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Expert adviceon childhood

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Supplement to The Press Tribune FAMILY LIVING September 27, 2013 3

Manytravel

agenciesoffer inter-

nationaltravel

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families,including

exoticlocales likethe desert

in Namibia.Learn more

abouttraveling asa family on

Page 10.

COURTESY AAA

A LOOK INSIDE

Fitness as a familyPage 4

Moms clubs provide support systemPage 8

Travel togetherPage 10

Picture-perfect family portraitsPage 14

Dont forget date night!Page 17

Be prepared for a medical emergencyPage 18

Childhood allergies explainedPage 19

ON THE COVER:

The Stansberry family of Granite Bay dad Steven Stansberry, mom MichelleStansberry, Javan, 6, Jada, 7, and Jordan,4 stay active together at JohnsonRanch Racquet Club in Roseville.

ANNE STOKES THE PRESS TRIBUNE


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4 September 27, 2013 FAMILY LIVING Supplement to The Press Tribune

Find room for wellness

in your busy schedulesBY ANNE STOKES

PRESS TRIBUNE CORRESPONDENT

In todays world filled

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meals of convenience,families can face an up-hill battle of the bulge.

When trying to balancework, school and a bevyof extra-curricular activi-

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ing weight loss, an activelifestyle has been provento have many positivehealth effects. Exercisehelps protect against de-veloping heart diseaseand certain types of can-

cer, reduces the risk ofdeveloping diabetes,helps stave off osteoporo-sis and can relieve symp-toms of depression andanxiety. Developing heal-thy habits early on for

kids is a significant influ-ence in building goodhabits for a lifetime.

One of the obstaclesmany families face inkeeping active together is

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SEE FITNESS PAGE 6


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time. With so many activitiesand commitments vying forparents attention, its hard to

make time for their own exer-cise routine, let alone gettingthe whole family up and off thecouch.

Put it on your schedule likeyou would a doctors appoint-ment, advises Lisa Packheiser,fitness director at JohnsonRanch Racquet Club. I thinkparents can definitely set agood example for their kids ifthey practice good, healthyhabits. The kids usually follow

suit. Thats where it starts atand I think if they see it and ifthe family does things together,it becomes part of their life-style.

A key element to seeing ef-fective results from exercise isconsistency.

What happens is, whetheryoure an adult or a kid, you getdistracted with everyday life.Its hard to stick with it andmaintain it, says personal

trainer Brandon Daniel, ownerof All The Way Fit in Roseville.The people that dont seeresults are the people who willdo really, really good one week,and then one week theyll findexcuses, whatever they may be.And a lot of it is that its hard tosay, Im going to go to the gymand work out. Its so easy totalk yourself out of it. Its easy tosay, Im not going to go, or Idrather do that instead, or This

came up.One way to make exercise

more enjoyable and less hum-drum is to inject a bit of funand novelty into your fitnessregimen whenever possible.

Theres so many things outthere that you can do, whetherits playing catch with your kidor its kicking a soccer ballaround, it could even be goingon a jog, because maybe somekids like doing that, Daniel

advises. Make it fun, make itinteractive. Toss a Frisbee ar-ound, get the dog out there,play fetch with the dog, runaround. Being active, move-ment, is how you burn calories.

So its just doing somethingthat involves movement.At Rocklins Sky Zone Indoor

Trampoline Park, the Skyrobicsfitness program offers a novelworkout option.

What we want is to givesomething new, offer some-thing innovative and unique,explains instructor Eric Kassis.Out there on the trampolines,people realize that its fun. Butthey dont realize, even coming

here to do open jump, it is atough workout! We like to givepeople the chance to work outwith friends and family andmeet some new people here. Itis a tough workout, but it isvery fun. Thats what this (rou-tine) is sculpted for, for thosepeople that want something alittle bit different than going tothe gym or pounding the pave-ment running for an hour.

While exercise is important

to maintaining a healthy fami-ly, diet also plays a crucial role.Portion control, as well ashealthy options, help curbweight gain while at the sametime fueling the body.

