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this 57-year-old man disabled from a back injury 5 years ago presents with chronical back pain hypertension type 2 diabetes coronary arter disease and clinically docHub depression his son died in an automobile accident 2 years ago and the patient goes for counseling once a week he has truncal obesity does not exercise or eat well and has smoked a pack of cigarettes a day for 40 years since a brief hospitalization one month ago for elevated blood sugar he started taking his medications more regularly the interaction you are about to observe occurs towards the end of the visit so as you think about your current situation is there anything youamp;#39;d like to do for your health in the next week or two what do you mean do you do you mean my sugars or or do you mean my back Iamp;#39;m thinking about every together whatever seems important to you your sugar your back or anything else that occurs to you well I I Iamp;#39;ve been thinking of uh going for a walk every morning I I I see
