4 sun-safety saboteurs and how to prevent them

Written by Debra Beaulieu-Volk

As parents, we sure know a lot more about sun safety than we did as kids or young adults ourselves. SPF 2 dark tanning oil, anyone?

But even though we now understand the importance of protecting our children from excessive sun exposure and have resources such as this blog and healthychildren.org at our fingertips, following this advice is sometimes easier said than done.

Here are a few sun-protection snafus I’ve experienced personally, and how your family can help prevent them:

1. Over-reliance on sunscreen. Parents don’t always think about it this way, but pediatricians will tell you that sunscreen is actually a third-line defense. Among the most effective ways to protect children from sun exposure is with clothing. While you can purchase swim shirts and other protective garments labeled with an Ultraviolet Protection Factor (UPF), any tightly woven materials generally block out more rays than lighter fabrics. In addition, remember to be most sun-cautious during peak hours of 10 a.m. and 4 p.m. If participating in outdoor activities between these hours, try to find a shady spot to work in some “sun breaks” throughout the day.

2. Overlooked exposure. Easily missed or forgotten spots to cover include tops of feet; scalps (especially hair parts); and areas covered by dry swimsuits, but notsomuch once material gets waterlogged and/or full of sand. Just being aware of these vulnerabilities is half the battle, but I find the best way to handle the shifting-swimsuit scenario is to apply one good layer of sunscreen onto kids before they get dressed, going in a couple inches more than it looks to be necessary. Eyeballs themselves are also vulnerable to sun damage, so wide-brimmed hats and sunglasses are not just fashionable, but essential.

3. Being in a rush. It may feel as though slathering squirmy children in sunscreen takes forever, but it’s really just a few moments that can contribute to kids’ lifelong health. To make sure your efforts are not in vain, use a sunscreen that says "broad-spectrum," with a sun protection factor (SPF) of at least 15 (up to 50). Sunscreen sticks can make facial application faster, but remember to blend and be more thorough than you’d think. Sunscreen should be applied 15 to 30 minutes before going outside—and reapplied every 80 minutes or sooner after swimming. Please don’t make the mistake of skipping your own sun-protection ritual to save time! It’s not just an ill-advised sacrifice, but also a poor example.

4. Not making kids accountable. Although you shouldn’t rely on young children to pack protective items or apply sunscreen themselves (despite the hilarious photo-op potential!), it’s never too early to instill sun safety into their consciousness. Just talking about all of these topics with your children and as a family can help encourage good habits. Once understanding a rule, what kid doesn’t love to correct his or her parents when it’s not followed? In this situation, hearing, “Mommy, you missed a spot!” may be a valuable reminder.

In the event your child does get sunburned, we have a tool on our website explaining when to call the office, along with how to care for minor sunburn symptoms at home.

What not to do if your child is bitten by a tick: A step-by-step guide

Written by Debra Beaulieu-Volk

Before we begin, a confession. There are two things that make me mildly irrational: actual or potential harm coming to one of my children and bugs.

So as you can imagine, the sight of a tick burrowing its head into my seven-year-old’s flesh—the threat of Lyme disease or babesiosis aside—did not inspire some of my best moments.As a parent, I get caught in the same mental tug-of-war as anyone else, with medically validated advice grasping one end of the rope, and self-doubt, worst-case scenarios, and various forms of peer pressure yanking wildly at the other.

As for the tick scenario, we recently posted on Salud’s Facebook page the correct steps to follow, with a link to further information from the Centers for Disease Control and Prevention. This is sound advice. And technically, with the exception of rule No. 1—don’t panic—I did okay.

In the end everything was fine, but the experience illustrates a clear example of how straightforward medical issues can be emotionally complex when it comes to our kids.

Here’s how the incident played out, and what we can learn from it:

1. Freak out. I’d been idly playing with my daughter’s hair when I noticed a bug on the back of her neck that wouldn’t brush off. She’d spent the night at her father’s and they’d gone hiking the prior afternoon.

Never having dealt with a tick situation before, the realization it’d been on her overnight made me nervous, and I didn’t hide it very well. Picking up on my anxiety, the kids got worked up, too, making the whole process more difficult.

2. Extract tick. This was the easy part. I got the whole thing out intact, sealed it into a Ziploc, and then cleaned the tiny wound with soap and water, as per CDC instructions.

3. Debate whether to call the pediatrician’s office. I’d reviewed several lists delineating “when to call your doctor,” and determined that the possibility it had been on her for over 24 hours was justification enough. Plus, I reasoned I’d just “let them know,” for public health reasons.

4. Breathe. My call may have been superfluous, but the nurse who called back provided not just medical advice, but also the emotional reassurance my daughter and I needed (thanks to step 1). As the nurse advised, I marked my calendar with the date to reference if my daughter later developed a fever, rash, or other symptoms.

5. Instagram it (or it didn’t happen). I had taken three photos—of the tick embedded, removed, and bagged—which I fashioned into a digital collage and posted on Instagram in close to our first calm moment.

While my real motivation was to reap a little cyber-pat on the back for a job (not so) well done, I spun it as a public service announcement to remind fellow parents to check their kids after playing outside.

