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  • On Father’s Day, remember the fathers of sick children

    When I was a little girl, my dad was my hero. He was strong and brave, and it only took his presence to make me feel safe and secure. I thought he understood everything there was to know in the world. I believed he could solve any problem, slay any dragon, protect me from all harm.

  • Could cyberbullying be the cause of depression in your teen?

    Nearly everyone is familiar these days with the terms "cyberbullying" or "online bullying". This is a form of bullying where someone is harassed, threatened, or humiliated through the internet, usually through various social media networks. It is becoming increasingly common; statistics say about 58% of kids admit someone has said mean or hurtful things to them online. More than 4 out of 10 say it has happened more than once. These figures sound about right to me. At Teen Xpress, I have several students every week tell me that they are dealing with some sort of online bullying.

    Cyberbullying can lead to depression in teens

    Being intimidated, verbally abused, or harassed online can wreak havoc on a young person’s psyche, causing a multitude of issues, especially depression. When looking specifically at depression, it’s hard to know the exact numbers or relationship between the two because bullying is usually underreported (with an average of only 1 out of 10 young people telling an adult).

  • The difference between a children’s emergency room and an adult emergency room that every parent should know

    No one plans to end up in the emergency room. It just happens, usually when we least expect it. When our children become sick or injured, we are faced with difficult choices. Where is the best place to get care for my child? How do I know there isn’t something seriously wrong? Can I trust these caregivers to do the right thing for my kid?

  • Decoding the new sunscreen labels.

    As you stock up on sunscreen for the summer, have you noticed that the sunscreen bottles look a little different this year? That’s because starting this year, the FDA requires that companies be transparent about what’s actually in the bottle, and what kind of protection the sunscreen provides. And as skin cancer remains the most common cancer in the U.S., this new, clear-cut labeling will help consumers make more informed choices that will help better protect themselves against potential sun damage.

    The old vs. the new

    So, what’s the difference between the previous sunscreen requirements and the new, updated requirements? The old sunscreen rules focused almost entirely on sunburn prevention, which is primarily caused by ultraviolet B (UVB) radiation from the sun. However, these rules overlooked the importance of providing protection against ultraviolet A (UVA) radiation, which contributes to skin cancer and early skin aging. After reviewing the scientific testing abilities of sunscreens, the FDA concluded that it was important to establish a “broad spectrum” test – a test that would show that the product provides UVA protection that is proportional to it’s UVB protection. This new test would allow for an even greater opportunity to protect individuals from sunburn and sun damage.

    What exactly should I be looking for on the new labels?

    It’s often easy to overlook the details on product packaging, as long as the packaging looks appealing to the eye. However, there are a few details you should take note of when purchasing a new bottle of sunscreen.

  • Alcohol and pregnancy: not a good mix

    About three years ago this month, my husband and I were getting ready for our first “mommy and daddy” trip since our son was born. Our son was about 15 months old at the time, and he would be staying with grandparents as we explored Napa Valley, California. During that week, as we were scheduling tours of vineyards and making restaurant reservations, I was feeling a little “funny.” And I had only felt that way once before!

  • Too fresh for our own good (health)?

    There’s nothing better than a cool glass of fresh milk after a long day. But how fresh is too fresh?

  • Tips from a pediatrician on how to have a successful school year

    Another school year has already started. Does your child gladly go to bed on time and jump up refreshed at 0-dark-thirty to pop into school clothes and get to school energized? Or are you fighting to get him to bed, dragging him out in the morning, getting him to the bus with no food in his tummy? If the second scenario is yours, I think I can help you. Even if you relate best to the first scenario, maybe there is something here for you, too!

    Sleep is more important than food!

    I tell my patients, and this is true, that you can go without food longer than you can go without sleep. Sleep supports so many body functions that without enough sleep, your child will not learn, play, or grow well. For starters, get the electronics (TV, phones, games) out of children’s bedrooms. Those should be used socially anyway, and they interfere with both falling asleep and staying asleep. Bedtime should be about the same time every night, even on weekends, and should be early enough to guarantee at least eight hours or so of uninterrupted sleep (up to ten hours for younger children). If your child’s summer bedtime has been ridiculously late, try moving bedtime up by 15 minutes or so every few nights, not allowing for naps or “sleeping in,” so that her clock will gradually reset to a healthy schedule.

    But food is important, too!

