Back to school: college drinking concerns

by Tripp Underwood on September 1, 2010

tapsIt was recently reported that the University of New Hampshire is considering offering an amnesty program for underage students caught drinking on campus, in an effort to reduce alcohol related injury on school grounds. Those who support the program say students are drinking anyway, if the fear of suspension is removed they may be less inclined to be left alone when drunk, thereby reducing the risk of injury.

Researchers at Children’s Hospital Boston disagree. A recently released study by the Children’s Center for Adolescent Substance Abuse Research (CeASAR) shows colleges with strictly enforced alcohol policies have fewer cases of underage drinking and dangerous binge drinking.

Many young people are currently gearing up for an upcoming year at college. While at school it’s almost inevitable they’ll find themselves in a situation where alcohol is readily available. Even though peer pressure is a driving force among many young people who use alcohol, it’s not an all encompassing force. The following is a piece written by Emily Fenn, a college student working hard to help educate her fellow students about the dangers of binge drinking, using information she learned from Children’s Hospital’s research.

When I first arrived at college, I was excited by all the possibilities that lay ahead. But I had only been at college for a few months when one of my classmates died from alcohol poisoning; a tragic and preventable death that served as a reminder about how quickly those possibilities can be taken away.

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Claire McCarthy, MD, is a primary care physician and the medical director of Children’s Hospital Boston’s Martha Eliot Health Center. Take a look at her blog archive.

Claire McCarthyMy friend Nancy says that the whole point of the senior year of high school is to make parents so fed up with their kids that they can’t wait to send them to college.

That’s certainly how it was with my second child, Zack. By the time he left, I was so frustrated and annoyed that I was counting down the minutes. Don’t get me wrong; Zack is a good kid. But increasingly he didn’t do things I asked him to do. He left garbage and destruction everywhere he went. His room, which he refused to clean (“I like it this way”), smelled like a combination of dirty socks, moldy towels, Polo Black aftershave, and another smell that’s hard to describe but reminded me of the time a bunch of mice died inside our living room walls. He’d insist on organizing himself, but was constantly losing and forgetting things—and coming to me as I was climbing into bed to ask for checks and signatures due the next day (or the day before). Not only did he fight me on curfews, he didn’t like having to tell me where he was going when he went out. “Mom, I’m going to college soon,” he’d say as we argued about it.

Which was true. He was about to be leaving and making choices for himself. The fact that he hadn’t left yet, and was still sharing living space with a family that had house rules, didn’t register with him. He was impatient to break ties and break free.

It’s easy to think of sending kids to college as the end of the parenting process, since they are leaving home—but really, it’s just part of it. Ties are always being broken.

The McCarthy clan (l to R) Liam, Micaela, Natasha, Zach and Elsa at Zack's high school graduation

Dr. McCarthy's children (l to R) Liam, Micaela, Natasha, Zack and Elsa at Zack's high school graduation

It’s not so different, really, from when toddlers learn to walk. They get their footing, and off they go away from us, making their escape. But they come back; they don’t really want to be gone, they just want to explore and see what they can do. It’s an out-and-back thing that gets repeated again and again. The first day of kindergarten, the first dance of middle school, the first time they step out of the car to go to high school—or step into it, with your keys in their hand. Ties need to break so that children can grow; we can’t be connected to a preschooler the same way we are connected to an infant. But the ties get rebuilt. Your relationship with your fifth-grader is way more complex and interesting than your relationship with your toddler. That’s the richness of it: as we break threads in the fabric that connects us, we make space for new, more colorful threads to be woven.

Finally it was the day to drive to the College of William and Mary. Zack trashed the back seat of the minivan on the way, covering it with food wrappers and other bits of garbage, and the car began to take on the distinctive smell of his room. We begged him to be considerate of his roommate (we were feeling desperately sorry for poor J.W.). “I might just change,” he said with a smile. “It could happen.” Practically as soon as we got him there, he was ready for us to leave. He was all set, he told us. He was polite, and thanked us for driving him down, but he was clear that could take care of everything else himself and we weren’t needed.

