Transcript of conference held at Dec 9, 2025 in room first_test@conference.miaiconvo.com Initial people present at 2:56:26 PM: Empress James Nick - Doctor Paul Hershberger Murad Nawaz - Patient Transcript, started at 2:56:26 PM: ________________________________________________________________________________ <2:56:26 PM> Murad Nawaz - Patient joined the conference <2:56:26 PM> Nick - Doctor joined the conference <2:56:26 PM> Paul Hershberger joined the conference <2:56:26 PM> Empress James joined the conference <2:56:29 PM> Empress James: he <2:56:30 PM> Nick - Doctor: all right Dad <2:56:36 PM> Nick - Doctor: it's got done talking with Billy a little bit and he's off getting some extra shots <2:56:43 PM> Nick - Doctor: um <2:56:44 PM> Nick - Doctor: you have any questions or concerns that you want to talk about with me at this time <2:56:48 PM> Murad Nawaz - Patient: yeah I mean <2:56:52 PM> Nick - Doctor: yeah <2:56:52 PM> Murad Nawaz - Patient: am I going to do about his weight you know I I was a college athlete and I want my son to you know <2:57:02 PM> Murad Nawaz - Patient: be in shape too so he could play sports at a high level <2:57:02 PM> Murad Nawaz - Patient: it kind of <2:57:06 PM> Murad Nawaz - Patient: want that for him also <2:57:06 PM> Murad Nawaz - Patient: for <2:57:08 PM> Murad Nawaz - Patient: children I have a daughter who's involved volleyball and I <2:57:13 PM> Murad Nawaz - Patient: him to also be involved with sports too but <2:57:16 PM> Murad Nawaz - Patient: I I don't think he can right now given given his weight <2:57:20 PM> Nick - Doctor: yeah yeah just briefly tell me what a normal day looks like for Billy in regards to his diet and exercise <2:57:30 PM> Murad Nawaz - Patient: on a school day or not school day <2:57:30 PM> Nick - Doctor: well both <2:57:33 PM> Murad Nawaz - Patient: um let's let's say <2:57:38 PM> Murad Nawaz - Patient: same summer break I guess that's easier because you'll get up <2:57:44 PM> Murad Nawaz - Patient: it's a miracle if it's before 9:00 but then first thing he wants he wants <2:57:51 PM> Murad Nawaz - Patient: more like he wants a lot of baking he wants pancakes that's his favorite thing to eat in the morning <2:57:57 PM> Murad Nawaz - Patient: and then immediately afterwards and he's <2:58:00 PM> Murad Nawaz - Patient: you want Sour Patch Kids at this favorite candy to eat and he really likes it when we buy like the big bags from like Costco or Kroger <2:58:10 PM> Murad Nawaz - Patient: just chewed through that all day sometimes going through multiple bags a week but yeah then by the time lunch rolls around like he gets hungry after like two hours <2:58:25 PM> Murad Nawaz - Patient: is asking for McDonald's he's like can you drive me to McDonald's can we get a Happy Meal or even now he's asking for Big Macs <2:58:34 PM> Murad Nawaz - Patient: to be fair they're good but like <2:58:36 PM> Murad Nawaz - Patient: I don't think you should be eating and asking for stuff like this this often so a lot of fast food for like once because if not he'll cry and he'll give the wife a hard time and she's already dealing with so much so I just fold and then in the evening <2:58:58 PM> Murad Nawaz - Patient: like he either wants more fast food or he wants us to make him freeze or <2:59:07 PM> Murad Nawaz - Patient: or he's straight up just wants more candy and he doesn't want to eat anything like your traditional nutritious food he doesn't like eating chicken he doesn't like eating his vegetables or fruit and I've tried everything but <2:59:21 PM> Murad Nawaz - Patient: know I think he's a smart kid but I especially with these 10 temper tantrums like it's <2:59:28 PM> Murad Nawaz - Patient: I don't sometimes I just can't deal with it <2:59:30 PM> Nick - Doctor: and <2:59:30 PM> Nick - Doctor: you know so what I'm hearing right now is there's this dichotomy of what Billy wants <2:59:38 PM> Nick - Doctor: and what we want for him and both like is from like a health standpoint and also just from like I'm hearing like an athletic standpoint too how you'd like to be more participatory in sports how is this affecting him socially <2:59:42 PM> Murad Nawaz - Patient: oh yeah I'm glad you asked I've noticed from the wife she mentioned that Billy came home crying a few times over the past few months you know we would encourage you to go out and play and after like days of trying to convince him then he might go to the park to play with the kids his age but then he comes home crying after like an hour and it's apparently the kids are making fun of him for his weight and <3:00:28 PM> Murad Nawaz - Patient: and it's not something I want for him you know <3:00:30 PM> Nick - Doctor: okay that burns I'm sorry that breaks my heart to hear <3:00:32 PM> Murad Nawaz - Patient: hi <3:00:39 PM> Nick - Doctor: how do you respond