Children's Health Archives - Active Healthcare

Telehealth Considerations for Asthma Patients

Lisa Feierstein Asthma, Breathe EZ, Children's Health Leave a comment   ,

Telehealth has been around for a while, but during the COVID-19 pandemic its use grew dramatically. COVID-19 has made many of us consider telehealth visits vs in-person ones. For some practitioners that was the only way they saw patients during the pandemic. This healthcare delivery method has advantages for both the practitioner and patient.

Recent studies from the National Institutes of Health showed that 30% of outpatient visits during the pandemic utilized telehealth. While overall medical visits were down, the use of telehealth increased 23 times when comparing months prior and during the COVID-19 pandemic period that began in March 2020.

Telehealth visit advantages:

● Scheduling convenience – less time missed from school or work
● Patients may miss fewer appointments
● Lower costs – telehealth visits are cost effective for families
● Expanded options – visits to out of town specialists are possible without travel
● Increased efficiencies – telehealth visits can allow more time for patient education
● Reduced risk of infection – online visits limit exposure to others and potential contagions in the healthcare practitioners office

Telehealth visit challenges:

● Technology is required for both the patient and practitioner for a successful telehealth appointment including high speed internet connections and web cameras or smart phones.
● Some patients may not be comfortable meeting with healthcare provider over the internet.

What should families consider in choosing between in-person vs telehealth visits?

While telehealth visits can work for an acute infection like strep throat they won’t always be appropriate for asthma patients.

Here are a few scenarios to consider a telehealth appointment for your asthma management:

● Prescription refills for your asthma medications
● Routine follow-up appointments when your symptoms are under control
● New or increased asthma or allergy symptoms that are under control
● Review mild medication side effects
● Asthma education needs like how to use equipment (inhalers, nebulizers) or your medications

However, if you need a test or if your provider needs to check vital signs or breathing, you will likely need to schedule an in-person visit. Examples of a reason for on in-person visit would include new or worsening symptoms that require increased use of a rescue inhaler.

Bottom line – out of control asthma symptoms needs urgent in-person follow-up!

Just like with any regular medical appointment remember to get organized prior to your visit:

● Prepare a list of questions for your healthcare provider
● Confirm what your insurance plan covers in terms of telehealth and any associated costs
● Check out your internet connectivity and test any portal logins prior to the appointment

Telehealth healthcare visits give patients more options to keep their asthma in control and manage symptoms. Check out if your provider uses telehealth and save some time and money on your next visit.

Additional Resources:

National Institutes of Health article: Patient satisfaction with telemedicine encounters in an allergy and immunology practice during the coronavirus disease 2019 pandemic

Centers for Disease Control article: Using Telehealth to Expand Access to Essential Health Services during the COVID-19 Pandemic

Hidden Spots for Germs: Home, Office and Doctor’s Office

Surviving Summer Asthma Flare-Ups

Image by Tumisu from Pixabay


4 Immune Boosting Foods for Kids

Lisa Feierstein Breathe EZ, Children's Health Leave a comment   , , , , , , ,

The famous quote by the Greek physician Hippocrates says,

“Let food be thy medicine, and let medicine be thy food.”

We’ve all heard about the benefits of adding immunity boosting foods to our diets. Check out these four immune boosting foods to add to your family’s eating plan.

Probiotics

Probiotics are living microorganisms that naturally occur in fermented foods such as yogurt, kefir, sauerkraut and some pickled foods. These ‘live and active cultures’ aid your digestion and also can help you fight off sickness. Yogurt is also a great source of vitamin D which also support our immune system.

Yogurt can make a healthy, immunity boosting snack for kids of all ages. Remember to read product labels and choose brands with lower amounts of added sugar. Consider making your own low-sugar blends by adding chopped fruit, nuts or a spoonful of all-fruit spread to plain yogurt.

Vitamin C

Vitamin C is a well-known immunity boosting food. This vitamin is thought to increase the production of white blood cells, which are key to fighting infections in the body.

A glass of orange juice is not your only option to increase vitamin C in your family’s diet. Consider eating more fruits and veggies that are high in vitamin C such as bell peppers, broccoli, sweet potatoes, and spinach. All of these fruits and vegetables make easy and tasty snacks and side dishes – red bell pepper slices, broccoli and ranch dip, and roasted sweet potato fries.

Zinc

Another immunity booster is the mineral zinc. Deficiency of this essential mineral can keep your immune system from working efficiently.

Zinc can be found in beans, seeds, nuts, meat, poultry and seafood. Nuts are a convenient and nutritious snack, and there are so many to choose from. Try adding chia or flax seeds to your oatmeal or muffins for a nutritional boost.

Ginger

Ginger is a well-known natural remedy for nausea. The flavorful root contains gingerol – a relative of capsaicin found in spicy peppers which may help reduce inflammation in our bodies.

Ginger can provide a flavor boosting punch to many recipes. Consider adding fresh ginger to a stir fry, soup, or a smoothie. Fresh ginger root can even be steeped to make tea!

Remember that it is always better to get your nutrients from whole food sources versus supplements. Don’t forget to consider any food sensitivities or allergies, especially for children with allergies and asthma. Check in with your healthcare provider if you have specific questions relating to your child’s nutrition and diet.

Additional Resources:

Five Healthy New Year’s Resolution Ideas for Families

Exposure to Healthy Foods on TV can Influence Kids’ Food choices

Immunity Boosting Foods

Vegetable Image by Maciej Rudnicki from Pixabay
Ginger Image by Joseph Mucira from Pixabay


Five Healthy New Year’s Resolution Ideas for Families

Lisa Feierstein Breathe EZ, Children's Health Leave a comment   , , , , ,

Have you already abandoned your New Year’s resolutions? Given that face, one wonders if it is worth it to make resolutions for our families. Many resolutions center on improving our health – like eating less fast food, losing weight or starting an exercise program. Set your family up for success in the New Year with these resolution tips.

