Friday, July 25, 2008

Texting Your Doctor

If teens are too embarrassed to ask the doctor private questions, they can now text them! Here's the story:

As any parent knows, teens love "texting." Now some doctor hopes to turn that habit into improved medical care. We're showing you how a new waiting room gadget may be the way to get reluctant teens to communicate with their doctors.

For teenagers, waiting to see the doctor means dreading questions from another privacy-invading adult. But avoiding certain topics with doctors can hurt teens' health. Experts say many of the problems that teens face are not easily detected in brief primary care visits that might only happen once a year.

Now a new device called "health e-touch system" is giving waiting room patients the ability to answer personal and medical questions on a computer screen. The information is sent directly to their doctor, who can then identify high-risk behaviors and evaluate the patent's problems without an awkward question and answer period.


Would this help your teen or would it have helped you address problems in high school?

-NewsAnchorMom Jen

Methodist Medical Center's new online healthcare program, MyMethodist eHealth, is a proud sponsor of this blog post. MyMethodist eHealth is the secure link to your doctor's office that lets you request appointments, order prescription refills, update your personal health record, and more. Sign up for MyMethodist eHealth here

Thursday, July 24, 2008

Sleep Questions Answered

Hello Parents! I talked to Dr. Sarah Zallek and got the rest of your questions on sleep issues with kids answered. I learned a lot in the process!

1. My question for this story is what happens when kids start giving up their nap? This definitely changes sleep patterns etc. My awesome sleepers now challenge me regularly! Kari Kelly

Dr. Zallek:"It depends on how old the child is, but naps in a child of 5 or under are appropriate in some children. A child who needs a nap and doesn't get one may be irritable and restless in the evening. You have to look at why they are giving up naps. Are they giving up naps because they are truly alert during the day and don't need a nap?"

"If it is time for the child to give up naps, the parent might need to change the time the kids go to sleep or get up. It is really different with each family. If the child is restless, they may still need a nap or need to change the bedtime routine. You need to put the child to sleep when the child starts rubbing his eyes and getting cranky. Don't put them to sleep when they are still wide awake."

2. Hi Jen! We are into our 3rd week of having sleep trouble with our 16month old dtr. She was a wonderful sleeper 3 wks ago. For bed we would have a bath, read 2 books, sing a song, and put her into her crib sleepy. She would cry 30 secs and then be asleep often until 7AM the next day. Now she will do her bedtime routine willingly but when put into her crib she cries. She has a pacifier at bedtime and blanket which she throws both out of the crib knowing we will come in to give these back to her.

We have tried the going back into the room every 5 min, letting her cry (for an entire hour at times of course after checking on her, not picking her up and telling her night night), and now are staying in her room until she falls asleep. She then will wake at all different hours of the night and we go through all of this again. So we all are suffering of being very tired during the day. Thankfully her mood during the day is very happy like before but at night it is a different story. Any tips or references??? Thanks a lot, Jen!Jill

Dr. Sarah Zallek: "What's happening is there's something that triggered her to know parents or mom will go back into the room. It is almost certainly a behavioral problem. They need to figure out how to reward what they want. Right now the child is getting rewarded for bad behavior. Instead, give the child lots of praise, lots of love for staying in the crib. Don't keep rewarding for bad behavior. Give not a lot of love and holding when she goes to bed or when she wakes up. Do a withdrawal of the emotional part.

Jen: Should this parent take away the binky? "It depends on the relationship with the binky. This is a common problem. It is behavioral on the child's part? It will go on a long time if parent's don't do something differently. At 16 months she might understand well enough, I will only give these back to you once. She can't go in and shower reward on this child. Having a husband go in instead consistently may do the trick. Just have them do it in a matter of fact way, neutral not emotional, not angry, not loving. When she's quiet, reward by saying good girl, good baby when she doesn't cry out."

3. Can you ask Dr Zalleck the best way to get a nine month old child to sleep in their own bed and to sleep through the night? Do you let them cry it out? Will the answers and your interview with the Dr be on the website to all to read?We have tried the sound machine, music and everything. We are open to any suggestions-thanks a lot!Thanks,lindsay

Dr. Zallek: The rules of the road are to put her to bed in the crib when she is awake and sleepy. Do the same routine each night. If the baby fusses, calm her down with as little as necessary, maybe just a voice or a pat, pat. If they have to pick her up, okay, but reward her that she is being good when she calms down. The trick is to calm their (the baby) nerves to let them know their parent is there when they need it, but not give them too much love. The comfort will develop. It's a fine line between letting them know you're there and rewarding them for bad behavior.

Also, don't let the child fall asleep on your bed or on the couch. Be consistent. Get out of the room as soon as she calms down. Just one time of letting the baby sleep somewhere other than the crib will break the cycle and you will have to start over. Just one "yes" will make the baby know they can get rewarded for bad behavior.

