Thursday, April 30, 2009

Sue Scheff: Parenting and The Swine Flu




“During a time if people are nervous or scared, we can run out of essential goods. And so if people begin to prepare now and stock up on those things that can keep over time, such as non-perishable food and water and medicine… they’ll be in better shape for the pandemic.”

– Rachel Eidex, Centers for Disease Control

The outbreak of the swine flu has many Americans, parents especially, worrying about their own safety and the safety of their children. Before a possible pandemic, the CDC has several recommendations.

First, get in touch with your child’s school. “I think they should ask the schools, does the school have a plan for pandemic influenza, what is the plan,” explains Rachel Eidex of the Centers for Disease Control.

And, explains Jacquelyn Polder, also of the Centers for Disease Control, “How will they plan to communicate with parents regarding when the school will close or when it will open.”

Next, the CDC recommends that families have plan that, according to Eidex, would include, what you’re going to do if your children stay home from school.” Also, who will take care of the kids, should they stay in the house, if they do go out- where can they go? And, just as important, how do you keep the family entertained for days on end.

Georgie Renz, mother of two, has an idea, “Board games, songs, please, don’t let the t-v go away!”

Number three on the CDC’s list: stock up on supplies. Families should have at least two weeks of food and medicines stored. “During a time if people are nervous or scared, we can run out of essential goods,” explains Eidex. “And so if people begin to prepare now and stock up on those things that can keep over time, such as non-perishable food and water and medicine… they’ll be in better shape for the pandemic.”

Finally, Eidex advises the best prevention is good hygiene, “Wash their hands regularly. After sneezing, after coughing, after blowing their nose.”

And that’s not always easy for little kids, like 11 year old Morgan, to remember, “Cause sometimes I just get distracted and forget.”

Mother of three, Debra Mecher says, “You have to reiterate, you have to stress ‘wash your hands before you eat, wash your hands after you use the bathroom. Wash your hands whenever you’ve touched something that maybe wasn’t clean.”

And there is no better time to prepare than right now.

“Rather than sitting around and worrying about it and dwelling on it, just get yourself ready the best you can,” says Mecher.

Swine flu is a respiratory disease of pigs caused by type A influenza viruses that causes regular outbreaks in pigs. People do not normally get swine flu, but human infections can and do happen. Swine flu viruses have been reported to spread from person-to-person, but in the past, this transmission was limited and not sustained beyond three people.

Tips for Parents

According to the World Health Organization (WHO), Swine Flu is currently at a phase 4 pandemic alert. Phase 4 is “characterized by verified human-to-human transmission of an animal or human-animal influenza reassortant virus able to cause ‘community-level outbreaks’.” This current outbreak has infected over 250 people in 7 countries. There are over 2,000 more cases still unconfirmed by laboratory testing.

The symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with swine flu. In the past, severe illness (pneumonia and respiratory failure) and deaths have been reported with swine flu infection in people. Like seasonal flu, swine flu may cause a worsening of underlying chronic medical conditions.
There are antiviral medications used to treat swine flu. Antiviral drugs are prescription medicines (pills, liquid or an inhaler) that fight against the flu by keeping flu viruses from reproducing in your body. If you get sick, antiviral drugs can make your illness milder and make you feel better faster. They may also prevent serious flu complications. For treatment, antiviral drugs work best if started soon after getting sick (within 2 days of symptoms). There is no vaccine, however, to prevent contracting the swine flu.

The CDC gives these tips on how to stay healthy:

Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective.
Avoid touching your eyes, nose or mouth. Germs spread that way.
Try to avoid close contact with sick people.
Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people.
If you get sick, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.
Emergency warning signs that your child may need urgent medical attention include:

Fast breathing or trouble breathing
Bluish skin color
Not drinking enough fluids
Not waking up or not interacting
Being so irritable that the child does not want to be held
Flu-like symptoms improve but then return with fever and worse cough
Fever with a rash

References
Centers for Disease Control and Prevention
World Health Organization

Tuesday, April 28, 2009

Sue Scheff: When Parents Blame the School


“Academics was hard, and trying to fit in was harder.”

– Brendon, 14, talking about his experience in a new middle school

When Brendon Yag entered middle school, his grades began to drop and so did his attitude.

“Academics was hard and trying to fit in was harder,” says Brendon, 14.

His mom says she met with the principal, and didn’t like what she heard. “He felt I needed to let my child fail,” says Meg Yag, “to understand the consequences of what he was or was not doing.”

Meg lost confidence in the school’s approach, but experts warn when dissatisfaction with a school turns into outward disrespect voiced by the parent, the child may feel it’s okay to misbehave.