Making Resolutions is Family Goal-setting

• Remember to get input from everyone in the family
• Set small goals – they will be more achievable
• Adjust your plan to be age-appropriate for all your family members
• Prioritize and focus on a few key goals
• Track your progress – use family meetings to remind and reinforce your resolutions

Five Healthy Resolution Ideas for Your Family

Reduce Screen Time – Yes that means your phone too!

Virtual school and COVID restrictions mean more time at home – this makes it even harder to avoid excessive screen time. Consider spending time outdoors, puzzles, or board game tournaments. Adults, kids and the whole family can find new hobbies or spend more time with current ones.

Make Healthy Eating a Priority – Say Yes to Fruits and Veggies and No to Diets

Rather than a hard to stick to diet that leaves everyone craving treats and sweets – commit to meal planning and cooking together. Why not try a new fruit or vegetable each week? Remember to include everyone in meal preparation and planning.

Increase Movement – All physical activity counts, not just traditional exercise programs.

If exercise or working out is a hard sell, increasing movement of all types can be fun and heart pumping – think dancing, trips to playgrounds, or nature-themed scavenger hunts.

Share the Load of Household Tasks – Everyone should help with chores

No one likes doing chores, but the old time adage, ‘Many hands make light work,’ is also true. The process is even harder if you expend more energy reminding kids (or adults) to do their chose. Other options to consider include a ‘chore jar’ where everyone can pick their assignment for the day or coming week.

Champion a Cause – Teach the importance of Community Service

New Year’s resolutions don’t just need to be about improving oneself, but can also look outward to our communities and world. Research and study to come up with a list of causes that are important to your family. As an example your family can support protecting the environment by composting, recycling and purchasing products made from recycled materials.

Embrace small changes and celebrate your achievements as you work to make new healthy habits as a family in the coming year. Good luck with your New Year’s resolutions. Let us know how it goes!

Additional Resources

Exercising with Asthma
Six Best and Worst Foods for Asthmatics
7 Tips for Teaching Kids How to Set Goals


Disposable Flavored Vaping Products Overlooked by Recent Federal Ban

Lisa Feierstein Breathe EZ, Children's Health Leave a comment   , , ,

Public health professionals, healthcare providers, and parents around the country were overjoyed when the Federal government banned flavored vaping products in February of this year. One of the most popular brands, Juul, had already pulled its flavored pods off the market in October 2019.

With the recent rapid increase in teen vaping, the new ban provided another pathway to limit their access to nicotine and its negative health effects.

Loophole in Federal Ban of Flavored Vaping Liquids

As it turns out flavored vaping products are still for sale – in disposable versions which are not excluded by the recent ban. These disposable products are designed for one time use and are available in many kid-friendly flavors.

Brands such as Puff Bar, blu, and Posh all sell disposable products for teens craving a vaping fix – with flavors like pink lemonade, mighty mint and mango bomb.

These new disposable vaping products are inexpensive and widely available.

Teen Vaping Statistics

The 2019 Youth Tobacco Survey revealed that 25% of HS students have vaped in the last 30 days. This is up from 21% the previous year, and double the rate in 2016.

Sweet and fruity flavors in vaping liquids cut the harshness of the tobacco. Researchers conclude that this will lead to users inhaling more deeply and in the process absorbing even higher amounts of nicotine versus a normal cigarette.

Advice for Parents

Lead with information not accusations.  If you suspect your teen is vaping or might have friends who are, start with the facts and your concerns versus putting them on the spot with a direct question like, “Are you vaping?”

Do your research. Check out some of the links below and learn about what products are popular, what they look like, and how they can be purchased.

Ask for help and support efforts to quit. Help and support your teen if they want to quit. Seek out online resources like the North Carolina Quit Line or the Truth Initiative.

Additional Resources

The North Carolina Quit Line – E-Cigarette Users
The Truth Initiative – Inspiring Tobacco Free Lives
The Vape Talk – Resources for Parents on Vaping
Parents Against Vaping – Parent ToolKit
It’s Not Just Water Vapor – Risk of Secondhand Vapor Exposure
E-Cigarettes: Continued Health Thread for Youth


Upper Airway Microbiome Offers Clues For Future Asthma Treatments

Lisa Feierstein Asthma, Breathe EZ, Children's Health Leave a comment   , , ,

There has been extensive research on the microbiome of the human digestive system, but not as much study of the typical bacterium present in our upper respiratory system.

Your Microbiome – Good and Bad Bacteria

Scientists classify bacteria as either beneficial or pathogenic.

You may be familiar with beneficial bacteria found in fermented foods like yogurt that help us digest our food, absorb nutrients and maintain a healthy digestive system. Most of us have been exposed to pathogenic bacteria like the ones that cause strep throat (Streptococcus), pneumonia (Streptococcus pneumoniae) and food poisoning (Escherichia coli and Salmonella).

Study Details

The Yellow Zone Inhaled Corticosteroids to Prevent Exacerbations (STICS) was conducted at the Washington University School of Medicine in St Louis and funded by the National Institutes of Health (NIH).

While the study was seeking to investigate the effectiveness of significantly higher doses of inhaled corticosteroids at the first sign of an asthma attack, the review of the nasal mucous samples revealed a distinct difference in the bacteria profile of the study participant’s upper respiratory biome between control and asthma flare up.

The study found no benefit to the larger doses of medication at the start of an asthma attack.

 

Study participants included 214 children with mild to moderate asthma that were currently treating their asthma symptoms and flare-ups with inhaled corticosteroids.

Curious Results

Nasal samples were collected from study participants twice. First when their asthma was under control, and when the participants had the signs of an emerging flare-up – known as the “yellow zone”.

 

The study data revealed that a rapid change occurred in the airway microbiome of study participants as they transitioned from respiratory health to disease.

