So you know that thing you do when you’re desperate for your kid to sleep? That thing where you take your child to the park, run them into the ground, and force them to stay up a bit later than usual? Then when nearing complete destruction or implosion, you keep the windows down in the car and the music blaring so they won’t fall asleep on the way home? All this in the hopes that when you are home, they […]

We woke up today and I read the Tylenol, Motrin, Zyrtec, and Benadryl medication recall from yesterday. It’s a voluntary recall but concerns remain about quality of the medication.  Then I realized the Tylenol I gave O yesterday was still on the counter. O’s Tylenol is famous, it turns out. It’s part of the recall. Medications on the recall list include: Infant Tylenol, Children’s Tylenol, Motrin, Zyrtec, and Benadryl. Check the list and check your medicine cabinet.  Maybe you have […]

I already got my Mother’s Day gift. It came in two parts this week. And it only cost $25. It started on Wednesday. I had an over-scheduled day of meetings, my mom’s chemotherapy, a luncheon (that I ended up not making it to), blog stuff, patient calls, an interview for local PBS. I moved at a high rate of speed. All the things I did were utterly disparate. There were real highs and some real lows. Roller coaster stomach drops […]

It’s cloudy and cold in Seattle. The rest of the northern hemisphere is starting to grill, swim at the beach, and play in the sun. Here in Seattle we’re shivering (literally) under raincoats and fleece. It’s pouring. My space heater is running. Think rain, space needle, cold. It’s not always like this, though. And in the great hope that the clouds will clear and the ball of fire will reappear in the sky, I’ve been thinking about sunscreen and ways […]

Pop Quiz time up. If you haven’t taken the quiz, scroll back two blog posts. If you have, check your work below. To be clear, dosing for children isn’t about memorizing conversions. Don’t feel bad if you didn’t know these. Rather, getting your kids the proper meds requires being given or searching out, the proper tools for the prescription that is written. When you lose the cap to the bottle, or the syringe, or the dropper that comes with the […]

Today is Monday and my g-calendar says, “Vancouver.” That’s where I am supposed to be for the better part, of the longest day, of the year. My latitude however, remains at 47 degrees. And I trust, like so many others, this day isn’t turning out as planned. Reasons for the change of location include: the realities surrounding my being a mom, tonight’s swim lesson, a long leg cast, colon cancer, the necessity for using logic, and a dog who sneezed. […]

Here’s a quick video about dosing liquid medications for infants and children. Some tips on how to avoid giving the incorrect dose. Measuring liquid medications & vitamins for children demands having the proper tools–which we don’t always have. It seems, 12 minutes after I come home with medications, I lose that pesky cap… So take a look at the video and see if it helps. For me it was a great reminder to organize the medicine cabinet again. And possibly […]

Happy July. In Seattle that usually means that summer is soon to arrive. For the rest of the US, I know, it has already begun. Ever since last week though, I have thought about July differently. I was midway through this post last Friday when I was forced to abandon it. Overwhelmed by the article I read, I wrote about sighing. I’ve now taken a big sigh… But this information has not left me. Today, we enter July, the month […]

I keep saying less is more. So often, with children, the less we do, the better. Pediatricians often pride themselves on being smart enough to know when to do…..nothing. Take pink eye, for example. You know, the gnarly ooey-gooey, eyes-sealed-shut-yellow-crusty-“sleep”- in-the-eye that never goes away? The highly contagious infection where your child looks uber-crummy and straight-up, infectious? When it happens, you create a self-imposed lock-down-blinds-drawn-cancel-all-plans-covert-stay-home and watch a movie to hole-up the contagion. You or your child may want to […]

Asking friends about guns is like asking about their underwear. Not in the pediatric office, but at home, on the street, and in the neighborhood. Hear me out… My next-door-neighbor (NDN) is a stay at home dad (SAHD). On most days, he runs his household and wrangles 8 and 6-year-old boys until his wife joins him after work. The three (or four) of them seem to weave and pedal through life, on and off their bikes. I can see them […]

There are things we (the providers) do to health care that are hurtful. We make protocols and rules that divide us from our patients. Protocols that sometimes make patients feel alone, distant, and disconnected from their doctors. I don’t mean algorithms of care (safe, standardized ways of how and why to treat pneumonia, for example), I mean clinic rules for helping patients schedule and get in to see doctors appropriately. Triage pathways, if you will. I hear about these protocol-type […]

You want navel gazing? Read a Blog-ter-view of my experience working in social media and medicine.

There is a lot of information (and opinion) about how to get your infant to sleep through the night. Cry it out/don’t cry it out, rocking/no rocking, co-sleeping/crib sleeping, white noise/no noise, breastfeeding or bottle-feeding. Everyone has an idea about what works. Like I said earlier, there is very little data to support one technique over another. Auspiciously, there is new data that may help us know what NOT to do. Researchers found 3 things to avoid while helping your […]

I’ve had some recent indiscretions; I’ve been watching multiple episodes (near seasons) of Weeds and Mad Men on my computer. All in one sitting. It’s been a a perfect retreat. While others are off camping in the mountains, I’ve been holed up, late at night staring at a screen. I’m not a big TV person, but watching the torrid lives of fictional families is good for some little piece of me. Because of my recent over-consumption, I’ve been a little […]

That’s no typo. I meant Stammina. Dr Stanley Stamm is retiring this month after a 57 year clinical practice at Seattle Children’s. F-i-f-t-y-s-e-v-e-n year career. His wonderful nurse, Marlene, is retiring, as well. They have been caring for children together for decades. Yesterday I had the privilege to attend one of their retirement parties. Lovely, inspiring, humbling. I was silenced by it all; I was among giants. Working in medicine has granted me a unique window to witness exceptionally compassionate […]

When becoming a parent, we make a big choice. One enormous decision. Hello, understatement of the century. I remember my father-in-law saying, “There’s a freight train coming,” just before F was born. Yes, thunderous and steamy, I was ushered into a new world December of 2006, when my first freight train hit. And although I now may be billowing steam and coal, motherhood is the most astounding segment of my life thus far. This weekend I read a blog post […]

Don’t make a promise you can’t keep. Probably something your mother told you. I’m not pointing my finger, but I often tell this to families in anticipation of a pediatrician’s visit, too. Do your best not to promise “no shots” prior to a visit. Although you may think your child is “up to date” on shots, they may not be. Or, the pediatrician may order a blood study (seems like a shot to a child) or injection that you’re not […]

So parenting news is aflutter with research talking about little boys, their genetic make-up, and their aggressive and violent make believe play. New writing posits that this violent and aggressive play may be needed, that boys will process their aggression via this play. But the jury is still out for some educators and parents. The debate is timely for me after a recent weekend with my two little boys and their 4 year old cousin. I must say, I have […]

Flu shots have arrived to nearly every neighborhood in the US. Frustratingly, clinics often get the doses after the retail stores (seems silly) and doses for children under age 3 may not arrive at the same time. So if you’re reading all over the planet that shots are available and your pediatrician’s office can’t offer it to you today, have patience. Children under age 3 receive immunization doses without preservative, so if a store or pharmacy advertises that they have […]

This past week I was reminded of the power of wellness. From the other side. And it came wrapped up in sound. Five words, to be precise. I was instantly reminded how powerful a few words can be in the exam room. We all want to feel wellness. The freeing kind, as in the way you feel when towered over by big objects. You know what I mean, the wide open wellness you feel in the presence of grand nature. […]

Even if you kill your TV, you’ll still have Hulu, iTunes, your DVDs, and your smart phone. Today we’re never separate from streaming entertainment. So the old slogan of killing the TV just isn’t going to cut it. “Turn off TV, turn on life.” Better… Around here, we’re not big TV people so this TV Turnoff week (a week to go without “screen time”) isn’t as hard as it could be. F did, however, ask if he could watch a […]

Worth mentioning: There is a large Similac powdered formula recall. It’s not dangerous, but gross. ICK. Ick, Ick, Ick. The FDA announced today that Abbott (who makes the formula) voluntarily recalled formula due to concerns about bug contamination. Yup, bugs. Beetles and Beetle larvae in the powdered formula. The recall involves powdered formula made by Similac: Certain Similac powder product lines offered in plastic containers. Certain Similac powder product lines offered in sizes such as 8-ounce, 12.4-ounce and 12.9-ounce cans. […]

I read an incredible story this week; I think you should read it. It’s not enjoyable, per se, but eye-opening and provides perspective on parental love. Healthy days can be simply luxurious. Any parent who has endured/witnessed serious illness in children knows this. So do parents who have witnessed a scare. When I forwarded the story to my husband while flying to a conference on Monday, he instantly said, “I just want to go home and hug the boys.” I […]

Working-mom-struggle bubbling up. Work life balance. Feels like I’m sitting in a circle; there’s no corners to hide out in. Problem is, this circular spot happens about every 7 days. It’s Thursdays I’m talking about. This Thursday I was away from home for 14 hours. I left for a talk before the boys awoke, and arrived home well after bed time. During those 14 hours, I was able to hear an incredible talk by Perri Klass on reading & advocacy […]

It’s crazy when people talk about themselves in the third person. Also crazy, when virtual projects take on lives of their own. Personification- isn’t that the term? You and me blog, we’ve been inseparable this past year. A proud mama, I am. Drained and exhausted, yup, that too. But to you, today, I say the most sincere, Happy Birthday. Today marks 1 year for Seattle Mama Doc. It’s been wild– something akin to piloting a plane, taming a wild dog, […]

Speaking of cribs, I started this post on November 17th. I quickly abandoned it for no good reason. I realized tonight it was due to an unbelievable heap of procrastination. No, I wasn’t procrastinating about the writing. It was the act of moving O from crib to toddler bed. We’ve done this before, about 2 years ago. It wasn’t pretty. F had climbed out of the crib one day during his nap and greeted our nanny. I was on strict […]

I wrote 33 pediatricians an e-mail asking what they would say, while in line for coffee, to the parent of a newborn when asked if they “believed in vaccines.”  I wrote the e-mail not as a gimmick or a way to frame the issue of vaccine hesitancy, but because this happened to me. Rather, this happens to me. Often. When a new father asked me this question while carrying his newborn baby 2 weeks ago, I told him what I […]

Getting is an important part of our holiday tradition, too, even though most of us over age 18 naturally subscribe to the insight that, “We get far more when giving than when getting gifts.” Children feel differently, of course; when you’re young, holidays and celebrations are all about the getting. Part innocence, part their time and space, part their developmental stage (it’s normal for preschoolers to believe everything is about them); the recipe for being a child includes wanting more […]

The Consumer Product Safety Commission (CPSC) officially banned manufacturing, sale, and resale on all drop-side cribs today. Laws will go in place June 2011. These cribs, with movable sides that come down to make it easier to place your baby or toddler in the crib, have been under scrutiny for years due to safety concerns. Previous CPSC warnings and recalls have been loudly amplified in the media. Many parents have had concerns. Here is a nice summary of the announcement. […]

2010 was good to me. See the picture; see my boys? Was it good to you? Life was out of balance, but full, vibrant, meaty, and dynamic. I met amazing people. Work and time with family has been very textured; I feel saturated. Writing and maintaining this blog has ultimately caused me to pause and think about medicine, and my choices, quite a bit more than I used to. I chew on the things people say in comments and in […]

Obama said, “Our hearts have reason for fullness,” this week in Tucson. Yes, they do. Hope and love are always here. And although this sense of fullness can be buried or obscured by our sadness, each day offers a new chance at finding lightness. Understanding, insight, forgiveness, and love, too. Recently I returned to an incredible article I read during the summer of 2009, What Makes Us Happy, in the Atlantic Monthly. The article highlights the work of Dr. George […]

I really didn’t want to write a post about Tiger Mom. I didn’t want to lend credit to her media bonanza. And truthfully, I’ve been intimidated by the exceptional writing in response to her words. At first, I didn’t think I had anything unique to add. I don’t like her message (tough/conditional love, tyranny and insults, achievement=happiness) but she probably doesn’t like mine, either. I have high expectations for myself, my friends, my family, and my co-workers. I expect my […]

When Dr Wakefield interviewed on Good Morning America today, an injustice occurred. For children, I mean. And it occurred inadvertently I suspect. But I believe this injustice happens all the time when it comes to childrens’ health and wellness. What the media covers really changes how we think and feel about protecting and parenting our children. The media’s effort to inform and educate, just like that of physicians and nurses, social workers and ancillary staff, researchers and students, can get […]

Yesterday, results of a survey on beliefs about vaccines circulated on the internet. The survey conducted last week, asked over 2000 adults if they believed vaccines, or the MMR shot, caused autism. I’m not an expert on surveys and I don’t know how reproducible these results are to all parents in the US. But the news caught my eye (along with many others) when they reported: “Just a slim majority of Americans — 52 percent — think vaccines don’t cause […]

This week, Pediatrics published their yearly update to the recommended immunization schedule. Each year, the immunization schedule is reviewed, and when necessary, guidelines are changed to improve protection for children. Changes stem from new studies that provide insight into immunization spacing, infectious disease experts’ analysis of data from new trends in infection, or epidemics, like that from H1N1 or Whooping Cough. All of this data changes our understanding of how and who we need to protect as time unfolds. Some […]

When I was pregnant with my second son, I had no idea how much I would love him. It didn’t seem possible that I could love him like I did my first. As I awaited his arrival (on bedrest), my expectations for him grew but my projected love and feelings remained very measured. I imagined having a blueprint for love, a near duplicate map of that with my first son. I was imagining a replica; I had no other schema […]

Dr Ari Brown, a pediatrician and author (books in photo), was on Dr Oz yesterday. She was asked to join a discussion about autism. Dr Brown is a board-certified developmental pediatrician, a mom to two, and an advocate for science. She is passionate and clear about what she believes. She is speaking all over the country about how to protect children from illness, particularly when making decisions about vaccines. She contributed ideas in my series in late 2010 entitled, “Do […]

Last week news of a study evaluating the timing of solid food introduction for infants emerged. It got a ton of press because the study evaluated the timing of solids on the likelihood of obesity at 3 years of age. Researchers divided babies into 2 groups, those that received partial or full breast milk until 4 months, and those that were weaned from breast milk and received formula exclusively before 4 months of age. Researchers then determined when babies were […]

This post is an amalgam. Not the kind that fits in your back molar, but the kind that exists in my head. I’m trusting you have this type of overlapping-quilt-like-consuming-idea-thread that resides in your head at times and ultimately becomes thematic. How one event in life opens a new window into others and then suddenly there is sense and commonality in different spaces and experiences. You know what I mean? Evolving wisdom or simply experience, I don’t know. But I […]

I left the country, and went to a tanning bed, both for the first time while in 5th grade. I was 10 years old. Circa 1984, my parents had planned a trip to Mexico and my mom had been poorly-advised that it was a good idea to have my brother and me ready with a “base tan” prior to travel to prevent sunburn. This was unlikely to have come from a doctor, but who knows. It was the 80′s after […]

Fever is often a part of life as a parent, particularly with young children in the winter time (read: 6-10 colds a year is the norm). Although I sincerely don’t like it and do feel naturally uneasy when my boys have a fever, as a pediatrician I know to take fever as one of many symptoms they develop when responding to infection. I certainly use medications like Tylenol when my boys are feverish, refusing to eat, punked out, and exhausted. […]

I’m increasingly understanding that the busier I get, the more I find myself a little bit unhappy. This afternoon, I unscheduled the nanny in hopes that I would carve out 4 hours to be with my son O before I picked his brother up from school. He’s still sleeping as of now, so I remain tethered to the computer. Despite the best of efforts, my son is having a marathon nap this afternoon, something I would normally be ecstatic about. […]

I was up until nearly 1:30am today watching the Tsunami in Japan live online. Terrible for the psyche and hard on the heart, I simply couldn’t stop watching it unfold. It’s utterly terrifying to imagine the devastation and separation that catastrophic events like this cause for people. In the face of this terrible news, there is much we can do as parents. In addition to donating to relief organizations, we can prepare our families. We have incredible strength and insight […]

There is a lot of talk about radiation and radiation effects because of the ongoing tragedy in Japan. It’s a bit overwhelming and confusing, to say the least. Ultimately, fear motivates us to act in bizarre ways and this current catastrophe in Japan is no exception. I find myself a bit nauseated when my mind drifts to Japan, yet I can’t seem to curb the urge to watch the updates. I don’t normally watch live news because I sincerely don’t […]

**The American Academy of Pediatrics has updated their recommendations since this blog published in 2011. Children should ride in rear-facing car seats until they reach the height or weight limit provided by the car seat manufacturer. This is likely well past age 2. To view the new guidelines and data, click here.** Did you hear the news? The AAP has made it official. 2 is now officially the new 1. Last year I wrote a blog post entitled “2 is […]

I believe all media is instructive. I know we (adults and children) learn about health care when watching (reruns) of ER, Scrubs, or Grey’s Anatomy nearly as much as we do from the nightly news, Dr Oz, or our newspapers. And although entertainment may not feel instructive, I know it is. Media, from what’s online, to what’s on the television, to what’s on your phone, to what’s in your Xbox, informs and instructs. I don’t care how you cut it, […]

Tina Fey, I hear ya. As working moms, we’re asked an unfair question when we are asked about “juggling it all.” And I’m with you on the angst about working and parenting, except your triannual sob is my quarterly crisis. Tina Fey, about-to-be-Momma-again-hilarious-comedian-“ridiculously-successful-and-famous”-deserving-it-girl, was showcased in an article in yesterday’s New York Times. It was in The Sunday Styles section, a portion of the paper I fondly refer to as the “Ladies’ sports section.” I can’t remember who coined the […]

I called my doctor today. Well, I called her office, of course. I needed an appointment to see her this week. First available appointment was next Friday (11 days). “Okay,” I  thought, settling, “That will do.” But forgive me, let me rewind. The receptionist asked me for my medical record number. Before my name. It was the first question he had for me upon answering the call. When I didn’t have it, he started with my first and last name […]

I was forwarded a case series that captured a bit of data about injuries in bouncy houses and inflatables. It’s not a large study (only 21 families injured in a bouncy house were interviewed) but it sheds light on 2 things. One, orthopedists worried enough about bouncy houses that they set out to determine the risk, and two, bouncy houses do pose a real risk for fractures. Their suspicion alone doesn’t confer a problem, of course. But, validate my worry? […]

                Happy Mother’s Day. If anything, holidays like today place a stamp on this day amidst the irrevocable march of time. Photos, cards, gifts, mentions, and memories..a moment or day where we reflect, compare, and remember with those from the past. Last year on Mother’s Day it was sunny, my family had a picnic on a hill with fried chicken, and neither of my children were old enough/able to make a homemade card. […]

My phone wasn’t working well today so I stood in line at the “genius” bar this afternoon to resolve the problem. To be clear, that was 2 1/2 hours ago and I’m home with the promise from a very nice genius that it would be activated by the time I reached my home. It didn’t happen and I’m phoneless (a new thing for me) so it’s quiet around here. In lieu of being able to communicate by phone, I’ll share […]

While I was at my 15-year college reunion this weekend, I found myself repeatedly describing my boys to old friends and peers who had never met them. I told variant stories, but ultimately spent time on their differences. The contrast helps illuminate their truths. Eventually, it became clear that the easiest way was this: The boys are entirely different but made of the same things. Yet, F is really going to need O to drag him into the ocean to […]

I really want you to trust your child’s doctor. I really want them to trust you, too. Partnership is key to any relationship. Recently an article was published in the Archives of Internal Medicine entitled The “Top 5” Lists in Primary Care. It sounded more like a blog post than an article. In media summaries, reporters wrote about less being more. Not surprisingly, it was right up my alley. Like I’ve said many times before, in medicine, less is often more. Partnering […]

On May 16, 2011 Reader Jenny asked: ” What is the developmentally appropriate time to allow kids to have cell phones?” Thank you Jenny for your suggestion. If you have a question or topic suggestion for the Seattle Mama Doc 101 video series please leave a comment here.

A joint statement published in 2009 by the American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Committee, and Emergency Nurses Association Pediatric Committee spelled out the need for reform in emergency care when it comes to caring for children. The bottom line is this: if your child has an emergency and you have the luxury of time and choice of where to go, go to an ER at a Children’s Hospital or a […]

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This morning as I was getting ready for the day, my 2 1/2 year old was watching Sesame Street. In the show, the segments change every few minutes or so and seem to weave old-school 1970’s content (familiar to me) with newly created vignettes that have a modern feel and construction. I like it nearly as much as the boys. One of the stories this morning was about tooth fairies. An animated group of fairies were detailing how they got […]

I’ve had media on my mind lately. And Finn McMissile, I’ve got my eye on you. We took F (age 4 1/2 years) to his first movie about a month ago. It is something we’ve been talking about for over a year. He’d built up a sense of anticipation that we could have bottled. F is a focused boy. The only movie he has chosen to watch from start to finish his entire life is the original Cars. So with […]

Ever wonder how the CDC makes the vaccine schedule? For example, how they decide when to start a dosing series (at birth versus a year of age versus age 11) or why pediatricians and other clinicians recommend the number of shots that we do? Ever want to let them know your thoughts about how the schedule feels to you and what values you feel should contribute to changes? This is your moment. For real.

Thank you reader Max for your question on facebook: “Environmental and food toxins. What should we be most vigilant about? Where can we be most effective in protecting our kids?” Here is one thing you can start immediately to reduce environmental toxin exposure in your home. Many more tips to come. Environmental Working Group’s “Healthy Home Tips for Parents”‘ EPA’s Ten Tips to Protect Children from Chemical and Lead Poisoning” Please leave additional topic ideas and suggestions for the Seattle Mama Doc […]

For more information: CDC’s Important Milestones: By The End of Three Months AAP’s Developmental Milestones: 3 Months Please leave additional topic ideas and suggestions for the Seattle Mama Doc video series as comments at Seattle Mama Doc 101: Introduction.

Being a primary care doctor is an utter privilege. Think of this post as part proclamation and part journal entry. Yesterday afternoon I sent out this tweet: It was a spontaneous tweet in the middle of my 15 minute “lunch break” when I realized I still had hours to go in my clinical day. The motive was incredulity, not remorse or a need for pity. I was in a good spot–my frame of mind and perspective sharpened twice this week. […]

Consider this an intermission. A moment where I have no wisdom to share, no knowledge or research I’m compelled to report, and no breaking news I feel I have to detail. This is a day where those words don’t come easily for me and thus I’ll give you a brief intermission. The reason? I’ve heard terrible news today about children going missing, children who have been hurt and children who have been killed. It’s left me a bit breathless. I’ve […]

Grandma shouldn’t get such a bad rap. A study published this week found that kids were safer riding in a car with a grandparent behind the wheel than with Mom or Dad. Researchers evaluated data from crashes that occurred between Jan 2003 to November 2007. What they found defies my intuition: children were injured less with a grandparent-driver than with a parent-driver. The why behind the surprising finding may be harder to elucidate than the data itself. Researchers reviewed data collected […]

I got a parking ticket today. It was worth every penny. The logistics behind why I was in the wrong spot don’t matter (do they??). What does matter is the fact that I made a conscious decision at 10:30am that I was happy to pay the fee that was going to be coming my way if I didn’t exit the building. I was able to attend a portion of the Pediatric Bioethics conference entitled “Who’s Responsible for the Children” this […]

Here’s why to avoid sunscreen for babies under 6 months (when you can) and ways to protect babies from the sun. For more on protecting your baby and children from the sun read: New Insights on Infant and Toddler Skin (A 2011 Pediatrics article) AAP’s Sun Safety page Protecting Children in the Sun: Sunscreen basics (ingredient information, tips on getting sunscreen on, and an explanation about UVA/UVB)

Back to school is an exciting, albeit stressful time. If your kids are school age, have your kids take the Stress-o-Meter quiz. I’d even suggest you have them take it today and then take it again in a few weeks to compare. The beauty of the test is that not only does the stress-o-meter measure stress symptoms, it incorporates and gives credit for stress-relieving activities. Like I said in the video, the most important thing you may do around the start of school […]

There are 5 things I took with me from my online sabbatical in August. Know, however, I didn’t do as stellar of a job staying offline as I’d hoped and the 5 things are harder to hold onto than those numbers you see me grasping right there. I’d envisioned an entire month like the family photos: unplugged, disconnected, liberated, and focused. It wasn’t entirely like that. Clinic got nuts a few times, there were minutes I was still staring at […]

I found my sons’ first birthdays very emotional. Magical, even. Looking back provided great perspective on how much can happen in 1 year of time. What our children accomplish in the first 12 months is simply astonishing. Expected milestones at 1 year of age: AAP’s comprehensive summary of 12 Month Milestones CDC’s Important Milestones By The End of 1 Year (English & Spanish)

A new study, along with an incredible editorial, was published today in Pediatrics about the effects of watching fast-paced cartoons on the attention and working memory of 4 year-olds. It’s basically a Spongebob versus Crayola versus Caillou show-down. At least it feels that way in the media summaries today. And thus, it’s bound to hit the front pages of every parent’s windshield. First and foremost, it’s a genius study for getting the word out and attracting media attention–media love to talk about […]

Good Reads (Data) On Family Meals: Correlations Between Family Meals and Teen Well-Being Adolescent Risk and Mealtime Routines Don’t have 100 or so seconds? Here’s the Cliff Notes on what I said: Family meals matter. Not because of the fruits and veggies but because of the communication that occurs. Any meal can be a family meal (breakfast on Tuesday or supper on Sunday). Don’t think only about dinner. Aim for 100% of your family at these precious events, but I […]

The husband just took the training wheels off of F’s bike this morning. Mind you, F never really needed the training wheels as he’d already learned how to balance on two wheels with his “balance bike” as a toddler. But this morning, as sun cast gorgeous light over Seattle, we realized there were 2 days left of summer here in the Pacific Northwest. So, my dear husband proclaimed it was time. Thing is, the training wheels have been on for […]

Nosebleeds are a common frustration during childhood. Although finger-nose-picking is a common cause, other climate changes (dry), medication use (nasal sprays), and other medical problems (rarely) can be the cause. The best advice? Don’t panic. And do your best to help prevent nosebleeds: stop the picking (GOOD LUCK), use humidifiers in children’s rooms, nasal saline spray, or Vaseline. And, keep a towel handy. One of the best ways to calm down when the blood is gushing is to sop it […]

Tdap is a shot necessary for all adults and children starting at age 11 that protects against infections caused by Tetanus, Diptheria, and Pertussis (Whooping Cough). Because of increasing reports of Whooping Cough and increased infant deaths in the last 2 years, we are working hard to protect infants, children, adolescents and adults from Whooping Cough (caused by Pertussis). Most importantly we want to protect our newborn babies from being exposed or contracting whooping cough. Whooping cough is most dangerous […]

