total kid fall 2012

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now:What ER docs

are seeingKid

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FALL 2012

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food fight!

HELPING ARIZONA PARENTS RAISE HEALTHY KIDS AND TEENS

BannerHealth.com/BannerChildrens

Find a physician: 602-230-CARE (2273) • Help support Banner Children’s: 602-747-GIVE (4483).

Banner Children’s has pediatric care covered.

Cardon Children’s Medical CenterBanner Thunderbird Medical CenterPediatricians and Pediatric Specialists

Blanky. Fuzzy. Wubby. No matter what they’re called, Banner Children’s understands security blankets.

Parents need security, too. With Banner Thunderbird Medical Center in the West Valley, Cardon

Children’s Medical Center in the East Valley, and pediatricians and pediatric specialists all over,

Banner Children’s has kids covered. That’s how we handle everything, from simple tummy aches to

serious health issues. Isn’t it comforting to have a pediatric security blanket serving the entire Valley?

Discover what a comprehensive network of pediatricians, pediatric specialists and kid-focused

hospitals can do for your sense of security.

Connect with us:

ToTalKid ‹3›totalkid.azcentral.com

contentsVolume: 3 Issue: 2 – Fall 2012

Careful, kids! How to help your kids avoid fall sports injuries.

Should your child take multivitamins? A pediatrician offers tips for age-appropriate vitamins.

Food fight What your child eats might be making them sick. Find out why.

Gluten: the good, the bad and the ugly Dispelling the myths about celiac disease.

The painful truth Headaches in children are more common than most parents think.

Supervising the cyber playground How social media is changing our kids’ lives.

Check out 9 websites where kids can get connectedFit Kid Corner “What we wish parents knew” Banner physicians offer helpful advice.

Kids activity page Making an autumn fabric wreath.

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We exist to make a difference in people's lives through excellent patient care.

For information, call 602-230-CARE (2273) or visit BannerHealth.com/BannerChildrensA division of Republic Media, 200 E. Van Buren St., Phoenix, AZ 85004, 602-444-1000

CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING FOR BANNER THUNDERBIRD MEDICAL CENTER AND CARDON CHILDREN'S MEDICAL CENTERVOLUME 3, NUMBER 2 FALL 2012 General Manager: Cami Kaiser/[email protected] Manager Creative Development: Isaac Moya/[email protected] Editor: Jim Williams/[email protected] Managing Art Director: Tracey Phalen/[email protected] Art Director: design RVB – Romeo Van Buiten Contributors: Rick D'Elia, Jessica Rush, Sally J. Clasen Total Kid magazine is published as a service to our friends and neighbors by Republic Media Custom Publishing for Banner Thunderbird Children’s Center, 5555 W. Thunderbird Road, Glendale, AZ 85306 and Cardon Children's Medical Center, 1400 S. Dobson Road, Mesa, AZ 85202. Material in Total Kid is obtained from a wide range of medical experts and health-care authorities. If you have any concerns about specific items that appear in Total Kid, consult your personal physician. To order a copy or to stop receiving Total Kid magazine, call Cami Kaiser at Republic Media Custom Publishing, 602-444-6899.

Publication of Republic Media

Custom Publishing and az magazine.

The ‘plaTe’ MosT Traveled

Cover Photo: Rick D’Elia. Madden Probst, 18 months, swipes some tomato pieces

as his mom, Chandice Probst, prepares ingredients for a

gluten-free meal of chicken-basil spaghetti for her family.

full disclosure? I’m a foodaholic. And whether it’s genetic, or a learned behavior, my kids have inherited my passion for food. Granted, I wish I could say

I’ve imparted in them a more sophisticated culinary palate. However, like me, they love pizza, burgers and hotdogs. Don’t even get me started on chicken nuggets…those fatty little disks of breaded goodness!

OK, I’m not a total nutri-tional Neanderthal. I know the importance of eating healthy. I even had a salad once and all my major organs continued to function. We all want our kids to eat a balanced, nutritious diet. But for some parents, their children face a more serious challenge: food allergies. A recent study in Pediatrics, the journal of the American Academy of Pediatrics, revealed that 5.9 million children in the United States have some form of food allergy. Our cover story on page 6 defines what food allergies are, the kinds of foods that trigger them and symptoms to watch for. A related story on page 8 breaks down the facts, and myths, concerning gluten and celiac disease.

Does your child complain of headaches? According to experts at Banner Thunderbird Medical Center and Cardon Children’s Medical Center, they’re more common than we know. In our feature on page 9, you’ll learn how to determine if your child is suffering from headaches and what might be causing them. Speaking of headaches, is the proliferation of social media giving you one?

Finally, in “Supervising the cyber playground” on page 10, Banner Health experts will help parents develop social networking controls for their children.

Check out these stories and much more in this issue of Total Kid. If you own an iPad, be sure to download the latest Total Kid app. It’s free and packed with more interac-tive stories, videos, expert advice, games and activities for the entire family. For details, go to totalkid.azcentral.com.

Oops, pardon me; I believe that’s the pizza delivery guy at the door! lTK

Editor’s Letter

Editor and father

of three

JimWilliams



Banner Children’s has pediatric care covered.

Cardon Children’s Medical CenterBanner Thunderbird Medical CenterPediatricians and Pediatric Specialists

Blanky. Fuzzy. Wubby. No matter what they’re called, Banner Children’s understands security blankets.

