Transcript of conference held at Jun 9, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:53:07 PM: Angie Castle Neil Sarkar - Doctor Austin Garza - patient Transcript, started at 1:53:07 PM: ________________________________________________________________________________ <1:53:07 PM> Austin Garza - patient joined the conference <1:53:07 PM> Angie Castle joined the conference <1:53:07 PM> Neil Sarkar - Doctor joined the conference <1:53:16 PM> Neil Sarkar - Doctor: hi Austin so how is your kids Sam been doing <1:53:21 PM> Austin Garza - patient: these he's doing or I would say I know he's a little bigger <1:53:23 PM> Neil Sarkar - Doctor: yeah okay can you tell me do you find it like is the big deal or you you not too worried about it right now <1:53:30 PM> Austin Garza - patient: you know then other kids but these <1:53:34 PM> Austin Garza - patient: you know just really trying to get them to be good nutritious food kind of a kind of a little bit of an issue but you know no big deal really <1:53:48 PM> Austin Garza - patient: um I mean it was getting bullied a little bit but <1:53:57 PM> Austin Garza - patient: know he's <1:53:58 PM> Austin Garza - patient: just a kid you know so I don't <1:54:02 PM> Austin Garza - patient: think that <1:54:03 PM> Austin Garza - patient: you know it's kind of like a phase you know I feel like everyone kind of goes through a phase in school or they're maybe little bullied for something you know but <1:54:08 PM> Neil Sarkar - Doctor: okay <1:54:15 PM> Austin Garza - patient: you know I don't I'm not too concerned about it right now <1:54:22 PM> Neil Sarkar - Doctor: how do you think he's been doing <1:54:23 PM> Austin Garza - patient: um <1:54:25 PM> Neil Sarkar - Doctor: with us <1:54:28 PM> Neil Sarkar - Doctor: okay yeah <1:54:28 PM> Austin Garza - patient: I would imagine he's <1:54:30 PM> Austin Garza - patient: I mean definitely doesn't like it <1:54:33 PM> Austin Garza - patient: but <1:54:35 PM> Austin Garza - patient: I mean overall I'm not really sure how it's ultimately affecting him but <1:54:43 PM> Austin Garza - patient: you know nothing to the point where I'd be like really really concerned <1:54:49 PM> Austin Garza - patient: so <1:54:52 PM> Neil Sarkar - Doctor: you know is there a certain point that <1:54:54 PM> Neil Sarkar - Doctor: if you think you would be concerned about it <1:54:58 PM> Austin Garza - patient: I think as you get older <1:55:00 PM> Austin Garza - patient: maybe like towards <1:55:04 PM> Austin Garza - patient: teens <1:55:06 PM> Austin Garza - patient: then maybe start start worrying more about it just because there's so much <1:55:12 PM> Austin Garza - patient: element going on socially I wouldn't want him to be you know isolated from Friends <1:55:15 PM> Neil Sarkar - Doctor: mmm <1:55:18 PM> Austin Garza - patient: um <1:55:18 PM> Austin Garza - patient: you know <1:55:20 PM> Austin Garza - patient: I'd want him to be able to develop normally during those years of course <1:55:25 PM> Austin Garza - patient: so <1:55:26 PM> Austin Garza - patient: yeah probably around the teens I would say I would get more concerned if it was continuing like this <1:55:27 PM> Neil Sarkar - Doctor: okay <1:55:31 PM> Neil Sarkar - Doctor: okay so right now you're not you're not too concerned just you know <1:55:33 PM> Austin Garza - patient: okay <1:55:39 PM> Neil Sarkar - Doctor: is being kids and you know maybe <1:55:44 PM> Neil Sarkar - Doctor: maybe it gets better later on <1:55:48 PM> Neil Sarkar - Doctor: what <1:55:51 PM> Neil Sarkar - Doctor: what do you think you know his <1:55:54 PM> Neil Sarkar - Doctor: he's kind of future will look like if you kind of maintains these eating habits and that type of you know <1:56:01 PM> Austin Garza - patient: oh and it was like good for his health <1:56:02 PM> Neil Sarkar - Doctor: the situation <1:56:04 PM> Neil Sarkar - Doctor: mm-hmm <1:56:09 PM> Austin Garza - patient: I've kind of tried different things I just feel like once <1:56:13 PM> Austin Garza - patient: once he's a little older he'll kind of understand better that it's not good for him and be able to make better choices on his own <1:56:20 PM> Austin Garza - patient: but <1:56:24 PM> Austin Garza - patient: also I think it would it would affect him <1:56:28 PM> Austin Garza - patient: you know like so like I was saying if if it were to continue into those teen years maybe <1:56:36 PM> Austin Garza - patient: maybe wouldn't have as many friends <1:56:40 PM> Austin Garza - patient: as you would otherwise <1:56:41 PM> Neil Sarkar - Doctor: mm-hmm yeah <1:56:42 PM> Austin Garza - patient: and feel a little isolated probably <1:56:46 PM> Austin Garza - patient: so <1:56:49 PM> Neil Sarkar - Doctor: that that worries you <1:56:49 PM> Austin Garza - patient: yeah yeah I I'd say so I mean not excessive not excessively worried about it currently but I could see <1:56:57 PM> Neil Sarkar - Doctor: mm-hmm <1:57:01 PM> Austin Garza - patient: how it could become a bigger issue <1:57:05 PM> Austin Garza - patient: oh yeah I mean he's just he's just like really a picky eater kind of snacks a lot and <1:57:06 PM> Neil Sarkar - Doctor: yeah yeah absolutely <1:57:10 PM> Neil Sarkar - Doctor: um <1:57:12 PM> Neil Sarkar - Doctor: can you tell me about some of the <1:57:15 PM> Neil Sarkar - Doctor: issues that he's having now with <1:57:18 PM> Neil Sarkar - Doctor: you know weight and eating not ever stuff <1:57:22 PM> Neil Sarkar - Doctor: mm-hmm <1:57:30 PM> Austin Garza - patient: just refuses to eat <1:57:30 PM> Austin Garza - patient: you know <1:57:33 PM> Austin Garza - patient: more nutritious food <1:57:37 PM> Austin Garza - patient: and so it's just been hard getting him to <1:57:40 PM> Austin Garza - patient: I mean he just refuses kind of you know <1:57:44 PM> Austin Garza - patient: was either the not so good food or eat nothing it seems like <1:57:45 PM> Neil Sarkar - Doctor: yeah how do you deal with that usually <1:57:49 PM> Austin Garza - patient: so it's been pretty difficult to deal with <1:57:53 PM> Austin Garza - patient: at this point we just kind of give up and just are like fine you can have <1:57:53 PM> Austin Garza - patient: fruits <1:57:56 PM> Neil Sarkar - Doctor: mm-hmm <1:58:02 PM> Austin Garza - patient: acts if you want <1:58:02 PM> Austin Garza - patient: so <1:58:04 PM> Austin Garza - patient: yeah I'm just because it's exhausting dealing with <1:58:04 PM> Austin Garza - patient: so <1:58:09 PM> Austin Garza - patient: I'll just give up <1:58:10 PM> Neil Sarkar - Doctor: yeah sounds like it's been not only hard for him but hard for you to kind of you know <1:58:12 PM> Austin Garza - patient: it just well <1:58:20 PM> Neil Sarkar - Doctor: you know deal without he's reacting to food and you know exercise and weight stuff how have you been feeling whenever he's <1:58:31 PM> Neil Sarkar - Doctor: not really being too amenable to different foods <1:58:36 PM> Neil Sarkar - Doctor: mm-hmm <1:58:38 PM> Austin Garza - patient: I mean it doesn't really <1:58:42 PM> Austin Garza - patient: I mean it's it was frustrating at one point and then I've kind of just accepted this is how he's going to be for a couple of years or so I'm just a phase till he grows out of it <1:58:52 PM> Austin Garza - patient: and then I'm not as frustrated about it anymore <1:58:57 PM> Austin Garza - patient: but initially it was you know <1:58:59 PM> Neil Sarkar - Doctor: yeah <1:59:02 PM> Austin Garza - patient: difficult <1:59:05 PM> Austin Garza - patient: so <1:59:05 PM> Austin Garza - patient: deal with <1:59:06 PM> Neil Sarkar - Doctor: okay <1:59:08 PM> Neil Sarkar - Doctor: so kind of seems like you've come to terms a bit with how we use for now and <1:59:09 PM> Austin Garza - patient: oh yeah I really just think he's going to kind of grow out of it <1:59:15 PM> Neil Sarkar - Doctor: um kind of wait and see later how he is with with his you know activity in his diet <1:59:22 PM> Neil Sarkar - Doctor: mm-hmm <1:59:27 PM> Austin Garza - patient: but I really don't I don't know I think I think that would happen you know the ultimately he'll be fine but I do see like that could be an issue <1:59:39 PM> Austin Garza - patient: there could be an issue there for sure I think <1:59:43 PM> Austin Garza - patient: oh there's just too much going on <1:59:46 PM> Austin Garza - patient: in life in general to really <1:59:50 PM> Austin Garza - patient: try to fix it right you know in this moment so I just kind of Let It Go <1:59:57 PM> Austin Garza - patient: you know <1:59:59 PM> Neil Sarkar - Doctor: it's actually <1:59:59 PM> Austin Garza - patient: he's eating something <2:00:01 PM> Austin Garza - patient: well yeah just kind of just like every day stuff like just being kind of tired after work and stuff and I don't want to <2:00:03 PM> Neil Sarkar - Doctor: you know <2:00:03 PM> Neil