Healthy isn?t something you are or aren?t. It?s a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It?s a balance between living well and taking care, and you can start right where you are.
A blog by Christina Elston
Healthy isn't something you are or aren't. It's a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It's a balance between living well and taking care, and you can start right where you are.


Archive for September, 2009

Treating Mild Diabetes In Pregnancy Is Worthwhile

Wednesday, September 30th, 2009

gestational-diabetesMore than 100,000 pregnant women in the U.S. develop gestational diabetes each year, and for the past four decades doctors have been debating whether these women should be treated. If you’re one of them, a new study suggests a conversation with your OB-GYN is in order.

Reporting in the Oct. 1 New England Journal of Medicine, researchers out of Ohio State University and the University of North Carolina at Chapel Hill found that treating gestational diabetes halved the number of babies born unusually big and heavy, and reduced shoulder damage to babies during birth as well as the C-section rate. The moms who were treated also gained less weight during pregnancy and had fewer cases of preeclampsia than those whose diabetes went untreated.

Women with gestational diabetes have high blood sugar levels, and send their babies more blood glucose than they need. That means the babies are born larger and fatter, increasing their risk for birthing problems, and for becoming obese and developing type 2 diabetes later in life.

Risk factors for gestational diabetes include:

  • Being Hispanic, African American, Native American or Pacific Islander
  • Being overweight
  • Being related to someone who has diabetes
  • Being older than 25
  • Having gestational diabetes with a past pregnancy
  • Having a previous pregnancy end in stillbirth, or having an abnormally large baby
  • Having a history of abnormal glucose tolerance

 

Read about the study … 

What is gestational diabetes? … 

 

Dosing Info On Tamiflu

Tuesday, September 29th, 2009

rx-symbolIf someone in your family has a serious case of the flu – especially this season – there is a chance your doctor will prescribe Tamiflu (oseltamivir) to help dampen influenza symptoms and keep the illness mild.

Before you leave the pharmacy, check to make sure the dosing dispenser you are given matches the dose on the drug’s packaging. If your prescription is in milliliters (mL), make sure that is how the dispenser is marked.

The FDA last week issued a public health alert to doctors and pharmacists, pointing out that while doctors generally write prescriptions in milliliters or teaspoons, the dosing dispensers packaged with Tamiflu are marked only in milligrams. This could lead to dosing errors when parents try to follow directions but have the wrong dispenser.

Giving too little could mean the drug is ineffective, while overdosing could lead to serious side-effects.

Holiday Cards For a Cause

Monday, September 28th, 2009

 

“Snowmen” was created by a patient named Seth. His passions are drawing and fashion. He would like to be a lawyer.

“Snowmen” was created by a patient named Seth. His passions are drawing and fashion. He would like to be a lawyer.

 

 Yep, I know it’s too early to start talking about the holidays. But if you plan ahead (as in, ordering your holiday cards now!) you could get a great discount and support a great cause.

The Holiday Card Collection from Mattel Children’s Hospital UCLA includes seven different designs. Most were created by children, but this year a collector’s Barbie Card, designed by Robert Best, principal Barbie designer at Mattel Inc., Season 3 contestant on Project Runway and a hospital volunteer, will also be offered. You can order your cards with pre-written messages, or customize them by creating your own. $20 will get you a set of 12 5×7-inch cards with white envelopes. And if you order before Sept. 30 you’ll get a 25% discount.

 

Proceeds benefit the Child Life/Child Development Program at Mattel Children’s Hospital UCLA, where specialists work to help ease young patients’ fears during long hospital stays.

To place an order, visit www.uclahealth.org/mattel.

 

Break The Sitting Habit

Friday, September 25th, 2009

sitting-habitBeing overweight is a simple equation: eating more calories than you burn. And when you hear that more than 20% of California children ages 6-19 are overweight, it’s easy to blame the calories. Steven Blair, past president of the American College of Sports Medicine and a professor of public health at the University of South Carolina, doesn’t.

“I don’t believe there are any compelling data that it’s due to the calorie intake side of the equation,” Blair says. Instead, his theory is that everyday activity has just gotten too easy, with electric car windows, television remote control, self-propelled lawn mowers and vacuum cleaners, and no-bucket mops. “We’ve engineered energy expenditure out of daily life,” Blair says.

Couple these labor savers with the increasingly attractive screens on our televisions, computers, video games and phones, and there’s not much reason to move. How do you break your family’s sitting habit? Blair, co-author of Active Living Every Day (Human Kinetics, 2001), has a plan. Click here to break your sitting habit!

