The 2nd recreational pot store opened in Washington State recently while store #3 opens later this week. Pace will quicken with several more stores expected to open by year-end. This puts parents and pediatricians in our state in a unique situation (shared only with Colorado) as we’re tasked to explain to children and teens the dangers of legalized drugs used by adults. However, the complexity extends even to those of us with young children. Growing concern (and evidence) finds accidental ingestion of pot among children, often in the form of edibles, is also accelerating. Online in social channels I’ve heard some argue that marijuana legalization is to be thought of like alcohol but the packaging and delivery of the drug really are far different.
35 different marijuana-infused food & beverages have been approved by WSLCB (cookies, trail mix, peanut brittle, gummy bears, and chocolate bars for example). Often the packaging for these products looks as attractive as a fruit roll-up or delicious candy bar typically marketed to children.
There have been 68 pediatric marijuana exposures voluntarily reported to Washington State poison control already this year. Because reporting isn’t mandatory this is potentially an underestimate of the number of children exposed to marijuana accidentally.
26% of parents say they’ve used media as a distraction when with their children and we all certainly know our own smartphone use may be changing who we are as parents. No question I get cranky with my kids if I’m emailing on my phone and they interrupt me. Just one of many unfortunate realities of having work with us at all times. The more devices I use and the better they become at helping me enjoy life, the more imminent the need for getting serious about the daily calisthenics of doing things without our devices. Remember this article, Don’t Text While Parenting: It Could Make You Cranky ? It is becoming more and more uncomfortable for us to be away from our “phones” as we progressively depend upon them for daily living. I use my phone as a computer, a mail service, an organizer, a calendar, a video camera, an activity tracker, and a GPS every day. Of course I like when it’s around but there is also NO question that the best part of the last week of my life was time when my device wasn’t in arm’s reach…
5 Tips For Compartmentalizing Your Digital Life
On a Diet: We parents can model effective “media diets” to help children learn to be selective and thoughtful about compartmentalizing digital tools. I fail at this all the time, slipping into old habits or just “checking something quickly” online when unnecessary. Working on crafting a plan for what I consume and when I consume it, helps. Also thinking about what our children watch and play online/with devices and for how long, helps too. Yes, have movie night but also think about co-viewing programs with your children of any age and spend time discussing values and reactions you have to shows you watch and apps you play together. Be intentional showing your children the things you do to minimize technology interfering with things you love (keeping cell phones out of bedroom, putting cell phone in backseat of the car so you don’t text and drive).
Media deprivation: do you think it exists? Although laughable at first glance I know I’m not the only parent who wonders if limiting screen time could change my child’s opportunity. Those of us who fiercely control screen/device time may have momentary lapses where we wonder if we’re doing things right. Even though I’m convinced there isn’t a study telling us that typically-developing children need media/apps/screen time to learn how to think and evolve into compassionate, successful, and happy adults, part of me wonders if my screen policing isn’t ideal.
Are You Screen-Phobic Parent?
There may be an inverse relationship worth noting: perhaps the more a parent loves technology, the more they see technology’s omnipotence and its invasive, devious elegance. Do those of us who adore technology consequently limit its use at home? Unsure there are data to back this up, however there are some nice anecdotes. Turns out Steve Jobs was a low-tech parent. “We limit how much technology our kids use at home,” he said. In addition, The New York Times reports that Chris Anderson, former editor of Wired Magazine and current CEO of a drone company draws hard lines:
This is rule No. 1: There are no screens in the bedroom. Period. Ever.
The American Academy of Pediatrics guides us that media should be limited (ideally to less than 2 hours daily) and advises us to protect the sanctity of the place our children sleep by keeping screens out. Pediatricians work heroically in the office trying to help families get a sense of why moderation with media matters and the benefits for making media plans. You’ve probably heard about concocting a “media diet” and ways to reduce screen time, especially before bed. Some of us take it pretty far…our children may go days and weeks without screens while at home. Perhaps its my own technology enthusiasm and unending quest for balance with devices that has me locking up all the tablets and computers at home. In our home the phones, tablets and computer have taken the place of Drano — they’re up and out of reach. Read full post »
In my mind it’s no wonder the American Academy of Pediatrics has a statement against spanking. Spanking, in the simplest form, is the act of hitting a child, using physical force to try to get a different outcome. Thing is, spanking is an ineffective discipline tool in the long-run and research shows it’s damaging to a child’s mental health. Most parents don’t want to spank their children and may spank or strike a child while frustrated, making spanking more than just a tool for discipline, rather at times just another way to vent anger or frustration…
I’d say we spend countless hours teaching and modeling behaviors for our children in early childhood to ensure they do the opposite of spanking: we teach them to “use their words,” take “timeouts,” and to take deep breaths when frustrated or when throwing an enormous, inconvenient tantrum. We teach them to look for an adult for support if they need “back-up” during conflict resolution. When an adult turns around and uses physical force and strikes a child, they teach just the opposite. Spanking is hitting and hitting is always avoidable when enmeshed in a conflict.
