Category Archives: Teens

Batter up!

Baseball is here for the summer, for kids of all ages.  Grownups, too, for that matter.  If you’ve ever had a pitcher in the family, you know that shoulder injuries are common, and if you’ve ever watched a slow motion video of a pitcher’s action, you can see why.  It’s not an entirely natural motion, and done repetitively, it can cause injury.  Pain and swelling may occur and sometimes even surgery is required if the damage is severe.

Little League Baseball has guidelines in place, designed to prevent injury.  These rules govern both the number of pitches allowed per day, and the number of days rest required after pitching.  You can read their entire list of pitching rules here.

Both the number of pitches and the number of rest days are regulated by age.  Here is their list of pitching limits per day:

17-18         105 pitches per day

13-16         95 pitches per day

11-12                   85 pitches per day

9-10           75 pitches per day

7-8              50 pitches per day

 

And the rest day requirements, again quoting from their website:

Pitchers league age 14 and under

• If a player pitches 66 or more pitches in a day, four calendar days of rest must be observed.

• If a player pitches 51-65 pitches in a day, three calendar days of rest must be observed.

• If a player pitches 36-50 pitches in a day, two calendar days of rest must be observed.

• If a player pitches 21-35 pitches in a day, one calendar day of rest must be observed.

• If a player pitches 1-20 pitches in a day, no calendar day of rest is required.

Pitchers league age 15-18

• If a player pitches 76 or more pitches in a day, four calendar days of rest must be observed.

• If a player pitches 61-75 pitches in a day, three calendar days of rest must be observed.

• If a player pitches 46-60 pitches in a day, two calendar days of rest must be observed.

• If a player pitches 31-45 pitches in a day, one calendar day of rest must be observed.

• If a player pitches 1-30 pitches in a day, no calendar day of rest is required.

           A game official is required to keep the pitch counts for every pitcher in the game and to let the head umpire know when a pitcher has reached his/her limit.

For other notes on safety and required equipment for ALL baseball players at different positions, please read Little League’s equipment checklist here.

Fun and safety are the twins of any sport.  Insuring your child’s safety and health increases the fun quotient!

 

© MBS Writing Services, 2015, all rights reserved.

Breast development in boys?

As odd as it may sound, about three quarters of boys will develop some breast tissue early in their puberty.  This is a normal physical reaction to the increase of hormones, including estrogen, in the male body as it matures.

Gynecomastia, as it’s called, is a source of concern for many boys because they are unprepared for it and think something may be wrong with their bodies.  And, of course, it comes at a time in their lives when they may already feel insecure about their physical and sexual development, when they may already be uncomfortable in the locker room at school

Gynecomastia can start as tenderness or soreness around the nipple and can manifest in one or both breasts.  Most of the time, the tissue will only grow a half inch or so, and often will be just around the nipple.  It can take a couple of years to go away, but normally it will go away.

You should also know that certain medications, both prescription meds and illegal drugs, can cause gynecomastia.  In particular, anabolic steroids, marijuana or heroin can lead to gynecomastia, as can insulin and other prescription drugs.

The information for this blog was gleaned from an article on the website for the American Academy of Pediatrics, an article which contains much more information about male puberty and what changes a boy may expect in his body.

If your son has gynecomastia, make sure he knows the condition is common and will resolve itself with time. Show him this article.  Encourage him to talk to his physician who can assure him that nothing is wrong with his body or his development.

 

© MBS Writing Services, 2015, all rights reserved

Halloween Safety Tips

Today’s entire blog below is quoted from the AAP, here.  Have a great Halloween!

Halloween is an exciting time of year for kids. Here are some tips from the American Academy of Pediatrics (AAP) to help ensure they have a safe holiday.

All Dressed Up:

  • Plan costumes that are bright and reflective. Make sure that shoes fit well and that costumes are short enough to prevent tripping, entanglement or contact with flame.
  • Consider adding reflective tape or striping to costumes and Trick-or-Treat bags for greater visibility.
  • Because masks can limit or block eyesight, consider non-toxic makeup and decorative hats as safer alternatives. Hats should fit properly to prevent them from sliding over eyes.
  • When shopping for costumes, wigs and accessories look for and purchase those with a label clearly indicating they are flame resistant.
  • If a sword, cane, or stick is a part of your child’s costume, make sure it is not sharp or too long. A child may be easily hurt by these accessories if he stumbles or trips.
  • Obtain flashlights with fresh batteries for all children and their escorts.
  • Do not use decorative contact lenses without an eye examination and a prescription from an eye care professional. While the packaging on decorative lenses will often make claims such as “one size fits all,” or “no need to see an eye specialist,” obtaining decorative contact lenses without a prescription is both dangerous and illegal. This can cause pain, inflammation, and serious eye disorders and infections, which may lead to permanent vision loss.
  • Teach children how to call 9-1-1 (or their local emergency number) if they have an emergency or become lost.