Spread your meals through-out the day, Daniel advises. Ifyoure not eating a lot of calo-ries at one time, basically whatthat does is speed up yourmetabolism. You keep feedingyour body constantly through-out the day, but youre onlyfeeding it small portion sizes.Basically it allows your body tonot starve, or go into starvationmode when your body doesntknow when its going to get fed

again.What you put into your

mouth is going to make a bigdifference, Packheiser says.As a mom or a dad, when yougo grocery shopping and youbring stuff home like the chips,and the ice cream, and thecake, and stuff like that, then itcreates bad habits that youtake with you the rest of yourlife. Nutrition needs to go handin hand with being active.

FITNESS:continued from 4

JOHNSON RANCH RACQUET CLUBWhere: 2501 Eureka Road, RosevilleInfo: (916) 782-2600;www.sparetimeclubs.com/club/welcome.php?site=jrrc

ALL THE WAY FITWhere:

3031 Foothills Blvd., Suite130, RosevilleInfo: (916) 715-6156;www.allthewayfit.com

SKY ZONE INDOOR TRAMPOLINE PARKWhere: 1091 Tinker Road, RocklinInfo: (916) 644-9966;www.skyzone.com/sacramento

Brothers Aiden, 10, and KeenanMayo, 13, play a game of tennisat Johnson Ranch Racquet Club. ANNE STOKES THE PRESS TRIBUNE


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Roseville club offerssupport, friendshipBY STEPHANIE DUMM


With a playful spirit aboutthem, nine children andtheir mothers competed

to see who could pick up themost trash at Dry Creek Com-munity Park one afternoon inSeptember.

The trash pick-up was a

service project organized bythe MOMS Club of RosevilleWest.

(The purpose of MOMSClub) is to provide a supportgroup for mothers who chooseto stay home and raise theirchildren, said Elizabeth Ma-this, president of the MOMSClub of Roseville West.

The Roseville West club ispart of a bigger organization,according to Mathis.

We are a part of MOMSClub International, which cur-rently has over 1,500 chaptersand over 100,000 members in

the United States, Mathissaid.

The acronym MOMS standsfor Moms Offering MomsSupport, explained clubmember Lori Coble.

The MOMS Club of RosevilleWest was originally part of aCitrus Heights/Roseville chap-ter, according to Mathis, and aRoseville West Chapter wascreated in 2004 when the clubsistered, or split.

Local moms unite

Leo Coble,2, JamesCoble, 5,

CobaltMathis, 2,

andSterling

Mathis, 4,show off

their bags

of trash toMOMSClub of

RosevilleWest

PresidentElizabeth

Mathis.

PHOTOS BY

STEPHANIE

DUMM THE

PRESS TRIBUNE

GOOD TO KNOW

For more informationabout joining MOMS Clubof Roseville West, visitwww.facebook.com/momsclubofrosevillewestorwww.sites.google.com/site/momsclubofrosevillewest/.


9/24

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In 2005 we sistered againand created Roseville North,Mathis said. Our currentboundaries for Roseville Westare 95747 and 95678 zip codessouth of Pleasant Grove Boule-

vard.The club features a play-group once a week and amoms night out once a month,as well as a variety of otheractivities that happen through-out the month, according toMathis.

The club also has play datesat parks, craft activities andmusic classes, Mathis said, andmembers also do classes atlocal places such as Flip 2 It

and Growing Brilliant.Coble said the MOMS Club is

primarily a support group andsecondarily a service organiza-tion, which is where the trashpick-up at Dry Creek Commu-nity Park fits in.

This is no cost to anybodytoday, and its an easy way togive, Coble said.

Mathis said one of the great-est benefits for the kids are theinteraction with other kids

their age before they start

school.My favorite part is the

friendships Ive made, Mathissaid. Most of us are friendsnow outside of club activities.

Coble has two sons, ages 5and 3, and has been a part ofthe MOMS Club of RosevilleWest for four years.