 

Asthma in control: Microbiome dominated by beneficial bacteria

Yellow Zone: Microbiome contained bacteria associated with diseases like pneumonia and strep throat – Staphylococcus and Streptococcus.

Future Research Opportunities

This study showed a link between the bacteria and asthma symptoms but did not prove cause and effect.

Future study of the upper respiratory microbiome will help asthma researchers in their development of new asthma treatments. These new treatments might target the bacteria present in the upper respiratory microbiome in hopes of preventing asthma symptom flare ups.

Additional Resources

Study Information – Washington University School of Medicine
The Human Microbiome
Wearable Asthma Informatics: Future of Asthma Care in Children
Hidden Spots for Germs: Home, Office and Doctors Office


Resilience – The Key to Combatting Adverse Childhood Events (ACEs)

Lisa Feierstein Asthma, Breathe EZ, Children's Health, Diabetes Leave a comment   , , , , , , ,

The CDC’s Adverse Childhood Events Study (ACE study) revealed a remarkable connection between traumatic events in childhood and chronic diseases and social and emotional problems in adulthood. High ACE scores may mean significantly higher rates of heart disease, lung cancer, diabetes, depression and risk of suicide.

As you would expect, the higher your ACE score, the higher your risk of health issues in adulthood. Studies show with an ACE score of 4 or more your risk of a host of chronic health conditions increases by over 200%. Specifically the risk of depression increases by 400%; the risk of suicide by 1000%. Nearly two-thirds of adults have at least one ACE.

Staggering Statistics

  • An ACE score of 4 increases your odds of getting asthma by 73%
  • A traumatic event during childhood (just one ACE) can triple the risk of developing Type 1 diabetes.

Does a high ACE score sentence you to a life filled with chronic disease? 

Pediatrician Nadine Burke Harris believes the answer to that question is a resounding NO. She has personally seen the positive impact of interventional programs where healthcare providers and community resources work together to support those at risk.


Dr. Harris’ approach suggests the following:

  • Screen all patients routinely to determine ACE scores.
  • Provide additional support to families with children with high ACE scores including home visits from professionals, mental health care, nutrition counseling, holistic interventions, and if needed, medications.
  • Educate parents on the negative impacts of chronic stress
  • Increase treatment for patients with asthma or diabetics with higher ACEs scores.

Resilience and Children with Chronic Diseases

Can we train our brains to be more resilient in the face of personal struggles and health problems?  Here are a few tips on how to help your child be more resilient.

Focus on the positive – Encourage your child to connect with friends and other adults.  Support activities and hobbies where your child can build relationships with those with similar interests and build confidence.

Banish Blame –Children may feel guilty that they have a chronic illness. Empower them to live their best life and work through their chronic disease’s challenges.

ACE hugFight Stress – Have your whole family learn a new technique to relieve stress such as yoga, mindfulness, or mediation. Parents need to practice what they preach!

Validate Emotions – Children may have difficulty verbalizing what they are feeling. Listen first and always acknowledge their feelings.

Remain Optimistic – Life is a journey and your child and family may experience setbacks. Help your child set and strive for realistic goals.

Hug Often – Don’t underestimate the value of a hug as a tangible reminder of your love and support. Research shows that giving and receiving hugs reduces stress, and has a host of health related benefits.

We’re All in This Together

ACEs affect all of us directly or indirectly regardless of income level, and impact lifelong health and social well-being. Together, we can lessen these effects by teaching and learning resilience skills, and adopting trauma-informed practices and policies.

Check out some of the resources below for more information about ACE and how to build resilience to combat the effects of chronic stress.

Additional Resources

CDC ACE Study Website
How Childhood Trauma Affects Health Across a Lifetime – Ted Talk by Nadine Burke Harris, MD.
ACE Connections Blog
ACEs Quiz link
Six Skills to Help Build Resilience (narrated)
Building Resilience in Children
Wake County NC Resilience Initiative
Benefits of the 20 Second Hug


Wearable Asthma Informatics – Future of Asthma Care in Children

Lisa Feierstein Asthma, Breathe EZ, Children's Health Leave a comment   , , , , , ,

wearable asthma informaticsAn incredible amount of research has gone into childhood asthma in the last few years, leading to deeper understanding of the condition and better care for children with asthma.
New technology hopes to help predict a child’s asthma attacks before they occur. A wearable asthma informatics system is under development as part of an initiative of the US National Institutes of Health.

What is PRISMS?

This new asthma monitoring system is part of the PRISMS Initiative, which stands for Pediatric Research Using Integrated Sensor Monitoring Systems. A team of researchers from University of California-Los Angeles and the University of Southern California are developing an integrated platform of wearable sensors that can gather data about the environment of children with asthma and help predict asthma attacks.

How does the Asthma Informatics Platform Work?

The platform connects a variety of sensors and equipment using bluetooth and wi-fi, compiling all the data for health professionals. The platform includes the following:

Smart Watch: acts as a hub connecting to all other devices during the day and collects bioinformatics like activity level and heart rate.
Air Quality Sensor: attached to backpack or placed nearby and measures very small particulates in the air that can make asthma worse.
Medication Sensor: receptor in inhaler that records when medicine is taken.
Spirometer: measures the volume of breath twice a day, data is automatically sent to the system.
Smartphone app: includes questionnaires to gather data from the child about their environment.

How will PRISMS help asthma care?

With the data that PRISMS collects, medical professionals can identify patterns and help families identify asthma triggers. In the future, a platform like PRISMS could send alerts when sensors detect that an asthma attack is likely.

Overall, using the data from all children in the study, researchers hope to find new trends in childhood asthma. Patterns realized from the data of the children in the study may lead to new treatments and new environmental policies to keep all children healthy.