With an older child, punishment doesn't work. Negative is not as effective as positive reinforcement. Most of the time, parents are not all that consistent. Eventually the bad behavior will extinquish, don't give up. It might take awhile. Reward good behavior.

4. Hi Jennifer...my 2 year old grandchild is still sleeping with her parents...how can they get her to sleep in her own bed? I'm sure others have this same problem and thought you could ask Dr. Zalleck this question for us... thanks...Grandma Wilson

Dr. Zallek:"If the parents are happy co-sleeping with the baby, that's up to them. If the parents are invested in making a change, consistent rewards is what they need. (that's what we mentioned above.) If there are any sleep issues, get the kid out of the bed."

-NewsAnchorMom Jen


Methodist Medical Center's new online healthcare program, MyMethodist eHealth, is a proud sponsor of this blog post. MyMethodist eHealth is the secure link to your doctor's office that lets you request appointments, order prescription refills, update your personal health record, and more. Sign up for MyMethodist eHealth here

Wednesday, July 23, 2008

Childhood Skin Infections

I just thought this short little story we ran this week was a good reminder. I usually take the band-aid off my kids after they stop bleeding to let the air get to the wound. It seems to heal faster that way. This advice from an ABC doctor says to keep the band-aid on to prevent infection.

Serious skin infections sent 67-thousand American children to the hospital in 2006 alone making the infections the 8th most common cause of child hospitalizations. Now doctors are trying to get the word out to parents on how they can help reduce their child's risk of skin infections.

Kids under four-years-old are most at risk of developing skin infections. Doctors say washing your hands frequently when handling babies, and making sure wounds on children are kept clean and covered help to significantly reduce a child's risk of skin infection. Some early warning signs you can be on the lookout for are sores that do not seem to be healing, or a stubborn sore that is accompanied by a high fever.

Do you keep band-aids on your child's scrapes and sores?

-NewsAnchorMom Jen

Methodist Medical Center's new online healthcare program, MyMethodist eHealth, is a proud sponsor of this blog post. MyMethodist eHealth is the secure link to your doctor's office that lets you request appointments, order prescription refills, update your personal health record, and more. Sign up for MyMethodist eHealth here

Tuesday, July 22, 2008

What's the deal with Artificial Food Dye?

A NewsAnchorMom Reader sent me this interesting article about artificial food dyes. I have never really thought about the topic. This Baltimore Sun.com article brings up some good points!

Almost 40 years ago, artificial food dyes had their moment in the sun. In 1969, Soviet scientists announced that Red Dye #2 caused cancer in rats. Seven years later, the Food and Drug Administration agreed, and banned the ubiquitous coloring from U.S. food - creating a cultural icon for a generation that used "Red Dye #2" as shorthand for anything toxic. Now, synthetic dyes are getting a second run. New research indicates the chemicals can disrupt some children's behavior, and activists and consumer groups are asking for bans or limits on the dyes.

A prestigious British medical journal recommended that doctors use dye-free diets as a first-line treatment for some behavior disorders; British regulators are pressuring companies to stop using the dyes, and some are complying. The issue has generated much less attention on this side of the Atlantic. The FDA says the dyes are safe, and has no plans to limit their use.

Eight dyes are commonly used in packaged food: Blue 1, Blue 2, Green 3, Orange B, Red 3, Red 40, Yellow 5 and Yellow 6. According to the Center for Science in the Public Interest, the dye industry produces five times as much dye as it did 50 years ago. Dyes are sometimes even used to simulate the color of fruits or vegetables.

"At this point, there's no evidence of a connection between dyes and children's behavior," says FDA consumer safety officer Judith Kidwell. She points out that in 1982, a National Institutes of Health panel examined the safety of artificial dyes and found no evidence of risk. That attitude frustrates activists. "They're at least 20 years behind the science," says Michael F. Jacobson, Executive Director of the Center for Science in the Public Interest. Last month, the group petitioned the FDA to ban the use of the dyes, as well as sodium benzoate, a common preservative that critics also suspect of contributing to attention deficit hyperactivity disorder, or ADHD."

At the very least, they ought to give some consideration to what the British government is doing," Jacobson said. The FDA is reviewing the CSPI's petition; a spokesman said he didn't know when the agency would respond. Scientists aren't sure how these chemicals might affect the brain. There are only eight artificial food dyes used in the U.S. To get specific colors, manufacturers mix them. All are made from petroleum or coal tar, and most are in the "azo" family, which means they contain a specific kind of nitrogen. Some researchers have found evidence that azo dyes interfere with dopamine, a neurotransmitter that plays a key role in the ability to focus and think clearly.

Whatever the possible cause, the debate will likely heat up here, in part because ADHD has become so widely diagnosed. The U.S. Centers for Disease Control and Prevention estimates that 4.4 million American children have the disorder. People with ADHD have trouble focusing and act impulsively.In 2003, 2.5 million children were taking medication to treat the disorder, usually powerful stimulants such as Ritalin.