I was looking for friendshipfor me and my children, and away to give back to the com-munity, Coble said. I found it

to be a wonderful support org-

anization and I was on theboard, so it also gave me theopportunity to use my brain.

Lauren Pointer moved toRoseville four years ago andjoined the MOMS Club tomeet new moms and find ac-tivities for her two sons, ages 3and 5.

Meeting people in the com-munity was tough, since I workfrom home, she said.

Pointer said the MOMS Club

of Roseville West provides just

so much variety in activities.Theres always something

going on for different ages, andI like that there are so manyways to give back to the com-munity, Pointer said. The kidscan be involved and learn thegiving spirit.

Pointer said the club hasdone book drives, bra drivesand baby food drives.

Coble added there is a Moth-er to Mother fund, to which

club members from all of thechapters can contribute mon-ey.

(MOMS Club) memberscan apply for money whenthey are having some sort of

hardship, Coble explained.Samantha Hendon, whoserves as treasurer on theMOMS Club of Roseville Westboard, has been a membersince her 10-year-old daughterwas a baby.

She took a break for a fewyears, but now has a 4-year-oldand has since rejoined.

I joined because I did nothave any friends or family inthe area that had kids, Hen-

don explained. I wanted to getout and get support, and meetfriends.

Hendon said she had triedgoing to the park with just herkids, but its more fun whenyou actually know peoplethere.

I can go to the park or a playgroup and have five momsthere, Hendon said. Thatmakes it more enjoyable to dokids stuff.

KNOW AND GO

What: Quarter CrazeWhen: 6-9 p.m. Nov. 2Where: Free Flow Academy, 1106Tinker Road, RocklinInfo: www.facebook.com/

momsclubofrosevillewest

The kids of the MOMS Clubof Roseville West stop for awater break while picking uptrash at Dry Creek Communi-ty Park. Pictured from leftare Evelyn Seyl, Leo Coble, 2,Lori Coble, James Coble, 5,and Sterling Mathis, 4.


10/24

Travel adventures foreveryone in the familyBY TINKA DAVI


Seeing a baby about toboard a flight with hisor her mom is discon-

certing to some, maybemany, travelers. Theyre

worried about a fussy,

crying baby who mightdisrupt their expectationsof a smooth, quiet flight.

But there are some sat-isfying solutions.

Mary Barclay, AAA trav-el counselor and sea-soned traveler, is also amom. So when she en-countered a young moth-

er trying to soothe her

crying baby on a recentflight, she offered to holdthe little one.

Babies pick up onyour energy, and thatmom was uptight, Bar-clay said. I held androcked the baby and shefell asleep almost imme-diately.

The mom and the

nearby passengers re-laxed.

Now Barclay is plan-ning to fly to San Diegowith her 1-year-oldgrandson, and shell beprepared.

She asks herself thesame thing she asksclients: Whats the atten-

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SEE TRAVELPAGE 12

TRAVEL TIPS

TIPS FOR FLYING WITH INFANTS AND THE VERY YOUNG

Schedule direct flights during nap times ornighttime. That way you wont have to wake asleeping baby or a young toddler if you have tochange planes or have a layover.

Keep young ones hydrated. Pack a bottle, pacifier or toddlers sippy cup.

Sucking prevents ear pain due to changes inairplane cabin pressure.

Bring along favorite snacks and small disposablecontainers. Pack games, toys and books. Bring out one at a

time to keep the little ones entertained. Carry a change of clothes for you and baby in

case of spit-ups or diaper accidents. Pack complete outfits in plastic bags so you

dont have to dig for tiny socks or shirts. Pack plenty of diapers (one per hour), wipes and

a disposable bag for soiled diapers. Bring along blankets and a changing pad. Pack a small first-aid kit and sunscreen. Carry emergency checklists with doctors

name(s), medical history, health insurance and other

essential information. Dont forget the car seat. The Federal Aviation

Administration recommends each child under 2 bebuckled into a car seat when flying.

Be among the last to board a plane. Little onesget antsy if they have to sit too long.