    Breakfast is, indeed, the most important meal of the day. Without breakfast, your child’s body will produce calories for the morning by breaking down muscle to release stored energy. This process also produces some chemicals that make your child crabby and groggy. Children who don’t eat breakfast don’t feel or think as well as those who do. That does not mean that your child needs to eat two eggs, bacon, toast, and juice at 6 AM. But it also does not mean that they should have a pop tart and call that breakfast. Even the grumpiest teenager can gag down an instant breakfast drink and a half a banana, or a smoothie made with fruit and yogurt, or a piece of toast with peanut butter and half an apple. A perfect breakfast should include a complex carbohydrate (like whole grain bread or cereal for example), some dairy source for calcium (milk, yogurt), some protein (meat, milk, legume like peanut butter), and a fruit and/or vegetable. A small glass of milk with half a turkey sandwich with lettuce and tomato is a great breakfast, and you could send the other half sandwich for lunch! If your child “is not hungry,” that makes sense, but it does not mean he does not need the fuel. He can eat on the bus or in the car.

    Refill the tank mid-day

    A slice of pizza, juice, and a bag of chips is not a good lunch. If your child buys lunch at school, he can be taught to eat smart; school lunches do provide fruit and vegetable choices. Drinks are healthier now, too; most children (including teens) should only drink milk and water. Everything else (juice, soda, sports drinks) is just sugar-water. Energy drinks are not only empty calories, but also potentially toxic chemicals that interfere with sleep, affect heart rate and blood pressure, and who knows what long term effects that we don’t know yet. Packing a lunch for your child is a great option. I have done it now essentially every day for 17 years. It takes me 15 minutes each morning and my kids leave with a healthy sandwich or hummus and pita, a whole fruit, a bag of berries or grapes, another bag of veggies (carrots, peppers, sliced cucumber, grape tomatoes), one treat (like a 100 calorie bag of cookies or crackers) and a flavored water beverage. When my older children were in high school they actually had friends ask if they could send me money each week so I could make them lunches, too! Children are smart people. If you teach them well, they will get it!

    Spend quality time, but don’t hover

    Your child needs you, but, honestly, not as much as you need her. Asking about school, offering to help with homework or personal issues, helping to set goals to do her best: that is your job. Living her life is not. Helicopter parents are harmful, not helpful. That said, help your child to set up a routine after school so that there is a quiet place to focus on homework, time for physical activity (at least an hour each day), very limited passive “screen time” (less than two hours a day). Be available if she needs help. A family dinnertime, even if it is late, is a great time to talk about the day, to listen and to plan. Organizing in the morning should be your child’s job. You can double check for a while that things are all being completed, packed and turned it, but let it be her job.

    Expect issues

    Listen to your child so that you can help him with what he really needs help with and not with what you want to help with. Don’t be afraid to be MOM (Mean Old Mom), setting limits or making rules that “other kids parents don’t…” Seek help, either from your pediatrician or from a counselor, if you don’t know what to do or say. They don’t come with instructions! Most important, be open and honest with your children. Ask them how they feel and tell them how you feel. You are not your child’s best friend, but you are her best ally. Have a happy and successful year!

  • Kids with Autism are at Higher Risk to Go Missing from Safe Places

    Panic strikes in that moment when you look down to notice your child has vanished. How could it happen so fast? For most, it’s the mischievous toddler who plays a spontaneous game of hide-and-seek in the middle of the busy superstore or decides to run the opposite way when Dad announces it’s time to go home from the park. But if your child is affected by an Autism Spectrum Disorder (ASD), the situation can be even more unexpected and more dangerous. Keeping your child safe can be quite a daunting challenge for every parent, but recent research sheds light on how difficult this can be for parents of kiddos with ASD. According to research out of the Kennedy Krieger Institute, children with ASD are at a much higher risk of bolting than their typical siblings, are likely to disappear for longer periods of time, and the risk of this happening continues long past the age that parents would expect.

  • Changing the way we feed our families

    I don’t know about you, but mealtimes have become almost nightmarish around our house lately.

  • Why Teens Need the HPV Vaccine—Now

    Human papillomavirus (HPV) causes at least 26,000 cases of cancer every year in the United States: about 18,000 in women and 8,000 in men. In 2006 a vaccine was licensed to prevent most of these cancers as well as venereal warts. First recommended for girls, the victims of more HPV-related cancers, the HPV vaccine was soon recommended for boys as well. The Center for Disease Control and Prevention (CDC) recommends HPV immunization for all preteens between the ages of 11 and 12 years, prior to any risk of exposure.

    The reality of HPV immunization in the U.S.

    About 80% of us will contract HPV in our lives. Fortunately, most HPV infection is cleared by the immune system without long-term consequences. The unfortunate few go on to develop devastating disease. Sadly, the immunization rate of U.S. teens against HPV is very low. By 2013 less than half of all teens had received even one dose of an HPV vaccine. Currently, only 24% of preteens aged 11 to 12 years of age have begun the series.

    Why are vaccination rates so low?

    HPV is difficult for parents to think about because it is mostly transmitted by some form of sexual contact. However, as much as we don’t want to think about our youngsters becoming sexual beings, they will. It is actually our goal as parents to have our children grow up and have families. Thus, acknowledging that our children may at some time in their lives contract HPV is our responsibility.