6. Welcome the trolls. “Yay, comments!” I thought. But it quickly turned to, “Ooh, some really smart people and great parents are suggesting I should get my daughter on antibiotics.” In response, I summarized the instructions I was given and went about my day.

When posting about parenting decisions (in my case, not requesting antibiotics), we open ourselves up to others’ opinions, which can be tough to ignore. But I’d already solicited and followed excellent advice from the most credible source: My pediatrician’s office.

7. Reflect. As I said, all turned out fine, though it could have been far smoother. We’re all human, of course.

But when it comes to the health and well-being of our children—which we all agree is a top priority—we need to be disciplined enough to regulate our emotions, trust advice given by our pediatricians or vetted sources such as healthychildren.org, and think twice about the ramifications of what we share online.

Parenting Tips on Potty Training [Guest Post]

Today's guest post come from Dr. Melissa Arca. Dr. Arca is a pediatrician, blogger and mom. She works part-time while raising her two young children, Big Brother (age 6) and Little Sister (age 3). She is passionate about writing and writing about motherhood, parenting, and children’s health is what she does best. Dr. Arca blogs regularly atConfessions of a Dr. Mom. This post appeared originally on Dr. Arca’s blog Confessions of a Doctor Mom.

Potty training seems to incite fear and stress among parents.

And with all the horror stories we read and hear from family, friends, neighbors, etc…it’s no wonder. It doesn’t help that there’s a stark paucity of science to support one strategy over the other. Even timing is up for debate. So, what’s a potty training parent to do?

First, take a deep breath, relax, and know that your child will progress on to big kid underwear. I promise. It will happen.

I’m a huge believer in “follow your child’s lead” and the rest will eventually fall in to place. I also advocate for keeping it as low key and stress free as possible. I’ve got two potty trained kiddos under my parenting belt. One potty trained at 3 ½ and needed much encouragement and positive reinforcement. The other at 2 ½ and she practically potty trained herself.

Which brings me to my next potty training mantra…tailor your approach to match the temperament and development stage of your own unique child.

Parents frequently get trapped by their own good intentions when it comes to potty training. I’ve gotten trapped myself. But…no need to get hung up on some common potty training pitfalls. Save yourself (and your child) time, stress, and worry by making sure you don’t get hung up on these…

Comparing your child to your friend’s child. Or to a younger or older sibling for that matter. In general, it’s not a great idea to compare milestones with other moms. Kids are unique and develop on their own unique timelines. Potty training is no different. Just because your friend’s daughter was completely potty trained by 2, does not mean your 3 year old is delayed or that your friend has superior parenting skills.

In fact, the age at which a child potty trains is not a reflection of good or bad parenting. It’s ultimately up to the child. It is, after all, the child’s success. Not ours to own.

What matters most is to get started with the process once your child displays readiness signs such as ability to help dress/undress self, shows interest in using the potty, can tell you when he is wet or needs to go poop, takes pride in his independence, and really wants those big kid underwear.

In general this can happen anytime between 18 months-3 years old. Some studies actually show that initiation of potty training prior to 27 months old does not lead to completion sooner than if you waited. Both my children fell on the latter end of the spectrum and the upside to that is they reached completion fairly quickly. No long drawn out process. 

Potty training is more important to you than to your child. Toddlers are incredibly intuitive. They know when you’re stressed, anxious, or upset. And if you’re any of these things when it comes to potty training, you can bet your little one will put up quite the fight. Your child must want this. If not, you’ll just be banging your head against the wall.

You punish or get upset when your child has an accident. Do your best to stay positive, even on accident filled days. We know accidents will happen. The first few days will be a steep learning curve for everyone. Praise for effort and by all means, if your child is motivated by reward charts…use them.

All or nothing. Parents often expect nighttime dryness to coincide with daytime potty training. In most cases, this simply doesn’t happen. And it’s completely normal. It often takes months to years for children to become dry at night. It’s okay for your child to wear pull-ups at night. This is not considered a potty training failure or set-back by any means.

Also, many children will not have a bowel movement in the toilet for months after being potty trained. Be patient. It will happen. No need to force the issue. 

Constipation. If it hurts for your child to have a bowel movement, you can bet he’ll be resistant to try to poop in the toilet. Make sure your child’s stools are soft and regular by offering fiber rich foods and plenty of water daily.

Potty training, like many parenting issues, is not an exact science. Take heart in knowing that you can support and guide your child through the process, but ultimately this milestone is his to accomplish and own. It’s such a fantastic step toward independence for them. Do your best to lovingly support and gently encourage. When they are ready it will happen. 

It will.

And soon, you will be packing up all the left over diapers and pull-ups ready to donate them to a friend in need. The tears welling up in your eyes will be your bittersweet reminder that time indeed marches on and diaper clad toddlers grow up and blossom into preschoolers donning big kid underwear.

Relax my dear friends, family, and parents in the throes of potty training. Free yourselves from the potty training traps. For in this case, time is really on your side.

How did potty training go in your household? What questions do you have about potty training? Are you stressed about it?