First off, I have connected with a few engineers and pilots — I may be wrong on one point here: Commercial airplanes typically ascend/climb faster than they descend for a landing. My apologies. I’m clearly no pilot…
That being said, you can help support your baby or child’s potential ear discomfort during flying by having them suck on something like a pacifier, having them breast feed, or offer a bottle during take-off and landing. The motion of their jaw and mouth during sucking and swallowing will help them equalize to the pressure changes. When they move their jaw to suck and swallow this helps facilitate venting in the Eustachian tube that allows your child to equalize pressure from the outside world with the middle part of their ear. That click or pop you feel when you yawn is your ear drum moving back to middle after getting pushed one direction in your ear from a pressure change.
It’s true that discomfort is far greater during pressure changes when there is fluid in our middle ear (from colds to ear infections). Check in with your child’s doctor or nurse practitioner prior to flying if you’re concerned about a potential infection. If that’s not ideal, consider getting Cellscope (an iPhone app that helps you look into your child’s ear, and/or allows you to send the image to their doctor) if you’re a frequent flier and your child is prone to fluid in the middle ear.
This is post from my friend, Anne Gantt. I love this concept and am inspired by the idea of parents pumping iron at the park. I’m hoping we can move this conversation forward. Please share ideas from your own neighborhoods in comments.
As a stay-at-home mom, I spend a ton of time at our neighborhood park while my 2 ½ and 4 year-old children zip down slides, scramble over the jungle gym, or chase each other in the woodchips. While they’re running around like little olympic athletes, I mostly just stand there doing nothing. A lot of nothing. Sound familiar?
That’s originally why I daydreamed about putting fitness equipment for adults in our park. I’d love to get a little exercise without having to resort to taking a turn on the monkey bars. The interesting thing is that installing adult fitness equipment will improve the park…for kids. This truly can be a win-win.
The park in question is here in Seattle– University Playground— it has a big grassy field, tennis courts, and beautiful new equipment for kids. It also has one of the very few public restrooms in the whole neighborhood–thus attracting a crowd. It sits in a tenuous location, one block from Interstate-5 and smack in the University District, which means the park sees a lot of illicit activity. Even worse, the illicit (I’m talking drug sales, etc) activity tends to happen in the section of the park right next to the playground.
Believe it or not, I’ve picked up more than a couple of used needles out of the woodchips myself.
Our park’s unsavory elements definitely scare some people off. I recently talked with a neighbor who refuses to take his 4-year old grandson to the park out of a concern for safety. This, even though their living room window looks right out onto the playground.
Something had to change. Urban dwelling can be better than this. Read More »
I give thanks every day for friends, mentors, teachers, collaborators, and family like you. It’s been a sincere privilege to share thoughts here. I’m always amazed at the depth of reflection that washes over me as the year comes to a close. However pre-conceived this day seems for reflection, today has me in its grip. The end of 2012 is filled with far more information about being a parent, being a patient, and being a pediatrician than the beginning held for me. More on that tomorrow, but for today I just want to say thank you for reading.
Here’s a list of the “greatest hits” of 2012. The list is based on the number of views and shares but also the impact these posts had on discussions about pediatric health and parenting. One post is included primarily on the number of people who went out of their way in person to discuss it with me. Please accept my sincere thank you for your insights, reflections, contests, partnership, and loyalty to learning and growing into parenting and pediatrics with me.
May you welcome in a beautiful, healthy 2013 tonight.
2012 Mama Doc Greatest Hits
TIME Magazine And The Mommy Middle Road This is a reaction/reflection to the TIME Magazine cover with a preschooler actively (potentially) breast feeding while standing on a stool. It’s about motherhood, finding confidence in our choices and knowing that yes, of course, you’re Mom Enough.
In 2006, I entered pediatric practice. It was the same year that the Advisory Commission on Immunization Practice (ACIP) recommended to start giving 11 year-old girls the Human Papilloma Virus (HPV) vaccine. Therefore, I’ve really never practiced pediatrics (outside of my training) without the ability to offer up immunization and protection against HPV virus; I’ve been discussing this for about 6 years. We now give HPV shots to both boys and girls because it’s so common–about 50% of all adults who are sexually active will get one form of HPV in their lifetime.