New Technology will bring better care for children with Asthma

In the future, portable medical health devices may be commonplace, and the data collected from systems like PRISMS will help make asthma care better than ever.

Resources

Predicting Asthma Attacks in Kids – Chemical & Engineering News
PRISMS Initiative – National Institutes of Health
Got Asthma or Allergies? There’s an App for That!


Back to School Tips for Kids with Asthma

Lisa Feierstein Asthma, Breathe EZ, Children's Health Leave a comment   , , ,

back to school 2It’s that time of year again. A fun summer has come and gone and it’s time to start thinking about back to school. While stocking up on school supplies, don’t forget to prepare your child’s asthma plan for the new school year.

The American Lung Association has published a “Back to School with Asthma Checklist” for a smooth adjustment back to school for children with asthma. With careful preparation, your child can focus on enjoying their school days without worrying about their asthma.

Here are some tips for making this school year a good one:

1. Schedule a checkup before school starts

Summer is the perfect time to fit in a doctor’s appointment, since your child’s schedule may be less busy. Be sure to bring any forms required by your child’s school so that you can be prepared for meeting with the school nurse (See Tip #2 below).

Discuss how your child’s asthma treatment plan has been working in the past year. In particular, make sure your child knows how to use their inhaler and spacer properly.

Review your child’s asthma triggers, and make a plan to help your child avoid exposure at school. A summer checkup is a great time to discuss any troubles with allergies, which are common in children with asthma.

2. Get the school nurse on board

If your child is starting a new school, or has a recent asthma diagnosis, make sure that the school nurse is part of your child’s asthma team. First, make sure all necessary forms documenting your children’s medication are submitted timely so they can be processed before school starts.

With the help of your child’s doctor, write an Asthma Action Plan and share it with the school nurse. If your child’s school does not have a full time nurse, include the receptionist or other staff members in the Asthma Action Plan as well.

3. Don’t forget after school activities

If your child participates in an after-school activity, make sure your child’s coach or activity leader has access to your child’s Asthma Action Plan. It’s very important that those supervising your child know what an asthma emergency looks like and how best to help your child.

Make back to school easy with these tips

After a fun summer, transitioning back to school can be hard for many kids. If your child has asthma, keeping these tips in mind can make it easier.

Additional Resources

Back to School with Asthma Checklist – American Lung Association
Does Back to School Mean Back to Allergies?


It’s Not Just Water Vapor: Risk of Secondhand Vapor Exposure

Lisa Feierstein Asthma, Breathe EZ, Children's Health Leave a comment   , , , ,

It is hard to imagine that many people still believe that the vapor produced by e-cigarettes is harmless. They believe that the sweet smelling cloud produced by someone vaping nearby is just water vapor. The secondhand vapor from e-cigarettes actually contains many of the same chemicals that are found in traditional ones. These contaminants include propylene glycol, vegetable glycerin, nicotine and many different flavoring agents.

E-Cigarettes: Continued Health Threat for YouthNo one should be inhaling any of these toxic substances because they will all cause inflammation in your lungs. Asthma sufferers and those with allergies are especially at risk of exposure to lung irritants. Studies by the National Academies of Science indicate that e-cigarette use increases asthma symptoms such as coughing and wheezing.

The good news is that e-cigarettes are different from traditional cigarettes in one way, they only emit vapor when they are being used. 

New Research Based on the Florida Youth Tobacco Survey

The Florida Youth Tobacco Survey data (link to data) was the basis for some recent research to determine the connection between electronic nicotine delivery systems (ENDS) and asthma symptoms. The survey data indicates that e-cigarette use was up almost 600% from 2012 to 2018 in youth ages 11-17. The rate of youth trying e-cigarettes is also up over 350% in the same date range.

Survey Data Demographics:

  • Study based on surveys from almost 50,000 youth and teens.
  • 33,500 respondents were in High School and another 36,000 were in Middle School.
  • Respondents were evenly split by gender.
  • One-third identified as Hispanic, one-third are white, and one-fifth as African American.
  • About 75% of survey participants lived in large or mid-sized metro areas.
  • The research focused on the 11,000 respondents diagnosed with asthma.

 

Study Definition of Exposure to secondhand vaping aerosol:  Exposure to someone vaping either in the same room or in a car within the last month.

Secondhand vaping exposure increased the likelihood of an asthma attack by 27%, regardless of whether the children themselves smoked or vaped.


Tips for Parents

Juul e-cigaretteThe statistics on the rates of vaping are staggering. In 2018 the CDC reported that 20% of high school students vaped in the past 30 days. Smoking rates in the same age group are actually lower at only 8 percent. The rate of teen smoking continues to fall; it is 50% lower than it was in 2011.

The national rate of smoking in adults is 14% (2017), down from 20% in 2005. In contrast only 2.8% of adults use e-cigarettes.

Nicotine is toxic to children, even at minimal exposure levels. Their developing bodies are even more susceptible to environmental pollutants like nicotine and the other dangerous components of e-cigarette vapor.

  • Encourage your children to avoid secondhand vaping aerosols just like secondhand smoke from traditional cigarettes.
  • Educate family members and friends who vape to do so away from children and especially not in enclosed spaces.
  • Communicate with your children about the dangers of smoking and vaping so they know the risks.

 

If your child has asthma, consider adding limiting exposure to vaping in your child’s asthma action plan – due to the possibility of it triggering an asthma attack.

Additional Resources


Summer Camp for Everyone – Even Kids with Asthma!

Lisa Feierstein Asthma, Breathe EZ, Children's Health Leave a comment   , ,

Many families may already be planning for the upcoming summer. Attending camp is one of many rites of passage for children, and those with asthma shouldn’t have to miss out. We’ve previously shared tips for families of children with asthma on choosing and preparing for summer camp. This year we’d like to highlight a couple of summer camp options in North Carolina.

