In an episode of the popular TV show Big Little Lies, a character’s young daughter has an anxiety attack, prompted by worries about climate change. Though this may seem drastic, Dr. Kendra Read, attending psychologist and director of anxiety programs with Seattle Children’s Psychiatry and Behavioral Medicine team, is having many conversations with families about how to cope with distressing news, such as mass shootings, crime, global politics and natural disasters.
“It’s common for kids to be worried about events that might potentially harm them or their loved ones,” Read said. “Worrying is normal and a typical part of life, but I tend to talk to children whose anxiety over current events impacts their daily functioning. They exaggerate the likelihood of bad things happening and underestimate their ability to cope with things.”
The key is helping kids cope with the worry about these events happening, even though the likelihood is small. With school back in session, Read offers advice to families whose children might experience heightened anxiety after a frightening news event.
“We want to bolster kids’ coping abilities and teach them how they can help themselves,” Read said. Read full post »
With school back in session, families are juggling classes, homework and after-school activities. Making sure kids are up-to-date on vaccinations and prepared for the upcoming flu season is also important.
“Immunizations are our chance to prevent infections before they happen and keep our children healthy,” said Dr. Matthew Kronman, a pediatrician and associate professor of pediatric infectious diseases at Seattle Children’s. “Because children are around so many other kids at school, there is a high chance for passing infectious diseases from one child to the next.”
To make it easier for busy families, On the Pulse asked Kronman what parents should know about back-to-school vaccines, including recommendations for the 2019-20 flu season and information about the measles, mumps and rubella (MMR) vaccine, which he noted is especially important after this year’s measles outbreak. Read full post »
For Shameka Cornelius, Seattle Children’s Odessa Brown Children’s Clinic (OBCC) is more than just a community clinic. To her, OBCC is family.
The clinic provides medical, dental, mental health and nutrition services to all families, regardless of their ability to pay. It also offers a unique model of care that addresses the socioeconomic and environmental roots of illness.
Shameka Cornelius poses with her three children, Saymirah, Shayrielle and Sy’ier.
Since Cornelius was a little girl, OBCC has been her medical home. From dental visits to well-child check-ups, Cornelius has fond memories of the clinic. She remembers walking from her grandmother’s house just blocks away in Seattle’s Central District to go to clinic appointments. For her, it never felt like going to the doctor. She was always excited to see the smiling faces of her care team.
“I still remember the very first fish tanks they had,” Cornelius said as she laughed. “Those were my first fish. You get your tokens when you go to the dentist and pick out a book after getting your shots. They even had popsicles sometimes.”
Cornelius says above all else, it’s the people that have made OBCC so special to her.
“Everyone should experience that type of service and a clinic of home and togetherness,” Cornelius said. “They actually care at OBCC. Everybody there is really friendly. For me, I wanted my kids to experience the same care that I received. The same people have been there since I was young. You can tell it’s not just work for them; they actually have a passion to be there.” Read full post »
Dr. Markus Boos, a pediatric dermatologist at Seattle Children’s, with one of his sons.
Climate change, a result of elevated carbon dioxide levels, leads to environmental changes that affect everyone, says Dr. Markus Boos, a pediatric dermatologist at Seattle Children’s. The 20 warmest years on record globally all occurred in the last 22 years, with the past 5 years being the warmest. While natural disasters such as wildfires, hurricanes and other forms of extreme weather can cause lasting physical, mental and emotional harm to all people, specific populations are more adversely affected. This includes the elderly, individuals with disabilities and children.
These major environmental changes put children’s health and safety at risk, according to the American Academy of Pediatrics. Recent reports have estimated children under age 5 bear 88% of the burden of disease due to climate change. On the Pulse talked to Boos about how climate change impacts skin conditions in children, and how parents can protect their kids from ultraviolet (UV) radiation. Read full post »
Mango, fruit and crème are just a few of the nicotine flavors that may be drawing kids and teens to electronic cigarettes and vaping. In recent years, rising rates of youth in the United States using e-cigarettes has grown into a public health epidemic.
According to the U.S. Centers for Disease Control and Prevention (CDC), e-cigarette use jumped 78% among high school students from 2017 to 2018. Last year, more than 3.6 million middle school and high school students in the U.S. used e-cigarettes. The products’ surge in popularity led the Food and Drug Administration to restrict fruit and candy flavored e-cigarettes at gas stations and convenience stores in 2018.
“I have absolutely seen an increase in teens using e-cigarettes, and so have hospitals and schools across the country,” said Dr. Yolanda Evans, associate professor of pediatrics in adolescent medicine at Seattle Children’s. “With these highly addictive products becoming more popular and readily available, it’s important for parents to know what e-cigarettes are and how to discuss vaping with their children.” Read full post »
At 3 years old, Yori Tsunoda was a bright and energetic boy who was always on the go.
“Yori had a huge personality,” his mother, Chezik Tsunoda, said. “As the third of four boys, he knew how to stand out. He was really silly, always made everyone laugh and loved playing with his brothers.”