Carving a Niche:

  • Small children should never carve pumpkins. Children can draw a face with markers. Then parents can do the cutting.
  • Consider using a flashlight or glow stick instead of a candle to light your pumpkin. If you do use a candle, a votive candle is safest.
  • Candlelit pumpkins should be placed on a sturdy table, away from curtains and other flammable objects, and should never be left unattended.

Home Safe Home:

  • To keep homes safe for visiting trick-or-treaters, parents should remove from the porch and front yard anything a child could trip over such as garden hoses, toys, bikes and lawn decorations.
  • Parents should check outdoor lights and replace burned-out bulbs.
  • Wet leaves should be swept from sidewalks and steps.
  • Restrain pets so they do not inadvertently jump on or bite a trick-or-treater.

On the Trick-or-Treat Trail:

  • A parent or responsible adult should always accompany young children on their neighborhood rounds.
  • If your older children are going alone, plan and review the route that is acceptable to you. Agree on a specific time when they should return home.
  • Only go to homes with a porch light on and never enter a home or car for a treat.
  • Because pedestrian injuries are the most common injuries to children on Halloween, remind trick-or-treaters:
    • Stay in a group and communicate where they will be going.
    • Remember reflective tape for costumes and trick-or-treat bags.
    • Carry a cell phone for quick communication.
    • Remain on well-lit streets and always use the sidewalk.
    • If no sidewalk is available, walk at the far edge of the roadway facing traffic.
    • Never cut across yards or use alleys.
    • Only cross the street as a group in established crosswalks (as recognized by local custom). Never cross between parked cars or out driveways.
    • Don’t assume the right of way. Motorists may have trouble seeing trick-or-treaters. Just because one car stops, doesn’t mean others will!
  • Law enforcement authorities should be notified immediately of any suspicious or unlawful activity.

Healthy Halloween:

  • A good meal prior to parties and trick-or-treating will discourage youngsters from filling up on Halloween treats.
  • Consider purchasing non-food treats for those who visit your home, such as coloring books or pens and pencils.
  • Wait until children are home to sort and check treats. Though tampering is rare, a responsible adult should closely examine all treats and throw away any spoiled, unwrapped or suspicious items.
  • Try to ration treats for the days following Halloween.

Whether dressing up in costumes, trick-or-treating, or having parties with their friends, most kids love Halloween. But did you know that Halloween is also a time when more children than usual end up in the emergency room due to falls, traffic collisions and other injuries? All the sweets in the house (and at school) can also wreak havoc on a child’s teeth and healthy diet.

To help ensure your child’s Halloween is both safe and healthy, pediatrician Corinn Cross, MD, FAAP joins the Healthy Children show on RadioMD with some tips from the American Academy of Pediatrics. Listen here.

 

 

Marijuana, the safe drug? Think again.

Now that laws in some states (though not in Kentucky) are easing in regard to marijuana possession and usage, some teens and adults believe it must be a harmless drug.

Not so, especially for teens.

Marijuana, according to an article by the American Academy of Pediatrics (AAP), affects many aspects of a young person’s mental, physical and emotional health, and it’s certainly addictive.

For someone who smokes or ingests marijuana regularly, clear thinking and good judgment are often affected.  This can cause school work (and grades) to falter, and can lead to bad decision-making.  The AAP states that marijuana users are more likely to engage in “unwanted or unprotected sex” because their judgment is impaired.  Also, “Those who drive or take other risks after smoking marijuana are much more likely to be injured or killed.”

According to the same article, because teens are still growing and developing, marijuana usage “can lead to a wide range of serious health problems, including heart and lung damage, cancer, mental health problems, and addiction. Depression, anxiety, and schizophrenia occur more often in marijuana users.”

How to prevent addiction to marijuana and other drugs in your teen?

