Transcript of conference held at Aug 27, 2025 in room first_test@conference.miaiconvo.com Initial people present at 6:35:54 PM: Angie Castle Kyle Willette - Doctor Drew Meyers - Patient Transcript, started at 6:35:54 PM: ________________________________________________________________________________ <6:35:54 PM> Kyle Willette - Doctor joined the conference <6:35:54 PM> Drew Meyers - Patient joined the conference <6:35:54 PM> Angie Castle joined the conference <6:35:54 PM> Drew Meyers - Patient: it's <6:35:54 PM> Kyle Willette - Doctor: it's good all right well Adrian now that Johnny Boy's outside playing with with the ma <6:36:01 PM> Drew Meyers - Patient: of future <6:36:04 PM> Kyle Willette - Doctor: I just wanted to ask just broadly overall Germany concerns about him right now <6:36:05 PM> Drew Meyers - Patient: oh I mean <6:36:13 PM> Drew Meyers - Patient: don't know concerns any parent has I think <6:36:17 PM> Drew Meyers - Patient: yeah he's doing all right he's still really picky eater so <6:36:21 PM> Kyle Willette - Doctor: mmm <6:36:22 PM> Drew Meyers - Patient: we're struggling with that um but I mean I was a picky eater when I was a kid and I grew out of that so <6:36:30 PM> Drew Meyers - Patient: yeah I know no real other concerns you know just making sure he gets you know strong and healthy <6:36:38 PM> Drew Meyers - Patient: no I mean like we go through is like math homework at school and he likes that and and we watch these educational videos on YouTube who likes this one guy on YouTube <6:36:39 PM> Kyle Willette - Doctor: and what has he been doing that what have you been doing helped push him along <6:36:58 PM> Drew Meyers - Patient: and besides that I mean I just I just try and do you know the best a guy can for his son so you know I I sometimes go play play ball with him or something or throw for his be around in the backyard <6:37:13 PM> Drew Meyers - Patient: and you know I I guess <6:37:16 PM> Kyle Willette - Doctor: all right and excellent yeah and how how is he doing getting out with activity playing with friends all of that <6:37:17 PM> Drew Meyers - Patient: that that's been I <6:37:20 PM> Drew Meyers - Patient: you know we do that sometimes <6:37:22 PM> Drew Meyers - Patient: from <6:37:30 PM> Drew Meyers - Patient: now I mean <6:37:35 PM> Drew Meyers - Patient: besides a few times I play with him I don't think he I don't think he gets out all lie he's <6:37:40 PM> Kyle Willette - Doctor: well thanks <6:37:42 PM> Drew Meyers - Patient: you know he's he's embarrassed I think about a few things <6:37:48 PM> Drew Meyers - Patient: oh I mean he's like I'm a you know I'm not a bigger guy but he's he's kind of big for his age so you know he the other kids call him some names sometimes and we've had the whole bullying talk about <6:38:06 PM> Drew Meyers - Patient: what to do you know when you get bullied <6:38:11 PM> Drew Meyers - Patient: but yeah I mean he says his friends say some stuff too and so <6:38:16 PM> Drew Meyers - Patient: that's been hard to watch <6:38:18 PM> Kyle Willette - Doctor: yeah that's really tough for any parent to see <6:38:18 PM> Drew Meyers - Patient: yeah <6:38:22 PM> Kyle Willette - Doctor: out <6:38:23 PM> Kyle Willette - Doctor: is <6:38:23 PM> Kyle Willette - Doctor: and we'll say like just we take a look at his growth chart here off from the last few years he is trending up as far as his weight to height ratio <6:38:33 PM> Drew Meyers - Patient: I mean isn't that like <6:38:33 PM> Kyle Willette - Doctor: is now all the way up at the 95th percentile now <6:38:38 PM> Kyle Willette - Doctor: uh yeah and that's a bit of a misnomer so when we were we look at the <6:38:39 PM> Drew Meyers - Patient: that good <6:38:46 PM> Kyle Willette - Doctor: person where like 50% is where like you're you're quote unquote average kid would be but if we're getting to point where you're weighing a lot more than you are tall <6:38:51 PM> Drew Meyers - Patient: yeah I mean I get what you're saying I think he just