“The child is in between, like a custody case between the school and parents, and will take an opportunity not to respect the rules of the school,” says psychologist Dr. June Kaufman.

Brendon’s mom was careful to not criticize the school in front of her son. “The school is a fabulous school for the right kind of kid. It was not the right kind of school for my kids,” she says.

After two years floundering in his middle school, Brendon switched to a different school. But experts say if parents don’t have that choice, and their child is having problems, there are a couple things the parent can do.

First, visit the school before forming an opinion, and observe your child to get a better idea of what really is going on.

Second, talk with administrators about how they might be able to better accommodate your child’s learning needs.

“And importantly,” says Kaufman, “if there’s a choice among teachers, try to determine in conversation with the teacher before they enroll, if they think that child is a good fit, with the teacher.”

And parents should always make kids realize, you won’t always blame the school, or the teacher, if your child has problems.

“My mom told me that if I get in trouble again, I get in big trouble,” says Brendon, “So I’m good now.”

Tips for Parents
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Should parents side with their child in a dispute between the child and the school? Here are excerpts from an interview on the subject with Dr. June Kaufman, a licensed psychologist:

“I think it creates more problems when (parents) side with their child,” Dr. Kaufman says. “The child is in between, like in a custody case, between the school and parents, and the child will take the opportunity not to respect the rules of the school…

“The most important thing is to have a good fit between the child, teacher and school and have a situation where the parents can work with the school. If the parents are getting calls every day at work about behavior problems at school, they have to look into it, they have to respond, without blaming the school. I think they should look at a school’s policies and, importantly, if there’s a choice among teachers, try to determine in conversations with the teacher—before they enroll the child—if they think their child is a good fit with the teacher. The child has to know, ‘this is a good place for you.’

“I think you have to say to the child, ‘I’ve heard from the teacher that there’s (a problem). I don’t know the whole story. I’ll take your side this time, but if this behavior continues, I’m going to be meeting with the teacher and learning much more about it. So, I don’t know the whole story yet and I might even have to observe in the classroom.’

“There isn’t a perfect child, and even the most model child may even have difficulty, so you don’t want to necessarily believe everything your child tells you.”

Some suggestions for positive steps toward better discipline from the National Education Association (NEA):

Let your children know you like them. Tell your children how much you admire their good qualities.
Let your children know exactly what you expect of them – set limits.
Encourage responsible decision-making. Whenever possible, find areas in which you know your children can make decisions for themselves.
Set a good example. Remember that children are great imitators.
Encourage your children to respect authority. At home, in school, and in other areas of their lives, your children need to know the importance of respecting authority.
If your child is having problems in or out of school, the NEA says don’t waste your time blaming yourself. Although you share the responsibility for your children’s development, you aren’t the only one who influences them. Communicate with your children about the problems they are having. Help them look for solutions.

Finally, the NEA says, “Keep in mind that you can’t shield your children from the problems of the real world. Nor can you keep accidents from happening. Some attempts at good parenting may be overzealous. By trying to avoid being too protective and solicitous for your children’s concerns you can help them become truly independent people.”

References
Dr. June Kaufman, psychologist
National Education Association

Monday, April 27, 2009

Sue Scheff: Helping Kids Deal with Bullying




Each day, 10-year-old Seth asked his mom for more and more lunch money. Yet he seemed skinnier than ever and came home from school hungry. It turned out that Seth was handing his lunch money to a fifth-grader, who was threatening to beat him up if he didn't pay.


Kayla, 13, thought things were going well at her new school, since all the popular girls were being so nice to her. But then she found out that one of them had posted mean rumors about her on a website. Kayla cried herself to sleep that night and started going to the nurse's office complaining of a stomachache to avoid the girls in study hall.

Unfortunately, the kind of bullying that Seth and Kayla experienced is widespread. In national surveys, most kids and teens say that bullying happens at school.

A bully can turn something like going to the bus stop or recess into a nightmare for kids. Bullying can leave deep emotional scars that last for life. And in extreme situations, it can culminate in violent threats, property damage, or someone getting seriously hurt.

If your child is being bullied, there are ways to help him or her cope with it on a day-to-day basis and lessen its lasting impact. And even if bullying isn't an issue right in your house right now, it's important to discuss it so your kids will be prepared if it does happen.
What Is Bullying?

Most kids have been teased by a sibling or a friend at some point. And it's not usually harmful when done in a playful, friendly, and mutual way, and both kids find it funny. But when teasing becomes hurtful, unkind, and constant, it crosses the line into bullying and needs to stop.
Bullying is intentional tormenting in physical, verbal, or psychological ways. It can range from hitting, shoving, name-calling, threats, and mocking to extorting money and treasured possessions. Some kids bully by shunning others and spreading rumors about them. Others use email, chat rooms, instant messages, social networking websites, and text messages to taunt others or hurt their feelings.

