While I was out of the country last week there was remarkable progress when it comes to public health and the opportunity for children. It was wild to be so far away seeing the news unfold. First it was The Supreme Court Of The United States (SCOTUS) voting to allow subsidies for the Affordable Care Act (facilitating the federal government to provide nationwide tax subsidies to support poor and middle-class people when they buy health insurance). Then just a day later SCOTUS voted 5-4 in majority to make gay marriage legal in all 50 states. With the highest court in the land stating clearly that from here forward, “marriage is a right” we realize it changes the game. These laws are about dignity and rights and care but this is squarely also about families. As a mom and pediatrician this feels MOMENTOUS. Read full post »
Leaving anyone we love is fraught with duplicity. While we feel the tug of distance, we have the fortuitous lens to see two things at once: the treasure of the bond forged and the aching feeling of distance when it’s gone. This binocular into our lives inspires joy but it also occasionally does bear weight. I’ve often said that leaving my babies (now children, but let’s be honest they’re always my babies) and going to work feels a little like walking around without a limb or without a necessary body part. Without them around something essential is glaringly absent. At times thinking on them is wildly distracting, especially right at first.
Up there, look at that graph. Haven’t you had days like this?
The fortune in raising and loving children is that we’re continually reminded of these dual realities. Life after a baby is forever transformed; as parents we are never again simply singular. Or at least as I see it, we’re not entirely whole again when alone. When we meet our babies big real estate in the heart is rapidly taken up by our children and although wandering, working, traveling away, and seeking new experiences is essential to our personal evolution, we do always seem to notice the absence of our babies when we’re apart. I’m coming to know this is true at any age. Read full post »
They’re a little gross, somewhat annoying and for most parents, inevitable. It also seems to me that for most of us they show up at the most inconvenient times. I’m talking about lice. With school coming to an end this month, you may think your child’s chances of picking up the little bugs will diminish. Unfortunately, according to the American Academy of Pediatrics (AAP) most cases of lice occur outside school. Between summer camp, sports and play dates there are still plenty of opportunities for lice to take shelter on the head of at least one family member. They’re certainly no picnic to deal with and they can also be unwittingly contagious during the school years. Clearly there’s nothing to be ashamed of when discovering lice but it doesn’t always feel that way. New guidelines from the AAP out last month offer some tips for getting your family lice-free as quickly as possible. Acting fast with a plan often diminishes all sorts of anxiety and discomfort for all. Read full post »
This is part two of the “What To Do If Your Child Is Drowning” series. Read about infants/toddlers here.
The purpose of these posts is to find out what you should do if you realize your child is actually drowning or struggling in the water rather than repeat the warnings of how to prevent it. I want to put a couple thoughts and tools in your hands to know WHAT to do if faced with an emergency.
Dr. Linda Quan, an emergency attending physician and drowning expert at Seattle Children’s shares information on what to do if you come upon a school-age child or teenager who is drowning. Preparing for this can help boost awareness and response if ever you support or discover a child in need for rescue.
Keep Your Own Safety In Mind
One of the most important things to be aware of if you see an older child or teen drowning is they are usually in water that is deeper and poses more risk to the rescuer. Always take time to consider personal risks before attempting a rescue. This requisite step plays counter to our instincts to act fast as parents and guardians of children…but I can’t overstate this. The size and strength of the child who is drowning should always be taken into consideration. Children and teens can be large enough to actually drown the rescuer. Dr. Quan says,
For this age, the “Throw or Reach” rule is the key safest rescue action.
Reach to the child with something they can grab (a stick, paddle or your hands), only if you’re in a safe place and not at risk of being pulled in by the victim. Alternatively, you can throw something that floats (a life jacket, ball or safety ring) toward the child. Do not jump in to the water to rescue a drowning child or teen unless you are trained to do so. Only those who are experienced in water rescue and have some type of floatation with them should go into the water to perform a rescue.
If possible, get your child or teen comfortable in the water. If they have had some experience in water it might be easier for them to overcome panic and either reach for a flotation device or flip over, float and breathe.
If You Think A Child Or Teen Might Be In Trouble:
- Tell someone to call for help – a lifeguard or 9-1-1
- Stay well clear of the water and any incoming surf unless you are trained, qualified and equipped to make an in-water rescue in these conditions
- If the child has been taught to float, yell to them to flip over, float and not fight the current.
- Immediately throw the child who is old enough something that floats (e.g., a lifejacket, ball, body board, empty cooler with lid secured)
- If you can safely do so, reach to the child with something they can grab (eg., stick, paddle) – STAY out of the water.
- Safely remove the child from the water without endangering yourself.
