Transcript of conference held at Jul 18, 2025 in room first_test@conference.miaiconvo.com Initial people present at 3:14:23 PM: Jacob Mardovin - Doctor Angie Castle Matt Crudele - Patient Transcript, started at 3:14:23 PM: ________________________________________________________________________________ <3:14:23 PM> Angie Castle joined the conference <3:14:23 PM> Matt Crudele - Patient joined the conference <3:14:23 PM> Jacob Mardovin - Doctor joined the conference <3:15:46 PM> Matt Crudele - Patient: way to problem <3:15:48 PM> Matt Crudele - Patient: try to get them to eat healthier read different things and he's just he just doesn't have it he just he throws tantrums I'm stressed my wife stressed we have we can't <3:15:58 PM> Jacob Mardovin - Doctor: sure <3:15:59 PM> Matt Crudele - Patient: can't cater to him but also we need him to eat <3:16:03 PM> Matt Crudele - Patient: also I don't want to listen to him throwing a tantrum the entire day <3:16:09 PM> Jacob Mardovin - Doctor: yeah and those are very valid concerns like in your trying stuff and if you're not getting the results right away it can be it can be a challenge what have you what have you tried so far to kind of help address this <3:16:17 PM> Matt Crudele - Patient: I mean we try like <3:16:22 PM> Matt Crudele - Patient: that we fried the method of like okay if you don't want what we're making or what we're having for dinner then you're not going to eat <3:16:29 PM> Matt Crudele - Patient: we <3:16:29 PM> Matt Crudele - Patient: and then it makes me feel like a terrible parent and I already feel like I'm a terrible parent because of what has happened with his weight <3:16:30 PM> Jacob Mardovin - Doctor: yeah <3:16:37 PM> Matt Crudele - Patient: ride you know <3:16:39 PM> Matt Crudele - Patient: getting his friends involved or like reward systems if he eats you know a carrot he gets a quarter and just it just <3:16:47 PM> Jacob Mardovin - Doctor: hmm and you <3:16:48 PM> Matt Crudele - Patient: is not working <3:16:49 PM> Matt Crudele - Patient: so do we have to keep doing this like is it we just have to wait them out I don't know what it is <3:16:52 PM> Jacob Mardovin - Doctor: yeah and sometimes yeah sometimes these things can take time but <3:16:56 PM> Matt Crudele - Patient: nothing really just I just <3:17:00 PM> Jacob Mardovin - Doctor: what you're feeling like feeling like a bad parent <3:17:00 PM> Jacob Mardovin - Doctor: like <3:17:03 PM> Jacob Mardovin - Doctor: hey everyone experience is feelings like that but <3:17:07 PM> Jacob Mardovin - Doctor: that it's not anything you're doing you're doing what's best for him sometimes that can be hard at times and you don't want to have them throwing these tantrums and being upset with you but <3:17:17 PM> Jacob Mardovin - Doctor: times that can just happen but so and so how how have you been kind of coping with things that have been going on <3:17:28 PM> Matt Crudele - Patient: about it <3:17:29 PM> Matt Crudele - Patient: really know what to do I I mean I <3:17:32 PM> Jacob Mardovin - Doctor: oh <3:17:33 PM> Matt Crudele - Patient: I don't know it's tough It's I'm okay more worried about him <3:17:37 PM> Jacob Mardovin - Doctor: yeah well we have to make sure I'll place the parents are doing better doing well so then the kids can thrive in that condition is too have you been have you been talking to your wife about some of these feelings or like kind of the stress that you're under <3:17:39 PM> Matt Crudele - Patient: yeah she doesn't really think it's a problem <3:17:55 PM> Matt Crudele - Patient: as much as I do and then I don't want to like like she like <3:17:56 PM> Jacob Mardovin - Doctor: okay <3:17:56 PM> Jacob Mardovin - Doctor: okay what <3:17:59 PM> Matt Crudele - Patient: I she doesn't think it's really as much of a problem as I do <3:18:05 PM> Matt Crudele - Patient: that <3:18:05 PM> Matt Crudele - Patient: she thinks his diet is fine that he's going to be fine <3:18:06 PM> Jacob Mardovin - Doctor: are someone like <3:18:07 PM> Jacob Mardovin - Doctor: a difference between when you're opinion and like what does she say <3:18:15 PM> Jacob Mardovin - Doctor: okay <3:18:16 PM> Matt Crudele - Patient: just a phase that <3:18:20 PM> Matt Crudele - Patient: pretty much that that I'm worrying about it too much <3:18:24 PM> Matt Crudele - Patient: but I'm afraid it's like really change much because