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Claire McCarthy

Preteens and cell phones: my change of heart

by Claire McCarthy on February 7, 2012

One evening last May, I came home to the note below.

Natasha's treatise, page 1

My daughter Natasha, 10 years old and in 4thgrade at the time, wanted a cell phone bad. She’d been asking and asking and essentially being ignored, so she decided to put her argument in writing (with, I found out later, the support of my husband). She went through all the reasons she should have one (you can’t tell from the picture, but it was on really big paper), figuring it would be irrefutable.

It didn’t work. We said no, you have to wait until middle school like your older siblings did. She really didn’t need one—she never strayed far from home, we didn’t need it for school pick-up planning (she always knows if she should walk home), and we were pretty good at estimating when we should pick her up from swim practice (there are phones at the YMCA to call us if there is a problem). More importantly, we were concerned about the downsides of cell phones. We didn’t want her distracted (it was the image of Tash texting as she walked in the street that changed my husband’s mind), we didn’t want to deal with the possibilities of things like sexting or bullying via cell phone, and the World Health Organization had just come out with a statement saying that cell phone usage could possibly increase the risk of cancer (they put it in the same group as coffee, but whatever, risk is risk).

Natasha's treatise, page 2

And, it turned out, the real reason she wanted one was that her friends had them. It wasn’t about needing one, it was about wanting to be cool. She kept up the campaign for a long time. Finally, after several months, she gave up (I have to say, although it was a relief not to be fighting with her, part of me that felt sad that we’d squelched her feistiness.)

Then something happened: I started wishing Tash had a cell phone.

Mostly, it was the darn swim practice thing. Who knows, maybe it was on purpose, but she got more social with the girls on the team and sometimes (unpredictably, of course) took literally forever showering and getting dressed. Because we don’t want her waiting outside on the street long, especially in winter, we err on the side of getting there early (leaving dinner on the stove or work undone)—and sometimes wait for a frustratingly long time.

But it was more than that. Tash started venturing out into the world more—going on bike rides alone, walking further to friends’ houses, going with friends to the park. Although we have all sorts of rules about routes and contacting us, I couldn’t help wishing there was a way for us to reach her—or her us—immediately if necessary.

I’m not alone in wanting my preteen kid to have a phone. According to a 2010 Mediamark Research Intelligence study, from 2005-2009 the percentage of 10-11-year-olds with a cell phone went from 20% to 36%, an 80% increase. Given the exponential nature of this rise, we are probably at around 50% now.

Cell phones are simply becoming part of life for our youth. In a 2009 Pew Internet survey, none of the 17-year-olds surveyed had cell phones when they were 11—but 16% of 14-year-olds and 20% of 13-year-olds did. I get that evolution. When my oldest two got their phones 7 years ago at 13 and 12, I had no idea how it was going to affect our lives. Now I have a better idea. Yes, there are dangers and downsides. We’ve learned to manage most of those with safety and usage rules (no texting while walking on the street and phone off at bedtime, for example.) We talk about bullying and other ways phone usage can go bad.

But we’ve also found that there are real upsides. The convenience and safety stuff is huge, but the ability to connect is really wonderful too. The other day my son called mid-afternoon to say he’d just walked within 5 feet of Secretary of Defense Robert Gates on his college campus (way cooler than any movie star as far as Zack is concerned). We send pictures or videos of what we are doing back and forth. We wish each other good luck. We are always within reach of each other—and as a parent, I love that.

So as Natasha’s 11th birthday approached, I talked to my husband. Turns out he’d been thinking the same thing. Here’s the video (the hugs caused some technical difficulties):

For more information about kids and cell phones, visit the website of the Center on Media and Child Health

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Confession: this pediatrician is a sleep softie

by Claire McCarthy on January 31, 2012

Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Take a look at her blog archive and follow her on Twitter @drClaire.

This may not be a great confession to make as a pediatrician, but when it comes to sleep and kids, I am a total softie.

Our kids slept in our bed. We slept in theirs (which was very cramped in the toddler bed, and didn’t do great things to the frame)—or lay next to them as they drifted off to sleep. We sat on the floor, telling stories and singing lullabies and slowly edging out of the bedroom as their breathing got deep and regular. We went in again and again to retrieve the stuffed animal from under the bed or to investigate the scary noise or possible spider. When they woke in the middle of the night, we held them until they went back to sleep—sometimes night after night. Full story »

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Shrinking in the shower: the wisdom of childhood magic

by Claire McCarthy on January 25, 2012

Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Take a look at her blog archive and follow her on Twitter @drClaire.