The toddler had a knack for puzzles and a vast knowledge of airplanes. One of Yori’s favorite books was an airplane encyclopedia and he could name any plane by the picture.
Less than a year ago, Yori was at a friend’s house playing in the pool when he quietly slipped below the surface. When Yori was pulled from the water, it was clear that he was not breathing and did not have a pulse. After a few minutes of CPR, first responders arrived. They were able to revive his heart and transfer him to Seattle Children’s.
While Yori’s body eventually recovered, his brain never regained function due to a severe lack of oxygen, which is unfortunately the case with many drowning victims. Two weeks later, he was pronounced brain dead and passed away on Sept. 1, 2018.
“I had no idea when we walked into the hospital that we would not be walking out with him,” Tsunoda said. “As a parent, you assume it’s going to be okay, but it wasn’t. We were completely devastated.” Read full post »
Today, nearly one in five children has a mental, emotional, or behavioral disorder. While some seek relief from their distress using positive coping methods, others may choose methods that are harmful and potentially life-threatening.
Dr. Yolanda Evans, an adolescent medicine specialist at Seattle Children’s, has been seeing a recent increase in teens coming into the clinic with self-injuries done through cutting, burning, pinching and scratching, among others.
“It’s possible that the increase may be partly due to the impact that social media and technology has on the current generation,” Evans said. “Kids might see their peers online engaging in self-harming behavior as a way to cope with their emotions, influencing them to replicate that type of behavior.”
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It’s the stuff of nightmares: a young child slips away unnoticed, wanders into a backyard pool and drowns. A teen swimming to a floating dock begins struggling and disappears. News reports of these tragedies and other drowning stories are too common. Drowning is a leading cause of injury death in children. In 2017, almost 1,000 U.S. children and teens died from drowning and 8,700 visited a hospital emergency room because of a drowning event.
The American Academy of Pediatrics (AAP) is taking further action to educate about water safety. They recently revised their policy statement, Prevention of Drowning, to help pediatricians teach families about drowning risk and provide prevention strategies that are tailored to each family.
“We know from data that pediatricians don’t spend much time talking about drowning prevention. They have so much to cover in very limited time with families — development, mental health, school readiness or progress, the list goes on. Drowning kind of falls to the bottom,” said Dr. Linda Quan, co-author of the policy statement, and an emergency physician at Seattle Children’s. “What we wanted to do with this policy is highlight that some families are at higher risk for drowning and we can tailor education to their specific risk.” Read full post »
With stories of sexual abuse perpetrated by public figures continuing to be in the spotlight, as well as the rise of the #MeToo movement, there is a growing need for parents and caregivers to educate children and teens about the difficult topic of sexual abuse.
According to RAINN (Rape, Abuse & Incest National Network), every 92 seconds a person in the U.S. is sexually assaulted. Every 9 minutes, that victim is a child.
“Before the age of 18, one in every four girls and one in every six boys will be sexually abused,” said Dr. Lynda Lee Carlisle, a psychiatrist and trauma specialist from Seattle Children’s Psychiatry and Behavioral Medicine clinic. “While it can happen to any child, those most vulnerable are intellectually disabled or identify as LGBTQ+.”
Sexual abuse is rarely committed by a stranger. It is often by someone who the child knows and trusts. While some may think sexual abuse only involves physical contact, it can also be done without contact in the form of inappropriate photos or videos, exposure or other behavior.
“We commonly see children abused by a family member,” said Dr. Carole Jenny, child abuse fellowship director of Seattle Children’s Protection Program (SCAN). “It is also more likely to occur in blended families, with the abuser being a step-parent or a parent’s boyfriend or girlfriend.”
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As a naturally-talented quarterback and cornerback for the Northwest Junior Football League’s North Creek Jaguars, Andrew Ronneberg, 14, participated in the study led by researchers from Seattle Children’s Research Institute exploring concussion in football players ages 5-14.
New research from Seattle Children’s Research Institute and UW Medicine’s Sports Health and Safety Institute found concussion rates among football players ages 5-14 were higher than previously reported, with five out of every 100 youth, or 5%, sustaining a football-related concussion each season.
Published in The Journal of Pediatrics, the study summarizes the research team’s key findings from data collected during two, 10-week fall seasons in partnership with the Northwest Junior Football League (NJFL). Licensed athletic trainers from Seattle Children’s treated and recorded concussion from the sidelines at NJFL games to allow researchers to characterize concussions in this age group – from how often players sustained a head injury to factors that influenced their risk of injury.
“Measuring the incidence of concussion in grade-school and middle-school football players is essential to improving the safety of the game,” said Dr. Sara Chrisman, an investigator in the research institute’s Center for Child Health, Behavior and Development and lead author on the study. “It’s hard to determine the impact of prevention efforts if we don’t know how often these injuries occur at baseline.” Read full post »