you know he needs he needs puberty and then he'll he'll get tall <6:38:59 PM> Kyle Willette - Doctor: we start to be a concerned about developing some health problems down the road <6:39:12 PM> Drew Meyers - Patient: so that's what we kind of been been waiting for I've talked to him through he doesn't understand yet because he's <6:39:19 PM> Drew Meyers - Patient: he's he's starting but he's not quite there <6:39:19 PM> Drew Meyers - Patient: so <6:39:24 PM> Drew Meyers - Patient: you know we're just kind of waiting for that <6:39:27 PM> Drew Meyers - Patient: yeah <6:39:27 PM> Kyle Willette - Doctor: area and I think you know it's not a reasonable to be hoping for the string being effect just waiting for them to stretch on out <6:39:36 PM> Kyle Willette - Doctor: but <6:39:36 PM> Drew Meyers - Patient: oh you're saying like it can affect puberty <6:39:38 PM> Kyle Willette - Doctor: in the meantime a lot of these changes have carrying this extra weight <6:39:44 PM> Kyle Willette - Doctor: and have long-term impacts on his body and how his body is going to develop in the future <6:39:50 PM> Kyle Willette - Doctor: here exactly yeah and it can let less so effective when puberty stars but more about where his brain is happy with where his weight is <6:40:06 PM> Kyle Willette - Doctor: because this set point in your brain where now it's harder to lose weight in the future it's harder to <6:40:14 PM> Kyle Willette - Doctor: to like yeah harder to lose weight harder to stay at a lower weight <6:40:18 PM> Drew Meyers - Patient: I mean <6:40:22 PM> Drew Meyers - Patient: I hear what you're saying and all I <6:40:26 PM> Kyle Willette - Doctor: oh yeah <6:40:26 PM> Drew Meyers - Patient: by I mean doc do you have kids of your own I I mean I don't know okay so maybe you've gone through this but dealing with a picky eater he's nothing like my other kid who eats anything <6:40:40 PM> Drew Meyers - Patient: like he wants to you know he wants to snack and if he doesn't get a snack he's gonna throw it <6:40:47 PM> Drew Meyers - Patient: temper tantrum which seems crazy at nine years old but <6:40:51 PM> Drew Meyers - Patient: he he wants a snack and so you know I and we're doing stuff you know my wife works <6:40:59 PM> Drew Meyers - Patient: two jobs and she's busy all day so I'm taking care of the kids when I'm home from my part-time job <6:41:08 PM> Drew Meyers - Patient: and <6:41:10 PM> Drew Meyers - Patient: yeah I'm just trying to you know manage as best as I can because our other ones smaller so she's just growing up <6:41:16 PM> Kyle Willette - Doctor: and that's just a lot to handle it's a lot on one on one parent <6:41:18 PM> Drew Meyers - Patient: so <6:41:20 PM> Drew Meyers - Patient: yeah <6:41:22 PM> Kyle Willette - Doctor: kind of <6:41:22 PM> Kyle Willette - Doctor: oh what are you doing to <6:41:24 PM> Drew Meyers - Patient: I mean I just feed him <6:41:26 PM> Kyle Willette - Doctor: temper and manage these tantrums when he starts having them <6:41:32 PM> Drew Meyers - Patient: so you know he wants fed like like I'm sure the supplies to medicine too you know <6:41:39 PM> Drew Meyers - Patient: the simplest solution is right there he wants fed I'm going to feed him <6:41:39 PM> Kyle Willette - Doctor: okay do you have concerns about his weight right now <6:41:43 PM> Drew Meyers - Patient: I mean like I said I don't I don't want him getting made fun of you know that sucks I I dealt with some bullies in my time and you know not for waiter or anything but I've watched it <6:42:02 PM> Drew Meyers - Patient: hi <6:42:04 PM> Drew Meyers - Patient: I mean I guess what you were saying about the growth spurt thing is kind of concerning because I've just I just figured he was gonna kind of extend out after he got <6:42:15 PM> Drew Meyers - Patient: oh a little more more round <6:42:19 PM> Drew Meyers - Patient: okay <6:42:23 PM> Kyle Willette - Doctor: yeah and that's I I agree and it's it's tough especially when you're trying to manage multiple kids <6:42:23 PM> Kyle Willette - Doctor: they're both <6:42:32 PM> Kyle Willette - Doctor: but <6:42:32 PM> Kyle Willette - Doctor: both running around <6:42:34 PM> Kyle Willette - Doctor: as far as the stock more about the picky eating I might be a good way to attack this <6:42:41 PM> Kyle Willette - Doctor: what is what is you like to eat what do you normally go for <6:42:42 PM> Drew Meyers - Patient: he <6:42:42 PM> Drew Meyers - Patient: bad I mean he loves chicken fingers or like I guess the chicken nuggets I get them from Kroger and and fries and that's kind of I mean a grilled cheese here and there if we're lucky sometimes the restaurant will have pasta and <6:42:45 PM> Kyle Willette - Doctor: mmm <6:43:03 PM> Drew Meyers - Patient: pasta sometimes <6:43:07 PM> Drew Meyers - Patient: I'm really safe with the chicken nuggets <6:43:09 PM> Kyle Willette - Doctor: okay and how does he feel about all the other colorful Foods <6:43:11 PM> Drew Meyers - Patient: he does <6:43:18 PM> Kyle Willette - Doctor: any fruits any veggies all that <6:43:20 PM> Drew Meyers - Patient: I mean we tried the veggies for a long time really really doesn't like veggies well sometimes do corn sometimes if we're lucky that's that's like Christmas though I mean Hallelujah but I <6:43:37 PM> Drew Meyers - Patient: yeah I mean I'm fruit um I mean we don't have that I'm not super big on fruit myself you know so <6:43:47 PM> Drew Meyers - Patient: I guess we have some fruit he doesn't really want it I don't really want it so and and my wife's not here enough so I pack her some fruit but that's kind of it <6:43:53 PM> Kyle Willette - Doctor: you <6:43:56 PM> Kyle Willette - Doctor: oh sounds like it's hard to keep those kind of foods in the house <6:43:57 PM> Drew Meyers - Patient: yeah yeah definitely not easy <6:44:03 PM> Kyle Willette - Doctor: kind of stuff because they can be can be expensive to and if they don't get eaten well <6:44:04 PM> Drew Meyers - Patient: really like <6:44:09 PM> Drew Meyers - Patient: yeah <6:44:11 PM> Kyle Willette - Doctor: I can see how it feels like you're wasting money <6:44:13 PM> Drew Meyers - Patient: yeah I mean we you know we're not financially struggling but you know I'm no I'm no Bill Gates or Elon so you know a bag of chicken nuggets the last time <6:44:15 PM> Kyle Willette - Doctor: pretty <6:44:26 PM> Drew Meyers - Patient: like five days versus I mean an Apple cost like like if I get four or five apples that costs about the same and he doesn't even want them so <6:44:27 PM> Kyle Willette - Doctor: quick <6:44:31 PM> Kyle Willette - Doctor: mmm <6:44:36 PM> Drew Meyers - Patient: what's the point <6:44:37 PM> Kyle Willette - Doctor: well I assume your opinion what what are the benefits what were the benefits be if he did start eating some of these other Foods <6:44:43 PM> Drew Meyers - Patient: I mean I love if he lost a little bit away like yeah I'm a little concerned about I I thought the higher percentile was better so <6:44:51 PM> Kyle Willette - Doctor: it <6:44:56 PM> Drew Meyers - Patient: that's an eye-opener <6:44:59 PM> Drew Meyers - Patient: losing weight yeah would be great I mean I know he's got a healthy I try to eat <6:45:06 PM> Drew Meyers - Patient: I'm <6:45:06 PM> Drew Meyers - Patient: try and eat healthy myself but I just <6:45:11 PM> Drew Meyers - Patient: one to get them to do it <6:45:11 PM> Kyle Willette - Doctor: one <6:45:14 PM> Kyle Willette - Doctor: yeah and it's tough of that is what you and your family are used to eat it's it's changing the whole dynamic the whole way of life and that's that's challenging for you as well as him <6:45:23 PM> Drew Meyers - Patient: yeah no really challenging I mean I'm pulling my hair out sometimes just trying to get them to eat a like a stick of carrot or something literally anything besides some chicken nuggets <6:45:26 PM> Kyle Willette - Doctor: here <6:45:33 PM> Kyle Willette - Doctor: yeah what have you tried to as far as convincing him to try new foods or muscle