Transcript of conference held at Jul 14, 2025 in room first_test@conference.miaiconvo.com Initial people present at 2:14:01 PM: Martha N. - Patient Alex Johnston Paul Hershberger Domenick - Doctor Transcript, started at 2:14:01 PM: ________________________________________________________________________________ <2:14:01 PM> Paul Hershberger joined the conference <2:14:01 PM> Domenick - Doctor joined the conference <2:14:01 PM> Alex Johnston joined the conference <2:14:01 PM> Martha N. - Patient joined the conference <2:14:02 PM> Domenick - Doctor: all right Martha I before we end the visit today I did want to talk a little bit more about John <2:14:06 PM> Martha N. - Patient: I don't know <2:14:22 PM> Domenick - Doctor: our chart it says that he's 95th percentile for his weight and is that okay to kind of discuss with you <2:14:27 PM> Martha N. - Patient: oh sure yeah <2:14:31 PM> Domenick - Doctor: would you mind telling me a little bit about his weight <2:14:34 PM> Martha N. - Patient: well it's high I I can see it we can all see it I know he's a really picky eater <2:14:46 PM> Domenick - Doctor: mm-hmm <2:14:47 PM> Martha N. - Patient: to give him you know different foods and the only one snacks and he throws these tandems whenever I try to give him something else and so <2:15:00 PM> Martha N. - Patient: for the sake of peace <2:15:02 PM> Martha N. - Patient: I do give him give an X because I feel like I mean I'm not gonna starve my child <2:15:09 PM> Domenick - Doctor: um how do you introduce tell me more about how you introduce kind of the healthy foods <2:15:15 PM> Martha N. - Patient: um I mean <2:15:18 PM> Domenick - Doctor: okay <2:15:22 PM> Martha N. - Patient: I put it on his plate and say it's time to eat <2:15:27 PM> Martha N. - Patient: I mean he doesn't like change so his reaction is usually a tantrum <2:15:28 PM> Domenick - Doctor: and what's his reaction <2:15:38 PM> Domenick - Doctor: okay <2:15:44 PM> Domenick - Doctor: do you feel concerned regarding his weight <2:15:45 PM> Martha N. - Patient: I mean yes because I mean he's a and so I am concerned about it but like I feel <2:15:58 PM> Domenick - Doctor: yeah <2:16:00 PM> Martha N. - Patient: like I mean maybe he'll grow and just stretch out you know even out I hope but I mean I'm trying to get him to go outside he doesn't want to go outside <2:16:12 PM> Martha N. - Patient: as kids are picking on him so <2:16:16 PM> Domenick - Doctor: yeah <2:16:18 PM> Domenick - Doctor: I was just thinking off of the top of my head of <2:16:23 PM> Domenick - Doctor: be something we could talk about today is different ways we could <2:16:24 PM> Martha N. - Patient: here <2:16:28 PM> Domenick - Doctor: try to get John to slowly get introduced to healthier foods <2:16:35 PM> Domenick - Doctor: maybe not by <2:16:35 PM> Domenick - Doctor: just <2:16:38 PM> Domenick - Doctor: to putting it on his plate and just saying eat your food but maybe kind of <2:16:42 PM> Martha N. - Patient: all right <2:16:43 PM> Domenick - Doctor: um doing the diet he's doing and then slowly starting to incorporate those foods and like maybe kind of do a reward for him if he is eating those kinds of foods are you interested in exploring different ways of trying to get him to be introduced to that <2:16:48 PM> Martha N. - Patient: here <2:16:59 PM> Martha N. - Patient: I am it's just really hard sometimes because I mean I'm working his dad's working so a lot of This falls on me so like as much as I want to I'm just like <2:17:01 PM> Domenick - Doctor: mm-hmm <2:17:12 PM> Domenick - Doctor: yeah <2:17:15 PM> Martha N. - Patient: it's a lot for me as well and so I just I'm going to it but like I mean he just hasn't been receptive to things in the past <2:17:19 PM> Domenick - Doctor: yeah okay <2:17:28 PM> Domenick - Doctor: yeah I wonder I understand that it is difficult with you know him already kind of being difficult about the situation and you know him not already tolerating these healthy foods and wanting more of the soda and kind of the snack snacky type things <2:17:28 PM> Domenick - Doctor: but <2:17:34 PM> Martha N. - Patient: was <2:17:48 PM> Domenick - Doctor: but I guess for my concern comes from is just kind of long-term for him <2:17:54 PM> Domenick - Doctor: tell me kind of what you know of kind of in children being overweight kind of how that progression kind of plays out for them <2:18:02 PM> Martha N. - Patient: but <2:18:02 PM> Martha N. - Patient: I mean you know what he's just say it's not good you know being overweight <2:18:08 PM> Domenick - Doctor: yeah <2:18:11 PM> Martha N. - Patient: like him being a I mean I'm hoping I mean I started off like a little heavy set as a kid and I eventually stretched out from that but I mean I know like long-term health risks with obesity and you know things like that all right you know <2:18:34 PM> Martha N. - Patient: like when my son is sad because he feels like getting picked on so that doesn't help their I'm concerned about his health but also just him socializing the kids as well so like if you feel like he's getting picked on I told him aside and play by himself because nobody wants to play with him <2:18:52 PM> Domenick - Doctor: yeah <2:18:52 PM> Domenick - Doctor: yeah <2:18:55 PM> Domenick - Doctor: that's that's frustrating especially for a boy his age and you want to go out and do things <2:19:02 PM> Domenick - Doctor: Martha I feel <2:19:04 PM> Domenick - Doctor: that you know kind of with your schedule and that you said you know you are working a lot and <2:19:10 PM> Domenick - Doctor: um you do have to take a lot of time with him I think <2:19:18 PM> Domenick - Doctor: today we don't have to reinvent the wheel of saying let's start all this stuff and let's make your life hard I think maybe kind of a slow introduction to these things of like let's <2:19:20 PM> Martha N. - Patient: just <2:19:27 PM> Martha N. - Patient: the Pistons <2:19:32 PM> Domenick - Doctor: add some broccoli to his plate just as a small cup just small introductions just so you don't get overwhelmed and also he doesn't get overwhelmed I think if we started that maybe that could alleviate some of the stress for you of trying to get a need healthier and also we could just keep building upon that and then so for the next visit we could kind of keep working towards that goal is that kind of seemed like more with your lifestyle and more for what you want to do <2:20:02 PM> Domenick - Doctor: mmm <2:20:02 PM> Martha N. - Patient: it does I appreciate that Dr <2:20:02 PM> Martha N. - Patient: <2:20:07 PM> Martha N. - Patient: sound like something and we could ease into um when he probably gets back in I think it would be helpful for you to talk with us but in the room so you know coming from you as well <2:20:13 PM> Domenick - Doctor: okay <2:20:18 PM> Paul Hershberger: we'll stop here <2:20:21 PM> Domenick - Doctor: mm-hmm <2:20:22 PM> Martha N. - Patient: was not just annoying on mom telling him what to do <2:20:24 PM> Domenick - Doctor: yeah <2:20:26 PM> Domenick - Doctor: okay <2:20:30 PM> Domenick - Doctor: all right <2:20:33 PM> Domenick - Doctor: you know ________________________________________________________________________________ End of transcript at Jul 14, 2025, 2:20:36 PM