Transcript of conference held at Aug 28, 2025 in room first_test@conference.miaiconvo.com Initial people present at 3:17:56 PM: Anthony Onochie - Patient Josie Lowell - Doctor Makul Sharma Paul Hershberger Transcript, started at 3:17:56 PM: ________________________________________________________________________________ <3:17:56 PM> Josie Lowell - Doctor joined the conference <3:17:56 PM> Paul Hershberger joined the conference <3:17:56 PM> Makul Sharma joined the conference <3:17:56 PM> Anthony Onochie - Patient joined the conference <3:17:57 PM> Josie Lowell - Doctor: right <3:18:03 PM> Josie Lowell - Doctor: okay so overall James things like he's doing well but there is something I want to discuss with you so <3:18:14 PM> Anthony Onochie - Patient: have you <3:18:19 PM> Josie Lowell - Doctor: he is in the 9th percentile for his weight <3:18:19 PM> Josie Lowell - Doctor: which is <3:18:23 PM> Josie Lowell - Doctor: consider hi I just wanted to kind of talk to you about that <3:18:23 PM> Josie Lowell - Doctor: how <3:18:29 PM> Josie Lowell - Doctor: you feel like his weight <3:18:29 PM> Josie Lowell - Doctor: <3:18:32 PM> Josie Lowell - Doctor: your thoughts about his weight <3:18:34 PM> Josie Lowell - Doctor: okay <3:18:35 PM> Anthony Onochie - Patient: well <3:18:36 PM> Anthony Onochie - Patient: mean <3:18:37 PM> Anthony Onochie - Patient: we both know James is a <3:18:39 PM> Josie Lowell - Doctor: for <3:18:40 PM> Anthony Onochie - Patient: is a little <3:18:41 PM> Anthony Onochie - Patient: he's a little big but you know he it's pretty healthy like we try our best to like give him really good food they could be picky but um <3:18:52 PM> Anthony Onochie - Patient: why why what's what is there something going on <3:18:55 PM> Josie Lowell - Doctor: so in this moment there is not anything grossly that I can see is going on but in the future you know higher weight can have effects health so I just kind of I wanted to understand what is and diet and exercise are contributing factors to this so I wanted to get a better understanding of what he's eating and what he's doing to stay active I know you just mentioned that you <3:19:27 PM> Josie Lowell - Doctor: um give him options of healthy food and he is a bit of a eater how do you kind of work through that pickiness with him <3:19:35 PM> Anthony Onochie - Patient: well so we <3:19:41 PM> Anthony Onochie - Patient: my wife and I try to make sure he has you know healthy options available and we what we do is we try to start with like a healthy male and what we find is you might just pick around and end up not eating <3:19:56 PM> Anthony Onochie - Patient: and at the risk of him starving we just give him something so he doesn't like go to bed and an empty stomach or go to school on empty stomach but <3:20:06 PM> Anthony Onochie - Patient: he if you know recently started drinking soda because <3:20:11 PM> Anthony Onochie - Patient: of a sudden he doesn't really like water and <3:20:16 PM> Anthony Onochie - Patient: we <3:20:16 PM> Anthony Onochie - Patient: are practicing gentle parenting but at the same time <3:20:21 PM> Anthony Onochie - Patient: also don't you know we we want to do things that help him so if it's not drinking water <3:20:25 PM> Josie Lowell - Doctor: oh <3:20:29 PM> Anthony Onochie - Patient: we we want to give him some kind of like hydration so we give soda Gatorade <3:20:36 PM> Anthony Onochie - Patient: things like that you know but <3:20:36 PM> Anthony Onochie - Patient: I <3:20:38 PM> Anthony Onochie - Patient: I'm not sure where to go from there because we'll try a lot of different things only <3:20:46 PM> Anthony Onochie - Patient: if he doesn't get what he wants he gets angry and he just throws a tantrum so <3:20:52 PM> Josie Lowell - Doctor: mm-hmm <3:20:53 PM> Anthony Onochie - Patient: I'm not questioning yeah <3:20:55 PM> Josie Lowell - Doctor: yeah so it sounds like I just heard you say you want him to be healthiest <3:21:02 PM> Josie Lowell - Doctor: it then we're you're also giving him soda when things aren't really going his way <3:21:10 PM> Josie