- When you get the child to shore, if the child is conscious, provide warming and comfort. If the child continues to have any breathing trouble, such as shortness of breath, fast breathing, coughing, labored breathing or seems too tired, seek medical care immediately. If the child is unconscious, lie the child down on his back, chin up.
- If the child is blue or not breathing, give several rescue breaths ( mouth to mouth).
- If the child does not take breaths or respond on his own, start CPR (chest compressions with ventilation).
- After several rounds of CPR, call 911 if they have not been called yet.
To learn more about child CPR check out this article.
Warm weather is here and summer is approaching and if mother nature is kind, we’ll have plenty of sun-filled days over the next few months to spend by the pool or at the beach. Unfortunately, this is also the time of year when drownings increase. Young children are especially high-risk because of their profound curiosity around water and lack of awareness of danger.
Drownings are preventable deaths but even the thought of them spooks most of us. Often, a drowning event looks, sounds, and appears unlike we’d expect. I’ve written before about the silent danger of drowning, but rather than reiterate the warnings of how to prevent drowning, this year I wanted to find out what you should do if you realize your child is actually drowning. Put a couple thoughts and tools in your hands to know WHAT to do if faced with an emergency.
I tapped Dr. Linda Quan, an emergency attending physician and drowning expert at Seattle Children’s for information on what to do if you come upon a infant/toddler, school-age child or teenager is drowning. Preparing for this can help boost awareness and response if ever you support or discover an infant or young toddler in need for rescue.
Drowning In Infants Is Different Than Older Children
Children ages 1 to 4 have the highest drowning rates. Because they are so small in stature and often easier to retrieve, drowning prevention for infants and toddlers will always be more important than water rescue techniques. Never leave children alone in or near the water, even for a minute. This includes the bath, a kiddy pool, a pond, a river, lake or larger pool. Close supervision is vital in preventing water-related injuries and drowning. Since it only takes seconds for a child to slip silently under the water, parents need to make sure there is always a lifeguard on duty, or another adult, or a parent watching attentively when children are in or around the water. Dr. Quan says,
For an infant, a child younger than a year old, drowning usually happens in a bath tub, bucket or ornamental pond or water collection device, so rescue does not usually pose a risk to the parent or rescuer. This small child is easily pulled out of the water if within arm’s reach.
What To Do If You Think Your Baby or Toddler Is Drowning:
- If the child is blue or not breathing, immediately give several rescue breaths (mouth to mouth breathing).
- If the child does not take breaths or respond on his own, start CPR (chest compressions with ventilations).
- After several rounds of CPR, call 911 if they have not been called yet. The video below gives a quick overview of infant CPR. You can also check out this article for more information.
Maybe forty is middle-age, for me it’s certainly been in the-middle-of-something. I turn 41 later this week and I must admit, my year being 40 felt slightly more rigorous than the ones that came before it. Perhaps just circumstance, but my year was peppered with rare opportunity, great loss, brilliant connection, and perspective-building change. The change and loss has been arduous in ways, each lesson feeling like just another onion layer of innocence peeled away. Hard work to love and to lose. Hard work to try and to fail.
Yet nothing about me wants to be younger.
I’m thankful for the perspectives I’m gaining and the experiences I’m acquiring — even the brutal ones. I also know my experiences aren’t nearly as “brutal” as many. But somehow I feel even more ready to parent my little boys after losing beloved people, saying goodbye to a pet, and enduring challenges unexpected. Finding patience for change and learning more about living, where we have very little control, certainly is quite a gift.
This past weekend we lost Luna, our 13 year-old puppy doggy, which has me thinking again about Mary Oliver’s reminder of this “one wild and precious life” we’re given. Our puppy had a long life but there’s no question saying goodbye and living into the absence of her abundant enthusiasm aches. Her early and steady devotion to me and to our boys was mind-blowing. The lessons she facilitated were somewhat profound, even as I said good-bye to her. I wished I’d done things a little differently; wished I’d rejoiced and sent her off in her very final moment soaring. All I could do was bury my face in her ears. Thankfully pets are tirelessly generous, letting us fail with very little consequence. Messing up with the dog at times certainly improved the strategies I have in juggling all the responsibilities with children and work and loss now moving forward. I’m so grateful. Read full post »
The minute we become parents we immediately start to hone in on the value of our children’s sleep. Their growth, their feeding, their development and their sometimes labile temperament quickly illustrate the import of real rest in our lives. Many parents advertise their commitment to their child’s sleep as a huge parenting win. Those of us who struggle with it, we often admit defeat. It’s clear, pretty early in infancy, that sleep transforms who we are, how we think and how we live from day one. Our babies are savvy professors in this regard.