It was more or less the same when we took our eldest to college the year before. The drive to Northeastern was only 20 minutes instead of the 12-hour trek to Virginia, so there wasn’t time for Michaela to trash the car. But once her friends from orientation showed up she wanted us gone. She was all about independence…but she would send text messages and emails, and call, and took the T out to be at family occasions. She even friended me on Facebook, something she had steadfastly refused to do during high school. Threads were broken, but the new ones each of us are weaving in are quite beautiful. Michaela is still my daughter, with everything that means. But not only is she becoming a capable and responsible adult, she is becoming my friend.

We didn’t hear much from Zack for the first week or so, and when we did talk to him he was full of confidence, he had things covered, it was all great. But the other day while I was seeing patients I got a text message from him. He wanted to drop an extra course he’d added, needed to decide by that day, what did I think? I smiled, called him in between patients, told him I thought he was making a good decision. “I just wasn’t sure,” he said, sounding more like my little boy than the super-independent man he’d been recently. Out and back. Some threads of the fabric stay.

He hasn’t friended me on Facebook, but I’m hopeful. When we Skyped with him recently, we could see in the background that his room was actually clean. That’s a new thread I really like.

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Comic relief

by Tripp Underwood on August 30, 2010

med book

Medical terminology can be confusing for many patients, especially children.

Have you ever suffered a medical nightmare like this?

“Patient displays an acute communicable disease with an incubation period of 2 or 3 weeks and caused by herpesvirus, usually found in children. Manifestations include coryza, fever, malaise, and headache, followed in 2 or 3 days by the eruption of macular vesicles.”

Chances are you have. The above paragraph is just a complicated description of a common childhood virus: chicken pox. In most cases doctors are happy to act as medical translators for their patients— explaining complicated medical terminology in every day language— but when it comes to written material, many medical publications rely heavily on industry jargon. It can be intimidating and confusing to patients, especially kids.

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This week on Thrive: August 23- 27

by administrator on August 29, 2010

This week on Thrive:

Empowering story form Healthy Family Fun Being a teenager can be rough. Simultaneously dealing with school, peer pressure and puberty can leave many young people feeling like forces outside their control are running their lives. But Jorge Medina-Barreto, a peer leader in the Adolescent Services Program at Martha Eliot Health Center, has taken a new path towards self-empowerment: improving his health through cooking and exercise.

Injunction halts federally funded stem cell research A federal district judge made a surprising ruling yesterday, blocking federal funding for stem cell research, overturning policies established by the Obama administration in 2009.

Andres Trevino was devastated when he heard about the injunction. Trevino, a Mexico City native, first came to America in 1999 to seek treatment for his son, Andy, who was sick with a rare and often fatal genetic mutation called NEMO. Thanks to Children’s doctors and medical knowledge and procedures attributed to stem cell research, Andy’s life was saved. See his story and reaction to the injunction in this Thrive video.

Getting the whole story: time for an end to nutrient based diet guide The US dietary guidelines are based on the nutrients that make up foods, but how many of us base our meals around what’s in food as opposed to the foods themselves? Are you concerned about eating enough fruit or about getting enough Vitamins A, B6 or C? Our obesity expert calls for a change in dietary guidelines, one that looks at whole foods instead of just nutrients, to make things less confusing for the average consumer.

Are nature shows with graphic animal death scenes ok for my child? Dr. Rich answers a reader’s question about whether or not the graphic hunting and killing scenes in a popular nature show are appropriate for young viewers.

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Ho-Ho-Hold on! Though often associated with fun times, hot chocolate and one jolly toy provider, sleds are actually quite dangerous. Sledding causes about 20,000 injuries each winter, especially among boys 10-14 who account for over half of all accidents.