  • Educate.  Make sure you know about drug usage and its signs, and educate your teenager.  When you see someone else acting irresponsibly, or hear about a situation of driving under the influence, initiate a calm discussion.
  • Monitor.  Don’t assume your child will never try drugs.  Marijuana, say teens, isn’t that hard to come by.  Watch for signs.  Pay attention to the people your kids hang out with.
  • Be an example.  Don’t abuse drugs or alcohol.  Make sure illegal drugs have no place in your home.
  • Get help.  Make sure your teen sees a counselor if needed—not just if she is using drugs, but for any emotional or educational issues.  This is a serious concern and outside help is sometimes needed.
  • Be aware.  If you think your child could be using drugs, you may contact our office for a drug screen.

Your teen needs you to keep an eye on his total well-being, and that includes making sure he stays away from addictive substances.

© 2014 MBS Writing Services, all rights reserved.

Dangers of e-cigarettes for children and teens

The American Academy of Pediatrics (AAP) has recently expressed their concerns about electronic cigarettes at a congressional hearing and on their website.  In an article entitled “E-cigarettes: Dangerous, Available & Addicting,” the AAP warns parents about the problems with e-cigs, and those problems are many.

Many adults use e-cigs to try to end their smoking habit.  E-cigs deliver nicotine through a battery operated device that resembles a cigarette, but without the tobacco or smoke.  The e-cigs use water vapor to deliver the nicotine.

You may think that e-cigs are safer than tobacco cigarettes, but you should know that, according to the AAP, an e-cig “can have as much nicotine as a whole pack of cigarettes. In addition, the Food and Drug Administration (FDA) has found cancer-causing chemicals in electronic cigarettes.”

This presents a host of dangers.

  • Teens, apparently believing that e-cigs are safe, have doubled their use of these devices, bringing the usage to about 1 in 10 high school students.  They may be avoiding tobacco, but nicotine is highly addictive.
  • The AAP is concerned about some e-cig flavors (e.g., vanilla, chocolate, peach schnapps and gummy bears).  In the congressional hearing Dr. Suzanne Tanski answered “yes” when asked if she believed these flavors would be appealing to children.
  • Nicotine is a poison.  The cartridges that contain nicotine are not childproof, and, says the AAP article, “Most cartridges have 20 milligrams of nicotine, and a dose of as little as 10 milligrams of nicotine can be fatal for a child. In addition, children can easily become hooked on the nicotine.”
  • E-cigs are widely available.  Even though Kentucky law prohibits their sale to minors under the age of 18, they can be purchased online.

Keep your children away from electronic cigarettes and keep them safe from nicotine addiction or poisoning.  If you are trying to quit smoking, nicotine patches or gum are safer alternatives.

 

© 2014, MBS Writing Services, all rights reserved

Back in School, Part 4: Friends

While you are worrying about your child’s academic year, he is probably more concerned about friends.  Honestly, he has a point.  While academic skills are an important part to future success and happiness, so are the social skills that help us make and keep friends.

Children at a very young age are usually too self-centered to have friends.  This isn’t their fault; it is just a normal developmental stage.  If you watch a couple of toddlers on a play date, they will usually engage in what is called “parallel play,” meaning they play side-by-side, but not really together.  Even so, you can start to teach them to share, not to grab toys away, etc.

By school age, most children want friends, whether it is just one or many.  Good social skills are learned from parents, teachers and peers.  Here are some behaviors you can teach your kids that will serve them in school and throughout their lives.

  • Kindness.  Use kind words and tones around the house.  Don’t allow your children to be unkind to their siblings, to pets or to adults.  Everyone responds positively to kindness, and no one likes a bully.
  • Politeness.  (See our post on manners.)
  • Assertiveness.  You don’t want your child to be aggressive toward others, but you want her to be able to assert her opinions and express her feelings without being overbearing.  This takes practice, and it can be something you encourage through conversation, questions, and even role playing.  For example, “What will you say if your friend wants to play kickball and you’d rather swing?”  They can learn from you the give-and-take of good relationships.
  • Meeting and greeting.  Teach your youngster to introduce himself and to ask questions about another person.  They can learn to shake hands, make eye contact, smile.
  • Listening.  Hearing what another person has to say is as important as expressing your opinion.

Here’s a really nice FREE online resource entitled 101 Ways to Teach Social Skills to Children.  While the games and activities are designed for groups, many of them can be adapted for use within the family—a fun way to learn appropriate ways of behaving in different settings.

Every school in Scott County has a counselor who can observe behavioral issues both in and out of the classroom, and who can meet with your child and/or other students if needed.

A final word:  pay attention to the friendships your child/teen is forming.  Get to know his friends and their parents.  Make sure their behavior isn’t out of line with what you expect from your own kids.