Camp Victory Junction: Heart/Lung/Kidney – July 14 – 18 2019

Children with chronic medical conditions, such as asthma, and others with serious illnesses that would preclude them from attending a traditional summer camp program should look into the options at Camp Victory Junction.

This summer, children ages 6 to 16, with asthma can register for Camp Victory Junction in Randleman, NC. The week of July 14-18 is designated especially for kids with heart, lung, kidney, and immunological diseases. Camp Victory Junction provides a typical camp experience within a medically-safe environment.

Visit the camp website (https://victoryjunction.org/ ) for additional information about the schedule and registration.

Camp Coast: Helping Kids Control Their Asthma

The Vidant Medical center Pediatric Asthma program and Children’s Miracle Network in Greenville NC sponsor Camp Coast. This program includes day camps at a variety of locations like school and wellness centers. Weekend retreats are also offered throughout the year.

The fall weekend retreat is for children ages 7 to 17, along with their parents. This unique program includes all the activities you’d expect to experience at camp, along with educational sessions about asthma and tips to improve control of the disease.

Camp Coast is staffed by volunteer physicians, nurses and respiratory therapists.  These respiratory professionals are on hand to provide medical care and also observe campers’ medication administration to ensure proper usage for optimal treatment.

Transportation from Greenville to the camp location in Columbia, NC is available.

Visit their website for additional information and to contact camp staff about registration information. (https://www.vidanthealth.com/Programs-Support/Childrens/Camps)

Additional resources:

Children’s Asthma Camps – Find A Camp – Nationwide

5 Keys to a Fun and Safe Summer Camp Experience for Kids with Asthma and Allergies


E-Cigarettes: Continued Health Threat for Youth

Lisa Feierstein Breathe EZ, Children's Health Leave a comment   , , ,

Juul e-cigarette

Kids are now facing a new threat that is taking over high schools and middle schools across the United States – a new type of E-cigarette called Juul. Many parents may lack information on how E-cigarettes are spreading throughout their children’s schools and in their own neighborhoods.

Some teens and young adults find the E-cigarette Juul attractive because of its sleek design. The device can be easily charged on a laptop and go unnoticed by parents and teachers. Teens are drawn to Juul for a number of reasons, like its trendy decal skins, and the multiple flavors.

Studies have shown that most teens and young adults do not know that they are smoking nicotine, they think they are smoking water vapor when they are using Juul. Since nicotine is the prime ingredient in these devices, parents and school administrators are concerned.

Not only can nicotine be extremely addictive but it can be very harmful to teens and young adults in many ways such as:

  • Memory loss and attention loss for a developing teenage brain
  • Also increased risk for future addiction to other drug

Schools Educate about the Dangers of Juul E-Cigarettes

Parents and school administrators should worry about the long term effects of students using Juul or any other E-cigarettes.

Schools are trying their best to prevent usage of E-cigarettes on school grounds. Some schools have even installed detectors that scan the air for chemical changes and alert an administrator. Schools are also holding classes to review the dangers of using Juul with their students. They are also holding workshops to educate teachers and support staff on what a Juul is and how it works.

For more information about E-Cigarettes, the Juul device and the effects of using it check out the website www.tobaccofreekids.org

Additional Resources:

The Double Threat of Vaping

More information on E-Cigarette usage among youth from the Surgeon General

Image of Juul e-cigarette: By Mylesclark96 [CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0)], from Wikimedia Commons


Fun Kids Asthma Awareness Activities

Lisa Feierstein Asthma, Breathe EZ, Children's Health Leave a comment   , ,

What’s better than sharing a fun website with your kids? Here is one to help them learn more about asthma for Asthma Awareness month. The name of the website is NoAttacks.org which is sponsored by the EPA.

When you visit the website you will be drawn in by all of the bright colors and fun activities. You will see different sections that you and your child can click on to learn more about asthma attack prevention and also tips on how to come up with an asthma action plan.

asthma triggers

Kids’ Stuff

In this section you’ll find downloadable books to read and coloring books.
There are also other fun activities from crossword puzzles to seek and find that will help you and your child learn more about asthma and asthma awareness.

air quality

Media Center

In the media center, watch and sing along with The Breathe Easies. The group sings about how to stop your asthma triggers in your home.

The Breathe Easies songs are available in five different languages, English, Spanish, Lakota, Navajo, and Anishinaabe.

breathe easies


CDC Reports Drop in US Asthma Rates

Lisa Feierstein Asthma, Breathe EZ, Children's Health Leave a comment   , , , , , , , , , ,

The Centers for Disease Control (CDC) recently released data on the state of childhood asthma in their CDC Vital Signs: Asthma in Children – United States report. The news is good – there has been a drop in asthma rates. The number of children that experienced an asthma attack in the past year has declined with the overall rate dropping 8 % since 2001. Asthma is a prevalent chronic lung disease effecting 6 million children in the United States.

While this is good news in terms of quantity of attacks, the data did reveal that despite fewer attacks one in 6 with asthma still end up in the emergency room and one in 20 are hospitalized for their condition each year.

Other Findings in the Report on Asthma Rates:

  • The rate of hospitalizations for children with asthma fell from 10 percent in 2003 to about 5 percent in 2013.
  • Children with asthma are missing less school – on average 2.6 days per child in 2013.
  • More kids with asthma are learning the signs and symptoms of an asthma attack and how using an asthma action plan can improve their control.

Green, Yellow or Red: What is Asthma Control?

Traffic LightWell controlled asthma means that your child is in the GREEN zone of the asthma action plan. Good control implies that your child’s symptoms such as coughing, wheezing or shortness of breath occur only two or fewer days per week.

Other indications of well controlled asthma include restful sleep where symptoms don’t wake your child at night. Asthma should also not affect any of your child’s daily activities. Lastly, your child shouldn’t need to use their quick-relief inhaler very often, no more than two days per week.