I was in a cab yesterday afternoon. I’m at another conference this week and as I made my way to San Diego, I had to count on many people to keep me safe. From the pilot to the air traffic controller to the cab driver. We do this all of the time, of course–step into a moving vehicle, sit down, inform another person where we’d like to go and then just trust. Trust that they know how to drive, that […]

We don’t need cows to survive but their milk sure does provide us with a convenient source of calcium. The amount of milk our children need varies with age. I outline needs in the video but know this, as your child ages from a preschooler to a school-age child to a teenager, their calcium needs increase. Of course, if your child doesn’t like milk or is allergic to milk products, you have plenty of ways to get them the calcium […]

Late last week, The American Academy of Pediatrics (AAP) published a 43 page expert panel report addressing ways to reduce risk from cardiovascular (heart) disease beginning with interventions in childhood. The panel report is based on a huge review of current medical evidence, yet the press focused mostly on 1 sentence from the thick report: All children should be screened for high cholesterol (via a blood test) at age 9-11 years and then again between 17 -21 years of age. […]

I’m a salt-fiend. I really really love it. I’d choose a pickle over a piece of cake any day. Problem is, I’m realizing my palate for the salt lick out ba

I just responded to a New York Times “Armchair Ethicist” chat about pediatricians who refuse patients who don’t fully immunize. I realized my comment on their site belongs here on the blog. (my comment is number 79 but also copied below). What do you think about pediatricians who refuse patients who don’t follow the AAP schedule? Do you disagree with me? Would you be more comfortable seeing a pediatrician who refused those families who chose not to immunize to protect […]

With the Penn State tragedy and recent news out of Syracuse this past week, most parents have thought of, and/or worried about sexual abuse more than once this month. The wretched reality is, we will keep getting reminded about sexual abuse in children because it is so common. Thankfully, we can help our children define, get words for, protect against, and support them in their understanding about how to prevent sexual abuse. You can start this today. If you’re worried or […]

Caring for your son’s foreskin is pretty much a hands-off job. But knowing what is normal and how your son’s foreskin develops and changes over time is essential for every parent to a boy with an uncircumcised penis. In the beginning, during infancy, your son’s uncircumcised penis needs no special care. The foreskin is a piece of skin overlying the outside of your son’s penis. You never need to pull the foreskin back or detach it in any way. You […]

We spent a fair bit of our time on vacation last week playing two games with the boys: UNO and Spot It. Our son F is wholly competitive; he likes to know all the answers and he likes to win. He really likes to play and giggles when things go his way or when throwing a SKIP or DRAW 4. But he is also beginning to show how much he hates to lose. It turns out he’s rarely wrong about […]

It’s a snow day. Snow day is a word combination in the English language that has two meanings, divergent and separately defined only by age. To a 5 year old–“snow day” sounds a little bit like “Nir-va-na”–a day that is one of life’s greatest gifts. To a 37 year-old with a few jobs, it sounds a little bit more like “stresssssss.” Snow days, of course, often leave us without child care, without a school system, and without a back-up plan. And […]

Getting your baby to sleep through the night is a major milestone for baby and for you. If I had to distill down the best sleep advice I’ve ever heard it would be these 4 things: Your consistency with the sleep routine is far more important than what method you choose to help get your baby to sleep. The ritual at bedtime (reading, bath, rocking, etc) is one of the most important daily activities you establish for your child from day […]

Like the makings of a Hollywood movie, I learned this week that there were an estimated 200,000 people in Super Bowl Village this past weekend in Indiana. Amongst them on February 4th, was one (or maybe two) child with infectious measles. Fortunately, the child didn’t attend the game. Yet, measles is highly contagious. The period of infectivity starts before symptoms in some cases and usually 4-5 days before the typical rash, when many think they have just a bad cold. Measles is […]

I had a great trip to the grocery store today with the boys. Life has been so hectic these past few weeks, we haven’t had weekend time for a leisurely trip to the aisles of fruit and fondue. Today, we had the luxury of time, a list, and a proper plan. They weren’t hungry (and neither was I) so our stomachs didn’t drive the cart and the boys were uniquely engaged. We perused the produce area. We made peanut butter […]

Parents, pediatricians, and nurses have been using growth charts since the late 1970’s to track growth in their infants and children. The charts were revised back in the year 2000 as the data for the first charts (from a small study in Ohio) that didn’t accurately reflect the cultural and ethnic diversity of our communities. The hallmark of a well child check is the review of a child’s growth. Growth can be a reflection of a child’s overall health, nutrition, […]

There is a lot of writing online about how to get your baby to sleep through the night during infancy but not as much expertise to help those of us with toddlers and preschoolers who wake a number of times. Between age 2 and 3 when O was released from crib jail and moved to a big bed, he’d come to find me a couple of times a night. I’d often awake (and startle) to find him standing next to […]

Every week in clinic families ask me about strategies to help with children who awake before the sun is up. We all thrive with improved, uninterupted, prolonged periods of sleep at night. Particularly on those Saturdays where an extra hour or two of sleep can be life-sustaining for exhausted parents to toddlers and preschoolers. Because of our boys’ early schedules, late last year Santa conveniently dropped off an incredible tool: a toddler teaching clock. The clock has helped our 3 year old […]

Sometimes health education comes outside the textbook or the hours required in medical school. On the plane this week I tripped on an extension class–a movie. A movie every doctor, daughter, son, mother, father, dog owner, and caregiver should see. I’ve never recommended a movie here before but this one I consider a must-see. It’s R rated, just like health care. And parenting. Beginners There is a lesson every few minutes. Here’s 8 I saw: Medication is incredible. 70 years […]

Sometimes TV is really good. We pediatricians forget that every time we advise against television-viewing using restrictive language. Yup, there’s a lot of bad television. And yup, there is good evidence that TV doesn’t do your baby’s brain any good before age 2. And yes, there is also evidence that what your child watches on TV matters. Yet every once and a while, we can be reminded of the magic in beautiful cinematography. And we can feel the bonding that […]

This week, Washington State declared that whooping cough (pertussis) has reached epidemic levels. Since the beginning of the year, we’ve had more than 600 documented cases in the state, a dramatic increase since last year. The increase puts our new babies at risk. In clinic I’ve been urging new parents to cocoon their babies. That is, provide a family of protection by having every single child & adult immunized against whooping cough, influenza, and other vaccine preventable illnesses. By surrounding a […]

This is a position post where I take a stand that represents no one other than myself as a mom and a pediatrician. The reason I clarify this, is that my position is a strong one. No one wants to go up against someone like the NFL, it seems. But let me say this very clearly: It if it were my child, I’d never let them play football. No way. For my boys, the risks are too large, the sentiments […]

Many parents worry about their child’s development at one point in time. With each of my boys, I had worries about their communication and thought their language delays or behaviors signaled something serious. That might just be the “worrier” in me, but it might just be the “mom” in me, too. Competitive parenting makes us all a little nuts… Here’s a few signs that your child is developing great communication skills on time. However, if at any time you worry […]

Every once and a while I make the right choice. I mean when it comes to work and life and striving for balance. Sometimes I say “No” just when I should. Those “No’s” gain access to the best “Yes’s” in life. Last week at the end of a series of 3 weekends of work, I was finishing up a conference and decided at the last minute to decline the dinner with peers. I felt pressure to go but just couldn’t […]

We went out for sushi on Friday at one of those mall-type restaurants that has little pieces of sushi spinning around the perimeter of the kitchen on a conveyer belt. The gimmick is genius for families with young children. The boys were starving and urged that the sushi spot was their choice for our night out. The conveyer belt provides instantaneous food and also fulfills the need for entertainment. As any normal parent knows, that’s a recipe for perfection. More […]

One magical thing I see while working in health care is the love story. Each and every child who encounters a diagnosis or illness spawns a collection of love stories around them. The stories come spontaneously from parents, siblings, friends, nurses, doctors, community, and peers. It all happens organically and sometimes it happens without notice. Babies cling to their parents when they ache; parents cling to their children when they worry. And the acknowledgement of mortality can stun us into living […]

I was just about to update the blog with a post detailing some new data on reducing SIDS. And then some information on tantrums and some thoughts on storing vaccines safely. And I will, later this week, but my heart is really here: After a precious, busy day back in clinic today with my patients and staff, I am delighted to tell you that tonight I discovered “Stronger” back up on Youtube where it had been suspended for some time. As […]

New data around the world has found that early swim lessons (between age 1 and 4) may confer added protection against drowning. Maybe a new rule should be swim lessons before the start of school? Many parents tell me in clinic that they are terrified about their children drowning. If you’re one of those, arm yourself with information: read some of the links (below) and consider signing up for lessons. However, don’t use swim lessons as an excuse to decrease vigilance around […]

This post sounds a lot like it’s written by a doctor (I’m colored by the holidays I’ve spent working in the ER). I feel strongly about not using fireworks with children. Fireworks have always kind of freaked me out. When I was a child my father loved fireworks, he used to terrify us by surprising us with hidden explosions in the bushes and whirling bottle rockets off the deck. I like professional fireworks in the sky but I do tend […]

Without question, for nearly all of us, parenthood is the center, the privilege, and the highlight of our lives. Like a glowing pin at the center of a large target in the middle of the night, our children are really our focus points. We often see that very clearly, even with dark glasses. That’s why it’s not surprising that when Katie Couric interviewed this morning in Seattle at KING5 News, she responded that it was her motherhood she was most […]

Laundry and dishwashing capsules & “PODS” are all the rage. Frankly, I love them. They’re less messy, take up far less space in the cabinet, and enticing to use. Throw them in the washer without a single errant drop. They’re pretty to look at, too. That’s the trouble though. These PODS and capsules look more like Halloween candy than laundry detergent. But this soap [eye candy] poses a unique and dangerous risk. The film that forms the capsule is designed […]

Sometimes it feels like we’ve got it all in control, a new school, a new schedule, a return back to work obligations. We can set the alarm early, burn the midnight oil, pack the school lunch ahead of time, rise up and meet the challenge. Sometimes it all works and everyone thrives. Sometimes, no. Sometimes it is simply miserable to leave our children behind and trudge off to work. Miserable. It doesn’t mean we don’t care about our jobs or […]

Salt is back in the news. Not surprisingly, salt continues to get a bad name because eating too much salt can put us at risk. This is a bummer for those of us who prefer a salt lick to a popsicle. And it’s especially bad if we developed a salt-eating habit in childhood. An article published today found that increases in salt intake are correlated with the finding of high blood pressure. Not news, exactly. But the article asserted that […]

We had one of each in our house: one baby that we let cry for periods of time to self-soothe and one where I simply couldn’t bear to hear the crying in quite the same way. You’d think it would have been just the same for both of our boys, but it wasn’t. Clearly I wasn’t the same parent each time around. There are many things that go into the equation of how we get our babies to sleep thought […]

More than anything else, we want our children protected from harm. Particularly when we hear about sudden cardiac collapse and death in young athletes. The far majority of children who suffer from sudden cardiac events and sudden cardiac death have no symptoms prior so comprehensive cardiac screening can improve protection for all children. 5 Things To Do Before The Sports Physical: Print out the pre-participation sports physical form and medical history form. Bring it to the appointment for your child’s doctor or […]

Yesterday I started to see a number of tweets from parents and fellow pediatricians on Twitter criticizing Marissa Mayer for announcing that she’d return to work within 1-2 weeks of the delivery of her first child. First off, I’ll start with my assumptions: I’m authoring this post in the belief that Ms Mayer has access to quality health care–that is, she has the ear of a board-certified obstetrician, a board-certified pediatrician, and access to a lactation consultant as needed. My hunch is that […]

This may be the best decision I’ve made in a decade. In August, we came up with a new acronym around our home and a tradition was born. Our boys take this very seriously now. Consider starting one at your home, too? Gratitude is powerful stuff.

We need a flu shot annually because influenza virus changes structure and shape as it moves around the globe each year. The strains that cause human disease are different from one year to the next, so we update and add to our protection annually by getting a shot or nasal flu spray. Children, especially those under age 5, are at higher risk for severe disease from influenza. In children and adults, influenza can cause a mild illness, but unfortunately, sometimes […]

Recent reports have heightened concerns about arsenic levels in rice products here in the US. This has left many parents wondering if we should be serving rice to babies and children. The video summarizes my current recommendations. Read the report from the Pediatric Health Environmental Specialty Unit mentioned in the video. References on authors and sources are at the end of the report. This report is calm, informative, and backed by experts—there appear to be no false claims. Remember, arsenic is a naturally occurring element on […]

Truly, I’m distracted this Halloween. I think more than anything else, we should take the time (and money) today to donate to the Red Cross. Then put the costumes together. The destruction and suffering from hurricane-storm Sandy are at the forefront of our thoughts as families. For some communities, Halloween is postponed or delayed. It’s just a holiday, of course, but a big one for our children. It’s one holiday where children take center stage and create lasting memories. So I […]

I can’t stop thinking about a drive-thru. Not the one for burgers and shakes but the one for ear checks, sports forms, quick med refill visits or a lingering rash. For those things you just want to know fast or need done now, but don’t want to spend 2 hours resolving. For those things that really make you worry as a parent. Instead of the millisecond-mall-type clinic, we all want our doctors, our clinics, and our child’s team to provide […]

The Switch-Witch is coming to our house tonight. A friend mentioned the concept of Switch Witch to my husband and I was immediately thrilled. A shared solution to the Halloween hangovers. Some genius parent came up with the idea of having a witch arrive at your home during the night to swap out any remaining halloween candy with a small prize. The plan is that we’ll leave the candy by the door tonight and she’s due anytime after bedtime. When […]

It is the wonder of life that makes this beautiful day so remarkable. A national day, every year, to give thanks and prioritize togetherness. Happy Thanksgiving! May we be so brave that we can live with integrity, with love, and with compassion as we raise our children. May we find ways to revolutionize things, too. One team is trying to do just that with end of life challenges. On this day, when you are together with those you love and […]

We surfaced the other day, my husband and me. Bobbed up after having been submerged in the challenges and complexities of stress, tantrums, hectic schedules, holiday crunch time, and career responsibilities. When we surfaced we found ourselves in one of the most luxurious moments of life. It was one of those spells I want to compound. More than just burning it on my brain, I want to relive that memory again and again. I want to hit play and repeat…I […]

In 2006, I entered pediatric practice. It was the same year that the Advisory Commission on Immunization Practice (ACIP) recommended to start giving 11 year-old girls the Human Papilloma Virus (HPV) vaccine. Therefore, I’ve really never practiced pediatrics (outside of my training) without the ability to offer up immunization and protection against HPV virus; I’ve been discussing this for about 6 years. We now give HPV shots to both boys and girls because it’s so common–about 50% of all adults […]

The news of the shooting in Newtown, Conneticut this morning is beyond horrific. Nauseating and troubling, it’s left me sobbing at my computer to think of the anguish families face. And the lesser anguish we all feel right now. To think of the lost hope and the lost efforts of all those that work so hard to protect children and those who work to educate them. And the loss of safety in another school. The news from Newtown is agonizing. […]

I give thanks every day for friends, mentors, teachers, collaborators, and family like you. It’s been a sincere privilege to share thoughts here. I’m always amazed at the depth of reflection that washes over me as the year comes to a close. However pre-conceived this day seems for reflection, today has me in its grip. The end of 2012 is filled with far more information about being a parent, being a patient, and being a pediatrician than the beginning held for […]

This is a guest post from Lara Okoloko, LICSW, a clinical social worker who lives in Seattle area with her husband and two young children. She is co-founder and clinical director of Center for Advanced Recovery Solutions (CARES). CARES provides respectful, solution focused counseling to the parents of addicted young people. More about their services can be found at www.caresnw.com _____________________________________________ Well, it’s been about a month since marijuana became legal in Washington State and we haven’t gone to pot […]

TV before bed delays children going to sleep. We’ve all heard that TV isn’t necessarily good for our children right before bed, but something about that fact tends to go against instinct. In my experience, most of us feel like television and video-streaming is relaxing to our minds. Bum news is, it’s the opposite. Viewing TV or video or screens prior to sleep tends to rev up our brains, disrupt our sleep, and may even cause nightmares (especially for preschoolers). […]

I’m curious what you think. Do you think companies that make, sell, and market soda can improve the challenges we face with obesity? I’m asking sincerely. I was struck by the Coca-Cola ad (below) recently released. I’m a pediatrician and I’ve never worked for a beverage company or any company that sells products to children. I don’t like that these companies market salty, fatty, sugary products to children. As a pediatrician, I would suggest I’m very biased. The food industry […]

New immunization recommendations come out every February. They’re released to assist parents and clinicians in keeping all children up to date and protected from life-threatening infections. The update reflects new science and discoveries, while improving the schedule of vaccines due to outbreaks of infection or improved understandings of how to protect children better amidst a potential resurgence. This is relevant to every parent: every year the rules for what-children-need-which-shots-when can change. Just when we think all of our children are […]

Norovirus is a nasty one. It’s the leading cause of epidemics of vomiting/diarrhea and causes over 20 million cases of gastrointestinal disease (“stomach flu” with vomiting, diarrhea, abdominal pain, fever and achiness) in the US each year. Our experience with Norovirus historically is worse in years with “novel” or new strains of infection. Unfortunately there’s an new strain circulating around the globe. “Sydney 2012” was discovered in Australia last March and just last month the CDC officially announced it’s causing the majority […]

I think of energy drinks as the new liquid accessory for many teens. Something to hold onto with nervous hands and something to spend money on when they’re really tired or need a “boost.” Teens report drinking them because of inadequate sleep, a need for energy, and wanting to mix them with alcohol. It’s big business to market energy drinks to those in high school or college and that big business is remarkably successful. More than a 1/3 of teens […]

We learn so much from our children. How to slow down, how to speed up, how not to behave. How to be present, mindful, and attentive to immediate needs. I’m not always entirely mindful and I certainly find myself easily distracted–it’s not just the phone I need to put down. Yet one low moment of distraction came to light late last summer when my 4 year-old literally put his body between my phone and my face to get my attention. […]

Since 2005, teen immunizations have been recommended at the 11 year-old well child check-up but rates of teens who keep up to date on their shots lag. In an ideal community, 90% of us would be up to date on shots to prevent disease spread most effectively.  Back in 2007, teen recommendations were expanded to include HPV vaccine for girls. In 2011, both boys and girls were recommended to get HPV shots. Although the majority of teens get the Tdap […]

This is a guest blog from Karen Ernst. Karen is the mother of three boys and a military wife.  She sometimes teaches English and enjoys advocating for and working with children. She is the co-leader of Voices for Vaccines and one of the founders of the Minnesota Childhood Immunization Coalition. The preschool class party was one of the last hurrahs for my then five year old. The entire family attended, including our ten-day old newborn, whose only interest was nursing. […]

Today a Seattle mom advertised on an online parenting community that both of her children had chickenpox and then invited (non-vaccinated) children over for exposure. That’s the invite from 1:19pm today. It turns out people are still having chickenpox parties. Part of this makes my head spin. I just don’t get it, despite having had many families in my practice decline or hesitate or delay the chickenpox shot. I don’t think parents know what virus they are dealing with. After […]

I love being a working mom. This is really the first time I’ve known it like I do today. I had one of the best days of my life two weeks ago, seriously ranking up there in the top 5 thus far. And unsurprisingly to me, it was a work day. However unlike ever before, for the very first time I brought my son with me. Today is “Bring Your Kid To Work Day” but really any day we do it […]

I met Lowie backstage, about an hour before my own talk earlier this month. I had butterflies in my stomach for all sorts of reasons. I’d read about him prior to arriving and perused the blog he’s written about his daughter’s cancer and his family’s journey during her life and death (you can have Google translate it into English). It was so nice to meet him. I was really looking forward to his talk although a part of me knew […]

This Tuesday evening, I’m joining Seth Mnookin at Town Hall in Seattle to discuss vaccines, modern parenthood, and (mis)information about vaccinations online. Although you may know Seth Mnookin secondary to his crucial role in the Boston Marathon Bombings story this past week, at his other day job he’s the co-director of the graduate program in science writing at MIT. He’ll be here in Seattle because he is also the author of a powerful book, Panic Virus, that details the history […]

Leaving our children for any reason makes our hearts hurt. Fortunately, the technology of our time provides incredible proximity. Tonight I got a kiss from my 4 year-old from 2000+ miles away while in a Google Hangout. Every parent has tricks that allows them to endure working trips or distance from their children created by time or space. FaceTime and Google Hangouts allow me to join books at bedtime and spontaneous conversations on the fly.  Ohhh, thank you 2013…

I’m going to sound very middle-aged in this post. Whenever I talk about texting and driving I tend to show my age. I don’t know how it happened or when it was that I truly became a grown-up, but when it comes to texting and driving I feel nothing like a sixteen year-old. Unfortunately, teens are particularly vulnerable in the car. Motor vehicle accidents are the number one killer of teens between 16 to 19 years of age. The reason […]

Exercise got thrown out the window for me in a routine way after my boys were born. It wasn’t a lack of interest, just a lack of organization of our time. Just now, as my boys get older and more independent, I’m integrating regular exercise back into my life. My experience with malignant melanoma this past year also was a big nudge. Seeing a glimpse of mortality does implore you to stay alive. That’s why the 7-minute workout saves me. It’s the first no-excuse-not-to […]

Sun protection is essential in childhood. Here’s 3 golden rules, backed by science, for you to use when purchasing, applying/re-applying sunscreen, and protecting children from the sun. Remember, more important than any ingredient or any particular SPF number or brand is the way you use a sunscreen: the best sunscreen is one used early and often. Sun-protective clothing (those UV shirts, shorts, and hats) is an awesome, affordable, and easy way to protect children from sun without the hassle of […]

” Yesterday’s news,” my husband said when I shared a study published, well, yesterday. Yet what we do with yesterday’s information is of course the news today. A JAMA Pediatrics article found that the use of pediatric CT scans rose in the late 1990’s and early 2000’s. Further, research shows that these CT scans can increase risk for future cancer diagnoses. Authors calculated the risk: they estimate that for every 4 million pediatric CT scans preformed annually, some 4800 children […]

Buying the bike helmet isn’t enough, of course. We have to make sure our children actually wear them. We’ve gone through phases at our house (loathing to loving the helmet). The challenge isn’t often buying the helmet, it’s getting that helmet on every time and fitting it properly. I’ve learned the hard way– -after I pinched the skin on O’s chin a few times, I wasn’t even allowed to be the one helping him get it on! Despite my lack […]

Lots of people ask me how my boys get along. I never know quite how to answer. They are pals most of the time, they play and invent and create games and fun together. But they also fight. I suppose I expect it as a mother but I admit that even as a pediatrician, ex school teacher, and younger sister in life, I sometimes don’t know exactly when to intervene and when to leave them alone to resolve disputes unassisted. […]

Juice is never necessary is a child’s diet. Unpopular as this is to say, juice is always an extra, add-on, treat-type part of what children should eat. High in sugar and low in nutrition, excess juice in a child’s diet is linked to poor nutrition, obesity, and dental cavities.  Although 100% juice comes from fruit, after it’s smooshed and pushed through machines to produce clear juice it’s separated from much of the health benefits (fiber) from whole fruit. Late last […]

This is a guest post from Liz Scott, mom to Alex, Patrick, Eddie and Joey. She’s looking for support and in doing so she is sharing her story. She talks about instincts and love, commitment and courage. Here’s more on how you may be able to help: Some of you may be familiar with my place of work, Alex’s Lemonade Stand Foundation, a nonprofit dedicated to finding cures for all kids with cancer, where I am the Co-Executive Director alongside […]

There is a report of more measles here in Seattle. Measles is a highly contagious and potentially severe infection that causes fever, rash, cough, and red, watery eyes. It is mainly spread through the air after a person with measles coughs or sneezes. King County Public Health released information today detailing new cases and potential places for public exposure to measles infections between July 9th & July 15th. These two new cases are unrelated to the measles case earlier this month in […]

Unthinkable really, leaving a child in a car and forgetting about them. But it happens more than a dozen times every single year here in the US. On average, over 30 children die from the consequences of heat stroke after being left or trapped in a hot car. Children are particularly vulnerable to heat stroke because their bodies heat up 5 times faster than adults. The reason for their quicker warming stems from a child’s inferior ability to cool themselves […]

Simply not factual. That’s really all that needs to be said in response to Michael Edwards’ opinion piece entitled “Vaccine Side Effects and Why You Shouldn’t Vaccinate” published in Organic Lifestyle Magazine last week. This is clearly a non-peer reviewed, non-fact-checked online publication that Mr Edwards edits and owns. Fortunately, the magazine is reported to get about the same amount of traffic as my blog so it’s not exactly the Washington Post… That being said, Edwards’ piece is so egregious I’m unable […]

If the world were merely seductive, that would be easy. If it were merely challenging, that would be no problem. But I arise in the morning, torn between a desire to save the world and a desire to savor the world. That makes it hard to plan the day. E.B. White It’s an entirely challenging task getting to live this     just     one     life. E.B. White summarizes the dilemma as well as I can imagine when he describes […]

Someone mentioned recently that I was potentially a Tiger Mom. That’s when I realized we have a Lion Dad situation around here. So many of us now “co-parent” our children. We share the responsibilities of raising children with our spouse or partner. Although co-parenting usually describes parents separated or divorced who take turns raising children, I think “co-parenting” describes many of us living together while raising children, too. In our home everything from feeding to toilet training, preschool pick-ups to soccer […]

Nothing better than watching our children sleep peacefully. Independent of our circumstance there is nothing more settling, or prettier, than a child at peace. A day of happiness and good health or one where a child has battled pain or a fever, one filled with challenges at school or one where we’ve simply had a bad day at work. Doesn’t really matter what’s stirring or what’s not, there is something precious we all discover once we become parents–we can stare […]

Facebook changed its privacy policy for teens this week, despite work from advocacy groups and media experts against the change. On Wednesday October 16th teen privacy settings were adjusted to allow teens to share status updates and photos publicly. The change literally allows the public a window into a teen’s thoughts and photos on Facebook for the first time. Fortunately, teens can control this by opting out of public sharing. The default setting at this point for teens when joining Facebook will […]

New research out today confirms that buying breast milk on the Internet via milk-sharing sites may not be safe. Although breast milk purchased from online sites may be free or as cheap as $1-$2 an ounce, it may carry significant risk for babies. Clearly the benefits of breast milk are vast; pediatricians and health experts recommend exclusive breast feeding until 6 months of age. However, simply put, breast milk obtained from unknown (or known) individuals online may carry contamination from […]

