Transcript of conference held at Jan 28, 2026 in room first_test@conference.miaiconvo.com Initial people present at 6:37:23 PM: Mallory Joseph - Doctor Kate-Patient Transcript, started at 6:37:23 PM: ________________________________________________________________________________ <6:37:23 PM> Kate-Patient joined the conference <6:37:23 PM> Joseph - Doctor joined the conference <6:37:23 PM> Mallory joined the conference <6:37:24 PM> Joseph - Doctor: hi Keith thanks for coming in with your son I'm glad I wanted to talk a little bit about his weight is that okay with you <6:37:28 PM> Kate-Patient: yeah <6:37:35 PM> Joseph - Doctor: first off do you have any concerns with your child's weight <6:37:37 PM> Kate-Patient: um yeah I have noticed he's needed new clothes a lot faster and he told me recently excuse me and told me recently that he he didn't want to play outside with his friends because they were making fun of his <6:37:55 PM> Joseph - Doctor: I'm sorry to hear that what uh with this <6:37:56 PM> Kate-Patient: oh awful I don't want my child feeling bad <6:38:01 PM> Joseph - Doctor: with the friends making fun how does that make you feel <6:38:06 PM> Joseph - Doctor: yeah <6:38:10 PM> Kate-Patient: ever <6:38:11 PM> Joseph - Doctor: all with <6:38:13 PM> Joseph - Doctor: stress will have there been any changes any difficulties with getting him with having meals having like weight cutting strategies have you made changes in the past for this <6:38:14 PM> Kate-Patient: I mean I've tried to give them healthier foods and he just doesn't want to eat them and I'm just so busy with work in school and things have just been really stressful Society you know just another battle to fight <6:38:28 PM> Joseph - Doctor: you <6:38:33 PM> Joseph - Doctor: it means <6:38:47 PM> Kate-Patient: so I I kind of just do whatever works now with him do a lot of snacks <6:38:51 PM> Joseph - Doctor: what I'm hearing is your son is a picky eater and there's been a lot of stressors that have made it difficult for you to give get him more Foods besides snacks and maybe processed meals is that right <6:39:07 PM> Joseph - Doctor: yeah what would you like to do with regarding this were there any changes you wanted to make <6:39:17 PM> Kate-Patient: um I mean it would be nice if if he weren't so picky and I would love to see him at a healthier weight and just feel better about <6:39:26 PM> Joseph - Doctor: here <6:39:30 PM> Joseph - Doctor: regarding your son has he had any has he told you that he's wanted to lose weight or does he have concerns for his weight <6:39:30 PM> Kate-Patient: elf <6:39:32 PM> Kate-Patient: oh no I I think that it bothered him when his friends made fun of him but I don't think he really thinks about it much more than <6:39:51 PM> Joseph - Doctor: yeah or for you regarding how ready on a scale 1 to 10 10 being the you want to make changes as soon as you step out of the clinic how ready are you to make changes or want to make changes with your son's weight <6:39:53 PM> Kate-Patient: that <6:39:53 PM> Kate-Patient: I would love to make changes I just I don't even know I just I feel like I've tried the changes and they didn't work so <6:40:14 PM> Kate-Patient: you know that was frustrating and so then it just had me go back to like whatever's easiest <6:40:16 PM> Joseph - Doctor: yeah <6:40:21 PM> Kate-Patient: so sorry you said on a scale uh I don't know maybe like a seven <6:40:26 PM> Joseph - Doctor: so okay with the changes with the way things are now what's good about the way things are now <6:40:28 PM> Kate-Patient: um this is easier he doesn't fight with me I don't have to worry that he's not getting enough to eat that's sort of thing <6:40:42 PM> Joseph - Doctor: okay and what's your ideal outcome with your son's weight <6:40:50 PM> Kate-Patient: I mean I'd like him to fit into his clothes a little bit better and I definitely would like him to feel like I don't want him to be worried about his friends making fun of him I had no I said that he doesn't seem to be but I don't know kids can be so mean I feel like it's only a matter of time <6:40:53 PM> Joseph - Doctor: oh yeah <6:41:02 PM> Joseph - Doctor: I mean can you tell me more about the changes you've tried in the past <6:41:09 PM> Kate-Patient: here I've tried like fresh fruits he doesn't seem to like those <6:41:21 PM> Kate-Patient: we haven't really been we he doesn't want to learn to ride a bike because I thought maybe I could get him to go exercise with me um so I guess I could try to go outside with him more and just move <6:41:36 PM> Joseph - Doctor: yeah what things does your son like to do outside <6:41:39 PM> Kate-Patient: he just he played by himself a lot of the time <6:41:45 PM> Joseph - Doctor: he a great idea for that regarding <6:41:48 PM> Kate-Patient: has shown an interest in basketball recently so I thought maybe we could play basketball together <6:42:00 PM> Joseph - Doctor: the basketball is their is there anything that worries you about your son trying to change or do you have any concerns for that <6:42:10 PM> Joseph - Doctor: okay <6:42:11 PM> Kate-Patient: know just <6:42:17 PM> Joseph - Doctor: um and I understand that your son's been having this issue for quite a while now is there <6:42:18 PM> Kate-Patient: I'm just like the the instance with his friends but yeah and I used to fight him more and on the nutritious foods and not having so many snacks and not getting like fast food and stuff and just things have been so stressful for me lately that I haven't really been fighting him as much on that <6:42:24 PM> Joseph - Doctor: what's made this important now why do we want to address this now or has there been any recent changes <6:42:53 PM> Joseph - Doctor: and what's dresses have you had recently <6:42:59 PM> Kate-Patient: just like with work and school and his dad's not around lot so a lot of the child care Falls to <6:43:02 PM> Joseph - Doctor: is there one aspect that you would like to see change that would make it easier <6:43:17 PM> Joseph - Doctor: to help care for your son <6:43:21 PM> Kate-Patient: I mean I guess it's possible that there are healthier Alternatives I haven't tried that he would like so maybe if I had <6:43:31 PM> Kate-Patient: like more education on that <6:43:34 PM> Kate-Patient: um <6:43:37 PM> Joseph - Doctor: have there been healthy foods in the past that your son has like <6:43:44 PM> Kate-Patient: not really I tried it sometimes hide piece or corn in his mashed potatoes he finds them <6:43:59 PM> Kate-Patient: sometimes deleted anyway <6:44:01 PM> Joseph - Doctor: can you tell me more about the times he'll eat heated anyway <6:44:06 PM> Joseph - Doctor: okay <6:44:07 PM> Kate-Patient: I think it's probably just when I fight him on it more and he knows there won't be an alternative <6:44:15 PM> Kate-Patient: maybe if I found more foods for him that he enjoyed that are also nutritious if I found better alternatives to what he's currently <6:44:15 PM> Joseph - Doctor: it's fighting your sons you see any way any other ways on how things couldn't prove <6:44:24 PM> Joseph - Doctor: okay <6:44:32 PM> Joseph - Doctor: and are those Alternatives is that <6:44:33 PM> Kate-Patient: in <6:44:36 PM> Joseph - Doctor: is a change that you would like to start making sooner <6:44:36 PM> Kate-Patient: yes <6:44:39 PM> Joseph - Doctor: yes okay <6:44:42 PM> Joseph - Doctor: I think that's all I had for this case just trying to know how to close it out from here and like 20 seconds ________________________________________________________________________________ End of transcript at Jan 28, 2026, 6:44:51 PM