The friendships we form in childhood and adolescence may or may not last a lifetime.  But they teach us skills and behaviors that are timeless.

© 2014 MBS Writing Services, all rights reserved

Back in School, Part 2: Homework

If it seems that with the new school year your kids’ amount of homework has increased, that’s likely true.  Each year a new grade brings with it increasing amounts of responsibility, including homework.  Some homework can be started during the school day, but often it needs to be finished after hours.

Homework can sometimes seem overwhelming, both for your child and for the whole family.  Here are a few helpful tips.

  • Attitude.  If you treat homework as positively as possible, that will help your young student.  Doing schoolwork at home has many up sides, including letting you in on how things are going at school.  You’ll learn what your child is studying and how easy or difficult a particular subject is for him.
  • Assistance.  You shouldn’t do your child’s homework, but there are many things you can help her with.  Memorization is one of the biggest.  Make practicing for spelling and arithmetic tests fun.  Make flash cards together out of scrap paper cut into squares.  Use free online websites to get ideas or even create games around specific words or subjects.  Prepping for a social studies test about Mexico?  Make sure you understand what topics are being covered, and look at some web videos that show art, culture and travel.
  • Time.  This is the biggie, isn’t it?  You’ve been thrown from sleeping in and days by the pool, to waiting for the bus and trying to decide what to have for supper and how you’ll get everyone where they need to be when they need to be there.  Every day is crunch time.  How to schedule in homework?
    • These first few weeks are important in figuring out which subjects and days of the week will require more time.
    • Negotiate with the students in your house.  They may need a little down time to play a game and have a snack when they first get home, or they may prefer to get homework out of the way.
    • Do a back-off timetable from bedtime.  Figure out when they need to be in bed, about how much time homework will take, and work out with the students when and how they’ll get the work done.
    • If the time is overwhelming and your child is spending far too much time with homework, talk to the teacher.  This is important information for any teacher to know.
  • Space.  Find the right space where you can keep an eye on computer screens while also limiting distractions.
  • Support.  The Scott County Library has online help from 2 p.m. until midnight, a great local resource.  Many teachers and classrooms have their own website where homework assignments may be posted.  For middle and high school, get familiar with the Infinite Campus site, where you can follow grades and attendance.  There’s even an app in the Apple Store.
  • Involvement.  If you see problems developing, don’t wait.  Talk to your child’s teacher right away.  Usually they’ll have good ideas for helping your youngster’s academic progress at home.  If you worry that there may be a medical problem or learning disability, contact our office for an appointment.

Homework is an essential tool in learning, both now and in developing the right skills for a lifetime.  With your help and encouragement, the students in your family can do well.

 

© 2014, MBS Writing Services, all rights reserved

Back in School, Part 1: Staying Healthy

Now that your child is back in school, the sometimes easy-breezy days of summer have turned hectic with schedules, deadlines, homework, complex relationships.  For the next few weeks we’ll be running a series about things to keep in mind during the school year ahead.

Today we start with how best to insure a healthy year at school.

You already know the best way to stay healthy, but it bears repeating:  prevention is always the best medicine.  Here are some pointers.

  • Checkups.  Has your child had her annual well child checkup?  If not, now is the time to schedule it.  The doctor will look at health history, height and weight, and will discuss age-appropriate health topics with you and your child.  If you have a specific concern (social behaviors, learning difficulties, chronic ear infections, etc.) to discuss, you’ll want to let the office know when you call for the appointment to make sure they schedule a longer visit for you.
  • Immunizations.  Yes, we harp on this a lot, but it’s for good reason.  Immunizations protect children, families, and even whole communities from dangerous diseases.  The state requires that you keep certain ones up to date; we have others we recommend.  Check with our office (or on the patient portal) for your records.
  • Exercise.  Sitting all day at school, then coming home and sitting in front of the TV or at the computer and homework desk is not good for your kid.  He needs to get moving.  Don’t expect physical education classes to provide all the exercise he needs.  Unstructured play is good for all children, and organized sports are a great way to learn things like discipline, teamwork and a sense of accomplishment.
  • Germs.  Let’s be honest.  There’s no way to avoid germs at school.  Uncovered coughs and sneezes, shared desks and close quarters give viruses all sorts of opportunities to infect students.  Some exposure is good to develop immunity, but keeping hands clean is a great way to stave off colds and flu.  Send hand sanitizer to school in your children’s backpack, and remind them to clean their hands before eating and after they use the restroom.  Every time.  Don’t share drinks or eating utensils.  And, while we’re at it, remind them not to share combs, brushes or hats, which is the most common way to spread head lice.
  • Sleep.  A good night’s sleep is an essential ingredient in the learning process.  Sleep also helps mood and strengthens the immune system.  Set a regular bedtime and stick with it, making sure your child or teen has an age-appropriate amount of sleep.
  • Balanced diet.  Eating right feeds both body and brain.  This webpage at the American Academy of Pediatrics site lists several of their articles regarding diet.  Don’t forget we have a dietician on staff who can help you come up with an action plan for your young athlete, picky eater, diabetic, or can help you plan easy lunches and snacks to pack for school.