I’m thinking about the high stakes of parenting. Thing is, the more I learn about early child brain development, the more I’m astounded by the opportunity and simultaneous great responsibility it is to care for and nurture young children during their first few years. The reality is: the brain is rapidly evolving as children grow– the connections between brain cells shift and change based on experiences children have. I mean, the brain really just learns how to think as our […]

I worry most about pedestrian injuries on Halloween. In fact data from Safe Kids Worldwide finds that children are 2 times as likely to be hit by a car on Halloween than on any other day of the year. Eeeps! The news isn’t all bad though — a 2010 report found that in the emergency room doctors see more sports injuries on Halloween than they see Halloween ones. We just have to be smart about how our children enjoy the exciting […]

Something amazing about birthdays. Just a day of celebration in our child’s life, perhaps, but something altogether different for we parents. It seems to me that birthdays serve up quite vivid moments for reflection.They offer up a day to assess progress, loss, growth, and quite easily acknowledge the annual tick of time. Earlier this fall a 70+ year-old man at a conference said to me (I’m paraphrasing), “Well, life as a parent is simply a blur. It’s a hazy smattering […]

PG-13 movies now have more gun violence than R-rated ones. I was in fourth grade when Red Dawn debuted as the first PG-13 rated movie back in 1985. At the time Red Dawn was released, it was considered one of the most violent films by The National Coalition on Television Violence, with a rate of 134 acts of violence per hour, or 2.23 per minute. And although not every PG-13 movie has had significant violence (think Pretty in Pink) it […]

Today is the Great American Smokeout. A national day for quitting for all ages. Of course quitting smoking, even for a day, is an awesome step forward for health. Clearly finger-wagging and guilt-tripping really don’t help smokers quit. I remember as a child lying on the floor when around a family member who was smoking saying, “Smoke rises….I’ll stay down here.”  Fairly ineffective, I’m certain. Anecdotally, the family member is still a smoker. Nicotine is really addictive. Cigarette smoking remains […]

Research shows that about 1 in every 5 pediatric visits for “sick visits” results in an antibiotic prescription. Now not all of those antibiotics are taken; many pediatricians now use the Rx pad for “wait and see” or “delayed prescribing” antibiotics. They give a prescription and allow the family to watch and wait — if a child is not getting better, they advise parents to start taking them. However, in total there are nearly 50 million antibiotic prescriptions written annually […]

We all want simple solutions to living a healthy life. It feels like I was born at just the right time for my work in health care. I completed my medical training just as social tools were percolating out to the masses. Motherhood and my practice of pediatrics auspiciously coincided with the bounty of information that technology has distributed, offered up, and shared unlike ever before. I can search and learn about health wherever I am –  at the park […]

“Children appear to be less at risk for developing peanut or tree nut allergies if their mothers are not allergic and ate more nuts during pregnancy,” according to a study published today in JAMA Pediatrics. And although this doesn’t mean that you need to run out for the peanut brittle the minute you’re pregnant, it may mean we can reassure pregnant women that if they have no allergies themselves, what they eat during pregnancy should contain nuts, among other things. […]

I’m so thankful and humbled by all of the comments and dialogue here on Seattle Mama Doc. Since the inception of the blog in 2009, we’ve had more than 1 million different readers. For that I remain somewhat amazed and also astonishingly grateful. I really love detailing what I learn about caring for children and hold dear the opportunity to share what science holds. Writing about health care while wedding evidence with anecdotes remains a huge focus for me. I […]

Yesterday marked the 50th anniversary of Lyndon B Johnson’s 1964 State of the Union address where he made a proclamation to commit to end poverty in our rich nation. Nationally, there has been a huge and beautiful focus on the anniversary. Despite the political divisions and tense partisan discussions on how to proceed in poverty reduction, I heard many reports on the radio, read newspaper coverage, and saw chatter all day on social channels about where we stand. I was floored […]

Wait, did he just say what I think he did? (minute mark 1:18) I want you to put it in his helmet…I don’t care if you don’t get up. Let’s go! Or is it: I want you to put it in his helmet…I don’t care if he don’t get up. Let’s go! Either is grim. The new show, Esquire’s Friday Night Tykes, is getting quite a bit of attention. I suppose this was exactly the network’s intent but there are very […]

Justin Bieber was arrested early this morning in Florida for a DUI. The smirk on his face is a bit misplaced. While it’s no longer a surprise when we hear about a celebrity’s challenge with drugs and alcohol, Bieber serves up a perfect moment for education. I mean this kid (he’s 19 years old) really could have killed himself last night. Thank goodness he’s only in jail. You got Bieber Fever in your house? Now’s the moment to step in. […]

And now for something a little different….We want to animate your child’s BPOD (Best Part of Day). Send us a short recording of your child talking about their BPOD and we’ll bring their experience to life in an animated video (see video above)! We’ll never disclose their name or age, just share their journey and insight through their words. Email your recording to my Seattle Mama Doc email (seattlemamadoc@seattlechildrens.org) by Feb 26, and we’ll select 5-10 recordings to animate and share the first […]

Official launch of my book is…… today! Mama Doc Medicine: Finding Calm and Confidence in Child Health, Parenting, and Work-Life Balance. I’m seeing patients in clinic today but certainly am planning on walking over to the bookstore during my lunch break at clinic to see if it’s there. That will be a first… More than anything, I wrote Mama Doc Medicine to connect parents and families with science and story (see video below). Although in some regards this book was […]

As a pediatrician, I encourage families to search online for health advice. Yet how you search and where you click matters. Tips for you and your time with “Dr Google” or “Surgeon Bing.” The Pew Internet Project’s research finds that over 70% of Internet users in the United States say they have looked online for health information in the last year. Furthermore, most health information seekers (ie freaked out parents searching in the middle of the night) don’t start their […]

Headlines soared yesterday with the CDC report that the number of children with autism diagnoses had increased by 30% in the past 2 years. “Reality is there are many children who are having serious struggles because they can’t communicate well and have a hard time being with people,” Dr Chuck Cowan clearly stated to me this morning. Like a bell on a quiet night, I feel parents need to hear this most: we just want to connect children with the […]

Not that I want these guys to get much more attention, but this is worthy of a mention and possibly a view (see video below). I mean it isn’t every day that we’re teed up to talk about fatherhood. Motherhood, sure, we’re constantly fed information about the elusive “balance” we all seek, but fatherhood and the incredible gifts/mentorship men bring to children’s lives, that seems only to be a sexy topic when it has to do with a sports star […]

Thanks for these clips (see above)! Practicing gratitude remains a highlight around here. Although ritualizing the sharing of the great parts of our family’s day bring us together at meals, helps us connect, and assists us in talking about our time apart at school or work, it also may be boosting our health. Practicing gratitude has been found to improve overall wellbeing, assist in sleep, and help decrease anxiety and depression. People who practice gratitude also report better long-term satisfaction with […]

Every runner who’s ever had a runner’s high knows it is one of the best sports in the world. It can be grueling and painful, yes, but the rewards we reap from running– especially once we’re in shape — pay big dividends. For those of us aging, ahem 40’s coming quick, and those of us trying to find ways to live longer, exercise is still likely the most influential thing we can do to promote the quality of our life and […]

There’s no question the challenge of unhealthy weight and rising obesity rates in America present a complex problem for children, their parents, and their doctors. No wonder I cycled through so many emotions while watching the new movie Fed Up. As Fed Up premiers all over the United States today it’s provoking a fiery, national conversation about the threats of obesity on our nation’s children. I loved the power behind the film. Instead of pointing the finger at children for poor […]

A new policy statement from The American Academy of Pediatrics finds that many women, including up to 1/3 of pregnant women, may have low levels of iodine putting them at risk for iodine deficiency. The reason for the deficiency is the changing food source. Over the last 20-30 years our major source of salt has shifted away from table salt (supplemented with iodine) to salt from processed foods, sea salt or gourmet salts that have no supplemental iodine. This is especially […]

As teens nestle into their deep, unrestricted summer sleep, let’s think clearly about setting them up for success in the upcoming school years. Today there is a pressing need for our attention and our action. An opportunity to improve the lives of teens exists this upcoming week here in Seattle and I suspect, in ways, the outcome will inform the nation. The School Board is revisiting their commitment to do an analysis of feasibility & community engagement in 2015 around […]

The boys and I read two extra books last night — we almost skipped it altogether as it was late and we were beat from a long day and yada, yada, yada…you know the drill. But reviewing this data changed me, yet again. I knew some of the value of reading to young children before I had kids because of my experiences being a teacher and my training in pediatrics but the refreshers provided this week only compound my interest […]

On Sunday night I left the house for a quick run. It was 9:20pm. It’s been years since I ran in the dark and likely a decade or more since running at night made any sense in my life. As every parent knows, we’re jailed in our houses around 8pm when the kids go to bed — if exercise hadn’t yet happened it gets pushed off until “tomorrow.” Sunday night the Fitbit was 100% of the driving force behind me […]

It’s really very sunny out these days in the Pacific Northwest. And although summer can be shorter up here we certainly compensate with idyllic, cloudless days. However, many of us can be out of practice protecting our skin. I’ve seen lots of tan lines and sunburns in clinic this summer. In fact, those of us living in Northern climates may carry an additional risk when it comes to the sun. One rarely known risk factor for skin cancer is living […]

Widespread news coverage over the last 24 hours has heightened concerns by many parents about a severe-symptom viral infection causing respiratory illness in children, predominately in the Midwest. Over the last month there has been a dramatic up-spike in children hospitalized with severe cold symptoms and wheezing. The virus isn’t new, but its effect on children seems to be. The Centers for Disease Control (CDC) has confirmed tests on children both in Kansas City and Chicago pinpointing the triggering virus as […]

26% of parents say they’ve used media as a distraction when with their children and we all certainly know our own smartphone use may be changing who we are as parents. No question I get cranky with my kids if I’m emailing on my phone and they interrupt me. Just one of many unfortunate realities of having work with us at all times. The more devices I use and the better they become at helping me enjoy life, the more imminent the need for getting serious about […]

The 2nd recreational pot store opened in Washington State recently while store #3 opens later this week. Pace will quicken with several more stores expected to open by year-end. This puts parents and pediatricians in our state in a unique situation (shared only with Colorado) as we’re tasked to explain to children and teens the dangers of legalized drugs used by adults. However, the complexity extends even to those of us with young children. Growing concern (and evidence) finds accidental ingestion of […]

Today’s post is written by Dr. Alok Patel, a third-year resident at Seattle Children’s. I met him last year as he immersed himself in training. Since then we’ve been syncing up, learning together about ways he can use his voice, his teeming passion, and his media channels to improve the health of populations everywhere. He’s peppered with ideas, brimming with enthusiasm (it’s possible he speaks faster than I do) and diligently working to carve out his path as a public […]

I felt very much alive reading Dr. Atul Gawande’s new book, Being Mortal. Not because I have a sense of youthful immortality, but because stuck here in the sandwich generation I’m feeling a bit caught in-between — feeling simultaneously mortal and then very alive. In my mind this has a little bit to do with turning 40, a bit to do with the gift of raising young children, and a whole lot more to do with a year of losing […]

If you see a house with a teal pumpkin in front of it when you’re out with your kids this Halloween, give that homeowner a high-five. They’re making it a point to include kids with food allergies in on the trick-or-treating fun during this candy-filled holiday. The Seriousness Of Food Allergies Food allergies are a serious subject. It’s estimated more than 15 million Americans (6 million of them children) are affected by them. Dealing with food allergies can mean disruption to […]

My coffee arrived in a red cup today so I know the holidays are officially upon us; Thanksgiving will be here before you know it.  If you’re ordering a turkey (and/or you’re incredibly organized) you’ll likely be picking out your bird in the next few days. Who are you people? For you prepared and pre-paid types and even those of us who wait until the Thanksgiving week, we have some decisions to make and a great opportunity. What turkey we […]

This is a guest post from J. Forrest Bennett, an ARNP at Seattle Children’s and Dr Samuel Browd (@DrBrowd) a neurosurgeon who, together with their team, care for children after concussions. Clearly, we’ve all heard more about concussion these past few years. Not just because of pro-football tragedies and lawsuits but also because of the increasing expertise the medical community is acquiring around how to care for children and young adults after getting hit in the head. We’re also learning how to prevent […]

Oral health doesn’t start and end with the dentist. Times are changing as the Washington Dental Service Foundation has trained 1,600 pediatricians and family physicians throughout the state on the importance of oral hygiene in young children. Pediatricians are now applying fluoride during well-child check-ups and counseling families more comprehensively on how to prevent dental decay while also referring to dentists for prevention and acute dental problems. Just last month I attended the 1-1/2 hour oral health training with a pediatric dentist. […]

We’ve known for several years that a crowded bed and a decorated crib (pillows, quilts, stuffed animals, bumpers) can put babies at risk for sudden infant death syndrome (SIDS) and unintentional sleep-related suffocation. Boring, bare and basic beds are still best for babies. Tell every mother, father and grandparent to an infant you know. A Pediatrics study out today shows hazardous, soft bedding is still being used by as many as 50% of US parents despite years of public health messages urging the opposite. I […]

E-cigarette use is growing among teenagers. Vaping is on the rise among high-school students in particular, with rates increasing steadily each year. I still think of e-cigs as the gateway to the gateway drug. In my experience, teens remain confused. They hear about health benefits (harm reduction) in adults and they may think that confers safety. In addition, some teens have reported to me they have heard it will improve their sports and school performance. Nope. No data to show […]

Living in the northwest it’s easy to forget the sun exists during the winter. Most days are dim, usually drizzly and almost always cloud-covered. It’s easy to remember to take care of your skin when your arms and legs are playing in the warm rays of the sun but when you’re bundled under scarves and rainwear, our self-care falters. We care for our children’s skin often better than our own. Winter brings a slew of skin harms with it. Giving your […]

Getting rid of unused medications is something all of us do at some point or another. How to do it safely, though, is another story. Typical parenting moment: you reach into the medicine cabinet for vitamins or you’re hunting for ibuprofen or acetaminophen for a child’s fever and you grab a bottle of medication that, on closer examination, has an expiration date from several years ago. You realize you won’t use it. Before you toss that bottle in the trash, […]

It’s prom season and we all know it’s the season where teens feel pressure (and sometimes giddy delight) to prepare to look entirely fabulous for the night. Full of pressure or full of glee, this is without a doubt the time of year when teens I see in clinic talk most about tanning. A 2014 JAMA study found 19% of teens (under the age of 19) have used a tanning bed, with 18% of them stating that they’ve used one […]

There’s a beautiful story of success tucked away in the recent measles outbreak in the United States. Sometimes we forget to talk about it. When measles popped up at Disneyland in December 2014, it made headlines as the public remained thirsty for the media’s support in understanding who was at risk and why. I spoke to dozens of media outlets about the outbreak, under-vaccinated populations, the MMR vaccine, and how to protect those most vulnerable during an outbreak. We all emphasized those […]

Most parents cringe in the office or at the park when their child reports to me that recess is their favorite subject. Thing is, I think they may want to celebrate. Some of our best thinking, our most inventive or creative solution generation, happens when moving around outside. Research has validated the merits of play and movement for learning during the past decade and educators and pediatricians have risen up to exalt the time our children spend twirling around between […]

As adults, many of us take or swallow pills out of necessity to manage or prevent a chronic health condition. From a vitamin to even a life-sustaining medicine, you probably don’t hesitate or panic when swallowing the pill, even the biggies. But knowing how to swallow medicine isn’t something that just happens, often it’s a learned skill that may vary widely in regards to timing. During my education I was trained to think that once children hit double digits (age 10 years) […]

One Google search can sometimes change everything. After learning something new about our child’s health or condition, especially for worried parents and caregivers, leveraging online search as a resource in diagnosis, clarification and education is typical behavior. Searching out support, camaraderie and tips online just makes sense. In fact, 2013 data from the Pew Research Center finds that 1 in 3 Americans goes online to search for information and support in finding a diagnosis. If you’re a woman, college-educated, or younger (under […]

This is part two of the “What To Do If Your Child Is Drowning” series. Read about infants/toddlers here. The purpose of these posts is to find out what you should do if you realize your child is actually drowning or struggling in the water rather than repeat the warnings of how to prevent it. I want to put a couple thoughts and tools in your hands to know WHAT to do if faced with an emergency. Dr. Linda Quan, an emergency […]

Maybe forty is middle-age, for me it’s certainly been in the-middle-of-something. I turn 41 later this week and I must admit, my year being 40 felt slightly more rigorous than the ones that came before it. Perhaps just circumstance, but my year was peppered with rare opportunity, great loss, brilliant connection, and perspective-building change. The change and loss has been arduous in ways, each lesson feeling like just another onion layer of innocence peeled away. Hard work to love and to lose. […]

While I was out of the country last week there was remarkable progress when it comes to public health and the opportunity for children. It was wild to be so far away seeing the news unfold. First it was The Supreme Court Of The United States (SCOTUS) voting to allow subsidies for the Affordable Care Act (facilitating the federal government to provide nationwide tax subsidies to support poor and middle-class people when they buy health insurance). Then just a day […]

My goal here is to educate people about the risks and realities of e-cigarettes amid an environment full of popular misconceptions and half-truths. Talking about e-cigarette use in adults will NEVER be the same as talking about e-cigarette use and dangers for children and teens. Different groups, different realities, different risks, different use, and different vulnerabilities. Period. E-cigarette use tripled among high school students last year alone. This is happening RIGHT NOW.

My boys always want it to be screen time. I don’t think that is changing anytime soon. These apps, shows, games, and devices are only getting smarter at capturing their attention. It feels like there isn’t a giant list of new advice to share regarding “screen time.” But because of the recent media focus and deluge of content on “screen addiction,” coupled with recommendations for dealing with screens while parenting this summer, I’m here with a few responses and observations. It seems to […]

Reading and familiarizing yourself with the drug facts label is perhaps more important than it seems before you administer an over-the-counter (OTC) medicine to your children. I think we may get more hands-off at times than is ideal. And I think caregivers who casually help us with our children (grandparents, babysitters, nannies, neighbors) can too. Although it’s inconvenient to fill out forms for medicine administration in daycare, preschool and school, these locations seem to be the environments with the most safety […]

You may have already read yesterday’s blog on preparing your daughter for college. Much of my advice for girls, of course, also pertains to boys (and vice versa). I’m writing two separate posts only for the purpose of getting people to read this content, not to differentiate. I added one section here for boys (on alcohol and risks) not because it’s an issue for boys only. In fact, we know that 1 out of every 5 high school girls binge drinks […]

Time is so slippery. As we get older we feel the slip of time differently, having children pulls these time-space continuums to extremes. Nothing slower than a night with an infant who won’ t sleep and nothing seems faster than a school-age child flying through grade levels. As we prep for the beginning of the school year again this year I cannot help mentioning that it is clearly a delight to see our little humans head back into the classroom. […]

It’s been a whirlwind this past week. Last week I flew to Washington D.C. as an invited speaker at the NFID Influenza News Conference at the National Press Club in Washington D.C. I joined thoughtful experts: Drs. Tom Frieden, Kathy Neuzil and Bill Schaffner to present the 2015/16 flu season recommendations and explain rationale for every-year flu vaccine. It’s an essential vaccine for children, especially as young children are at elevated risk for more serious or even deadly influenza infections. Timing auspiciously peaked interest […]

This past weekend I had 48 hours alone. I mean really, f-o-r-t-y-e-i-g-h-t hours with no commitments. No one expecting me home, zero rushing, zero obligations, and no racing home. I did things I haven’t done, well, ever. I went to a movie alone, woke up and read a magazine cover-to-cover, went for a couple runs, sat on a hill at the sculpture museum for just shy of 2 hours without my phone in my hand. I spent time just letting my […]

If our entire community got the flu vaccine we’d be MUCH less likely to share it. We’d also be much less likely to get influenza. Studies find that about 10-40% of children get influenza each season. Because their immune systems are a bit “naive” to influenza, they are at risk for more serious illness, especially if under age 5 years. What if parents were the ones to endorse protection from influenza? What if we drove our schools and playgroups and […]

Using antibiotics on the farm to raise animals contributes to the production of antibiotic–resistant germs or “superbugs.” All animals carry bacteria in their intestines and on their bodies. Giving antibiotics to animals will kill large amounts of bacteria, changing their microbiome (<–good explanation here) and regular “good” bacteria too. Because 60% of the antibiotics used in animals are also used to treat human diseases, with time when antibiotics are used routinely, the bacteria become resistant, survive and multiply. If those resistant bacteria […]

Today’s main takeaway: if you or a loved one are at an inpatient setting, ask every day what antibiotics you’re on, why you’re on them, and when you can stop taking them. Every day. Your care team is likely doing the same thing but you bringing it up helps ensure it remains a priority. How To Be Smart Using Antibiotics: Take the antibiotic exactly as the doctor prescribes them and take them for the shortest duration. Try not to skip doses or stop taking […]

Most parents know that it’s not a good idea to beg your provider or child’s pediatrician for antibiotics — hoping to find a quick fix or relief for certain conditions doesn’t work when the medicines won’t help. Although we want to fix our children’s illnesses, antibiotics only help when an infection is caused by a susceptible bacteria. Antibiotics are used specifically for infections caused by bacteria. In general, most common cold symptoms—such as runny nose, cough, and congestion—are mild and your […]

Friday afternoon the terrorist attacks around the world certainly took our collective breath away. The stunning, horrific realities and the wild insecurity we can feel when somewhere familiar becomes unsafe is a potent storyteller. There is something in this though, that we can really listen to. Things tend to happen in slow motion after this kind of news, almost like they do in our memories during scary recollections of a car accident or a big fall, because when some beloved familiar place is deemed unsafe […]

Over the counter (OTC) liquid medications for children are packaged with a diverse set of various measuring tools sometimes making it confusing for parents to ensure we are giving our children the proper dose. To add to the confusion, sometimes the recommended dose is written with different units (mLs, mg, or teaspoons) than the dosing device. For example, the box might have dosing in “teaspoons” and the measuring device be divided up into milliliters. This issue is not new but guidelines and […]

Prevention is genius medicine. By making smarter choices, detecting risk early, not only do we improve our quality of life, but we can prolong people’s lives. Pediatrics is the perfect place to master this. Because of the incredible opportunity we have to prevent injury and illness during a person’s childhood, the American Academy of Pediatrics (AAP) updates and refreshes their schedule of recommended screenings and guidelines for wellness visits every year. It’s put into a huge “periodicity table,” basically a chart […]

Time capsule entry. Although I suppose every parent since creation felt that the time in which they were raising their children was somehow novel, I’m moved by our 21st-century digital connection to share a transparent take on being a mom and pediatrician today. It’s the end of 2015 and overwhelmingly, I think many of us are stretched thin. And although our children are more-than-ever-before extraordinary, somethings gotta give. First things first, as a perhaps totally-exhausted-working-full-time-emotionally-laden-at-baseline mom trying to find center, I keep reaching […]

The flu season is in full swing across America although thankfully, influenza activity is mild in most states. If you click on this interactive US map you can see where your state fairs with ongoing influenza (hit “play” and you’ll see all weeks reported this season). It’s certainly NOT too late for your family to get a flu shot  (or nasal spray) since that’s the best way to protect against severe complications from influenza. There is no cure for influenza […]

Hear me straight: we don’t want anyone addicted to tobacco products. No question it’s an ugly habit and a terribly complex addiction. Expensive, detrimental to health, so very ugly… So I’m all for WA State House Bill 2313 (SB 6157) supporting moving the purchase age of tobacco from 18 to 21. Yes I know you can vote and enlist in the military at 18, but inconvenient or not, teen brains are not fully developed by the time they enter college-age […]

It’s January, 2016. News stories have inspired significant anxiety about Zika virus. It’s a scary topic because news about the outbreaks are just unfolding and this affects an already anxious group, PREGNANT mamas and expecting families. I want to share with you real time information and data to try to alleviate anxiety and educate the best I can. I suspect with time some of this will change. I’ve curated the most common questions and answers directly from the Centers for Disease Control […]

Image c/o CDC   Zika virus scares continue to worry expecting parents and pregnant moms. In addition, we’re now just learning about a state of emergency in the big island of Hawaii because of the rising cases of Dengue virus, a virus also transmitted by mosquitoes. Shifting lifestyle advice for growing families will continue as researchers and public health officials learn more. We should expect that the recommendations for travel will change and evolve this summer. As of today, news […]

Great news about reducing cancer risk. Nothing controversial here… There is early evidence from a recent Pediatrics study that the HPV vaccine is doing what it was intended to do: decrease the rates of HPV infection in teens and young adults. The study compared HPV in two groups of teen girls and young women–one group during a time prior to the vaccine being used (pre-vaccine era 2003-2006) and another group of similar girls and young women after the vaccine’s introduction (vaccine […]

Usually I arrive here to write and share things that might help. I mean, my hope as a mom and pediatrician is to elevate research, share vulnerability, toss out the irony in the isolation of ideas trapped in an ivory tower and bring in hope for more understanding. I’m usually here to share because I believe if we swap ideas through narrative we all move towards calm and confidence or knowledge and skill as parents, caregivers, adults, children, and partners. […]

The role parents play in poison prevention is paramount. The above image shows just how easy it is to confuse medicine with candy. Especially if we message this improperly. When my boys were young I started calling liquid medicines “yum-yums” in an effort to get them to take acetaminophen or other medicine easily only to realize as I was doing it I was advertising the wrong thing…totally novice move as a mom and pediatrician. Clearly as parents we’re always a […]

Spring has sprung and many of us are feeling that familiar itch to tidy and purge our homes & closets. One more chore to add to the spring cleaning list: clean out your household supply of over-the-counter (OTC) medicines. Just like the dosing instructions and additional information on the label, the expiration date on the packaging is there for reason. Once a medicine has reached its expiration date, it may not provide the treatment that you need. Smart to refresh […]

The digital health world recently took a step in the right direction when it comes to supporting access to your health care information. You can now be in charge of both your own and your family’s immunizations records in several states through a tool and online resource called MyIR (think “my immunization registry”). You can register yourself and your dependents and access to your official, consolidated immunization records on any device, any time. How great is that? No more calling your doctor’s office and asking […]

To the owner of the two black poodles who bit my husband last Saturday early morning while running at Magnuson park, this is for you. But also for all of us as a reminder to something I know both from the medical data and from life experience too well: all dogs bite. Even when an owner assures you they don’t or won’t. For many, having a dog isn’t just having a pet, they are clearly part of our families. We invest, […]

