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131119EPA GunControl-1The right to bear arms is part of the Constitution of our nation. The number of privately owned guns in the United States is estimated at 300 million, and continues to rise each year at a rate of about 10 million. In Lane County, three out of four homes possess at least one gun.

Most guns are not used to shoot people but, nonetheless, gunshot injuries rank second only to motor vehicle accidents as a cause of death for American teens. Between 2001 and 2010, nearly 30,000 children ages 0 to 19 years died; another 155,000 needed emergency medical care for gunshot injury. Some of these tragedies are intentional violence, while others are accidental gunshot wounds.

Those are the latest statistics published by local authorities, the National Rifle Association and the American Academy of Pediatrics (AAP). I mention them because I find guns to be a challenging topic to discuss during wellness exams. Emotions on this subject are often polarized and veer too quickly to party politics, when the real conversation in my mind is how to keep kids safe while letting adults do what they wish.

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131022EPAautismgameboysIn the July issue of the Journal of Pediatrics, a study of boys with autism spectrum disorder (ASD) compared use of technology, or video games, with use by ADHD boys and the general pediatric male population. Participants ranged in age from 8 to 18.

The results showed that boys with autism and ADHD spend significantly more time on technology devices, including addictive video games. In particular, inattention was strongly associated with problematic video game use for both groups. The conclusion of this study is that more research needs to be done, over a longer period of time, to understand the impact this use of technology has on these kids.

Watching lots of kids with their technology in my office, I have observed children with autism often find technology soothing, and many parents of these kids use it to teach their children novel ways to communicate and adapt to the real world around them.

Kids with ADHD also are drawn to technology, although it appears to me to be for a different reason — the rapid-fire graphics and action fit their brain's frenetic pattern of activity. For parents of these kids, technology can be the rare activity that keeps them still and holds their attention for any length of time.

I will look forward to future research on ways in which technology can help, or hinder, kids with all types of abilities.

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It’s cold and cough season, but be careful when you reach for over-the-counter medications to treat your young child’s symptoms. Most orally administered cold and cough medications are not especially helpful in relieving symptoms. Worse yet, some of them can inadvertently cause very serious reactions in young children.

In January 2008, the FDA recommended against using cold and cough medication in children under 2 years due to “serious and potentially life-threatening side effects.” These effects included neurologic or behavioral changes (including extreme lethargy, unsteady gait, irritability, hyperactivity), allergic reactions, or even death.

Despite these dangers, a recent study in the Journal of the American Academy of Pediatrics noted that nearly 10,000 children were treated in emergency departments for side effects from ingesting cold and cough remedies in the 14 months following the 2008 warning. Many of these emergency room visits related to incidents where young children accidentally got into medications and took them when caregivers weren’t watching. Others were excess doses of medications given by the adult to the young child due to confusion about dosing instructions or other adult error.

So, to keep your children safe, Dr. Bradshaw recommends that you:

  • Go through all your cabinets, drawers, baby bags, purses and other hiding places and take out all over-the-counter medications. Throw away outdated bottles. Put them away again all in ONE spot that is up and out of reach of young children.
  • Do NOT carry medications in your purse or baby bag. Children love to tear apart the contents of your bags, and may find medications stored there.
  • Review with your young children that all medications are not to be touched. Please don’t let your babies play with bottles of medicine (I see this often in my exam room, as a parent lets their babies entertain themselves by chewing on the top of a dropper-bottle of medication from the baby bag!).
  • Use non-medication techniques to ease your child’s cough and cold symptoms (see the purple box for suggestions).
  • Do NOT give over the counter cold and cough medications to your child under age 2 years!
  • If you give over the counter cold or cough remedies to your child over age 2 years, read the label very carefully. Medications are usually dosed on weight, so know your child’s weight before you pick the dose. Don’t mistake “tsp” (teaspoon) for “tbsp” (tablespoon). When in doubt, check the purple box or call Eugene Pediatrics to talk to us.
  • If you believe your child has accidentally ingested a medication, always call Oregon Poison Control at (800)222-1222.

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When Dr. B was a little girl, her Grandpa was a big believer in Vicks Vaporub. He believed that a thick layer of Vicks slathered on the chest at bedtime would ease coughs and cold symptoms. In fact, five generations of Dr B’s family have sworn by Vicks, and she thinks you should be a believer, too. If you don’t know about Vicks Vaporub, it is an over-the-counter salve invented in the 1890’s which contains camphor, eucalyptus and menthol, as well as a variety of inactive ingredients like nutmeg oil and cedarleaf oil.

Now there is scientific evidence that Vicks works! The Journal of the American Academy of Pediatrics just published a study that showed that topical use of Vicks significantly improves cough, congestion and sleep difficulties associated with minor respiratory illnesses in children. Vicks was rubbed on the chest at bedtime, then covered with a t-shirt or pajamas. Children and parent ratings showed that Vicks helped decrease bothersome illness symptoms at night.

The study used children age 2 years and older, although Vicks does have a baby rub that can be used down to age 3 months. Vicks is not recommended under age 3 months due to concern that the dose of camphor can exceed safe levels when used on newborns.

Remember, over-the-counter oral cold and cough remedies are not recommended in children under age 2 years, and their efficacy is limited in older children. So, the next time your child has a cold or cough, consider rubbing Vicks on her chest before bedtime.