Acne meds tied to inflammatory bowel disease A British study indicates that teens who took a commonly used skin medication appear to be at a higher risk for contracting inflammatory bowel disease. According to the study, out of a control group of just over 200 participants taking a tetracycline-based dermatological pill, 152 were diagnosed with IBD.

Can fishy baby food make life long fish fans? University researchers have created a new brand of baby food made from wild salmon. Creators hope that by introducing young, still developing taste buds to the healthy fish, babies who grow up eating it will develop a life long taste for the omega-3 rich fish.

Study: Abusive couples are more likely to spank children
A recent study showed that of those interviewed, 70% reported some type of abuse among the parents such as slaps, kicks or keeping a partner from seeing his or her family. Almost two thirds of the children in these families were found to be spanked by the parents. The study was done to show a correlation between corporal punishment and adult aggressive behavior.

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Michael Rich, MD, MPH, is Children’s Hospital Boston’s media expert and director of Children’s Center on Media and Child Health. Take a look at his blog archive or follow him on Twitter @CMCH_Boston.

Michael Rich, MD, MPH

Michael Rich, MD, MPH

Last week Rich commented on how to use kids’ want for toy weapons as a chance to discuss violence and make suggestions for more peaceful play.  This week he answers a reader’s question about the effect graphic death scenes in nature programming can have on very young children.

Q: What are your thoughts on animal programs that show graphic killing that is in the wild, like Big Cat Diaries? My 4 year old loves animal shows and is interested in seeing this one, yet I am not sure this is appropriate content for his age. Please advise.
-Nightmares in Nature, in Miami, FL

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When you shop, are you looking for food or nutrients?

Do you shop for food or nutrients?

When moms talk about the trials and tribulations of feeding their children, the conversations typically center on what types of foods their kids like and dislike. How to get young Jim to eat green beans. Whether it’s healthy for Gracie to avoid meat entirely. You rarely hear parents discussing whether their kids are getting the right percentages of specific nutrients and additives, the correct amount of starch or sodium.

But while a nutrient-centric view of food isn’t in tune with how most people think about their food intake, it’s exactly how the U.S. government’s Dietary Guidelines for Americans approaches the subject. [click to continue…]

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Injunction halts federally funded stem cell research

by Tripp Underwood on August 24, 2010

A federal district judge made a surprising ruling yesterday, blocking federal funding for stem cell research, overturning policies established by the Obama administration in 2009.

Under President Bush, federal dollars could be used to fund research on a few existing stem cell lines, but couldn’t be used to develop or study new lines. The Obama administration opened government funding for research on new lines, until Chief Judge Royce Lamberth’s controversial ruling yesterday.

Andres Trevino was devastated when he heard about Lamberth’s injunction. Trevino, a Mexico City native, first came to America in 1999 to seek treatment for his son, Andy, who was sick with a rare and often fatal genetic mutation called NEMO. Thanks to Children’s doctors and medical knowledge and procedures attributed to stem cell research, Andy’s life was saved. (See a video, below, of Andres talking about yesterday’s injunction.)

Trevino and his wife were so grateful that they donated embryos with NEMO mutation to Children’s to create stem cell lines that could be used to study the disease. But under Lamberth’s injunction, even with the Trevinos’ blessing, federal dollars cannot be used in any capacity to further research using their donated stem cell line. According to Lamberth, current policies on federal funding for stem cell research violate a 1996 law preventing federal money from being used to finance research in which an embryo is destroyed.

The ruling is under review by many in the legal and scientific communities—if and how long it will stand remains uncertain—but for the time being stem cell research has been set back even beyond the limitations created by the Bush administration.

“This ruling means an immediate disruption of dozens of labs doing this work since the Obama administration made its order,” George Daley, MD, PhD, director of Children’s Hospital Boston’s Stem Cell Transplantation Program said to the New York Times. “Our lab will have to return to the old mode of keeping human embryonic stem cell research separate from everything else, which means slower progress.”

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