Recently a colleague told me about an encounter that left me thinking, ‘as Pediatricians, we really need to do a better job of explaining confidentiality!’ They were seeing a teen for a follow up visit and had asked the medical assistant to put the patient in room without the parent. The parent became very upset that their 18 year old was seeing the provider alone and complained to the front desk staff in the clinic. From my perspective, as an provider who specializes in adolescent health, rooming an 18 y/o without their parent seemed like standard practice. But what was neglected was the explanation to the teen AND their parent about why this is done. As a parent myself, I can empathize with the frustration the parent likely felt. They came to the appointment with their teen, they’re likely going to receive the office bill and pay it, and the teen lives with them, so they are likely very involved in the youth’s life. So why is confidentiality and the opportunity for teens to visit with their health care providers important? Read full post »
This time of year most of my friends, patients, and colleagues are in full holiday mode: they’ve prepared for large family gatherings, are taking vacation from school, or working on setting their New Year’s resolutions. Most people are both stressed with the preparation but also in a good mood and excited to spend time with family and friends.
As I start the New Year and reflect on the memories made this holiday season, I’m also reminded that I have a lot to be thankful for. I’m in good health, a spouse who loves me, happy kids, solid housing, and if I need anything I have a great group of family and friends who I trust to help (this includes emotional and financial need). However, I’m routinely reminded of my privileges as I drive along the freeway and see the tents set up by the homeless, view media accounts of children being bombed in countries overseas, or take care of patients whose parents pull me aside to tell me they can’t afford to purchase any gifts, I know I can’t take my life for granted.
Recognizing my privilege, I ask myself, ‘How can I, as a parent, teach my children to not take things for granted and recognize humanity in others?’ This is a big question without simple answers, but I wanted to share a few tips my parents taught me while growing up.
- Volunteer. This exposes you to new people; teaches you skills such as showing up on time, work ethic, and humility; and can be extremely rewarding.
- Donate. Donate time, money, skills, etc. There is going to be someone who is in need of help and can benefit from your donation, no matter how big or small.
- Have empathy. Everyone has a story, but they may not share the details.
- Treat people with kindness. A smile for the person holding a sign on the street corner acknowledges their existence and shows that you see them even if you don’t give them anything else.
- People will always remember how you made them feel. The emotions that accompany actions have significant impact. You may not be remembered for what you said, but you will be remembered for how people felt when they were around you.
I hope you and your family have had a good start to 2017. Have a wonderful New Year!
Our country just witnessed the democratic process of the United States this week as the 45th President Elect was voted into office. This election has divided the country over the past year as our 2 major political parties tried their hardest to convince the people that they could do a better job as Commander-in-Chief then their opponent. So now what? Regardless of how we voted, there are some common things we can teach our kids. Here are the points I’ve discussed with my own kids and my patients:
- If my side lost, that doesn’t mean all hope is lost. If my side won that doesn’t mean all my problems are solved. The amazing thing about living here is that even if I disagree with my neighbor, I’m free to do so. I have a right to disagree or agree. There are so many inequities in our country that still need work. These haven’t changed over this week and won’t change unless we the People use our democratic process as it was intended. So let’s get to work. Encourage your teens to write letters to their State representatives about issues important to them. Be involved in your community. Get to know your elected officials and if you have a strong stance on a topic, tell your legislature about it.
- Inclusion. Get to know people who are different from you and be open to hearing other people’s stories. We can learn from each other and recognize that we might have more in common than anticipated. Afterall, every parent I know wants the same thing for their kids: opportunities for financial stability, long healthy and happy lives.
- Humility. No one person is right all the time. Be open to ideas that differ from yours. You may find a compromise that benefits more people. This doesn’t mean you back down and ignore your values, instead be open to listening instead of jumping to assumptions about the people around you.
- The Golden Rule. Treat others the way you want to be treated. Hatred is intolerable. If you witness a hateful act against someone, remaining silent is passive acceptance.
- Voting matters. Half of the people eligible to vote did not. Our right to vote is a privilege. Many countries don’t offer the same opportunity for the citizens to have a say in how the government works. Every vote does matter. This election, it wasn’t just the Presidency that was on the ballot. There were local initiatives related to public transportation and education. We elected our governor and state representatives. Your vote is your voice. Use it! For women and under-represented minorities, the right to vote is fairly new. People fought long and hard to gain this equality.
