Harley Rotbart, M.D.

Update on Our New Back-to-School Reality

Today was back-to-school for our 24 year old. But this was different – his LAST back-to-school. His final year of law school, after which the real world starts. Just like all his back-to-school days of the past 19 years, he didn’t sleep well last night. Too much excitement.  Yesterday was back-to-school for our middle one. It, too, was different. First back-to-school of graduate school. Still some nervous chatter, but more professional and mature, now. Finally, our baby started back last week. New room, old friends, same frat house, fewer butterflies.

Have wonderful semesters, kids.  Call when walking between classes, answer our texts, Skype often, save up your stories, and study hard. Eat healthy and exercise. We miss you and love you.

Mom and Dad

Our New Back-to-School Reality

The blogosphere is buzzing, the web is whirring, and TV and radio commercials are in overdrive about back-to-school. Every fall you’d think parents had never done this before. Surely there can’t be that much controversy about what to put in kids’ backpacks, how to dress kids coolly but economically, or preparing healthy lunches! Yet, every year the same stories, with the same theme, asking the same questions, and giving the same answers appear, heralded with enough fanfare to make you believe the writers are discovering America or inventing oxygen. “Top Ten Back-to-School Tips!” “12 Back-to-School Essentials!” “5 Back-to-School Pitfalls to Avoid!” Sheesh.

Here’s the story I’d like to see: “What to Do When Your Kids are Old Enough to Get Themselves Back-to-School without You.” We have a wonderful collection of pictures of our kids over the years, posed with their backpacks on the front porch on the first day of school each fall. Spanning from kindergarten through high school, this gallery is visual testimony to the wonderful experience of parenting kids when they’re at home, tucked in their beds each night and groggy before school each morning. But, alas, there comes a time in their lives when all you do for back-to-school is drive them to the airport or make a deposit in their bursar accounts for the new semester’s tuition. Back-to-school becomes empty bedrooms at home and a lonely dog. This is NOT sadness you’re reading. Or regrets. This is warm nostalgia about days that were long, years that were short, and times that we remember like they were yesterday because we were there with our kids every step of the way.

And this is also about the great pride we have that our babies are now packing their own backpacks, picking up their own luggage at baggage claim, and returning to their own apartments where they now belong.

Cherish every backpack you pack when they’re young, and then be grateful when your kids reach the stage where back-to-school doesn’t involve you much anymore.

Why I Love Little League Baseball, and Why You Should, Too

My love affair with baseball is deep and long-standing. I love all baseball, from T-ball through the Major Leagues. What I love about baseball is the sport itself,  the strategy, and the skills players must master to succeed. But what sets baseball apart from other sports, in my mind, are the life lessons it can teach kids. Every year, as the Little League Baseball World Series airs on national TV, I’m reminded anew of everything there is to learn from this game. Our kids played baseball starting at age 5, all the way through high school and into college. I coached their teams. A few years ago, I wrote a book on the subject called The On Deck Circle of Life – 101 Lessons from the Dugout (www.theondeckcircleoflife.com) which I’m thrilled to say continues to be a staple for youth baseball leagues, coaches, and parents.

So, I’ve been addicted, as usual, to this year’s Little League World Series telecasts. There are few things I’m slightly disturbed by in the games, but very few. For example, some kids are spitting like their big-league idols, and some coaches are a little too intense, like their big-league idols. But mostly I love everything about Little League. Here are 10 things I’ve seen on the televised games in the last few days that should make you love kids’ baseball as much as I do:

1. The pitcher from the Mexico team accidentally hit a Chinese-Taipei player with a pitch…and walked over to him at 1st base and apologized. When’s the last time you saw that in the Major Leagues?

2. The best hitter on the California team, a kid with multiple home runs and a batting average of 0.700, bunted with runners on 1st and 2nd base and no outs. It paid off – the throw to 1st base was wild, runs scored. Team comes before personal glory.

3. The players on the Japanese and Chinese-Taipei teams take off their hats whenever their coaches speaks to them, as a sign of respect.

4.The grandfather of the 2nd baseman/pitcher for the New England team died back in New Jersey while the games were going on. All the players on that team “carved” the grandfather’s initials into the dirt of the batter’s box before stepping up to hit.

5. After every game, the players on all teams face their fans in the stands and tip their hats in gratitude for the support they’ve gotten.

6. Major League baseball players from the hometowns of teams in the Little League World Series make telephone conference calls to the kids on “their” team, and send pictures of themselves in Little League hometown uniforms watching their Little League counterparts on TV.

7. Outfielders “hit” their cut-off men and back up the infielders on throws from the catcher. Batters run all the way “through” first base on ground ball outs.  Infielders field ground balls from the front instead of from the side. Fundamental skills like those are often lost by the time players make their way through upper echelons of the sport.