A new study out confirms something that almost every working mom and dad already suspected — it can be a challenge to maintain breastfeeding goals when you return to work after only a few months with your newborn, especially when asked to return to working full time. The study out this week found that moms who worked about 1/2 time (19 hours or less) were able to continue breastfeeding similarly to those women who didn’t work. Logical: the more hours a new mom […]

Audio is having a moment and I’m hooked. I am so thrilled to announce the launch of my Seattle Mama Doc podcast! It’s a weekly, quick, 5-15 minute show to help guide you through the joys and the complications of parenting. I’ll share what I’ve learned throughout my career in pediatrics and years of parenting my own 2 children, but also really hope to get super smart people to share what they know out to the world! The podcasts will air […]

Summer vacation has just started and it feels like the mild 2015-2016 flu season just ended. Here we are already hearing about new recommendations for the 2016-2017 season. Big news in the media today about flu vaccine: recommendations to only offer the shot (and no nasal flu spray) to improve children’s and public protection from the vaccine. Hundreds of children in the US die each year from influenza. We know the best way to protect against complications from influenza is […]

We do have to pick our battles at home. As a pediatrician I’ve never gotten too excited about advising parents to spend a lot of energy trying to rid your child of the thumb-sucking or nail biting habit. In general parents aren’t successful — peers are. Often it’s when friends or peers bring the habits up that children are motivated to stop. We can help support them by reminding them when hands are in their mouth or even having them place […]

No question, hands down, I get more requests from friends, family, and acquaintances for help finding support and and advice parenting anxious children than any other pediatric issue in the school years. So it’s my sincere DELIGHT to introduce and partner with Dr. Kathy Melman on my podcast. Dr Melman runs the outpatient psychiatry and behavioral health clinic and has decades of experience advising families and supporting anxious children. She helps translate the facts around what causes anxiety, how to discern anxious behavior from […]

Over the weekend I took a trapeze lesson. Like a real one — one where in a matter of minutes an instructor quickly details how to get the safety harness on, how to jump up to the bar, throw your legs over, arch your back and fly through the air. The goal is to learn (rapidly) how to accustom yourself not only to the environment and to the sport but to let go of the bar, fly through the air, and […]

This year, for the first time, I did the annual 20 questions (see below) with the boys at the start of school and realized that I couldn’t share all of the responses here. Just too personal, just too vulnerable, just too real. Sharing all of the answers they entrusted with me would somehow expose them. At some point, every “mommy blogger” censors and protects her children and I, of course, have been doing that since day one. But with these, even […]

I talked with Erin Schoenfelder, PhD,a specialist in ADHD and Director of Behavioral Treatment at the PEARL Clinic (Program to Enhance Attention, Regulation & Learning) here at Seattle Children’s Hospital, about ways to recognize ADHD in children and teens. The previous post we shared included the acknowledgment that it may be harder to parent a child with ADHD and provided reasons for it along with 5 tips to help parents and families. In the podcast above, Dr. Schoenfelder helps parents, teachers, and pediatricians […]

I saw this bathroom sign in my sons’ school a week ago. Talk about inclusion. I’m not only pleased that my boys are being exposed to open inclusion, I’m delighted they are getting the message that they can be whoever they are at home and at school. NO question in my mind the data proves if a child, teen or adult has questions about their gender their life is at risk for being harder. This is manifest in the high rates of […]

We’re thankfully in the middle of a national conversation about ways to protect the public from drugs of abuse. The opioid epidemic has brought the issue of medicines and risk to the forefront and has awakened a new understanding about the lethality of drugs of abuse and addiction. There are other medicines, even over-the-counter medicines, that are used recreationally and can be risky, too. This can be especially true with children and teens. Enter cough medicines… Data shows approximately 1 […]

Constipation is really, very truly, no fun for anyone. No fun for baby or child, no fun for the parent who worries and watches and cleans the clogged toilet, and clearly nothing wonderful for the sister or brother who waits while a family supports a child in the room next door. In general, constipation is a frustrating, sometimes hugely embarrassing, and often a chronic problem for young children. In my experience, parents worry a lot about hard infant or toddler poop in […]

It seems to me that some of the greatest suffering in life comes with loss. Loss has all sorts of shapes and various hues of intensity. Comparing one loss to another in unlikely to ever do anyone any good. What feels big to someone you love IS big. For you, for your children, for your mom, or for your friend. Perspective shaping is important at times but acknowledging pain in loss is tantamount. Losses we feel can be immense (the […]

We know more about e-cigarettes and teens than ever before. Recently, Dr. Vivek Murthy, US Surgeon General released a report on teens and young adults who use e-cigarettes. Perhaps one of the more staggering statistics in the report states that e-cig use has increased 900% in high school students from 2011-2015. That’s a jump. Especially concerning right on the heels of progressive data that teens were smoking less traditional cigarettes than ever before. E-cigarettes are devices that create an aerosol (vapor) by using […]

Last week I had the distinct pleasure of working with Washington State Secretary of Health, Dr. John Wiesman on spreading the message and intent about Washington House Bill #1054. This bill aims to raise the age to purchase tobacco and vaping products from 18 to 21 years. Dr. Wiesman believes it is the single most important policy the legislature could adopt to protect the health of our kids and the health in Washington State. That’s quite a statement. The reason for […]

Seattle writer Bonnie Rochman has a new, smartypants book on genetic testing. It’s not a “how-to,” per se, rather a storytelling look and near confessional at how confusing it can feel when you’re pregnant (or plan to be) and faced with the marketplace of ideas and opportunities for knowing more from genetic testing. Simply put, she articulates the quandary nestled in the “to know” or “not to know” more about your expected baby, genetically speaking. In the book (and the podcast […]

This week I awoke to realize this may be a marvelous time to be a parent. I mean this time, the one where political divisions run rampant, where protests and rallies have become the norm, where known science is questioned, and where we seem to be facing threats to our inequalities and our justice head on. My boys have their eyes wide open. Early Thursday morning I flew home from a speaking event in Oregon. I was a little bit […]

Happy International Women’s Day! I’m squarely in mid-life, 42 years old, a mom to two, no longer a “young” doctor or young entrepreneur or young voice. Perhaps because of that, I’m starting to see things differently when it comes to raising boys and girls to support equality. I’m a feminist. I think that means I don’t want gender/sex to get in the way of any individual. I was raised with a mom and dad who didn’t present a world of […]

Many of us have probably experienced influenza (the flu) at some point. Sometimes we really know it, sometimes we don’t. Previous data has even found that in a typical influenza season (winter) as many as 10 to 40% of all children get exposed or actually get influenza in a given year. Sometimes the infection from influenza is mild (“just a cold”) but sometimes it’s a horrific long-lasting-high-fever-achy-pneumonia-hospital-causing infection. Sometimes it’s worse. Hard to predict why we all don’t experience the same virus the same way each […]

Cultivating mindfulness is clearly a concept all of us want to improve while parenting. Good news is there are ways to incorporate strategies that are mindful in every day activities; being mindful might be easier than it seems and it’s less “way out there” and voo-doo than it seems at first glance, as well. The practice of mindfulness isn’t just for the kale-eating-uber-natural-super-zen families — this, in fact, is for us all. Mindfulness: paying attention in this moment, non-judgmentally. Honing focus […]

Many of us struggle knowing which pitch or tenor to take in balancing the responsibilities, rigors and rule-following of regular school and work-life with the need to extend boundaries to live with our children in poetic, artful ways. How and when to comply, and how and when and why we sometimes don’t want to. It’s ultimately tricky and nuanced, yet the opportunity to live in color is just so profound. Life is precious and unpredictable. Thing is, sometimes we just miss the moment with […]

BBC invited me to discuss vaccinations and help answer some popular questions parents have about them. View this short Q&A video on BBC where I share the following answers to these common questions: Can vaccines cause autism? We don’t know what causes all of autism spectrum disorders but we do know that vaccinations do not lead to the development of autism. More info worth reading here on Autism and Vaccinations from Autism Science Foundation — a non-profit working to support families with autism spectrum […]

It may not always be the sunniest here in Washington, but that doesn’t mean we’re safe from sun exposure and skin cancer risks. In fact, Washington had the 10th highest rate of skin cancer in 2013 (we beat out sunny states including Florida, California and Arizona). Part of that has to do with the population that lives here (non-Hispanic Caucasians have higher rates of skin cancer) but in general it’s a reminder that sun exposure and UV radiation can happen […]

Dr. Hilary Mead continues with our 5 Days of Mindfulness series with this 15-minute guided imagery meditation. Listen as she walks you through being (or watching) a tree rooted into the ground as it changes throughout the seasons just as we change over time. This mindfulness practice can be done alone or with your family or friends. You can use what you learn during this podcast to help when you’re not able to fall asleep. As mindfulness is about being in the […]

Welcome to day three of our 5 Days of Mindfulness series with Dr. Hilary Mead where she leads a guided imagery of swinging. She is a guru at helping children, teens and their families learn how to incorporate mindfulness and guided meditation into their everyday lives to help cope with the various difficulties of life. Today’s guided practice was created/adapted by Dr. Jim McKeever of Seattle Children’s to help listeners focus on their breathing by imagining they’re on a swing. While on the swing you’ll not […]

If you haven’t been able to follow us this week, you’re coming in at a great time as we’re in the middle of a 5 Days of Mindfulness series with Dr. Hilary Mead. The guided meditation below is a paired guide for your mind and your body with movement, meaning you’ll not only be moving your body but you’ll be more conscious about how you’re doing that. This practice was originally developed by John Kabat-Zinn, but Dr. Mead added a twist […]

It is day five of our 5 Days of Mindfulness series with Dr. Hilary Mead, but remember, you can re-listen to any of these guided practices as many times as you need. Mindfulness is a great technique that can enhance how you, your children and teens cope with pain-related conditions or emotional, behavioral or mental conditions. By teaching them to observe their feelings and thoughts, mindfulness practices can help them slow down their feelings by observing their urges and thinking about them instead of immediately […]

Not news that pediatricians recommend against juice. But the news this week is clearer: no juice for babies, only tiny bits for toddlers, and less than a cup a day for the rest of us. Fruit juice is widely thought of as a healthy and natural source of vitamins and hydration. And although I won’t vilify having juice in the diet of an older child, I can’t endorse it’s ever good for a child. Pediatric recommendations for juice got stricter this […]

Figuring out what to say to a child or teen about being overweight can be perplexing. We want out children to love to eat. We want our children to love their bodies. We want our children to be of healthy weight. We want to avoid ever making our children feel shameful about how and what they eat. It can be a challenge to figure out what to say when we worry our children may be overweight or at risk for […]

It’s national selfie day (??? an excuse for my millennial behavior) and it’s also Just ASK day (smart stuff), hence the image I snapped this morning. I spent the morning today at KING5 news making some TV segments encouraging us all to ask about firearms when we drop our children and teens off for playdates, sleepovers, camps, and fun. Although it seems awkward at first blush to ask how a firearm is stored at a home of someone you love […]

If you’re a parent to a child on the autism spectrum, take some comfort in knowing that up to about 90% of children with autism struggle with significant eating challenges. You are NOT alone in this. The challenges can range from picky eating to dependence upon PediaSure or g-tube for caloric intake. We know that children thrive in an expected world. But children with autism can take that to the margin where a preoccupation with sameness can drive them to […]

Things to give to new parents: smart books. Awesome things to give to new parents: books about how babies eat and poop. What and how babies eat and how they fart and poop (and sleep) are basically all new parents think about. I’m not exaggerating — of course the most emotional part of new parenthood is the love and overwhelm that takes us over. But second to it is what the baby eats and how they poop. Period. I’m standing […]

I know, everyone is writing about the eclipse. I’ve got just a few messages. One is, this is gonna be cool. Two, the caution messages are real. The cool part is because when our world goes a little dark mid-day next week it will be fairly startling. Even the animals are expected to change up how they behave. And the cautionary messages just make sense. Our eyes and our vision are clearly worth protecting ferociously. Damage from the eclipse can […]

In the wake of the recent Las Vegas shooting, I went on the Seattle NBC affiliate, KING5 News, to discuss how to talk to your children about guns and violence. Frankly, it’s not the first time I’ve covered this topic and as horrifying as it is, it probably won’t be last. I’m upset and sad that these shootings are becoming a part of American culture and I’m committed to doing my best to learn and translate what the experts advise […]

This is a follow up post to my recent post on treating head lice. It’s all just a major inconvenience. And worse than having lice is having lice again and again. And even worse than your child getting re-infested may be treating lice with an ineffective therapy. Enter…..”super lice.” Ewwwww. Although please know that their name exceeds their actual scariness. These lice are only different (aka “super”) in that some lice may have developed gene mutations that indicate they are developing […]

I can’t stop thinking about this tweet thread. I think it may be one of the most precious threads on Twitter. Hopefully that’s saying something since I’ve been plugging along, almost daily, on Twitter since 2009. Here’s my experience with it…I’m sure you have your own and I’d love to hear about it in the comments if you’d be willing to share: Yesterday, I woke early with insomnia around 4am-something in the morning. Instead of doing what I should have, […]

Two new studies out today on e-cigarettes showed e-cigs remain a significant concern for teen users. E-cigs were found to pass along carcinogens (cancer-causing chemicals) to those who used them and are associated with future tobacco cigarette smoking in teens. Data out today in Pediatrics finds that teens who used e-cigarettes had up to three times greater amounts of five volatile organic compounds (carcinogens) in their urine compared to teens who did not use e-cigarettes at all. Teens using fruit flavored e-cigarette […]

When you or your child has a sore throat, it can be hard to tell if it might be something that needs medical intervention, like Strep throat. Strep throat is an infection caused by group A Streptococcus (GAS). When you confirm (by throat swab in the lab) that GAS is present, your child needs 10 days of antibiotics. If the test is negative, it’s unlikely you need any Rx medical treatment! More below: Sore Throat Tonsillitis refers to tonsils that are […]

Hallelujah, I’ve been saying I don’t like teething gels since 2010. This is a PSA for all parents out there trying to help soothe their teething baby. Today, the FDA came out and said avoid using over-the-counter teething products containing benzocaine. That means no teething gels like Anbesol, Baby Orajel, Cepacol, Chloraseptic, Hurricaine, Orabase, Orajel, Topex or other generic brands. The agency said “products containing the pain reliever benzocaine for the temporary relief of sore gums due to teething in […]

Rounding off the summer with a somewhat obvious reminder to let our children play. This, as we bolster ourselves for the onslaught of the school year. Play remains an essential element of childhood and is good for children (of any age). Eating-vegetables-good-for-them but a lot more fun. Summer has been a gorgeous reminder for me in how much joy I feel when my children roam and play and react and delight. I mean clutch-my-chest moments in just watching them tool […]

Happy Birthday, Blog.  Welcome.  Welcome to Children’s. I hope life unfolds easily for you. We’ve been waiting for you.  Prepping the room, painting the walls, putting things in piles. We’re hoping for great things from you.  I painted the walls yellow, not knowing what flavor you’d be.  I hope we can make you prosper.

This blog caters to one principle I’ve learned along the way:  Parents just want to do what is right. The desperate love we have for our children can shock us into good and sometimes bad decisions.  I believe parents search for and sincerely desire simple answers to the How-What-Why–Who, the essence of doing right for their children.  Often it’s not a simple, isolated situation, and/or one as complicated as it may feel.  And, the abundance of online noise invokes fear […]

The holidays are here.  Someone just plopped thanksgiving in my to-do list. I like it. Celebrating with family and friends is one yummy thing in life even in the face of family dynamics-drama.  I know it doesn’t feel yummy for everyone.  I’m not trying to sound Pollyanna-ey.  I’ve had the dark years of holidays, too.  When the being together made me feel lonelier than truly connected.  But, that’s not where I find myself now, fortunately.  The people in my life who are […]

I’ve been quiet. Two reasons: we’ve been sick in our house and I didn’t like the posts I’d written. It’s sunny in Seattle today.  This changes everything for those of us who inhabit this part of the globe.  It is goodness.  I’m finally feeling more than just battery powered.  So I’ll be speaking up again. I also got some sleep last night.  All parents know how good this is after days of not having it.  It’s a zebra in the […]

Before O (my second baby boy) was born I couldn’t really fathom loving him like I did, F (my first born).  I’m not alone in this, I know.  One of my friends recently told me she was so bewildered by the idea of number two that when she, her husband, her first son and her brand new baby were on the way home from the hospital, she leaned over from the passenger seat and whispered, “I’ll always love you best,” […]

3 year-old boy, overheard when talking to his dad: “My penis! When I pull on it, I can make it longer and longer.” Yes, this is real. Today, Dec 7, 2009. You heard it here first. This is my glamorous life. Instant proof that curiosity about the body and sex is a normal part of your child’s development. Truth is, by 3 most children are showing keen interest in their own and others’ bodies, according to Seattle Children’s Hospital health educator, […]

Sometimes good health feels like magic.  Lately more than ever.  I’ve had a number of friends and family diagnosed with serious medical problems and medical set-backs in the last few weeks.  Like patients that I have been fortunate enough to care for with serious illness, it scares me, makes me sad, sometimes wakes me up at night. These episodes in illness are disorienting to the order of things. These diagnoses, uncertainties and realities are especially weighty this month amidst bags […]

A study in Pediatrics highlighting the importance of breastfeeding and the challenges for working moms was published earlier in 2009. Today, it circulated through a business journal and got some more attention. I read the study today for the first time. Then I re-read it a number of times. I talk about breastfeeding with moms and parents in clinic on a daily basis. I certainly know the challenges of trying to breastfeed through a transition back to work. I also know how hard it […]

It’s been a really long time since I blogged here about the comings and goings of life with two little boys. When the blog began (9+ years ago) I journeyed much more of the day-to-day raising, the emotional swings and glories, the experience practicing pediatrics, and the maneuvers it took to endure it all. And to enjoy it. I shared so much with the public then because I was learning that it could both be beautiful and meaningful for me […]

Happy Friday all! As promised, here’s a quick recap of last night’s event with Common Sense Media on tweens, teens, and technology and the effects it’s having on their developing brains. I learned so much participating on the panel alongside Dr. Mike Robb & Dr. Pat Kuhl and hearing from parents and educators who attended. I think we are all feeling a lot of anguish and overwhelm when it comes to deciding how much time we let our children use […]

Acne can be an extremely difficult medical challenge for children, teens, and adults. And let me be straight here: there is almost always something we can do to make it better. You don’t have to accept untreated acne as the end game. If you think acne is an issue of vanity, I urge you to read on. Acne can have enduring emotional and psychological consequences. Doing something now to support someone you know and love with acne can be powerful […]

Twenty Ten, Two Thousand Ten. However you say it, we have arrived. Welcome back to school days. The rigor of productivity. We had the tantrum of the century this AM at our house which we’ve decided to include in our new in-home, Swanson special list of “mega-tantrums.” In medicine, mega is inserted into terminology as if to clarify like in, “mega meatus.” Translation: a big meatus. Re-entry to real life is mega-tough stuff. In the hope that we can continue […]

Today while I was waiting for an elevator in downtown Seattle, a man whisked in front of me and another women to get in the elevator.  The woman had on a fancy coat and red, powdery lipstick. She stopped me as I was getting in and said, “Oh, it’s going down.” I stopped and waited and thanked her for alerting me to getting on the wrong elevator. I liked her. It didn’t really faze me that the man had pushed […]

I had the fortune of seeing Dr Atul Gawande speak last week in Seattle. Truth be told, I entirely invited myself. I heard there was a group from the hospital going and I begged my way in. I sat in the corner.  Flashbacks to finding a seat in the junior high cafeteria. I made it through and forgot all about the awkward act of my self-inviting and seat-finding by the end. Despite my disrespect for Ms Manners and my loud […]

Game changer in our house. Splurged on a fancy crockpot last week. Big news, I know. Should have sent out a flyer. My beloved crockpot. Regal, able, and ready like any good army, boy scout, or Labrador Retriever. This.crockpot.is.gonna.save.me. Last week broke me a bit. We’ve not been sleeping again. Previous memo to the boys was received and then promptly forgotten. And I’ve been sick. After busy days seeing patients, I didn’t leave my office for more than 2 hours […]

My mom starts chemotherapy tomorrow. It feels like my two feet are reaching to stand in four separate corners. Doctor, Daughter, Mom and Wife. Four corners. Except nothing about the sky looks like Utah right now. I’m caught in the middle of a generational sandwich. I’ve started to understand that taking care of those older than me and those younger than me (while, at the same time, attempting to tend to myself) may define adulthood. This week I awoke to […]

I was interviewed this week on TV about food allergies. I’ve pushed all my inner-Cindy Brady moments aside. Watch the video below… When F was about 13 months old his face turned bright red after he ate breakfast one morning. I eliminated all the foods he had eaten that morning– milk, oatmeal, banana and berries. He’d had all those foods many times but I was concerned he’d developed an allergy. Gradually, I introduced them back, one food at a time. […]

Stumbled upon an article summary last week, “Bad Behavior Linked to Poor Parenting.” I am going to call this BBLtPP. I clicked on the link with butterflies, hoping not to find something like: We’re following a pediatrician with 2 sons, one doctor husband, and one overweight Labrador who live in Seattle. She writes a blog. It’s her parenting we’re worried about… But I clicked on the link and it didn’t exist; I got an error message. Then again, nothing. Clicked […]

I began the Seattle Mama Doc blog in 2009 as the first-ever, solely pediatrician authored blog on behalf of a children’s hospital. After nearly a decade of blogging, some 800 posts and hundreds of hundreds of videos and podcasts, it is bittersweet for me to announce that this is the end for the Seattle Mama Doc podcast and blog.

Halloween is a super fun and exciting night, especially with school-aged children. No question though, it can also be dangerous — but it’s not scary candy I’m worried about. A study published last year in JAMA Pediatrics reports that between 1975 and 2016 there was a 43% increase in pedestrians who died on Halloween night compared to a regular fall night, 55 of them were children 4 to 8 years old. We have to be smart about how our children […]

Although women now represent more than 50% of medical students in training, they lag greatly behind men in leadership roles, academic titles, wage earnings and ultimately, influence. Of anything I’ve learned through my career it’s that sexism is wide at work. Took me years to feel the glass over my head but I sure have hit my head against it. This is of course far-reaching outside of medicine, especially digital health. Only 25% of computing jobs are held by women, while […]

Lemme start with the obvious chorus: COVID-19 is a mild illness in most people (about 8 out of 10) who get it. Most people who get infected will experience it like a common cold that doesn’t require medical intervention or hospitalization, their immune system will deal with it and they’ll recover. I’m not saying this for propaganda or to “stabilize” the economy. It’s just true from global surveillance thus far. In particular, our children are the least likely to suffer […]

Don’t wait on introducing new foods and especially new solids to your baby during the COVID-19 pandemic. Period. An anecdotal trend I’ve been discussing with colleagues across the county is the worry parents have with interventions right now, especially when it comes to prevention efforts. Parents are hesitating on seeing their pediatrician for vaccines, they are hesitating to do routine health visits, and they hesitate to do things that feel risky. Because of new and unfolding data, our track record […]

On Saturday evening, the newest member of the royal family was introduced to the world. Princess Charlotte Elizabeth Diana made her public debut at 6:12 PM Saturday evening, a mere 10 hours old. But what caught the attention of royal-enthusiasts and moms everywhere was new mother-of-two Kate Middleton’s appearance. That blown-out hair! That perfectly made-up face! The heels! She gave birth to a healthy, term baby girl that same day and looked as if she stepped from the cover of […]

The current conversation about HPV vaccine is a perfect example that anecdotes about health are powerful. My belief: anecdotes with evidence can be more powerful. I am going to write a series of blog posts about HPV virus and HPV vaccine. Please tell me what you want to know. What questions do you have about HPV vaccine safety? What concerns do you have about HPV virus in girls and boys, women and men? What can I clarify? I plan to […]

A study about working mothers is getting a lot of buzz. The official title of the paper: Maternal Employment, Work Schedules, and Childen’s Body Mass Index. Most media summaries however are entitled something like, “Mothers Who Work Have Fat Kids.” I’m not kidding. I hate seeing studies (and media reports) like this. Not because they’re not helpful or worthy of our time, but because they examine the effect of mothers working, not mothers and fathers working, on our childrens’ health. […]

I had a great weekend. Nothing truly spectacular happened. I, for the most part, tucked the blog away in my top drawer. I wasn’t on call and didn’t connect into my clinic computer. I tried to be really present with all 3 boys in my house. I played with my kids. We did the typical things that dress up weekends for normal people: errands, a grocery store trip, naps, dinner, test drove a car, met friends and their kids for […]

For practicing physicians, there’s a tricky balance in believing that the internet can help save lives. I’m a doctor who encourages families to look up health info online and one who believes technology will afford improved partnerships. Yet, when we’re in the old-fashioned exam room, there isn’t always a place for the internet. Many clinics block video-streaming sites and don’t allow for traditional email exchanges between clinicians and patients. It’s hard to “send” patients information discussed during the visit. In the […]

Raise your hand if you never had head lice before going to college. Your hand isn’t in the air, is it? Turns out, lice is common. And no question, it’s wildly unsettling for us all. It’s a new world when it comes to prevention and treatment though — more choice, less stigma and less school disruption. Twentieth-century lice care is no more. Back in 2010 the American Academy of Pediatrics (AAP) updated its recommendations on lice. Basically, schools are no longer encouraged […]

No question it’s tough to keep our cool when our children are unraveling. It’s especially a challenge when our children are rattled and over-run with anxiety. I partner with parents on a weekly basis who feel their children are anxious. All of us want support in knowing just what TO DO in helping our children thrive while also not letting them suffer. I partnered with Dr. Kathy Melman on the podcast to review tips and strategies for parenting when children are […]

It’s still (barely) January of 2018 and I’m doing my best to try to new things, take breaks from old things, be more strategic, practice tiny habits, and spend time with my sweet boys and family. I’ve even committed to a weekly early morning swim with a dear friend to just ritualize something beautiful for the year. (added 2/1/18: Check out this palliative care physician’s twitter status update [read the whole thread — amazing] for any reminder for why we should just […]

“What’s Your Strategy?” she asked. And although she wasn’t asking me directly, I must admit I was a bit startled by the question. What really is my strategy for keeping my kids alive in the car? Although I’m strict about boosters, about buckling, about ensuring the booster seats travel with my kids, and I repel when I hear parents joke about not using car seats perfectly, I’m unsure I’ve ironed out the strategy to ensure my kids never die at the […]

