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Are the 3 R’s of Education Sufficient for the Future?

When I was a kid in the 1970s and ‘80s, those who could memorize the most facts and calculate figures the fastest were generally deemed the smartest and most likely to succeed. You could say a “cognitive” and “IQ”-based view of intelligence prevailed.

Enter technology and the shift from Industrial to Information Age. Nowadays, facts and figures have been rendered far more easily accessible to far more people than ever before. At the same time, our increasingly complex and globalized world is placing new demands on us to think critically and creatively; and now more than ever to “play well” with, empathize with and read other people. 

Continue reading “Are the 3 R’s of Education Sufficient for the Future?”

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Teen Driver Safety

News of teen car crash victims invariably get me choked up, but I have recently found myself thinking even more than usual about teenage drivers. I’m sure this is in large part due to the fact that my oldest child has now started talking about what car she hopes to drive in the not-too-distant future. I’m pretty sure it’s also because of the recent news detailing the incredibly sad local story about teenage sisters involved in a fatal crash. But to be honest, this time of year always makes me think about the risks involved in newly licensed teens getting behind the wheel. I’m not sure why the time of year should make a difference – since the premature death of a teenager is without exception a horribly sad occasion in any season. But there’s apparently something even more devastatingly newsworthy about covering the senseless loss of life when it happens on prom night or just after graduation when teens should be excitedly preparing to embark on their future, not being laid to rest. Continue reading “Teen Driver Safety”

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Why Every Parent Should Know about TED

As parents today, we are unavoidably exposed to overwhelming amounts of advice in the form of anxiety-producing parenting books, blogs and articles, not to mention an ever-increasing number of news stories generated 24/7 by fear-mongering media – all of which collectively stand to leave us wondering which way to turn. It’s no wonder that I’m so frequently asked my professional opinion on where parents can go to find good, credible advice on how to raise happy, healthy, responsible and engaged children. The fact of the matter is that knowing where to turn for credible information – parenting and otherwise – has become one of the defining challenges of the information age in which we live.

As a pediatrician, I can tell you with confidence that sites like the American Academy of Pediatrics’ HealthyChildren.org are a good starting point. If it’s early childhood you’re interested in – bookmark ZeroToThree.org. Autism? Add the CDC’s Learn the Signs campaign or Easter Seals to your trusted source list. Vaccines? Search the web with caution lest you fall prey to misinformation. Instead head to credible sites like the Children’s Hospital of Philadelphia’s Vaccine Education Center. Pick just about any parenting topic, and it’s simply a matter of knowing where to look. The problem is just that knowing where to look that has become anything but simple.

It also doesn’t address the bigger parenting question of what your overall approach to parenting should be….You know, the bigger picture sense of what the future holds, what skills and ideas are going to be of most value, and how best to engage your children in becoming contributing members of the increasingly globalized, connected world.

Okay, so I am well aware that some of you may currently be too buried in diapers, homework, mealtime preparations and/or carpools to give this bigger picture much thought at the present moment. But given that just about every parent I’ve ever met at some point contemplates how best to set their kids up to succeed in the 21st century, the search for a big-picture parenting perspective got me to thinking.

What if I were to tell you that there is a website out there that has everything a parent could want to help lay out a strategy for success, to pique children’s interest, nurture their imagination, and help better prepare them for the modern-day world? What if you could take your pick – from perennial kid-favorite topics such as robots, bugs, or the wonders of the natural world to thought-provoking information on the power of play, education, technology, or even a kid-friendly way to learn Chinese? Better yet, what if all of this was available to you for free, with no one trying to sell or get you hooked on anything (other than ideas, that is). And best of all, what if all of these things were at your fingertips – whether on computer, smartphone or tablet – in the ever-so-parent- and kid-friendly form of short, engaging videos, generally no more than 20 minutes long?

The website I’m talking about is TED.com. And while I’ve admittedly never heard it referred to as a parenting site before, I’d like to suggest that it is, in fact, a site that every parent should know about.

For those of you not yet familiar with the concept of TED, let me back up a moment to explain. Technically speaking TED got its start as a Silicon Valley conference in the 1980’s focused on the convergence of technology, entertainment, and design. TED today, however, has become something very much bigger than that – a global phenomenon of conferences and over 1000 TED talks posted online – all driven by a dedication to sharing ideas that stand to make the world a better place. Covering an impressively broad spectrum of topics – from science to business to global issues and from animal life to life in the deep oceans, black holes and beyond, it’s all fair game.