8. Players rarely if ever show displeasure with the umpire’s call, and if they do, it’s an almost imperceptible grimace or groan. There is no grandstanding.

9. Players are clearly having fun. More fun when they’re winning, of course. But scenes from off the field, after the game, show even the losing teams running around,laughing, and eating funnel cakes.

10. Baseball is a language unto itself. A universal language. Little League baseball is played in more than 80 countries. At the LL World Series, teams from Curacao face off with teams from Canada, teams from Mexico play teams from China, and the first ever team from Africa (Uganda) competed this year. A Tower of Babel off the field, but on the field strikes are strikes, balls are balls, outs are outs, and home runs are home runs – in every language.

 

Back-To-School Germ Prevention and Book Giveaway

This will be a little different blog post than what you’re used to seeing here. Everyone is writing back-to-school pieces this week. Everyone. My kids are also back to school – college and graduate school, actually, so advice on what to put in kids’ backpacks isn’t at the forefront of my thoughts right now. But…as a pediatrician, I thought I’d share with you some advice on keeping your kids healthy as they reconnect with all their friend,s and all their friends’ germs, in the coming days.

Before No Regrets Parenting, I wrote a book called Germ Proof Your Kids (www.germproofyourkids.com) which continues to be a widely-read home reference book for parents and a resource for school administrators and school nurses.   If you would like a free, signed copy of Germ Proof Your Kids, I’d be happy to send you one (free shipping, of course). All you have to do is buy two (2)  copies of No Regrets Parenting either from a bookstore or online vendor and email proof of purchase (scanned receipt) to me at [email protected] Include in your email a shipping address for your free Germ Proof Your Kids book.

Now for germ prevention…

First, a little history. Schools are truly “ground zero” for infectious disease transmission, because schools are both amplifiers of personal and community infections, as well as potential original sources of infections. There are many examples of both the amplifier and the originator roles that schools play in infectious diseases. Of the 3 great influenza pandemics of the 20th century (1918, 1957, and 1968 – not counting the Swine Flu epidemic of 2009 which was weird for many reasons), the mildest of the 3 (1968) reached its peak during the winter break weeks of December. Because kids were not in school, the 1968 flu pandemic never really took hold in the U.S. to the extent that its forerunners did. In contrast, those two more severe pandemics (1918 and 1957) occurred just as kids were returning to school in Sept-Oct.  Kids in school rapidly became infected, and in turn infected their families and their communities. Influenza pandemics are examples of the amplifier role of schools in infectious diseases.  An infection enters the schools from the community and “explodes”, rapidly spreading among a highly susceptible and highly concentrated population of kids. Another extraordinary example of the critical role that schools play as germ amplifiers is smallpox.  It was mandatory school smallpox vaccination laws that were the ultimate key to eradicating that dread disease from this country – by protecting kids in schools, we saved millions of their lives as well as the lives of millions of others in the larger community.  Similar successes have been seen with mandatory polio, measles, mumps, meningitis, and other vaccines that are given to school kids and in so doing protect the country’s population as a whole.

In Sept-Oct, 2007, we saw examples of the potential for schools to also be the original source of infections.  MRSA (methicillin-resistant staphylococcus aureus – also known as “superbug”) outbreaks occurred in schools throughout the country. Although never proven to come from environmental contamination in the schools, the Centers for Disease Control and Prevention (CDC) and school districts across the country undertook rigorous measures to clean and disinfect schools.

At the forefront of the war against infectious diseases stand our school nurses.  The 3 core strategies I recommend school nurses take to reduce school infections and reduce student absenteesim are:

1. Reinforce (teach!) students’ personal health and hygiene practices (including handwashing, wound care, vaccines, proper nutrition, adequate sleep, reduced stress, appropriate clothes to match the weather, and regular moderate excercise)

2. Adhere to health department exclusion and inclusion policies for infectious diseases (each state sets its own rules for which infections or symptoms warrant exclusion from school, and for how long).

3. Practice prudent environmental hygiene (strategic disinfecting policies, as well as meticulous attention to food safety).

There is no better group of professionals than our school nurses to undertake this crucial mission for the health of our kids and for the health of our country. Feel free to pass this post along to your school’s nurse or administrator.

Finally, a good place to start your personal germ prevention strategy is by giving your kids this year’s flu vaccine, now recommended for all kids older than 6 months.

Best wishes for a happy and HEALTHY school year for you and your kids.

 

 

Winning the Bronze in the Monkey Bars

Watching the Olympics gymnastics finals with our adult kids last week brought back a wonderful memory of our daughter’s not-quite-Olympic-sized conquest of her own. My guest post in Parents Magazine today tells the now legendary (at least in our household) story of the dreaded monkey bars:

http://www.parents.com/blogs/goodyblog/2012/08/teaching-kids-perseverance-on-the-monkey-bars/

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