with your vision problems? S2: 14:28 No. S1: 14:29 Nothing discourages you? S2: 14:30 No",
    "S1: 14:14 As far as appointment reminders? S2: 14:15 Yeah. S1: 14:16 Anything else that you think helps you keep up with appointments? S2: 14:19 No. S1: 14:20 Okay. , what-- anything that discourages you from using healthcare services to help with your vision problems? S2: 14:28 No. S1: 14:29 Nothing discourages you? S2: 14:30 No. TranscribeMe 9 S1: 14:30 Wait times, anything that? S2: 14:32 No. S1: 14:33 , can you share a time with me you had a positive experience with using healthcare services that has formed your attitude about seeking care for your eyes or your diabetes? Anything that happened that, , you were , \"I want to keep up with this. I want to keep doing this because this is working for me.\" S2: 14:55 I'm not sure. I don't know how to answer that one. S1: 14:58 Any bad experiences? S2: 14:59 No. S1: 15:00 Has ever been , \"Oh, dang, I wish this wasn't--\" S2: 15:04 Only from myself. S1: 15:06 Oh, okay. But not from, , a-- S2: 15:07 Not from an-- any medical, no. S1: 15:09 , do you have any suggestions of what we can do to help patients have a better experience diabetes and eye care? S2: 15:20 Probably if people could remind doctors, , on their attitude sometimes, you know, talking-- talking to your patient. , a lot of doctors just want to come in and leave. They don't take time, and that I don't . S1: 15:37 Fair enough. , do you have somebody to help you with your daily diabetes care? S2: 15:41 Yes, my husband. S1: 15:42 And how-- in what ways have they helped manage your diabetes? S2: 15:47 , well, he has diabetes himself. S1: 15:49 Okay",
    "They don't take time, and that I don't . S1: 15:37 Fair enough. , do you have somebody to help you with your daily diabetes care? S2: 15:41 Yes, my husband. S1: 15:42 And how-- in what ways have they helped manage your diabetes? S2: 15:47 , well, he has diabetes himself. S1: 15:49 Okay. S2: 15:49 So he's pretty good about, , \"If you don't eat-- if you're eating what you're not supposed to--\" especially when we get on this dessert thing, , he's -- he don't watch it for himself, but he makes sure he tells me. S1: 16:03 Nice. Any other ways that he helps with, maybe, , meds, bringing you to appointments, anything that? S2: 16:08 , medications, he'll ask sometimes, \"Did you take this? Did you take that?\" S1: 16:13 , have you ever participated in any diabetes education class? S2: 16:18 Oh, yes. S1: 16:18 When was that? S2: 16:19 Oh, years ago, but three or four. S1: 16:23 And when was it and how-- oh, you just mentioned that. How long were those classes? Was it a one-time thing? Was it a couple of sessions? S2: 16:30 Probably a one-time thing. TranscribeMe 10 S1: 16:35 Okay. And how-- do you remember how long it was time-wise? S2: 16:40 Six hours maybe, four hours, something that. S1: 16:43 Okay. It's the longest one I've heard. And what did they tell you in the class? S2: 16:50 The usual. How to eat. How do you take care of your sugar? Make sure you go to your doctor. , same-- same thing. S1: 16:59 Was it helpful for you? Was it implementable? S2: 17:02 It didn't work",
    "And what did they tell you in the class? S2: 16:50 The usual. How to eat. How do you take care of your sugar? Make sure you go to your doctor. , same-- same thing. S1: 16:59 Was it helpful for you? Was it implementable? S2: 17:02 It didn't work. S1: 17:03 It didn't. S2: 17:03 It just didn't work. S1: 17:04 And why do you feel it didn't work? S2: 17:05 Because of me. I didn't want to change my diet. I didn't want to, , do the things I should be doing. S1: 17:12 Were the suggestions just hard to do? S2: 17:14 They weren't hard to do-- S1: 17:15 Oh, okay. S2: 17:15 --it's just I didn't want to do it. S1: 17:17 Okay. , do you have people who you can share your worries and fears about your diabetes and your eyesight? S2: 17:24 I do, but it would be my sister. S1: 17:27 Your sister. And when you do share your worries with them, do you feel that they understand you and support-- S2: 17:31 Yes. S1: 17:31 --you-- S2: 17:32 Yes. S1: 17:32 --in trying to get better? And then when you're sick, do you have someone to help you with your chores, food, transportation? S2: 17:39 My husband. S1: 17:40 Your husband. Is there someone you could call or ask for advice about handling health eye problems, family, friends, relatives? Do you ask anybody about, --? S2: 17:50 My sister",
    "And when you do share your worries with them, do you feel that they understand you and support-- S2: 17:31 Yes. S1: 17:31 --you-- S2: 17:32 Yes. S1: 17:32 --in trying to get better? And then when you're sick, do you have someone to help you with your chores, food, transportation? S2: 17:39 My husband. S1: 17:40 Your husband. Is there someone you could call or ask for advice about handling health eye problems, family, friends, relatives? Do you ask anybody about, --? S2: 17:50 My sister. S1: 17:51 What kinds of things do you ask her about, -- or, , what advice do you ask her? S2: 18:00 Well, , with her, nothing about the eyes. S1: 18:04 Okay. S2: 18:05 , probably nobody. S1: 18:07 Nobody for advice, you mean? TranscribeMe 11 S2: 18:09 Yeah. S1: 18:10 Except from your doctors? S2: 18:11 Yeah. S1: 18:11 , how much does your eyesight currently limit your ability to do the things you want to do? S2: 18:17 Not really. S1: 18:18 There's nothing that you do that's harder because of your eyesight? S2: 18:21 No. Maybe reading, , computer there for a long time it was so hard. S1: 18:26 But no major-- S2: 18:27 But it's better since they took the cataract out. S1: 18:30 Any hobbies or anything that you used to do that's harder to do now? S2: 18:34 Oh yeah. , cross-stitch. I love to cross-stitch, but I just can't, yeah. S1: 18:42 , any day-to-day, , chores or things that are hard for you to do because of your eyesight? S2: 18:47 No. Only because of being tired or, , COPD and all that, , heart stuff. S1: 18:54 What were your expectations for your eye care visit today? S2: 19:01 Just getting good news",
    ", cross-stitch. I love to cross-stitch, but I just can't, yeah. S1: 18:42 , any day-to-day, , chores or things that are hard for you to do because of your eyesight? S2: 18:47 No. Only because of being tired or, , COPD and all that, , heart stuff. S1: 18:54 What were your expectations for your eye care visit today? S2: 19:01 Just getting good news. S1: 19:03 What was the good news you wanted to hear? S2: 19:04 That nothing's really changed and everything looks good. S1: 19:07 And were your expectations met? S2: 19:09 Yes. Because I was afraid this was getting worse. S1: 19:12 And he said it was ? S2: 19:13 He said it was fine. S1: 19:14 Perfect. Is there anything else you want to share about diabetes-related eye problems, vision loss, anything that you think is helpful for people to know about diabetes, eye care, getting better, anything? S2: 19:25 No. S1: 19:28 Thank you so much for holding it. TranscribeMe 12"
  ],
  "num_chunks": 18
}