Parents Underestimate H1N1 Risk

Friday, September 25th, 2009

h1n1-kidEven as the newly approved H1N1 vaccine makes its way toward a pediatrician’s office near you, one new survey shows more than half the nation’s parents plan not to take advantage of it. And the director of the poll – the C.S. Mott Children’s Hospital National Poll on Children’s Health, released yesterday – believes it could be because parents don’t understand the risks.

While seasonal flu is still the more serious of the two illnesses, with rates of complications and deaths higher in the elderly, the CDC reports that rates of illness and hospitalization due to H1N1 are higher in kids. Yet nearly half the 1,678 parents across the U.S. participating in the poll believe H1N1 and seasonal flu pose about the same risk for children.

“Health care professionals and public health officials need to help parents and the community at-large understand that children are one of the groups at greatest risk for getting H1N1, and for getting very sick from the disease as well,” said Matthew Davis, M.D., in a statement released with the poll.

In fact, few parents seem to be planning on getting their children any sort of flu shot. Just 40% of those surveyed by C.S. Mott say they will get their kids vaccinated against H1N1, and only 54% say they will get their children a seasonal flu shot. Around 46% of those foregoing the H1N1 vaccine say they aren’t worried about their children getting H1N1, while 20% don’t believe it is a serious illness. And about half say they are worried about side effects of the vaccine.

About The Children’s Tylenol Recall

Thursday, September 24th, 2009

tylenol-recallThe makers of Tylenol, McNeil Consumer Healthcare, announced on Friday (Sept. 18) that they were voluntarily recalling some lots of Children’s and Infants Tylenol products manufactured between April and June of 2008. The explanation for consumers on the company’s Web site (click here to read it, and for the full list of recalled products) seems a bit confusing.

A letter sent to healthcare professionals, also posted on the Web site, added a bit of clarity. The recall was instated because one batch of raw material used in the making of these products was found to be contaminated with a bacteria called Burkholderia cepacia (B. cepacia). That raw material wasn’t used to make any finished product, and no bacteria was detected in any finished product. In addition, the company hasn’t received any reports of safety concerns for any batches of Children’s Tylenol products produced during this time. But the company decided to recall all products manufactured at the same time as the raw material that tested positive for B. cepacia.

B. cepacia infection is a lung infection that generally poses very little risk to healthy people, but could be a problem for people with underlying lung and airway disease, cystic fibrosis or compromised immune systems. (Click here to learn more about it.)

If you have Children’s Tylenol products in your house, check the lot number on the bottom of the box or the sticker on the product bottle to see if it is part of the recall. If you find recalled product at home, call the company’s Customer Care Center at 800-962-5357 and they will send you a coupon for a new bottle.

Suicide Prevention: Know the Signs, Support the Cause

Wednesday, September 23rd, 2009

alive-and-running

Did you know that 20% of us will have a family member who dies by suicide, and 60% of us will know someone who dies by suicide? Sad statistics, yes. But there is plenty you can do to help. Here’s some info from Didi Hirsch Mental Health Services:

Educate yourself. Understand the nature of suicide and its causes.  Ninety percent of people who die by suicide suffer from one or more psychiatric disorders, such as depression, bipolar disorder, or schizophrenia. Alcohol or substance abuse frequently plays a role – 50% of people who attempt suicide are intoxicated at the time.

Understand the warning signs. They are present in four out of five suicides.

  • Making statements of hopelessness and helplessness
  • Threatening suicide
  • Giving away possessions and putting one’s affairs in order
  • A decrease in the ability to function
  • An increase in risk-taking behaviors
  • Social or emotional withdrawal
  • Writing or drawing about suicide or death.

If someone you know is exhibiting any of these signs, don’t wait – ask for help. Call the Didi Hirsch Crisis Line at 877-727-4747.

Support research and treatment. Didi Hirsch Mental Health Services is hosting it’s 11th annual Alive & Running 5K Walk/Run for Suicide Prevention Sept. 27. The event kicks off at 8 a.m. at West 88th St. and La Tijera Blvd. in Westchester, just north of LAX. More than 1,000 runners, walkers, spectators and volunteers from all over Southern California will join together to raise awareness and funding for suicide prevention services.

