Parenting

All Articles in the Category ‘Parenting’

Take Me Out To The (Peanut-Controlled) Ball Game!

ThinkstockPhotos-508446509Having food allergies (specifically to peanuts) might prevent you and your family from attending certain events, but baseball in Seattle hopefully won’t be one of them. The Seattle Mariners are offering 5 “peanut-controlled” games this season at Safeco Field. No peanuts will be allowed in sections 313, 314 and 315 in the view box level during these games. And although fans should note that peanut-controlled does not mean the game will be entirely peanut-free, this does offer a new way to improve safety for children with serious allergies. The Mariners certainly deserve an “Atta Boy!” for this one. (More game information below).

While peanut allergies have doubled in the past decades and are reported to have tripled between 1997 and 2008, they are just one food allergy of the nearly 400,000 school-aged children who suffer from mild to severe reactions if exposed to an allergen. Some food allergies are serious and life-threatening.

One in every 13 children has a food allergy so this isn’t a rare experience for children or their families. How we support our own children and children in the environment, at school, in sports, and at our homes is also changing. We really are perhaps becoming more compassionate and sophisticated (peanut-free tables, thoughtful policies for birthday treats, more open discussions about how best to include children with dietary restrictions). The Mariners games are just a lovely example of how to do things better at scale.

When To Introduce Peanuts To Babies?

Data is still evolving for recommendations for all babies, but about a year ago (March, 2015), new recommendations (comprehensive blog post) were given regarding introducing certain foods to babies. The New England Journal of Medicine found if allergy-prone infants were introduced to peanuts early in life (between 4 and 11 months of age) their risk of peanut allergy at age 5 years significantly decreased. The current American Academy of Pediatrics policy on food allergy introduction (revised in 2008) states there is insufficient evidence to support delayed introduction of potential food allergens to reduce the risk of developing allergies. This means holding back on foods during infancy isn’t recommended! Try introducing things like wheat, egg, soy & fish before 12 months. We’re moving towards not waiting on any foods in late infancy and this data on peanuts is the beginning of understanding creating recommendations to start foods early. More data will help make these recommendations for all babies. Check in with your baby’s doctor with any questions or concerns, especially if food allergies run in the family. Read full post »

Your Children Not Sleeping? It Might Be YOU

parent sleep

No question sleep — the good and restorative kind of sleep — changes our day. Sleep is tied to our outlook, our mood, our performance, our safety, and our sense of stress/anxiety. We’re nicer people after we sleep. I often say that after a good night of sleep I get to be more of the mom I earnestly want to be. Sleep is magical that way.

Thing is, sleep has a profound effect on our perspectives and attitudes about life. In fact research has found that sleep loss causes bias in our memory — the less sleep we have the more we focus on negative events and the more our memory builds space for memories of the negative details in our life. Yikes.

You know how it is…we all do. You start the day exhausted or you head into work tired, clutching your coffee, trying to rev up for the day. Your child didn’t sleep well through the night and therefore neither did you. Happens all the time, of course and to some parents more than others. You’re wondering (and likely doing some research online) what you can do to improve their sleep. What tricks haven’t you tried? What schedule should you be following? The hidden answer might be the last thing you’d think of …your own sleep.

Thing is, if we didn’t sleep well last night we may be misrepresenting the facts of the night.

A new sleep study published in Pediatrics showed that parents who don’t sleep well may mistakenly believe their children didn’t either. The researchers studied the sleep of 100 2- to 6-year-olds in Finland and their parents. Children wore bracelets (devices called actigraphs that track movement and quantify sleep) for a week to estimate sleep duration and quality while parents kept a sleep diary for their children and filled out a sleep questionnaire. Parents’ age and education were included as relevant variables in a the study as well as the child’s age, gender, chronic illnesses, medications, and number of siblings.