It's important to take bullying seriously and not just brush it off as something that kids have to "tough out." The effects can be serious and affect kids' sense of self-worth and future relationships. In severe cases, bullying has contributed to tragedies, such as school shootings.

Tuesday, April 21, 2009

Sue Scheff: Teen Body Image


Source: Sarah Maria


If you're in high school, most of your friends are probably on a diet. A recent study shows that 90% of junior and senior girls are on a diet regularly, even though only 10-15% are actually overweight.

The modeling industry also promotes the idea that you need to diet and exercise religiously. Fashion models are actually thinner than 98% of American women. An average woman stands 5'4" tall and weighs about 140 lbs, while the average fashion model is a towering 5'11" tall and weighs under 117 lbs.

In reality no amount of dieting, exercise and discipline can earn you a magazine cover-ready body because those photos have been Photo Shopped, doctored and airbrushed. Don't waste your time attempting to be what you are not, instead; focus on cultivating who you are!

Body Image Tips
As you progress through puberty and your high school years, your body changes as fast as your favorite ringtones. But learning to appreciate your body and have positive self image is a task that few adults have even mastered. Here are some tips to help you learn to love yourself:

Learn to Cook- It is never too early to learn to cook. In just a few years, you will be on your own and you will be expected to feed and take care of yourself. Get some practice at home by preparing some family meals or meals for just yourself. Try some new foods by looking through cookbooks and online. Impress your friends by having a dinner party. This also helps you understand how food functions within a regular diet. Learn how to cook healthily so you can eat healthily, but don't spend too much time worrying about food!

Don't Diet!- Dieting is a great way to ruin your eating habits and your relationship with food and your body. Instead, learn about healthy eating and exercise habits. The healthy habits you learn while you are young will serve you throughout your life!

People Watch- Go to the mall or a public space and people watch. How many are fat or thin? How tall are most women? Men? What do you like or dislike about people's styles, looks or body type? How much of their appearance is "style" and how much is their actual body types? Cultivate the ability to see style and beauty in everyone. As you learn to do this, you can be a trend-setter instead of a trend-follower.

Keep it Real- Remember, people only pick the best photos to be on their MySpace or Facebook page. Remind yourself that they all have bad hair days, the occasional zit or an unflattering outfit choice.

Stay Well Rounded- Sign up for activities that you have never tried. Join an intramural sport or speech meet. Build up your college resume by participating in extracurricular activities. It's a great way to broaden your social circle and prepares you for college or a job.

Be a Trend Setter- Don't just follow the crowd - create your own crowd by being a trend setter. Find your own style and look by experimenting with your hair, makeup and clothing. What is your look trying to say? Does it match what you want people to think about you? Someone has to set the trends. Why not you?

Learn to meditate- It is never too early to learn to meditate. You will find that this is a skill you can use all your life. By focusing inward, it is easier to distill the truth rather than listening to outside influences. It will also help you manage the stress of your busy life.


Parental Tips
If you are a parent of a teen, you know the challenges of living with an emotional, possibly aloof teenager who begs for guidance but disregards most of what you say. Their alternating moods and attitudes make approaching a touchy subject like body image feel dangerous. The following are some tips to help with a positive body image:

Have an Open Door Policy-You'd like your teen to approach you with any problem she is facing but often you aren't sure if she's coming to you, going to her friends or suffering alone. Encourage regular candid conversation by noticing what times and places your teen is most likely to talk. Is she a night owl? Does she like talking on a long drive? Is she more comfortable emailing? Use the time and venue that is most comfortable for her and encourage open sharing.

Limit Harmful Media- Put your teen daughter on a media diet. Don't feel you need to restrict website, magazine or TV shows entirely. Just be cautious of what mediums she concentrates on. Be especially mindful of any one celebrity that she idolizes or photos that she tears out and stares at repeatedly. Discuss how all magazine photos are airbrushed and doctored.

Compliment Her and Her Friends- Make a point to compliment both your daughter and her friends on a well-put together outfit or a new hair style. Teens are trying on new looks and personalities as their bodies change. Let them know that they have hit on a good look when they experiment in the right direction.

Make sure to compliment them on things not related to their appearance as well. A good grade, a valiant sports effort or kind deed also deserve notice. Try to practice a 90/10% rule. Let 90% of your comments and insights be positive and only 10% should be carefully worded constructive criticism.

