Transcript of conference held at Jun 3, 2025 in room first_test@conference.miaiconvo.com Initial people present at 5:50:55 PM: Anes Gadun _doctor Jackie Stephens_patient Angie Castle Transcript, started at 5:50:55 PM: ________________________________________________________________________________ <5:50:55 PM> Angie Castle joined the conference <5:50:55 PM> Anes Gadun _doctor joined the conference <5:50:55 PM> Jackie Stephens_patient joined the conference <5:51:02 PM> Anes Gadun _doctor: so <5:51:02 PM> Anes Gadun _doctor: hey <5:51:04 PM> Anes Gadun _doctor: and <5:51:04 PM> Anes Gadun _doctor: Kyle leaving off sorry sorry where we left off Jack I took a look at the growth chart <5:51:11 PM> Anes Gadun _doctor: and your son's weight is <5:51:14 PM> Anes Gadun _doctor: the 95th percentile <5:51:14 PM> Jackie Stephens_patient: well basically I just know that he he's overweight for his age compared to other children like I'm aware of that <5:51:17 PM> Anes Gadun _doctor: then hiked at the 50th <5:51:20 PM> Anes Gadun _doctor: this information mean to you <5:51:23 PM> Anes Gadun _doctor: okay what concerns do you have regarding that information <5:51:33 PM> Jackie Stephens_patient: I just worry about like you know his overall health and like how is that gonna affect him like you know growing up because he's Aid and he's already having weight issues I'm worried about you know how is that gonna affect him as he gets older and he's already getting picked on at school so I I worry about him a lot <5:51:34 PM> Anes Gadun _doctor: okay yeah I'm sorry to hear that he's being <5:51:56 PM> Anes Gadun _doctor: at school and as you mentioned yeah it's that can definitely have some effects <5:52:04 PM> Jackie Stephens_patient: well I've really been trying to get him to try to expand his palate he's a very picky eater like very particular and picky and he has certain booze that he likes to eat he loves to snacks he loves his sugary foods and then you know he's not big on like the foods and vegetables like if I tried to do anything he doesn't want to do he has a temper tantrum and it becomes a whole thing and I kind of kind of sometimes just let it slide and just let him do what he wants because I'm just happy that he's he's eating <5:52:04 PM> Anes Gadun _doctor: future health <5:52:06 PM> Anes Gadun _doctor: what plans you currently do you have any plans currently <5:52:10 PM> Anes Gadun _doctor: yeah and I I know it can be challenging with little kids kind of get game the expand their palates how often are you trying to incorporate some healthier foods <5:52:41 PM> Jackie Stephens_patient: every day pretty much <5:52:54 PM> Anes Gadun _doctor: what <5:52:54 PM> Anes Gadun _doctor: okay and what <5:53:00 PM> Anes Gadun _doctor: concerns do you have regarding <5:53:03 PM> Anes Gadun _doctor: continuously incorporating those Foods if you if any <5:53:08 PM> Jackie Stephens_patient: like him keeping eating the snacks and stuff <5:53:08 PM> Anes Gadun _doctor: it yeah <5:53:12 PM> Jackie Stephens_patient: he just gonna keep getting bigger <5:53:12 PM> Anes Gadun _doctor: yeah unfortunately that can definitely be a side effect with EA and Kyla was a calorie dense <5:53:22 PM> Anes Gadun _doctor: food <5:53:24 PM> Anes Gadun _doctor: now tell me a little bit more about how he's been kind of responding to those vegetables I know you mentioned he was having some difficulties <5:53:29 PM> Jackie Stephens_patient: he may only just he starts crying like if I take the snacks away from him and just say hey you're not having this if you won't eat your fruits and vegetables so occasionally her like be very resistant and he'll eat some of his boots and vegetables and stuff if I get him on a good day but I will say that's very selda like most of the time he will not touch the vegetables or the foods and everything and then if I do take the food the snacks away from him and stuff um it just makes it even worse So eventually after certain porn is they know I have other kids in the house I have to take care of and stuff you know husband you know it can be stressed with the marriage too like between communication between us I like I just don't feel like putting up with his his crying and you know just you know being angry all the time that stressful So eventually I just give in and just let him eat <5:53:38 PM> Anes Gadun _doctor: okay what <5:54:31 PM> Anes Gadun _doctor: you mentioned that sometimes like he will be try the newer the healthier foods what success successful techniques have you found so far <5:54:39 PM> Jackie Stephens_patient: um when I tell him you're like I I'll tell him basically give him like an ultimate and if you don't eat different vegetables and there's no like snacks like you're not going to get I'm not gonna allow you get any treats or something like that later or maybe cut down on like his video game time so then if I do that then I didn't work all the time but I notice a couple times that kind of has gotten some form of like multiple motivation for him like he obviously does he's not eating the vegetables to get healthy like on his own accord he's only doing it because he wants he see that the means to an end to get what he really wants to which is his favorite foods like the snacks and the soda and everything <5:55:13 PM> Anes Gadun _doctor: very at this age unfortunately that the ultimate aims while we don't like to use them they work until the kid gets a little older what other <5:55:34 PM> Anes Gadun _doctor: plans you might have in mind that you think might work <5:55:37 PM> Jackie Stephens_patient: mmm <5:55:38 PM> Anes Gadun _doctor: so that's how we could definitely do it I mean I it sounds like you're pretty motivated I like kind of get a like a idea so let's go one to ten one being you're not moving at all to <5:55:40 PM> Jackie Stephens_patient: I don't know that's why I kind of bought him here maybe if you could talk to him saying you know you know have an open honest conversation with him about what are the risk of not eating healthy and kind of telling him what his growth chart means like you know what is his BMI mean and so because he won't believe it if it's me because he just thinks oh you know Mom you're just saying that you don't want me to have these snacks but I think if having like a doctor someone in the healthcare feels say you know hey you know we do have some real concerns for you I'm hoping that maybe that might spark something in him <5:56:26 PM> Anes Gadun _doctor: keep working with him to make these changes 10 being a very very motivated to keep implementing these changes at home how motivated are you to keep working <5:56:27 PM> Jackie Stephens_patient: I'll probably say an eight <5:56:35 PM> Anes Gadun _doctor: and that's great I mean I'm very happy to see that you are <5:56:37 PM> Jackie Stephens_patient: mmm not very hard it's because he struggles and stuff you know he's bigger than the other kids so like teasing when you see other people in the gym class running around and they can do certain things and then he's kind of the little always been the chubster the chunky kid you know it's it I think it's kind of discouraging to him and then I think he obviously he won't tell me about it but I sometimes see it in his behavior you know him kind of you know aborting sports or aborting people outside is really tight you know close friend group and stuff just because he The Bullying is you know there it's evident yeah <5:56:42 PM> Anes Gadun _doctor: hi really there for your son to promote his health kind of moving forward with this discussion how has this exercise been <5:56:51 PM> Anes Gadun _doctor: you <5:56:57 PM> Anes Gadun _doctor: and that's awful I mean I I'm really sorry to hear you kind of going through that <5:57:26 PM> Jackie Stephens_patient: you <5:57:33 PM> Anes Gadun _doctor: have you thought of any or do you do you know of any solutions that might be able to get him active <5:57:39 PM> Anes Gadun _doctor: all kind of avoiding the stressors that have been <5:57:39 PM> Anes Gadun _doctor: currently <5:57:43 PM> Anes Gadun _doctor: existing <5:57:44 PM> Jackie Stephens_patient: he likes swimming and everything's like I thought about maybe putting him in private swim lessons I got the YMCA or something like that could the kids just came on summer break so at least you know because he's worried about you know him going if it's too big of a group he's talked about he's scared of people seeing like you know his you know chubby belly and everything so he wears a shirt on going to the polls I thought maybe at least getting still want him to be active though but not being an environment where you know he's gonna get picked on so you know me and my husband have talked about maybe doing like private swim lessons at the YMCA because they have classes you know once every weekend so <5:57:45 PM> Anes Gadun _doctor: perfect yeah I know I I think that's a great a great idea I think you should definitely go ahead and try and do the extra guys like the weather's getting nicer and with some began to start one of that quickly want to touch on <5:58:34 PM> Jackie Stephens_patient: not really I just you know not a lot of resources you know I know about you know bullying you know I've seen people you know going up you know bullying is always been there and stuff so it's awful like you said to see your own child go through bullying has been difficult at times to see but you know I mainly just try to be there for him and you know I just I don't want it to get worse and everything he is so young so I'm like already you know eight years old I can tell having you know body image and Body Image issues like I don't want it to get worse like him to you know go up you know hate himself or worst case scenario like it's type of Eating Disorders or something <5:58:35 PM> Anes Gadun _doctor: as you mentioned how he's been feeling and being picked on <5:58:40 PM> Anes Gadun _doctor: you look into any resources for him to kind of <5:58:44 PM> Anes Gadun _doctor: be able to handle the emotions he might currently be feeling <5:59:23 PM> Jackie Stephens_patient: oh not real I don't know a ton of resources you know for for kids I haven't really looked at it <5:59:23 PM> Anes Gadun _doctor: that my <5:59:23 PM> Anes Gadun _doctor: definitely what resources do you know about currently <5:59:28 PM> Anes Gadun _doctor: exists kind of help him with that <5:59:31 PM> Anes Gadun _doctor: okay <5:59:38 PM> Anes Gadun _doctor: I know the school system has some so that's me you could look into or our office has some pamphlets regarding that what benefits do you see in regards to kind of getting him enrolled into a system like that ________________________________________________________________________________ End of transcript at Jun 3, 2025, 6:00:28 PM