HPV virus can come into our body and do no harm. But it also can come into our bodies and cause vaginal, penis, anal and oral/throat warts. Other strains of HPV also cause changes in the cervix that can lead to cervical cancer and can rarely lead to penile cancer and/or tongue/throat cancer. Teens and adults can get HPV from oral, vaginal, or anal sex. Condoms don’t provide 100% protection from getting it.
GREAT NEWS: Being protected (by the HPV shot) doesn’t trigger risky sexual behaviors in teens.
Nice to have an immunization to protect against the potential development of such disfiguring, embarrassing, and uncomfortable lesions. And what a windfall to have a vaccine that prevents cancer. I often say to my patients, “If my grandmother only knew that I’d see the day where we could prevent cancer.” I mean it—if she only could have seen the day (she died in the late 1980’s).
The reality is though, parents to teenage girls have consistently been hesitant in getting the HPV vaccine in my office. Over the 6 years hesitancy around getting HPV vaccine has lessened, but many of my patients’ parents have told me they don’t want their girls or boys to feel that getting the shots is a green light for sexual activity. And many have worried that having their girls immunized will make them more likely to engage in earlier sexual activity. Read More »
Often new parents are nervous about mixing and matching infant formula they offer their babies. They worry if they switch from one formula brand to another, they may cause their baby fussiness, stool changes, upset or worse–that they could put their baby at risk.
It’s safe to mix and match infant formulas if you are following standard mixing instructions. Really.
Although spitting up or gassiness is usually not due to the protein in formula (cow’s milk versus soy versus hypoallergenic), sometimes changing formula helps new babies and their parents who worry. Switching them up can even help clarify worries in some scenarios when a parent worries about excessive gassiness, intolerance, or significant urping or spitting up.
Experimentation with formula brands in an otherwise healthy newborn is okay. But it’s not necessary at all, either.
It’s fine to make a bottle that is ½ formula from the blue can and ½ formula from the yellow one. Fine to serve Simulac one week, Enfamil the next, Earth’s Best or Goodstart followed by Soy formula the following day. Fine to buy one brand that’s on sale only to buy the other brand next week. Read More »
This is part deux to an earlier video/post describing the global effort to reduce flu & reasons why we need one every year. Infants and children under age 5 are at higher risk for serious complications from influenza infection. Influenza (“the flu”) is an illness that strikes during the late fall and early winter annually in our country. Great thing is, there is a global effort to coordinate knowledge to reduce the consequences of severe infections. Each year a new flu shot is released to protect us. All children need a flu shot. The reason? It’s estimated that somewhere between 10-40% of all children, each year, get influenza. Sometimes it’s a mild upper respiratory infection, but sometimes it can cause severe lung infections and even death. Each year hundreds of children die in our country from flu even though it is a vaccine-preventable illness. I hear lots of myths and rumors about the flu shot in clinic (more than any other vaccine). Check out my friend Dr Claire McCarthy’s post on de-bunking the myths.
Of those children who are seriously ill and hospitalized, somewhere between 1/3 to 1/2 can be children with no underlying medical issues. Healthy children get the flu, too. If your child has underlying neurologic problems, wheezing or asthma, or diabetes they are also considered higher risk for severe infection.
It takes a well-immunized community to reduce the spread of influenza. And our children, swapping spit and snot at school, are one of our most precious groups to protect.
Which Flu Vaccine And How Many to Get?
Infants 6 months of age and up can get flu shot. Most infants will need two doses, separated by 1 month, while all children over age 9 years need only one dose. If you have a young child (<9 years) and they have never had the flu shot before, they will need two doses. Ask your child’s doctor how many doses your baby, toddler, or child needs this year. What you need to know about flu.
There are two types of vaccine, the flu shot & the nasal spray. Both protect against the same virus strains. Check out www.flu.gov. Here’s a quick explanation: Read More »
We had one of each in our house: one baby that we let cry for periods of time to self-soothe and one where I simply couldn’t bear to hear the crying in quite the same way. You’d think it would have been just the same for both of our boys, but it wasn’t. Clearly I wasn’t the same parent each time around.
There are many things that go into the equation of how we get our babies to sleep thought the night. And those of us who struggled after our babies after 6 months of age are in good company. Research shows that about 45% of mothers say they struggle with their 6-12 month-old’s sleep.
Solving the sleep solution requires a diverse mix of instinct, patience with personal and baby temperament, timing, mood, advice we get, and good luck.