Social media is a part of the majority of our lives. A recent poll found that nearly 80% of mothers (with children under 18) were using social media. And it turns out if you’re over the age of 11 or so and live in the United States, you may be more likely to be involved in social media than an organized sport. As adolescents work to define their identities, they are doing more and more of this “work” online. Adding […]

While I’m talking about the red/orange/yellow rainbow spectrum used on food packaging to lure you into eating more, let me mention one great new study published today that may change your world. Especially if you have a child living in your house. If you acknowledge the finding that about 1 out of every 4 children between the age of 4- 8 years old eats fast-food on a typical day, this has relevance to at least about 1/4 of us. Today! […]

When it comes to food allergies, expert parents are uniquely-positioned educators. They know the tricks of the trade and the ways to the oasis of safety in a culture that has yet to fully embrace supporting children with unique medical needs. Over the years in practice, it’s parent-food-allergy-experts that have taught me the greatest new lessons I now pass on routinely to patients. Marrying the life-threatening nature of food allergy to the concepts of strict avoidance to the use of medication to treat anaphylaxis will […]

It turns out, I don’t think you do have to be careful what you wait for when it comes to swimming. A study published a few weeks ago suggested that children under the age of 2 were at higher risk for bronchiolitis, a common pediatric lung infection, if they swam in chlorinated pools when they were babies. I’ve mulled this over and done additional reading. If it were my child, I’d sign up for infant swimming lessons. Believe me, I’m not getting off […]

A recent study confirmed that there is limited time with pediatricians for well baby care. The Pediatrics study surveyed parents retrospectively about their well-baby visits with pediatricians; 1/3 of parents reported having less than 10 minutes with the doctor! I say this can still be a great place for partnership, reassurance, diagnosis, and care even if time is limited. As a parent, you have to be a pro, too. Plan ahead, prioritize questions for the doctor, and help set the […]

On the way to work this morning I turned the stereo up. Way up past the kid level and into decibel stratosphere. I was stressed; I’d been up past midnight working, up early with the boys this morning, and digesting some bad news in my extended family while worrying about the results of my friend’s CT. I worked a few hours at home before I got out the door to clinic. When I left home, F and O were waving […]

I cleaned out the closet for houseguests last week and discovered an old bumper. Instead of giving it away I am literally cutting up the fabric for crafts and putting the rest in the garbage. A no-brainer savvy parenting tip: baby crib bumpers are dangerous. Don’t use them, don’t even give them to charity, don’t pass them on to friends. Let’s get them out of circulation, outsmart the marketers, protect these little babies. Smart parents just don’t use crib bumpers. […]

It’s almost a relief that it’s summer vacation. For the sake of our children, I mean. The buzz about the horrific, deadening, jaw-dropping news regarding the massacre in Colorado may be slightly less focused at the center of their lives–they’re not congregating in the hall or at recess. Well, maybe. That’s the difference between 1999 and 2012–back when Columbine happened we all watched as television detailed the horrific events of a school shooting and the radio reported on the lockdown […]

Recently while on the plane, O wet his pants. Lovely really. He’d refused to pee prior to getting on the plane. Refused to pee at home. Essentially, O refused to pee “on command.” No surprise for a strong-willed-spirited just turned 3 year-old. And after he wet his pants, he then proceeded to have about 14 accidents (yes, I’m exaggerating) later that same day as we traveled to his grandparents’ home. Instead of being patient, supportive, and perfect, the husband and […]

Recently, I started asking a standard question, exactly the same way, to children during their 3 to 10 year old check-ups. This wasn’t premeditated. Like all physicians, I go through phases of what I ask kids to elicit their experiences and beliefs, listen to their language and observe their development. I learn a lot about my patients from what they choose to answer. Both in their receptive language skills (how they understand me) and their expressive skills (how they speak–fluidly, […]

I had coffee with Dr Doug Opel last week to discuss his study about pediatricians and alternative vaccine schedules that published today. I learned a lot while we spoke. There is great wisdom in what he said (below in the interview & on video) that extends far past what he learned in the study. Dr Opel is one of those genuinely authentic, kind people. The kind of person you meet and wonder, gosh if only I could be a fly on […]

Today was the Great Shake Out. My boys let me know what happened at 10:15 today at school: “the ‘ole drop, cover, and hold” said my 6 year-old. The technical instructions are “drop, cover, and hold on” but we get his drift. The numbers couldn’t have been better today 10-15-2015 for a 10:15am reminder of how important it is and how good it can feel to know what to do when an earthquake strikes. Another thing: when you’re having a […]

I’m big on creating traditions. Wish I had more of them, actually. If Halloween was a day to make resolutions, I would pledge to increase my family traditions. But I’m mixing holidays like metaphors… Children thrive when expectations are fulfilled (think routine, routine, routine); and traditions can be cement in the routine mold. There is something lovely about repeating an activity to mark the importance of a particular day or particular time of year. I mean, this is what birthday […]

This is part deux to an earlier video/post describing the global effort to reduce flu & reasons why we need one every year. Infants and children under age 5 are at higher risk for serious complications from influenza infection. Influenza (“the flu”) is an illness that strikes during the late fall and early winter annually in our country. Great thing is, there is a global effort to coordinate knowledge to reduce the consequences of severe infections. Each year a new flu […]

You know, I had a nice Mother’s Day. There was a picnic, some hugs, my sweet F saying, “Happy Mother’s Day, Mommy.” There were tulips and time with my boys. I had time alone with my mom. But it wasn’t simple. Even with the gourmet Seattle sunshine and the flowers in the grass for airplane rides, I really did spin through variant emotions as the day unfolded. I think a lot about parenting now that I write a blog. Fortunately, […]

A recently published study proposed and evaluated a new autism screening checklist for the 1-year well baby check-up. I had a hard time getting my hands on the study (crazy but true–even pediatricians sometimes are boxed out of research studies), but read lots about it first in the press. I was excited about the potential for early screening. The checklist, designed to be administered by a pediatrician, intends to improve early detection and diagnosis of autism. The goal: to enable […]

Sleep. We’d all love a little. Especially once we have children. How have you, did you, or will you help your baby (and you!) sleep through the night? Everyone has an opinion. Really, one opinion is rarely better than another. It’s one of those beautiful parenting truths where often, we’re all a little “right.” Watch this segment from KCTS with insights from me and from sleep expert, Elizabeth Pantley.

Having food allergies (specifically to peanuts) might prevent you and your family from attending certain events, but baseball in Seattle hopefully won’t be one of them. The Seattle Mariners are offering 5 “peanut-controlled” games this season at Safeco Field. No peanuts will be allowed in sections 313, 314 and 315 in the view box level during these games. And although fans should note that peanut-controlled does not mean the game will be entirely peanut-free, this does offer a new way to […]

I think it’s okay to fly with your newborn baby straight away. After 1 week of age the Federal Aviation Association (FAA) says it’s okay, as does the AAP, but always recommends a separate seat for your infant whenever possible. The biggest risk flying with a healthy newborn is exposure to infection. So, like any decision in life, you have to weigh the risks and benefits of a decision. Because we take fever very seriously in babies under 3 months […]

I’ve been lucky enough to interact with teens on a regular basis for my entire career. As a previous middle and junior high school teacher, people often express pity when they hear I taught middle-school, as if teens are “too” tough, histrionic, and irresponsible to have wanted the job. I really did want the job. I love the drama and rate of change during adolescence. In my experience I see teens take on huge responsibility, make good choices, care deeply […]

First off, I have connected with a few engineers and pilots — I may be wrong on one point here: Commercial airplanes typically ascend/climb faster than they descend for a landing. My apologies. I’m clearly no pilot… That being said, you can help support your baby or child’s potential ear discomfort during flying by having them suck on something like a pacifier, having them breast feed, or offer a bottle during take-off and landing. The motion of their jaw and mouth during sucking […]

Seattle’s Pride Parade is tomorrow, Sunday, June 25, and it has a great theme — Indivisible. Take the meaning of the theme as you like, but if there’s one thing that is true for Pride in Washington, it’s that there is an abundance of support. The majority of our people here, it seems to me, are building a community and will not be divided more. I feel so thankful to live in a community that is on its way to […]

If you want to understand more about the effects of television on the brain, you need to watch this TEDx talk by Dr Dimitri Christakis…the science around television and its effect on children and concentration astound me. Not because any of it is counter-intuitive, but because television is as powerful as it is. Television is a [large] part of most children’s lives here in the US and this presentation of fact and observations may change what you do at home. Although […]

I feel so much gratitude every day. I feel it for near cliche reasons (my sweet babies, good health, shelter, opportunity to make change, perspective that seeing the world has afforded me, and the freedom we have living here in a democratic society). Sometimes gratitude overwhelms me. And unsurprisingly that’s typically true on the most challenging days of life; I don’t see and feel and smell my gratitude on the easy days as well as I do on the days when […]

He exceeded expectations. Our little boys do that, it seems. And like every parent, I glow and gleam and glitter when they do. Today little O exceeded. Today was O’s first day of school. And although I am the one who housed the separation anxiety this morning, I expected him to miss us at some point. Pick his head up and look for  me. Or look back over his shoulder. Or ask where we were. Or wonder about his role […]

Girls in the news…It just has to get better than this. I’m a bit deflated with the amount of time and energy going into three stories this past week or so. Last week it was the push-up-padded-bra bikini marketed to young girls (age 8 years) from a big retailer in the US. The company has a bad track record and nonetheless, outrage ensued about early sexual images, contorting body image, and simply pushing girls to “grow up too fast.” This […]

I had an unusually good time watching my boys play soccer this past weekend. It’s not always been easy to get our youngest on the field and I’m not the mom who’s really loved being there. There’s been years of standing on the cold sideline where I didn’t think the boys were getting much out of it. And there have been countless minutes on that sideline where I’ve been consumed, weighing the costs and benefits of the soccer class, while […]

F watching the big boys play ball. With the World Cup capturing the attention of most of us on the globe, I trust there are kids scattered around the entire planet dreaming. Doesn’t matter on what continent you plant your feet, or which game you call your own, at one point or another, we all dream of being in the “bigs”…

This is a little trick I use to help coach anxious children whose minds just seems to “spin.” Patients have given me great feedback over the years that “blowing colors” really helps. Sometimes it’s for children and teens who can’t drift off to sleep, sometimes for those who are worriers, and sometimes for those who get anxious or overwhelmed at school. Blowing colors is a great exercise to return to regular belly breathing patterns, buy time and space for mindfulness, […]

After I saw reports of the 5-fold increase in CT scans in children, I asked for “The Husband’s” take. I worry about a rise in the use of pediatric CT scans in the US because when a child gets scanned, they are being exposed to radiation. A CT scan is a series of x-rays taken in quick succession that form a more composite view of the body. Although x-rays and CT scans save lives and improve diagnosis, the radiation given […]

More than a million people go indoor tanning every day and research says the average city has more tanning salons than they do Starbucks or McDonalds (I’m wondering about Seattle though since coffee shops truly dot every block). I’m also guessing the tanning industry is somewhat seasonal; if we did the research on which week people go tanning, we’d find a bump during winter break, yes? The pre-vacation tan is often used as a handy excuse for hitting the indoor tanning salon this […]

After I published my book Mama Doc Medicine, I toyed around with the idea of writing tiny little books inspired by a favorite short story publication, One Story. Literally I was thinking that the way to consume ideas about parenthood was not in book form but in pamphlet-sized publications on parenthood, vaccines, & general tips for feeling awesome while raising children. I haven’t entirely tanked the idea (please weigh in if you think you’d read them!) but it’s not at the […]

I haven’t felt like a pro in knowing how to talk about sex with my boys. No matter that I was a middle school science teacher, I’m now a pediatrician and an ever-evolving mom of two. It’s a tough topic even for me as a “talker.” So it was a TRUE JOY and huge relief (let’s be honest) to podcast with two international pros in talking-to-girls-and-boys-in-building-up-esteem-and-confidence-and-knowledge around puberty and sex… This past month I spoke with Great Conversations co-founders, Julie Metzger and Dr. […]

A new observational study illuminates some ugly truths about parental/caregiver use of cell phones and smartphones at the dinner table. More than anything else, the observations serve up a hearty reminder that cell phones are embedded into our lives (see my son’s “Lego iPhone” as case in point) and that we have to be diligent in making digital breaks a habit. As phones and devices get more useful, they become harder and harder from which to separate. Reading the new study […]

I feel really connected to my medical assistant at clinic. The most incredible thing about her is she just “gets it.” She gets the pace of parenthood, the pace necessary to keep patient care moving in clinic, and the pace of my patient–even the very little ones and the big ones. She’s compassionate. She’s invested in being kind. She really treats children like children. When, for example, she doesn’t trust her gut on how a child is completing their screening […]

Bill Gates recently said, “Not everyone can go into the field or donate. But every one of us can be an advocate for people whose voices are not heard.” Ditto to what he said. Watch Gates’s annual letter (below). This modality for telling stories is delicious and the message here is simple yet full of heart. However, like most things in life, it is not without controversy or a difference of opinion. As reported today in The New York Times, […]

Engage With Grace is a movement started by brilliant and thoughtful Alex Drane and Matthew Holt. The movement is an opportunity to come together at Thanksgiving and have discussions, even just for 2 minutes, about preferences in life and preferences you have for the end of life. Even if you’re unsure of your answers, take the time and live courageously enough to talk about this. If you’re healthy, youthful, full of verve, swishy and wrinkle-free—this is the perfect time to […]

Kids already have a lot of AI friends to chat with, whether they’re asking Siri to play their favorite song or quizzing Alexa on trivia about blue whales. But one new Alexa skill is hoping to do more than just entertain the next generation.

I was never a very good reader when I was little. I really didn’t enjoy it like everyone else. As a child, I simply preferred to talk. My brother would sit for hours quietly reading while I’d work on making a lot of noise. Apparently, I have always felt I had a lot to say. Many people have noticed this; my 7th grade pre-algebra teacher nicknamed me, “Mouth.” And in the Boundary Waters Canoe Area in Northern Minnesota circa 1979, […]

When to start baby food? The timing on starting baby food may seem confusing. If you survey your neighbors, your own moms, the doctors you see, and the child care or daycare providers who help you, I bet you’d get about 4 different answers backed with 4 different theories and rationales. The reason is, the pendulum on when and how to start baby food has changed. Bits and pieces of old data mixed with contrasting new research findings are getting […]

New data out (that I happen to LOVE) seems to go against many parental instincts, including a few of my own. I think plenty of parents have been led to believe in the last few decades that specialization and mastery in a single sport early in life is GOOD for their children. Some of that instinct rises from our guts in the mis-appointed “10,000 hours rule.” The idea that once our children do something for 10,000 hours they will be an expert. […]

Storing medicines safely seems like a “no-duh,” I know, but it often isn’t…little mistakes here can have big consequences. Safe medication storage is an especially important topic in the summer when children are in their homes during more of the day and sometimes curiously exploring the house. Routines are shaken up and fortunately there’s more travel in the summer (yippeee!) which consequently leads to medicine in purses and travel bags, grandparents coming to visit (with their own medication), or families traveling to other homes where […]

My story of 9 stitches, 2 parents who feel as deflated, flat and small as the bottom of your worn shoe, a near 3-year-old boy, and 1 orange Popsicle.  This is about our mistakes and the dangers of the events that followed moving day in my world, October 31, 2009. But let’s go back in time; history is supposed to be one of our most sage instructors. Circa 2003.  I took care of a 3-year-old girl in the ER at […]

I’ve been slightly dented by the bad news I’ve heard this year. In 2010, more parents have told me about losing their jobs, having a hard time paying the bills, losing their health insurance (this makes me insane/incensed!!), and losing their homes while I’ve been in clinic than I ever imagined. I’ve always had the fortune of financial support, either from my family as a child and young adult, or through loans for college and med school. My entire life, […]

Easy, confidential access to affordable birth control is essential if we’re going to decrease the rate of unplanned pregnancies. The dynamics of birth control access are changing, thank goodness. As we’ve heard about parts of the world simply telling women NOT to have babies (Hello, Ecuador) we really do have to think about how women and men prevent pregnancy when not ideal. And how we support women getting information they need to make the safest and most reliable choice. This […]

I find the back-to-school time period to be a little bit stressful (hellowwww, understatement) and perhaps even anxiety inducing. Even good transitions rack up stress. As we brace for the holiday weekend and expect the onslaught of school in earnest while September unfolds, I suggest we can decrease the stress with a bit of info. Here’s my 12-minute podcast to support you as you send your kids back to school and set them up for an awesome start. We’re all hoping […]

Over the counter (OTC) cough and cold medications do very little for cough in infants and young children. There is a pile of research that supports this. Parents often agree after they try these tinctures. Because of the lack of effectiveness and concern for side effects (or worse: over-dose), makers of OTC cough and cold medications voluntarily took them off the market in 2007. This was an incredible step in protecting children. In getting rid of unnecessary (and ineffective) medication […]

Take a peek at this KCTS video interview for a recap on the science and rationale behind the most recent blog posts. My condensed (well, kind of) thoughts about a few recent studies, an AAP statement, and the news. It’s a little like Cliff Notes for the blog. But you don’t even have to turn any pages… Links to studies discussed: Study on immunization and neuropsychological outcome Study on pesticide exposure

Over the past 20 years, the amount of calories consumed by children from snacks has increased by 30%. Kids eat a third more calories everyday from snacks! What kids snack on certainly can reflect how their diet is shaped and how they grow. Plain and simple: snacks make us fatter by packing in lots of calories in relatively small bits of food, the definition of “calorie dense” foods. They also discourage our eating of things like fruit and veggies because […]

**The American Academy of Pediatrics has updated their recommendations since this blog published in 2010. Children should ride in rear-facing car seats until they reach the height or weight limit provided by the car seat manufacturer. This is likely well past age 2. To view the new guidelines and data, click here.** 2 is the new1. This is kind of like, “brown is the new black.” But different and more important. Two is the new one. When you’re a toddler. […]

New data presented at the recent American Academy of Pediatrics meeting found 93% of parents to newborns incorrectly positioned and buckled their infants into their car seat on their first trip home. A little more proof that perfectly buckling a car seat isn’t an innate early-parenting skill! Even Prince George’s royal family didn’t get it right. I’m certain I didn’t do this perfectly either on our maiden voyage home (I remember using a zip-in blanket in the seat) nearly 8 years ago. […]

We’re just back this week from a vacation with our children. The 6 days we had together, the variant pace at which we were able to live for the week, and the challenges that bubbled up offered some reminders but also some fears for me. We’re always on quicksand while raising children. Parenting demands exceptional grace but also exquisite flexibility and immediate rapid-fire insight. Our job descriptions, as parents, are ever-evolving; we’re asked to shift what we know as we […]

On Saturday, the FDA released a recall of Hyland’s teething tablets. The recall stems from concerns for increased and varying amounts of belladonna, a toxic substance that could cause serious systemic effects to babies. It’s unclear how much belladonna is found in these tablets normally although it is well known it’s in them. Recently, infants have developed symptoms consistent with belladonna toxicity after using the tablets (change in consciousness, constipation, skin flushing, dry mouth). Homeopathic supplements and medications are unregulated […]

Malala, Malala, Malala – this is a historic day! A child has just won the Nobel Peace Prize! Our heroine, Malala Yousafzai, has been awarded the Nobel Peace Prize. She shares the prize with Kailash Satyarthi. Children and parents everywhere on planet earth have a perfect bedtime story. The youngest ever recipient of the prize goes to a girl born and raised in Pakistan who was denied equal access to her education. I mean, really, whenever you think your child’s […]

Teens in the U.S. aren’t getting enough sleep and it’s not getting better as time unfolds. After days of too little sleep we accrue a “debt” of sleep. An article out earlier this month details the long-term effects of chronically tired teens, “The Great Sleep Recession” the reality that as teens progress from middle school and into high school, the majority don’t get the sleep they need. National Sleep Foundation has found that over 85% of teens lack adequate sleep. […]

Antibiotic resistance is like global warming; it feels like it’s someone else’s problem to solve and much bigger than all of us. Yet the simple choices we make – whether or not to use antibiotics and which ones we pick – do affect us and our community. ~Dr Matthew Kronman This week is Get SMART About Antibiotics Week, aimed at raising awareness of antibiotic resistance and the importance of appropriate use. Dr Kronman’s “inconvenient truth” reminder serves up the importance of […]

It’s a commercial time of year, of course. It’s a challenge to help our children enjoy the holidays mindfully amidst all the products, gift-giving, and hopes for things. The rip-open-all-gifts urgency is seemingly innate to most young children. Amazing how our kids can stay on task when it involves opening awesome toys and gifts! It’s really hard to celebrate the real bounty in life, that of friendship and generosity, in a world that really does focus so much attention marketing […]

I work hard (as do most doctors) to avoid prescribing antibiotics when unnecessary. The reason? I’m concerned about both the short term effects (diarrhea, rash, allergies) and long term effects (drug resistance, altered normal bacteria and microbes on our bodies) of antibiotic use in children. As we learn more about health and about the role of “good” bacteria in wellness preservation, I suspect we will feel more and more compelled to avoid antibiotics in children. Less is often more. There are […]

Kids already have a lot of AI friends to chat with, whether they’re asking Siri to play their favorite song or quizzing Alexa on trivia about blue whales. But one new Alexa skill is hoping to do more than just entertain the next generation.

A Pediatrics study this past week starts out stating that, “Upper respiratory infections (URIs) are the most common acute illness in the world.” Wowza, that seems like a show stopper right there. But it’s true, anyone who works with kids or has kids or knows kids (let’s be honest) also knows that winter brings snot to little noses. And lots of it. I really believe that snot and mucus are a part of being a kid in the wintertime. Kids […]

There’s a decent amount of confusion when it comes to the decision to give our children vitamins and supplements. Store shelves (real or virtual) are filled with tinctures and gummies marketed towards children. And you’ve likely heard that, in general, pediatricians don’t recommend vitamins for children who eat a “normal” diet. There are exceptions to every rule (see below, especially as it pertains to vitamin D) but the bottom line is that supplemental multi-vitamins are not an essential part of […]

The 2 month-old check up may be harder for parents than it is for babies. Getting the first set of shots is anxiety provoking for we moms and dads; no question that it’s unsettling to allow a medical provider to cause our beautiful, new, healthy baby pain. Research has found that the pain and discomfort associated with shots is one of the primary reasons parents “elect not to perform timely vaccination.” A study published this week affirms two truths. First, structured soothing […]

I’m going to be on TV tomorrow. Cross your fingers I don’t pull a Cindy Brady. Remember the Brady Bunch episode, “You Can’t Win Em All” where Cindy takes a test and wins the opportunity to go on live TV to compete in a game show? When the red light goes on she is rendered silent and freezes. She spends the entire time on TV staring hopelessly at the light. Please world, don’t let me freeze; don’t let me pull […]

This post is written in partnership with a Seattle Children’s parent, Beverly Emerson, who wanted to give back to our efforts. She’s a mom, food marketing, and R& D executive who has been thinking about how to get healthy food choices out to children for over 2 decades. My two boys eat veggies pretty well. But that’s like saying Tuesdays are always good days. Sometimes it’s easy, sometimes it isn’t, of course because I’m raising humans on the planet and […]

My husband is often in earshot when people probe, “I don’t know how you do it all with your family and your career.” In asking the question there is doubt, of course, that it’s possible. My husband is never the recipient of the same question regardless of the facts: we both have intense, high-demanding careers in medicine as physician leaders. Reality is, there may be little different in our level of responsibility, time commitments, and our opportunity to improve pediatric health care […]

Laundry detergent pods continue to cause trouble — increasing convenience yet posing risks to young children. New data out today confirms what we’ve seen since their introduction. These cute, colorful and entirely convenient laundry packets (typically called “pods”) were introduced in the U.S. in 2012 and quickly made measuring out laundry detergent a thing of the past. Unfortunately we’ve also seen that these pods grab the attention of young children. Beautiful design gone wrong. As you’ve likely heard, or witnessed yourself, young […]

When it comes to autism, we’ve all been rocked by the recent CDC data that found ongoing increases in the number of children diagnosed with autism annually; it’s estimated that 1 in 88 children has autism in the US. The rates are unfortunately higher for boys. The number is unsettling to say the least, particularly as the cause of autism is multifactorial and not entirely understood. Although we know genetics and family history plays a role, we don’t know what […]

This is a guest blog from Dr. Mary Alison Higi. Dr. Higi is a naturopathic physician in her final year of residency at Cascade Natural Medicine specializing in pediatrics under Dr. Candace Aasan. She studied at Bastyr University where she earned her Doctor of Naturopathic Medicine. She emphasizes the importance of the physician’s role in preventative medicine and public health. Dr. Higi has a special interest in implementing Naturopathic Medicine programs for under-served communities.  I’m publishing this post because I think […]

Just a photo. Couldn’t resist sharing this tonight as the moment washed over me and I realized that there’s something about children running in sprinklers that really makes it summertime. Every once and a while we get ridiculously indulgent moments hand-delivered by our children. I was lucky enough tonight…

O lost his front tooth this weekend. This was not one of those tooth fairy glory moments. No wiggling the tooth in the bathroom. No anticipation. No stuffing of dollar bills under the pillow. O is 23 months old, so losing a tooth right now is not only precocious, it’s 5 years premature. Every time I think of it, I get a pit in my stomach. Maybe it’s my memory of the scream (mid-tooth-flying) or the fact that I was […]

Raising children in a world full of accessible opinion is a funny thing. Everyone seems to have an idea about how to do this right. Stay home, work full time, work part time, return to work, cry to sleep, not cry to sleep, pacifier, no pacifier…the recipe for each of us is different, of course. Often we’re all right in what we’re doing from picking out baby food to enrolling our child in preschool. But it doesn’t always feel that […]

You saw the TIME magazine cover in the last 24 hours, right? Me, too. In the midst of 25 patients yesterday, moms and dads weren’t really talking about it in the office. It was in my inbox. But I hear and feel and witness the anxiety/angst we all swim around in every day as we compare parenting styles and essentially swap (pacifier) spit about how best to do this. The monogram of this parenting era is the quest for perfection. […]

A recent piece in the New York Times highlighted the reality that some cities are ditching required bike helmets to encourage bike riding, even here in the US.  Too much of an inconvenience, I guess. Too much of a hassle and impediment. Public planners all over the world don’t want helmets to get in the way of, ummm, health. And it got me thinking, in places like Europe where cycling is far more mainstream, and where helmet-wearing isn’t, are they […]

Happy and thankful. The holiday served up a great reminder. Time offline, outside, and away from work is absolutely priceless. We should use all of our vacation time. We should fight fiercely to protect it. Thanksgiving reminded me that I am just so happy and thankful. For the holiday, we traveled to see F & O’s grandparents and the boys had some real deal time with their cousins. We played with a lot of balls (tennis, basket, bocce, foot). Little did I know that having […]

