Parentelligence Blog

How's the View

Jennifer Wojciechowski

When pilots train they learn from a book, and then simulators, then by riding in the co-pilot’s seat. It’s a progression of information that’s built upon the comprehension of the previous set of knowledge learned.

Driving a car is no different. It is not recommended, and by Washington State Law not allowed, that children ride in the front seat until the age of 13 years old. This has to do with the bone structure and how it develops after we go through puberty; how the seatbelt holds onto said bone structure and the fact that in the front seat, in a front-end collision, the engine block is being shoved into the passenger compartment. This is a very safe, reasonable recommendations for keeping kids safe in a car.

If a child starts riding in the front seat at the age of 13 years, they will have 2 to 3 years worth of observation before they start driving the vehicles themselves...unless they’re looking at screens.
Years ago, we started putting DVD players and game systems into vehicles to keep kids happy and occupied. Smartphones, iPods, iPads, and all other handheld entertainment systems have followed those kids up to the front seat, once they were old enough to sit there.

The problem lies with the fact that they’re not learning from observation. The parents are probably not having conversations about ...

Childhood obesity

Hema Nirmal, MD, FAAP

Hema Nirmal, MD, FAAP
Pediatrician, Snoqualmie Primary Care

Eating healthy and being physically active are important things to keep in mind during and especially after the holidays when an abundance of food is present.

Parents often have questions about their child’s weight such as: Is my child’s weight appropriate? Is there a difference between being overweight and being obese? When should we be worried about his or her weight? If I am overweight, what is the risk that my child may become overweight?

Physicians often use the term BMI (body mass index) to define the terms overweight and obese, and this provides physicians and parents with a guide to monitor weight in children. BMI can be calculated using the weight and height (weight in kilo divided by square of height in meters; this can also be calculated using the BMI calculator. A child is considered overweight if the BMI is greater than the 85th percentile and obese if greater than 95th percentile. Once a child is obese, they are at risk of developing complications like hypertension, high cholesterol levels, diabetes, etc.

Physical activity should be a significant part of everyday life of your child. Each child should aim to be active for a minimum of 30 minutes per day. They can be enrolled in an organized sports activity program like football, soccer, baseball, or swimming, or they can remain active by riding a bike, jogging and so on. Parents need to be aware if their child is playing video games for hours at a time and restrict the amount of screen time if necessary. Reduced television watching and computer use may reduce BMI and sedentary behavior.

Eating healthy plays an essential role in the well-being of every child. Studies have shown a lower prevalence of obesity in children who eat a healthy breakfast every day. Parents need to provide children with healthy food options at home so that they can develop a habit of eating healthy. It is important for children to try to eat all food groups, including grains, vegetables, fruits, dairy, and meat or fish. Fats, oils and sweets must be consumed in limited amounts. Lifestyle modification involving the whole family is a key factor in maintaining healthy weight in children.

What if my child is obese or overweight?

Family Resolutions

Jennifer Wojciechowski

It's a new year - have you ever wondered how to incorporate resolutions into family life?

Yes, parents are pressed for time, but remember we have strength in numbers. Family is our strength and our motivation. In Franklin Covey’s book titled 7 Habits of Highly Effective Families, is a suggestion for creating a family mission statement. This is where each family member helps create a mission statement for the whole family. We add things in that are most important and beneficial for the family as a whole. It gets written up and framed on the fridge or hung in a prominent place. Because each member of the family had input and a say in what the mission statement represents, they all have a stake in it. This mission statement brings the family together to work for a common goal.

The same can be said for New Year’s Resolutions. I have heard more than once that New Year’s Resolutions can be hard to stick to be cause we’re still in the dead of winter with short, cold, rainy days. That makes it difficult to start anew.

However, creating Family Resolutions just might have an extra edge for succeeding. We have that wonderful built-in support system.

Here’s what to do:

How important is 'tying one on'?

Jennifer Wojciechowski

New Year’s Day is a day of celebration. A day for starting anew. We create resolutions to become help us be steadfast in reaching personal goals whether that’s to lose weight or stop smoking, or just be on time to work. We have a happy, fresh outlook on a new year.

But, there is a lurking danger following all those midnight celebrations. There is an increase in infant deaths on New Year’s Day. A 33% increase in infant deaths, in fact.

There is not a clear reason for these deaths. They are probably not all SIDS deaths since SIDS is a diagnosis of exclusion

The bottom line is parents of infants must make good decisions and safe arrangements for their infant before they decide to celebrate the new year....

Family Fertilizer

Jennifer Wojciechowski

Family traditions are (technically) those repetitive memories from our childhood that are associated with a happy time. They could be repeated for holidays, birthdays, summer vacation, or any sort of annual occurrence. Some traditions are attributed to religions or culture, or for no reason other than they were fun to do.

Traditions create security and predictability during our childhood. We find comfort in predictability. As we get older and have children of our own, we like to recreate that secure, happy feeling for our own kids.

Some of us were not fortunate enough to have a family life as children that lent to the creation of traditions. Creating them for our children can be challenging. How do you create something when you never had it as a child, when you were never shown how?

The most important piece is....

Have a Safe Holiday Season

Jennifer Wojciechowski

So, here we are again. Right in the middle of the holiday season. This beautiful time of year when we have extra lights and candles and glass ornaments decorating the house. Regardless of which, if any, holidays you and your family celebrate, chances are your child will be exposed to pretty, new, shiny things to discover.
When you’re decorating, and you have crawlers or toddlers in the house (whether they’re yours or they’re visiting), you’ll want to take certain precautions to protect both the babes and the pretty decor.

Once you decorate, crawl around on your knees and investigate the world from that angle.

  • Look for low hanging glass or breakable ornaments and move them higher. Put unbreakable ornaments on the lower branches and make sure they are not hung with metal hooks. A loop of ribbon can work instead.
  • Look for dangling extension cords and lights that the child could reach. Sometimes just sliding a piece of furniture over a couple of inches in front of the cords is all you need.
  • Look for tablecloths that could be pulled down, causing plates and centerpieces to fall.
  • Look for easy access to holiday plants. Poinsettias are not as poisonous as people think. It takes....

It's Snow Laughing Matter

Jennifer Wojciechowski

Winter’s here and just a little more than a week away will be winter break for most of our kids. If we’re lucky enough we’ll get a chance to get out and play in the snow.

Skiing, snowboarding, sledding, or a good old-fashioned snowball fight sound like a family memory waiting to happen. Let’s make sure it’s happy memories we’re creating not a regretful ones.

Most parents these days grew up in the time where we didn’t wear helmets when riding bikes much less on the slopes, but what we know now about Traumatic Brain Injury (TBI) will make you think twice about sliding off the ski lift without one on.

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Top Authors

Jennifer Wojciechowski
Uma Pisharody, MD, FAAP

Uma Pisharody, MD, FAAP
Pediatric Gastroenterologist

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Robert L. Weinsheimer, MD
Pediatric General Surgeon

Elizabeth Meade, MD

Elizabeth Meade, MD
Pediatric Hospitalist

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