If that doesn’t seem quite right to you consider it this way: under the US law, when angry or upset about the way things are going in your life the only person you can legally hit in our culture is a child. I’d suggest they are the most vulnerable and voiceless in this regard, the only members of our society with no capacity to change the law (vote). Just this winter lawmakers have argued to allow spanking at home and school that could leave a child bruised in the name of “parental rights.” In the US, you can’t punch or beat up your neighbor, your child’s teacher, your co-worker (assault), thankfully you can’t strike your partner/wife/husband (domestic abuse), and you can’t punch your other relatives (assault). But in many states in our nation, it’s legal to hit your child when they do something you didn’t want them to do. Of note, it’s still lawful to spank a child at school in up to 19 states.
Tonight, after President Obama speaks, PBS airs a NOVA documentary about vaccine science and safety. Vaccines: Calling The Shots. It’s told through the parent, pediatrician, and community lens. If you’ve ever wondered about vaccines in America, it’s time to tune in. I’ve been in touch with the team producing this documentary. Seriously excited to hear this story unfold tonight.
Florida politicians will not change pediatrician resolve to advocate for and protect children. There’s no question that a gag order cannot halt a passionate child advocate. I’d call the recent Florida ruling a dull tool taken to a very sharp crowd. Consider this post an open letter to Florida politicians…
I live as far away from Florida as any continental American (you do the math) yet Florida politics this past week affect pediatricians and families everywhere. In my opinion, every parent should tune in and follow this case. Florida just restricted physician free speech and hindered a physician’s ability to help your neighbors, your relatives, and your family create a safe environment for children.
Florida may have gotten this wrong thinking that restricting a pediatrician’s words and inquiry about safely storing firearms meant that pediatricians were trying to take away guns. Not so fast.
The Florida Physician Gag-Order Law:
Last Friday The 11th Circuit Court of Appeals in Florida upheld the “physician gag law” in Florida, a law that violates the First Amendment rights of pediatricians and family doctors and threatens their ability to counsel parents about how to protect children from unintentional injury and death. This started way back in 2011. Then the law was appealed. Now the appeal is overturned. This ping-ponging is just politics but the waste here is distraction from protecting children. In 2011 I explained the gag-order for pediatricians — basically it’s this: Florida says it’s illegal for pediatricians to ask about how families and guardians store firearms in their home even though we know about 4,000 American children die every year from firearm injuries. Read full post »
On Sunday night I left the house for a quick run. It was 9:20pm. It’s been years since I ran in the dark and likely a decade or more since running at night made any sense in my life. As every parent knows, we’re jailed in our houses around 8pm when the kids go to bed — if exercise hadn’t yet happened it gets pushed off until “tomorrow.”
Sunday night the Fitbit was 100% of the driving force behind me putting on my running shoes. I was about 500 steps shy of my 10,000 step goal and couldn’t go to bed, in good faith, that close to success (see image below).
Crazy or perfect? I wear 2 devices now. This month I added a Fitbit to my wrist; I’d already been wearing my Shine for a year or so and had certainly had seem improvements in self-awareness, a better understanding of my sedentary days at work, and the rewards of having daily data about my movement. I exercise a lot more now compared with a year ago. The reasons are multi-factoral of course (turning 40, losing loved ones, craving exercise) but the device has unequivocally helped. Adding the Fitbit to my wrist was designed to help hone an understanding for the level of consistency 2 devices can have (on the same person). The other reason was Fitbit would allow me to “compete” and/or compare daily totals with my husband. This is 40, my friends.
No question that in short order the Fitbit has helped me understand the difference between my movement and my activity, something I’d not really spent time on previously. For example, Sunday was a day of housekeeping. I’d moved around all day doing errands, going to store to buy hangers, cleaning the closet, goofing around with the boys, but I hadn’t been out for a run or bike ride — my first glance my Fitbit was about to give me a false sense of security. I nearly got my goal (in steps) without any real, active “exercise.” Like almost 1/2 of American adults, I hadn’t gotten the 30-60 minutes of moderate-to-vigorous activity (walking briskly, running, cycling, swimming) we all crave and need. All the sudden it dawned on me — it wasn’t just the number of steps I’d had on Sunday that mattered it truly had to be about how I got them. I was 500 steps shy of my goal of 10,000 steps but the Fitbit also told me I’d only had 2 minutes, the whole day, of active time. YIPES! Read full post »
The boys and I read two extra books last night — we almost skipped it altogether as it was late and we were beat from a long day and yada, yada, yada…you know the drill. But reviewing this data changed me, yet again. I knew some of the value of reading to young children before I had kids because of my experiences being a teacher and my training in pediatrics but the refreshers provided this week only compound my interest in screaming the value of reading from the rooftops.