And, as a courtesy, be among the last todisembark. That way you have time to check pock-ets, seats and the floor and avoid leave-behinds.

Baby on board: Tips for your next family vacation


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tion span of a 1-year-old?

Shes taking along a ba-by bottle.

The child needs to besucking, because thathelps the ears.

She also plans to carrya small backpack with

snacks such as goldfish, ahand-held DVD playerwith her grandsons fa-vorite videos, a few toysand a blanket.

The blanket is essen-tial, said AAA agent HeidiKazemi. Airlines dontprovide blankets on do-mestic flights, only on

international.Most people focus on

domestic trips, but Kaze-mis family travels interna-tionally. In fact, she recom-mends international tripsfor adults and children.

Theyre educationalfor children who can beexposed to art, she said.

continued from 10

A familyenjoys anadventureat BryceCanyonNationalPark insouth-westernUtah.

COURTESY AAA

TRAVEL:Many benefits of international trips


13/24


TRAVEL TIPS

TIPS FOR TRAVELING WITH OLDERYOUNGSTERS AND TEENS

Visit destinations online or purchasetravel books. Young travelers and teenscan check out attractions and help

decide the places theyd like to see. Purchase tickets to attractions orexcursions in advance so you can selectdates and times that are best for yourfamily.

Pack in advance and bring along achecklist to make sure youve repackedeverything.

Have each youngster carry his or herown backpack or small carry-on withwheels. Consider the same color foreveryone, including adults, or an identi-fier thats easy to spot, like matchingcolored straps, duct tape or large tags.

Childrens names should be insidethe backpack, not on the outside.

Buy new or pack favorite DVDs andgames. On longer trips, keep youngones busy by pulling out a new toy orgame every so often. Surprise themwith activity books and crayons or mark-ers.

Give each child a notebook ordrawing pad so they can create a diaryor scrapbook about their trip.

Bring along plenty of their favoritesnacks.

Pack carry-on bags with changes ofunderclothes, toiletries in a clear plasticzip-top bag, extra eyeglasses, swimsuitsand medication. If your luggage isdelayed, you and your kids can still havesome fun.

Check the weather and pack

appropriate clothing and shoes. Pack a small first-aid kit, hand

sanitizer and tissues for runny noses. Bring along an emergency checklist

with doctors name(s), medical history,health insurance and other essentialinformation for each child and adult.

Make sure medications and vaccina-tions are up to date. Check the Centersfor Disease Control and Preventionwebsite at http://wwwnc.cdc.gov/travel/ .

Buy travel insurance to protect youif the trip is delayed or canceled, or yourluggage is lost.

Get an international driving permit,which is required in almost 80 countriesand valid in more than 150 countries.

Apply or update passports well inadvance of a trip. All minors regardlessof age, including newborns and infants,must have their own passport whentraveling internationally by air, accord-ing to the U.S. Department of State.And passports should be renewedapproximately nine months before theyexpire and should be valid for at leastsix months beyond the dates of the trip.

Many clients are collec-tors who purchase art-work from anothercountry.

Kazemi suggests Afri-ca, Paris and Hawaii,and not just the beachesthere. Other popularfamily destinations areItaly, Spain, England,Canada, Glasgow andLake Louise.

Children should beexposed to different pla-ces, learn another lan-guage and (the olderones) might get collegecredit, Kazemi said. Itshealthy for children to

travel.The two travel coun-selors book many fami-lies on special trips, suchas a Harry Potter excur-sion in London or DisneyAdventures, which in-clude accommodations,day trips, meals and rec-ommended ages. Disneyoffers several travel pack-ages to specific spots inthe U.S., Ireland, Ger-

many, Peru and othersfor children as young as4.

Trafalgar and TauckBridges are other AAAtravel partners, whichoffer family travel pack-ages both in the U.S.and abroad. Trips in-clude such adventuresas mountain biking in

the Alpines, cruising theDanube River and afamily safari in Tanza-nia.

Barclay sees a trend inmulti-generations trav-eling together.