While there is a flagship TED and a TEDGlobal conference each year, as well as independent TEDx events in communities large and small around the world, you need go no further than the website to share in the experience and watch TED talks, which as of November 2012 reportedly exceeded one billion views. In other words, TED.com has become one big, thought-provoking virtual playground of global proportions.

Granted not all TED talks are meant for children by any means – whether by nature of their content or the intellectual level at which they are presented. But some are. And the idea of engaging children in the wonders of the world around them is one that I strongly believe can’t start early enough. Start with the curated TED For Kids or Natural Wonder playlists for example, and you’ll find that TED videos can hold their own against video games and YouTube videos of cats chasing their tails any day. As your children get older, use TED to start conversations about increasingly complex topics, as well as more challenging issues facing our world.

And for you, as a parent, I recommend you carve out fifteen or twenty minutes in your day, go to the site, and pick a topic that piques your interest. You, too, may find yourself hooked.

As someone who is sympathetic to the time-pressures of modern-day parenting and at the same time fundamentally believes that children learn best by example, I believe that having your children see you engaged in and excited about lifelong learning is one of the best examples you can set as a parent.

After my 13 year old witnessed my own enthusiastic response to the mind-expanding experience of attending this year’s 2014 TED conference in Vancouver, he has now taken it upon himself to watch a TED talk a day. And if that’s not screen time that a parent can be excited about, I don’t know what is.

For those of you interested in expanding upon your virtual experience and becoming involved with the in-person TED community, the good news is that we have one right here in Nebraska, and it is growing quickly. Be sure to check out Omaha’s annual TEDxOmaha and monthly TEDx Salon events, as well as TEDxLincoln.

Originally posted on the Omaha World Herald’s Live Well Nebraska

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Wrapping our heads around the science of concussions

While you may know me as a pediatrician, what you may not know is that I also double as the mother of a teenage elite soccer player. This means that I spend plenty of time cheering on sidelines (albeit quietly so as not to embarrass my son) and chauffeuring around town as well as much of the Midwest. It also means that I spend more than my fair share of time worrying about the disconnect between my son’s dedication to soccer and the growing body of evidence that suggests that bouncing balls off one’s head – at speeds estimated to be upwards of 70 mph – may not be such a great idea.

For any of you who may be feeling my parental pain but at the same time considering yourselves lucky that soccer isn’t your child’s sport of choice, I strongly caution you against turning your head on what the medical and sports worlds alike are learning about concussions. The fact of the matter is that soccer in no way stands alone in posing a serious concussion risk to our country’s youth.

In fact, an extensive 2013 study on concussions in youth sports found that football, ice hockey, lacrosse and wrestling join soccer as sports associated with the highest rates of concussions for high school (and college) male athletes. And no, girls were not exempt, as those who play soccer, lacrosse, and basketball are also at highest risk. Even the sidelines aren’t free of risk, as cheerleading is of great concern as well. At an estimated 1.6 to 3.8 million per year, the sheer numbers alone have helped put concussions top of mind.

So just how serious a problem is a concussion? On the one had it’s actually hard to say with any certainty, since the research about youth concussions is limited. That said, according to the chair of the Institute of Medicine Committee that conducted the 2013 study, “the findings of [the Institute of Medicine] report justify the concerns about sports concussions in young people.” From the finding that there’s little to no evidence to suggest that helmets reduce the risk of concussions (skull fractures, yes, but concussions no) to an identified “culture of resistance” where young athletes don’t even want to report if/when they may have suffered a concussion, the phrase “Houston, we have a problem” keeps running through my head.

And that’s before even getting to the part of the scientific literature that addresses just what we know about the symptoms of concussion – broadly categorized in the all-encompassing categories of physical, cognitive, emotional and sleep impairments. Sounds serious, but in a vague sort of way that I worry still stands to be overshadowed by our love of the sports in question. In reading through the significant risks and serious symptoms associated with concussions and wondering to myself how it is that so may parents of athletes can look the other way, it occurred to me that perhaps changing what we call this all-too-common sports injury might help.

After all, along with the culture of resistance (or denial) comes what I’m concerned is a complacency around the word concussion itself. As someone who thinks that the words we use really matter, I truly believe that if we all switched to calling concussions “traumatic brain injuries,” it might be a step in the right direction. If nothing else, it might help us all to think harder about what’s really at stake, and take more seriously the American Academy of Pediatrics’ recent Return to Learning Following A Concussion conclusions and recommendations.

With the words “traumatic brain injury” and “cognitive impairment” forcing their way into my consciousness every time my son or his teammates heads a ball, needless to say I was very Nebraska-proud to learn about The University of Nebraska’s new $55 million, state-of-the-art Center for Brain, Biology and Behavior. Reportedly poised (and well-equipped) to lead the nation in improving the diagnosis, understanding, and treatment of traumatic head injuries, I think one of the first questions that will need to be asked is whether we – soccer moms, athletes and Husker Nation as a whole – are going to be ready – as in truly, for better or for worse ready – to wrap our heads around whatever the science of concussions tells us.

Originally posted on the Omaha World Herald’s Live Well Nebraska

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Screen Time: A Reality Check on “Reality TV”

As someone who spends most of my waking hours dedicated to finding and promoting the best ways to raise children to be happy, healthy, well-educated and successful adults, I feel compelled to say that reality television is definitely not it. I realize that this sounds dangerously close to stating the obvious, but I would argue only in the same way as pointing out that the emperor is, in fact, not wearing any clothes.

To make use of language from the reality TV lexicon, “at the end of the day” what we now have – for better or for worse – is an immensely popular and pervasive form of television that is so far from reality that it begs the question of why on earth we still call it reality TV.

At this point, I should clarify that it’s not like reality TV only recently just hit my television screen for the first time. Having all but taken over the airwaves since it first burst onto the scene in the early 1990’s in the form of MTV’s The Real World, it has since invaded my home just as predictably as it likely has yours. It’s bad enough that grown adults (myself included) find it hard to look away. What concerns me even more is that “reality” television is working against us as parents, unless you happen to firmly believe in excessive drinking, lying and deceit, premarital sex, frivolous spending, catty fist fights, racist and/or sexist remarks and worse. Scoff if you like, but reality television is making these behaviors seem commonplace, and thus providing a terrible filter through which our children are learning to see the world.

Now I’m not the first (or the last) to note irony in the fact that we persist in using such a blatant misnomer to describe the genre. But I felt particularly compelled to share my mounting concerns when the admittedly hard-not-to-watch Bachelor franchise decided to have the admittedly suave bachelor-du-jour surprise his legions of fans at their new-season viewing parties. In case you missed the episode, there were plenty of 20-something women glued to their sets, and they predictably squealed and swooned with cameras rolling when the new bachelor dropped in to join them unannounced.

What really got me, however, was when pig-tailed girls who looked all of thirteen at best, gushed into cameras that the reason they love said bachelor, and the whole Bachelor franchise for that matter, was because it gave them proof that prince charming and true love really do exist, and that dreams really do come true (or something to that effect). I’m sorry, WHAT?? This is when my protective parenting and pediatric defenses collectively kicked in. Since when did watching 27 evening gown and/or bikini-clad women use their feminine wiles to compete for a man become as acceptable as, say, a pajama party?

At one time, I would’ve hoped that what I’m about to say would be obvious, but now more than ever I’m concerned that the point has been lost in two decades worth of reality TV channel surfing: Reality is what we make of it, and as parents (much less a society), we have both the opportunity and responsibility to shape how our children view it. To this noble end, reality TV is not helping – at best giving us more teachable moments about how not to live than we could possibly ever need.

Reality – in the real sense of the word – does not mean that every action one takes needs to be neatly summed up as a step in one’s life journey, or summarized in an “end of the day” soliloquy. Reality does not require every pound gained or lost or tear shed to be broadcast, nor should it involve stopping conversations mid-scene to turn to the camera and narrate to the public one’s every thought, feeling and emotion. In fact, reality should not include perpetually having cameras pointed at one’s face (unless said camera is held by one’s mother, I should add for the sake of not having this used against me by my children). Reality does not (for all but the very few who aren’t likely to read this, anyway) involve first or second or third dates in exotic lands or carefree lives limited to gyms, tanning and laundry.

And here’s the kicker. You may think all this is obvious, or harmless, or simply not a big deal. But as with the viewing of television violence, we now know too much about the insidious nature of these sorts of images and their ability to shape the way our children see the world to ignore what’s right in front of our children’s faces on a 24/7 basis. I’m not by any means saying that adorable Juan Pablo is single-handedly responsible for bullying or poor body images. But what I am saying is that what we allow our children to watch – day-in and day-out, matters. And words matter, which brings me back to my point that we really should stop calling it “reality” television!

Originally posted on Omaha World Herald’s Live Well Nebraska

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21st C Parenting: Connecting with Kids in the Age of Digital Disconnectedness

Rising to the challenge of parenting digital natives – a term commonly used to describe a generation of children who have never known a world without digital technologies – inherently means that we, as digital immigrants, have some important work to do. As a crucial first step, we need to both familiarize ourselves and then keep up with technology. After all, the responsibility falls squarely on us to help our children learn good judgment and how to responsibly navigate the rapidly changing digital world.

With the new year and new resolutions right around the corner, I figured this was as good a time as any for us all to commit to doing a better job of setting appropriate limits for the use of technology in our everyday lives – both for our children and for ourselves. After all, in today’s digitally connected world, taking a few key steps toward disconnecting can actually go a long way towards helping families become and stay more closely connected.

The following are some tips to get you started in what I hope brings you and your family a happy, healthy and technologically harmonious 2014.

Make time for face time. Today’s digital invasion of childhood is raising serious concerns, as clearly evidenced by this year’s recent recipient of the TOADY Award. This annual dishonor, given to the toy deemed most oppressive and/or destructive to young children, was bestowed upon a digital potty seat designed to allow potty-training toddlers to remain connected to their screens. For infants, young children and teens alike, face time – not the kind you can ask Siri to set up for you on your iPhone but real, in-person face time – is critically important to their social-emotional development. For infants and young children in particular, this means resisting the temptation of replacing human interaction with iPad potty seats and app-loaded infant seats (yes – this too is an actual product that also understandably ignited a virtual firestorm of digital debate). What you can do instead is powerfully simple – read books, talk, sing, make eye contact. And while you’re certainly not alone if you’ve made a habit of texting your ‘tween or teen, or emailing your spouse as the most reliable way of communicating, remember that at all ages, nothing compares to in-person, face-to-face conversations.

Take a tech-timeout. Another big concern when it comes to technology’s pervasiveness in our children’s everyday lives is that it takes away any time for boredom. While I am well aware that that may seem a particularly appealing attribute when you’re busy, stressed or just hoping for some peace and quiet at the end of a long day or start of a long trip, you may want to think again. The problem with the constant and chronic use of tech toys as boredom-busters is that boredom has long been recognized as playing a key role in fostering creativity, resourcefulness, and innovation. So what’s a parent to do? Be sure to establish times and places when cell phones need to be put away and screens need to be turned off to allow your children’s creative juices to start flowing.

Vacation planning. For anyone with holiday travel plans, or planning any travel for that matter, take a moment to consider why it is you’re traveling in the first place. Visiting friends or relatives, perhaps. Setting out to see new sights. Or simply spending time together as a family. Regardless of the reason, the fact of the matter is that cell phones, tablets, TVs and/or computer screens all have the uncanny ability to keep kids from looking up, looking out of the window, making eye contact, or – simply put – connecting with the world around them. In other words, technology (it’s non-essential use, that is) can sabotage your best-laid vacation plans. My suggestion? Plan to leave any unnecessary cell phones and other digital distractions at home. While your children may well protest at first, have a little faith. With very little practice, they’re sure to find alternative, meaningful, tech-free ways to enjoy the vacation as a result.

Declare the dinner table a tech-free zone. As the parent of three teens, I will be the first to admit that this is easier to write than it is to enforce. Nevertheless, it’s absolutely worth rising to the challenge of establishing the dinner table as a tech-free zone. With no buzzes, no rings, no emails, texts or tweets allowed, your chances for meaningful conversations with your children increase considerably – whether you have toddlers, tweens or teens.

And with that, I will leave you with my best wishes for a very happy holidays. In the spirit of both the holidays and of practicing what I preach, I now intend to shut down the computer, turn off my cell phone, turn on some holiday music, and go spend some quality time playing our family’s favorite board game (Settlers of Catan) with my kids.

Originally posted on Omaha World Herald’s Live Well Nebraska

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Feeding Your Baby: Tips for Successful Breastfeeding

For anyone entering parenthood today, you’ve undoubtedly heard the phrase “breast is best,” and for good reason. That’s because there are simply no substitutes that rival the invaluable health benefits of breast milk, which explains why the American Academy of Pediatrics recommends feeding babies breast milk exclusively for the first 6 months, and as long as possible – ideally throughout the first year. Yet according to the CDC’s 2013 Breastfeeding Report Card, while nearly 4 out of 5 new moms start breastfeeding, only half are still doing so at 6 months, and fewer still – only about twenty-five percent – continue throughout the full first year.

As with so many aspects of parenthood, it has been my experience that it’s one thing to know what to do, and altogether another to know how do it. In the case of breastfeeding, the fact of the matter is that what’s “natural” doesn’t always come naturally. Too many moms are caught off guard by this and quit early because they don’t have the support they need. In other words, they mistakenly think they’re failing when they’re really not. That’s why I think it’s so important to share the following breastfeeding insights and practical tips, as they can really help to increase the odds of breastfeeding success.

  • Catching on to latching on. Don’t be afraid to ask for help if at first your baby doesn’t succeed. Some babies are born with the ability to latch on to the breast correctly right from the start, but others really benefit from some hands-on training before they catch on to this all-important skill.
  • Be sure to send out an SOS (in Search out Support)! Anyone who’s ever done it knows breastfeeding can be time-consuming, tiring, or – if we’re being honest with ourselves – even downright demanding. Breastfeeding moms should always remember to ask for support – whether it’s in the form of a helping hand at the hospital, help tending to baby’s other night-time needs, or to fend off any feelings of isolation or frustration.
  • Remember it’s a matter of supply and demand. Fussy babies often fool moms into believing their milk supply is inadequate. Instead of simply assuming that extra fussing and/or frequent nursing are sure-fire signs of breastfeeding failure, it helps to first understand how the concept of supply and demand applies. Whether in the earliest days of breastfeeding or in the weeks after settling in to a predictable nursing routine, fussing and acting hungry is how babies communicate their growing “demands” so that they can successfully increase the milk supply. If you have any concerns, always remember to check-in with your pediatrician to make sure that everything is on track.
  • Get comfortable. This not only includes finding a comfortable feeding position that works for you and your baby – whether it’s a cradle hold, a football hold, or laying side-by-side – but also becoming comfortable with breastfeeding in general. The ability to find a comfortable position, feel adequately covered-up, and nurse in public and/or on-the-go all serve to make breastfeeding a more enjoyable experience.
  • Don’t get too irritated. Be aware that there are some mild irritations that can show up during the first few days of breastfeeding – most notably some nipple irritation and uterine cramping – but tend to go away within days. After that, remember to be on the lookout for and seek medical advice throughout your breastfeeding months for the onset of any new irritations in order to keep blisters, cracks, blocked milk ducts, or mastitis (breast infection) from getting in the way of an otherwise painless and enjoyable breastfeeding experience.3
  • And finally – remember that breast milk each day really can help keep the doctor away. Not that I am in any way advocating the avoidance of your pediatrician, since a close partnership with your pediatrician and regular checkups are key to your baby’s health. Rather, I find it is both empowering and motivating to finish any discussion of breastfeeding with a reminder that breastfeeding is a great investment in your baby’s overall health – one that not only provides them with the ideal food, but also lots of other health benefits and plenty of opportunity for shared bonding time.

Originally posted on Omaha World Herald’s Live Well Nebraska

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If Sitting is the New Smoking, Walking is a Powerful Antidote

Ever since I took up running in my early teens, I have always considered myself a runner. Never a particularly fast runner, mind you, but an every-other-day distance runner. I made a habit out of running all through high school and college, and even ran a marathon (my one and only) as I finished out my first year in medical school. And then life’s demands really set in. With the realities of a husband, three kids, and a demanding job, I found myself figuratively running all the time, but with so little to spare that even finding the time to finish watching a movie on a 5-day rental was a challenge, and my running went by the wayside altogether.

One of the disadvantages of having been a former distance runner is that it took me many years before I was able to convince myself that anything short of a five-mile run counted as real exercise. Concerningly, I’ve found that people contemplating exercise for the first time share this impression, making it a misperception that stands to seriously get in the way of getting up and getting active. And it’s clear that getting up and getting active is something we all could afford to do more of.

In fact, a 2012 Lancet article reported that “physical inactivity is a global pandemic, with far-reaching health, economic, environmental, and social consequences.” The New York Times recently reported that Americans are “thousands of steps behind” – walking barely half (5117) of the 10,000 steps per day typically recommended by the health community compared to countries like Japan (coming in at over 7000) and both Australia and Switzerland (both close to 10,000 per day). According to America’s health rankings, Nebraskans are not faring so well either, with nearly a quarter of us over eighteen reportedly doing no physical activity or exercise other than in the course of our regular job. With physical education time and funding being dropped from elementary, middle and high schools alike, we’re all but setting our children up to follow in our physical inactivity footsteps.

So what kind of far-reaching effects does all this physical inactivity have? According to epidemiologist Min Lee it “has an impact on health comparable that of smoking” – a troubling sentiment shared by a friend of mine, Nilofer Merchant, in her recent TED talk, in which she asserted that sitting has become the smoking of our generation.

If sitting and our tendency towards physical inactivity really is the new smoking, then the good news is that there is a powerful, easy to administer, and entirely free antidote. That antidote is walking. With the lowest dropout rate of just about any physical activity, it’s high time we all commit to doing more of it. To that end, I wanted to share some of the many convenient and motivating ways you can add more steps to your family’s day.

  • Walk and talk. Just like regular exercise, finding time to connect with friends is clearly an important aspect of well-being too. Instead of getting together for food and/or drinks, why not plan to take a walk and talk instead? If your days are filled with meetings, consider which might be just as fruitful if conducted while walking rather than sitting.
  • Make walking a club sport. Many area elementary schools have adopted walking clubs, in which children can come to school early and walk a mile or more with the peers, teachers, and/or parents. If your child’s elementary school doesn’t have one, consider volunteering to help get one off the ground!
  • Walk where you’re going. While October 9th has been officially recognized as International Walk to School Day, consider having your child walk to/from school every And while you’re at it, consider other daily activities where you might be able to walk rather than drive – the grocery store? The post office? Take a look around your neighborhood and you’re sure to find places within walking distance. Or simply add an evening walk around the block to your daily routine.
  • Measure your progress. Pedometers and other fitness tracking devices abound, and for good reason. For many of us, simply being able to see how many steps we have (or haven’t) taken in a day is enough to motivate us to get up and moving.
  • Watch while you’re walking. Can’t find time to walk? Consider taking a look at your TV viewing schedule and commit yourself to walking on a treadmill while you watch your favorite weekly show(s).
  • Walk the walk. Remember that as parents, we have a responsibility to set a good example for our children – which includes both talking the talk and walking the walk. After all, if we get it right, they are very likely to follow in our 10,000-plus steps-per-day footsteps!

Originally posted on Omaha World Herald’s Live Well Nebraska

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Why E-Cigarettes Have Me Worried

The more I hear about e-cigarettes, the more they have me worried. And unfortunately, I’m not the only one who’s hearing a lot about these increasingly popular “alternatives to tobacco cigarettes.” In fact, a recent nationally-representative survey found that 40 percent of Americans have heard of the electronic nicotine delivery systems (ENDS) affectionately referred to as “e-Cigs”, teens seem to be quite taken by them, and annual sales this year are shaping up to be a predicted $1 billion. But that’s not all. Here are a few other compelling reasons why I’m worried.

What you see isn’t always what you get. Ask any teen to describe what’s in an e-cig and the likely answer you’ll get is that it’s “just water vapor,” and therefore harmless. For those of you who have yet to pay much attention to e-cigs and don’t yet know what they actually are, let me explain why this is a dangerous misperception. E-cigs are devices – many of which are designed to look similar to cigarettes – that do in fact vaporize appealing-flavored solutions into a mist that can be inhaled into the lungs. But while “water vapor” may be what you see, what e-cig users actually get is a vaporized chemical mixture typically composed of nicotine, propylene glycol and other chemicals. And what we do know is that nicotine can be highly addictive.

What you don’t know can hurt you. Just because e-cigs don’t produce tar or ash like cigarettes do does not mean they’re safe. In fact, the World Health Organization (WHO)’s Tobacco Free Initiative states that the potential risks they pose for the health of users remain undetermined, the safety has not been scientifically demonstrated, and scientific testing indicates that there is significant variation in the amount of nicotine and other chemicals contained in each product. Their conclusion, and one that I share: Until e-cigs are deemed safe and effective and of acceptable quality by a competent national regulatory body, consumers should be strongly advised not to use any of these products.

E-cigs are a step in the wrong direction. According to the Legacy Foundation, youth cigarette use declined sharply between the mid-1990’s and 2010, leveled off in 2011, and continued to decrease in 2012. In contrast, the CDC reports that e-cigarette use by minors is rapidly increasing – having doubled between 2011 and 2012. While advocates argue that e-cigs are a “safer alternative” to cigarette smoking, there are no scientifically proven methods for using e-cigs as cigarette replacements. In the meantime, they have me and just about everyone I know who’s involved in promoting healthy behaviors worried because they run the very real risk of initiating new teen e-cig smokers and making smoking cool again.

Looks can be appealing. Speaking of cool – it’s not so long ago that cigarettes were considered cool. In fact, too many movies still portray those who smoke cigarettes to be dashing, daring and desirable. Now enter e-cigs and you’ve got a new and even more appealing high-tech design. Now I’m not just worried that all of the longstanding public health efforts directed towards keeping teens from smoking will go up in smoke, but quite possibly go up in vapor as well.

Jenny McCarthy can be quite convincing. As if the enticing flavors and the convenience and the easy accessibility of sleek new e-cigs wasn’t enough, Advertising Age recently reported that Jenny McCarthy – known for her many years speaking out against childhood vaccination despite nearly two dozen scientific studies to the contrary – has signed on to be the new face of the leading brand of e-cigarettes. And even though tobacco advertisers haven’t been allowed to advertise on TV since 1971, e-cigarette makers now can because unlike their tobacco-containing counterparts, e-cigs are not yet regulated by the FDA. This really has me worried, given that a recent study on the international reach of tobacco marketing among young children confirms that pro-smoking messages delivered through marketing and the media can reach very young children and influence attitudes and behaviors around smoking.

So now that you hopefully agree that I’m justifiably worried, I hope you’ll join me in being proactive about it. Talk to your kids about e-cigs. Find out what they know, what they’ve heard, what they’ve seen. And make very sure they are well-informed – both about what e-cigs are, and about what they’re not!

Originally posted on Omaha World Herald’s Live Well Nebraska

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Back-to-School Parenting: Addressing Common Ailments

It’s that time of year again, when prepared parents get a head start on supply shopping while our children eagerly pick out new backpacks in anticipation of the rapidly approaching return to school. As both a parent and a pediatrician, I’ve found that this is the time when it’s also useful to arm oneself with information about some of the more common ailments and health-related challenges of the season.

What first comes to mind, in addition to the annual scramble to get school physicals and sports forms signed (a necessary and important pre-requisite for getting the school year off to a good start), are the not-so-eagerly anticipated maladies that predictably show up each fall. While children predictably share everything from strep throat, pinkeye, and common cold viruses to dreaded head lice – I’ve found that it’s the back-to-school headaches and stomach aches that have a way of leaving parents scratching their heads wondering which ones warrant being taken seriously.

When it comes to stomachaches, parents often find it difficult to determine which ones are “real,” and which are simply the result of not wanting to go to school. By “real,” most parents are thinking of the stomach-flu type illnesses that often cause symptoms like fever, vomiting and/or diarrhea. It’s important for parents to understand, however, that stomach aches not attributable to a virus or other medical cause can still be quite real. Stress-related stomachaches in school-age children are actually quite common and often said to be the equivalent of headaches in adults. Even if the underlying cause is due to a child’s stress or desire not to attend school, very “real” symptoms (such as vomiting and diarrhea, but not fever) can result, and it’s worthwhile trying to identify and address the underlying cause(s).

Similarly, the appearance of headaches can often cause parents to question whether they are serious or simply related to new school year nerves. When it comes to getting a head start on school-year headaches, as well as stomachaches, it’s always important to consider when they first start (after the first day of school? or during the family’s eagerly anticipated summer vacation?), when they occur (first thing in the morning? Or after a long day of reading and/or computer use?), how bad are they (do they make your child stop doing even those things they really enjoy? Or only get in the way of chores and going to school?) And what makes them better or worse.

There are common medical explanations – the eye strain and/or the yet-identified need for glasses, or the onset of seasonal allergies, for example – but it’s equally important to enlist your child’s doctor if you need help sorting out stress-related causes of headaches and/or stomach aches, as the resulting symptoms can be just as “real,” and addressing them just as important.

Getting a handle on these school-time ailments, as well remembering to help ensure your children get a good night’s sleep and eat a good breakfast, will go a very long ways towards making this a more enjoyable and productive school year.

Originally posted on Omaha World Herald’s Live Well Nebraska