People who sleep poorly overestimate their children’s sleep problems.” ~Marko Elovainio, author of Pediatrics study

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Candy Or Medicine? Safe Medicine Storage

candy or medicine

Image c/o Strong Health

The role parents play in poison prevention is paramount. The above image shows just how easy it is to confuse medicine with candy. Especially if we message this improperly. When my boys were young I started calling liquid medicines “yum-yums” in an effort to get them to take acetaminophen or other medicine easily only to realize as I was doing it I was advertising the wrong thing…totally novice move as a mom and pediatrician. Clearly as parents we’re always a work in progress.

Safe medicine storage is one of those obvious things we feel we have under control. But numbers for accidental ingestion in the US prove we don’t. Young children are earnestly dependent on us doing this better.

Check out the above image — the packaging of medication earnestly isn’t any different to most of us than the packaging for candy. Imagine a 3 year-old trying to differentiate between the two in a moment of discovery. Pretty easy to imagine a 4 year-old stumbling upon a skittle and seriously impossible to imagine them over-riding their curiosity to explore/enjoy with their mouth. Chances are, that medication/skittle is going into their mouth.

Medication storage isn’t just for your typical over-the-counter (OTC) medications. With our households changing and many people coming though them, we have to think about prescription medications, liquid nicotine, marijuana and household products that all need to be up and out of reach. To that end, safe medicine storage is an important part of family and household safety. This week is National Poison Prevention Week so the perfect time to perfect our homes a little more. This includes any home your child plays in or stays in. Read full post »

One Image Of Parenthood

Usually I arrive here to write and share things that might help. I mean, my hope as a mom and pediatrician is to elevate research, share vulnerability, toss out the irony in the isolation of ideas trapped in an ivory tower and bring in hope for more understanding. I’m usually here to share because I believe if we swap ideas through narrative we all move towards calm and confidence or knowledge and skill as parents, caregivers, adults, children, and partners.

But today I’m just here at my kitchen counter wanting to share an incredible image. Just wanting to make sure you’ve beheld it, too. I haven’t read a single word about the image and I will keep it that way. I don’t want others’ ideas or personal narratives or their agendas to taint what I see. And my hope here is to do the same for you.

All I can say is that for me the image is a triumphant, loud reminder of the immense privilege, the singular honor, and the wired intuition we hold when we get to parent a child. I mean life happens. In all its messy truths and horrific pains, mistakes and brilliant saves, and in our jubilant discoveries and the small gifts given every…single…day. But there was moment this past Saturday, captured by a lens, that explains so much about what and how we fear, what comes flying at all of us on Planet Earth, and what we can truly handle.

Enjoy this photo worthy of a long stare. I get lost in it.

High Stakes: What Can You Explain To A 6 Year-Old?

IMG_4114A couple of weeks back my mom spent a bit of time with my little love on the sideline of his brother’s soccer game. She’d brought in an unusual pine cone to show him that she had picked up on her way in. It showcased the delicate symmetry and stun of nature — twelve seeds spiraling around a centered seed perfectly nestled in a whirly cone. It’s a marvel to hear her explain how the pine cone works to potentiate future life and it’s instructive with how well she understands it. I couldn’t have explained the process so well but I’m not the naturalist my mama is.

As I witnessed their conversation, his unrelenting questions, and the profound knowledge a parent or grandparent needs to know to satisfy a curious 7 year-old’s natural intrigue, I tripped. Not literally, but almost. I was also immediately reminded of an Einstein quote I’d read the week prior that has been STUCK in my head ever since. When you read it, you’ll know the loud truth in it. And it has me reflecting on the enormous task and wild skill it takes to raise a child. I mean our children are exceptionally creative (unclipped, if you will), wildly ready to learn about the sights and sounds around them, and innocently unexperienced. As parents and their obvious anchor, our children constantly look to us to explain.

Explaining takes great skill, inordinate preparation, and earnest mastery. Perhaps this is obvious, but the skill it takes mesmerizes me. Einstein’s quote rings out like a bell.