Wednesday, April 15, 2009

Sue Scheff: The Truth About Sexting




'GMA' Holds a Town Hall Meeting to Discuss the Growing Teen Trend


Sex easily and quickly integrated itself into the digital age; and now the teen trend of "sexting" -- where a user sends sexually explicit images or messages via text on a cell phone -- has parents struggling for a way to address the situation.


"We're seeing 14, 15 and 16-year-olds and up are very commonly sharing naked pictures or sexual pictures of themselves," said Internet safety expert Parry Aftab, of Wired Safety. "We're talking about kids who are too young to wear bras who are posing in them, and then topless and then actually engaged in sex or even in masturbation. So we are seeing a lot of kids who are sexually active."


There's nothing coy about this 21st century amorous pursuit. Children as young as 12, who aren't sexually active, are sending explicit, provocative and even pornographic images to their peers.


Thursday, April 9, 2009

Sue Scheff: Driving While High


Source: Connect with Kids

“Pot is the sneakiest of drugs because it takes out your functioning. It decreases reaction time. It messes up judgment. It messes up driving,”

– Steven Jaffe, MD, psychiatrist

For a young driver, there are so many dangers: speed, ego, inexperience and another often ignored danger: drugs.

“I think it’s very irresponsible and it could lead to a lot of dangerous accidents. It’s just as bad as driving drunk – quite possible even worse,” says 17-year-old Allison Meisburg.

Researchers from the University of Montreal studied the habits of 83 male drivers. They found that nearly 20 percent have been high behind the wheel.

“…and I would estimate at least two or three times that number have been in the car in which the driver was stoned,” says Dr. Steven Jaffe, a psychiatrist, who specializes in substance abuse issues.

“[Driving while high] is not as bad as drinking and driving, but it is still bad of course, because you know your reflexes are delayed and all that jazz,” says 16-year old Justin.

Experts say teens simply don’t realize the dangers.

It’s hard to believe, but some kids believe pot helps them driver better.

“They really think they do,” says Dr. Jaffe. “But they don’t. They really don’t. They don’t realize they are impaired. Pot is the sneakiest of drugs because it takes out your functioning. It decreases reaction time. It messes up their judgment. It messes up driving.”

Dr. Jaffe says parents should adopt a zero-tolerance attitude. Remind your kids that pot is a mind-altering drug and not to ride with drivers who are high on any drug. Then, remind them of the consequences.

“The biggest consequence would be you run into another on-coming car during traffic and you kill them and yourself. That’d be the biggest consequence,” says Reggie, 17.

Dr. Jaffe concurs. “It only takes one time to kill yourself and kill somebody else.”


Tips for Parents

According to government studies, nearly 11 million Americans, including one in five 21-year-olds, have driven while under the influence of illegal drugs. Young adults don’t consider driving while high to be as dangerous as driving while under the influence of alcohol, according to John Walters, director of the White House Office of National Drug Control Policy. Therefore, his office is starting a campaign warning teens about driving while smoking marijuana. Concentration, perception, coordination and reaction time can all be affected for up to 24 hours after smoking marijuana, Walters said.

So how can you determine if your teen has been using drugs, namely marijuana? The experts at the National Institute on Drug Abuse suggest looking for these trouble signs in your teen. He/she may:

Seem dizzy and have trouble walking
Seem silly and giggly for no reason
Have very red, bloodshot eyes
Have a hard time remembering things that just happened
Seem very sleepy or groggy (after the early effects fade, sleepiness may occur)
In addition to these signs, parents should also be alert to changes in any of the following:

Behavior, such as withdrawal, depression, fatigue, carelessness with grooming, hostility and deteriorating relationships with friends and family
Academic performance, including absenteeism and truancy
Loss of interest in sports or other favorite hobbies
Eating or sleeping patterns
Also be on the lookout for:

Signs of drugs and drug paraphernalia
Odor on clothes and in bedroom
Use of incense and other deodorizers
Use of eye drops
Clothing, posters, jewelry, etc., promoting drug use

References
National Institute on Drug Abuse
Parents. The Anti-Drug.
Office of National Drug Control Policy
University of Montreal

Thursday, April 2, 2009

Sue Scheff: Teen Drug Testing


Many parents contact us asking about home drug tests when they suspect their teens are using substances. As we have discussed over and over, having an open line of communication with our kids is the first step towards finding out what they are feeling, what peer pressure they are facing and if they are experimenting with drugs. Talk to your teen - and don’t stop talking.




