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Health Information Blog : Double Duty
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I'm a pediatrician by training with an undergrad degree in journalism. I spend my days teaching and mentoring future pediatricians. My wife and I spend our evenings and weekends keeping up with very active twins. This blog will chronicle my thoughts on current children's health care issues and trends, trials and tribulations as a parent and husband mixed in with a lot of life experience.

 

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About Our Author

photo William Stratbucker, MD
Archives
 
Wednesday, June 30, 2010
Kids and Mowers Don't Mix
by William Stratbucker, MD at 09:36 AM

My colleague, Mike Forness DO, an orthopaedic surgeon at Helen DeVos Children's Hospital, is this week's guest blogger. 

We all have passions in life.  As a pediatrician, helping children is clearly one of my passions.  What's another passion? Preventing lawn mower injuries.

As parents and caregivers, we simply can't underestimate the power of a lawn mower. The powerful machines are dangerous on so many levels. A mower has extremely sharp blades moving at high speeds that can project objects at more than 200 miles per hour and with a force greater than a gun.

Can you help me prevent injuries this summer by observing the five N's?

  • No bare feet. Sturdy shoes should be worn when mowing.
  • No one in the yard. Keeping children inside is the best protection.
  • No riders. Never let a child ride with an adult on a riding mower.
  • No child operators. Children under 12 should not operate a push mower and children under 16 should not operate a riding mower.
  • No mowing in reverse.

Lawn mower accidents often require multiple surgeries as the accidents injure growth plates in a child's leg.

Other injury prevention tips:

  • To prevent injuries from flying objects, such as stones or toys, remove objects from the lawn before mowing begins.
  • The adult mowing should wear hearing and eye protection.
  • Start and refuel the mower outside, not in a garage or shed.
  • Mowers should be refueled with the motor turned off and cool.
  • Never pull the mower backward or mow in reverse.
  • Always turn off the mower and wait for blades to completely stop before removing the grass catcher.
  • Never reach under a lawn mower with your hands to unclog the discharge chute or free a jammed blade.
  • Turn off the lawn mower to cross pathways and roads

-   Dr. Forness

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Thursday, June 24, 2010
Men Experience Stress as New Dads and Other Thoughts on Fatherhood
by William Stratbucker, MD at 04:52 AM

"Daddy, you have hair growing in your ear," my daughter said to me as she gave me a Father's Day hug. That's not quite what I expected to hear from her but continue to be amazed at the things she observes and, in turn, teaches me.

As parents, we sometimes think our only role is to teach our children - after all, the word discipline means "to teach." But, children have so much to teach us as well. When my wife and I discovered we were going to have a baby, we went through many of the "normal" reactions of future parents readying ourselves for the challenge. Then we found out we were having two babies! Now that they've just finished kindergarten, we, like many others, are up against our newest challenge of juggling summer camps, daycare and work schedules.

I was recently quoted in USA Today about the changes that some fathers go through around the delivery or adoption of their first child. You can read the story to find out what interesting purchase I needed to make for my wife at Babies 'R Us. The newborn period is a time of stress for both parents and no parenting book can truly explain what one can expect. Some handle the stress of becoming a parent better than others. Many of the responses to stress are genetic and not in our control but require that we learn new coping strategies. The article focused on hormones men experience around the time of the birth of their child. We've known for quite some time that the delivery of a baby is a spark for the onset of depression in women, but now we are starting to understand better that men too are at risk for postpartum mood disorders.

As a pediatrician, I am concerned for the health not only of the infant during delivery, but also of the parents. If the parents of a developing child are not physically and mentally able to handle the challenges that await, it can be harmful to the infant and, in some cases, tragic. Child abuse in the first year of life peaks when the infant is around two months old - the same time that the infant is at the peak of crying.