I assume the dyes are used simply to make the food look better. It does seem silly that we are ingesting these chemicals just because they look good.

What are your thoughts on this story?

-NewsAnchorMom Jen

Methodist Medical Center's new online healthcare program, MyMethodist eHealth, is a proud sponsor of this blog post. MyMethodist eHealth is the secure link to your doctor's office that lets you request appointments, order prescription refills, update your personal health record, and more. Sign up for MyMethodist eHealth here

Monday, July 21, 2008

Michael Savage makes fun of autism

From ABC:

Parents hit the streets protesting a radio show hosts comments about autistic children. Conservative talk show host Michael Savage called them everything from "brats" to "idiots" and "morons." As you can imagine, parents of autistic children are furious and want Savage pulled off the air.
Some parents held a news conference Monday outside WOR, the New York radio station that carries Savage's San Francisco-based talk show. Last week Savage said "99 percent" of autism cases involve "a brat who hasn' t been told to cut the act out."

On Monday he said autism is being overused as a diagnosis. John Gilmore, executive director of Autism United and father of a nonverbal 8-year-old boy, said Savage "needs to get another job." A spokesman for the station says Savage's views are his own.

This is so disturbing. I almost hate to post it because he is obviously being a shock jock and just trying to get attention. This is a bad way to do that!


-NewsAnchorMom Jen

Methodist Medical Center's new online healthcare program, MyMethodist eHealth, is a proud sponsor of this blog post. MyMethodist eHealth is the secure link to your doctor's office that lets you request appointments, order prescription refills, update your personal health record, and more. Sign up for MyMethodist eHealth here

Mom & child with autism kicked out of Chuck E. Cheese's

A mom from Bloomington, Illinois was escorted out of Chuck E. Cheese's last week. I got an email from the McLean County Autism Society letting me know what happened. The mom has two sons with autism. They are on the Gluten Free Casein Free Diet. So the mom usually brings a sack lunch for them when they go to a restaurant because most restaurants do not have GFCF Diet options. That is what she did when her sons went to a field trip at Chuck E. Cheese's. Things did not go as planned.

HOI 19's Ashley McNamee drove to Bloomington this week to find out the rest of the story. Here is the verbatim. The video is now on HOINews.com:

Living with autism can make some everyday activities, like eating out with your family, difficult.Susan Perez has two sons diagnosed with autism. Like many children diagnosed with autism, they're on a medically prescribed diet filled with supplements and free of everything from gluten to casein.

"That's usually the typical, gluten and casein, but they also can't have soy, corn, potato, or yeast, so there are multiple things they can't eat." The Perez family brings their own food to restaurants or the restaurants help them meet special dietary restrictions. Normally, it isn't a problem.

But earlier this month they went to Chuck E. Cheese in Bloomington with a local school district's autism camp. "They actually confiscated the food as soon as we walked in the door," said Perez. Perez says she spoke to the manager, but was told Chuck E. Cheese has a strict policy not allowing any outside food into the restaurant, except some birthday cakes. "She wouldn't budge, I pleaded with her," she said.

When Perez and the manager were unable to reach an agreement, the Bloomington police department was called and Perez was forced to leave. In a statement to HOI 19 News, Chuck E. Cheese says they made several attempts to accommodate Perez and her family.
"Our manager offered to refrigerate their food until they left and tried to show the multiple products available that would be suitable for the needs of the individual," the statement said. Perez says that isn't true.

"No they didn't offer any alternatives, there was no discussion about any alternatives," said Perez. She says the whole experience was frustrating because it prevented her child with special needs from doing what normal kids do. "He can't eat the food provided at the restaurant but he still wants to be able to play with his friends, sit with his friends, and eat with his friends," she said.

What she wants is simple. "I think they need to change their policy," said Perez. She wonders when restaurants will be able to accommodate kids with special dietary needs so they can feel just like everyone else. Experts say autism is the fastest growing developmental disability in the United States. They say it affects more than one million people.

When I arrived at work this afternoon, I was surprised to see there are already several comments on the HOI website against this woman, blaming her for what happened. I wasn't there, so I cannot judge, but I did just interview a mom who has a child with peanut allergies. As I watched Ashley's story, I wondered what children with food allergies are supposed to do when their school has a field trip to Chuck. E. Cheeses. They just can't eat all day? They have to sit in the bus while the others eat? I don't know. It seems like there has to be a better solution to this problem. We all know more and more kids are being diagnosed with autism and with severe food allergies.

-NewsAnchorMom

Methodist Medical Center's new online healthcare program, MyMethodist eHealth, is a proud sponsor of this blog post. MyMethodist eHealth is the secure link to your doctor's office that lets you request appointments, order prescription refills, update your personal health record, and more. Sign up for MyMethodist eHealth here

 
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