The site is up and you arrived. Thrilling! As I type, I’m stuck on the tarmac due to a power outage in New Orleans —it’s 2pm and I’m trying to get to the American Academy of Pediatrics national meeting. Power outage delays, airline fiascos, mechanical trouble – the whole bit. Up since 4am but I’ll eventually make it. We are waiting to find an airline gate with power. Truly, it’s quite a treat to have my voice here online again […]

It’s a gorgeous time of year when things are abloom. Many of us suffer from irritation and allergies to these months as pollens and particles float around and trigger allergic response.  Not so beautiful when our families (over)react to pollen. Thing is, there’s also the fact that cold season isn’t quite over and the exact cause of that runny nose your child is dealing with may be hard to decipher. One hint that it’s allergies and not a cold: do you, […]

I’m gonna be honest, making a disaster kit completely stressed me out. I hope my experience will make it better for you. I’m no expert at this but have learned a lot along the way. And there is no question, I feel so much better with my family prepared and my preparedness tidied. As The Economist said last week when discussing Iceland’s volcano, “Disasters are about people and planning, not nature’s pomp.” Prepare. I believe in the 3 tiered approach […]

Something is in the air right now. There’s a strange mix of vaccine-preventable illness sweeping the country (measles) and a strange bump in media coverage for celebrities and vocal opponents to tested and recommended vaccine schedules. Part of me thought we might be done with that but pageviews, clicks, and views all sell. My hope is the coincidence of coverage and outbreaks is just that, a coincidence. But as a mom, pediatrician, author and media reporter, the view from here […]

Even here in the cool Pacific Northwest the summer months can send temperatures soaring into the 80’s, 90’s and 100’s. Hot for any average adult, but potentially even more dangerous for young children. Our country is currently experiencing rolling heat waves. Thing is, children heat up faster than adults (five times faster) because they have fewer sweat glands, their body-to-surface ratio is different (their sweating would never do as much good) and this combination makes it more difficult for children to regulate internal temperatures. Couple […]

The soft spot on the top of my baby’s head is one of my favorite places to run my hand.  I don’t know why exactly but it seems one of those places on him that truly represents his baby-hood.  One way I know that his infancy isn’t quite gone and my baby days aren’t over yet. O recently turned a year (so, yes, technically he’s no infant) and I have felt his baby-ness slipping through my fingers. I keep saying […]

New research shows that there is a 6-fold increased risk for drowning when at the pool of a friend or relative.* Something about being at the home of a friend or relative may change the way we supervise our children. In the Florida study, 79% of patients that were seen in an ER for drowning accidents were at a home pool. We also know that young children under age 5 drown more in home swimming pools than anywhere else. Anyone […]

> It’s time for flu shots. Winter respiratory season is on its way and, “The single best way to protect against flu is to be vaccinated every year.” Ideally your child (and you) will have had the flu shot at least 2 weeks prior to any exposure to the virus. If your infant, child, or teen hasn’t yet had their flu shot call today for an appointment. Waiting provides no added benefit and only increases the time a child is […]

Every tool can carry risk when not used properly. The story about breast pumps and infection risk in the media recently is no exception. Attention all breast feeding & pumping mamas out there (and all the lovely people who support moms who pump milk): The Centers For Disease Control (CDC) has issued new guidelines for properly cleaning your breast pump & parts. The new recommendations come in the wake of a devastating story of a premature baby girl who showed signs […]

Recently, one of my teenage patients was in to see me. I’ve seen him a lot this year. I think about him nearly every day because I’m desperately trying to help him. I’m just so stinking worried about the choices he’s making. At the end of the visit, I said, “We’ve got a lot of work to do so I’ll see you in 2 weeks.”  He responded, “You mean, because I’m fat?” No, I didn’t. We hadn’t even talked about […]

Legal never has meant “safe” but the two words may at times overlap in our minds. When it comes to marijuana I’d suggest there is quite a bit of confusion right now about safety, recreational and medicinal use, and the effects of use on our population. In general, as laws change and access to marijuana increases we have a responsibility to be clear about what is known. The adverse effects of marijuana in children and teens have been well-documented. Marijuana use […]

Meet Luna, our dog. She looks overwhelmed this morning, doesn’t she? I think she is thinking about our short night of sleep sandwiched between a fine nighttime whine and an early morning whine. The whining in our house is overtaking me. Imagine me in a pile of virtual sound, covered up to my nose in noise. Underneath layers of scratchy screech and howl, whine and cry, loudness and complaining, my hands reaching for the sky. It’s loud here. Wanna come […]

There’s a swirl of media and pithy opinions that pertain to women of child-bearing age this week that have come off as fairly oppressive. You’ve heard the news — this is about Zika and this is also about alcohol. First, there’s a new report out of the Centers for Disease Control (CDC) that stitches truths about unplanned pregnancy, alcohol use in child-bearing years and offers advice that has lit women and the blogosphere aflame. The CDC’s goal is valiant: inform women about […]

As I work to encourage more physicians and health care workers to join me in social media, I stopped yesterday, to reflect on how much I enjoy and have grown personally and professionally because of my online community. Social media tools certainly aren’t just about what I say–my community online is far more about what I learn. I have made some real friends via social networks and Twitter. This virtual space is very real to me. My patients and families […]

I heard about the recall of about 800,000 doses of H1N1 shots intended for children 6-35 months today. The news doesn’t scare me at all. Zilch-o. Zippo. Zero. And I scare easily. I jump in the seat in the movie theater when it’s loud or dark or someone does something scary.  Really. This recall does not affect how I will continue to encourage families to get their children immunized. This is not a recall due to safety concerns.  I strongly […]

Vitamin D is clearly important. And like I said earlier this week, it is getting all sorts of attention. Two studies from this week have captured my attention. I don’t think this vitamin D thing is a fad. The new (2008) recommendations for 400 International Units (IU) of daily Vitamin D in infants and children represent evolution in our understanding how we can protect and prevent illness in infants and children. It’s not that Vitamin D is more important than […]

We all hope our children will get along with each other. Most of us also just want them to get the chance to be a kid amid a world of increased access, evolving speed, and constant digital communication. Immersed in the rigors of growing up right next to someone else, siblings can forge deep connection and of course deep divides. The connection part is gold…especially when it’s analog. To foster this connection we can read Siblings Without Rivalry but we can also absorb […]

Babies get shaken most after periods of inconsolable crying. Since April is Child Abuse Prevention month, here’s some information on abusive head trauma (previously know as “shaken baby syndrome”) and ways you can help support new parents with babies who cry. All babies cry. But some babies cry more (see the graph in the video). Babies do follow predictable patterns in crying: most babies start crying around 2 weeks of age and their crying peaks by 2 months, then tends […]

Lessening a fever in your baby or child, with multiple medicines, can be tricky. And it may not always be necessary. Many pediatricians urge avoiding “fever phobia” and allowing a fever to stick around, especially if your child is acting well. See this recent piece, “The Case For Letting Fevers Run Their Course,” by Dr. Paul Offit, an infectious disease expert on this take, the data behind it, and why fevers can sometimes help children fight infection. Lots of families […]

I’m going to share little morsels I read. This is morsel #1. I read this article while on vacation a week ago. I loved it. Only the abstract is available online today but if you feel you can pick up a New Yorker, do. If the full article becomes available online, I’ll redirect the link. Although it doesn’t relate to pediatric health, it relates to telling stories. Which is what I do here. Read Peter Hessler’s “Go West,” if you […]

Home is difficult to describe. At any point in our lives, home is something that has a feeling, a near tactile truth, a definitive smell. A smell that becomes so familiar, so woven into who we are, we’re unable to recognize it. Only those who enter infrequently can–they’re simply far enough away. This week I was reminded again that home has very little to do with the structures built by hand. More with the hands that hold it together. I […]

Some of my best friends are about to have a baby, the due date only a few weeks away. I’m teary thinking about it as my excitement for her arrival exceeds the speed limit. They asked my opinion this week for getting their extended family immunized in light of the recent Whooping Cough (pertussis) outbreak in our area. I advised them that all teens and adults (including grandparents) need a Tdap shot before they are with the baby. Even pregnant women […]

Tell me, shall I re-use this little valentine? Part of my efforts to reduce, re-use, & recycle? See, I’ve got these little boys now… I make the husband a valentine each year. The valentines of the past few years have been less beautiful and less wondrous than the first few, some decade ago. The distractions of the-making-of-a-pediatrician (residency) and the-making-of-a-family (two boys) have influenced this.The valentine here was painted on a park bench halfway between the hospital and my afternoon […]

For the last month or so O has woken up every single morning with the same question: “Is today a Mommy Daddy Day?” What he means is, “Is this a weekend where I get the day with both of you?” The answer, less than 2/7 of the time, is unfortunately “No.” And on some level it kills me. I don’t usually only say, “No” when he asks, I usually end up marketing the day. It goes something like, “No, but […]

You don’t need much to play a duet if you know a piano player. Although my boys don’t play piano, I was reminded this weekend how children really sponge-up opportunity. They’ll try most anything and catch on faster than we do. After we finished a delivery to my mom, our 6 year-old sat down at her piano. A few minutes later he was playing a Chopsticks duet, my mom providing the accompaniment. Count to 6 and have 2 fingers– it’s possible. Perhaps he […]

Working-mommy crisis ensued again last night at the typical quarterly interval, yet in the most unusual form. It was my regular Thursday, a 14-hour work day away from my boys. I left the house before 7 and didn’t return home until nearly 9pm. I didn’t see the boys all day. But that wasn’t it. I was doing just fine with my day; I’d seen over 25 patients in clinic, made some inroads on work in social media and sincerely enjoyed […]

Our children will never be the sole judge of our job as parents of course. We are likely our own closest and most fastidious critic. And really it’s just us (and our partners) that can truthfully reflect and evaluate how it goes as we raise our children — what our hopes were when we started on the journey of raising another and where we find ourselves. And so, however radiant the peaks and successes seem, the anxiety of our choices […]

This is a wonderful time of year. It’s also a really stressful one for many of us. Some quick reminders about ways to stay safe while bringing holiday decor into your home, traveling, while arguing with your brother about gifts, and when potentially having more alcohol around than is typical… FIRE: Be careful of lit candles and check the safety of lights you place on trees or around the outside of your home. Christmas trees are like kindling for house fires. […]

Valentine’s Day this weekend….Even if you think it’s a card-store holiday chances are your children LOVE it. So power on Super Mama & Super Papa and learn something that makes it worth it. The American Dental Association declared February National Children’s Dental Health Month (I’m thinking because of the holiday and all those sugar hearts). This may have to do with candy…..but please read on even if you DON’T have a sweet tooth. Setting a good example and teaching children from an […]

I asked a group of 33 pediatricians what they would say to the question, “Do you believe in vaccines?” while standing in line for coffee. I asked for their help in thinking about an effective, 2 minute answer. This is part 2 in a series. For detailed information behind the why, read part I (emotional responses) or watch the video explaining how this came to be. As I said, I’m not a believer in scripts. I’m not attempting to suggest […]

Big recall, worth a glance from a frozen food company out of my home state of Washington. The Food & Drug Administration (FDA) issued a recall of 42 brands that sell frozen fruits and vegetables. It’s a BIG list of products that could be in your freezer if you shop at places like Costco, Trader Joe’s or Walmart. This is especially true if you’re pregnant, are immunocompromised or have young children. The possible contamination in these frozen foods is a bacteria […]

Today my heart is stuck in my typical quarterly crisis about how I’m spending time on earth. Each goodbye with the boys leaves me a bit emptied. I planned to write about kids’ check-ups and health insurance today, which I will do– but tomorrow, because my heart is here: Whenever the boys leave (for school, off for the day with Grandma, etc) I still always feel I’m without one of my limbs… — WendySueSwanson MD (@SeattleMamaDoc) February 22, 201 4 […]

As we hit hour 40, heading into day 2 of vomitorium here at our house (O has been sick), I will suggest a couple of things I know as a mom and pediatrician about gastroenteritis or the “stomach flu”:  Hand-washing and keeping things clean is your best defense from getting ill with a stomach bug. Not surprisingly, this is particularly true after touching or supporting your child and when preparing food and/or eating. Some viruses will survive on surfaces for […]

It’s a hard time to be a human in the United States. We’re all so worried right now as the universe seems to spin every day and the divisions among us seem to project on every wall. Yesterday I escaped the city, the news cycle, and dread by sledding with my boys in the mountains. Those outdoor be-without-a-ceiling interludes help, but the reality is Sunday morning just arrived and the newspaper is sitting on the front porch. To open it? […]

Although this video feels a little bit like a video game (and takes you back to the 1970’s), it’s 1 minute of your life you don’t want to miss. Recommendations for CPR have changed this past decade. If you don’t have time to re-certify, take 1 minute and watch this video. Don’t ever be afraid to help immediately in a emergency situation where a teen or adult has potentially suffered a cardiac arrest. Channel your inner-John Travolta. Your actions can […]

It’s hard to write about anything else today with news from The Supreme Court: the decision to uphold the Affordable Care Act. As a pediatrician and mom this isn’t about politics for me. It’s about the assurance that pediatric patients (my children included) can get the care they need. And that we work to make care affordable. Below are a few thoughts & quotes that have helped me understand how the decision will affect care for our children in the […]

A couple of weeks back my mom spent a bit of time with my little love on the sideline of his brother’s soccer game. She’d brought in an unusual pine cone to show him that she had picked up on her way in. It showcased the delicate symmetry and stun of nature — twelve seeds spiraling around a centered seed perfectly nestled in a whirly cone. It’s a marvel to hear her explain how the pine cone works to potentiate future life and […]

There was a media blitz on “dry drowning” last summer, just about this time, on a topic that is stirring up angst and worry among parents again this year. There’s good reason it makes parents nervous – drowning at baseline is a preventable tragedy that is terrifying to think on–  and it’s the leading cause of accidental death to children between age 1 to 4 years, and the second leading cause of accidental death in those between 5 and 14 years. […]

Influenza virus causes “the flu.” It’s a crummy cold that spreads easily causing high fever, body aches, runny nose, terrible cough, and rarely it can cause vomiting and diarrhea, too. The flu isn’t the “stomach flu.” It’s deadlier than that. It’s more dangerous for babies and young children, and for the elderly. It’s also particularly dangerous for those with asthma, diabetes, and people with neurologic or immune problems. This post is a bit of a plea: people are dying from […]

O has added some syllables to his vocabulary over the last 10 days. And they are simply delightful. Precious, really. Warning: this post sounds like it’s written by his mom. O has been embellishing his sentences with a little “eeeee” at the end of words. The Popsicle is now “cold-eeee” when he grabs it. The stove is “hot-eeee.” And when “Momm-eee” and “Dad-eee” walk in the door, it’s, “Hi-eeee!” I love it. The error, the innocence, and the experimenting. It’s […]

This is a podcast episode about one thing…the penis. Guest on the podcast Dr. Rob Lehman, the co-founder of Great Conversations and leader of the For Boys Only classes at Seattle Children’s hospital joins me to discuss what’s “normal”  and all the examples of “normal but different.” We dive into what parents need to know about care of uncircumcised/circumcised penis, thoughts on erections (they begin in utero!), boys with their hands down their pants, appropriate touching and ways to help […]

Ear infections cause significant and sometimes serious ear pain, overnight awakening, missed school, missed work, and lots of parental heartache. For some children, infections in the ear can be a chronic problem and lead to repeated clinic visits, multiple courses of antibiotics, and rarely a need for tube placement by surgery. For most children, ear infections occur more sporadically,  just bad luck after a cold. Fortunately the majority of children recover from ear infections without any intervention. But about 20-30% […]

This week, Paramount released a new animated film entitled Rango. A film full of reptiles with cowboy-type roles, strong voices and adult choices. It’s an animated film marketed to and geared for kids and families. It’s rated PG. In the television trailer I saw last night, they specifically dubbed it a “family movie.” The movie had a great opening weekend, it turns out, but not without some controversy. The film is full of tobacco imagery, where many characters use and […]

Out for a Sunday drive. Just two little boys and the open road…

Our kids teach us a lot about life. Doesn’t matter if they’re in-utero, a newborn, a toddler, or a teen. An obvious statement of course, but not only do our children teach us about their journey, they teach us about our own. Today it happened again, O taught me something. He reminded me about self. He reminded me about our need to be who we say we are and our need to perform at our best. When we don’t, it […]

My take on teething & fever in the above video. What is your baby’s favorite thing to chew on? Do you have any advice for parents with teething babies? And, do you disagree with the data–do you think your baby has/had fever from teething? More information on FDA recalls: Why I say No Teething Tablets & Some Truths about Teething FDA’s Teething Tablet Recall  FDA Drug Safety Communication: Adverse Effects Associated with OTC Numbing Gels and Liquids

It would be nice–every once and a while–to make time stand still. To catch the blades of a propeller mid flight and have the ability to hover effortlessly. Just for a moment so that we could look over, savor our children…their beauty and all that they are all in one precious moment…all to ourselves. The march of childhood moves quickly. And what a thing to be weightless and into the air without the distraction of aging and the ticking clock […]

Some new data published in the American Journal of Managed Care finds increased value in preventative well baby and toddler check-ups. Not because it keeps pediatricians busy, but really because it potentially can save suffering and hospitalizations for young children that would otherwise hopefully not occur. A study published this month evaluated over 20,000 babies and toddlers in the Group Health network. They reviewed medical charts to study both rates of hospitalizations and rates that families showed up for their […]

A friend pulled me aside last week urging me to write about car seat and seatbelt safety. His family had been involved in a rollover accident on the way home from school — literally, just turning in an intersection, as I understand it, they were plowed into by another car which caused their car to flip. No one was seriously injured, thank goodness, but the children were left dangling upside down, hanging by seat belts, until the medics arrived. Clearly […]

During carpool recently I witnessed an 8-year-old realize her relevance and her sense of belonging even more than before. What a total profundity. It happened by accident and this involves J.K. Rowling… It’s my belief that getting a child to understand their import is a hope housed in almost every parent, teacher, auntie, or grandfather. When those of us, even peripherally involved in a child’s life, witness a child discovering their capacity, import, potential, and connectedness the moment can be immense. […]

It’s the time of year for seasonal allergies. It’s also still, unfortunately, the time of year for “colds.” Although it may be intuitive for many parents to decipher the causes of symptoms in their child during the month of May, some of us have a hard time determining what’s causing our children to wipe their nose! In general, it’s time unfolding that helps us know if our children are beginning to suffer from allergies as opposed to another cold. If […]

I loved a recent NYT article where Dr Eric Topol described Americans as surgically connected to their phones.  He also described the great opportunity that resides within the phones for getting and providing better health care. These phones are a part of our future and can be exceptional partners in measuring and preserving our wellness. These mobile devices and apps will increasingly put the patient at the center of their own care. Dr Bryan Vartabedian summarized Dr Topol’s book and […]

One thing you can do for Earth Day; a gift for your kids…

Window falls are a gut-wrenching topic because they cause devastating and preventable injuries in children. This hits home for me; in just 9 years of pediatric practice I’ve had a handful of patients fall through open windows and screens. Every single fall has occurred because of innocence and curiosity — a child just wanting to see, or be involved in, something outside. So many of us don’t get our 2nd or 3rd story windows secured for children and we often just don’t expect a child […]

Last Friday I was in line for a coffee and met a newborn baby. Her father asked me if “I believed in vaccines.” I answered him (hint: I do). But then I got to thinking…how could I have done it better? I wrote some friends…

The boys still eagerly hold my hand when we go out and about. And it’s not just when we cross the street. I find that, my 5 year-old in particular, will just show up alongside me while we’re walking and all of the sudden his hand will be in mine. Divinity. This little hand doesn’t go unnoticed and I suspect although it won’t always come so frequently or so eagerly or so spontaneously, I’ll get to hold my son’s hands throughout […]

My take on Pull Ups: get out of them as soon as possible! Easier said than done, of course. Bed wetting is a common challenge for children (and their families). If your child is wetting the bed you certainly know that may be the understatement of the week. You’re not alone in your struggle to help your child stay dry at night, even if it feels that way at times. Know this, I talk about bed wetting every single week […]

Let’s make things easier for children with life-threatening allergies. How we communicate what a child needs matters and can be essential to protect their safety but also reduce stress and anxiety for parents who worry. This week, experts in allergy and immunology at The American Academy of Pediatrics did us a favor and sorted through various allergy emergency plans living online and in doctors’ offices. Through experience with years of research on asthma action plans, the team created a Clinical Report […]

Chemicals are a part of our environment in the modern world, of course, thanks to the conveniences afforded to us by farming, manufacturing, and industry. Every parent wants to reduce exposures for their children as they grow. No question that developing babies and children may be more vulnerable to the effects of toxins as their bodies and organs and minds form. There are 80,000 chemicals in commerce (yikes!) with 3,000 being high volume meaning they can be found ubiquitously in […]

The CDC declared an outbreak of Hepatitis A over the weekend that has affected over 30 people in 5 states. Preliminary information confirms the source of the outbreak stems from organic frozen berries that were sold at Costco stores (including stores in Washington) yet sickened people thus far are in Colorado, New Mexico, Arizona, Nevada, and California. No cases have been reported in Washington to date. The berries: Townsend Farms Organic Anti-Oxidant Blend, a frozen berry and pomegranate seed mix, […]

Influenza is hitting hard this year thanks to a drifted influenza strain (H3N2) causing a more serious illness and one that is not included in our annual vaccine. Because of the hard hit, public health officials are reminding us to get high-risk patients into see physicians early if they have symptoms of “the flu” or influenza infections. Reason being, those at high-risk for complications may benefit from a prescription anti-viral medicine that can lessen the burden of illness and decrease […]

I had a phenomenal day in clinic yesterday. Imperfect for sure but inspiring, connected, and busy. I felt useful and like anybody else, that feels so good to me. Productivity can be defined in various ways and yesterday I fulfilled my personal definition. I wrote an email to a friend and cardiologist this morning where I said, But I must say, it’s a sincere fortune to be a doctor some days. Yesterday was one of those… It was typical day in the […]

Podcast also available in: iTunes Google Play SoundCloud Stitcher Sleep is tied to our outlook, our mood, our performance, our safety, and our sense of stress/anxiety. We’re nicer people after we sleep and I often say that after a good night of sleep I get to be more of the mom & parent I earnestly want to be. Sleep is magical that way. Thing is, sleep has a profound effect on our perspectives and attitudes about life. In fact research […]

We’re all looking for little tidbits and rituals to insert into our busy lives that actually help in that quest to have life run smoothly. I suspect The Saturday Box is one ritual worth considering. I’m not saying that my parents did it all right (ahem….no), but circa 1983, I think the Saturday Box exceeded expectations. Our box inspired a sense of greater responsibility and established a democratic process for clean-up in our home. Less fighting, less let-down, less guilt, […]

Please don’t tune me out on this one. Don’t let this post resemble Gary Larson’s The Far Side cartoon where you only hear, “Blah, blah, blah, Flu shot, blah, blah, blah, Flu shot, blah, blah, blah” I write about flu every year because it’s one infectious disease that is not only more aggressive and dangerous for babies and young children, it’s vaccine preventable. The flu causes high fever, terrible cough, body aches, and significant discomfort. It can also potentially cause […]

Someone didn’t believe me this AM when I said my children (5 & 7) have never turned on the TV themselves. It’s true — WendySueSwanson MD (@SeattleMamaDoc) December 5, 2013 I got in a heated discussion with a researcher last week. We were chatting about strategies to improve challenges with overweight and obesity.  He mentioned it was media controls (automatic locks on devices) that would change children’s habits regrading screen time in the home — he just didn’t want to leave […]

First off, in my mind, the goal this winter for your children, and your family, and your community isn’t perfect attendance at school or work. In fact, I’d suggest schools and families and principals who currently celebrate and reward perfect attendance may provide a disservice, especially when having a flu season like we are. The goal isn’t presentee-ism — the goal is thoughtful living. Staying home when ill, staying away from those who are vulnerable when you have cold symptoms […]

Turns out small screens in the bedroom may be worse for sleep than a TV. Little screens enter the room without much effort, stealing away in a pocket or backpack without notice; smartphones also grab our attention in novel ways. The light emanating from small screens is really close to our face (potentially interfering with that lovely melatonin spike before bed in ways a TV across the room cannot) and small screens are often interactive, requiring us respond or type back, provoking […]

This is post from my friend, Anne Gantt. I love this concept and am inspired by the idea of parents pumping iron at the park. I’m hoping we can move this conversation forward. Please share ideas from your own neighborhoods in comments. As a stay-at-home mom, I spend a ton of time at our neighborhood park while my 2 ½ and 4 year-old children zip down slides, scramble over the jungle gym, or chase each other in the woodchips. While they’re running […]

As you construct a schema for your summer, plot vacation time, and plan for summer camps, more than anything I think you should build in some unstructured time. Carve out hours, half, or even full days each and every week with an absent itinerary. Wide-open days inspire creativity (in us all) and allow children to stumble upon a little boredom. I would suggest boredom is a helpful tool for everyone here and there, especially our children. Just think of the […]

After a great day in clinic yesterday, I was up until nearly 2am this morning tidying my email inbox, meeting some deadlines, and readying for a talk tonight on work and life and finding balance. The timing of this talk bleeds irony, I know. I also acknowledge I’ve already used up my one night allowance of sleeplessness this week– if you’re keeping score (see my most recent blog post). Tonight, I’m presenting on behalf of PEPS about finding balance in our […]

Pediatricians, nurse practioners, and family doctors start screening your baby or toddler for signs of developmental or communication challenges like autism from the very first visit. As a pediatrician, how your baby responds to you (and to me) during the various visits during infancy and toddlerhood guide me in their screening. In the office I get to observe how a baby giggles, how they look to their parents for reassurance, how they try to regain their mom’s attention during our conversation, […]

I’ve had an enormously stressful week or so. Seriously maxed out in a way I haven’t been in some time — smooooshed if you will. The reason I mention my stress is that I’ve found in the past, like this week, these stressful episodes are often peppered with moments of mindfulness that penetrate into my life and stick. Little reminders of what matters most — they seem to bubble up inconveniently, often during these times, and then form exceptional meaning […]

Feeding a toddler is hard work because of all sorts of normal shifts that happen after the first birthday. But new data out this past month (see below) reminds us how pre-packaged baby food isn’t the best food source, despite package claims. Whole food, the food your family eats, and the fresh stuff is the way to go. Infant hunger matches their rapid growth; we’re used to our babies ravenous and near consistent basis from day one yet as infancy progresses feedings […]

The U.S. Consumer Product Safety Commission (CPSC) issued a safety warning about the use of infant slings, particularly in babies under 4 months of age. Watch this video for more information. Not all slings are born the same, so inform yourself about great sling options and the bag-type slings to avoid. And look at the infant position recommendations from the CPSC below to ensure you’re using the sling properly. See the video at the bottom of the post.