something else down <6:45:39 PM> Drew Meyers - Patient: I mean <6:45:48 PM> Drew Meyers - Patient: I tried something like what we he doesn't like soaps um <6:45:54 PM> Drew Meyers - Patient: I guess he was like kind of okay I'm like the tomato soup we had that one time <6:45:59 PM> Drew Meyers - Patient: ah <6:46:01 PM> Drew Meyers - Patient: you know he doesn't like <6:46:01 PM> Kyle Willette - Doctor: here <6:46:03 PM> Drew Meyers - Patient: it doesn't like any of the meat we have chicken he's okay with he doesn't really like it not in breaded form <6:46:12 PM> Drew Meyers - Patient: fish fishy hates fish oh my God I think that that point must be allergic or something <6:46:19 PM> Kyle Willette - Doctor: look <6:46:19 PM> Drew Meyers - Patient: uh but you know sometimes I try and get them <6:46:22 PM> Drew Meyers - Patient: to eat something and then I I bribe him with the chicken nugget to eat that thing but he just goes for the chicken nugget and and gets really mad if if I don't give him the chicken nugget <6:46:34 PM> Kyle Willette - Doctor: yeah not not gonna be hard especially if the <6:46:34 PM> Drew Meyers - Patient: yeah that's brutal doc <6:46:40 PM> Kyle Willette - Doctor: oh reward is the only thing he likes or wants to eat <6:46:45 PM> Kyle Willette - Doctor: that's has a topic I'll be honest <6:46:49 PM> Kyle Willette - Doctor: yeah <6:46:52 PM> Kyle Willette - Doctor: but if he doesn't he doesn't like change any of these habits or <6:46:54 PM> Drew Meyers - Patient: data <6:46:58 PM> Kyle Willette - Doctor: potentially lose some weight in the future he could start to develop diabetes at a young age or have trouble or like have trouble with obesity and wait for the rest of his life <6:47:02 PM> Drew Meyers - Patient: mmm you were kind of saying that before and I you know that's kind of got my my nerves going a little bit <6:47:10 PM> Kyle Willette - Doctor: so <6:47:19 PM> Drew Meyers - Patient: yeah I don't want him to be this fat for the I'm sorry obese for the <6:47:24 PM> Drew Meyers - Patient: his whole life I mean God I I know that leads to <6:47:29 PM> Drew Meyers - Patient: I'm no doctor but I know that leads to a lot of bad things down the road <6:47:29 PM> Drew Meyers - Patient: so <6:47:34 PM> Drew Meyers - Patient: so <6:47:35 PM> Drew Meyers - Patient: I was really hoping for that growth spurt but I mean it sounds like maybe that's not <6:47:40 PM> Drew Meyers - Patient: that's not it <6:47:42 PM> Kyle Willette - Doctor: as far as <6:47:42 PM> Kyle Willette - Doctor: yeah and I'm not denying that it might help a little bit but <6:47:47 PM> Kyle Willette - Doctor: is only about eight or nine now that's that could be years off <6:47:50 PM> Drew Meyers - Patient: yeah <6:47:52 PM> Drew Meyers - Patient: yeah I mean that's true <6:47:53 PM> Kyle Willette - Doctor: so <6:47:55 PM> Kyle Willette - Doctor: what do you think is the <6:48:00 PM> Kyle Willette - Doctor: best small change we could make starting this week <6:48:00 PM> Drew Meyers - Patient: gosh I mean I guess if I could <6:48:09 PM> Drew Meyers - Patient: bike could get like <6:48:13 PM> Drew Meyers - Patient: some <6:48:17 PM> Drew Meyers - Patient: operated Chicken in this diet <6:48:17 PM> Drew Meyers - Patient: I think <6:48:20 PM> Drew Meyers - Patient: that would be great I think a veggie might be afar ask <6:48:20 PM> Kyle Willette - Doctor: yeah <6:48:23 PM> Kyle Willette - Doctor: understandable <6:48:24 PM> Drew Meyers - Patient: but <6:48:26 PM> Drew Meyers - Patient: yeah if I could get something not so I mean I I know that stuff's pretty processed I think <6:48:31 PM> Kyle Willette - Doctor: he <6:48:34 PM> Drew Meyers - Patient: so I I've heard that's not very good for you so I I don't know <6:48:40 PM> Kyle Willette - Doctor: yeah no it sounds like an excellent place to start just cutting back on the breading the fried ________________________________________________________________________________ End of transcript at Aug 27, 2025, 6:48:53 PM