Transcript of conference held at Oct 13, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:15:03 PM: Risha Annamraju - Doctor Paul Hershberger Paige Wnek - Patient Tamiel Murray Transcript, started at 1:15:03 PM: ________________________________________________________________________________ <1:15:03 PM> Paige Wnek - Patient joined the conference <1:15:03 PM> Tamiel Murray joined the conference <1:15:03 PM> Paul Hershberger joined the conference <1:15:03 PM> Risha Annamraju - Doctor joined the conference <1:15:04 PM> Paige Wnek - Patient: I mean I feel like he's doing okay I'm glad he doesn't have to get any shots that will make it easier for the ride home <1:15:07 PM> Risha Annamraju - Doctor: okay <1:15:19 PM> Risha Annamraju - Doctor: so I know we're here to check up on Timmy how do you feel like he's doing compared to last year <1:15:35 PM> Paige Wnek - Patient: um yeah I mean I feel like he's pretty much the same <1:15:35 PM> Risha Annamraju - Doctor: okay I mean I feel like it's good when yeah no shots is the best good that he's feeling pretty much the same and you know he seems to be doing well one of the things that I wanted to talk about is that it looks like his weight is up a little bit more than we would expect from last year <1:15:39 PM> Paige Wnek - Patient: okay but that's kind of normal he's growing in height too right <1:15:58 PM> Risha Annamraju - Doctor: mm-hmm he definitely is growing in height <1:16:06 PM> Risha Annamraju - Doctor: but there's usually like a mount that we expect and his is up a little bit more than we would expect for his height <1:16:09 PM> Paige Wnek - Patient: okay <1:16:09 PM> Paige Wnek - Patient: so <1:16:16 PM> Paige Wnek - Patient: I guess what does that mean <1:16:17 PM> Risha Annamraju - Doctor: um for him I think right now we're just a little bit worried <1:16:19 PM> Paige Wnek - Patient: I guess <1:16:19 PM> Paige Wnek - Patient: um I mean I haven't really thought about it I mean I just thought kids were supposed to gain weight but I mean I guess Timmy did mention he's having some problems with other kids you know and the neighborhood in school they have made fun of him for his weight before I mean I didn't think it was a problem but <1:16:25 PM> Risha Annamraju - Doctor: I wouldn't say a little bit I mean a little bit worried about <1:16:28 PM> Risha Annamraju - Doctor: kind of trying to keep his weight at a healthy weight for his height because especially even at you know young ages <1:16:38 PM> Risha Annamraju - Doctor: there can definitely be some adverse effects of <1:16:43 PM> Risha Annamraju - Doctor: have being being heavier for certain height <1:16:48 PM> Risha Annamraju - Doctor: is this something that you've kind of thought about with him with Timmy <1:16:52 PM> Risha Annamraju - Doctor: tell me more about why you think it might be a problem <1:17:16 PM> Paige Wnek - Patient: might be a problem <1:17:25 PM> Paige Wnek - Patient: don't <1:17:25 PM> Paige Wnek - Patient: well I certainly don't want my kid to be bullied but you know I mean the I <1:17:32 PM> Paige Wnek - Patient: think his way to problem I think like you know everyone you know has <1:17:38 PM> Paige Wnek - Patient: you know the whole body positivity movement you know I'm a little overweight myself <1:17:38 PM> Paige Wnek - Patient: so <1:17:44 PM> Paige Wnek - Patient: so I think I'm fine with my weight I think my kids should be fine with his weight too but I also don't want him to be made fun of by the other kids <1:17:47 PM> Risha Annamraju - Doctor: yeah so I mean definitely we don't want him getting made fun of so I'm hearing that you feel like you don't want him to be made fun of <1:17:47 PM> Risha Annamraju - Doctor: but <1:17:54 PM> Paige Wnek - Patient: well I mean I'm overweight as well I mean I'm okay with my weight now but I guess growing up like his age I did have a lot of trouble in school as well because you know kids are mean they made fun of me like I guess they're making fun of him now and I guess I did have a little bit more problems in gym class when I was his age <1:18:04 PM> Risha Annamraju - Doctor: you feel kind of okay with his weight <1:18:07 PM> Risha Annamraju - Doctor: I I guess I kind of wanted to talk about what your <1:18:11 PM> Risha Annamraju - Doctor: what your conceptions of kind of the effects of being a little bit heavier for as height would have on him like what effects do you think that it might have <1:18:49 PM> Paige Wnek - Patient: um I am having you know some mobility issues to now so <1:18:57 PM> Paige Wnek - Patient: maybe being overweight for him giving him harder time in gym class I guess he's making being made up on them too <1:19:02 PM> Risha Annamraju - Doctor: yeah so it sounds like <1:19:06 PM> Paige Wnek - Patient: I mean other than the kids making fun of him I feel like he <1:19:10 PM> Risha Annamraju - Doctor: class and being made fun of <1:19:13 PM> Risha Annamraju - Doctor: at home <1:19:15 PM> Risha Annamraju - Doctor: how do you feel Timmy's own kind of perception of his weight is <1:19:20 PM> Risha Annamraju - Doctor: yeah and <1:19:25 PM> Paige Wnek - Patient: he kind of <1:19:25 PM> Paige Wnek - Patient: doesn't care about his weight I mean he's <1:19:29 PM> Paige Wnek - Patient: it's what are what he wants I don't think he's too conscious about you know healthy eating <1:19:38 PM> Risha Annamraju - Doctor: what is your approach to kind of trying to influence like him to kind of make healthy choices <1:19:38 PM> Paige Wnek - Patient: I mean <1:19:48 PM> Risha Annamraju - Doctor: yeah <1:19:48 PM> Risha Annamraju - Doctor: so <1:19:50 PM> Paige Wnek - Patient: I <1:19:50 PM> Paige Wnek - Patient: I have been trying to lose a couple pounds myself so <1:19:55 PM> Paige Wnek - Patient: have you know been trying to cook healthier meals at home but he's such a picky eater you know he doesn't like any of the foods I make for him so I end up just giving him like chicken nuggets and french fries or whatever he wants to eat you know just to get him to eat <1:20:15 PM> Risha Annamraju - Doctor: and <1:20:15 PM> Risha Annamraju - Doctor: sounds like he's definitely picky and even though it sounds like you're cooking like healthier meals home cook meals which is great <1:20:22 PM> Paige Wnek - Patient: yeah yeah um I mean I guess I would call them Tantrums he gets really upset and really angry <1:20:25 PM> Risha Annamraju - Doctor: that he doesn't want to eat them <1:20:28 PM> Risha Annamraju - Doctor: tell me <1:20:28 PM> Risha Annamraju - Doctor: in terms of being picky <1:20:32 PM> Risha Annamraju - Doctor: more about that is he throwing a fit is he not refusing to eat anything like <1:20:37 PM> Risha Annamraju - Doctor: it and <1:20:45 PM> Paige Wnek - Patient: and he yells when I don't give him you know the food that he wants so it's really difficult so I think you know I probably do this more than I should but you know I need to keep the peace in my home so I just end up giving him whatever he wants <1:21:02 PM> Risha Annamraju - Doctor: giving you know giving him whatever he wants I get it want to keep the peace in your house <1:21:08 PM> Risha Annamraju - Doctor: what what do you feel like the kind of <1:21:11 PM> Risha Annamraju - Doctor: the downsides of that are <1:21:16 PM> Paige Wnek - Patient: well <1:21:18 PM> Paige Wnek - Patient: I guess you know I'll always have to give in to his demands until somehow he you know miraculously changes <1:21:18 PM> Paige Wnek - Patient: but <1:21:29 PM> Paige Wnek - Patient: I mean I guess wait why is you know he's just gonna keep eating what do you want I'm probably gain more weight I guess <1:21:32 PM> Risha Annamraju - Doctor: and <1:21:41 PM> Risha Annamraju - Doctor: and <1:21:43 PM> Risha Annamraju - Doctor: you think that <1:21:43 PM> Risha Annamraju - Doctor: there are <1:21:46 PM> Risha Annamraju - Doctor: are benefits to that for him <1:21:46 PM> Paige Wnek - Patient: well <1:21:46 PM> Paige Wnek - Patient: I mean <1:21:49 PM> Risha Annamraju - Doctor: yeah so it sounds like <1:21:52 PM> Paige Wnek - Patient: benefits to giving into his Tantrums I mean he's happier <1:21:59 PM> Paige Wnek - Patient: probably <1:21:59 PM> Paige Wnek - Patient: but I guess not beneficial for his weight gain he's going to be continued to be made fun of by his friends <1:22:08 PM> Paige Wnek - Patient: have a harder time in gym class too <1:22:11 PM> Paige Wnek - Patient: okay <1:22:12 PM> Paul Hershberger: was not pair stopped here <1:22:13 PM> Risha Annamraju - Doctor: the Tantrums and gym class <1:22:18 PM> Risha Annamraju - Doctor: are kind of issues <1:22:21 PM> Risha Annamraju - Doctor: or okay sorry I was like no I'm just rambling <1:22:24 PM> Paul Hershberger: that's right <1:22:26 PM> Paul Hershberger: so let's hear your thoughts about how that went <1:22:31 PM> Risha Annamraju - Doctor: um this one was a lot page you did a really good job of being a realistic patient this one was a lot harder I think to ________________________________________________________________________________ End of transcript at Oct 13, 2025, 1:22:42 PM