Pediatricians need to look out for parents who might be struggling during the initial stages of an infant's life to help guide them to resources to get help with depression or other social stressors that may be impacting the care that they can give to their new baby. Friends and relatives of new parents can look for signs of stress or depression and offer to help the new parents. Instead of asking to help hold or feed the infant, offer to help clean the house, buy groceries or cook dinner to allow the parents more time to bond with the baby. To learn more about postpartum mood disorders and the value of a true pediatric medical home, listen to my interview for Health Radio from earlier this year. You can also participate in an upcoming Spectrum Health Web chat about postpartum depression. Click here for more information.

Kids can teach us many things about ourselves and we need to be resilient in our responses to the challenges that they pose. The role of being a parent is one of teaching and of learning. What pieces of advice do you have for new parents or those expecting their first baby soon? Are there things you wish you had known then that you know now?

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Monday, June 14, 2010
Keeping Kids Active
by William Stratbucker, MD at 12:29 PM

My colleague Kyle Morrison, an exercise physiologist with the Helen DeVos Children's Hospital Healthy Weight Center, is this week's guest blogger.

Encouraging kids to be active is one way parents can help children maintain a healthy weight. Parents can instill a love of physical activity and help kids fit it into their everyday routines. Doing so can establish healthy patterns that will last a lifetime.

Healthy, physically active kids also are more likely to be academically motivated, alert and successful. They will have stronger bones, better manage their weight and sleep better. It can be hard to motivate some kids to be active.

Three keys include:

1. Choosing age-appropriate activities is essential: If you don't, children may be become bored or frustrated.

2. Giving kids plenty of opportunity to be active: Kids need parents to make activity easy by providing equipment and taking them to playgrounds and other activity hot spots, including community pools, ice rinks, parks and playgrounds.

3. Keeping the focus on fun: Kids are far less likely to participate if they don't enjoy it.

When kids enjoy an activity, they want to do more of it. Practicing a skill - whether it's swimming or riding a tricycle improves their abilities and helps them feel accomplished, especially when the effort is noticed and praised. These good feelings often make kids want to continue the activity and even try others.

The best way for kids to be active is by incorporating physical activity into their daily routine. Toddlers to teens need at least 60 minutes daily. This can include free play at home, active time at school and participation in classes or organized sports.

It's helpful to think of being active in categories. Here are my recommendations.

Preschoolers: Preschoolers need play and exercise that helps them continue to develop important motor skills - kicking or throwing a ball, playing tag or follow the leader, hopping on one foot, riding a bike, freeze dancing or running obstacle courses.

Although some sports leagues may be open to kids as young as four, organized and team sports are not recommended until they're a little older. Preschoolers can't understand complex rules and often lack the attention span, skills and coordination needed to play sports. Instead of learning to play a sport, they should work on fundamental skills.

School-age: With school-age kids spending more time watching television and playing computer games, the challenge for parents is to help them find physical activities they enjoy and feel successful doing. These can range from traditional sports like baseball and basketball to Scouting, biking and hiking.

As kids learn basic skills and simple rules in the early school-age years, there might only be a few athletic standouts. As kids get older, differences in ability and personality become more apparent. Commitment and interest level often go along with ability, which is why it is important to find activities that children feel successful participating in and will do on a consistent basis. Schedules start getting busy during these years, but don't forget to set aside some time for free play.

Teenagers: Teens have many choices when it comes to being active - from school sports to after-school interests, such as yoga or skateboarding. It's important to remember that physical activity must be planned and often has to be sandwiched between various responsibilities and commitments.

Do what you can to make it easy for your teen to exercise by providing transportation and the necessary gear or equipment. In some cases, the right clothes and shoes might help a shy teen feel comfortable biking or going to the gym.

In addition to a child's age, it's important to consider his or her fitness personality. Personality traits, genetics and athletic ability combine to influence kids' attitudes toward participation in sports and other physical activities, particularly as they get older.

Your positive attitude as a parent can go a long way. It will often help a child who is reluctant to exercise or be active. It's helpful if you are active yourself and support your kids' interests.

- Kyle Morrison

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