Knowing your child’s best rate of air flow, as measured by a peak flow meter, is another tool to monitor their asthma control. Air flow measurements that drop below 80 % of their personal best levels may indicate it is time for medication.

Is your Asthma Action Plan Up to Date?

Every child with asthma needs their own customized asthma action plan. Your healthcare provider or asthma educator can help you create one – or help you update an existing plan.

Key Asthma Action Plan Details

  • What medicines to take and under what circumstances
  • List of asthma triggers
  • What early symptoms to watch out for
  • Instructions on how to manage a serious attack and when to seek emergency care
  • ‘Personal Best’ air flow as measured by a peak flow meter for comparison

Additional Resources

CDC Vital Signs: Asthma in Children – United States

Community Care of North Carolina: How to Create an Asthma Action Plan

FAQ: Are You Asthma Aware?


5 Keys to a Fun and Safe Summer Camp Experience for Kids with Asthma and Allergies

Lisa Feierstein Allergies, Asthma, Breathe EZ, Children's Health Leave a comment   , , , , , ,

Summer may seem years away when you are wearing a scarf and lots of layers on a cold winter’s day. It will be here before you know it. What is your favorite memory of summer camp? Do you have happy memories of canoeing, campfires or maybe even sleeping under the stars? Summer camp is a time for all children to spend time on their own, make new friends and try out new activities.

As a parent of a child with asthma you already have many ongoing concerns about their daily environment and its impact on their lung health. Your apprehension is normal. As we have discussed in other asthma related posts, advance preparation is always the best strategy when choosing any activity for your child with asthma.

Summer Camp Fun

  • Consider both Traditional and Asthma-focused Camps

    An asthma-focused camp may include educational components and have specially trained staff. Traditional camps can be okay too, especially if they are willing to make accommodations for your child’s asthma.

  • Not All Camps are Created Equal

    Remember that some camps may be more asthma friendly than others. Consider your child’s specific triggers and allergens. Those who are very allergic to animals might be better off at a nature camp vs one centered on horseback riding. Those with high mold sensitivities might be better off at a camp with air conditioned cabins.

  • Review Camp Medication Administration Guidelines

    Check in with camp staff in advance to find out how medication is administered. Research how they manage daily, rescue and emergency medications. Ask your questions before camp begins. Find out which medications your child can keep with them and self-administer. Ask if they can keep rescue inhalers and epi pens with them at all times.

  • Food Concerns – From Campfire Treats to Dining Hall Delicacies

    Don’t forget about food allergies. Check out the meal and snack offerings. If your child can’t enjoy typical camp treats due to allergies see if you can send along some substitutes in advance so your child won’t feel left out.

  • Before, During and After

    Work with your child’s healthcare provider or asthma specialist to create a before, during and after plan for camp.

    Before: Are all of their medications up to date, including dosage changes related to your child’s growth since last summer.

    During: Update or create an asthma action plan to include situations that might arise at camp if your child is exposed to a trigger or allergen – whether known or new.

    After: At the conclusion of camp check in with the staff to ask how things went. This will help you plan for future camps. Don’t just ask about your child’s asthma. Ask your child about their favorite (and not so favorite) parts of their time at camp.


Camp Victory Junction

Children with chronic medical conditions, such as asthma, and others with serious illnesses that would preclude them from attending a traditional summer camp program should look into the options at Camp Victory Junction.

This summer, children ages 6 to 16, with asthma can register for Camp Victory Junction in Randleman, NC. The week of July 15-19 is designated especially for kids with heart, lung, kidney, and immunological diseases. Camp Victory Junction provides a typical camp experience within a medically-safe environment.

Additional Resources

Traveling with Asthma

The Sunshine Vitamin

Children’s Asthma Camps – Find a Camp (Nationwide search)

Participating organizations include: American Lung Association, American Academy of Allergy, Asthma and Immunology, American Academy of Pediatrics, Asthma and Allergy Foundation of America, and the American Thoracic Society.

About Camp Victory Junction

Victory Junction enriches the lives of children with chronic medical conditions or serious illnesses by providing life-changing camp experiences that are exciting, fun and empowering; all in a medically-safe environment at no cost to the camper or their family.

Located in the hills of Randleman, North Carolina, Victory Junction is spread across 84 acres, allowing children to do what they do best— be kids, play, imagine, make friends and enjoy the adventures and experiences of camp life.


Exercising with Asthma: Your Lungs Will Thank You

Lisa Feierstein Allergies, Asthma, Breathe EZ, Children's Health, Men's Health, Women's Health 1 , , , , , , , , , ,

exercising with asthmaWe hear all the time from multiple sources to get more exercise.  Everyone has their reasons for not getting enough.  We all know we should do it more, but feel like we don’t have enough time or energy to do so.  If you suffer from asthma, you may fear that working out would make your symptoms worse.  Here are some of the best options for exercising with asthma

Exercising with Asthma: Best Exercises

  1. Walking – can actually improve one’s asthma symptoms if done long term and on a regular basis. It is recommended that asthma patients walk three times per week.  Remember to warm up and cool down just like with any other exercise.
  2. Yoga – allows us to control our breathing, which is beneficial for asthmatics because it can activate more areas of the lung.
  3. Biking – with the right pace, this is a great way to get your activity in and your stress level down.
  4. Golfing – the staggered activity of alternating swings with walking is great for keeping symptoms at bay, but be sure to check the pollen levels before heading out to the course.
  5. Running – keep your distance short and your pace moderate.
  6. Downhill Skiing — as long as you don’t try to tackle one of those black diamond slopes, this outdoor activity doesn’t require a lot of physical exertion, as the mountain does most of the work.
  7. Swimming – provided the pool doesn’t contain too much chlorine, the highly humidified, warm air breathed in while swimming can loosen mucus.

