Transcript of conference held at Sep 8, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:31:44 PM: Chandu - Doctor Paul Hershberger - Patient Transcript, started at 1:31:44 PM: ________________________________________________________________________________ <1:31:44 PM> Chandu - Doctor joined the conference <1:31:44 PM> Paul Hershberger - Patient joined the conference <1:31:59 PM> Chandu - Doctor: okay <1:32:00 PM> Chandu - Doctor: hi so <1:32:03 PM> Chandu - Doctor: was looking at Jimmy's wait today and he is a little overweight <1:32:08 PM> Chandu - Doctor: thinking you know could be healthy for under cut down a little bit have you thought about that at home yet <1:32:15 PM> Paul Hershberger - Patient: boy that's that's a Hot Topic doc <1:32:19 PM> Paul Hershberger - Patient: we try to <1:32:21 PM> Paul Hershberger - Patient: sort of control what Jimmy eats <1:32:25 PM> Paul Hershberger - Patient: um yeah we've noticed these gained some weight I guess we're just kind of hoping he'll outgrow this and <1:32:31 PM> Paul Hershberger - Patient: you know when he gets a next few years that he <1:32:31 PM> Paul Hershberger - Patient: hits <1:32:35 PM> Paul Hershberger - Patient: already helped hopefully he'll <1:32:38 PM> Paul Hershberger - Patient: pretty <1:32:38 PM> Paul Hershberger - Patient: kind of shoot up and thin out a little but he <1:32:43 PM> Paul Hershberger - Patient: my Charlie wants to eat his snacks <1:32:44 PM> Chandu - Doctor: mm-hmm okay what have you tried so far <1:32:46 PM> Paul Hershberger - Patient: yeah well we we try to give him <1:32:53 PM> Paul Hershberger - Patient: you know what what is mom and I are eating <1:32:57 PM> Paul Hershberger - Patient: I mean our diets certainly are perfect but we <1:33:01 PM> Paul Hershberger - Patient: we certainly don't eat snacks like he does so we give him what we've prepared and then he <1:33:08 PM> Paul Hershberger - Patient: earns his nose up at what's on his play <1:33:11 PM> Paul Hershberger - Patient: we say just you know just try it <1:33:15 PM> Paul Hershberger - Patient: and then he starts to whine and <1:33:18 PM> Paul Hershberger - Patient: yeah you know you're trying to starve me and <1:33:23 PM> Paul Hershberger - Patient: so you know we're both tired at the end of the day and a lot of times then we just give in to what he wants because <1:33:29 PM> Chandu - Doctor: right now I can understand that how long has this been going on <1:33:30 PM> Paul Hershberger - Patient: it's easier that way <1:33:38 PM> Paul Hershberger - Patient: he's eight now <1:33:42 PM> Paul Hershberger - Patient: never been <1:33:44 PM> Paul Hershberger - Patient: great at eating what what we <1:33:48 PM> Chandu - Doctor: okay as he always been a picky eater even like that <1:33:48 PM> Paul Hershberger - Patient: mde I don't know I <1:33:52 PM> Paul Hershberger - Patient: just kind of <1:33:52 PM> Paul Hershberger - Patient: four or five years it's <1:33:55 PM> Paul Hershberger - Patient: out and worse and worse over time as he's gotten order <1:33:58 PM> Paul Hershberger - Patient: yeah yeah <1:34:04 PM> Paul Hershberger - Patient: you know when it was baby foods <1:34:07 PM> Paul Hershberger - Patient: that there wasn't <1:34:09 PM> Paul Hershberger - Patient: much initial although there are some things he'd <1:34:12 PM> Paul Hershberger - Patient: we try to give him any just spit it out <1:34:15 PM> Paul Hershberger - Patient: I'm not going to eat this <1:34:17 PM> Chandu - Doctor: so what kinds of things is Jimmy saying <1:34:20 PM> Chandu - Doctor: when you're giving something he doesn't like <1:34:29 PM> Paul Hershberger - Patient: I'm trying to make me <1:34:32 PM> Paul Hershberger - Patient: make me things that I don't