Author Archives: ChildrensMN

On Election Day, stand up for kids

(iStock photo / Getty Images)

(iStock photo / Getty Images)

By Kelly Wolfe

Tired of the barrage of campaign literature, TV ads and round-the-clock media coverage about politics? The good news is the end is in sight. Even better news is that on Tuesday you finally get the chance to decide who should represent you in local, state and congressional offices. On Tuesday, you get to make a decision about who best represents you and your priorities. And on Tuesday, Children’s Advocacy and Health Policy department will be watching closely to see how the election will impact kids in our state.

Why does a children’s hospital care about elections? There are many decisions made at the state and federal levels that directly and indirectly impact our patients, organization and children in general. They range from the mundane but critically important – Medicaid, medical-education funding and access to pediatric specialty care – to those issues that impact many other children and families – early childhood development and education opportunities, school nutrition and mental health. The point is that on almost any issue that impacts kids the outcome of Tuesday’s election will matter.

So, what can you do? Learn about the candidates and cast a ballot for elected officials who will best serve and protect kids and go to the polls Tuesday. Your vote makes a difference. In 2006, there were several races that were determined by fewer than 100 votes. In one race, the outcome was determined by 37 votes.

Here is some information to help you make a difference. And if you need more, we always are here to help.

We want to know how your first experience at the polls went. Tweet us @ChildrensMN and @childrenspolicy or post on our Facebook page with a photo of you wearing your “I voted” sticker and let us know what it was like.

Subscribe to MightyContinue to be a voice for children

After Election Day, you can stay engaged by joining Children’s Advocacy Network. We make being informed easy: You’ll get an alert whenever your involvement can make a difference. You’ll also get periodic updates on progress on issues and how your elected officials voted on measures before them.

Kelly Wolfe is senior policy and advocacy specialist for Advocacy and Child Health Policy at Children’s Hospitals and Clinics of Minnesota.

Bullied kids, bullies need our help

Children who are being bullied cannot learn, and children being bullies often need our help, too. (iStock photo / Getty Images)

Children who are being bullied cannot learn, and children being bullies often need our help, too. (iStock photo / Getty Images)

By Kelly Wolfe

October is Bullying Prevention Month: We can learn a lot from a llama.

“It’s not nice to be a bully.” Those were the words my 4-year-old said as we were sitting down for breakfast recently.

Pleasantly surprised that he was aware of this fact, I smiled and said, “That’s right. Who told you about bullies?”

“We read a book at school about the bully goat,” he said. “He was not nice.”

Those few simple words prompted a discussion about what a bully is, why it’s not nice to bully someone and what we should do if we see someone being bullied. And while a little part of me was sad that, at 4 years old, he needed to learn about bullies, a larger part of me was thrilled that education about bullies was happening in his school. The messages we try to teach at home were being reinforced by his teachers and classmates. Everyone was saying the same thing: bullying is not OK.

October is National Bullying Prevention Month, and this year’s campaign has focused on one basic principle: “The end of bullying begins with me,” a simple premise that if we can all just learn to treat each other with respect, dignity and the same kindness with which we want to be treated, there will be no more bullies.

The PACER (Parent Advocacy Coalition for Education Rights) Center spearheaded the campaign and coordinated efforts on bullying prevention, education and awareness nationwide. Their mission is to “expand opportunities and enhance the quality of life of children and young adults with disabilities and their families, based on the concept of parents helping parents,” including issues around bullying.

Subscribe to MightyWe know that 94 percent of children with disabilities report being victims of bullying, and, according to the 2013 Minnesota Student Survey, more than 70 percent of fifth-graders and 90 percent of 11th-graders report being bullied at school during a 30-day period. The Safe and Supportive Schools Act that was signed into law this year aims to address it.

It’s time that the conversation is elevated and that actions are taken to protect all of our kids. Children who are being bullied cannot learn, and children being bullies often need our help, too.

It’s never too early to start talking to your child about bullying. There are excellent books and resources out there. In addition to PACER, the Minnesota Department of Education has some tips for parents if they suspect their child is a victim of bullying.

“Teacher has some things to say: calling names is not OK.” We all can learn from Llama Llama and the Bully Goat. As parents, adults and role models to our children, we all have a responsibility to model acceptable behavior. And we need to do a better job of standing up for our kids, for all of our kids; because the end of bullying begins with all of us.