Keep these things in mind throughout the school year and they will help your child have a successful and healthy school year.

© 2014, MBS Writing Services, all rights reserved

Talking to your kids about alcohol and drugs

Every parent worries about their child’s health, including whether or not that child will use drugs or alcohol.

It’s a valid concern.  According to the Centers for Disease Control and Prevention, several studies in 2011 showed that:

“among high school students, during the past 30 days

  • 39% drank some amount of alcohol.
  • 22% binge drank.
  • 8% drove after drinking alcohol.
  • 24% rode with a driver who had been drinking alcohol.”

In addition, 40% of high school students have used marijuana at least once, and 25% have been offered, sold or given illegal drugs on school property.

What can parents do to prevent drug and alcohol use and abuse with their own children?

There is no single answer, and some children and teens will use or abuse substances no matter how hard parents try to keep them safe, but here are some things that may help.

  • Start young.  Teach them how to say “no” when they don’t want something.  Show them how to be strong in the face of peer pressure.  Make sure they know the dangers and consequences of drugs and alcohol use.
  • Educate yourself.  Don’t hide from statistics, but learn from them.
  • Be firm.  Set rules and stick to them.
  • Be an example.  Don’t abuse alcohol or consume illegal substances.  If you drink, be responsible and don’t EVER drive intoxicated.  Keep alcohol and prescription drugs inaccessible to your youngster.  Never offer alcohol to an underage person.

If you think your child or teen is drinking or taking drugs, talk to your pediatrician or school counselor.  They can find you the right kind of help.

© 2014, MBS Writing Services, all rights reserved.

Sunburned!

As the summer gets going into full swing with Independence Day weekend, days by the pool and in the backyard, and lots of sports, sun exposure is always a concern.

How do you keep your kids healthy, happy and sunburn-free while still giving them lots of time outdoors?  And when sunburn does occur, how should you treat it?

Prevention.  Check out our blog from last summer about sunscreens here.  Bottom line:  use sunscreen liberally and limit sun exposure.  You don’t have to get a sunburn to cause long-term skin damage.

Babies and toddlers.  See this detailed article from the American Academy of Pediatrics (AAP).  Very young children are especially vulnerable to sunburn and heat stroke.  Under 6 months they should be kept out of direct sunlight and in the shade as much as possible.  Use the sun cover on the stroller.  Take a canopy to the older kids’ soccer games—it’s not only a good place to put the infant, but the rest of the family can get out of the sun, too.  Be aware that reflective surfaces, like sand or the concrete around pools, can still allow for sunburn even when you’re under an umbrella or other cover, no matter what your age.

In addition to limiting time outside in the hot part of the day, here are other considerations for the very young:

  • Dress them in lightweight, light colored clothing that covers arms, legs and the head.
  • Use sunscreen on any exposed skin.  There are several types that are appropriate for tender baby skin.  Don’t ever spray directly onto the face, but into your hand first.
  • Put a brimmed hat on babies and toddlers, or spray their scalps with sunscreen.  A fully-brimmed hat can protect scalp, ears, and partially protect face and neck.

Possible skin damage.  Don’t forget that everyone, even those with darker skin, are at risk of skin damage from the sun.  Exposure over time can lead to skin cancers later.

Treatment.  Sooner or later, most everyone will have a sunburn no matter how hard you try to prevent it.  What to do?  It depends on the severity.

  • Minor burns (red, warm to the touch) can be treated with cool compresses, acetaminophen and rest.
  • More serious burns can cause blisters, fever and chills, headache or other feelings of malaise, even infection.  If the burn is very serious, call your pediatrician.

So, by all means enjoy the summer sun, just be careful of getting too much exposure!

© 2014, MBS Writing Services, all rights reserved