Many families takecruises, she said.

She helped plan a tripto London for a couplein their 70s who tooktheir 40-something chil-

dren and grandchildrenalong.

Cruise lines such asRoyal Caribbean have arange of age-appropri-ate programs for babies,youth and teens. Thatincludes a Barbie DreamCruise and on-board at-tractions such as rock-climbing walls and ice

skating.Cruises beat living outof a suitcase in a hoteland eating every meal ina restaurant. Royal Ca-ribbean Cruise Linesalso pampers babies byproviding diapers andbaby food.

Those are two morethings to remember topack for taking baby onboard.

Children should be exposed to different

places, learn another language and (the

older ones) might get college credit. Its

healthy for children to travel.Heidi Kazemi, AAA agent

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When we were younger,isnt that what we were alltaught to do when we

had our portrait taken? Whetherit was a school photo or a familysession, portrait photographyoften seemed very contrived.Dont get me wrong, theres stilla need to take photos wherepeople are looking at the cam-era and smiling, but thankgoodness family portraiture hascome a long way since then,and the process has evolved insuch a way that the subjects

personality is allowed to comethrough in the finished product.Although many people still

enjoy having their portraitsdone in a studio, there really isno limit as to where you mayhave your portraits taken. Re-gardless of where you choose tohave your professional portraitstaken, one of the most impor-tant things in selecting a loca-tion is to choose one where yourfamily feels comfortable this

is especially important if youhave young children in the fam-ily.

In addition to ensuring thekids feel comfortable with the

surroundings, finding a photog-rapher you all feel at ease withwill be the most crucial elementto your session. Being a photog-rapher for more than 20 years, Igive my clients suggestions onwhat they need to look for in aphotographer. At the top of thelist (yes, even more importantthan price) is whether they feelcomfortable with the photogra-pher. If a photographer andclient dont have a relationship

where the client is made to feelat ease, the awkwardness willshow in the photographs. Howmany times have you made apurchase of a television, car oreven your home, and the salesprocess either made the entire

experience enjoyable or some-thing you never want to addressagain? Think about how thatwill translate to your finishedportraits.

With digital SLRs being soavailable, many people pick upa camera, do a couple of por-traits for friends and call them-selves a photographer, so besure to ask a lot of questionswhen youre interviewing pho-tographers. The best way to find

DEBBIE BROWN

PHOTOGRAPHY

Phone: (916) 645-3356Online: www.debbiebrownphoto.com

Look at the camera, and say cheese!

Debbie

Brown

PHOTOS BY DEBBIE BROWN THE PRESS TRIBUNE

Getting kids to sit still and smile is not always easy, or whatparents want, so its a photographers job to capture uniqueways to engage the kids. The Luc children were being playfuland playing a little peek-a-boo between mom and dadslegs, so it was the perfect opportunity to get some greatimages. I always try to photograph the children doing whatthey want, not making them do what I want.


15/24

one is to ask friends forreferrals, or to look to yourpast experience (maybeyour wedding photogra-pher, or your childsschool photographer,does family portraits).Some of the questionsyou need to ask are 1)Areyou licensed? Photogra-phers must carry a busi-ness license and be regis-tered with the State Boardof Equalization. 2)Are youinsured? Having a pho-tographer who is insuredwill protect you and yourfamily in case an accidentshould happen at the ses-

sion, due to negligence ofthe photographer. 3) Doyou carry backup equip-ment? By carrying extraequipment, a photogra-pher is prepared in casesomething should hap-pen. You dont want tohave to reschedule be-cause of failed cameras.4)Do you do retouching,and is it included in the

cost of the prints? Headswaps, eyes being re-opened, removing blem-ishes, etc., are all things aphotographer must becapable of doing in orderto give you a properlycompleted family por-trait. 5) Be sure to seeexamples of their workwith the type of portrai-ture youre looking for,and ask for referrals.

Now that youve select-ed your photographer,you need to think aboutwhat youll wear. Whetheryou want everyone in thephoto to be dressed alike,

or to just have the cloth-ing complement eachother, your clothing choi-ces will be important.Keeping the colors to amaximum of two to four(depending on the size ofthe family) will help thephoto to be cohesive. Inregard to patterns, selectclothing that doesnt dis-tract from the family. After

all, you want your family,not the clothing, to be thefocus of the photograph.

Make sure your kids arewell-rested and have fullbellies. Taking along pho-to-friendly snacks is amust. Bring along waterbottles (no colored juicesthat may dribble on theirclothing) and snacks thatarent messy (goldfish cra-ckers, pretzels, dried fruit)are great for keepingthose cranky hungerpangs away. In addition tobeverages and snacks,distractions are a mustwhen working with kids. A

container of bubbles isone of my favorite propsto use with kids, and itadds an element of whim-sy to a session. Parents areoften concerned abouttheir kids sitting still whiletheir photos are taken.Some of the best portraitsare ones where the fami-lies interact with oneanother and just let the

kids be themselves.Of all the things I men-

tioned that are important,I cant stress enough theimportance of this nextitem: Do not wait to haveyour family portrait takenuntil you lose weight, yourhair grows out or any oth-er excuse youve beenusing. Life is short, andone of the greatest giftsyou can give your family isa portrait session if, Godforbid, the unthinkableshould happen. Several

years ago I photographeda family whose youngdaughter, Ally, had beendiagnosed with conges-tive heart failure. The doc-tors said she probably hadabout five years to live,but the parents wanted toget their portraits takenwhile she still looked likeherself. The family hadalso just had a new babyand wanted to take thisopportunity for some fa-mily photos. Three weeksafter I did the portrait ses-

sion, Ally passed away.Imagine how treasuredthose portraits are now.

No excuses are moreimportant than havingyour family all togetherand creating memorieswith something that willlast a lifetime. After all,todays family portraits willbecome priceless fa-milyheirlooms in the future.

Debbie Brown has been a

portrait and wedding photogra-

pher for more than 20 years.

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Romance is vital tolong-lasting relation-ships; rekindling ro-

mance should be a part ofeveryday living. How canromance be rekindled?

Quality timeUnderstand the impor-

tance of quality time withyour spouse. Take thetime and make the effort;remember, surprises arespecial to most individu-als. Become a slue with

your spouse, discoveringchanging ideas, beliefsand goals for romance. Ifyou dont ask, you maynot discover what reallyworks best.

Instigate withconversation

To be romantic takesunderstanding and lots ofconversations, discoveringthe needs of one another.

Good communication isvital. Talk about your ex-pectations for romance.Find out what romancemeans to your spouse.How can you be moreromantic? How can yourspouse help you to meetyour needs? What are theimportant things you wishto communicate? Rekin-dling with good commu-nication is a necessity.

Date nightsSo, youre newlyweds, or

perhaps youve been mar-ried for a while. Qualitytime is still important inyour lives, and so is timefor romance, especiallyromantic dates. How canyou make sure you haveplanned a date yourspouse will enjoy? The

best way is to ask for ideasor listen to your spousetalk about someone elsesexperience he or shethought was enjoyable.

Communicating,dating, connecting

Most of us are busy

people. Time, being a val-uable asset, needs to bemaximized to enjoy con-necting with one another.Scheduling dates, at leastonce a month, is a good

way to proceed.Think about schedulingdates at home with anambiance of soft music,candlelight and fragrantcandles. Include favoriteromantic dishes cookedtogether or delivered toyour home.

FamilyMost children under-

stand the importance of

your relationship andtime alone, usually en-couraging affection andyour attention to oneanother. At some ages,they may seem embar-rassed, but deep downthey appreciate the factthat you are close and lov-ing. A bonus is that learn-ing from your lovingactions and words first-hand offers opportunitiesto observe what loving,caring and gratefulnesslook and sound like.

Romance is worth itsweight in gold

Learning the secrets oflove is vital. Sometimesan expert comes inhandy, especially provid-ing food for thought. Afew experts with a reper-

toire of ideas include Gre-gory J.P. Godeks 1001Ways to be Romantic;Leo Buscaglias Love:What Life is all About;Daphne Rose KingmasTrue Love; and LoisWyses Family Ties: TheLegacy of Love. Bu-

scaglia, my favorite trueromantic, has numerousbooks available on theshelves.

Making theefforts pays off

How do you know yourefforts will work? All youhave to do is share yourfeelings and be patient.Daphne Rose Kingmanexplains, Like a wish or awork of art, the beauty ofa relationship is sculpted

over time.

Romantic filmsset the mood

My extended familyprovided a list of theirfavorite romantic movies:Casablanca, From Hereto Eternity, Gone withthe Wind, Love Story,Pretty Woman, Some-where in Time, TheNotebook, The Way we

Were, When Harry metSally and While youwere Sleeping.

What does rekindledromance look andfeel like?

Rekindled romancelooks and feels like affec-tion, bonding, commit-ment, a deeper relation-ship, positive attitudes,gratefulness, imaginativeand intuitive thoughts,learning, loving and liv-ing, nostalgic moments,sensitivity to the othersneeds, supportiveness,thankfulness and under-standing with a pro-nounced zeal and zest forliving. Buscaglia knew allabout love. One messageI particularly am fond ofis: One does not fall in

or out of love. One growsin love. While nestled bythe fireside, rekindleromance and watch thesparks fly.

Sheri Hitchings, married for

47 years, has two children and

four grandchildren.


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Hitchings

Rekindling romance


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E

mergency rooms arefilled with patientsbeing treated for

injuries and illnesses,many of whom are chil-dren. In my experience asan emergency medicinephysician and pediatri-cian, I know many ofthese are preventable.

When it comes to keep-ing children safe, com-mon-sense preventionmethods are the most

effective way to stop in-juries from happening.Here are tips on how toprevent some of the mostcommon injuries and ill-nesses:

Injuries from motorvehicle accidents

The correct use of seat-belts, child safety seatsand booster seats andfollowing the recom-

mended guidelines forchild seat selection in a car can prevent many seri-

ous injuries from motorvehicle accidents. Childseat recommendations byage and weight can some-times be confusing, but a

helpful summary ofguidelines can be found inan online brochure pub-lished by the CaliforniaDepartment of PublicHealth at www.cdph.ca.gov/healthinfo/injviosaf/documents/parentbrochure-english.pdf.

Head injuriesMany serious head in-

juries can be prevented

by using helmets whileriding bikes, skiing,snowboarding, skate-

boarding and other simi-lar activities. Its equallyimportant to make surethe helmet is properly fit-ted and worn at all timesduring the activity.

BurnsLimiting infant and

toddler exposure to hotsurfaces and liquids canprevent painful burns. Inaddition, staying awayfrom fireworks can elimi-

nate serious eye andhand injuries and theburns we often see relat-ed to their use.

PoisoningLocking up medica-

tions (prescription andover-the-counter) canprevent accidental childmedication overdoses. Acommon scenario we seeis when a child gets into a

grandparents or otherrelatives medications. Alladults who supervise

children need to under-stand these risks and fol-low prevention guide-lines. When adults arevisiting your home, makesure purses and hand-bags that have medica-tions in them are keptbeyond the reach of tod-dlers and small children.

Physical injuriesChildren need to be

handled with care. A fre-

quent pediatric orthope-dic injury we treat isNursemaids Elbow, whichoccurs when a bone in theforearm slips out of posi-tion at the elbow. Infantsand toddlers have looseligaments compared toadults. Sometimes, whenparents or siblings sud-denly pull a toddler out ofdanger by quickly tuggingon the childs outstretched

arm, they can inadver-tently pull a ligament outof alignment, causing the

child pain at the elbowand inability to use thatarm. Unfortunately, theseinjuries typically require avisit to the emergencyroom or doctors office,but most of the time canbe fixed within a few min-utes and dont typicallyrequire X-rays.

VaccinationsMaking sure your child

is fully immunized is one

of the best ways to pre-vent certain seriouschildhood infections. Ev-en though we dont fre-quently see many of thediseases that were com-mon even at the start ofmy medical training,they unfortunately havenot disappeared. Pertus-sis, for example, is stillvery active in our localcommunity and is a par-

ticular danger and some-times deadly to younginfants. Making sure all

children and caregiversare up to date on thepertussis (whoopingcough) vaccination isimportant. In addition,there are still outbreaksof measles and tetanusin the U.S., and influenzaalone causes many pre-ventable childhood hos-pitalizations. Even chick-enpox, which most con-sider to be a fairly mildillness, can be particular-

ly dangerous to olderunimmunized teens,adults and pregnant

women who have con-tact with affected chil-dren.

We urge parents andcaregivers to use com-mon sense so their chil-dren can stay safe andhealthy.

Hillary Goodwin, M.D., is an

emergency room physician atKaiser Permanente Roseville

Medical Center.

HillaryGoodwin,M.D.

Preventing pediatric injuries and illnesses

S l t t Th P T ib FAMILY LIVING S t b 27 2013 19


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T

he American Acade-my of Allergy, Asthma

and Immunology es-timates that 8 percent ofchildren in the UnitedStates have a food allergy.In addition, a little morethan 38 percent of thesechildren have a history ofsevere reactions, and 30percent of these childrenhave more than one foodallergy.

There is a difference

between food allergy andfood intolerance. A foodallergy involves the im-mune system and the riskof anaphylaxis, an aller-gic reaction, while foodintolerance does not.Instead, food intoleranceinvolves the GI tract, andreactions include un-comfortable symptomssuch as abdominal pain,nausea, vomiting and

diarrhea.Food allergies can

cause a variety of prob-lems that range fromeczema to life-threaten-

ing allergic reactions.Most allergic reactionsfor children stem fromeggs, milk, soy, fish, pea-nuts, shellfish, tree nutsand wheat. Some of thesefoods, like peanuts andtree nuts, are used asingredients in commonbaked goods or in des-serts or salads. They maybe hidden and hard toidentify when eating at

restaurants, buffets, icecream parlors, bakeriesand birthday parties orfamily gatherings.

It is important to take

special care of childrenwho have known foodallergies. Below are somehelpful tips to keep yourchild safe from a life-threatening allergic reac-tion.

Read all food labels. Besure to read and under-stand the disclaimers infood packaging. It is im-portant to know what

your child is eating and

drinking.Create an allergy plan

with your childs physicianor with an allergist if yourchild has life-threatening

allergies to food. Thismay include prescribingemergency epinephrineto carry at all times if yourchild is as risk for a severeallergic reaction.

Educate others that yourchild has a food allergy. Besure to talk to your childscare providers, teachersand other adults who reg-ularly interact with yourchild. Emphasize that an

allergic reaction in yourchild can be life-threaten-

ing and requires immedi-ate action. In addition,ensure that your childknows to ask for help if heor she is having an allergicreaction to food.

Explain food allergysymptoms. Instruct theadults who spend time

with your child on how torecognize the signs andsymptoms of an allergic

reaction.Consider a medical alertbracelet or necklace foryour child. This alertlists your childsallergy symp-toms andexplainshowothercan pro-vide firstaid in an

emergency. Visit the FoodAllergy and Anaphylaxis

Network. Visit www.foodallergy.com for generalinformation about foodallergies. Other sitesinclude the American

Academy of Allergy, Asth-ma and Immunology(www.aaaai.org) and

American College of Al-lergy, Asthma and Im-munology (www.caai.org).

Sunil Perera, M.D., is a Sutter

Health allergist.

Sunil

Perera,

M.D.

Be sure to talk to your childs care providers,

teachers and other adults who regularlyinteract with your child. Emphasize that an

allergic reaction in your child can be life-

threatening and requires immediate action.

Caring for children with food allergies


21/24



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