of <3:18:26 PM> Jacob Mardovin - Doctor: yeah well I mean I think given where he's currently at and some of the measurements that we have like that those objective things that we can see like we have numbers and stuff like this to kind of help guide some of those decisions I think at this point it would be <3:18:28 PM> Matt Crudele - Patient: even know if I should change anything honestly <3:18:31 PM> Matt Crudele - Patient: yeah they <3:18:46 PM> Jacob Mardovin - Doctor: like other <3:18:46 PM> Jacob Mardovin - Doctor: advisable to try to make some changes I know he's a very picky eater he's having all these tantrums and all the stuff going on but you're caring about it like you want him to succeed you don't want them to be like falling behind his friends and not being able to play outside was one of things you talked about like he's slowing down a little bit and so you talked a little bit about like some of the strategies that you've tried have you heard from any other parents or any other like have you read anything online or anything like that <3:19:16 PM> Matt Crudele - Patient: you know <3:19:16 PM> Matt Crudele - Patient: on some things with <3:19:19 PM> Matt Crudele - Patient: forcing them I just I don't want to be the mean parent you know I don't want to hate me <3:19:24 PM> Matt Crudele - Patient: um so there's things that I haven't tried that <3:19:28 PM> Matt Crudele - Patient: Aviation but I don't I'm afraid to I'm really want to so I don't want to be the mean guy <3:19:35 PM> Jacob Mardovin - Doctor: sure <3:19:35 PM> Matt Crudele - Patient: and I don't want to you know hate me <3:19:37 PM> Jacob Mardovin - Doctor: yeah and that's a yeah that's a very rational feeling that a lot of parents have and a lot a lot of parents that I see here come in here on a daily basis and have these concerns but you won't what's best for your child then hopefully we can come up with the solutions address everything <3:19:38 PM> Matt Crudele - Patient: they just have been <3:19:56 PM> Jacob Mardovin - Doctor: as you mentioned so like him having some potential issues with his friends and like stuff like that so what what was going on with their <3:20:04 PM> Jacob Mardovin - Doctor: sure <3:20:06 PM> Matt Crudele - Patient: making fun of them I don't know if he really understands I think he does because he doesn't want to go outside and play with him as much but calling them names you know kids they're mean <3:20:15 PM> Matt Crudele - Patient: I mean so he and he's you know they like to play like football in the backyard and he can't run like they can and he's embarrassed <3:20:25 PM> Matt Crudele - Patient: out the way it looks to I mean <3:20:26 PM> Jacob Mardovin - Doctor: mmm <3:20:27 PM> Matt Crudele - Patient: those things <3:20:27 PM> Matt Crudele - Patient: it's again at that age where <3:20:29 PM> Jacob Mardovin - Doctor: mm-hmm <3:20:30 PM> Matt Crudele - Patient: and <3:20:30 PM> Matt Crudele - Patient: got a little bit more to and I think he's worried about it but he's more coping and more like the more snacks you know I feel bad because he comes in sad and upset and he wants you know Doritos or a brownie and I give it to him because I don't want him to feel sad <3:20:42 PM> Jacob Mardovin - Doctor: wow and you mentioned it's like like all these like feeling like you've seen things like worrying more and a lot of this stuff have you have you talked to him about some of these things <3:20:53 PM> Matt Crudele - Patient: I want to be the bad guy I want to make it worse <3:20:56 PM> Matt Crudele - Patient: I don't know if I'm ready to talk to him about that <3:21:08 PM> Matt Crudele - Patient: I mean <3:21:10 PM> Matt Crudele - Patient: I don't know <3:21:10 PM> Jacob Mardovin - Doctor: mmm what what concerns would you have like when that conversation comes about <3:21:13 PM> Matt Crudele - Patient: I mean I don't want him to think something's wrong with them you know I don't want them to have <3:21:23 PM> Matt Crudele - Patient: like like trauma in the future about him growing up and get like a like an eating disorder or something I don't want that to happen I don't want to <3:21:33 PM> Jacob Mardovin - Doctor: and so just to kind of like gauge like where you think he's at and where you guys are at so unlike a scale of like zero to ten like 10 being like oh he's ready to make some changes in his diet now and zero being