From the archives (deep in the Word files of my computer).  Take a look at this. Seems like a century ago: August 7, 2009 It happened today. Picture this: F in his airplane jammies at the breakfast table, it’s just after 8:00am, the morning race is well under way. And then, a spontaneous, not requested, perfectly placed “Please” occurs. F proclaims, “More milk in my cup, please, Mommeee.” I nearly fell over.  How wondrous a non-requested please can be…and from […]

This is really beautiful. There’s little to say other than we can do a better job supporting parents in their loss and in the celebration of their children’s life and legacy. Watch this and enjoy the amazing amount of love you will feel… “I want the baby I didn’t have.”  “I feel like a bad luck charm around other moms.” “I couldn’t understand why that happened to me…” “His life was a good thing.”   “People say really sad, crazy […]

It’s cloudy with a chance of clouds right now. Then a chance of rain. Then rain again this weekend. O is napping. F is at school. It’s still and cloudy here. Why not work? I’m about to shoot my first ever, Seattle Mama Doc self-produced-self-filmed-self-created-video. Sounds a little like navel staring but will hopefully be more helpful than that. I’m turning a comment (about sleep) from this week into a video blog post. Stay tuned for the video. Production starts […]

Warm weather is here and summer is approaching and if mother nature is kind, we’ll have plenty of sun-filled days over the next few months to spend by the pool or at the beach. Unfortunately, this is also the time of year when drownings increase. Young children are especially high-risk because of their profound curiosity around water and lack of awareness of danger. Drownings are preventable deaths but even the thought of them spooks most of us. Often, a drowning event looks, […]

Two teenagers died in New York yesterday. Not from a gun shot, a car crash, or suicides. Rather, they drowned in a popular swimming hole in the Bronx river on a hot summer day. I hate stories like that. Hate hearing it, hate seeing the headline. A total failure for prevention efforts. I talk about drowning in clinic every day I see patients. I should probably talk about it more often. As I said in my earlier post outlining the […]

The research published about texting and driving never seem to add up to my in-real-life experience. In a typical day driving in Seattle I see countless people with their phones out, many with it wedged at the steering wheel, stuck between their right hand and the right turn signal post. Like all of us have come to observe, it’s the unusual or unexpected driving patterns that alert me to look into their car window and confirm my suspicion. I hate […]

The soft spot feels like an epicenter in O’s landscape. As every new parent gets to know their baby, the soft spot is just one of those places and spaces we come to know that makes our baby unique. I know O’s little spot is about to go away. Just another thing for me to cry about at the two-year birthday party. I took a phone call from the husband recently who is a pediatric radiologist and who was reading […]

There happens to be whole, large parts of adult American life that no one talks about in commencement speeches. It’s the season for commencement speeches. A season I love, I keep a post-it note on my own computer from Steve Jobs’ 2005 Stanford commencement address. The post-it note is faded and bent, worn and tired. But there’s rarely a day I don’t see it. I see it right now… Advice at the moment of transitions in our lives is helpful, […]

It’s my true fortune that I spend the majority of my days with children–my patients and my own. But as a mom in the year 2010, I find I worry a lot. As a pediatrician, my job is to reassure. My experiences with these divergent, and then entirely interwoven roles, converge at one issue in particular: immunizations. The reality is, we live in a vaccine-hesitant world. With my patients, my friends, and even my family, I hear many myths about […]

A new study out today in Pediatrics reminds us that parents want information about the direct benefits shots have on their baby’s health and wellbeing. Not surprising, of course, but a good reminder for pediatricians, parents, and those who speak out on the value of vaccines to remember that primary motivation for parents in getting immunizations is to protect their child, not just protect the community. As a mom I feel the same way. As vaccination rates have decreased in […]

At dinner tonight we had breakfast for dinner (genius meal when you’re stumped by an unending need to create something “new”). At the end of the meal we were all discussing our love for bacon. Without a beat this came from the 6 year-old in our midst: “Mama, could I live a long time and still have a piece of bacon everyday?” I thought about it. Yes, it seems, yes. Yes, every day with bacon! “Yes, I said, “I think […]

Evan is 4 ½.  His mom is a pediatrician.  So is his dad.  His mom and I were sharing stories of feeling like inept parents in the face of trying to help families with behavioral problems.  It’s hard to do what we say, and frankly, hard to master this whole parenting thing.  Does anyone? We were having coffee, trying to get some work done when we downshift to talk about pee.

Parents debating sleep training can rest (literally and figuratively) easy. New data out today in Pediatrics found that letting babies cry-it-out (CIO) or self-soothe does not increase signs of stress compared with babies who don’t. The study out of Australia tested two sleep training methods: “graduated extinction” (parents leave and return at increasing intervals of time, AKA one version of CIO) and “bedtime fading” where parents shifted bedtimes based on how long it took babies and young toddlers to fall asleep. […]

Food allergies have more than doubled in the developed, Western World over the last 50 years and the reasons remain unclear. Yet recent data finds 8% of children in the US with a food allergy with 1/3 of those children at risk for severe or life threatening reactions. A Pediatrics study published today has some sobering news about our ability to protect children from allergic ingestions. When it comes to allergies and deadly reactions 2 things are necessary: Avoidance of known […]

There are moments that take our breath away. I’ve said before that it tends to be the things we don’t think of that takes our breath away while parenting. Warning: this post will sound as if it’s written by somebody’s mom. With the two boys I have so many of those moments, the ones so luscious that when they happen I can hardly breathe and certainly don’t see straight. When these wondrous, unexpected child utterances occur, it can feel a […]

A study published today in The New England Journal of Medicine evaluated the duration of protection against whooping cough after children get the DTaP shot.  Researchers wanted to find out how long the shot lasts. DTaP shots are given to infants, toddlers, and kindergarteners (schedule below) to protect them from three infections (Diptheria, Tetanus, and Pertussis –whooping cough). After these childhood vaccines, we give a “booster” shot at age 11. Because we know that many babies who get whooping cough are […]

I’m about to pull the curtains off the wall and make some shorts. Or a dress, handkerchief, and a set of lederhosen. If only I had a sewing machine… F and O have been singing “Do-Re-Mi” all weekend. We’re nailing our knowledge of the octave (kind of). It’s been the theme song to our move even though they’ve never seen the movie. But the greatest little thing evolved over the weekend (via repetition) that I don’t have the heart to […]

Bravery — this is gonna take ongoing bravery! Today is National Gun Violence Prevention Day and many around our country are rallying by wearing orange. Wear orange, please, but let’s remember that this is a long-term effort — to protect our children this is an everyday thing to help shape and change our culture. We must be persistent and carry today’s inspiration for orange through every day and tackle every opportunity we are presented with to reduce gun violence and […]

I wept at the end of the movie I watched last night, The Imitation Game. The reason really was this: it reminded me how we’re just so terrible to each other at times. How much suffering occurs when we don’t think things through. The movie wasn’t about measles or vaccination, but injustices in it pushed me to leave my Sunday morning with my children to share this: My patience with vaccine hesitancy has pivoted. I’m embarrassed to say it took an […]

New research on ear infections confronts a challenging conundrum: What should pediatricians do for a toddler with a real-deal ear infection? Treat with antibiotics or “watch and wait?” New research and a nice editorial published in The New England Journal of Medicine this week add to the stew of information about how to manage ear infections in young children. The new research confers benefit to using antibiotics at initial diagnosis of a true ear infection in children under age 2 […]

They’re a little gross, somewhat annoying and for most parents, inevitable. It also seems to me that for most of us they show up at the most inconvenient times. I’m talking about lice. With school coming to an end this month, you may think your child’s chances of picking up the little bugs will diminish. Unfortunately, according to the American Academy of Pediatrics (AAP) most cases of lice occur outside school. Between summer camp, sports and play dates there are still […]

Our kids don’t have to play like the pros, even if we they think they’re ready. I mean really, what’s the rush?? I report this as a pediatrician & as a bona fide soccer mom to 2 boys under age 10: The U.S. Soccer Federation yesterday announced a ban on “headers” for children under 10 years. There has been no new expert consensus (the new rule rose out of a lawsuit, not new pediatric expert opinion) that heading the ball causes […]

This year, The AAP issued a statement urging pediatric hospitals and clinics to require mandatory immunization against influenza for all health care workers. They stated it’s “ethically justified, necessary, and long overdue.” The Advisory Committee on Immunization Practices (ACIP) began recommending influenza immunization (flu shots/mist) for health care workers back in the early 1980s. Even after 3 decades of the recommendation, overall immunization rates for health workers remain around only 40%. Evidence suggests a clinic or hospital unit needs an […]

I’ve started to use earbuds a lot. Like a lot a lot…like every day. Just like so many other people you see on the street, and many teens, I use earbuds daily to make phone calls, listen to music or podcasts or engage while I stream videos. On the plane, always. And on a bad day or a sad day, no question I love to turn the music way up when I go for a run. Turns out I’ve got to […]

Last weekend while heading home from a weekend medical conference in Canada we exited off the interstate to drive through the Skagit Valley on the country roads. The skies were clear and the valley stunning. The land is so spacious in the valley, stuck between the mountains and the sea, it inspires a feeling of brimmed, fertile opportunity. The moment we exited the highway the drive home immediately felt more of an adventure. Unsurprising to any parent who drives with […]

Thanks to Serese Marotta, Chief Operating Officer, Families Fighting Flu for sharing this vulnerable and truthful story about losing her son to influenza. Talk about gorgeous peer-to-peer health care. I hate that this story exists and yet I’m so thankful for Serese’s bravery in sharing it. May we all benefit from her experience and her wisdom ~ Dr. WSS So often we hear “it’s just the flu”, but we need to take the flu seriously. How do I know this? […]

The minute we become parents we immediately start to hone in on the value of our children’s sleep. Their growth, their feeding, their development and their sometimes labile temperament quickly illustrate the import of real rest in our lives. Many parents advertise their commitment to their child’s sleep as a huge parenting win. Those of us who struggle with it, we often admit defeat. It’s clear, pretty early in infancy, that sleep transforms who we are, how we think and how we live […]

Atta girl, Michelle Obama. Thank you for the personal, passionate and most excellent articulation of a big problem facing nearly 1/3 of all children in the US today. Michelle Obama’s introduction of Let’s Move to end childhood obesity in one generation will do wonders. Thank you, Michelle. I know we’re not personally friends but you do send me regular e-mails and sign them, “Michelle.” So we’ll go forth on a first name basis. And whenever you’re ready for a play […]

We live in a profoundly different time today when it comes to caregiving, parenting, and gaining health care/advice than we did even 5 or 10 years ago. The internet has changed things dramatically. During an interview recently a reporter asked, “You were raised on digital media, yes?”  Well, no. I didn’t started using email until late 1995 just prior to leaving college, didn’t get a cell phone until I was teaching, didn’t have a working computer in my apartment until I […]

I’ve been struck by the death of Elizabeth Edwards. I keep coming back to thoughts about her. Like most Americans, on Monday I learned she was advancing to hospice care. After a long day in clinic on Tuesday, spent, I listened to NPR in the car on my commute home. It was dumping rain in Seattle, it was dark, the cars were moving slowly. NPR announced she’d passed away. What? Pause. Swallow. Take a right turn at the light… I […]

Big news published today in Pediatrics; a new study reports that adolescents who vape are 6 TIMES more likely to smoke cigarettes in early adulthood. Researchers studied 11th and 12th graders during the transition from being US minors to legal adults when they have the right to buy traditional cigarettes (age 18 years) to see the effect using e-cigs had on smoking traditional, combustible tobacco cigarettes. It’s known that if you’re friends use e-cigs you’re more likely to use and it’s known that […]

I had an unexpected gift this week: a not-so-sick sick day with my 5 year-old. And it really couldn’t have come at a better time. We’ve never had a sick day like this before and he’s off to Kindergarten in September so the days were running out for preschool stolen-away sick leave. In the past when he’s been ill he’s been well enough for me to head off to clinic or work and he’s been home with my mom or […]

I recently listened to an interview on This American Life that stuck with me. The show was entitled “It’s Not The Product, It’s The Person” and went through a series of examples uncovering the reality that great business (or great work) is more a product of the who than the what. Who people are, how much grit, tenacity, raw or natural talent, passion, or skill really matters when doing whatever it is that that they do. Far more perhaps than […]

My quarterly crisis is rearing its very ugly head. See, it’s birthday season around here and while the boys’ birthdays overlap with the holiday season, I tend to feel an irrepressible need to reflect. Holidays and birthdays are momentous moments, but also markers of time. Places on the calendar and spaces in my heart for subscribed reflection and perspective gathering. So it is now, this time of year, where I seem to struggle the most with my choices as a […]

Vaccination hesitancy or concern about getting your child their shots isn’t new. But it has recently been gaining attention in the media. In February, Robert Kennedy Jr. offered a $100,000 reward for anyone who could turn up a study showing that it is safe to administer vaccines to children and pregnant women. Let me start by saying that there are countless studies and data in support of vaccination safety. So the offer and claim should be given/received over and over and […]

June is a lot of things to me this year: the month I turned 40 (yipeee!), the earnest start of summer, the beginnings of an awesome USA performance in the 2014 World Cup and also National Home Safety Month. Of course it may be easy to make time to celebrate turning 40 or to watch the taped game where USA beats Ghana (go team!) but there really is one thing we should move into position numero uno. Can you make your house more museum-like, at […]

I gave this little talk at Children’s recently about where joy and science meet– a lunchtime chat about life and balance and work and loving up our children. Ultimately, it was a sincere privilege to think of sharing a little bit of science and a lot of stories from my own tightrope walk as a mom to boys. I spoke about about how we get this done while bearing witness to our children and their enormity, while also working on […]

Our house is teeming with excitement about the impending reality: it’s almost summer break. As the hard-core school, sports and carpool coordination chaos eases up, you wanna know one thing I’m really hoping for this summer break? A bit more sleep. I do a great job protecting my children’s sleep and a mediocre job protecting my own. I work on sleeping with my cell phone off and away from while getting 7 to 8 hours of sleep but reality is my […]

Spring has sprung (hurrah!) and summertime is oddly just a couple of months off. A co-worker reminded me this week that school is out in 2 months. What? As the rituals of summer near I’m reminded of the power and value in creating memories that break the mold of routine. Trips, time away, adventure, and creating a sense that the world is truly as big as it is. This starts and gains value right from home at the kitchen counter… […]

News of a whooping cough death in the Seattle area rang out yesterday. By afternoon, many of my patients in clinic had heard the news. Although the epidemic levels of whooping cough have gradually faded since a peak of cases here in May, the risk is still very real. A newborn baby died from whooping cough on December 13th here in Washington State. Newborn babies are at particularly elevated risk for serious complications from pertussis (whooping cough) infections. Unlike older children and […]

Typically, teen girls do not need a pelvic exam until they are 21. Most parents are surprised to hear this, especially if they know their teen is sexually active. About 1/2 of teen girls are sexually active during high school which puts them at risk for sexually transmitted infections (STI) and unwanted pregnancy. However, for routine prevention and care, girls rarely need an internal pelvic or speculum exam during high school. The American College of of Obstetricians and Gynecologists (ACOG) published a […]

There is a mumps outbreak here in Washington State, as well as various other outbreaks across the nation. The CDC reports that mumps infections are currently at a 10-year high. This post is a quick update on the outbreak and why they occur, an explanation about the mumps virus, the infection and symptoms that are typical, and what parents should know now to avoid mumps. Mumps Outbreaks In 2016 Numbers This Year: For the calendar year 2016 through early December, 46 […]

No question sleep — the good and restorative kind of sleep — changes our day. Sleep is tied to our outlook, our mood, our performance, our safety, and our sense of stress/anxiety. We’re nicer people after we sleep. I often say that after a good night of sleep I get to be more of the mom I earnestly want to be. Sleep is magical that way. Thing is, sleep has a profound effect on our perspectives and attitudes about life. […]

This is a guest blog from Emily Kramer-Golinkoff. I was lucky enough to meet her about a year ago & even luckier that she asked me to help her make a big impact with her final thesis for her Masters in Bioethics. Her story, insight, and strength are worth your time. She’s hoping to leave a big mark in understanding how to leverage the asset of empowered patients to advance science and healing. She’s working to integrate patient communities more intimately in […]

Kids already have a lot of AI friends to chat with, whether they’re asking Siri to play their favorite song or quizzing Alexa on trivia about blue whales. But one new Alexa skill is hoping to do more than just entertain the next generation.

You’ve likely seen the Jimmy Kimmel “public service announcement” on vaccines. Over 3 1/2 million people have viewed it on Youtube so if you’re not yet one of them you’ll likely add to the tally now. The first 3 minutes of the monologue are spot-on and they’re also very funny. Jimmy takes a stand against the “anti-vaxxers.” He mentions that some parents are more scared of “gluten than small pox” and references the reality that some schools in this country have […]

New research helps clarify ways we can reduce risks for Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Death in infancy. A recent Pediatrics study found that the convergence of risks (see diagram below & listen to video) for infants is meaningful–reducing number of risks may reduce SIDS deaths. Avoiding multiple and simultaneous SIDS risks may help– especially for babies who are vulnerable due to family history, genetics, prematurity or prenatal exposures. Further, research published the same month in The American Journal of Public […]

F calls it our, “Seattle Vitamin.” In the upper left hand corner of the US (read: Seattle) we’re a little lacking in sunshine. It’s a product of not only our rainy weather, but our latitude on the globe. New data finds that taking supplemental vitamin D may be more important for we mamas, we city dwellers, and we little ones (infants) than we thought. Especially up here where the sunshine comes around about every fifth day. Vitamins are so well […]

Lots of information floating around this past week about influenza. Of anything, remember this: it’s easiest to predict that influenza can be unpredictable and it’s also still true that a flu shot is the best way to protect your family from flu. I’ll explain why, along with a recap of what you should know about new data, here. Flu season is just getting started in the United States (circulating infections in nearly all states) and this past week the CDC […]

Our children are growing up with mixed messages about alcohol and drugs, at least that’s how it feels to me here in Washington. It seems to me we’re grappling with using pot and what to do with alcohol as a community. As our state legalized marijuana use this past year, we sent a big flare into the sky. It’s possible we really do one thing and then say another in front of our children and teens, particularly at times of […]

Be safe today. With travel defining many of our days, this is a day I think about safety every year. Now more than ever because of my kids. Motor vehicle injuries are the leading cause of death for children in the United States. The CDC statistics on child passenger safety state that child safety seats reduce the risk of death in passenger cars by 71% for infants and 54% of toddlers age 1 to  4 year of age. Car and […]

I really love this TEDEd video explaining motion sickness. What I find most helpful is the admission that we humans still know very little about motion sickness, why gender differences exist (women get motion disturbance more often than men), and how to put a stop to it. No question children get motion sickness well before they’re old enough to tell us exactly how they feel. Often it’s screaming or fussing only in the car or a series of vomiting episodes that […]

 It’s been a heart-wrenching 3 days since the news of the shootings unfolded Friday morning. Best antidote to my sorrow was a run in the rain this afternoon. I turned up the music far too loud and headed out for a quick run. I stopped thinking and spinning about the grieving families in Connecticut. I heard the music and felt the cold on my hands. It was a powerful switch. Even though I’ve only seen 15 minutes of news coverage […]

Strong evidence continues for babies getting peanuts before a year of age. Now, more than ever, I believe parents to babies at risk for allergies need to pay close attention during the first 6 months. Although the pendulum has swung about how, when and why to introduce peanuts to babies over the past years, more and more experts agree. There are 3 categories and 3 specific recommendations for babies. Babies at risk for allergies should get peanuts by 4 to 6 […]

As 2015 gets earnestly underway, many of us are working to keep resolutions we made to better ourselves and our family as the new year continues to unfold. In case health is a part of your resolution or focus, here are a couple very quick reminders for check-ups and interactions at the doctor’s or practitioner’s office (3 tips below). I’m going to sound very much like a pediatrician here: wellness visits and check-ups add great value to preventing things. So much better than […]

One little thing that really gets under my skin if you must know is the title, “The Wife.” When I hear it, it rings through me, moving and shifting my electrons in just the wrong way. I’m sure most of you wives or mothers out there on planet earth don’t really mind it. But I do. Here is how I often hear it. Let me set the scene: Exam room, child center stage, father stage left.  Meaning no harm (or […]

This month, the AAP published a clinical report representing the committee on nutrition, urging pediatricians and parents to work together to improve rates of iron deficiency in this country. The reason: iron deficiency is one of the more common problems among children but it frequently goes undetected. We can’t see it, smell it, or detect it easily on exam or with one simple blood study. Oddly enough, it’s complicated to determine an infant/child’s iron status. New research finds that deficiency […]

I take solace sometimes knowing I can’t stop time. When I look to the clock and trade panic for solace it’s a way to distance myself from the reality that as time marches on in its infinite human construction, I don’t have to think about moments with the boys lost. Every parent hears over and over again that, “it just goes so fast.” I find that advice never helps. Just makes us feel like time with our beloved little humans is slipping through […]

Many parents around the U.S. are asking what to do about a possible measles exposure with a baby at home who is too young to be immunized. Should they stay home? Can they travel? Should they cancel that trip to Utah or to Vermont or even to Disney next month? Can they head out to the store without worry? Are they “safe?” I hate that I can’t completely say they are safe. Measles is wildly contagious and during an outbreak […]

Consistency may be the “secret sauce” in parenthood. Anything from helping children survive temper tantrums to helping your children eat more diverse foods, providing consistency with expectations and daily routines may be the very special thing we do that allows our children to thrive. Like most challenges in life, talking about and identifying the need for consistency is easy, implementing it throughout our daily lives is much more of a challenge. Finding and securing a consistent bedtime is one place where […]

Influenza currently has widespread activity here in Washington and fortunately the news media has really picked up the story the last couple of days. I say fortunately, because as we know more about flu in our community, the better we can work to protect our families. There’s no question clinic was full of coughs and colds yesterday! At of the end of last week, the CDC reported that 25 states in the US have widespread influenza (see above map). In addition, […]

So we don’t have our nanny today. This was intentional, a way to carve out some time with my boys. Our nanny hasn’t had a week day off in months and months. All well and good except I needed to finish a blog post and a letter I’m writing for an advocacy effort. F is at school. O went to music this morning with Grandma. And nap time (now) was supposed to be used for writing. Oh how I expect […]

There isn’t a lot of research on children’s safety when a child is on an alternative vaccine schedule. While we clearly know that the longer you wait to immunize a child for vaccine-preventable illnesses, the longer the window of time a child is left susceptible, there isn’t a huge data set on children who are late to get shots or who are considered “undervaccinated.” Although it’s intuitive to think that a child who is not getting immunizations on time is […]

OMG, it’s a good day for Washington. Yesterday Governor Jay Inslee signed Bill 6065 into law. Bill 6065 bans the use of tanning beds for minors in Washington State. The bill will prohibit those under age 18 the right to use an indoor tanning device. Those facilities that break the law — they’ll be fined up to $250 per violation starting in mid-June. Children and teens with a doctor’s prescription can use the tanning bed (this will happen VERY rarely). If I […]

Measles, measles, and more measles. I know, it seems like all I’m writing about.  I’ve been doing media interviews for weeks now on measles infections and there doesn’t seem to be a slowdown yet. As it stands, there are currently 839 measles cases in the U.S. and children under age 5 years old account for about half of the cases. The vast majority of cases are in those who are unvaccinated. I’ve been asked: “Is the situation improving?” The answer […]

One of the most important forms I fill out in the office is the allergy action plan. The action plan is a spelled-out, step-by-step instruction form on how to care for a child who has a food allergy in the event of an accidental ingestion. Food allergies can be serious, even life threatening, yet adults are often unprepared to respond with speed and confidence. We know that 16-18% of children with food allergies have an accidental ingestion at school. This past […]

I’m becoming more of a believer in giving children probiotics. Not for everything and not for everyone; I really don’t think we should put them in the water. Probiotics, essentially live “good” bacteria we use to supplement our diet (usually Lactobacillus Acidophilus in the US), are becoming more and more available and recommended by more and more physicians. The role microbes play in our health is a hot topic. Probiotics are thought to improve intestinal health by restoring/elevating levels of  […]

Fidget spinners are everywhere. The photo here was captured this morning on the way into school. That little blue wonder spinner showed up in our home without us even knowing it last week. My 8 year-old got it at the 2nd-grade market our school put on! And I’ve even heard about a set of savvy middle-school students in the midwest using a 3-D printer to make their own. Hello, New World of Toys and Toy-Making. This just a reminder that these […]

Scald burns are common injuries for young children that arise when our skin or our mouths and mucus membranes have contact with burning hot liquids or steam. Children under age 5 account for nearly 1 in every 5 burn victims each year in the United States. The bathroom and kitchen are the typical danger zones. Many burns come from liquids heated in the microwave but children are also commonly burned from scalding liquids or water heated on the stove or […]

If you have a daughter getting ready to head to college this fall, holy moly I’m excited for you. In clinic it’s clear to me that the huge transition from high school to college-age brings great joy but also a remarkable sense of unrest for everyone, too. Vaccines, birth control, and suicide prevention may not top your to-do list while packing the car but there’s no question these are 3 things you can check in on to ensure it’s a better and safer year […]

Raise your hand if you have a cupboard full of partially used medications, expired acetaminophen, and old anti-histamines. We do! Conveniently, there is a way to safely get rid of the unused medications in your life. Don’t leave them around the house and don’t put them back into the water supply (via flushing them or putting them improperly in the garbage)….both carry risk. April 26 is the DEA’s National Drug Take Back Day. Conveniently, this is the perfect time to […]

Often new parents are nervous about mixing and matching infant formula they offer their babies. They worry if they switch from one formula brand to another, they may cause their baby fussiness, stool changes, upset or worse–that they could put their baby at risk. It’s safe to mix and match infant formulas if you are following standard mixing instructions. Really. Although spitting up or gassiness is usually not due to the protein in formula (cow’s milk versus soy versus hypoallergenic), […]