Claire McCarthy MD

The other evening, as I was trying to get him into the shower, my 6-year-old son Liam explained to me the meaning of the phrase “hits the spot.”

“There is a spot,” he said, pointing to his chest. “It’s small when you are little,” he explained, putting his thumb and index finger close together, “but it gets bigger when you grow up. When you eat something, it passes by that spot and you feel good.” He wriggled out of his pants. “Sometimes it makes you feel dizzy—but in a good way, like how I feel when I drink hot cocoa.” He demonstrated by spinning around, narrowly avoiding the bathroom scale and towel rack. “It makes you just want to lie down.”

“So that’s what ‘hits the spot’ means,” he said, as he got his socks off and climbed into the shower. Full story »

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Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Take a look at her blog archive and follow her on Twitter @drClaire.

Recently I watched a clip of Andrew Wakefield being interviewed on Good Morning America, and it gave me the chills.

Andrew Wakefield, if you haven’t heard of him, is the guy who pretty much singlehandedly scared thousands of parents away from the MMR vaccine with a study he published in the Lancet linking the vaccine with autism. The study has since been retracted, something journals almost never do, after it was discovered that data in it was falsified. Not only that, Wakefield lost his medical license.

But is he backing down? No way. On the contrary: he is suing the British Medical Journal (from Texas) for defamation. And he is still defending his findings.  Full story »

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Desperate measures

by Claire McCarthy on January 10, 2012

Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Take a look at her blog archive and follow her on Twitter @drClaire.

Have you seen the anti-childhood obesity ads from Georgia?

With 40% of the kids in Georgia overweight or obese (only Mississippi is worse), health advocates decided that it was time for “a wake-up call.”  So the Strong4Life campaign and Children’s Healthcare of Atlanta have released print and TV ads with obese kids and slogans like “It’s hard to be a little girl when you’re not.”

Ouch. I mean, really. Imagine being on a playground and having some kid point at you and say, “You look like the fat girl on TV!”  What were they thinking?

Actually, I get what they were thinking. It’s a desperate-times-call-for-desperate-measures thing. Full story »

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Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Take a look at her blog archive and follow her on Twitter @drClaire.

A study came out recently in Pediatrics, the journal of the American Academy of Pediatrics, saying that by age 23, 1 in 3 youth in the United States has been arrested for a non-traffic offense.

Yes, you read that right. 1 in 3.

Because getting arrested is not good for a person’s health (the study pointed out that it increases the risk of “an unhealthy lifestyle”) and because pediatricians have regular and continuous contact with kids as they grow up, the authors called out to pediatricians to be aware of the risk factors for being arrested, and do something to help.

“Timely intervention by pediatricians in the lives of these youth,” says the last sentence, “may be an opportunity to move young people onto a path toward safer, healthy, productive, and successful lives.”

That sounds totally reasonable. But it’s not really true. Full story »

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Trap door days

by Claire McCarthy on December 27, 2011

Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Take a look at her blog archive and follow her on Twitter @drClaire.

Claire McCarthy MD

Christmas Eve is hard for me.

It was in the early hours of Christmas Eve sixteen years ago that my newborn son was diagnosed with a horrible brain malformation. My husband and I were wrapping presents late on the 23rd (so now I associate wrapping presents with this diagnosis and throw everything I can into gift bags) when he began to have seizures so bad that we called an ambulance. Over the night the news went from bad to worse, and by dawn we knew that he would be severely disabled and die young. He died less than a year later. Full story »

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The medical home: what health care needs now

by Claire McCarthy on December 20, 2011

Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Take a look at her blog archive and follow her on Twitter @drClaire.

Claire McCarthy MD

You may have heard the term “medical home”—it’s been bandied about recently as something we all should have. No, it’s not a nursing home. Nor is it a house well-stocked with Band Aids and Tylenol, or one where doctors live.

The American Academy of Pediatrics defines medical home as “a model of care that is accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective.”

Well, that sounds exceedingly lovely. Of course we’d all want that. But still, what does it really mean? Full story »

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