The reality is that there isn’t one perfect way to help support an infant who’s learning to sleep through the night. But there are few pearls I believe in: Read More »
We had a marvelous Father’s Day weekend. On Saturday we started a Dad-coached soccer team with some friends which was surprisingly successful. And then on Sunday, we completed our first-ever family bike ride on the Burke-Gillman trail. Everyone had two wheels of their own, including Grandma. Although O ended up in the ditch at one point after steering off-course, it was an injury-free ride and we proclaimed it a success. I think we all felt really grown up. We gave my husband a mixture of homemade gifts (paintings) and then a trite, expected one (a necktie). We played ball in the yard, pulled weeds from the grass, and Jonathan got a bit of time to himself for a run. When we went out for Italian food and ordered Shirley Temples we formally celebrated the fortune of having a father parenting so actively in our lives. The boys began the day with exclamations and closed it with a final, “Happy Father’s Day” after the lights went out. It was then that I realized it’s prime time for this holiday in our home.
I get that Father’s Day isn’t this Hallmark in everyone’s home and I certainly understand it won’t always be like this. These manufactured holidays bring up thoughts of the tension and distance many of us feel from our own fathers. I also think about my friends and patients who have lost their fathers and those children who are separated from their fathers due to work, military commitments, or unique family circumstances. Last week one of my colleagues pointed out that children had eras in their lives where Father’s Day was on the map; young children adore and celebrate but then retreat as we’d expect during the late school-age years. “They tend to check back in during young adulthood,” he said.
And it got me thinking: is there a way to keep the intimacy of preschool-parenthood alive? Read More »
You saw the TIME magazine cover in the last 24 hours, right? Me, too. In the midst of 25 patients yesterday, moms and dads weren’t really talking about it in the office. It was in my inbox. But I hear and feel and witness the anxiety/angst we all swim around in every day as we compare parenting styles and essentially swap (pacifier) spit about how best to do this. The monogram of this parenting era is the quest for perfection. The epic win that’s constructed for us is built on prevailing over the rest. It’s not about juggling it all anymore, it’s about being tough enough to do it better than your peers. TIME magazine wants us to contemplate if we’re really “Mom Enough?”
Before you know it, you’ll be 13 decisions down the road wondering why you worried so much about what you did. You’ll care even less about what you called it. Of anything I hear over and over again from parents ahead of me on the road it’s this: “I simply wish I worried less about my choices.”
It’s a mom-eat-mom world right now and the media wants us perpetually navel-staring. Doubt sells magazines, pageviews, and books. I saw moms post opinions on Facebook this morning only to quickly take them down as they got too controversial. We’ll keep questioning ourselves and our decisions as TIME takes a supermodel, airbrushes her body and paints the cover the magazine with a provocative image for Mother’s Day. This article, this cover, this timing–this is the engineering of our age. The dinosaurs once ruled the planet—now it’s the voices online.
Your motherhood, your parenthood, your decisions. You know what? Of course, they’re Mom Enough…
The cover really isn’t really about breast feeding but I’ll bite. Read More »
The 2 month-old check up may be harder for parents than it is for babies. Getting the first set of shots is anxiety provoking for we moms and dads; no question that it’s unsettling to allow a medical provider to cause our beautiful, new, healthy baby pain. Research has found that the pain and discomfort associated with shots is one of the primary reasons parents “elect not to perform timely vaccination.”
A study published this week affirms two truths. First, structured soothing may be a great tool for families to control crying after discomfort from shots. A group of pediatricians in Virginia used Dr Harvey Karp’s Happiest Baby on the Block 5S’s technique (shushing, swaddling, side positioning, sucking, and swinging/swaying) as an intervention for crying after the 2 and 4 month shots. The technique has been advertised to parents as a way to soothe and comfort fussy and colicky babies in the first few months of life. The researchers found that compared to a control group with no intervention and a group of babies that received a sugary solution for comfort prior to the shots, the 5S technique helped soothe crying and pain more rapidly. Most babies that were swaddled, shushed, swung, and offered a pacifier for sucking stopped crying within only 45 seconds. Second, the great reality is that most babies stop crying within 1 to 2 minutes of getting injections anyway. The study confirmed that, too! In my experience, only rarely does a baby leave clinic still crying. Some of our anxiety about the discomfort as parents can be relieved–we really need to get the word out this is a short process. It’s rare for a baby to cry for even 3 to 4 minutes after their injections. Read More »
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