Sarkar - Doctor: sounds like you have a lot of other stuff on your plate too that's making it hard to really <2:00:09 PM> Neil Sarkar - Doctor: do much else about this eating <2:00:12 PM> Neil Sarkar - Doctor: here <2:00:19 PM> Neil Sarkar - Doctor: yeah <2:00:20 PM> Austin Garza - patient: so I just <2:00:20 PM> Austin Garza - patient: you know argue with them about what he <2:00:25 PM> Austin Garza - patient: some interesting <2:00:28 PM> Austin Garza - patient: so I just get in <2:00:29 PM> Neil Sarkar - Doctor: yeah <2:00:34 PM> Austin Garza - patient: yeah definitely I mean just like Health Wise you know probably <2:00:38 PM> Neil Sarkar - Doctor: are you kind of worried at all about <2:00:41 PM> Neil Sarkar - Doctor: you know how this would play in you know later years down the line if you still <2:00:41 PM> Neil Sarkar - Doctor: you know kind <2:00:46 PM> Neil Sarkar - Doctor: of the same type of behaviors and how that would affect his <2:00:51 PM> Neil Sarkar - Doctor: you know his life <2:01:00 PM> Austin Garza - patient: dispose them to <2:01:02 PM> Austin Garza - patient: you know different health issues and things like that and then <2:01:06 PM> Austin Garza - patient: like social media probably you know not healthy forum <2:01:12 PM> Austin Garza - patient: to <2:01:13 PM> Neil Sarkar - Doctor: yeah <2:01:14 PM> Austin Garza - patient: not <2:01:14 PM> Austin Garza - patient: you know if he's bullied throughout school and stuff I know that's not <2:01:18 PM> Neil Sarkar - Doctor: mm-hm <2:01:19 PM> Austin Garza - patient: good <2:01:20 PM> Austin Garza - patient: so <2:01:21 PM> Austin Garza - patient: pointed it will have to definitely change for sure <2:01:22 PM> Neil Sarkar - Doctor: here <2:01:25 PM> Austin Garza - patient: just not sure when that point <2:01:27 PM> Neil Sarkar - Doctor: mm-hmm you feel like you know at this moment in time <2:01:28 PM> Austin Garza - patient: is really <2:01:30 PM> Austin Garza - patient: is <2:01:35 PM> Neil Sarkar - Doctor: there's anything that can be done to <2:01:37 PM> Neil Sarkar - Doctor: to help him with this <2:01:39 PM> Neil Sarkar - Doctor: mm-hmm <2:01:41 PM> Austin Garza - patient: maybe if there's like just different foods that we haven't tried yet <2:01:46 PM> Austin Garza - patient: potentially those would <2:01:49 PM> Austin Garza - patient: potentially that would work <2:01:52 PM> Austin Garza - patient: or some type of incentive <2:01:57 PM> Austin Garza - patient: like having it some type of incentive for him eating certain foods <2:02:00 PM> Neil Sarkar - Doctor: try all <2:02:00 PM> Neil Sarkar - Doctor: yeah are you interested in like you know right now trying to <2:02:03 PM> Austin Garza - patient: um and if he does that he you know there's something to that <2:02:08 PM> Austin Garza - patient: it's maybe something like that would work <2:02:18 PM> Neil Sarkar - Doctor: sort of <2:02:19 PM> Austin Garza - patient: I mean I'm open to it as long as it wouldn't <2:02:20 PM> Neil Sarkar - Doctor: different things or is that something you want to <2:02:24 PM> Neil Sarkar - Doctor: wait till later and see how this plays out <2:02:33 PM> Austin Garza - patient: know there wouldn't be any like major changes that would be hard to <2:02:38 PM> Austin Garza - patient: implement <2:02:40 PM> Austin Garza - patient: and just cause more frustration <2:02:43 PM> Austin Garza - patient: so <2:02:44 PM> Neil Sarkar - Doctor: okay what it sounds like right now you're not <2:02:44 PM> Austin Garza - patient: yeah definitely open <2:02:47 PM> Austin Garza - patient: yeah maybe maybe just like incremental changes here and there <2:02:51 PM> Neil Sarkar - Doctor: you're not too concerned that it's something that can't be changed in the future but it is something that you still want to see there's something you can you know intervene at this point and help them out with his diet <2:03:07 PM> Neil Sarkar - Doctor: mm-hmm <2:03:11 PM> Austin Garza - patient: only willing to do <2:03:13 PM> Neil Sarkar - Doctor: okay absolutely <2:03:16 PM> Austin Garza - patient: yeah yeah <2:03:20 PM> Austin Garza - patient: until he gets to a point where <2:03:22 PM> Austin Garza - patient: you know it's a really distressing for him <2:03:26 PM> Austin Garza - patient: the bullying and things like that ________________________________________________________________________________ End of transcript at Jun 9, 2025, 2:03:32 PM