Cardiovascular, Lifestyle, Obesity, Pediatrics
Heart Disease Prevention Begins with Children and Good Parenting
Heart disease is called the “silent killer”. Why? Because the first symptom can be a fatal attack. Most people lead their lives unaware of the ticking time bomb within, neglecting lifestyle changes that could radically reduce the risk. The fact is, preventing heart disease needs to be a lifelong practice, starting in childhood. Pediatric cardiologists and researchers who focus on identifying and mitigating risk factors for cardiovascular disease in children and young adults are proving the case. Studies show that obese children have higher levels of insulin resistance and inflammation than their non-obese peers, both of which are known risk factors for heart disease. Obese children also have stiffer arteries, which can lead to high blood pressure and other cardiovascular problems. But...Read More
Miscellaneous, Neurology, Pediatrics
Game On for Video Games
Wandering poorly prepared into a discussion about video games is ill-advised. Yet, people who don’t play video games commonly argue that long hours spent focused on digital playthings, especially by children, rot their brains. It is an uninformed point of view. There are plentiful misconceptions about video games. That label itself is outdated. Video games have evolved in many different directions and “gamification” is rapidly becoming part of the most important aspects of society, from education and healthcare to banking and retail. But what about those children isolated in their bedrooms or basements playing games endlessly? Recent research, published in JAMA Network Open, suggests the kids will be fine. The Adolescent Brain Cognitive Development (ABCD) Study is a long-term study inviting 11,880 children...Read More
Infection, Miscellaneous, Pediatrics
Flashy Marketing Deceives New Mothers
The global formula milk industry is huge and growing rapidly, at about US$55 billion and projected to reach US$110B by 2026. Aggressive and deceptive marketing by manufacturers is driving this growth. The World Health Organization (WHO) is ringing alarms. It charges the industry with using new digital marketing tactics to target pregnant women and new mothers with “personalized social media content that is often not recognizable as advertising.” The Internet and smart phones are wonderful tools. But they can also be dangerous. Women have breastfed babies since the beginning of time. Animals thrive without Big Pharma. Human babies do too. The WHO says the digital onslaught by industry reaches 2.47 billion people. The intention is to plant concerns in the minds of...Read More
Nutrition, Orthopedics, Pediatrics
Building Up Bones for a Lifetime
What’s one of the worst errors that young people make early in life? It’s the failure to practice preventive medicine. So, let’s have a talk with young people about how to protect their bones for a lifetime. We know that kids of all ages break bones playing sports. It’s annoying when this happens, leaving them sidelined from sports and play with friends for a few weeks. But breaking a bone becomes more than an inconvenience for adults, as full recovery becomes less likely. The older one is, the more breaking a bone may have life-changing consequences, including being forever consigned to a wheelchair. But why do bones become brittle with age, and can it be avoided? Many people think bones are hard and...Read More
Miscellaneous, Pediatrics, Philosophy
How Much Longer Can Parents Take It?
Remember the movie, “Network”? Howard Beale, the TV news anchor, encouraged viewers to go their windows and yell out, “I’m as mad as hell and I’m not going to take this anymore!” How many parents feel that way about school closings? Uncertainty about openings and closings is bad enough. But now schools face severe staffing shortages. Entire classes may be disrupted because teachers are falling sick or required to isolate. Substitute teachers are nothing new, but the scale of the problem is concerning. Just as hospitals can shut down due to insufficient workers, so too can schools. School boards are scrambling to figure out what options they can offer students for online learning. Some offer synchronous learning (in real-time). Others offer asynchronous learning...Read More
Gynecology, Pediatrics, Philosophy, Surgery
The Changing Nature of Birth
We said goodbye to a beloved 17-year-old dog this week. She had rapidly lost quality of life. As sad as it was, few would have any qualms whatsoever with the vet’s provision of humane, painless, and sensible euthanasia. But what’s going on with medical interventions at the great miracle of birth? It’s no secret that humans commonly push the boundaries of scientific possibility – for better or for worse. Traditionally, interruptions in the natural birthing process have been overwhelmingly in the “for better” category. Caesarean sections may not have been a desirable option for women prior to the advent of modern surgical techniques – uterine suturing, for example – not to mention anesthesia. But in the modern era, there can be no...Read More
Dental, Nutrition, Pediatrics, Philosophy
Halloween Should Scare Up a Big Boooo!