If you can’t explain it to a 6 year-old then you don’t understand it.

~Albert Einstein

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New Birth Control Laws: Preventing Unplanned Pregnancy

Birth ControlEasy, confidential access to affordable birth control is essential if we’re going to decrease the rate of unplanned pregnancies. The dynamics of birth control access are changing, thank goodness. As we’ve heard about parts of the world simply telling women NOT to have babies (Hello, Ecuador) we really do have to think about how women and men prevent pregnancy when not ideal. And how we support women getting information they need to make the safest and most reliable choice. This can start way before teens are sexually active.

Things are changing here in the US. As of Jan. 1, 2016 women 18 and older in Oregon can get hormonal contraceptives directly from a pharmacy, without having to go to a doctor for a prescription first. Pharmacists who supply birth control are required to complete formal training before being allowed to write prescriptions. In addition, teens and women must take a 20-question health assessment before obtaining the prescription that details risks and family history. This is why I always want parents to tell their teen if there is a family history of blood clots, family history of migraines, etc. That way, they can answer correctly!

The good news, here in the US, contraception is covered by insurance and protected by Obamacare (Thank you, Mr. President). Birth control options covered by the Affordable Care Act include: IUDs, emergency contraception, implants, pills, patches & rings.

California has also passed similar legislation that will take effect in the coming months to make it even easier for women to access birth control. National work is ongoing as well to make birth control over-the-counter. More on that to come!

When it comes to teaching our teens about sexual education, we know the topic is fraught with contentious beliefs and cultural sensitivities, and we also know that it’s really hard to speak about certain topics openly. But over and over, we are told by our kids that it’s us – the parents – their trusted adult community – they want to hear from most. Even when they squirm in the seat, DO KNOW THEY ARE LISTENING. I’ve written about this before for parents preparing those kids going off to college.

But really, talking to your teens about how to protect their bodies from sexually transmitted diseases, unplanned pregnancies, or violence should start much earlier. Normalizing the conversation appropriately for kids as young as five is encouraged in many parts of the world. We can talk about how we time growing our families in age-appropriate contexts. I’m thinking of writing a post, in partnership with a health educator, about what to say to a 5 year-old, an 8 year-old, an 11 year-old, and a 15 year-old. Would that be helpful? Please leave a comment…

I also want to offer a few great resources, thanks in part to my friend, teen advocate and digital educator, Susan Williams (@estherswilliams) for other parents to use as additions to or as guides for helping their kids understand their bodies and their decisions when it comes to sex and relationships.

There are three initiatives underway that I believe are truly shifting how sexual education and access to the right care, contraception, and information is achieved. Being able to get the right information when you need it and then being shown how to act on that information is crucial to preventing unplanned pregnancies and reducing cases of STDs. For adults who love their (our!) kids, we also need resources to help guide how we talk about sex:  Read full post »

7 Quick Tips For Healthy Mouths

oral health 1

Valentine’s Day this weekend….Even if you think it’s a card-store holiday chances are your children LOVE it. So power on Super Mama & Super Papa and learn something that makes it worth it. The American Dental Association declared February National Children’s Dental Health Month (I’m thinking because of the holiday and all those sugar hearts). This may have to do with candy…..but please read on even if you DON’T have a sweet tooth. Setting a good example and teaching children from an early age how to take care of their teeth is worth all of our time. It’s something I’m STILL working on as a parent. This matters because tooth decay is the most common chronic disease in kids age 6-11 and adolescents age 12-19. Additionally, at least 20% of children ages 5-11 have at least one untreated decayed tooth. Flossing and brushing 2 times a day changes the odds. Boom.