whenever he says he I want bacon I want Big Macs I want fries what is your initial response to that <3:00:49 PM> Murad Nawaz - Patient: so before I would <3:00:49 PM> Murad Nawaz - Patient: like <3:00:55 PM> Murad Nawaz - Patient: but <3:00:55 PM> Murad Nawaz - Patient: say no you're not getting this and I would say like it's bad for you <3:01:02 PM> Murad Nawaz - Patient: respond with that doesn't I don't care I want and I want it <3:01:06 PM> Murad Nawaz - Patient: and what I'm trying to do now is at least always offer alternatives <3:01:14 PM> Murad Nawaz - Patient: um you like hey if you eat this if you don't need this junk food and you eat this healthy meal instead I will I don't know let you play fortnite for like another 30 minutes or something <3:01:14 PM> Murad Nawaz - Patient: and <3:01:26 PM> Nick - Doctor: mmm <3:01:30 PM> Murad Nawaz - Patient: and that worked but a little bit <3:01:34 PM> Murad Nawaz - Patient: I then once but then once he started <3:01:34 PM> Murad Nawaz - Patient: so now <3:01:34 PM> Murad Nawaz - Patient: after his first meal like you'll get hungry again and then I'm back to square one <3:01:44 PM> Murad Nawaz - Patient: can't keep giving him fortnite like by the end of the day I'm gonna give them like three to four hours of video game time and that's not what I want <3:01:47 PM> Nick - Doctor: here now <3:01:52 PM> Nick - Doctor: let's say that we continue to let Billy eat the weight is he's eating how do you think that's gonna look <3:01:58 PM> Murad Nawaz - Patient: oh yeah <3:02:01 PM> Murad Nawaz - Patient: that has diabetes and my mom has <3:02:06 PM> Murad Nawaz - Patient: the history of heart disease <3:02:06 PM> Murad Nawaz - Patient: so <3:02:10 PM> Murad Nawaz - Patient: and <3:02:11 PM> Murad Nawaz - Patient: I'm concerned that he's going to be a risk for these things pretty early on <3:02:17 PM> Murad Nawaz - Patient: he ends up ever trying to do Sports and he's at this body weight you know I'm <3:02:22 PM> Murad Nawaz - Patient: actually <3:02:24 PM> Murad Nawaz - Patient: I'm concerned he's going to get injured <3:02:24 PM> Nick - Doctor: mmm <3:02:28 PM> Murad Nawaz - Patient: uh so <3:02:30 PM> Nick - Doctor: and kind of going back to what we talked about earlier there's also that psychiatric or the psychological aspect of it too where he's feeling like he's getting bullied because wait so there's there's a lot of like uncomfortable <3:02:31 PM> Murad Nawaz - Patient: yeah I there's a lot of things I'm concerned that if it's not controlled now it's going to be detrimental down the line <3:02:38 PM> Murad Nawaz - Patient: you <3:02:43 PM> Murad Nawaz - Patient: oh yeah for sure <3:02:52 PM> Nick - Doctor: desks I should say right now to me I feel like this is we just need to figure out who wants to own this unconfessed <3:03:05 PM> Nick - Doctor: um <3:03:07 PM> Nick - Doctor: regarding <3:03:07 PM> Nick - Doctor: it make you feel uncomfortable sometimes when you say no to him <3:03:08 PM> Murad Nawaz - Patient: not saying no <3:03:13 PM> Nick - Doctor: is Foods <3:03:18 PM> Murad Nawaz - Patient: and the temper tantrums afterwards is what makes it uncomfortable <3:03:22 PM> Nick - Doctor: yeah and <3:03:25 PM> Nick - Doctor: what does that feel like to you whenever he has those time per Tantrums <3:03:29 PM> Murad Nawaz - Patient: it's how like <3:03:30 PM> Nick - Doctor: yeah <3:03:34 PM> Murad Nawaz - Patient: my older daughter she was never like this you know I guess I was kind of lucky and blessed <3:03:41 PM> Murad Nawaz - Patient: because <3:03:41 PM> Murad Nawaz - Patient: I wasn't I didn't have to deal with this earlier but but now I'm now I'm in this position <3:03:50 PM> Murad Nawaz - Patient: I don't want to make my kids upset you know growing up I didn't get to eat all the like nice tasty foods that I wanted to for many days or we didn't have food growing up <3:03:56 PM> Nick - Doctor: composition and <3:04:03 PM> Murad Nawaz - Patient: you know <3:04:03 PM> Murad Nawaz - Patient: I know like it hurts <3:04:05 PM> Murad Nawaz - Patient: up to be hungry and not get what you want so I don't want that for my kid but at the same time <3:04:12 PM> Nick - Doctor: here <3:04:13 PM> Murad Nawaz - Patient: he's wanting things I know that aren't good for him so <3:04:17 PM> Paul Hershberger: I'm going to stop you here just for the interest of time <3:04:17 PM> Murad Nawaz - Patient: yeah that's right that's where I'm stuck in between like I don't want to make him upset feel like he's not getting the basic needs that he needs as a child but like <3:04:27 PM> Nick - Doctor: I can tell that you're <3:04:27 PM> Murad Nawaz - Patient: up but also I don't want to impact his health negatively ________________________________________________________________________________ End of transcript at Dec 9, 2025, 3:04:37 PM