Modern parenting conversations are teasing out the value of child sleep versus the value of adult sleep in multiple ways. In some cases, it’s the tug-o-war and battle-of-minds while discussing data and beliefs around when to let a baby cry-it-out. Working parents often report on their inability to sleep in the early working/baby years. In the U.S. we constantly revere those who don’t sleep a lot — productivity seems to trump wellness in the hierarchy: there are politicians, profressional athletes and successful business people who brag about their capacity and earnest commitment to their craft via the lens of accomplishing greatness on minimum sleep. All this, despite the mounds of research that find health and performance benefit from a good night’s rest.
No question it’s culturally acceptable (if not culturally desirable) to sacrifice our own sleep for our children’s. I’m uncertain there are hard and fast rules here about which is more important but I speak with sleep expert, Dr. Maida Chen about the value of sleep routinely. We decided to share some perspectives on sleep (see the video) because I wonder:
What about you? What about your sleep?
Just this morning someone commented on the intensity with which I work and suggested (like so many do) that I must not sleep. I was happy to report that I’m all in for improving things, but that I also have spent a good deal of energy these past years making great time to sleep at night, while also carving out time to love-up those in my life who consume my heart. I think there is a better way to care for ourselves and it may start with 7 or 8 hours a night with our eyes closed.
Support For The Value of Sleep
In the video we mention a bit of data. Read more here:
It’s a gorgeous time of year when things are abloom. Many of us suffer from irritation and allergies to these months as pollens and particles float around and trigger allergic response. Not so beautiful when our families (over)react to pollen. Thing is, there’s also the fact that cold season isn’t quite over and the exact cause of that runny nose your child is dealing with may be hard to decipher. One hint that it’s allergies and not a cold: do you, your spouse or any of your other children suffer from seasonal allergies? Unfortunately if so, there’s a 25% chance your child will too. That said, the likelihood more than doubles when both parents deal with allergies on a seasonal basis. Watch the video above for tips on telling the difference between hay fever & the common cold and when to be on the lookout for the former.
Allergies Or A Cold This Time Of Year
- This is common: 1 in 5 Americans have allergies at some point in their life so allergies and over-reacting immune systems are a part of many families. Hay fever is the most common allergy in America and can easily be treated with avoidance to allergens (avoid parks when irritating pollens around and/or take a shower when you get home from the park and wipe those pollen allergens off!), OTC medications, and sometimes additional prescription medications. Most children with hay fever only need allergy medicines during seasonal bursts but some children benefit from year-long treatment because of allergies to multiple things. Here’s more on OTC medications used to treat allergies.
- Often allergy symptoms change with age; allergy symptoms can accelerate during young childhood but then often subside and diminish as you age into adulthood. Talk with your child’s nurse, PA, or physician if you’re concerned about their symptoms or their trend in symptoms as they age.
- Read medication labels for ingredients in allergy medications. Use the lowest dose possible to treat symptoms and talk with your child’s clinician if any questions about dosing. If your child is under age 6, check in at the physician’s office before doing a trial of an OTC antihistamine. If over-the-counter medications don’t improve symptoms or suffering, don’t panic — if the cause of symptoms are allergic there are prescriptions and many environmental changes you can make to improve your child’s discomfort.
This post was written in partnership with knowyourOTCs.org. In exchange for our ongoing partnership helping families understand how to use (and dispose of!) OTC (over-the-counter) medicines safely they have made a contribution to Digital Health at Seattle Children’s for our work in innovation. I like the Know Your OTCs tagline, “Take your healthcare personally.” You can follow @KnowYourOTCs #KnowYourOTCs for more info on health and wellness.
Two new Pediatrics studies are out this week teaching us more about the effectiveness of the whooping cough vaccine. Lots to learn about how we protect babies and reminders here why we’re immunizing moms during EVERY pregnancy:
- First, the good news: traditionally we have been trained to tell parents that the first shots we give during infancy aren’t fully protective for infants but rather the beginning of creating immunity against the diseases they prevent. However, a study conducted by researchers at the CDC looked back at cases of infants with pertussis from 1991-2008 and they found evidence that babies who received their whooping cough shot as early as they could, at the age of 6 weeks, were less likely to be hospitalized and/or die from the infection. Wonderful news! The first evidence out there that even that first shot, when given as early as possible, helps protect very young infants who are most at risk from whooping cough. New parents can increase protection, even during outbreaks like we’re having right now, by getting their babies immunized on-time and as early as possible.
- The not so good (but important) news: the effectiveness of the Tdap shot given to young teens (explained more below) doesn’t always provide long-lasting protection and wanes significantly in the years after the 11-year-old booster dose is given. New research out found after 1 year, about 70% of teens are still protected from the booster, but by 4 years after the shot only about a 1/3 of them are. More: