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Top reasons people visit the doctor during the summer

As my children finish out another school year and the whole family settles in to our summer routine, I can’t help but be reminded of how nice it is to have made it through another winter of cold and flu season. After a winter of spending significantly more time indoors and in closer quarters with other people – the characteristic of winter which inevitably leads to more effective sharing of illness-causing germs and more frequent trips to see the doctor – I routinely find myself welcoming the sunshine, the swimming, and all of the other outdoor activities that summer brings.

As I buy my summer supply of sunscreen, fill prescriptions for allergy meds and remind my teenagers that they are still expected to wear their bicycle helmets, however, I am also reminded that stepping into summer fun and sun is not without its own set of reasons to visit the doctor. After all, this warmly welcomed season comes with its own set of most common illnesses, ailments and injuries.

Seasonal Allergies. For millions of allergy sufferers, some of the sure signs of summer – freshly cut grass, pollen and weeds to name a few – also serve to bring about itchy eyes and runny noses. Allergy symptoms that often start in the spring can and often do persist throughout the summer and into the fall, and can range from annoying eyes, nose and skin irritations to more serious sinus infections and difficulties with breathing and wheezing – all of which may warrant a trip to the doctor for diagnosis and/or treatment.

Bites. Need I say more? Spider bites. Mosquito bites. Tick bites. These too are the signs of the season, and in some cases warrant a trip to the doctor – in some cases for identification, because of increasing pain, redness, swelling, or the appearance of a rash, or for symptomatic treatment.

Broken Bones. Along with the welcoming outdoor weather and increased physical activity of the summertime comes a noticeable increase in injuries which, in addition to the common bumps, bruises, and skinned knees characteristic of the season comes the increased likelihood of broken bones. While necessitating a trip to the doctor, the good news about broken bones is that despite the temporary pain and limitations, children’s bones actually heal incredibly well.

Diarrhea. Not only do summer viruses have the distinct ability to cause some less-than-desirable effects when it comes to vomiting and diarrhea, but so do several bacteria known for contaminating food and summertime fun. That means that in addition to recognizing and regularly acting on the importance of hand washing when dirty, when in contact with germy hands or surfaces, or when exposed to someone who is sick, remember to heed.

Rashes – in addition to bug bites, rashes such as heat rash, increasingly dry skin and eczema, sunburns, and contact rashes such as poison ivy all tend to make their appearances in summer. Generally, a trip to the doctor is warranted either to figure out what the rash is, and/or figure out how best to treat the often-associated discomforts.

Stings. Head outdoors in the summer and you’re sure to find bees. While I only just finished listening to a world-renowned bee expert give a TED talk on how crucial bees are to the world’s food supply, nevertheless as a physician when I hear “bees” I think bee stings. While a run-of-the-mill bee sting doesn’t typically necessitate a doctor visit, some people can have enough pain, swelling and even – in some instances, all-out allergic reaction that requires medical attention.

Sun-related. While sun may be one of the things we all look forward to most about summer, having a healthy respect for its ability to cause sunburn, dehydration and heat stroke – especially during the peak hours of 10a to 2p – can help keep your family out of the doctor’s office, as can making sure you stay well-hydrated and well-equipped with sunscreen.

Swimmer’s ear. Also referred to as “otitis externa,” this common ailment of summer occurs as the result of repeated exposure to water, and typically presents itself as an annoyingly itchy and often painful irritation of the ear canal. While the pain and redness are often alarming enough to bring people in to see their doctors, the good news is that simply drying out the ear canal and treating the infection work very well.

Viral illnesses. While we all tend to think of winter as the time for cold and flu viruses to lurk, there are still plenty of summertime viruses – most notably a group called enteroviruses – that can cause anything from vomiting and diarrhea to hand foot mouth, and/or croup-like illnesses. In most cases, what most determines the need for a trip to the doctor is the persistence of high fevers, dehydration, lethargy, accompanying rashes, or simply reassurance.

Well visits (for school). I would be remiss as a pediatrician if I did not remember to mention that while you may think of them as “school physicals”, summertime is actually a great time to beat the crowds of people who wait until just before school starts and take your school-age child in now for his/her annual well visit (not to mention camp physical, sports participation physical, etc).

Originally posted on Omaha World Herald’s Live Well Nebraska

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Taking a Page from the Preschool Playbook

As an author myself, I have always had a very healthy respect for the fact that people not only judge books by their covers, but that coming up with just the right title can make or break a book. Much like the marketing slogans you simply can’t get out of your head (think “where’s the beef?” or “yo quiero, Taco Bell”), a really great book title can convey the essence of a book long after the details contained within are all but forgotten.

Whether I’m interacting with business leaders or functioning in my role as a pediatrician, early educator, or parent – the book title that keeps coming to my mind is Robert Fulghum’s All I Need to Know I Learned in Kindergarten. This was certainly true when I sat down to catch up on the morning’s national news and saw the lead story about Rutgers University’s head basketball coach “behaving badly.”

My first reaction to the videos, which if you didn’t see them can be summarized as a whole lot of yelling, kicking, shoving, name calling (in the form of homophobic slurs) was to find them quite disturbing. My immediate thought was that perhaps the coach – who was reportedly instructed to get some remedial sensitivity training – had missed learning a few really important lessons in early childhood. What would clearly have served him well was simply to take a page or two from what I call the “Preschool Playbook.”

Having clearly recognized many years ago that what we teach children in early childhood is immensely important to their future life success, my strong belief that what happens in Preschool does not stay in preschool, but rather impacts children’s social, emotional, and cognitive competency for life. This belief is now being supported by everyone from the top brain scientists and academic institutions in the world to the military, the juvenile justice system, and the business community.

With respect to the representative viral video footage released by ESPN on Tuesday, let me just share with you a few fundamentally important lessons we routinely teach from said preschool playbook, and let you be the judge of just how important they are for future life success.

  1. Keep your hands to yourself. The fact of the matter is that children are not born with the ability to control their impulses. While this leads predictably to a certain amount of predictable hitting, biting, throwing and other socially undesirable behaviors, the ability to overcome these urges is unquestionably important for future life success. That said, most children who get proper encouragement and teaching of this important life skill, can be expected to master the impulse to push, grab, throw and/or shove sometime between the age of three or four.
  2. Use your words. Early childhood language development isn’t simply a matter of how early and many words a child can master for the sake of parental bragging rights, but rather how many words a child has at their disposal so that they can better communicate and interact with others. Every parent and child care provider knows the challenge of having a toddler who knows what they want, but has yet to develop the language skills to communicate it. The predictable result? A short fuse, frequent and unexplained “meltdowns,” temper tantrums, and all of the other behaviors so common during toddlerhood and what has long been referred to as “the terrible twos.” By age three, however, children can be expected to reach such fundamentally important developmental milestones as following instructions with 2 or 3 steps, carry on conversations using at least 2 to 3 word sentences, and talk well enough for strangers to understand them most of the time.
  3. If you can’t say something nice…. I’m willing to bet that the second half of these useful words to live by goes without saying. Preschool is all but defined as a time when children are learning and testing out social dynamics. They may (and often do) say some hurtful things to each other, but usually to test them out and see what happens when they say them. When in the care of adults who help them learn what is and isn’t socially acceptable, children soon learn necessary skills such as empathy and the awareness of how what they say effects others. As the parent of a teenage athlete, I’ve often wondered if the “old school” (loosely translated = belittling) coaches perhaps either missed this lesson or simply forgot it.
  4. Use your indoor voice. Sure, this phrase is often applied in preschool to the goal of keeping the decibel level down to a manageable level in closed spaces. But it is also a very important skill to remember when dealing with conflict and disagreement. In fact, whenever I help parents or teachers learn to instruct children more effectively, I routinely remind them that no one – child, adult, or college basketball player – responds well to being screamed or yelled at.

While the Rutgers basketball coach happens to be the story of the day, it is my sincere hope that the public interest fueled by social media isn’t just a flash-in-the-pan. Unless we want to raise a generation of adults who push, shove, belittle and have little-to-no impulse control, can’t control their reactions under stress, and whose overall behavior we find equally as disturbing as what we’ve just witnessed by the Rutgers basketball coach, we need to permanently raise our collective awareness of just how important early childhood education and stop discounting the importance of the preschool playbook.

Originally posted on Omaha World Herald’s Live Well Nebraska

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Signs of Spring: Recognizing, preventing and treating seasonal allergies

While most people welcome spring with open arms, an estimated 35 million new and seasoned allergy sufferers may not be so excited. These folks are generally the first to realize that spring is, quite literally, in the air. They’re faced with questions about how to recognize, understand, prevent and treat seasonal allergies. While it’s hard to believe with snow still on the ground, the fact is we’re fast approaching that predictable time of year when the runny noses of “cold season” are replaced by those provoked by pollen.

In general, think of allergies as the body’s over-reaction to something. That “something” being an allergen – certain foods, pet dander, dust, medicines, mold spores, pollen, etc.

Every person is different when it comes to whether their body reacts to allergens, which ones and how bad. Some people go through life with no allergies whatsoever. Others experience reactions ranging in severity – from a simple runny and/or itchy nose, eyes, mouth, throat and ears, to wheezing or worse.

These symptoms definitely have some overlap with those of the common cold. In fact, the runny/stuffy nose and sneezing offer little insight into whether a cold or an allergy is to blame. Coughs, on the other hand, are more likely to mean cold. And the presence of itchy eyes or nose points to allergies. There’s actually a term for that habitual upward nose-wiping gesture you often see kids doing. It’s called an “allergic” or “nasal salute.”

If you start seeing possible allergy symptoms in your kids, have a conversation with their pediatrician. Figuring out the cause of your child’s symptoms is going to determine how best to treat and prevent them. The ideal approach is to prevent exposure to the culprit allergen(s) altogether. In many instances, avoidance can be challenging but nevertheless doable – like peanuts or penicillin.

In contrast, spring’s molds and pollens literally make their way into the air we breath, making absolute avoidance much less realistic. A typical pollen season can run from March through October, and the amount of pollen in the air can vary from day to day depending on the weather (with hot, dry and windy days especially bad). Keeping windows closed, using an air conditioner, air purifier, humidifier or air filters, and staying indoors when pollen counts peak can certainly help.

There is also a wide range of medicines – antihistamines, nasal steroids, decongestants, and allergy shots – that help prevent allergic reactions or minimize symptoms once they appear.

Be sure to brush up on your allergy-prevention plan and treatment if your child has been diagnosed with seasonal allergies in years past, and check in with your pediatrician if you suspect them.

As we jump straight from the snow into spring, many little noses are likely to keep on running, so keep an eye out for the telltale signs of allergies vs. cold. And it’s not a bad idea to continue to keep a box of tissues on hand!

Originally posted on Omaha World Herald’s Live Well Nebraska

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Arming teachers with what they really need…pencils, books, and healthy, school-ready children!

There’s no ignoring it. The topic is everywhere. Our country is engaged in a national debate about gun control, and in many cases, whether or not we should arm our teachers. I certainly have concerns about putting guns in closer proximity to our children, since the absence of guns from their homes and communities has been proven the most effective way of preventing firearm-related injuries within this age group. And while the conversation about gun control is long overdue, I feel compelled to point out that there is a more important discussion when it comes to arming teachers.

Far less controversial and already proven “arms” exist, and we actually know a lot about what works when it comes to ensuring our children stay safe and healthy while at school. Here are a few ideas.

Books. Helping children grow up with a love of reading in a literacy-rich environment is crucial for their future success and well being. Every educator and pediatrician I’ve met agrees – children must spend their first few years of school learning to read in order to spend the rest of their lives reading to learn. The sad fact is that far too many child care settings and elementary schools lack the books (or the budget) needed to make this happen. And Omaha is not immune to this problem.

Breakfast. As the co-author of Food Fights, a book that offers solutions to kid-related nutritional challenges, it should come as no surprise that I believe that good nutrition (all day every day) is essential for kids (and adults, for that matter). It’s needed for good physical health, concentration and the ability to learn. The fact of the matter is, hungry children simply don’t learn as well as others. So it’s time to ask the tough questions: How do we provide all children, especially those who are disadvantaged, with a nutritious breakfast?

School nurses and other health professionals. Our health and ability to learn are inextricably intertwined, especially in our children’s earliest years. Unfortunately, budget cuts often leave our schools with little, if any, access to a school nurse or other health professional. Even fewer child care centers have this much-needed access, despite the existence of clear justification for these health consultants.

Vaccines and other germ-fighting tools. Making sure children and teachers are fully vaccinated is so important. This also means insuring measures are in place to limit the spread of infection and missed school days. We need to arm our teachers not only with the paper and pencils, but with vaccinated children, cleaning supplies and disinfecting procedures. Access to hand washing sinks, soap, hand sanitizer, bleach water and/or disinfecting wipes are small investments that can yield big returns.

Children who are ready-to-learn. Key words here: when they enter kindergarten. We have irrefutable evidence that proves investing in early childhood and a strong foundation is hugely important for safety, health and lifelong well being. We also know this foundation must be laid in the earliest years of a child’s life – well before he or she enters kindergarten. That’s why efforts such as First Five Nebraska and Educare are so crucial.

Originally posted on Omaha World Herald’s Live Well Nebraska

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Family-Friendly New Year’s Resolutions for Parents

Now that the buildup to 2013 has come and gone and everyone has had ample opportunity to contemplate and commit to New Year’s resolutions, I thought it would be a useful time to look past the hype and consider what really makes for family-friendly and longer-lasting resolutions.

Let me first say that I’m a big believer in the benefits of goal setting, and I do really well with defined start dates – even those that I fully realize are arbitrarily defined. In fact, the thought of starting a New Year’s resolution a day past the first of the year, or failing to follow through for at least six months leaves me feeling unsettled.

My family, however, doesn’t exactly share my attitude. Ask my husband and he’ll tell you that New Year’s resolutions are silly. Not that he doesn’t share my belief in setting goals and sticking to them, but he questions what makes identifying life-enhancing goals and then committing to them on January 1st any different than doing so on June 1st (or any other day of the year, for that matter)?

And if I were to have waited for resolution revelations from my 3 children (one pre-teen and two teenagers), I would have been offered up some vague and non-committal pledges at best – somewhere along the lines of “I think I may try to start running some time this year…if I feel like it.” Given that it’s not uncommon for children to be similarly resolution challenged when left to their own devices, I’ve concluded that it’s not only worthwhile for parents to assist children with choosing resolutions, but to help them pick ones that are both positive and realistic. Better yet, it helps to pick resolutions you can both support and share in as a family.

So just what approach should parents take? It’s interesting to start by considering the most popular adult New Year’s resolutions. No matter what top ten list you look at, it’s likely to include such goals as eating healthier, getting fit, losing weight, getting a better education or job, helping others, and getting organized. Given that these are all things we repeatedly aspire to, it seems to me the best thing we can do for our kids is to join them in setting goals that will help them (and us) lead happier, healthier, smarter and more organized lives right from the start.

Healthier. Having your child commit to such basic things as daily tooth-brushing and regular hand-washing may seem somewhat insignificant in the grand scheme of New Years resolution-making, but they’re really not. In fact, along with making sure your child is up-to-date on immunizations, eats healthy and stays active, hand washing and tooth brushing rank right near the top of ways to stay healthy. As for eating healthier, my own family’s resolution is to eat out less and cook more meals at home using an online menu planner that comes complete with weekly shopping lists and healthy recipes. (www.thefresh20.com)

Happier. When it comes to resolving to be happier, I have two overarching suggestions. The first is to focus on spending more quality time as a family, whether it’s in the form of after-dinner walks, road trips and family vacations together, bedtime books or a weekly game night. The other is helping others – a commitment that has also been clearly shown to make people – children and adults alike – happier. Remember that when it comes to helping others, it can be as simple as teaching young children to use their manners and share their toys or shoveling a neighbors driveway, to volunteering at or contributing to a local non-profit or helping those in need around the world. One of my family’s favorites is a non-profit micro-lending site, kiva.org, where families can read about and help contribute to worthy causes such as supporting education in India, or helping to buy a bull for a farmer in S. America.

Wiser. While there are countless age-appropriate resolutions children can make that will make them smarter, a particularly worthy New Year’s resolution is to simply read more, whether it’s reading aloud every day with your child, your child resolving to learn to read on his own this year, making shared quiet reading time a regular family activity, or committing to reading a certain number of books over the course of the year.

More organized. In case you’re wondering if the tasks might be too mundane to qualify as New Year’s resolutions, having your children commit to such routine tasks as putting away their toys, cleaning their rooms, and sorting/putting away their laundry really do make a difference towards fostering important lifelong organizational skills.

Originally posted on Omaha World Herald’s Live Well Nebraska

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Kids, Coats and Cold Weather

I have to say, it’s a good thing I have the opportunity to talk to lots of parents on a regular basis, if for no other reason than because I’m able to reassure myself that I’m not the only parent having conversations like this one:

Me:     “You can’t wear shorts today.”

Child who shall go nameless: “Why not?”

Me:     “It’s winter, and it’s too cold outside for shorts.”

Child (still wearing shorts):    “So?! I’m not cold.”

Me:     “It’s not just a little cold. It’s frigid outside. As in snow temperature. As in it’s sub-zero wind chill and like the arctic tundra outside. Now go change!”

Child (still not changing):        “But mom, WHY?!”

Me:     “Because I give people parenting advice for a living, and if you don’t, you’ll make me look bad, so end of discussion – go change!” Continue reading “Kids, Coats and Cold Weather”

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The advantages and disadvantages of organic foods

A recent trip to supermarket left me feeling better than usual about my family’s grocery shopping habits.

I made my way to the dairy aisle armed with new and must-have information from a recent American Academy of Pediatrics (AAP) report. The topic: Advantages and disadvantages of organic foods.

As someone whose family consumes about six gallons of milk every week, I’ve questioned whether my desire to save a not insignificant amount of money buying non-organic milk might be putting my three children at risk. And I’m fairly sure I’m not the only mom who has had this internal debate. After all, according to the report, as of 2010 the U.S. organic food industry was estimated to be over worth over $28 billion. And on average, organic products cost anywhere from 10 to 40 percent more than those that are non-organically produced.

So I was relieved, and albeit a bit surprised, to learn that the AAP committee (comprised of experts in both nutrition and environmental health) concluded, “There is no evidence of clinically relevant differences in organic milk and conventional milk.”

That’s right, no evidence that organic milk has less bacteria in it. No evidence that conventional milk has any worrisome bovine growth hormones. And few, if any, nutritional differences of any significance.

While not only renewing my confidence in my longstanding milk purchase habits, the report went one step further noting that organic foods are not nutritionally superior to their traditional counterparts. This isn’t to say the two are created equal, because organic foods do contain fewer pesticides. It’s just not yet clear whether the reduced pesticide exposure makes any difference to our health.

So with new information in hand, as a consumer, pediatrician and parent, my stance is simple: Until we know more, err on the side of caution. Limiting pesticide exposure, especially in pregnant women, infants and young children, isn’t a bad idea considering the potential risky effects these chemicals may have on brain development.

Another big take away from the AAP report was that, above all else, we should focus on eating plenty of fresh fruits and vegetables. More importantly than the organic vs. non-organic debate is the conversation about simply eating fruits and veggies in the first place. The average American diet is lacking in fresh produce, so any, organic or not, is better than none. If cost isn’t a concern to your family, then by all means, feel free to buy organic. But if it is, don’t let that keep you away from the produce section or feel guilty when grabbing your next gallon of milk.

Other links of interest:

2008 Consumer Reports Article: Fruits and Vegetables, When to Buy Organic

Environmental Working Group’s “Shopper’s Guide to Pesticides”

Originally posted on Omaha World Herald’s Live Well Nebraska

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The truth about American Idol’s “Idol Bug”

I recently got around to watching a recorded episode of American Idol. Aside from all the melodrama associated with stress, sleep deprivation, and watching people who dream of living life in the spotlight compete against each other, I was struck by the fact that the episode was impressively reminiscent of the opening scenes from the movie Contagion. For anyone who hasn’t seen the movie, suffice it to say that the storyline is focused on the ensuing devastation invoked by the uncontrolled spread of a dangerous new virus.

Okay, so no one died on American Idol’s Hollywood Week episode. But I did experience the same sense of foreboding. Idol contestants shaking hands, exchanging frequent high-fives, offering each other lots of hugs, and just generally partaking in a whole lot of close contact also known as germ-sharing behavior. Worse yet, there was a clearly identified “Patient Zero” in the mix – runny nose, fever, fatigue and all. If germs were visible, I’m pretty sure any viewers who somehow missed the not-so-subtle foreshadowing by the shows producers would have been cringing along with me long before contestant after contestant proceeded to fall ill.

Hmmmm…If only germs were visible…Now there’s a thought. I majored in cellular, molecular biology, so I’ve admittedly had more opportunities to visualize germs than most. But the concept of helping people – even young children – be visually reminded of the presence of germs isn’t out of reach. In fact, there are even cool (and relatively inexpensive) soaps and science  kits that help children (and adults) visualize just how effective (or ineffective) they are at washing germs off their hands.

It is my sincere hope, however, that it won’t take actually visualizing germs for all of us to take stock in what simple measures we already know are effective in preventing the spread of germs. For a quick refresher, let me spell them out for you so you will have them at your (hopefully clean) fingertips! After all, the truth about the “Idol Bug” is that it was likely just another (admittedly nasty and poorly timed) virus making the most of making people sick.  More than just another virus, however, it was also a really good, attention grabbing reminder for the reported 19 million  that we’re still in the middle of cold and flu season, and that the sharing of germs that happened in Hollywood while the cameras were running could happen anywhere – especially to those who neglect to take the following actions!

Wash your hands with soap and water. Handwashing is particularly important not only before eating and after using the bathroom, but any time you or your children are sick or come in contact with people who are sick (or germy surfaces like grocery cart handles). And don’t just settle for a quick rinse. Lather up the soap and be sure to get all areas of the hands – both front, back and in-between fingers.

Cover your cough. I can tell you from lots of child-care-owning experience that it’s entirely possible to teach even very young children to not only cover coughs, but to do so with their arms rather than their hands. They may not get it right early on or every time, but over time they’ll pick up on this very important form of prevention. The fewer illness-causing germs that are coughed into one’s hands, the fewer that stand to contaminate surfaces or get shared directly with others.

Vaccinate. I often get asked longingly in interviews about whether or not we’ll ever discover how to prevent the common cold. I agree that this would be nice, as the symptoms associated with the common cold can certainly be quite pesky. But the severity of the common cold is nothing compared to all of the vaccine-preventable diseases (think measles, mumps, rubella, diphtheria, tetanus, polio) we are now able to effectively prevent. Simply put, vaccination is deserving of its recognition as one of the biggest public health success stories of the past century.

Avoid contact with those who are ill. Within reason, that is. That means that when you’re sick, it’s best to limit contact with others whenever possible – especially in the first days of an illness, when you have a fever, the flu, or other significant symptoms likely to spread germs and infect others (such as a lot of coughing).

Disinfect contaminated surfaces. Think snotty tissues on the nightstand, door knobs, telephone receivers, or any other high-traffic surfaces that are likely to have come in contact with unwashed, germy hands.  Germs can live for hours (and in some instances, days), so don’t forget to disinfect contaminated surfaces.

Originally posted on Omaha World Herald’s Live Well Nebraska

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Brushing teeth: Parental reflections on the importance of oral health and pink princess toothbrushes

I sometimes cringe when I witness the power that putting Disney Princesses on pink and purple toothbrushes has on increasing the likelihood that girls will happily engage in the ever-so-healthy habit of brushing their teeth. To be fair, let me also say that I’m sure I’d be equally impressed by Transformers or Cars or Spiderman or any other enticing children’s toothbrushes that predictably coax boys into opening wide and brushing. That said, I’m going to save my concerns about of the influence of today’s societal “norms” on children and gender stereotyping for another day in order to focus on the very important topic of the month: children’s oral health.

It seems a bit superficial to start out by admitting that I do, in fact, love Princess toothbrushes. Not that I use one personally, of course, but rather I love that they have a way of getting even the feistiest and most willful of four, three, and even two-year-old girls to proudly tell me just how excited they are to own and use one (or two or even three) of these agents of change.

That’s right, I am hoping to convince you (in hopefully 800 words or less) that what may seem like a cute little toothbrush is actually much more than what it may seem. Especially in combination with a few other crucial factors (such as toothpaste, fluoride, and dental sealants), toothbrushes really can serve as powerful agents of change.

I am aware that for many of us, getting our kids to brush their teeth is something we know we should do and therefore commit to implementing from very early on in our parenting careers. Based on the number of questions I’m asked, I’m pretty sure a majority of us have also had to cope with babies’ erupting teeth, searched for ways to get toddlers to open their mouths, and/or struggled to get tweens and teens to take us seriously when we remind them to brush their teeth. All their teeth. With toothpaste. Not every so often, but every day.

So each February, when Children’s Dental Health Month rolls around, I’m happy. Happy because I am painfully aware of how difficult it can be to draw much-needed attention to the importance of children’s oral health – especially as a topic of key national importance. If setting up a campaign and dedicating a month to this worthy cause is what it takes, I’m all for it.

If this month serves as a useful reminder for all of you to brush up on tips for taking care of teeth – from baby’s to teen’s and everyone in between – then we’re off to a good start. It’s also a good time to double check your calendar and make sure your children (starting at the age of one!) are scheduled to get dental check-ups every six months.

But I also hope February’s increased focus on children’s oral health gives you an even healthier appreciation for just how much impact oral health – or the lack thereof – can have on children’s overall health, self-image, and well-being. Cavities and tooth decay (or “dental caries”) are actually considered a chronic disease. And not just any chronic disease, but one that affects more children in the U.S. than any other (five times more than asthma!) and is projected to afflict fifty percent of all children entering kindergarten this year. When left untreated, tooth decay has the very real potential to cause pain, infections, and subsequent difficulty playing, eating, speaking and learning. In fact, it is estimated that children miss nearly 51 million school hours each year because of dental-related illnesses alone. That’s not even to mention the social importance of a smile and just how damaging tooth decay can be to one’s self-esteem.

So I’m willing to admit that making the leap from Princess toothbrushes to this serious of a topic is a big one. But the fact of the matter is that I couldn’t agree more with Jeff Sheldon (a Community Health Educator in the Nebraska Department of Health and Human Services Office of Oral Health and Dentistry) and Nebraska’s Chief Medical Officer, Dr. Joanne Schaefer that taking care of our children’s teeth is an under-emphasized health priority in Nebraska. I’m fairly certain that Rick Ruggles’ recent article entitled Children walk out with smiles put a smile on their faces like it did mine as he described Creighton Dental School’s Give Kids a Smile event earlier this month. I just hope that everyone remembers that oral health is important every day of every month – for your children, and for all children. If we want to invest in our kids, let’s be sure to invest in their smiles too.

For more information on children’s oral health, you can go to:

Originally posted on Omaha World Herald’s Live Well Nebraska

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Starfish & Mittens: Helping Teach Our Children Kindness and Empathy

As you are probably well aware, my focus is and always has been on kids, parenting, and families. Quite often – whether in the books I write or at my childcare center – this translates into helping parents better understand, educate, and guide children towards happier, healthier futures.

Today is no different. In fact, I was halfway done writing my Live Well Nebraska blog in honor of National Children’s Dental Health Month, a topic I truly believe should be hugely important for all parents – perhaps more so than many are even aware.

As is often the case when I’ve promised myself I’m not going to be distracted while writing, however, I’ve found myself distracted. As soon as I opened my web browser with what I swear was for work purposes only, I saw a top-of-the-page CNN video entitled Children of the Trash Dump. These kind of titles always lure me in, and I’ve never been able to keep from clicking on the links and watching the videos. When I do, it inevitably solidifies my desire to do more to improve the lives of children and their families. Today, my conviction was made stronger than ever.

You see, I’m fresh on the heels of a very powerful trip to S. Africa, during which I had the opportunity to tour the makeshift shantytown of Dunoon just outside of Cape Town, where I witnessed firsthand both the terrible poverty and incredible resilience of its women and children. I left there more determined than ever to do something. I imagine watching CNN’s story about the plight of Vietnamese children living on a trash dump and at great risk of falling prey to child trafficking may have nearly the same effect on some of you.

The question that often arises, however, is what can one really do to tackle such a huge problem or even make a dent in such desperate situations as poverty, child trafficking or illiteracy. In the case of S. Africa, I joined about fifteen other members of the Global Hygiene Council to see firsthand the incredible power of teaching basic handwashing. Sure, I talk about handwashing all the time, and yes – we teach the students at my childcare center this basic life skill on a daily basis. But calling it a “life skill” has a way of taking on a very different meaning when one is teaching handwashing in a community with little running water and barely able to scrape together the dollar per week it costs to buy one’s family a bar of soap.

The hopeful news in Dunoon is that the four-year handwashing study conducted in the face of both poverty and health illiteracy yielded very promising results – on the order of reducing diarrheal illness by 30-50 percent! Those results would be great even here in Omaha, where parents inevitably are plagued by diarrheal illness and fret over the accompanying need to keep their children from becoming dehydrated. Now consider the fact that diarrheal disease worldwide is one of the leading causes of death for children . That’s why I’m now dead serious about finding a way to donate to the Dunoon community as much soap as I can get my hands on (along with books and beads). If you’re interested in helping me make this happen, by all means let me know.

But back to the children in Vietnam. The “hope” part of the story promised in the video’s promo is based on one woman’s vision to set up a non-profit to fight trafficking in Vietnam. This small organization is currently educating 200 of these poorest-of-the poor girls in hopes of giving them a chance for a better future and a better likelihood of avoiding predatory child traffickers. The visionary founder interviewed in the segment not only refers to the hugely important focus on “saving” girls through education, but also touches on the importance of improving the community’s reported illiteracy level from it’s staggering 99+ percent.

Let me just say that I couldn’t be more touched, or more in agreement. I thoroughly agree that education and literacy is fundamentally important and the key to helping people out of poverty and lead more successful lives. I’ve also become increasingly convinced with the notion that the education and empowerment of girls is absolutely key to solving not only poverty, but quite honestly – a good many of the world’s problems.

If you don’t believe me, then maybe you’ll believe Oprah. Or Hillary or Bill Clinton. Or pretty much anyone who has ever read Nicholas Kristof’s powerful book Half the Sky. Those who read it are likely to be permanently changed in the way they view the importance of girls, ready to join this global movement, and all but insist that everyone needs to read this book.

And finally – I am a huge believer in the power of doing something over nothing. You may have heard the anecdote of the boy and the starfish. It goes like this: a man and a boy are walking on a beach littered with washed-up starfish. Boy picks up starfish and throws it back in the ocean. Man sees this and applies the all-too-common viewpoint when he tells the boy that there are far too many washed up starfish to possibly save them all. Boy responds, “Well, I made a huge difference to that one.”  I love this story. I try to live by it. Clearly, so do the people whose far nobler efforts are recounted in Kristof’s book and CNN’s poignant video. The point is, every human being counts, and each and every one of us can do something to help those less fortunate than ourselves.

At Primrose, my teachers have t-shirts that state, “No matter how big or small, we all stand to make a difference in the world.” My husband and I were convinced to move to Omaha nine years ago in large part because we believe that here in Omaha, we are not alone in our belief that teaching even our youngest children to be involved in the community and help others is fundamental. And our Helping Hands curriculum isn’t just about the actual dollar amount the kids raise to donate, or about how many mittens, books or cans of food they collect “for kids who don’t have them” (although I’ll tell you that I couldn’t be more proud of the students for their selfless and impressive accomplishments). It’s that they’re learning the lifelong lesson that we really can make a difference if we all just take whatever opportunity we have to throw starfish back into the ocean.

With that said, I hope all of you will consider what you might do. Start big or start small. Think globally or act locally. Get your kids involved and I promise, the world will be a better place for it.

On that note, I’ll get back to writing about getting kids to brush their teeth. After all, teeth are really important too. And even pink princess toothbrushes can play a part in the grand scheme of oral health promotion.

Originally posted on Omaha World Herald’s Live Well Nebraska