pediatric housecalls Robert R. Jarrett M.D. M.B.A. FAAP

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Showing posts from: Wellness

Three Magic Questions of Breastfeeding

[Guest Author] This article on breastfeeding is the fourteenth in a series of guest posts from a pediatrician I’ve never met but have bonded with from sharing ideas, opinions and experiences; including having a penchant for medical blogging. His URL is up for sale, and I’ve lost track of him, but his content will be here for safe keeping until he wants it back.

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Parenting: Never Trust Newborns

This article about never trusting the Newborn to do the expected is the ninth in a series of guest posts from a pediatrician I’ve never met but have bonded with over sharing ideas, opinions and experiences; including having a penchant for medical blogging. His URL is up for sale, and I’ve lost track of him, but his content will be here for safe keeping until he wants them back.
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Parenting: Toilet Training Is Not a Parenting Test

[Guest Author] This article on Toilet Training, is the fifth in a series of guest posts from a pediatrician I’ve never actually met but have “bonded” with because of shared ideas, opinions, experiences and philosophies—including having a penchant for medical blogging.
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Teenagers: Maturing and “THE Talk”

[Guest Author] This article on having “THE sex talk” or sex education, is the fourth in a series of guest posts from a pediatrician I’ve never met but have bonded with over shared ideas, opinions and experiences; including having a penchant for medical blogging. This article on talking to children about sex is something that I’ve written about too, several times; it’s that important in the scheme of childrearing.
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Parenting: Four bad ages

[Guest Author] This article on the “bad ages” for parenting is the second in a series of guest posts from another pediatrician I’ve never met but have bonded with. We share ideas, opinions and experiences including having a penchant for medical blogging.
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Vaccine Information Statements (VISs)

There may not be a lot, or very often (proportionally); but, once in a while I run across a bit of “something good” on the internet.

Such is the case with a whole new section of what I would call “research summary statements” about vaccines and vaccinations from the leading research analysis team in the US, or perhaps even the world!

No, not the CIA, NASA or even Space-X Read more →

More Medical Proverbs – Do They Work?

We’ve already talked about medical proverbs such as “cold hands, warm heart,” “feed a cold, starve a fever,” “drink eight glasses of water a day,” “cigarettes will stunt your growth” and that “apple a day”… thing.

But there are some we left out because the list was getting a bit long for one sitting. I’m going to take another shot at listing a few more, some from the “dawn” of medicine and others which are beginning to hit up against the way doctors are practicing medicine these days!
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Health Proverbs: Where Did They Come From?

If nothing else, doctors are a bit concrete. We love boxes, categories, lists and most of all… answers!

So, things a bit askew, catawampus, off kilter or out of place make the average physician a bit nauseous if not outright wonky and catapulted into a search for the rationale. You give us an aphorism and we’ll design a research study.
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Vintage Proverbs: Intro/Index

In the U.S., old Ben Franklin published a series of articles in his Old Richard’s Almanac that, if he didn’t come out right and say it, people took as the truth.

Perhaps because a lot of them had their roots in vintage manuscripts like the bible and early writings of the pioneering healers/doctors throughout time.

How about it? Should we take sayings like: “early to bed…”, “an apple a day…”, “pay attention to seasons…”, “doctors’ best book is the patient”, “health checks don’t add anything meaningful…”, “eight glasses of water…”, “cold hands…”, “cigarettes stunt your…” and “feed a cold…” as truth or with a huge grain of salt?

Let’s do some proverb-busting!

4 Posts in "Proverbs" Series

  • Proverbs Series: Intro/Index – 1 Oct 2018
    Vintage proverbs: are they true or, like some, just "old wives' tails?"

  • Heart, fever, smoking, water and apples – 6 Oct 2018
    "An apple a day," "cold hands, warm heart," "feed a cold, starve a fever." and "cigarettes stunt your growth" are all medically related proverbs (myths)—are they true? This curated series of posts all deal with proverbs of a kind, which are explored and declared either "confirmed" or "busted."

  • Seasons, patient learning, remedies, eating and health checks – 1 Dec 2018
    This post continues our exploration of medical proverbs only now let us turn our attention to doctors and what they do. Are physical exams really necessary anymore? Should doctors really pay attention to the seasons? In true Mythbuster fashion, let's confirm or bust them.

  • sleep and health – 18 Feb 2019
    Previous posts have discussed medical proverbs but there is one glaring omission that needs to be addressed: does "early to be and early to rise REALLY make you healthy, wealthy and wise"?


 

Puberty and Underwear: Boxers, Briefs or Commando?

[I have to tell you, this article about boy’s underwear in puberty has been an interesting one to write. Mostly because I usually write about documented recommendations with scientific support and this topic is pretty much a collection of known, assumed and extrapolated suggestions from information in areas sometimes only tangentially related. Therefore it still leaves a lot of room for personal preference]

I answered a question of a 16 year-old patient who had been the subject of some school-girls’ highly personal and intrusive questioning: “What kind of Underwear do you wear? boxers, briefs or commando?” He wrote into an answer-line: “Which is best?” and I told him I’d think about it and see if there was an informed answer that covered all the Tanner Stages.
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Children’s Fitness: The Bleep Test

Assessing Children’s Health and Fitness
The “bleep” test, the “beep” test, the “Multistage Fitness Test” (MSFT)

The test had its beginnings in Britain to quantify the fitness level of children and sports team participants. Its popularity has grown world-wide and it is now used by major league teams as a requirement of participation, not to mention military units, the FBI, schools and other venues where fitness is a job requirement. Many other “clones” of the test have been developed (such as the yo-yo test) but all of them are pretty much the same measurement of the body’s ability to utilize oxygen and get it to its cells.

For those of you who wish to have a copy of the test to use in your family, an MP3 file is downloadable below.

Setup of the bleep test

The “game” or “exercise” is easy to set up and just as easy to perform (except for the running part) but it does need some explanation to those you want to administer it to. The tape uses “beeps” to time the exercise. You start the tape and don’t stop it until the last person taking the test has dropped out. Ostensibly to the highest level it takes just over 20 minutes; but no one has been verified as completing it even though several have claimed to do so. Most fit individuals reach their maximum around 10 minutes, only professional level athletes make it above level 12 or so (there are 21).

Give the instructions, start the tape, wait for the first set of three beeps and runners begin at a pace “just fast enough” to arrive at the cone where they wait until the next beep sounds and they start back. They run back and forth at the same pace waiting at the end for the next beep until another series of three beeps indicate the “next level” and the pace picks up. So, it’s back and forth to the time of single beeps until three beeps announces the next level of faster pace.

The “players” continue until maximal effort is reached with encouragement from the onlookers. The idea is to keep going until they have been “late for the beep” two times in a row and their score becomes the last level that they reached on time. Everyone in the family will be different and playing the game will improve both the score and fitness. Here is a video of a college professor teaching students how to administer the test.

VIDEO

So, what to expect at the various ages for “fitness?” Barring preclusive physical impairments here are the charts for boys and girls 9 through 17. Children younger than nine can run to the beeps but really shouldn’t do so under pressure. Developing a love for how their bodies feel when they’re fit and active should be the FIRST agenda. Nine is early enough to begin the challenge of competing with one’s self for improvement as the SECOND agenda. Physical competition against others should be left for sometime AFTER 12 as the THIRD agenda.

PERFORMANCE AT AGE LEVELS

Boys

Percentile < 5 5-20 20-40 40-60 60-80 80-95 >95
Age very poor poor fair average good very good excellent
9 < 2/2 2/2-3/4 3/5-4/4 4/5-5/4 5/5-6/4 6/5-7/7 > 7/7
10 < 2/2 2/2-3/5 3/6-4/5 4/6-5/5 5/6-6/6 6/7-8/1 > 8/1
11 < 2/2 2/2-3/6 3/7-4/7 4/8-5/8 5/9-6/10 7/1-8/6 > 8/6
12 < 2/2 2/2-3/8 4/1-5/1 5/2-6/4 6/5-7/6 7/7-9/3 > 9/3
13 < 2/4 2/4-4/2 4/3-5/6 5/7-6/9 6/10-8/3 8/4-10/1 > 10/1
14 < 2/6 2/6-4/5 4/6-6/1 6/2-7/4 7/5-8/9 8/10-10/9 > 10/9
15 < 2/7 2/7-4/7 4/8-6/3 6/4-7/7 7/8-9/2 9/3-11/3 > 11/3
16 < 2/8 2/8-4/9 5/1-6/6 6/7-7/10 8/1-9/6 9/7-11/8 > 11/8
17 < 3/1 3/1-5/2 5/3-6/8 6/9-8/3 8/4-9/9 9/10-12/1 > 12/1

Girls

Percentile < 5 5-20 20-40 40-60 60-80 80-95 >95
Age very poor poor fair average good very good excellent
9 < 2/2 2/2-3/1 3/2-3/8 4/1-4/6 4/7-5/4 5/5- 6/6 > 6/6
10 < 1/7 1/7-3/1 3/2- 3/8 4/1-4/7 4/8-5/6 5/7- 6/8 > 6/8
11 < 1/6 1/6-2/8 3/1- 3/8 4/1-4/8 4/9-5/8 5/9-7/1 > 7/1
12 < 1/5 1/5-2/8 3/1-4/1 4/2-4/9 5/1-5/9 6/1-7/3 > 7/3
13 < 1/5 1/5-3/1 3/2-4/1 4/2-5/1 5/2-6/1 6/2- 7/5 > 7/5
14 < 1/5 1/5-3/1 3/2-4/1 4/2-5/1 5/2-6/2 6/3- 7/6 > 7/6
15 < 1/5 1/5-3/12 3/2-4/2 4/3-5/2 5/3-6/3 6/4-7/7 > 7/7
16 < 1/5 1/5-3/1 3/2- 4/2 4/3-5/2 5/3-6/3 6/4-7/8 > 7/8
17 < 1/5 1/5-3/1 3/2-4/2 4/3-5/3 5/4-6/4 6/5- 7/9 > 7/9

Finally, if you’re still with me, here is a summary chart of the entire test levels and shuttles on each level. It shows the relative speed the child is running (km/h) at each level as well as times and distances.

TEST SUMMARY INFORMATION

Bleep test summary information

 

Children’s Health: Less Healthy Than 50 Years Ago

Your grandparents and great-grandparents are always the shortest ones in all your family photos, right? It’s the same with all of us.

Your kids are taller, better fed and wealthier than your grandparents; so, why are today’s children LESS healthy than 50 years ago? Children’s health has actually gotten worse!
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