If you are looking for a holiday tradition that has lost any semblance of common sense, look no further than Halloween. Today, it has few redeeming qualities. Let’s focus on only the health issues associated with children consuming ridiculous quantities of junk. Halloween candy comprises the lowest quality food on the market – cheap, sugary chocolate bars, chewy treats, hard candies, salty chips, soft drinks, and who knows what else – all questionably packaged, and gleefully handed out to unsuspecting youngsters as if it were the best thing on Earth. What a crock! Mary Poppins sang that a “spoonful of sugar helps the medicine go down”, but that should be a rare occasion. Today, I see children spooning far more than that...Read More
Infection, Lifestyle, Pediatrics
Are we keeping our kids too clean?
Mahatma Gandhi, the leader of India’s independence movement, popularized the expression, “Cleanliness is next to godliness.” Any doctor would agree that cleanliness is on the pathway to health nirvana. But are we going too far in keeping young children isolated from common germs? Are some parents doing a disservice to their youngsters by keeping them too clean? For decades, immunologist have been studying whether exposing young children to a little dirt might strengthen the ability of their immune systems to fight infection later in life. Research by Sir Mel Greaves, Professor of Cell Biology at the Institute of Cancer Research in London, England, shows that children raised in cleaner environments are more likely to have weakened immune systems. But experts are concerned an...Read More
Miscellaneous, Pediatrics
Guarding Against a Devastating Telephone Call
What should parents fear most when raising children? You could compile a list as long as your arm. But, while travelling in the U.S, I happened to read a column written by Bruce Feiler in The New York Times. The greatest fear, he claimed, should be that fateful call that a child has been killed while driving a car. So how can parents decrease this risk? Feiler’s article reminded me of a night I’ll never forget. I was working on a column in upper state New York. It was high school graduation time. Following one ceremony a few parents and graduates decided to celebrate. One teenage girl, a new driver, offered to drive four other girls to the event. A short...Read More
Dental, Pediatrics, Radiation
How Necessary Are Dental X-Rays?
What should you do the next time the dentist tells you he or she is going to take full dental X-rays? A new study shows that just as porcupines make love very, very carefully, you should also take care to limit the amount of radiation exposure during your lifetime, particularly the amount children receive. Dr. Elizabeth Claus of Yale University reports in the American Cancer Society Journal Cancer, that there's a link between dental x-rays and the risk of developing a brain tumour called a meningioma. These tumours grow from the meninges, the layers of tissue that cover the brain. Fortunately, most meningiomas are benign. Others are slow growing, but they can become life-threatening when they become as large as a baseball...Read More
Genitourinary, Pediatrics
Male Circumcision : What Would Newborns Say?
Why are so many male circumcisions still performed when we all agree that female circumcision is a barbarous act? Now, the American Academy of Pediatrics says the benefits of male circumcision outweigh the risks. But, if newborns had a say in the matter, they would use the following reasons to shout a big "NO" to this mutilating procedure, unless religious or cultural reasons require it. One Circumcision doesn't just snip off a small piece of skin. Rather, it removes a large surface of foreskin measuring three to five inches in length, about half of the total skin of the penis! Also, inside the foreskin there's a band of tissue that acts like an accordion. Its gliding motion is needed to trigger sexual...Read More
Dental, Pediatrics
Water Fluoridation Affects Children’s IQ
Why, in 1974, didn't authorities learn from this terrible tragedy? A three year old Brooklyn boy, during his first dental checkup, had fluoride paste applied to his teeth. He was then handed a glass of water, but the hygienist failed to inform him to swish the solution around in his mouth, and then spit it out. Instead, he drank the water, and a few hours later he was dead from fluoride poisoning. Fluoride is an acute toxin with a rating higher than lead. I was severely criticized by dentists when I issued a warning about fluoride five years ago. Now, a report from the Harvard School of Public Health (HSPH), says that the use of fluoride causes a decrease in children's...Read More
Cardiovascular, Obesity, Pediatrics
Niagara’s Grass Roots Approach Targets Childhood Obesity
What will it take to eliminate the current obesity epidemic in children? There’s no easy answer and every year children are putting on more pounds. So why not try a new approach? The one veteran politicians use to get elected, the grass roots approach? This is what Dr. Stafford Dobbin, a wily Irishman and family physician, decided to try in the Niagara Region. It should set a standard for the nation. Dr. Dobbin, graduate of Queen’s University in Belfast, and a family doctor, has a hero. He’s Professor Frank Pantridge, a cardiologist in Belfast, who invented the cardiac ambulance. Pantridge was the first to realize that if ambulances carried defibrillators, countless lives of coronary victims would be saved in Northern Ireland...Read More
Pediatrics
Cholesterol Drugs For Eight Year Olds?
The American Academy of Pediatrics claims that children who are at high risk for developing heart disease should be prescribed cholesterol-lowering drugs (CLDs) as early as eight years of age. This decision is either the ultimate in medical madness or a desperate and futile attempt to save obese children from early heart attack. We've known for years that atherosclerosis (hardening of arteries) starts early in life. Autopsies on young soldiers during the Korean war showed extensive evidence of this disease. And we know that obese children almost invariably become obese adults, perfect candidates for diabetes, atherosclerosis and heart attack. But if I had a young child with an elevated cholesterol level would I rush for CLDs? I would if there were a...Read More
Obesity, Pediatrics
Children Choked By Their Own Fat
"Three year old child dies of heart failure due to obesity." This British headline recently shocked the nation. What an appalling situation when a generation of obese children may die before their parents. So what about fighting this problem by Britain's proposed "Red Light" approach? Doctors at an English pediatric clinic report that they are seeing young children who need ventilator help while sleeping. It's hard to believe, but they're being choked by their own fat! In the U.S. researchers at Cincinnati Children's Hospital studied 343 extremely obese children ranging in age from 5 to 23 with an average age of 12. They discovered that the left ventricle, the main pumping chamber of the heart, was thicker resulting in decreased blood flow...Read More
Cardiovascular, Pediatrics
Grandchildren, The Long Visit Can Be Lethal
"Would you like to look after the grandchildren for us?" is an often heard request these days. Sometimes it's a request for a few hours of baby-sitting to allow parents a quiet evening on their own. But today with both parents working, caring for grandchildren can result in months or years of reliving earlier days. Some grandparents thrive on this routine. But a report in the American Journal of Public Health shows that caring for grandkids can trigger more than a headache. It can also cause increased risk of heart attack. Dr Sunmin Lee, of Harvard's Brigham and Women's Hospital, Boston, studied 544,412 registered nurses ages 41 to 71 between 1992 and 1996 who cared for grandchildren at least nine hours...Read More
Neurology, Pediatrics, Sports
Protect Children From Catastrophic Hockey Injuries
What should parents know about concussions in hockey? To find out I recently attended a seminar on this problem at the Air Canada Centre in Toronto. Today there's a huge debate raging over whether body checking should be allowed in players under 17 years of age. Unfortunately, the "big hit" does more to the brain than meets the eye. Today our national sport has become a violent past time. During the meeting we were shown videos of devastating NHL body checks. It's a reality check to see superbly conditioned players lying unconscious on the ice. Then, Ken Dryden, former goal tender for the Montreal Canadians, pointed out that we forget the game has changed drastically. Today NHL players are 27 pounds heavier,...Read More