want <1:34:35 PM> Paul Hershberger - Patient: here being mean to me <1:34:36 PM> Chandu - Doctor: okay <1:34:37 PM> Paul Hershberger - Patient: well <1:34:39 PM> Chandu - Doctor: and how did that make you feel <1:34:47 PM> Paul Hershberger - Patient: you know my wife and I talked about it we <1:34:48 PM> Chandu - Doctor: okay <1:34:50 PM> Paul Hershberger - Patient: we think you know we've we've got to do something different with him and but then in the Moment Like I said one more tired it's <1:34:58 PM> Paul Hershberger - Patient: we don't want him to go to bed hungry he's already unhappy <1:35:04 PM> Paul Hershberger - Patient: so <1:35:05 PM> Paul Hershberger - Patient: that most of the time we just end up giving him what he wants <1:35:13 PM> Chandu - Doctor: it's Jimmy brought his way to you <1:35:14 PM> Paul Hershberger - Patient: I think <1:35:14 PM> Paul Hershberger - Patient: um no and I think <1:35:17 PM> Chandu - Doctor: really <1:35:22 PM> Paul Hershberger - Patient: smart enough to know that <1:35:25 PM> Paul Hershberger - Patient: he does we'll talk about what he's eating <1:35:28 PM> Paul Hershberger - Patient: he <1:35:30 PM> Paul Hershberger - Patient: there have been a couple times he hasn't come right out and said anybody bullying him but <1:35:36 PM> Chandu - Doctor: okay <1:35:37 PM> Paul Hershberger - Patient: there's been some things that he said that made us <1:35:41 PM> Paul Hershberger - Patient: conclude that probably some other kids are saying things to him about his weight <1:35:49 PM> Chandu - Doctor: okay <1:35:50 PM> Chandu - Doctor: what he's saying <1:35:53 PM> Chandu - Doctor: leads you to those kinds of conclusions <1:35:55 PM> Chandu - Doctor: good <1:35:58 PM> Paul Hershberger - Patient: it's something like <1:36:01 PM> Paul Hershberger - Patient: um <1:36:04 PM> Paul Hershberger - Patient: we might mention you know you used to <1:36:07 PM> Paul Hershberger - Patient: play with so-and-so down the street <1:36:12 PM> Paul Hershberger - Patient: how come you have been been doing that and he'll say oh <1:36:16 PM> Chandu - Doctor: okay <1:36:16 PM> Paul Hershberger - Patient: I don't know sometimes sometimes he's kind of mean to me <1:36:20 PM> Paul Hershberger - Patient: I want to say what do you mean mean oh I don't know making fun of me <1:36:20 PM> Paul Hershberger - Patient: so <1:36:25 PM> Paul Hershberger - Patient: we have them pushed him too much on that but that's what we think is probably going on <1:36:31 PM> Paul Hershberger - Patient: and then also we used to <1:36:35 PM> Paul Hershberger - Patient: being a soccer <1:36:37 PM> Paul Hershberger - Patient: you know on a Rex soccer team and <1:36:41 PM> Paul Hershberger - Patient: last couple of years and no no I don't want to play <1:36:45 PM> Chandu - Doctor: it sounds like <1:36:48 PM> Chandu - Doctor: maybe Jimmy does want to lose weight or it doesn't like <1:36:52 PM> Paul Hershberger - Patient: a little bit <1:36:53 PM> Chandu - Doctor: have you <1:36:53 PM> Chandu - Doctor: the way he is that right now that is a possibility <1:36:58 PM> Chandu - Doctor: add a conversation with him regarding that yet <1:37:01 PM> Paul Hershberger - Patient: up not really in <1:37:02 PM> Chandu - Doctor: here's the <1:37:06 PM> Paul Hershberger - Patient: and I guess we we don't want him to be <1:37:10 PM> Paul Hershberger - Patient: I guess self-conscious about his weight are what we've tried to do is focus more on <1:37:17 PM> Paul Hershberger - Patient: is eating <1:37:20 PM> Chandu - Doctor: yeah <1:37:23 PM> Chandu - Doctor: some of the responses that you told me that you were saying at home like the time to start me <1:37:31 PM> Chandu - Doctor: activities what I want <1:37:33 PM> Chandu - Doctor: could have maybe be from your perspective just maybe not understanding you're not giving them enough food <1:37:41 PM> Chandu - Doctor: right do you think <1:37:44 PM> Paul Hershberger - Patient: I you mean that he isn't getting enough <1:37:52 PM> Paul Hershberger - Patient: with what we're trying to feed him <1:37:54 PM> Paul Hershberger - Patient: oh <1:37:57 PM> Chandu - Doctor: do you think Jimmy understands that this diet might be what's causing the weight gain <1:38:04 PM> Chandu - Doctor: okay <1:38:06 PM> Paul Hershberger - Patient: I <1:38:12 PM> Paul Hershberger - Patient: I don't think it's that as much as he just <1:38:15 PM> Paul Hershberger - Patient: likes to taste of some things and seems to <1:38:20 PM> Paul Hershberger - Patient: hate the taste of other things <1:38:24 PM> Chandu - Doctor: if you were to have a conversation with them <1:38:28 PM> Chandu - Doctor: about you know trying different foods that might be healthier how do you think that would go <1:38:33 PM> Chandu - Doctor: have you thought about it in the past <1:38:43 PM> Paul Hershberger - Patient: I don't know <1:38:53 PM> Paul Hershberger - Patient: here not so much like I said we've <1:38:58 PM> Paul Hershberger - Patient: been I guess we just hope that he'll outgrow this <1:39:01 PM> Chandu - Doctor: here <1:39:04 PM> Paul Hershberger - Patient: and you know we don't want him to <1:39:08 PM> Paul Hershberger - Patient: we don't want him to be <1:39:11 PM> Paul Hershberger - Patient: self-conscious about his way so <1:39:15 PM> Paul Hershberger - Patient: I guess like I said we've really tried to focus just on what he's eating <1:39:22 PM> Chandu - Doctor: so how do you think <1:39:24 PM> Chandu - Doctor: the conversation with him would start if you could start with them <1:39:34 PM> Paul Hershberger - Patient: I think I think it might have to be more <1:39:38 PM> Paul Hershberger - Patient: or I should say it have to be but I might just <1:39:46 PM> Paul Hershberger - Patient: they're asking what's going on with this friends and if you're making fun of him and <1:39:52 PM> Paul Hershberger - Patient: just see if he <1:39:57 PM> Paul Hershberger - Patient: he's willing to say they're telling me I'm fat or whatever they might be saying <1:40:05 PM> Paul Hershberger - Patient: and then <1:40:06 PM> Paul Hershberger - Patient: he doesn't like that kind of ask so what do you think you can do about it I guess <1:40:12 PM> Paul Hershberger - Patient: I don't know <1:40:14 PM> Paul Hershberger - Patient: it's hard for me to imagine that going very well but <1:40:15 PM> Chandu - Doctor: and those are all great questions to ask them and just based on the questions you told me it sounds like you're very supportive dad and sounds that would be a good conversation to have <1:40:17 PM> Paul Hershberger - Patient: well the obvious thing would be <1:40:28 PM> Chandu - Doctor: um so if Jimmy says <1:40:32 PM> Chandu - Doctor: he tells you you know he's conscious about his weight <1:40:38 PM> Chandu - Doctor: he doesn't know what to do <1:40:40 PM> Chandu - Doctor: from what we do then <1:40:49 PM> Paul Hershberger - Patient: this highlighting that <1:40:51 PM> Paul Hershberger - Patient: how is Mom and I are trying to give him foods that <1:40:56 PM> Paul Hershberger - Patient: help him have a healthier weight <1:41:01 PM> Paul Hershberger - Patient: so it's it's that we're trying to help him not <1:41:04 PM> Chandu - Doctor: okay I think that's a yeah okay <1:41:06 PM> Paul Hershberger - Patient: make him mad <1:41:09 PM> Paul Hershberger - Patient: let's stop here ________________________________________________________________________________ End of transcript at Sep 8, 2025, 1:41:23 PM