7 Tips For Healthy Teeth:

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Yes To No Tobacco Until Age 21

Teen smokingHear me straight: we don’t want anyone addicted to tobacco products. No question it’s an ugly habit and a terribly complex addiction. Expensive, detrimental to health, so very ugly… So I’m all for WA State House Bill 2313 (SB 6157) supporting moving the purchase age of tobacco from 18 to 21. Yes I know you can vote and enlist in the military at 18, but inconvenient or not, teen brains are not fully developed by the time they enter college-age and the effects of nicotine and the trend towards lifelong addiction are seriously grim. Complain all you want that Washington would be a “nanny state” but the facts are clear: if you start smoking at a young age, odds are that you will still be smoking as an adult. We know that more than 80% of all adult smokers begin smoking before the age of 18; and more than 90% do so before leaving their teens. We need to get tobacco out of reach so we can stop addiction before it starts. This isn’t just about public health it’s also about the health care spending of your tax dollars.

My friend and colleague Dr. John Wiesman (WA Secretary of Health), gave a press conference this week on the new bill. Here are a few staggering excerpts from his speech:

Counting cigarettes, smokeless tobacco, and e-cigarettes together, in 2012, 12 out of every 100 10th graders used these products, and by 2014 that number had risen to 20 out of every 100. That’s a frightening 67%  jump in just 2 years!

Both cigarettes and e-cigarettes set kids up for a lifetime of addiction and poor health.

The most effective way to stop this trend is to stop our kids from smoking before they start.

Middle school, high school and college students are still undergoing significant brain development.

Nicotine exposure during this critical time appears to affect the structure and function of the brain and may lead to lasting cognitive and behavioral impairments.

If that’s not enough reasons to support this work, I don’t know what is. But, here’s one last piece of data that will hit you square in the wallet (ouch). Each year in Washington alone, we spend: Read full post »

TV Tip-Overs Are Real

One of the most horrific memories of my residency training was caring for a little girl after she sustained a life-threatening injury from a TV and dresser tip-over. When I met her she was unconscious, non-responsive, and simply gorgeous. She was just so little and there was so much suffering around her. These real stories harbor horror but also hope.

Injuries from tip-overs are worth talking about. Securing furniture or new TV’s (especially after the holidays) are those things that end up on the long, “Honey-Do” lists that we often push aside and that we often de-prioritize. No reason really except that the tragedy just seems so unlikely. Injuries to our children from tip-overs or children who visit our homes are entirely preventable. Statistics and quick tips for how to get it done tonight below.

The U.S. Consumer Product Safety Commission  recently released this video featuring mothers who have lost their children to a terrible, but preventable tragedy: a TV or furniture tip-over incident. It’s a horrifying thing to reflect on — almost too hot to hold in your thoughts. But these parents ring out with a true reminder of the importance of always anchoring your screens and furniture. Hashtag anchor it… #AnchorIt Read full post »

It Was Never A Dress: Raising Boys And Girls To See Things Differently

Mamas are superheroes in disguise ❤️

A photo posted by The Glow (@theglowdotcom) on

Last night, around dinnertime the doorbell rang. When I opened it to find a clipboard-clad solicitor obviously looking for donations or a signature, earnestly I wasn’t thrilled. But she had me at hello when she said, “I’m here to work for equal pay and equal rights to health care.” After we talked for a few minutes, my little boy curiously also appeared at the door and asked what we were discussing. We explained and he stayed quiet. But later in the evening he said to me unprompted, “it sure made sense” that women and men were paid the same amount of money for the same job.

Then this morning I stumbled upon this cartoon on instagram. Hidden truths re-imagined in the pant suit! Something about this felt exceedingly timely with 2015 being a time where a woman is a front-running candidate for President of The United States, girls now report more than anything else they’d like to grow up to a doctor, and a time where we’re still working hard to chip away at supporting women and men equally in the workplace as they raise families. As we raise our little girls to feel unencumbered and as we raise our little boys to feel the just the same, I couldn’t help but feel the thrill from this “superhero” re-design. I say we share it with our children…also consider these 3 articles today:

3 Things To Read While Raising Girls And Boys To Value Each Other Equally:

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