Lowell - Doctor: how can you <3:21:13 PM> Josie Lowell - Doctor: you're keeping his help at <3:21:16 PM> Josie Lowell - Doctor: the Forefront <3:21:18 PM> Josie Lowell - Doctor: now kind of keeping <3:21:21 PM> Josie Lowell - Doctor: are giving into his soda and take <3:21:24 PM> Anthony Onochie - Patient: yeah that's that's the part where I find difficult because it's you know <3:21:31 PM> Anthony Onochie - Patient: I mean <3:21:32 PM> Anthony Onochie - Patient: I think that's what's challenging as a parent because senior kid cried for food <3:21:37 PM> Anthony Onochie - Patient: when there's food available it's it's kind of confusing because <3:21:42 PM> Anthony Onochie - Patient: giving him what you know is good and he's not doing it but the alternative is just not letting him eat and we're just having sit there like back in back in my day parents were just placed the food right there and if you didn't want to eat it you just go to bed hungry but I don't know I kid <3:22:01 PM> Anthony Onochie - Patient: I could do that but I hear what you saying because I can't complain about him being <3:22:03 PM> Josie Lowell - Doctor: yeah <3:22:06 PM> Anthony Onochie - Patient: healthy and then support everybody more soda <3:22:08 PM> Josie Lowell - Doctor: mm-hmm <3:22:11 PM> Josie Lowell - Doctor: so it sounds like information you're having different need help within you feel and continue if you continue with this diet down the line <3:22:22 PM> Josie Lowell - Doctor: and he's end up with all these consequences of being overweight diabetes sleep apnea all these health concerns if you don't I know it's hard in the moment but to make you feel if you don't stop now like down the road it could be very detrimental <3:22:38 PM> Anthony Onochie - Patient: yeah I agree I do agree with you like a lot of my thought process has been oh he's gonna grow out of it he's gonna grow out of it but this has been going on for at least a year now so I I don't know that I would want I would be I would be mad at myself if right now Jen is only eight if in seven years he was 15 with <3:23:09 PM> Anthony Onochie - Patient: have two diabetes or hypertension or something so I I am interested in finding a solution but what that solution is I just don't know <3:23:19 PM> Josie Lowell - Doctor: yeah so it sounds like you're willing to implement some healthy diet how on a scale of one zero to 10 with 10 being the most willing how are we feeling right now making that change <3:23:26 PM> Anthony Onochie - Patient: here <3:23:29 PM> Anthony Onochie - Patient: good <3:23:33 PM> Anthony Onochie - Patient: I mean if I could be more than a 10 I would be yes because it's something I think about <3:23:36 PM> Josie Lowell - Doctor: okay <3:23:40 PM> Josie Lowell - Doctor: okay <3:23:43 PM> Josie Lowell - Doctor: okay um well it sounds like you're very willing to change in that's a good thing so we can help prevent these detrimental health concerns regarding his way tell me a little bit of exercise <3:23:58 PM> Anthony Onochie - Patient: exercising has been difficult because <3:24:03 PM> Anthony Onochie - Patient: swim <3:24:03 PM> Anthony Onochie - Patient: up until this past summer he used to enjoy playing basketball football <3:24:11 PM> Anthony Onochie - Patient: you but the last time he went swimming he said <3:24:15 PM> Anthony Onochie - Patient: friends were laughing and laughing at him telling him he had breasts and when he went to play basketball he just wasn't as fast as he used to be and he got bullied about that so now I find it really challenging to get him out the house so he goes from eating what me and my wife know it's unhealthy to just playing video games there's there's really not not much exercise it doesn't come in formal gym class <3:24:34 PM> Josie Lowell - Doctor: mm-hmm <3:24:40 PM> Paul Hershberger: we're going to stop here <3:24:45 PM> Anthony Onochie - Patient: here <3:24:47 PM> Anthony Onochie - Patient: pretty good ________________________________________________________________________________ End of transcript at Aug 28, 2025, 3:24:58 PM