- Acknowledge our differences in order to learn from each other. I’ve already addressed this above. But the only way to continue making improvements on the inequalities in our country (such as education discrepancies between rich and poor, lack of jobs for those without higher education, unequal pay between genders, the list goes on and on) is to acknowledge if we have a privilege, then work hard to decrease the inequality that lead to that privilege.
A recent study (from 9/13/16) on concussion in teens caught my attention this week. Sports related concussions in teens can lead to multiple symptoms including dizziness, headache, fatigue, poor sleep, poor concentration, and mood disturbances such as depression and anxiety. Though symptoms usually resolve within a few weeks, they may linger. For teens who continue to have post-concussive symptoms, the results can be debilitating. They may miss school, fall behind in their classes, become socially isolated (especially if unable to participate in their sports or activities of interest), and have symptoms of irritability, depression, and even thoughts of suicide. Treatment for teens who have prolonged symptoms can be a challenge. Read full post »
My conversations with colleagues and friends have been dominated by the discussions of two topics: politics and sending my kid off to college. Both are full of emotions and both are full of opinions and ideas. As many of my colleagues are dropping off their first born kids at university campuses, they’ve shared their thoughts, fears, excitement, and emotions. Most of the things they’ve discussed with me would not have crossed my mind! These discussions are ones I hope to remember when I’m in the same situation and I’d like to share some of the tips I’ve learned with you. Read full post »
My colleagues and I recently had a conversation about how we, as providers, can have an impact and a voice when responding shootings in schools, bars, churches – places that we think of as being safe. When we meet with teens in the clinic, amidst conversations about relationships, emotions, and other health concerns, we do our best to check in with our patients about this topic. How they have been feeling about what they see on the news? How has it affected their mood? Do they feel safe in their community? Read full post »
With the high rates of obesity in our country, families nationwide are trying to find ways to promote healthy and balanced eating. One common conundrum is that finances are often tight and buying fresh produce that only lasts a few days before wilting, shopping at the farmer’s market, or buying organic food just may not be feasible. Incorporating exercise into a busy day is also challenging. A research study last year that showed kids (regardless of household income) on summer break may not be making the best choices around food, so for parents, discussing healthy balanced eating year round with children and teens is important. Read full post »
Many parents are wondering why their sons need to get a vaccine that they’ve heard was developed to prevent cervical cancer when their sons don’t have a cervix! Parents may feel confused or frustrated when a health care provider tells them that their son needs the three shot series starting when they are 11 or 12 because they are sure that their child is not sexually active and that’s how you get HPV right? There are a couple misunderstandings that need to be cleared up. Read full post »
For many, bicycles remind us of warm summer days cruising through the neighborhood to a friend’s or down the street for a cold treat! As tempting as it might be to hop on your bike and fly down the sunny street, feeling the wind in your hair, one bad decision could ruin a summer and potentially a lot more. Growing up, I remember wanting to ride my bike a few blocks to a friend’s and being frustrated with my parents for making me wear my big, unflattering and not to mention uncomfortable bike helmet. My parent’s made it very clear that wearing a helmet was not optional. Like most children my age, I eventually gave in. Read full post »
I’ve had the privilege of working with truly amazing families. I am always in awe of how much parents love their children. That love doesn’t diminish as babies grown into children and children grow into teens. Seattle Children’s Hospital holds parents in high regard as well. We value your input and need your help to continue to improve the care we provide.
In the Division of Adolescent Medicine, we’re placing a call to ask for parents who have received care in our clinic to help us continue to advance the services we provide. This is an opportunity for parents from the Adolescent Clinic to be involved in an advisory panel.
The panel position is a 2 year commitment and in that time you will be able to participate with clinicians in developing and reviewing educational materials for the clinic, as well as helping to review the curriculum for the Leadership Education in Adolescent Health (LEAH) fellowship. LEAH is a grant offered to only a few institutions around the nation that trains people from a variety of disciplines (such as Medicine, Social Work, Psychology, Nutrition, Nursing, and Health Administration) to become leaders in adolescent health.
The position is open to any parent who has an adolescent who has been a patient in the Seattle Children’s Hospital inpatient or outpatient clinic settings.
Interested candidates can email: ADOLEAHPAC@seattlechildrens.org
Thank you in advance for considering this position!