Kelly Wolfe is senior policy and advocacy specialist for Advocacy and Child Health Policy at Children’s Hospitals and Clinics of Minnesota.

After summer off, Gavin faces next challenge with a smile

Gavin Pierson, 8, who underwent his third Visualase procedure for a brain tumor Oct. 23, smiles before school earlier this fall. (Photos courtesy of the Pierson family)

Gavin Pierson, 8, who underwent his third Visualase procedure for a brain tumor Oct. 23, smiles before school earlier this fall. (Photos courtesy of the Pierson family)

Less than 48 hours after surgery, Gavin spent part of his weekend jumping in a pile of leaves.

Less than 48 hours after surgery, Gavin spent part of his weekend jumping in a pile of leaves. Below: Gavin and sister Grace play in the leaves.

By Nicole Pierson

It has been eight months since Gavin has been in the hospital. Yes, you read that right, eight whole months. This has allowed for an amazing time of healing and the opportunity for Gavin to focus on so much more than his brain tumor. He spent his summer vacation doing things that 8-year-olds should do, like playing baseball for The Miracle League!

He also took advantage of his grandma’s pool and learned a few new tricks. He is now a pro at swimming in the deep end, doing cannonballs and flips underwater (both forward and backward, he would point out). As a family, we had bonfires, went canoeing and buried treasure at Pancake Island during our Fourth of July celebration.

Gavin and Grace PiersonAfter two years filled with nearly constant appointments, scans and procedures, we decided to take the summer off and provide Gavin with a much-needed reprieve. He desperately needed the break. Because he is medically stable and doing well, Gavin’s medical team agreed that giving him a summer away would be good. When considering his treatment, I am so thankful that Gavin’s team understands the whole child and that they realize medicine comes in many forms.

Throughout his time off, Gavin stayed on Palbociclib, a targeted therapy which is in pill form. At the end of August, he had a 3T MRI and PET scan to look closely at the tumor and help his medical team plan for his next ablation surgery. The MRI showed stability of Joe Bully, with no urgent concerns. From that appointment, we set up his third laser ablation procedure, which took place this past Thursday with Dr. Joseph Petronio. Less than 48 hours post-op, Gavin had tons of energy with minimal soreness. He felt so good he spent the weekend playing in a leaf pile, surfing the Web and challenging his little brother, Gage, to games on Xbox; his ability to bounce back is a testament to how minimally invasive the Visualase procedure is on its patients!

Gavin (left) and brother Gage play video games days after Gavin's surgery.

Gavin (left) and brother Gage play video games days after Gavin’s surgery.

Four days after surgery and Gavin is back at school today, and that is music to our ears. Due to his tumor and multiple surgeries, Gavin previously had lost the ability to read. Only a year ago, he had to relearn letters. But today is different. Now, Gavin is attending school full time as a third-grader at Ramsey Elementary, and he continues to make huge gains in reading and spelling. On the day of the surgery, he was spelling the words from his spelling test. This weekend, he read his Spider-Man chapter book.

Subscribe to MightyGavin’s doing well in math, too, scoring high in data and geometry. After missing 17 months of school and undergoing multiple brain surgeries, this is something to celebrate! Gavin’s strength in fighting Joe Bully is allowing him to fight all of the other side effects as well. He amazes us every day.

With Gavin’s third laser ablation surgery now securely behind us, we are relieved, but we still have so many mixed emotions. We know that we have to keep fighting, yet we have enjoyed his summer off so much that we are hesitant to re-enter a schedule full of procedures rather than swim dates. As always, we keep marching on. General Gavin is ready for the next phase of this battle. His soldiers are behind him, but he is leading the army.

Gavin checks out some toys on the Internet.

Gavin checks out some toys on the Internet.

Nicole Pierson of Ramsey, Minn., is the mother of 8-year-old Gavin Pierson, who is the first child in the U.S. with a mature teratoma brain tumor to undergo Visualase laser treatment.

What parents need to know about Ebola

Ebola

(iStock photo / Getty Images)

Parents, we know you have questions about the Ebola virus, which has dominated national and regional news coverage in recent weeks.

Ebola disease, caused by the Ebola virus, is one of a number of hemorrhagic fever diseases, according to the Minnesota Department of Health. Ebola disease first was discovered in 1976 in what is now the Democratic Republic of Congo near the Ebola River.

To learn more about Ebola, here are two great resources:

The first 1,000 days: Brains are built, not born

Maxine Hayes, MD, MPH, speaks to an audience at Children's Hospitals and Clinics of Minnesota in September.

Maxine Hayes, MD, MPH, speaks to an audience at Children’s – Minneapolis in September.

Maxine Hayes, MD, MPH

Maxine Hayes, MD, MPH

By Maxine Hayes, MD, MPH

The first 1,000 days, from birth to age 3, have the most pronounced impact on a person’s life-long health and well-being. I had the privilege of discussing strategies to make the most of these first 1,000 days when I visited Children’s Hospitals and Clinics of Minnesota in September.

Children born today face the prospect of growing up less healthy, living shorter lives and being less equipped to compete and lead in a world economy than previous generations. For the first time, we are expecting less of our children and letting them down. We should do better, and the good news is we can if we work together.

The opportunity resides in how we impact the first 1,000 days of every child’s life. We know more now than ever about brain science, which shows that by age 3, 80 percent of our brain is developed. We also know that:

  • Brains are built (not born) over time – prenatally to young adulthood.
  • Brain development is integrated. The areas underlying social, emotional and cognitive skills are connected and rely on each other.
  • Toxic stress, in the form of poverty, poor nutrition, inadequate housing, exposure to violence and limited positive and nurturing behaviors, disrupts brain development and can have a lifelong effect on learning, behavior and health.
  • Positive parenting and creating the right conditions can buffer toxic stress and build resilience.

Subscribe to MightyFrederick Douglass once said, “It is easier to build strong children than to repair broken men.”  This is a motivating principle behind many states’ efforts to bolster early child development through policy and practice. In the state of Washington, this is our mission. State leaders are using a collective impact1 initiative to provide a structure for cross-sector stakeholders, including state departments, foundations, social service agencies and pediatricians, to forge a common agenda around the shared vision that all children in Washington will thrive in safe, stable, nurturing relationships and environments, beginning with a focus primarily on the first 1,000 days.

It all begins with a conversation. That’s why the discussions convened by Children’s among pediatric clinicians and state leaders are so valuable. It sends a signal that pediatricians and primary care providers as well as policymakers have important roles to play in this work. By working together and focusing on our youngest at the most critical points in time, we can change the course of life and set our children on a path toward good health and academic success.

Maxine Hayes, MD, MPH, is clinical professor of pediatrics at the University of Washington School of Medicine.

Reference

1 Stanford social innovations review 2013, “How collective impact address complexity” — John Kania and Mark Kramer.

Managing your child’s sleep when the clocks ‘fall’ back in November

Bright light in the morning helps a child’s internal brain clock to maintain a good rhythm, which helps the body transition easier from wake to sleep that night. (iStock photo / Getty Images)

Bright light in the morning helps a child’s internal brain clock to maintain a good rhythm, which helps the body transition easier from wake to sleep that night. (iStock photo / Getty Images)

By Karen K. Johnson, RN, CNP

On Nov. 2, clocks are turned back by an hour, marking the end of Daylight Saving Time. Any disruption to the sleep patterns caused by the time change will be temporary. But if you want to be proactive to minimize the disruption to your child’s sleep pattern, here are a few things to consider.

For babies

Two weeks before the time change, start to put your children to bed 10 minutes later than usual, increasing by 10 minutes every other night until they are going to sleep about an hour later than their normal bed time. It often takes a few days for a new sleep pattern to establish itself.

Toddlers and older

  • Put them to bed a little later than usual the night of the time change. There are behavioral tools available to help with these schedule changes (Good Night clock).
  • If they wake up at their usual time (an hour earlier), you should encourage them to remain in bed until a set time. This may be a digital alarm clock or the visual cue of the night light.
  • When they remain in their bed until the “sun” appears on the clocks or when you inform them it is time to get up, they should be happily praised.
  • The following day, provide a generous amount of physical activity to tire them out and then put them to bed at the new earlier bed time.
  • The next morning, set the clock for the new morning wake time.

On the whole, it is easier for children to fall asleep in the winter months because it is darker and the environment is likely cooler at bedtime. The difference in light levels between day and night encourage the production of the sleep hormone melatonin in the evening when the light is dim, as there is a rise in melatonin and sleep is invited. Bright light in the morning helps a child’s internal brain clock to maintain a good rhythm, which helps the body transition easier from wake to sleep that night. Adjusting the sleep-wake cycle in November is easier to manage than when advancing the clocks forward in springtime.

In the spring, Mighty will have tips to manage your child’s sleep schedule when we “spring” the clocks forward March 8, 2015.

Karen Johnson is a certified nurse practitioner in the Children’s Sleep Center.

Children’s to host vaccination documentary screening

Subscribe to MightyChildren’s will host a screening of “Invisible Threat,” an award-winning documentary about understanding the science of vaccination and the misperceptions that lead parents to delay or decline life-saving immunizations, from 6-8:30 p.m. Thursday at its Minneapolis campus (2525 Chicago Ave. S.).

Parents, health care providers, staff and the public are invited. Flu vaccinations, courtesy of Kohl’s Cares, will be available for 150 people (between 6-7:30 p.m.) and administered by MVNA-qualified nurses. Healthy snacks will be served, and a panel discussion will take place after the film.

The 40-minute independent documentary, produced by high school student filmmakers, has earned praise from more than 50 organizations, including the Centers for Disease Control and Prevention, multiple children’s hospitals, and Every Child By Two, calling the documentary “powerful,” “fast-paced,” “well-balanced” and “impeccably produced.” The event is sponsored by the Minnesota Childhood Immunization Coalition.

Wisconsin girl hasn’t slowed 6 years after cancer diagnosis

Vanessa Achterhof was diagnosed with type 2 Wilms’ tumor six years ago in December, and since has had one of her kidneys removed.

Vanessa Achterhof, of Baldwin, Wis., continues to have checkups every six months at Children’s to monitor her kidney.

Vanessa Achterhof, of Baldwin, Wis., continues to have checkups every six months at Children’s to monitor her kidney.

The 15-year-old from Baldwin, Wis., had 18 weeks of chemotherapy followed by physical therapy. She continues to have checkups every six months at Children’s with Dr. Kris Ann Schultzto monitor her kidney.

Vanessa said three of her favorite nurses at Children’s helped her through the life-changing experience.

“Linda always makes my day and tells me I was one heck of a strong girl. She would always tell me how beautiful I was, even with no hair,” Vanessa said. “To this day, she remembers me and can still put a big smile on my face.

“Jody the social worker is a wonderful person as well. She was always so pleasant and talked to all of us. She had wonderful ideas to help us out and made our whole family feel special.There is one other nurse that I will never forget. I was in Children’s on Christmas Eve night and had a night nurse who told me I was a strong young girl who could push through anything. She was also a cancer survivor of Wilms’ tumor, and if she made it through it, she said I could, too. Unfortunately, we never got her name.”

Cancer hasn’t slowed Vanessa down – now or in planning for the future.

Subscribe to Mighty“I am involved in basketball, volleyball and 4H,” Vanessa said. “I love to show cattle, be a part of our home farm as much as I can and hang out with my friends.”

She is considering being a social worker, working with cancer patients.

“I would love to make their day, play games with them and make them feel special,” Vanessa said. She also wants to go into something to do with animals, specifically cows. She loves the outdoors and spending time on her father’s farm.

Even though Vanessa has been through a lot, she has emerged through it all a caring person with a heart of gold to help anyone in need.

Burnsville boy tops cancer, ready to take on kindergarten

With cancer in the past, Nolan Luther is ready for kindergarten at Sioux Trail Elementary School in Burnsville.

With cancer in the past, Nolan Luther is ready for kindergarten at Sioux Trail Elementary School in Burnsville.

Nolan Luther was diagnosed with rhabdomyosarcoma, a cancerous tumor of the muscles, on June 3, 2013.

He finished chemo in March and will have quarterly scans for the next two years before they become less frequent. He may undergo surgery to help reanimate the left side of his face. The tumor damaged Nolan’s facial nerve.

Nolan Luther

Nolan finished chemo in March and will have quarterly scans for the next two years before they become less frequent.

With cancer in the past, Nolan is ready for kindergarten at Sioux Trail Elementary School in Burnsville.

“Nolan is very curious. He asks about 400 questions a day,” his parents, Tara and Kevin, said. “He is a sensitive kid and shy at first, but once he is comfortable he is incredibly confident. Towards the end of treatment, Nolan would often direct his nurses on what type of drugs he should have and how they should administer his shots and access his port.”

School won’t be the only thing on his mind. Nolan loves soccer and gymnastics. This summer, he has been able to do more of both activities. He also is good with Legos. The Luthers recently put together a 1,200-piece Millennium Falcon from “Star Wars,” and Nolan did the majority of it by himself.

Subscribe to MightyNolan’s parents are thankful for the care throughout his treatment.

“The care Nolan received at Children’s was really top notch,” Kevin said. “We felt so confident and comfortable that Dr. Kris Ann Schultz was doing everything possible to ensure the best outcome for Nolan. We appreciated the long-term focus and proactive attention that Children’s provided. They started physical therapy early to give Nolan the best chance for a quick physical recovery.

“As crazy as it sounds to some people, we consider ourselves lucky. Maybe not in the normal sense, but lucky that we fell into this journey at Children’s and we found ourselves with an amazing team of specialists – not just the doctors, but nurses, physical therapists, social workers and child life specialists – that were able to provide fantastic care and support. We are fortunate to benefit from the experience of patients who have gone before us and the research that has gone into pediatric cancers.”

Serving up strategy at meal time

Kids are born wanting to eat. And they know when they’re hungry. It’s our job as parents to provide structure, support and opportunities.

Kids are born wanting to eat. And they know when they’re hungry. It’s our job as parents to provide structure, support and opportunities.

By Maggie Sonnek

We’ve tried peas. We’ve tried broccoli. We’ve even tried Brussels sprouts. Alas, our 2-year-old continues to ignore that pile of “green stuff” on his plate and reach for the carbs instead (just like his mother).

After chatting with Janie Cooperman, MS, RD, LD, CDE, Pediatric Clinical Dietitian at Children’s Hospitals and Clinics of Minnesota, I now can come to the table feeling a little more prepared to take on a toddler at dinnertime. (Sounds like a thrilling TV show, doesn’t it?). I feel so enthused with what I’ve learned that I just had to share. 

Keep offering

Cooperman suggests offering specific foods 12-15 times before retiring them from the household menu. That’s a lot of peas! She also touts variety when planning the weekly carte du jour. For example, instead of plain bread, try whole wheat tortillas or pita pockets.

Division of responsibility

Kids are born wanting to eat. And they know when they’re hungry. It’s our job as parents to provide structure, support and opportunities.

Cooperman sites Ellyn Satter, an expert on the topic of the division of responsibility in feeding. Basically, this means we the parents are responsible for what, when and where our kids eat. They’re responsible for how much and whether they eat.

Yep. I said “whether.”

Cooperman suggests offering three scheduled meals a day with two or three snacks in between. “Eventually the child begins to understand the schedule and expectations,” she said. “Since he is not receiving food other than at the scheduled meals and snacks, he will soon get hungry enough and realize that he has no other option but to eat what’s being offered.”

Subscribe to MightyMake it a non-issue

You know the old standby, “You can’t leave the table till your plate’s clean”? Well, turns out, forcing a clean plate prevents kids from learning to pick up on their own hungry and satiety cues. Apparently most of us unlearn the natural inclinations of when we’re full and hungry sometime between the ages of 3 and 5.

Cooperman suggests making the amount of food your child eats a non-issue. She dissuades from offering rewards for eating. “If they refuse to eat, let it go,” she said. “But keep offering it at future meals. Try not to let kids get power and control.” (Writer’s note: I’m totally guilty of bribing my son with a chocolate chip cookie for taking a bite of broccoli. Oops.) 

Eat mindfully 

Eating dinner together as a family has a lot of benefits. The Family Dinner Project, a grassroots movement driven by insights and experiences of families, says recent studies find regular family dinners can help lower rates of substance abuse, teen pregnancy and depression. Studies show that dinner conversation can help improve vocabulary more than reading.

But let’s focus on the obvious: eating together. Parents modeling healthy habits, like munching on fruits and veggies, provide a good example for kids. Cooperman touts the importance of eating mindfully.

“Slow down, connect and enjoy what you’re eating,” she said. “Appreciate the food and your time together; it’s a more-balanced way of eating and living.” 

Maggie Sonnek is a writer, blogger, lover-of-outdoors and momma to two young kiddos. When she’s not kissing boo-boos or cutting up someone’s food, she likes to beat her husband at Scrabble.