Always a work in progress here — trying to think on ways to share new data, expert advice & enjoy the journey of parenthood. I’m excited to announce we’re going to pilot a Seattle Mama Doc Podcast early next month. Since this blog’s inception in 2009 we’ve covered nearly 650 standard blog posts, vlogs, guest contributors, interviews and now I’m going to test out a podcast. I am a huge fan of crowd sourcing and co-design, so will you help create the look, feel […]

As promised, Dr. Hilary Mead, a child clinical psychologist in Outpatient Psychiatry and Behavioral Medicine at Seattle Children’s, is back to share her tips on using and teaching mindfulness to our kids. If you missed her first podcast on mindfulness, listen to get a better understanding of what it means to be mindful. And how easy it may be to build it into your everyday life. Mindfulness is about being in the moment you’re in, aware, accepting what’s unfolding and […]

Compartmentalization is obviously a huge challenge for all of us, if we admit it or not. But clearly we have to have limits in our days — mealtime is one place that can be a non-negotiable, device-free space. Meals are gold for families. Breakfast, lunch or dinner…whenever your family is able to come together to eat and connect…the devices gotta go. Even toy companies are partnering with restaurants to help keep families engaged with one another. Here in Seattle this week a company […]

This is a guest blog from Lisa M. Peters, MN, RN-BC (in the video above). Lisa is mom of two children and a clinical nurse specialist for the Pain Medicine Program at Seattle Children’s Hospital. She holds a clinical faculty appointment in the Department of Family and Child Nursing at the University of Washington School Of Nursing. She is board certified in pain management from the American Nurses Credentialing Center and is a Mayday Pain & Society Fellow. Lisa has […]

We had a marvelous Father’s Day weekend. On Saturday we started a Dad-coached soccer team with some friends which was surprisingly successful. And then on Sunday, we completed our first-ever family bike ride on the Burke-Gillman trail. Everyone had two wheels of their own, including Grandma. Although O ended up in the ditch at one point after steering off-course, it was an injury-free ride and we proclaimed it a success. I think we all felt really grown up. We gave my […]

I took 24 hours offline from Friday at sundown through Saturday at sunset. I didn’t use my phone, I didn’t text, I didn’t log onto a computer, and all the while I didn’t enter a single network. I didn’t blog, tweet, Facebook, or LinkIn. I was genuinely unplugged without entering the wilderness. I was at home in Seattle devoid of my devices on my second annual digital sabbath. I went shopping for a friend’s birthday gift by myself, the quiet […]

Is it partly our responsibility, as parents, to ensure our kids are in an immunized, safe environment? Maybe so. Unsurprisingly, most parents want to make sure their children attend a school or daycare with children up-to-date on immunizations. This week is National Influenza Vaccination Week and provides a hearty reminder. Established by the CDC in 2005, it began as a way to raise vaccination rates during the month of December. Vaccinations historically tend to drop at the end of November (we get busy, […]

Being a parent is entirely overwhelming. Yes I know, we hold it together about 99.9% of the time, but there are these little windows where our fractures are evident. Or where our Mama/Papa-Achilles is wide open, taught and stretched. Or the beats of time where we get to let our knees buckle beneath the weight of our world. Where we give into the love we feel, the desperation of certain moments, the lack of control over things, and the slipping […]

When we have children, many of us slip in the self-care department. We may not eat as well, not exercise like we did “pre-baby,” and don’t have time to go and see our own doctors. Simply put, our own care doesn’t come first. Parenthood immediately demotes our status… All fine in some ways. It’s astonishingly wonderful to care so deeply about our children. That devotion still catches me off guard. But we have to keep on top of our preventative […]

Here’s a window into the time I had while away from the blog this past month. I’m so thankful I took this break and spent so much time with my boys when outside of clinic. Unplugging has turned into the ultimate luxury…

School violence and threats of violence are scary and seem to be happening more and more frequently, but the fortunate reality is that they remain rare.  I’m almost telling myself this like a chant — trying to keep myself centered. Because like many other parents I’ve talked to, instead of worrying about my son getting lice at school I kiss him good-bye and say a blessing for safety. Happened today again. 2015 has been hard for all of us in […]

New 2014 recommendations are out for improving our prevention efforts for children. Parents can help ensure children get what they deserve at check ups. The updates to recommendations for wellness check-up are written to guide physicians but parents are a key voice in ensuring it all happens! Updated 2014 Recommendations For Check-Ups Some relevant changes to prevention/screening for children: Infants: All infants need a pulse oximetry screen at or after 1 day of life to screen for heart defects. The […]

We were on the waitlist for swim lessons for over a year. Once off the list, F went in for the first lesson (pictured here) jumped in, did a great job, and then refused to ever go back in again. We went every week, twice a week, sat on the pool deck, and watched his peers swim. We waited. We watched. He often tantrumed. Parents stared. Friends commiserated. My mom tried to tell me what to do. But then for […]

One of the most horrific memories of my residency training was caring for a little girl after she sustained a life-threatening injury from a TV and dresser tip-over. When I met her she was unconscious, non-responsive, and simply gorgeous. She was just so little and there was so much suffering around her. These real stories harbor horror but also hope. Injuries from tip-overs are worth talking about. Securing furniture or new TV’s (especially after the holidays) are those things that end […]

It’s a clear no-go on those “antibacterial” soaps you see on people’s counters and sometimes in our schools. They are soon to vanish from stores. No good evidence the (typically liquid) soaps actually protect our family from bacterial infections better than washing with regular soap and water and there are some concerns the ingredients used to make the soap may pose risk. Because of this, the Food and Drug Administration (FDA) recently announced a ban on chemicals/pesticides used in antibacterial […]

Twurgery? On the right side of my screen I’m watching a live Twitter feed from Swedish Hospital in Seattle. Tweeting commenced soon after 8am this morning and was performed by 4 observers in an operating room in Seattle. Those 4 observers were in the presence of a surgical team who was performing a tumor resection on the kidney of a 69 year-old patient from California. The man had consented to the scenario, surgery, observers, twittering and all. While the surgeon […]

A friend called yesterday and asked if I thought her daughter had bed bugs. Her toddler had woken up with welts over her face, chest, back and trunk. She was itchy. Her mom was worried about bed bugs. I tried to reassure her, telling her what I knew about bed bugs &  how young children react to insect bites (not just bed bugs), I asked: Does the bed have copper colored stains on it? Is the mattress new or borrowed? […]

Like I said last year, there’s one little thing we can do this month to change our safety and preserve the value of antibiotics. And although not all families can be without antibiotics on Thanksgiving due to chronic or even acute medical problems, we all can eat smarter turkey. This is an easy awesome. I partnered with Dr. Scott Weissman this week for “Get Smart” week. On Monday we explained that we’re dependent on antibiotics for all sorts of medical miracles (bone […]

When I first watched this video, the computer volume was off (I didn’t know it) and I thought this was a silent video. I loved the stillness of the quiet mixed with the emotion of the ad. I cried (yes, I’m the kind of person who always does) one of those quiet cries, the kind where you’d never know I was crying unless you were looking straight into my eyes. Tears just dripped silently. Instead of being impregnated with fear, […]

Constipation is really no fun for anyone. No fun for baby or child, no fun for the parent who cleans the clogged toilet, no fun for the sister or brother who waits while someone works on solving the problem in the room next door. In general, constipation is a frustrating, sometimes embarrassing, and often chronic problem for young children. Here are a few ideas to get rid of the no-fun part and ways to protect your children, support them positively, and avoid […]

Community can mean different things to each of us. Yesterday, a 3 year old came to see me in clinic. She must have been a little nervous about the visit. When I got into the exam room, I found her accompanied by her dad, 3 baby dolls in a stroller, and 2 on her back. You see, I think she felt quite a bit safer surrounded by her community. I was charmed. But then reminded. Community is a combination of […]

I’ve just returned from a week in Idaho where I had the privilege to do a series of talks for the Idaho Department of Health (DOH) about using social media to communicate about vaccines. The best part of the week was all of the education I received. I traveled around the state (see those photos!), witnessed the DOH at work, connected with Idaho physicians & politicians & advocates & volunteers, and talked with many Idahoans about changing the understanding of vaccine […]

In the past I’ve hated preparing for emergencies. It made me nervous and like most people I procrastinated because I hated playing out a potential tragedy in my head. However it’s easy to say: I am really happy I made an emergency kit about 3 years ago. I really don’t regret the time or money I spent getting it done. I do think I’m less anxious now. September is Emergency Preparedness Month so hopefully in the nick of time we […]

Earlier this year, the FDA recommended the discontinuation of infant acetaminophen drops. The goal was to minimize confusion by only making acetaminophen (aka Tylenol) in one universal liquid strength for both babies and older children. However, because the FDA provided a recommendation and not a mandate, there are currently two different liquid acetaminophen preparations on the shelves marketed for babies. And another liquid marketed for older children. Ultimately, it may be more confusing than ever. Thank goodness I just got […]

Both of my babies loved to be swaddled. It helped them calm down and I always experienced them happier and easier to console while snuggled & bundled. My experience isn’t unusual. Research in the past has found that swaddling rates are increasing and it can help newborns with sleep awakenings while also creating a slight reduction in crying in babies under 2 months, and may help babies have more quiet sleep. So the new study out today in Pediatrics evaluating the […]

Recent heartbreaking news reported about a baby who died due to a medication overdose by his babysitter/nanny has me reeling. And although this is a tragic, outlier type event, it can awaken us to everyday ways to improve our children’s safety with over-the-counter medicines. The tragic story: a fussy baby was mistakenly given allergy medicine to calm him down and get him to sleep after a day of crankiness. Allegedly, the babysitter unfortunately gave an adult dose of an allergy medication. […]

I spent the weekend lying around feeling like death on a cracker. And most of my mental thought other than, “Please, please go away, bug” was consumed by the question, “Which is it?” Food poisoning and a bad weekend for me or Gastroenteritis and a bad week for me, my O, my F, the husband, and my friend visiting from San Francisco Let me explain. Food poisoning is not likely to be contagious, gastroenteritis (or stomach flu) is. This phenomenon […]

In my house we’re busy, working parents but we’ve certainly had lots of friends and relatives here at our house to play. No one has ever asked me if we had guns in the house. Last week my son visited a neighbor’s home and I didn’t ask before he went over. I’ve asked friends and relatives if they had guns in their home in the past but I’m inconsistent–I may be out of practice. Asking a friend if there is a […]

Recently I saw a patient for his 7 year old well child check. He was in the office with his entire family for an evening appointment. My medical assistant got his weight, height, blood pressure, and completed his screening exams. In the hall, she mentioned to me that he said he was going to be a scientist when he grew up. She was charmed (clearly) and I was weak in the knees when I entered the exam room. I mean, […]

I’m happy about a new pile of paperwork coming my way. To be clear, I’ve never said this before. But I’m serious. Instead of stewing controversy, I suspect a new bill around here could open up lines of communication. I’m not living under a rock; I understand that some feel this new bill requiring signatures for vaccine exemption is heavy handed. I wholeheartedly disagree. Yesterday Governor Gregoire signed a new bill into law that will demand families talk with a […]

More than nine people are killed and 1,060 people are injured every day in vehicle crashes reported to involve a distracted driver. Distractions include using a mobile device or eating, the CDC says. New data out last week on texting and driving has me fuming. This is a bit of a rant, just like the last time I wrote about data on texting and driving. I’ve got a loathing for the terrible American habit to text and drive. I loved Oprah’s […]

On Monday night, Dr Bryan Vartabedian, a pediatric gastroenterologist in Texas, wrote a blog post about physician behavior on Twitter. In the world of health and social media, it’s caused a near nuclear explosion of thought, an outpouring of opinion, and most importantly a much-needed discussion. Discourse is perfect for progress. I think about this all the time. In the post, Doctor V called out an anonymous physician blogger and tweeter, (@Mommy_Doctor), on her tweets about a patient suffering from […]

This is my Father-in-Law. He’s turning 75 this year. He’s a smart, earnest man. I learn from him every time I have the luxury to see him. It’s not just the little things he says, the wisdom he imparts, the places and spaces we disagree, or  the way he parents the husband. More, it’s the way he lives his life. I was in the back of the boat last week while he skied around a deep lake in Wisconsin. Picture […]

We’re asking so much of ourselves as parents right now, and honestly, we’re all overwhelmed. Parents are delaying all sorts of things out of necessity and care. Thing is, there are some things that shouldn’t be delayed. I wanted to provide a little information and data to back-up points on places parents shouldn’t pull back during the pandemic. Some of this is a little anti-intuitive, which I’ll explain. A quick run-down to bring this to light. 5 Things NOT To […]

I read The Atlantic piece written by Anne-Marie Slaughter entitled Why Women Still Can’t Have It All this past week. Make sure you block off a 1/2 day from work if you want to read it. It takes a good number of minutes to get through and I found myself kind of staring at the wall after I’d finished. Slaughter does a beautiful job spelling out the glaring issues of our time for working women using her intense personal experience […]

Establishing traditions can be an incredible way to connect, mark time, and affirm a sense of well being in your family. You can establish any tradition you want–one of the rare perks of being a grown-up. Even if family circumstances change (a divorce or separation, a death in the family, a move to a new city) you can adapt, addend, and alter your traditions. Your kids can help you sort out new rules as necessary. Those traditions really may establish a […]

1 “Daddy!” This from O when I say (and coach him), “Say, Mommy, O. Say, Mommeeeee.” Every time I walk in the door, same thing, “Daddddddeeeeeee!” He likes getting a rise out of me. Lovely little rug rat. Then F starts the day today clearing up what we call each other, “O calls you Daddy, I call you Mommy.”  True. 2 “Toddler Doula, where do I find one?” The husband said this to me after his cup of coffee on […]

Gun violence is a tricky topic to write about. It’s emotionally laden, there are political overtones that bring out passion and I find quicksand when I never expect it. No matter where you fall on issues related to firearm safety, there is no doubt that we all want the same thing: healthy communities, healthy families, and safe environments to raise our children. Unfortunately, we continue to have countless reminders about the curiosity of children in the presence of a loaded […]

My parents were never hippies but when I detail what they’ve done with their lives most people eventually inquire if they were. This isn’t a post about how my family’s deep respect for the planet made me an awesome environmental steward. It’s Earth Day and I’m here to say I haven’t done enough. I feel I fail nearly every day in regards to my role in conserving renewable resources but I certainly didn’t lack great modeling. In fact, I’d suggest […]

I’ve got a new rule. And this is coming from a woman who grew up in Minnesota and who lives in Seattle. I’m stating clearly first: weather is no excuse. I’ve talked in many places on this blog about the reality that there are only a few “rights” to parenting. In my opinion, as a mom and pediatrician, the “rights” include things like getting your children immunized and properly using car/booster seats. Beyond that, the rest of the parenting is […]

Yesterday California Governor Jerry Brown signed a childhood vaccination bill into law along with a letter stating, “The science is clear that vaccines dramatically protect children against a number of infectious and dangerous diseases. While it’s true that no medical intervention is without risk, the evidence shows that immunization powerfully benefits and protects the community.” The hash-tagged, much discussed bill (#SB277) was co-authored and proposed to lawmakers by Dr Richard Pan, a pediatrician and CA state senator in Sacramento. The law, SB 277, establishes […]

We were in to see the pediatrician last month for F’s 3 year check up and back again last week for some booster shots for O. During both visits, the medical assistant asked me when the boys had received their H1N1 shots. She wanted to update the clinic’s record. I told her the 31st of October. She came back into the room puzzled,“The State of WA has them recorded on 10/24/10.” Well, yes, she and the State of Washington were […]

The news from Oklahoma today is heart wrenching and terrifying. Often we feel helpless when we’re far away from a disaster. A donation to The Red Cross is a good use of your time. Today, in addition to providing donations and support for those suffering the loss and tragedy in Oklahoma, do something really productive to counter the sense of unease and alarm we all get. Prepare your own family. Buddy up with a friend and get part of this […]

Injected flu shots or nasal flu spray?  The short answer, like so many things in life: it depends. Data out this week summarizing the effectiveness of influenza vaccination for children over the past few seasons. The study published online was a meta-analysis –meaning it was a study of previously published studies — looking for the aggregate effect. Researchers wanted to evaluate the effectiveness of the flu shot compared to the nasal flu mist in protecting children. This year, the American […]

I’m smoooooshed today. Underwater. Submerged. Trapped under my orange scarf (see image). Just back from two consecutive conferences and readying to speak at another. And, drumroll……the in-laws show up in 2 days. I’m in that state of near-paralysis-parenting where there is so much to do I feel incapable of completing any of it. Every parent, working or not, has been here. Right? Here’s to hoping I’m not alone… I nodded my head about 12 million times over the last week […]

What’s the right age to get your child a cell or a smartphone? I wish I had a concrete, data-driven, definitive answer for you. I think the answer is a balance between what’s right for your family and when you think your child is responsible enough to manage the risk that comes with opening up an entire new world online and the risk that comes with losing something expensive. Research from Pew Research Center out this month (Feb 2018) finds […]

As a parent and pediatrician, any mention of sudden cardiac death leaves me feeling uneasy. The stories of young athletes dying or falling on the field are agonizing. All of us here on earth would like to do something to prevent these deaths. Researchers and cardiologists are working tirelessly to understand predictors for sudden cardiac death in children alongside techniques to improve screening and prevention for young athletes. Dr Nicolas Madsen talked with me about recent work here in Washington […]

There may be a stereotype that women talk more than men; the language environment in which we’re raised, starting at day one, may have influence on this. Whether or not women are chattier than men is due largely in part to the context of the conversation. But a new study published in Pediatrics shows when it comes to parents talking to their babies, the term “Chatty Cathy” probably rings truer than “Chatty Carl.” And this has the potential to change the game with your […]

The death of an Illinois patient with a vaping-related lung disease brings a new urgency to identifying those at risk of developing the dangerous illness before severe symptoms appear.

Tonight, after President Obama speaks, PBS airs a NOVA documentary about vaccine science and safety. Vaccines: Calling The Shots. It’s told through the parent, pediatrician, and community lens. If you’ve ever wondered about vaccines in America, it’s time to tune in. I’ve been in touch with the team producing this documentary. Seriously excited to hear this story unfold tonight. (update Sept 11: watch Calling The Shots online) I think this is a big deal. This is an investigation on the […]

Why To Get A Flu Shot (Cliff Notes): Influenza causes more hospitalizations than any other vaccine-preventable illness. It’s not just kids at risk for complications (asthmatics, diabetics, children with complex heart disease or immune problems) that die from the flu. Nearly 1/2 the children who died in this last year in the US were well, healthy children. PREVENT influenza, get a flu shot for all the members of your family. Although the flu vaccine dose is the same as last year, it’s […]

It’s not too late to protect yourself and your family from influenza. Influenza peaks during February and March in the United States. Now is the time to be vigilant in protecting against and preventing the spread, of flu. Washing your hands, staying home from work/school, and covering your cough can be incredible steps. BUT: The most effective way to prevent influenza is to get vaccinated. If you haven’t had a flu shot, get one this week. Your child can be […]

Here’s The Husband. There is no ghost-writing, I promise. I’ve kept my hands tied behind my back for the past few days. The Husband is a pediatric radiologist. He works at Children’s. He’s passionate about reducing the amount of radiation a child receives when they have any imaging. In the medical world, “imaging” includes x-rays, CT scans (“cat” scans), bone scans, MRI studies, ultrasound, and procedures like “swallow studies” and VCUGs. He’s real smart and has taught me why to […]

The FDA announced today that it is approving Plan B for all girls age 15 and up without a prescription. This is good news for girls in the US of A. The easier the access to contraception, the less likely girls will have an unintended pregnancy. As many as 80% of pregnancies in teen girls in the United States are unintended. Most pregnancies are a result of non-use of contraception or mishaps with protection (condoms breaking, pills being missed and/or […]

Life is a blur this week. But something stopped me in my tracks. A study published in Pediatrics on Monday found that 65% of parents to 3 year-olds said they had spanked their child within the last month. Sixty five percent? The number surprised me. If you’d asked me to guess, I would have said 20-25%. Talk about way off. Another reminder of how much I have to learn. The study evaluated risk factors, including domestic violence and intimate partner […]

Does this photo look familiar? We moved again today. Yup, we moved homes just 10 months ago. Crazy or stupid, you decide. I’m just home from a late night in clinic. The boys are in their new spaces while the boxes tower amidst the palpable tired. But the night still swells with possibility. I can see the stars from the back yard. And the bare walls blended with the smell of cardboard boxes, makes me feel like I just turned […]

It was sunny when I landed in Toronto on Tuesday evening so I felt a bit lifted as I sat down into one of the most pleasant cab rides I can remember. The driver was 69 he said, and his claim to good health was avoiding alcohol, shunning cigarettes, and waking up each and every morning to exercise. “Just 30 minutes a day,” he said, “Changed everything in my life.” I held my tongue as he kept talking. The coincidence […]

Drug abuse is on every parent’s mind. We simply don’t want our children to ever go down the road of drug addiction. To empower parents to spot the warning signs and help prevent teen abuse of over-the-counter (OTC) cough medicine containing dextromethorphan (DXM), the Consumer Healthcare Products Association (CHPA) is sharing the results of qualitative and quantitative research of teens. The quantitative (numbers-based) research began in 2013 and is conducted three times a year. Here’s some insight from that data:

We don’t know what causes all autism but we do know vaccines don’t. Continuing to elevate myth does NO ONE any good. That’s why the Tribeca Film Festival got it right when pulling a documentary written and co-directed by vaccine science villain, Dr. Andrew Wakefield. Giving him another platform and more voice just isn’t insightful. To me it’s more noise and less what we need. There isn’t controversy here and there isn’t anything new to uncover. Allowing Wakefield more air time […]

Last year 180 children died in the United States from influenza infections or complications from the infection. And like many seasons before, about 80% of those children who died didn’t get a flu shot. As many pediatricians and parents remember, the influenza (“flu”) season was robust last year, coming on earlier than we expected, driving many children into serious-enough infections to require hospitalization, and causing tragedy in way too many families. Influenza is predictably unpredictable so layering protections in our […]

In my mind it’s no wonder the American Academy of Pediatrics has a statement against spanking. Spanking, in the simplest form, is the act of hitting a child, using physical force to try to get a different outcome. Thing is, spanking is an ineffective discipline tool in the long-run and research shows it’s damaging to a child’s mental health. Most parents don’t want to spank their children and may spank or strike a child while frustrated, making spanking more than just a […]

Over the counter (OTC) liquid medications for children are packaged with a diverse set of various measuring tools. The dropper that comes with liquid acetaminophen (Tylenol) will look very different than the dropper that comes with liquid Vitamin D or infant multivitamins. Even more discrepant are all the various caps for medications used in older children like liquid Motrin or Benadryl. If your cabinet looks anything like mine, caps and syringes are scattered about and distant from the bottle with […]

As promised, this is my first video post. It’s 11:30pm Sunday night. It took a while to coordinate. This was take number 2. I waited for the sun (going against my previous post about when NOT to work) as that cloudy Friday light was too drab. Especially for sleep deprived parents. This afternoon it was sunny; proof that Seattle-ites really do see the sun. This is a post about sleep. How to help your baby (and you) get more of […]

Things have changed over the past couple of years regarding how to care for baby teeth. Official recommendations for fluoridated toothpaste begin with the very first sighting of the very first tooth. This is news to many. What we do early in our child’s life can have lasting consequences. Some quick reminders for new parents, grandparents and anyone out there lucky enough to be hanging out with an infant. Keep their mouth delicious! 5 Things Every Parent Needs To Know […]

Warning: this is a rant. Recently I was on my way to meet a physician for coffee to talk about my work in social media and health. While driving in front of Children’s Hospital, I saw a car going more slowly than I’d expect, changing the traffic patterns. We stopped at the light, it turned green, and she didn’t move. I looked over and saw her punching away at her phone, composing a text message. I laid on the horn. […]

This is a post authored by J. Forrest Bennett, ARNP who works in the rehabilitation department and on the concussion team led by Dr Samuel Browd (@DrBrowd), medical director of Seattle Children’s Sports Concussion Program. Forrest has had the unique experience to care for children after concussions in the immediate time after injury and in weeks to months thereafter when symptoms are prolonged. His wisdom can help us all understand the opportunity we have to improve children’s recovery after a […]

Quick reminders as we tidy our lives at the beginning of the school year. With little ones and children all heading back to school, we know it’s time to buckle down and get ready for the shift in schedules and in illness that comes with onslaught of viruses that come with preschoolers and elementary-aged kids back in the classroom. Before the fall is upon us, it’s a great time to really learn how to read the drug label and learn […]

It’s July so we’re officially in summertime, thank goodness. My prescription: warm and outdoor adventures for us all! Obviously if we take the Rx seriously, we’ll all be more likely to get bit. When it comes to bug bites, the most important thing to know for your child (and yourself) is how they will react. Some children get bit all over and hardly react while others will have enormous, and tremendously ITCHY welts all over their body. There truly are […]

The flu season is soon to be upon us and I hate to be so prescriptive but when it comes to influenza I feel like I have to be. I immunize my entire family and I think you should, too. Hard to believe, but with our children going back to school and swapping snot around the classroom, it’s time to get fall flu immunizations on your radar. Last year during the 2016-17 season, more than 100 U.S. children died of […]

Two new Pediatrics studies are out this week teaching us more about the effectiveness of the whooping cough vaccine. Lots to learn about how we protect babies and reminders here why we’re immunizing moms during EVERY pregnancy: First, the good news: traditionally we have been trained to tell parents that the first shots we give during infancy aren’t fully protective for infants but rather the beginning of creating immunity against the diseases they prevent. However, a study conducted by researchers at the […]

I’ve got 2 boys under the age of 5. While reading a Pediatrics article just now my stomach flipped. It’s because I read: Children younger than 5 years, especially boys, are at greatest risk from drowning in swimming pools. The words startled me as pediatrician but as Mama, too. Three thousand children under the age of 5 were treated in the ER each year between 2006-2008 for injuries associated with submersions. Private pools were the riskiest pools of all. Over […]

Our nanny called in sick yesterday. I felt like a She-Woman (think gender equal of He-man circa 1988) after making it through the day. Maybe it’s more, She-Ra. Between the hours of 7:50am when I got the call and 5:50pm when I sat down to dinner with my little boys I :

I’ve been caught in a recurring cloud this week even though the sky has been essentially spotless. It’s been one of those weeks where I find myself spinning around to grab the cup of milk or the steering wheel, muttering, “What am I doing?” I am back perseverating on how to do this right. Life, I mean. The issue of balance between work and parenting while trying to contribute to the world and use my skills (read: loaded issue) bubbles […]

I think about the essay Welcome to Holland by Emily Perl Kin