Registration fee for the 5K is $30 (a tax deductible donation), but for L.A. Parent readers it is $20 (please use promotion code LAPARENT where it asks for a discount code). A “Kiddie-K” (1K) will also be held following the start of the 5K and registration for that is $10. For more information or to donate, visit www.aliveandrunning.org. On site registration begins at 6:30am.

With more than 60 years of experience, Didi Hirsch provides mental health and substance abuse services in Los Angeles County, regardless of ability to pay. Their nine sites serve more than 44,000 clients a year, from Pacoima to Venice to South Los Angeles to the Downtown area, and many points in between. Visit www.didihirsch.org for more information.

 

Emergency Preparedness: Get A Kit

Friday, September 18th, 2009

photoIn my post-wildfire quest to prepare my family for the next emergency that hits my area (which in my case could be either mud slides/flooding or an earthquake), I’ve been working with the wonderful resources at www.Ready.gov. And I’m now entering the “Get a Kit” phase of my preparation, which I’ll admit has always been toughest for me. Click here to see the list of needed items.

First on the list are water and food. Last time I tried to put together a kit, I made the mistake of storing it in the garage, where rodents chewed through the plastic storage bins, bit into the water jugs, and made a mess of the whole thing. So I think we’ll be keeping the new set of supplies inside the house!

By my calculations our family should keep about 12 gallons of water on hand. That’s a three-day supply for each of us (including our dog). We’re also supposed to store a three-day supply of nonperishable food – a much tougher challenge, as our family tries not to eat out of cans and packages. Looks like already I’ve got some shopping to do!

Fortunately, Becky Marquis, director of FEMA’s Ready Campaign, says I (and you!) can take this one step at a time. “You don’t have to do it all in one day,” she insists. “Just starting the process is a big step.” Click here to see how I got started!

Emergency Preparedness: 10 Things To Know Before You Hit the ER

Thursday, September 17th, 2009

erIt may be 93 degrees out, but the season is turning. I can feel it. Instead of just peeking over the rise as I head out with the dog for my early-morning walk, these days Mr. Golden Sun is still lazy in bed as we depart.  Another change: The forested hills where we hike are now charred and blackened by the recent wildfires.

Those fires – my family’s most recent emergency – have made me think lots about preparing for whatever’s coming next. In that spirit, here are some tips from the American College of Emergency Physicians. They’ll come in handy if something comes up.

1. If your emergency is life-and-death, call 9-1-1 immediately. Don’t drive in a panic.

2. Know your hospitals. Where is the nearest emergency department? Do you know how to get there? Keep a map and/or directions in your car.

3. Be prepared with a simple statement explaining to the ER doctor what is wrong.

4. Bring medications, immunization records, medical history records and contact information for any doctors who may have treated the family member with the emergency. Click here to download a medical history form.

5. Have a list of that person’s allergies.

6. If you’re bringing a child to the ER, explain what is happening. Keep your information age-appropriate but honest. Tell them that the emergency staff is there to help, and that it is OK for the doctor to examine them.

7. Don’t let the person with the emergency eat or drink anything. It might interfere with medications or sedatives they need to receive in the ER.

8. Bring a sleep-over bag (or have someone bring you one) in case your family member is admitted to the hospital. Make sure both you and they have a change of clothes, and maybe a book, toy or stuffed animal as appropriate.

9. Have emergency consent forms ready, and give them to anyone who will be caring for your child. Click here to download a consent form.

10. Stay calm. Your attitude will make a big difference. Don’t add stress to an already stressful situation.

For more information, visit EmergencyCareForYou.org. 

H1N1 Vaccine Gets FDA Approval

Wednesday, September 16th, 2009

The FDA announced yesterday that it has approved four vaccines, produced by four different manufacturers, against H1N1 flu, and that distribution is expected to begin within the next four weeks. Here are a few important things to know:

1. The firms manufacturing these vaccines have used the same processes they have been using for many years to produce vaccines against seasonal flu.

2. Despite initial theories that people would need two doses of H1N1 vaccines to be protected, preliminary studies show that most adults are protected eight to 10 days after receiving just one dose.

3. Just like with the seasonal flu vaccine, there will be formulations available that do not include the controversial mercury-containing preservative thimerosal – but you’ll have to request those in advance. And both inhaled and injectable versions will be out there.

4. Side-effects seem to be similar to those with seasonal flu vaccines, including soreness at the injection site, mild fever, body aches, fatigue, and runny nose or nasal congestion.

5. H1N1 vaccine won’t protect you against seasonal flu, but seasonal flu vaccine is already available.