making no changes staying as is <3:21:35 PM> Matt Crudele - Patient: I don't know <3:21:41 PM> Matt Crudele - Patient: I don't even know if he really understand Maybe <3:21:53 PM> Jacob Mardovin - Doctor: do you what where do you think he would end up if you were to start <3:22:02 PM> Matt Crudele - Patient: he's probably at a zero to change the way his ways <3:22:05 PM> Jacob Mardovin - Doctor: yeah <3:22:06 PM> Matt Crudele - Patient: I don't think he understands why it's important <3:22:07 PM> Jacob Mardovin - Doctor: okay and kind of like same scale same scale for you like how how ready are you to make some of these changes <3:22:09 PM> Matt Crudele - Patient: um but I don't I know he doesn't want to change <3:22:12 PM> Matt Crudele - Patient: maybe like a like a five <3:22:19 PM> Jacob Mardovin - Doctor: okay and you think your wife is also around that level or I know we're talking about her not having as many concerns <3:22:24 PM> Matt Crudele - Patient: she's probably like a two <3:22:31 PM> Jacob Mardovin - Doctor: here too okay <3:22:33 PM> Matt Crudele - Patient: maybe I mean <3:22:34 PM> Jacob Mardovin - Doctor: and is there anything that you think if she were to know about or anything like would happen What would maybe like bring that number for her <3:22:44 PM> Jacob Mardovin - Doctor: sure <3:22:48 PM> Matt Crudele - Patient: if you told her if you told her all the bad things that can happen I think she knows some of it but I don't I think <3:22:53 PM> Jacob Mardovin - Doctor: yeah <3:22:56 PM> Matt Crudele - Patient: know when you're around somebody for <3:22:59 PM> Matt Crudele - Patient: know eight years <3:23:01 PM> Matt Crudele - Patient: see that the gradual changes <3:23:01 PM> Jacob Mardovin - Doctor: mm-hmm <3:23:04 PM> Matt Crudele - Patient: much you know it's kind of they're the same person before you know it this is what they what they are but you don't really see it and maybe it's just doesn't see it like I see you <3:23:12 PM> Jacob Mardovin - Doctor: yeah <3:23:13 PM> Jacob Mardovin - Doctor: you think just having her come in maybe like his next visit though we can talk about some of the stuff and like look at those like objectives like like look at our numbers and stuff like that would that do think helped <3:23:14 PM> Matt Crudele - Patient: if she saw it on paper she might be a little bit more where I am where it's kind of like <3:23:25 PM> Jacob Mardovin - Doctor: sure and having her support with that <3:23:25 PM> Jacob Mardovin - Doctor: do you think <3:23:29 PM> Matt Crudele - Patient: probably where I am on the scale <3:23:33 PM> Matt Crudele - Patient: I think so I think so <3:23:36 PM> Jacob Mardovin - Doctor: improve the situation like with both of you guys kind of targeting it <3:23:40 PM> Jacob Mardovin - Doctor: okay <3:23:43 PM> Matt Crudele - Patient: would definitely if we were on the same page <3:23:43 PM> Jacob Mardovin - Doctor: coach <3:23:45 PM> Matt Crudele - Patient: I think we could we could work on it <3:23:48 PM> Matt Crudele - Patient: she doesn't really think it's I mean she eats the same stuff you know she has more proteins and things because she's inner but as for stacking they ate the same <3:23:48 PM> Jacob Mardovin - Doctor: perfect and has she just in general like has she made any changes in his diet at all or like what is kind of her opinion on like what he eats and stuff like that like what foods and things <3:24:09 PM> Jacob Mardovin - Doctor: okay so like maybe here or not recognizing it because she's also following along that similar diet and maybe needs to make some changes there as well but <3:24:10 PM> Matt Crudele - Patient: that could be <3:24:24 PM> Matt Crudele - Patient: you know <3:24:24 PM> Jacob Mardovin - Doctor: but <3:24:24 PM> Jacob Mardovin - Doctor: yeah so I think the next step would be just kind of bringing her in the next appointment I know you can still you can still try to make those changes like get some of the resources we have for you but bringing her in at the next appointment and we can talk together like in kind of see how things are going at that point <3:24:25 PM> Matt Crudele - Patient: I don't want to change <3:24:25 PM> Matt Crudele - Patient: so <3:24:47 PM> Jacob Mardovin - Doctor: I'll be here ________________________________________________________________________________ End of transcript at Jul 18, 2025, 3:24:49 PM