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Claire McCarthy

Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Along with her blogs here on Thriving, you can find her at the Huffington Post and Boston.com. Follow her on Twitter @drClaire.

Claire McCarthy,MD

Recently, the 10-year-old daughter of my friend Dana came home from school and told her that a boy had been teasing her and had recently pushed her off the monkey bars. “I think he likes me,” the girl said.

Dana didn’t know quite how to react. 4th grade boys haven’t quite got charming down yet, and she didn’t want to over-PC the situation. But she didn’t want to condone the pushing, either.

She saw the boy’s mother shortly after that, and mentioned in as offhand a way as possible what was going on at school. “Oh, I know,” said the mother. “Isn’t it cute? His first crush.” Full story »

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Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Along with her blogs here on Thriving, you can find her at the Huffington Post and Boston.com. Follow her on Twitter @drClaire.

Sometimes, parenting can be like walking on a balance beam. You lean too far either way and, well, bad things can happen.

This is especially true when it comes to teaching your kids healthy eating and exercise habits. You don’t want your child to be obese—and yet, you don’t want to say things that might push them toward an eating disorder. Since both obesity and eating disorders are on the rise, this is a real issue for parents today.

It can be particularly tough when kids are adolescents. Their bodies are changing, peer pressure and hormones rule their lives, they are exploring their independence and their identities. An offhand comment can have unexpected consequences.

Sarah Forma, MD

I was talking about this the other day with a friend of mine from medical school, Dr. Sara Forman. She’s the director of the Eating Disorders Program at Children’s Hospital Boston, a primary care doctor and the mom of two teens. This is territory she knows well.

“You want to encourage healthy behaviors, but you don’t want to be too controlling,” she said. “Kids need some degree of guidance, but you need to know when to back off.” Full story »

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Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Along with her blogs here on Thriving, you can find her at the Huffington Post and Boston.com. Follow her on Twitter @drClaire.

My friend Nancy went for physical therapy for her back pain the other day, and was really surprised by what she saw there: the place was full of kids.

“Yeah, it’s like this now,” said the therapist when Nancy asked about it. “It’s the sports.”

It’s not that kids are getting clumsier or having more accidents. The injuries that are sending kids to physical therapy are overuse injuries. Kids these days are specializing in a sport as early as elementary school, and spending many more hours a week in practice than we ever did as kids—and we’re seeing the consequences. Full story »

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Children’s in the news

by Childrens Hospital Boston staff on March 26, 2011

USA Today reports that according to a new study, many heavy-set moms and children think they are slimmer than they actually are – a trend that pediatricians and other doctors have been noticing. Children’s Claire McCarthy, MD, adds that that roughly half of her patients are overweight or obese.

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American Medical News reports on a recent study that concluded many hospitals are not recognizing the full benefits of social networking through Facebook; though they may have a presence, they let their page sit idle. The report also stated that children’s hospitals are more likely than others to maintain an effective Facebook presence. Children’s Ryan Paul, social media specialist, provides comment on the Children’s Facebook page.

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MedPage Today reports on recent findings from Children’s Dale Umetsu, MD, PhD, Lynda Schneider, MD, and colleagues that show children who are allergic to milk may develop a tolerance by taking certain medication coupled with a gradual increase in their exposure to milk.

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New England Sports Network (NESN) reports that they have teamed up with the Boston Bruins Foundation and Hess to donate $50,000 to the Children’s Hospital Brain Injury Program. Children’s David Mooney, MD, MPH, discussed the program at last night’s Bruins game.

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USA Today reports on new research from Children’s Leonard Zon, MD, in which zebrafish serve as animal models of melanoma, developing a form of the disease genetically similar to human skin cancer tumors. The studies of zebrafish suggest that excessive activity of two genes, rather than mutation to them, are the keys to melanoma. The Boston Globe also reported on the findings.

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Sadness, like joy, is part of life

by Claire McCarthy on March 22, 2011

Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Along with her blogs here on Thriving, you can find her at the Huffington Post and Boston.com. Follow her on Twitter @drClaire.

Claire McCarthy, MD

All over the world, parents are struggling with what to say about what is happening in Japan.

It seems like every day there’s another heartbreaking story. Or a scary one. Or both. It’s hard in general to talk to kids about bad events (for some great advice from psychologist Dr. Nadja Reilly, see Tripp Underwood’s post on Thrive from the day after the disaster), but this one just keeps evolving. It’s clear that the ramifications are forever.The lives that weren’t lost will never be the same. Full story »

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Claire McCarthy, MD

Here’s a frightening statistic: according to the National Highway Traffic Safety Administration, 3 out of 4 parents do not properly use child restraints.

Some of the mistakes happen because parents don’t understand how to use the car seat properly. I’ve struggled myself trying to figure out the instructions on a seat! Some of the mistakes happen because people don’t know which seat to use, and how, and until when.  And some of the mistakes happen because we get lazy—the harness is good enough, we think, even though it is a little loose. Or, darn, we left the booster seat in the other car, Junior is getting tall anyway, let’s just use the seatbelt.

