Transcript of conference held at Nov 25, 2025 in room first_test@conference.miaiconvo.com Initial people present at 6:50:05 PM: Paul Hershberger - Patient Isaac Stokes - Doctor Rachel - Patient Bianca Oteng Transcript, started at 6:50:05 PM: ________________________________________________________________________________ <6:50:05 PM> Bianca Oteng joined the conference <6:50:05 PM> Isaac Stokes - Doctor joined the conference <6:50:05 PM> Paul Hershberger - Patient joined the conference <6:50:05 PM> Rachel - Patient joined the conference <6:50:05 PM> Isaac Stokes - Doctor: good morning my name is Isaac I'm the medical doctor on your team here today are you the parent of Tommy <6:50:17 PM> Rachel - Patient: yeah <6:50:19 PM> Isaac Stokes - Doctor: and what is your name <6:50:21 PM> Rachel - Patient: I'm Rachel <6:50:22 PM> Isaac Stokes - Doctor: Rachel very lovely to meet you so yeah looks like Tommy was in for his well-child visit today I was wondering if you had any concerns on your end <6:50:24 PM> Rachel - Patient: oh maybe not not really no I don't think so <6:50:34 PM> Isaac Stokes - Doctor: okay um yeah one thing that we were noticing with some of one thing that we use to track the growth of children are these growth charts are you familiar with the growth charts <6:50:39 PM> Rachel - Patient: oh yeah they've like showed them to me before yeah <6:50:52 PM> Isaac Stokes - Doctor: those graphs that kind of show just generally where children are supposed to fall for things like weight and height so I was reviewing some of the tommies measurements and it looks like his height is doing great he's right in that 50th percentile and he has been tracking very like right along that line that we would have expected for him but <6:51:19 PM> Isaac Stokes - Doctor: concerned that I have is for his weight he is at the 95th percentile for his weight <6:51:27 PM> Rachel - Patient: I don't <6:51:27 PM> Rachel - Patient: yeah I mean it's just like been hard because like he's just like such a picky eater and just like <6:51:33 PM> Isaac Stokes - Doctor: it's <6:51:37 PM> Rachel - Patient: know I just I can't just give him whatever he wants because I just like it's just so hard to find things for him to eat like <6:51:45 PM> Rachel - Patient: I just give up and just like give them the chicken nuggets like I just don't know what to do anymore <6:51:50 PM> Isaac Stokes - Doctor: I got you you seem very frustrated just with having to constantly deal with Tommy being a picky eater <6:51:50 PM> Rachel - Patient: so I don't know <6:51:55 PM> Rachel - Patient: I mean it's not that I'm I mean like <6:52:06 PM> Rachel - Patient: I'm not like <6:52:08 PM> Rachel - Patient: I mean it's frustrating I guess it's just like I don't I don't know what else to like do it doesn't like other Foods you know what I mean like I can't force him to eat it you know <6:52:15 PM> Isaac Stokes - Doctor: film no absolutely and kids can definitely be tough to get to try new things what are some of the foods that he's having some difficult to eating <6:52:20 PM> Rachel - Patient: I mean I think it's like the foods that a lot of kids don't like you know it's like <6:52:37 PM> Rachel - Patient: vegetables and like <6:52:40 PM> Rachel - Patient: you know like greens like broccoli stuff like that like you just doesn't doesn't really like any of that <6:52:48 PM> Rachel - Patient: a white fruits I mean <6:52:52 PM> Rachel - Patient: like texture of things <6:52:55 PM> Rachel - Patient: you know <6:52:57 PM> Rachel - Patient: I don't know <6:52:57 PM> Rachel - Patient: doesn't like certain meats or so yeah he just kind of like things that are <6:53:04 PM> Rachel - Patient: like <6:53:07 PM> Rachel - Patient: the land like we colored you know diet <6:53:14 PM> Rachel - Patient: so <6:53:14 PM> Isaac Stokes - Doctor: absolutely <6:53:16 PM> Isaac Stokes - Doctor: what are some benefits that you see if Tommy continues to follow this trend with his weight <6:53:17 PM> Rachel - Patient: I mean like I know it's not like <6:53:28 PM> Rachel - Patient: good like I know that he'll probably just like continue to gain weight but I just don't know like what else to try like <6:53:38 PM> Rachel - Patient: I know that like <6:53:38 PM> Rachel - Patient: it's <6:53:40 PM> Rachel - Patient: go for him like kids are like making fun of him at school because like of his weight he like doesn't want to go outside for recess because like kids are making fun of him but <6:53:51 PM> Rachel - Patient: again like I just don't know how I'm supposed to like help him try new foods like make better choices because I don't know <6:54:00 PM> Isaac Stokes - Doctor: this is <6:54:00 PM> Rachel - Patient: what resources are available or like what <6:54:03 PM> Isaac Stokes - Doctor: it's <6:54:04 PM> Rachel - Patient: things might help him so I don't I don't know <6:54:07 PM> Isaac Stokes - Doctor: yeah well it definitely sounds like you've been trying a lot of different techniques on your and and just not really having a whole lot of success with Tommy just being more of that picky eater there are definitely a few resources that we can move forward to and I would love to discuss those with you one more thing I was interested in was what kind of reactions does Tommy typically have when you try to introduce a new food to him <6:54:08 PM> Rachel - Patient: yeah I mean you just gets like really upset I mean like throws like temper tantrums which is like part of why I kind of like just given up because like I don't <6:54:44 PM> Isaac Stokes - Doctor: system <6:54:49 PM> Rachel - Patient: more like fight with him and like you know with the other kids it's just like I can't like <6:54:49 PM> Rachel - Patient: you know <6:54:57 PM> Rachel - Patient: there's a lot to do with it once so it's just kind of easier if I don't <6:55:02 PM> Isaac Stokes - Doctor: I see now one thing that you were talking about was looking for different resources or at least information on those different resources I will say there are different Specialists that we can actually give referrals to that can help Tommy approach these different foods with and help challenge some of those behaviors that he's kind of learned with that react to the E with that be something that you would be interested in exploring further <6:55:03 PM> Rachel - Patient: so <6:55:05 PM> Rachel - Patient: yeah for sure I mean like <6:55:40 PM> Rachel - Patient: the either like the the emotional reaction and like just that kind of thing or like you know I don't know somebody help diet or like <6:55:53 PM> Rachel - Patient: I don't know just like anything at this point honestly <6:55:58 PM> Isaac Stokes - Doctor: well it sounds to me like Tommy would most definitely benefit from getting a few different Specialists onto his team so I would be more than happy to put in some of those referrals one of those would be with a speech pathologist on board as well as a nutritionist and with those Specialties that will kind of revolve around the diet that he would be consuming as well as those behaviors during those meal times to help challenge him and <6:56:32 PM> Isaac Stokes - Doctor: create a more positive environment around those eating times so that he can tie those behaviors to a more positive outcome in that regard what questions you have about this moving forward <6:56:44 PM> Rachel - Patient: um I don't know if I have <6:56:51 PM> Rachel - Patient: any right now I mean <6:56:54 PM> Rachel - Patient: just you know kind of getting that all like set up <6:56:59 PM> Rachel - Patient: and everything I mean just seems like it'll be a log but <6:57:00 PM> Isaac Stokes - Doctor: and then I'm also curious how do you feel that Tommy would react to this kind of progression <6:57:04 PM> Rachel - Patient: um <6:57:09 PM> Paul Hershberger - Patient: all right we'll stop here <6:57:16 PM> Isaac Stokes - Doctor: it's <6:57:16 PM> Rachel - Patient: I <6:57:16 PM> Rachel - Patient: I mean I don't know like <6:57:19 PM> Rachel - Patient: he doesn't like going to the doctor and like what kid does so like seeing a lot of Specialists might be a lot but <6:57:25 PM> Isaac Stokes - Doctor: just <6:57:27 PM> Rachel - Patient: know I think just <6:57:29 PM> Rachel - Patient: forward to meeting you need to like work through obviously I don't want him to like continue down this path so just something we're gonna figure out <6:57:29 PM> Isaac Stokes - Doctor: it's ________________________________________________________________________________ End of transcript at Nov 25, 2025, 6:57:42 PM