These tricks are out there on the Web, so parents need to be informed

Google “beat drug test,” and the search engine spits out page upon page of ploys and products that can make incriminating urine seem drug free. All it takes is a computer-savvy teen to access them. The ease of cheating, in fact, is one of at least seven reasons parents shouldn’t try to test their kids for drug use. Instead, experts say, they should seek out a professional assessment.


“Cheating remains the Achilles’ heal of drug urine testing in all settings,” says Robert DuPont, president of the Institute for Behavior and Health Inc. and former director of the National Institute on Drug Abuse. With increasing opportunities for testing—by prospective employers, schools, and parents—experts worry that teens may have more impetus than ever to try. Last week, at the American Association for Clinical Chemistry’s annual meeting in Washington, D.C., toxicologist Amitava Dasgupta of University of Texas-Houston medical school demonstrated various ways that employees try to beat workplace drug tests—and how experts foil these schemes in the laboratory. There’s nothing to stop kids from using the same tricks, and there’s no guarantee that parents will be able to catch them at home.
Here are five ways—some of them downright dangerous—that teens may try to cheat drug tests. They’re all described elsewhere on the Internet, so parents should be aware of them.
1. Tampering. A sprinkle of salt or a splash of bleach, vinegar, detergent, or drain cleaner is all that’s needed to muck up a urine specimen. These and other household substances are all too often smuggled into the bathroom and used to alter the composition of urine, making the presence of some illegal substances undetectable, says Dasgupta. Same goes for chemical concoctions sold all over the Internet. Sometimes these additives or “adulterants” will cloud or discolor urine, easily casting suspicion on the specimen, but others leave the sample looking normal. Laboratory toxicologists employ simple tests to catch these cheats. For example, a few drops of hydrogen peroxide will turn urine brown if it’s been mixed with pyridinium chlorochromate, an otherwise-imperceptible chemical designed to foil drug tests.
2. Water-loading. Gulping fluids before providing urine, a long-standing tactic, is still the most common way that teens try to beat tests, says Sharon Levy, a pediatrician and director of the Adolescent Substance Abuse Program at Children’s Hospital Boston. Whether cheats use salty solutions to induce thirst, flushing agents that increase urine output, or just plain old H20, their aim is to water down drugs so they can’t be detected. Some testing facilities may check urine for dilution and deem overly watery samples “unfit for testing.” But consuming too much fluid too quickly can occasionally have dire consequences. “Water intoxication” reportedly killed a woman following participation in a radio show’s water drinking contest, says Alan Wu, a professor of laboratory medicine at the University of California-San Francisco.
3. Switching drugs. Perhaps most alarming, says Levy, is that teens bent on defeating drug tests will sometimes switch their drug of choice to an undetectable (or harder to detect) substance that’s considerably more hazardous. Inhalants, for example, include numerous types of chemical vapors that typically produce brief, intoxicating effects. “You don’t excrete [inhalants] in your urine,” says Levy, but “inhaling is acutely more dangerous than marijuana.” Indeed, inhalants can trigger the lethal heart problem known as “sudden sniffing death” in otherwise healthy adolescents, according to the National Institute on Drug Abuse. The tragic case of young David Manlove is an example.
4. Popping vitamins. Perhaps it’s because niacin (aka vitamin B3) is known to aid metabolism, or perhaps it’s because Scientologists are said to take it in excess to flush their bodies of toxins. Whatever the reasons, some teens got the idea that extreme doses of this vitamin would erase any trace of their illicit drug use. Instead, it almost cost them their lives. In two separate incidents, emergency physician Manoj Mittal of Children’s Hospital of Philadelphia has found adolescents who downed at least 150 times the daily recommended dose of niacin (15 mg) to cheat drug tests. (He described the cases last year in the Annals of Emergency Medicine.) Both kids were vomiting, had low blood sugar, and had “significant” liver toxicity when they arrived at the ER. And the niacin didn’t even do what they’d intended; both tested positive for illicit drugs. “People might think that since [niacin] is a vitamin it’s harmless,” says Mittal. “But these cases suggest that our bodies have limits.”


5. Swapping urine samples. Whether they use a friend’s clean urine, synthetic pee, or even freeze-dried urine purchased online, some teens try to pass off foreign samples as their own, says Levy. The biggest tip-off is temperature. “Anything significantly lower than body temperature is suspicious,” says Dasgupta, which is why some have tried to shuttle samples in armpits or taped to thighs to keep them warm. Possibly the oddest trick of all is a device marketed to those trying to beat witnessed drug collections, says Wu: a sort of prosthetic penis called the “Whizzinator” that claims to come equipped with clean urine “guaranteed” to remain at body temperature for hours, with the help of special heat pads. “Believe it or not, [the prosthesis] comes in different colors,” says Wu.