Motor vehicle crashes are the leading cause of death for children 4 years and older. Car safety seats prevent injuries—and save lives. But they aren’t going to do this if they aren’t used, and used properly.

Today, the American Academy of Pediatrics is issuing a policy statement on child passenger safety, in the hope of making it clear what parents and caregivers need to do to keep children safe in cars.

There are five recommendations:

They may hate it, but kids under 2 need to ride facing the rear of a car

1. Infants and toddlers should ride in a rear-facing seat until they are 2 years old—or until they reach the maximum height or weight for their rear-facing seat. Because of their body mechanics, they are safer this way.  I know little kids like facing forward, but they have their whole lives ahead of them to ride that way; keep them turned around for now. Full story »

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Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Along with her blogs here on Thriving, you can find her at the Huffington Post and Boston.com. Follow her on Twitter @drClaire.

Claire McCarthy,MD

If you haven’t seen the movie “WALL-E”, you should.

Not just because the robot hero (named WALL-E) is wonderful, but also because the movie is a great cautionary tale.

The movie takes place in the future. Mankind has polluted earth so badly that it is uninhabitable. Everyone took off in a spaceship that now roams space, leaving only robots (like WALL-E) behind. The people spend their days sitting in moving seats, watching huge TV’s, and eating super-sized portions of junk food. They are all incredibly fat, and between their size and the fact that they sit in the moving seats all day, they can barely walk (I know this sounds awful, but it’s actually a happy movie.) Full story »

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The lessons I’ll take with me

by Claire McCarthy on March 1, 2011

Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Along with her blogs here on Thriving, you can find her at the Huffington Post and Boston.com. Follow her on Twitter @drClaire.

I said my last goodbyes to Martha Eliot Health Center yesterday.

Today, I start my new job. I will be Children’s Hospital Boston’s first medical communications editor. I will be able to combine my two passions, writing and medicine; it is a dream come true. But to make this new job work, I am moving my pediatric practice from the health center to Children’s Hospital Primary Care Center.

This is a huge deal for me. I have been at Martha Eliot for 20 years. I decided I wanted to go there as an intern, fresh out of medical school. I was helping to care for a young girl who had just been diagnosed with diabetes. Dr. Cathy Samples, the girl’s doctor, came from Martha Eliot and sat with the girl and her family, explaining diabetes and what it would mean to them. I watched Dr. Samples be the in-between person, the one who translated what the specialists and other hospital people said, not just from English to Spanish, but from the technical to the understandable, from the medical to the real. She said to the family: I am here to help you. We are in this together. I watched her and I knew: this is what I want to do.

And it is what I did, from the moment I left residency. I went there a brand-new pediatrician, and the patients and staff at Martha Eliot raised me. Now, 20 years and so much life later, I am grown up; it is time for me to go.

I’ve been doing a lot of thinking about the past 20 years and everything I’ve learned. There have been countless lessons, but there have been two lessons that have been most important.

I have had the incredible honor of being allowed in, of watching children grow up, of being part of the joys and tragedies and losses and triumphs of so many families.”

First, working at Martha Eliot has taught me that health exists within the bigger picture of a life. This sounds obvious, but you’d be surprised (or maybe you wouldn’t) at how easy it is for doctors and other health professionals to forget. Working in community health, and in a place like Martha Eliot, you can never forget. Many of our patients have limited resources, or don’t speak English, or have limited supports. If I don’t remember this, my treatment plans may be useless. I can’t just tell a family that their children need more exercise when they can’t afford sports teams and they live in a place where it’s not safe to play outside. I can’t just hand someone a prescription if they can’t afford it or can’t read the directions. To be effective, I need to understand where and how a person lives; I need to know their realities, their ghosts, their obstacles and their possibilities.

This is true no matter what kind of medicine you do. But at MEHC it is so very clear. It’s clear not only because of the struggles our patients face, but because we care for families—for generations of families. I have what I call “grandpatients,” patients who are the children of my patients. I have had the incredible honor of being allowed in, of watching children grow up, of being part of the joys and tragedies and losses and triumphs of so many families. I have seen firsthand the richness of life—and am richer for it myself.

The second lesson that Martha Eliot has taught me is that nothing matters more than each other. At Martha Eliot, people come together in a heartbeat, whether it is to care for a sick baby, a pregnant mother, a suicidal teenager—or a grieving staff member. Everything is left behind to attend to the person in need; everyone gives of themselves completely to do the right thing. We go to the wakes and the funerals and the baptisms and the weddings; the fullness of life is recognized and celebrated every day.

Mother Theresa once said, “If we have no peace, it is because we have forgotten that we belong to each other.” Thanks to everyone at Martha Eliot, I understand that belonging.

Goodbye, my friends at Martha Eliot. All of you, staff and patients, have been incredible teachers, and I will never forget what you have taught me. I am a better person because of you; I will always belong to you, and you to me.

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