Exercising with Asthma: Best Sports

  1. Baseball – allows for breaks in activity to keep symptoms in check. Take a hit on your inhaler as needed while sitting in the dugout waiting to bat.
  2. Racquet sports – the players control the pace of the game, allowing for plenty of rest and water breaks.
  3. Softball – similar to baseball, players have adequate rest to hydrate, use their inhaler, and regroup.
  4. Volleyball – A little more intense, but the court is small, so players can move quickly in short bursts.
  5. Football – while sometimes annoying to spectators, this sport allows for many breaks between downs.

Activities such as cross-country skiing, basketball, and soccer are a bit too strenuous for asthmatics.  Cross-country skiing can dry out the airways with the cold air being a contributing factor.  Basketball requires too much running up and down the court while not providing enough rest time between plays.  Soccer players are in constant motion chasing the ball unless they are a goaltender.

Exercising in a way that works for you is great way to destress, which, in turn, can help keep your asthma symptoms from flaring up.  Always remember to consult your doctor before starting a new exercise program.  Keep your water bottle and inhaler with you at all times.  And remember, exercise should also be something you enjoy.

Additional Resources for Exercising with Asthma

Check out our previous exercise-related blogs for more information:

Regular, Moderate Exercise Improves Asthma Symptoms
Don’t Wheeze Your Way Through Exercise-Induced Asthma

 


Six Best and Worst Foods for Asthmatics

Lisa Feierstein Allergies, Asthma, Breathe EZ, Children's Health, Men's Health, Women's Health Leave a comment   , , , ,

fruitAsthma is a challenging, but very treatable illness. There are many medications and tools available to help relieve symptoms. Did you know that asthma prevention can start in your kitchen? Not all foods are created equal. What foods might be best for asthmatics? There are even healthy foods that may worsen your asthma symptoms.

Foods That May Improve Asthma Symptoms and Support Your Respiratory System

1. Apples – these contain flavonoids such as khellin, which has been shown to open the airways.
2. Cantaloupe – these are rich in Vitamin C, which we already know is good for our immune system. This vitamin aids in clearing out congestion in the airways.
3. Carrots – these contain beta-carotene, which is an antioxidant that is converted to Vitamin A. This vitamin can reduce the possibility of exercise-induced asthma.
4. Coffee – Coffee is a natural source of caffeine, which has been proven to improve airflow. On the other hand, caffeine (especially in high doses like that found in coffee) is not recommended for children for various reasons.
5. Flax seeds – these are rich in Omega-3s, which research has found to be beneficial to asthma. They also contain magnesium which relaxes the muscles surrounding the bronchi and airways, keeping them open.
6. Garlic – Garlic is an anti-inflammatory. Anti-inflammatories are beneficial to asthma because they reduce swelling and mucus production in the airways.

Potential Allergens and Intolerances That May Worsen Asthma

1. Eggs – Because many people already suffer from an egg allergy, the reaction when consuming eggs can be in the form of exacerbated asthma.
2. Peanuts – Another common allergen. Severe reactions can be fatal. Those with a peanut allergy can actually develop asthma.
3. Salt – Salt contributes to inflammation by causing fluid retention.
4. Shellfish – Yet another common allergen, particularly in children.
5. Wine – Studies suggest that the sulfites in wine may trigger asthma attacks. On the other hand, red wine has been found to lessen symptoms if consumed in moderation.
6. Milk – If you are lactose intolerant or have any other dairy-related allergy, consuming milk products can cause wheezing, coughing, and other respiratory problems. On the other hand, milk contains Vitamin D, which can ease symptoms.

We hope that this information has given you some food for thought. Ask your doctor if dietary changes could be included as a part of your asthma management plan. He or she may also be able to test you for food-related allergies that might be exacerbating your symptoms.

Additional Resources

Read our blog on How to Manage Food Allergies During the Holidays

Check out the Asthma and Allergy Foundation of America’s great online resource for kids with food allergies.


Music to Our Lungs: How Making Music Can Help Asthma

Lisa Feierstein Asthma, Breathe EZ, Children's Health, Men's Health, Women's Health Leave a comment   , , , , ,

Music is a wonderful stress release for many people. For some, the release comes from listening to the music and relating to the lyrics. It strikes a chord inside of us all. For others, making music is the release. Whether you play an instrument or sing, you are successfully dissolving the stress of your day-to-day. Congratulations! You have found an outlet.

You might think that asthma would make this more difficult and less enjoyable. Good news! You can still make music and be symptom free. Playing a wind instrument can actually make the asthmatic more aware of his/her breathing, as well as improve their posture. They feel calmer and more in control, which will make it less likely that they will suffer from an asthma attack.

Many children make music their extracurricular activity and/or attend music class during their regular school day. If your child is interested in music as a hobby, but suffers from asthma, there is hope. Talk to his/her doctor for tips on how they can manage this while participating in music class, band, orchestra, or chorus.

If your child is interested in band or orchestra

Certain instruments are better than others at helping asthma sufferers both with their symptoms and stress levels. Some good ones are:

  • Drums — gives the musician a great cardio workout
  • Strings — increases finger dexterity and motor skills
  • Trumpet — requires copious amounts of fast, high-pressure air
  • Trombone — requires a lot of free-flowing air
  • Flute — requires the most air out of all wind instruments
  • Oboe — the reed creates high levels of pressure, causing the player to carefully control their breathing

 

For children who like to hear the sound of their own voice

Chorus may be the better option. Asthmatic vocalists benefit from the controlled, deep breathing that singing requires.  Trained singers know that breathing from their diaphragm is the only way to go, which keeps them from feeling breathless.

Music instructors will assist you with controlling your breathing in such a way that you are not even thinking about your asthma while making music.  If you are performing and feel your chest tighten (a familiar sensation for those suffering with asthma), pull out your inhaler in between songs to regroup.

Remember to share any concerns with your doctor.  They can work with you to adjust your treatment to incorporate any new hobbies or activities.  Music can help the asthmatic patient manage their stress better, which, in turn, can help them manage their asthma better.

 


Does Back to School Mean Back to Allergies?

Lisa Feierstein Allergies, Asthma, Breathe EZ, Children's Health, Men's Health, Women's Health Leave a comment   , ,

Summer is coming to a close for students in North Carolina.  The change of seasons and environment can spell trouble for asthma and allergy sufferers.  They already know their at-home triggers and how to combat them, but have less control over their environment at school.  Common classroom triggers include pollen, dust mites, mold, chalk dust, and pet dander.  With the help of school administrators and parents, students can remain focused on their studies and less on their allergies.

Allergy and Asthma Preventative Measures for Back to School

  • Keep windows closed when pollen counts are high
  • Repair leaking water pipes and faucets
  • Install high efficiency air filters
  • If the classroom has a pet, position asthmatic and allergic students far away from it. In addition to the dander produced by the class pet, it is possible that a fellow student might also transport pet dander into the classroom from home.
  • Address any concerns that aren’t resolved by your administrators with county school officials, if necessary

 

Prepare for a Successful and Allergy-Free School Year

  • Make an appointment with an allergist
  • Make an appointment with your child’s teacher and/or school administrator and, if possible, perform a walk-through of the classroom to pinpoint potential triggers (this could be done at meet-the-teacher night, as well)
  • Share your child’s treatment plan with school staff and bus drivers
  • Discuss what to do in an emergency
  • Provide the school nurse with any medications the student needs, as well as the dosage and instructions
  • Also, have your child’s doctor complete your school district’s Medication Authorization form

 

Don’t Forget About Recess and Sports Activities in Your Planning

  • Use a short-acting inhaler 15 minutes before any activity, under your healthcare provider’s recommendations
  • Stay hydrated
  • Choose activities that are less intense
  • If it’s cold out, bundle up
  • Protect your eyes and lungs with a mask or bandanna

 

Going back to school is an exciting time and can be made less stressful for asthma and allergy sufferers by taking this advice into careful consideration.

 


The Double Threat of Vaping

Lisa Feierstein Asthma, Breathe EZ, Children's Health, Men's Health, Women's Health Leave a comment   , , ,

Juul e-cigaretteFood industry workers at a microwave popcorn factory were the first to get sick from inhaling the vapors from artificial flavorings. The vapors caused symptoms such as coughing, wheezing, and shortness of breath, similar to those of chronic obstructive pulmonary disease (COPD).

Popcorn: Tasty Snack; Popcorn Lung: Deadly Disease

Dubbed popcorn lung, this condition (bronchiolitis obliterans) is a serious and irreversible lung disease. The culprit is the chemical diacetyl. When inhaled, it scars the tiny air sacs in the lungs resulting in the thickening and narrowing of one’s airways.

While many major popcorn manufacturers have removed this chemical from their manufacturing process, it still poses a threat. Diacetyl is also an ingredient in the flavorings for e-cigarettes. A Harvard study found that 39 of 51 e-cigarette brands contained the offending ingredient.

With flavors like ‘Cinnatoast Munch,’ ‘Cotton Candy,’ and ‘Kiwi Watermelon,’ teens are drawn to vaping. Not only do teens think vaping looks cool; they justify their new habit by saying it is better than smoking. Some e-cigarette ‘juices’ do not contain nicotine, but there is still a danger from the artificial flavorings.

As we discussed in our March blog vaping is often a method people choose for quitting tobacco, but can be very harmful to asthmatics. Vaping is not safe. Why put yourself at risk to develop ‘popcorn lung’? Don’t forget about the many other chemicals in e-cigarette vapor, like formaldehyde.

If you are a current smoker who desires to quit, there are better and healthier ways to accomplish this. A lot of people have trouble quitting because of an oral fixation. Below are some ideas to use as a substitute for smoking or vaping.

• Chew gum (some even contain nicotine) or eat hard candies.
• Get more exercise as this can reduce stress – which may lead smokers to crave a cigarette.
• Consider the nicotine patch which can curb your urge to smoke or vape.

The American Lung Association has many resources to help you quit smoking – or vaping.

Final Notes

Diacetyl has since been removed from the following brands of microwave popcorn: Orville Redenbacher, Act II, Pop Secret, and Jolly Time. So, don’t worry. Your favorite snack is safe now.

The FDA is closely monitoring this market and has begun to apply and enforce key provisions of the Family Smoking Prevention and Tobacco Control Act. This 2009 law gives the FDA authority to regulate the tobacco market and minimize the negative impacts of smoking on America’s youth and families.

Resources

2016 Surgeon General Report detailing the use of e-cigarettes among youth and young adults.

Quitline NC:  1-800-QUIT-NOW or En Espanol at 1-855-Dejelo-Ya


EpiPen® Recall Announced by Mylan N.V.

Lisa Feierstein Allergies, Asthma, Breathe EZ, Children's Health Leave a comment   , ,

EpiPen Recall - 2017Meridian Medical Technologies, a Pfizer company and Mylan’s manufacturing partner, has expanded a voluntary recall of select lots of EpiPen (epinephrine injection, USP) and EpiPen Jr® (epinephrine injection, USP) Auto-Injectors to now include additional lots distributed in the U.S. and other markets in consultation with the U.S. Food and Drug Administration (FDA).

Lots Effected by Recall

The recall impacts certain lots of the 0.3 mg and 0.15 mg strengths of EpiPen Auto-Injector. None of the recalled lots include the authorized generic for EpiPen Auto-Injector, which is also manufactured by Meridian Medical Technologies.

The manufacturer will be replacing the recalled devices at no cost.

Please visit Mylan’s website to read the Press Release with a list of the impacted lots that were sold in the United States and additional information on how to return effected devices.


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