It’s NEVER too early to start reading to your baby. Reading aloud before bed is always the right thing to do.
This week The Clinton Foundation with Too Small To Fail, The American Academy of Pediatrics, Reach Out And Read, and Scholastic got serious about ensuring our country takes reading seriously right out of the gate. For the first time ever the groups have come together to proclaim that parents should start reading to children “as early as you can” after birth. The new policy and partnership emphasizes the need for early reading to all infants and children while also emphasizing the necessity that all pediatricians promote this healthy habit at birth and through all preschool doctor visits. Profound health disparities currently exist for US children and book time. I suspect the numbers will surprise you.
It’s a no-brainer to most parents I talk with that reading books enhances development, literacy, and school readiness. What may surprise you is that reading has also been found to enhance the relationship between a child and parent. Reading books (or even the newspaper) to your infant from day one can have profound effects on how they live, how they talk, and how they learn — the impact extends well into adulthood. From the very beginning, though, some children are missing out. Children from low-income families hear fewer words in early childhood and know fewer words by 3 years of age creating the “word gap” early in their lives. The more words a child hears during early, critical times for language development, the more they’ll know. And although reading books can be a great resource to introduce an expansive, enriched vocabulary, less than 1/2 of children are read aloud to in this country every day.
All families face issues of limited time, limited parental understanding of the key role of reading aloud, and competition for the child’s interest and attention from other sources of entertainment ~ The American Academy of Pediatrics Council on Communications And Media ( 2011)
A new policy statement from The American Academy of Pediatrics finds that many women, including up to 1/3 of pregnant women, may have low levels of iodine putting them at risk for iodine deficiency. The reason for the deficiency is the changing food source. Over the last 20-30 years our major source of salt has shifted away from table salt (supplemented with iodine) to salt from processed foods, sea salt or gourmet salts that have no supplemental iodine. This is especially important for breastfeeding and pregnant women as iodine is essential for thyroid function that supports fetal and newborn brain development.
This policy statement was news to me. I had no idea that the salt used to make most processed foods lacked iodine, that the majority of prenatal vitamins didn’t provide iodine, and the number of women who may have a deficiency. I’m not alone; when I polled my Mama Doc Facebook community most moms & many doctors also commented this was a newsflash. Here’s more:
Iodine Deficiencies– Shifting Sources Salt
WHY ARE WE DEFICIENT? Most processed foods made are with salt that is not iodized. Since we get most of our salt from those foods we’re taking in less iodine than we used to.
TABLE SALT INTAKE: Table salt is iodized, many gourmet salts are not. Consider ensuring that when cooking in your home (ie putting salt in the pasta water or salting the veggies) you use iodized table salt so your intake of iodine goes back up. REMEMBER: this doesn’t mean you should eat MORE salt, just swap in the table salt for the fancy salts when you can.
WHY DO WE NEED IODINE? We need iodine for thyroid hormone synthesis as thyroid is essential in brain development and metabolism. The policy reminds us that even mild iodine deficincy can affect fetal and early childhood neurocognitive development stating, “adequate thyroid hormone production is critical in pregnant women and neonates because thyroid hormone is required for brain development in children.” The recommendations from AAP spelled out:
Our house is teeming with excitement about the impending reality: it’s almost summer break. As the hard-core school, sports and carpool coordination chaos eases up, you wanna know one thing I’m really hoping for this summer break? A bit more sleep. I do a great job protecting my children’s sleep and a mediocre job protecting my own. I work on sleeping with my cell phone off and away from while getting 7 to 8 hours of sleep but reality is my phone has a tendency to creep back up next to the bed and I am often up early to start working. Clearly I’m not unusual in this way. Parenting and sleeping a lot don’t necessarily go hand in hand. Studies find 14% of grade school children are still getting their parents up. The news is grim when it comes to sleeping with our phones, even 4 out of 5 teens say they sleep with their phone (on or near the bed). It’s becoming clear that quality sleep is one of the most undervalued power solutions to preserving wellness in our families. The more data I review, the more I know we have to get the word out on the value of sleep and the way that we protect it as we raise our children. Culturally, this is a swim upstream; we’re bred to revere those who do so much during the day they are left with limited sleep at night. Some new data, a funky article ending, and a 4-minute TED talk lay the foundation for my 3 quick reminders: Read full post »
Seattle Children’s provides healthcare for the special needs of children regardless of race, color, creed, national origin, religion, sex (gender), sexual orientation or disability. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho.