Adderall Addiction — What You Need To Know

Posted on February 19, 2013 by Yes Five

I feel the need to write this article in reverse.
Here are the Take Home Messages:
1. Medication is good — when it is taken as prescribed by a doctor.
2. Teenagers make really stupid choices — even the really smart ones.
3. The signs and symptoms will be there. You just have to know what you are looking for.
And, for my slightly off the topic commentary — We are putting too much pressure on these kids to excel. They CANNOT all get into Harvard. 

Here’s the story, summarized from the New York Times:
Richard Fee was a 24 year old college grad, who according to family, had never shown or been diagnosed with A.D.H.D. He was his president of his class and had hopes of going to medical school. Fee, like many other misguided young people, was using Adderall* to increase his focus.

* Adderall is a stimulant prescribed to people who suffer from A.D.H.D. When used correctly, it can be a life changing treatment. As users realized the benefits of taking Adderall for studying and focus, it, not surprisingly started to be abused. Kids with prescribed Adderall have been known to sell their stash for cash, making the exchanges in school bathrooms. Teens have admitted to crushing the drug and snorting it before the SAT. Quite frankly, when I hear about the effects of Adderall on focus, I wonder if it could help me better manage my day. I can understand the temptation, especially for young people striving to constantly be better.

As Fee’s family learned the hardest way, Adderall can be addictive, especially when used carelessly. Richard went from doctor to doctor, faking symptoms of A.D.H.D. and getting higher and higher doses, despite apparent symptoms of addiction (see below). His family attempted to intervene, but two weeks after his supply was gone, Fee hung himself in his bedroom closet.

The doctors in this case must take some of the blame. But, as a physician, I can’t help but see in this sad case, the failings of a health system which expects providers to see an unmanageable number of patients each day. His parents did everything they could, and they were unable to save their son. Talk to your kids. Make sure they know the potential dangers of taking prescription medications without a prescription. Make sure they know these can be just as dangerous as street drugs. “Say No to Drugs” just doesn’t cut it anymore. Be more specific.

Side Effects are MUCH more likely to occur when Adderall is abused than when it is taken as prescribed.
- nervousness & restlessness
- shaking of a body part
- headache
- difficulty sleeping and staying asleep
- stomach pain, nausea and diarrhea
- dry mouth, constipation
-  loss of appetite and weight loss

More serious side effects include:
- shortness of breath
- seizures
- weakness or numbness of the limbs
- slowed speech
- chest pain
- verbal or motor tics
- paranoia & hallucinations
- mania
- blurred vision
- rash, hives, blistering skin, itching

Posted in ADHD, Parenting, Psych | Leave a comment

Talking to Your Children About Violence and Tragedy

Posted on December 14, 2012 by Yes Five

As much as I would like it if my children never heard about the shooting in Newtown, they don’t live in a bubble. Ultimately, they will hear about it on the news, from their friends or social media. Better it come from me. I just told kids, and sadly they ended up comforting me.

Some things to remember when discussing violence, such as this, with your kids:

  1. Nothing you say is going to protect them from something like this, so the pressure is off. Unlike speaking to them about abductions, you can’t get this wrong. Remember the only reason you are telling them is so they hear it in a comfortable setting, from someone who cares about them.
  2. Start slow. Be very general, and give them the information in doses they can handle.
  3. Sit close. Be ready to lean in for a hug, hold their hand or let them lie on your lap. Kids may initially get a feeling very unfamiliar to them – vulnerability. It is important for them to know they are loved, and that there are many adults who are dedicated to keeping them safe – parents, family, police, armed forces, etc.
  4. Be honest (kids respond to honesty), but watch out when expressing anger. Yes, we are all infuriated by the senselessness of this tragedy, but let your kids have their own reaction. Don’t expect anything – they may ignore you, cry, giggle, scream, have a million questions, have no questions. Any reaction is normal. Remember, you don’t even understand what you’re feeling right now, and you are the grown up. Don’t pressure them to feel a certain way.
  5. Answer only the questions they ask. Don’t try to make sense out of it for them. Just let them know you are available for any questions or discussion at any time.

My thoughts and prayers, like yours, go out to the victims, their families, the first responders and the town of Newton. 

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Please Don’t Call Me Mommy

Posted on October 26, 2012 by Yes Five

Unless I gave birth to you or legally adopted you, please don’t call me Mommy. There have been many moments in my parenting journey that have caused me to take pause and think, “Wow. This having kids thing is pretty incredible.” One of the most memorable is when my babies say, “Ma Ma” for the first time. This evolves into an adorable toddler version of “Mommy” into a more grown up “Mom” into an all too soon “Mother”, as in “My moth-er is so uncool.” As uncool as I may or may not be, I love the sound of the word. True, sometimes when all 5 of my kids are shouting “Mommy” at the same time, I wish I could remove it from their vocabulary, but 95.5% of the time, it is my favorite thing to hear – from my children. The word is getting butchered to the point that all the joy is being taken out of it.

Years ago, I worked in a clinic in Washington Heights, NY, a neighborhood populated by many immigrants from the Dominican Republic. I was much younger, it was B.C (Before Children) and like every young woman walking the street, I was on the receiving end of a lot of catcalls. To the men hanging on the corner, “Mommy” was another word for girl, as in “Hey, Mom-eee, looking good. I want to …(the rest of the sentence is rated ‘R’)” Every once in a while, after I turned and gave my evil stare, I would hear an ashamed, mumbled, “Oh s*%t. Sorry, Doc.” Prostate exams are fairly memorable.

In that part of the city, at that time, I think girls were called Mommies because many of them were mothers or wanted to be mothers very soon. Fifteen and sixteen year old girls carried their expanding middle proudly and their 50 year old grandmothers were equally proud to care for great grandchildren while the “Mommies” went back to school or tried to find work. In such a maternal society, universal use of the word Mommy made some sort of sad sense.

How about here and now? Soccer Mom, Mommy-bloggers, Mom-trepreneurs, Mommy jeans … Good Grief! Have you heard of Mommy Makeovers? I am reminded of the scene in Dirty Dancing when the main character says, “That was the summer everyone called me ‘Baby’, and it didn’t occur to me to mind.” Why don’t we mind? Perhaps, we don’t mind being called Mommy by the masses because we are in the midst of an identity crisis.

We are the most highly educated, most accomplished generation of women this country has seen. We rest comfortably on the effort and struggle of the suffragettes and the women who threw hardballs at glass ceilings. We are nearly there, but we are not there yet. We have yet to receive equal pay for equal work, and a pregnant employee is still a weak link in need of fixing. (Thank you Marissa Mayer and Yahoo for throwing a bomb at that theory.)

Instead of taking our individual accomplishments and experiences and embracing the positive influence they have on our parenting, we are taking a wide brush and painting ourselves into a pink, polka dot scene surrounded by absurdly proportioned female silhouettes wearing 1950s attire. With “We are Mommies, aren’t we adorable?” as our mantra, it is no wonder employers shy away from women of childbearing age and no wonder stay-at-home moms suffer more from depression than any other group.

I am a mother. It is the most important role in my life, but it is not an accomplishment. Women have been doing it for… well, forever. We are not an elite, cohesive group. Our differences far outweigh the maternal thread we share. Being a mother is work, but it is not a job. To say it is, is condescending. A job is something for which you receive financial compensation. Parenting is not about compensation. A job inherently implies something you can lose or quit. Once a parent, always a parent. I am not sure when motherhood went from being a natural, wonderful part of a life, to being an absurd generational label. To base an identity on something so evolutionarily ordinary and so personally extraordinary is odd and speaks to the fact that we are a generation of women lost. Why can’t we just embrace our shared experience of mothering without turning it into an embarrassing sitcom?

Someday, I pray I will look back and know I was a good mother. My efforts will be judged by their results. Those five results, I hope, will always be proud enough and self assured enough to call me Mommy — even in public. But, I beg of the masses, please don’t call me Mommy. I am not a “Soccer Mom” because my girls enjoy the game, anymore than I am a “Golf Wife” because my husband plays occasionally. I am not a Mommy Blogger, because I enjoy writing and also happen to have kids. The occasional “Mom” as an adjective is fine and harmless. I fear though, we are letting this situation slip out of control. You can let your children know they are the most important thing in your life in ways more subtle and effective than bumper stickers and t-shirts. Our daughters may choose to be mothers someday. They may also choose to or, more likely, need to have a job. Without doubt, they need better examples. I am not your mother, but if I was, I would advise you to “let it occur” to you to mind.

Posted in Parenting, Uncategorized | 1 Comment

Exercise and Breast Cancer

Posted on October 15, 2012 by Yes Five

Cathy Thorne – everydaypeoplecartoons.com

For those of you who know me in person or through YesFive, it won’t surprise you to read I don’t like to exercise. I resent the time it takes up in my day, the sore muscles and the sweat. I am still waiting for the runner’s high, waiting for the desire to shop Lululemon, waiting for some kind of competitive spirit to kick in — nothing. But, while I wait, I still need to move. I know it will protect my heart, protect my bones and protect my psyche. But, will it protect my breasts? We hear about exercise’s role in cancer prevention frequently. Especially in October, the buzz is all about what we can do to lessen our chances of developing this disease that affects 1 out of 8 American women. Clearly, I am not a self-motivator, so I want some proof. Does exercise help prevent breast cancer?? Maybe that will light a fire under my tail. The truth is, the jury is still out, but the court is definitely still in session.

1. The study of an association between breast cancer and exercise began because of an observation of pubertal girls. Girls need their caloric intake to exceed the calories they burn in order to menstruate. Very active girls often do not get their periods until later, while more sedentary girls get their’s earlier. The older a girl is when menses start, the lower her chances of developing breast cancer. This prompted a closer look at breast cancer and exercise.

2. It is known that obese women have a higher rate of breast cancer. Therefore, it makes sense — exercise -> decrease in fat cells -> decrease risk of cancer. What about thin people who don’t exercise?

3. Among women with a healthy body weight, what is the difference for those who workout? Exercise lowers the body’s levels of estrogen, testosterone, insulin and growth factors. Higher levels of these hormones translates into an increased risk of cancer.

4. How much do you need to exercise? Ahhh, here’s the million dollar question. Women need to exercise at least 30 minutes a day to truly reap the cancer reduction benefits. This is a lot for a lazy bum like me. Even with this much activity, there is debate about how much difference it makes to the individual.

5. Some scientists contend the evidence is not good enough to prove exercising makes a significant difference in breast cancer risk. Great! I’m going to listen to the viewpoint that suits me better and hit the couch with a chocolate doughnut. Wait, not so fast. The evidence for exercise’s role in the prevention of colon cancer is much better and your risk of getting colon cancer is 1 in 20. So, as much as it pains me, I can’t deny the facts. Physical activity, whether or not it makes a real difference in breast cancer risk, is good … good for the body and good for the soul.  I dread it, but I’m going to throw on my Old Navy sweat pants and my husband’s t-shirt and move it, move it. I envy those of you with your adorable workout clothes and great attitude. But, no one says I have to like it. Even with a frown on my face and a complaint at the ready, my heart, head, bones, colon (and probably my breasts, too) will be happy.

Posted in Cancer, Uncategorized | Leave a comment

Lice. I know … Yuk!

Posted on October 10, 2012 by Yes Five

CDC photo

Lice. There, I said it. Now, I will have to type with one hand and scratch my head with the other. Why do those four little letters frighten me so? I know many families who have had it and successfully rid themselves of it. Those who have been through it more than once say the first time it happens, you panic. The second time you realize it is no big deal — kind of like sex. With three long-haired girls, I, of course expect the school nurse to call at any moment with the dreaded, “Please pick up your child. She has lice.” At which point, despite all reason, I will feel like a dirty, inferior mother. Then, I will cry, fumigate my house, shave all our heads, spend thousands on lice-pickers (there’s a job for you) and by all counts, act like an irrational lunatic. Seriously, I should know better, but there is just something about bugs.

1. Lice (the singular is louse) are parasites that feed on human blood. They have little claws allowing them to cling to the hair shaft, which is why they are so hard to get rid of. To survive, they feed on human blood several times a day … what the?

CDC photo – Adult Louse

 

2. Life cycle
Adult – The grown-up louse is grey-brown in color and about the size of a sesame seed. The female can lay about six eggs a day. It has a lifespan of about 30 days, but will die within 48 hours without a human host.

 

CDC photo – Nit

Eggs(Nits) with a baby louse inside are usually attached to the hair shaft less 1/4 inch from the scalp. If eggs are found farther than 1/4 inch from the scalp, they are likely hatched. Eggs are usually yellow or white and about the size of a knot in a piece of thread. They are easily confused with dandruff or hair product.

 

CDC photo – Nymph

Nymph – Not that it matters for our purposes, but for completeness, these are the preteen lice. They are smaller than adults and can’t lay eggs. They are fully grown in 8-9 days.

 

3. Mode of Transmission - The most common way to get lice is direct head to head contact. You can get it by sharing hats, helmets, pillows, brushes, etc. but it is much more difficult to contract in this manner. Lice can’t fly and they can’t live without a human host. So, they prefer to jump head to head. They are not carried by animals. Our furry friends have their own set of parasites to contend with. Lice can survive submersion in a pool, but it seems they hold on tight. It is very unlikely to contract lice from swimming in the same water as someone who is contaminated. Infestation has absolutely nothing to do with hygiene.

4. Symptoms – Kids with lice can feel a tickling or a light movement through their hair. Since lice are most busy in the dark, contamination may interfere with sleeping. Itching, which is the result of the body’s reaction to the small bites. Finally, a child may have infected sores from the scratching. Rest assured though, while these buggers can turn your life upside down, what they can’t do is transmit disease.

5. Treatment – Ahhhh. Here is the big issue. Was it treated correctly? Was it treated adequately? Can I send them back to school? Do I have to treat everyone? Is my house now a bug-fest?
Here is the link to the CDC recommendations.
To summarize, the CDC recommends checking everyone in close contact, and treating those who have evidence of lice and anyone who shares a bed with the infected person. The CDC recommends the use of pediculicide (basically a pesticide for lice) and retreating based on results.

CDC photo – These are the claws they hold on with … why they are so hard to wash out.

Friends who have fought the fierce 2 mm beast, disagree. Common thinking here in the burbs is you need to pick every little bugger out strand by strand and then, do it again. If you can spare hundreds of dollars, you go to a professional lice picker who will do it for you. Everything from comb-outs with Pantene to suffocation with olive oil and shower caps is fair game.
Bottom line is this: You need to keep working at it until there is no evidence of a live bug or a nit close to scalp. Then, you can put your crazy away, resume normal life and stop the psychosomatic scratching.
Prevention:  The experts advise checking frequently, knowing what you are looking for, and teaching your kids to keep their heads, hats, brushes and helmets away from other kids’ heads, hats, brushes and helmets. We parents want more. I want the magic formula for preventing the bugs from landing on their heads in the first place. While I can’t find any proof they work, there are products made with ingredients that have a smell lice don’t like. (How do we know this? Does someone speak louse?) I use the Fairy Tales leave-in conditioner every morning on the girls, because if there is a chance it works, I am taking it. It isn’t cheap, but at about $14/bottle, it is less expensive than a lice-picker. When there is an actual lice outbreak at the school, I put garlic extract behind their ears. If it doesn’t stop the lice, at least it will keep away the vampires.

In elementary school, we would have a lice scare about once every three years. Sister Joan would call us into the hallway one by one and ineffectively rake through our hair with two rulers. Then, breathing a sigh of unembarrassed relief, we would walk confidently back to our desks to continue copying words off a blackboard. Every generation has its struggles. Now, lice is as common as a Kardashian family fight.

Posted in Kids, Uncategorized | Leave a comment

Medicare — The Little I Know

Posted on October 7, 2012 by Yes Five


Viola & Joe on their 75th wedding anniversary

In case you didn’t watch the first Presidential debate, Barack Obama has a grandmother. Me too! I also have a grandfather. He will be 100 years old one week from today. For 35 years, he has been receiving Medicare. If I roughly estimate yearly Medicare spending per enrollee, Grandpa’s piece of the pie in recent years is about $8,000/year. I doubt he has used much of that allotment. He is an old, stubborn Polish guy who rarely goes to the doctor, hasn’t been hospitalized in many years and really just wants everyone to leave him alone with his ESPN. My 95 year old grandmother, Viola, is a different story. Her longevity combined with her frailty has cost us taxpayers much more.
My grandparents live independently and pay their co-payments without complaint. Like President Obama’s grandmother, my grandparents worked hard, paid into Social Security, saved money and deserve some assistance. But, during Viola’s last hospitalization, the second time she broke her neck, her doctor suggested a colonoscopy. This is where I draw the line. Just because we can test, doesn’t always mean we should. Most nonagenarians are of the mindset that they should do whatever doctors tell them to do. Given more accurate information, I believe many of them would opt out of costly diagnostic testing and treatments. Viola, after all, still vibrant and beautiful, prays each night she won’t wake in the morning. In medicine, as in life, it is often prudent to ask ourselves, “To what end?”

Five Quick Medicare Facts and the Dilemna

1. Medicare is a social insurance program, started in 1965, that guarantees health care to Americans over the age of 65, to many younger disabled people and to anyone with end stage renal failure.

2. The Parts – You will hear many references to the “parts” of Medicare over the next month. Part A refers to coverage for hospitalizations. Part B refers to outpatient care. Part C is called Medicare Advantage. It gives an enrollee the choice to have all his or her benefits provided by private insurance, with Medicare supplementing some of that cost. Part D is a prescription plan available to those eligible for Part A or Part B. Essentially, Medicare approves private insurance plans to take on this role. Members pay yearly premiums, co-payments, etc.

3. Cost – In 2011, the government spent about $524 billion on Medicare, 15% of the Federal Budget. Combine Medicare with Medicaid and Children’s Health Insurance, the total spent on healthcare was $732 billion.

4. Future – By 2020, it is estimated that the total spent on Medicare will be about $950 billion. This increase is due to inflation, the projected increase of the over 65 crowd and the rising rates of health care.

5. The Solution - I listened to the debate. I’ve read up on the proposals. Bottom line is “Uh Oh!” Neither plan seems to be able to overcome the fact that eventually, the Medicare fund will run dry. Obama wants to prolong the inevitable by cutting costs, Romney wants to find ways to change the current system, which will affect Americans 55 and younger. Click here for the simplest summary I could find. Anyway you slice it … more people + less money + higher costs = disaster.

This brings me back to my point. Doctors and patients alike have to start making smarter decisions about what tests and what treatments make sense. If a 95 year old woman has a colonoscopy and her doctor finds a cancerous tumor, what then? Should she then have a complete work up with biopsies, pet scans, etc.? Why? She wouldn’t survive surgery or chemotherapy. Is making a diagnosis important enough to put her through the discomfort and the country through the cost? I asked her. She doesn’t think so. The health care pendulum has swung at an odd angle. It started as a paternalistic health care system where the doctor always knew best and patients didn’t question. If it had swung in the other direction, we would have a system where patients were educated and made their own decisions. Somewhere in the middle would be perfect. Instead, we have a situation where health care decisions are determined by malpractice lawyers and insurance company accountants. Again, I don’t think either candidate has a perfect plan, but I do fear if government becomes more involved, we can kiss our health care options goodbye.

“I will never turn Medicare into a voucher. No American should ever have to spend their golden years at the mercy of insurance companies. They should retire with the care and dignity they have earned. ” — Barack Obama
“The American people I talk to don’t spend every moment thinking, ‘How can I tax my neighbor more than they’re being taxed?’ They say, ‘How can I get a good job? How can my kids get good jobs? How can seniors have a confidence in their future when they know that Social Security, Medicare and Medicaid are bankrupt?” — Mitt Romney

Posted in Seniors, Uncategorized | 2 Comments

Hurry Up and RELAX!

Posted on October 1, 2012 by Yes Five

This isn't my husband, just his expression.

My husband made me an appointment for a massage and facial last weekend. This means one of two things. Either, he is having an affair, and the guilt prompted the call to the spa, or, my stress is beginning to show itself in ways worse than I recognize. While the trip to serenity was wonderful (he reads YesFive, so I can’t complain here for fear I’ll never see another free spa day), I spent the first hour trying to clear my mind and relax. I spent the next hour angry that I couldn’t clear my mind and relax. September is a crazy time for parents and kids alike. Couple this with the exciting expansion of my TipsFromTown (not all stress is bad), and I am wound up tighter than a three dollar wristwatch. I have a twitch in my left eye, my TMJ has kicked in with a vengeance, and I cried during a car commercial last night. Time to take my own advice, take a deep breath and take it easy.

Quick Ways to Bring Down the Stress

1. Laugh – Perspective is a wonderful thing. Think of something that made you once laugh really hard and smile. Chances are, laughter will follow. If you can’t think of anything, send me an email. I’ll share one of mine. Most of them are too embarrassing to put here … but they’re funny.

2. Listen to music and sing along – Try Let It Go by the Zac Brown Band or Beautiful World by Colin Hay if you need some inspiration. If you just want to forget about today, blast some Asia. I have found that putting in my earbuds and listening to the 80s can get me through any arduous task, and better yet, drowns out all the noise, noise, noise, noise, noise.

3. Breathe – Studies show taking several deep breaths actually reverses the physiologically dangerous stress effects. Mimicking the type of breathing you naturally do when relaxed, tricks the brain into actually being relaxed. If you are like me these days, with a weakened, exhausted frontal lobe, your brain is easier to trick than ever … in and out, in and out.

4. Stretch – Think of the area from your shoulders to the top of your head as the stress triangle. The muscles in this area are especially prone to responding negatively to psychological stress. You furrow your brow, clench your teeth and tense your shoulders, resulting in neck and shoulder pain, TMJ problems and headaches. Give these muscles a break by taking a few moments to stretch. Pull your shoulders away from your ears, roll your head and loosen your jaw. For the forehead, I think soon I will be able to convince myself that botox is a viable anti-anxiety med.

5. Nap – When all else fails, go to sleep. Even 15 minutes of quiet relaxation will have a positive effect on your stress level. Maybe you’ll even have an exciting dream.

While some stress is good and necessary, too much is dangerous to your health, resulting in elevated blood pressure, increased risk of depression, obesity and infidelity. I am feeling much more zen now. I do need to hire a detective though, any suggestions?

Posted in Stress, Uncategorized | Leave a comment

Sleep Apnea in Children

Posted on July 22, 2012 by Yes Five

Parenting today is much more difficult than it was a generation ago. In addition to the crippling rule about not hitting our kids, we have to contend with more advice, purchase more gear and the worst, worry about more medical diagnoses. While our parents barely knew what autism, food allergies and obesity were, we are literally losing sleep about apnea and whether our kids have it. If you have this concern (it is one which crosses my mind every time my monsters wake up on the wrong side of the crib), I hope this helps.

1. What is sleep apnea?  A period of time where breathing stops or is markedly reduced.  Most commonly, it is caused by some kind of obstruction or blockage that gets in the way of breathing.  The airway can be blocked at any point along its path from your nose and mouth to your throat.  Sometimes the tongue and the muscles relax too much during sleep.   Obesity and alcohol use increase the risk of having sleep apnea in adults.  Sometimes the obstruction is from the tonsils and/or adenoids, which is usually the case with children.

2. How common is it in children? According to the American Sleep Apnea Association, 1-4% of children suffer from sleep apnea, most of them between the ages of 2 and 8.

3. What are the signs?
In children under 5, look for:
- snoring
- mouth breathing
- sweating
- restlessness
- frequent wakening

In children over 5, look for the above as well as:
- bed wetting
- doing poorly in school
- stunted growth for their age
- inability to focus

4. What are the consequences? In addition to the irritability of a child who isn’t sleeping well and the above symptoms, kids with sleep apnea may be misdiagnosed with Attention Deficit Disorder. There is a convincing link between sleep apnea and childhood obesity. Left untreated, sleep apnea can lead to depression, high blood pressure, heart problems and developmental delay.

5. When should you talk to your doctor? Considering the severity of the consequences, if you have any suspicion, or if you child is exhibiting any of the above symptoms, it is worth having the conversation with your Pediatrician or Family Physician. I recommend scheduling a separate visit, so there is time for a thorough evaluation. If further testing is required, your doctor will order a polysomnography either at home or in a facility. It is a painless test that monitors different aspects of sleep behaviors including brain waves, eye movement, blood oxygen level and muscle tension.

In many cases, a child with sleep apnea can be cured by removal of the tonsils and adenoids. If this does not work or if enlarged tonsils and adenoids are not the underlying problem, a machine called a C-PAP may be prescribed. It is worn on the face and distributes positive pressure to keep the airway open.

If you have a grouchy kid in the morning, don’t jump right to a sleep apnea conclusion. Do, however, keep it in mind.  In addition to sleep apnea, children can experience many other sleep disorders, and your doctor can help you sort it out. It’s important to remember how important good sleep habits are. This is a great reminder for me as my kids right now are in total summer, no bedtime, wheels off the wagon mode. I’m giving them until August 1st and then I’m going become a responsible 2012, chronically worried parent … until then, it’s Cheerios for dinner, self-applied sunscreen and exhaustion. I love the summer!

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Posted in Kids, Obesity, Sleep, Uncategorized | Leave a comment