Parents need security, too. With Banner Thunderbird Medical Center in the West Valley, Cardon

Children’s Medical Center in the East Valley, and pediatricians and pediatric specialists all over,

Banner Children’s has kids covered. That’s how we handle everything, from simple tummy aches to

serious health issues. Isn’t it comforting to have a pediatric security blanket serving the entire Valley?

Discover what a comprehensive network of pediatricians, pediatric specialists and kid-focused

hospitals can do for your sense of security.

Connect with us:

‹4› ToTalKid fall 2012

if whaT docTors are seeing in the emergency room lately is any indication, we all need to step it up several notches when it comes to supervising children. William Schneider, D.O., medical director of Banner Thunderbird Medical Center’s pediatric emergency department in Glendale, said there’s been an increase in youngsters getting into the following:

1 Detergent-filled ‘pods’ used in washing machines and dishwashers. “They’re colorful and look like candy,” he said. These cleaning agents typically cause mouth irritation, but can also cause respiratory problems, stomach irritation and sleepiness.

2 Chemicals/compounds stored in bottles or jars. Schneider said a

recent case involved a child who’d ingested graffiti remover stored in a soft drink bottle. Don’t store paint thinner, paint or other chemicals in packaging originally intended for food or drink, Schneider advises. “Throw it out,” he said.

3 Guests’ medication. “Visitors come to town and kids get into their medication by accident,” he said. Be cognizant of the situation and take precautions so that little ones — as well as older kids who might be interested in Grandma’s stash for other reasons — stay safe and out of the ER.

For more information, visit BannerHealth.com/BannerKids, search ‘emergency’.

banner Thunderbird Medical Center and

Cardon Children’s Medical Center are among nine Arizona facilities to receive the highest available certification for pediatric emergency care.

Through a new certification process established by the Arizona Chapter of the American Academy of Pediatrics and Arizona Department of Health Services, pediatric

emergency departments can voluntarily seek certification for one of three levels — Prepared, Prepared Plus Care and Prepared Advanced Care.

Both Cardon Children’s and Banner Thunderbird have been certified at the highest level: Advanced Care.

“The advanced care level means we are the best of the best for pediatric patients,” said Kim Marshall, pediatric nurse manager in Banner Thunderbird’s ED.

for pediatric orthopedic physician Edward Fink, M.D., late summer

and fall means he’ll soon be seeing kids with certain seasonal injuries, notably fractured legs from football, concussions from contact sports, and back injuries from overloaded backpacks.

Even popular playground structures, particularly those with ‘monkey bars’, can wreak havoc on a kid’s body, bones and muscles. As a matter of fact, those ubiquitous monkey bars can cause a huge amount of carnage to kids’ elbows, Fink said, noting that as kids fall from the bars, they often brace their fall with an elbow and end up snapping it.

Tips for Tip-Top shapEAlong with making sure kids wear and use the correct sports equipment, such as a helmet for bicycling, Dr. Fink offers a few quick tips for keeping youngsters safe this autumn:• Practice optimal conditioning. “The

more fatigued we are, the more apt we are to encounter injuries.”

• Exercise good judgment. “Do not take stupid risks.”

• Acclimate yourself to the heat/outside elements.

• Think support when choosing a backpack. “Make sure it has a good waist strap to ease the weight on the shoulders.”

For more information, visit BannerHealth.com/BannerKids, search ‘injury’.

Trending NOW

Careful, kids!

‘Tops’in pediaTricemergencycare

Quick hits


being prepared for an er visit

A Depending on children’s nutritional habits, multivitamins can be a great addition to

their diets. There are some general guidelines:Newborns/infants: If exclusively

breastfed, children need a liquid multivitamin containing iron

and vitamin D. Formula-fed children do not need a supplement since formula is nutritionally fortified.

Toddlers through school-age children: Picky eaters

or kids who don’t eat well (or often) should take a children’s

multivitamin; toddlers may also take a supplement like PediaSure to get necessary carbohydrates and protein. Children who eat a balanced diet should get sufficient vitamins through their food and therefore don’t need a

supplement. However, adding a daily children’s multivitamin is not harmful.

Adolescents and teens up to age 18: Menstruating females (typically starting between ages 8 and 13) need additional iron, calcium and folic acid, so a once-a-day woman’s multivitamin in addition to a calcium supplement is advised. Adolescent boys, starting at puberty around age 11 or 12, should take a men’s multivitamin, especially if they play sports.

Kids and multivitaminsQShould my child take

a daily multivitamin?

QWhat kind of information do I bring to the emergency room?

Qa&

Farah Rehman

Lokey, M.D.

Steve Narang,

M.D.

Farah Rehman Lokey, M.D. is a Banner-affiliated

pediatrician in Gilbert. For more

information on this topic, contact

Dr. Lokey’s office at 480-

857-6316.

Steve Narang, M.D. is the chief medical officer at Cardon Children’s Medical Center in Mesa. For more information on this topic, call 480-412- 5437.

A Not much in life is more stressful than taking your child to the ER. The last thing

on your mind is which medications or prescriptions — or, worse, the

exact dosage — your child is taking. But such information

is vital for hospital staff to know because they often give new medications to newly admitted patients or

make changes to existing medications. And without

correct information to go on, it’s easy for an unintended

and potentially harmful medication interaction to occur.

An accurate record of your current medication list is essential to achieve safe outcomes for every patient, every time. Our focus is, and always will be, patient safety. Cardon Children’s has created the Medication Card, an easy-to-use card that’s given to patients upon discharge; a template may also be downloaded at www.bannerhealth.com/childmedicationcard. Families can record their children’s medications and dosages on the card and take it with them

whenever they visit a health-care provider – or, of course, the ER.


y ou try to do the right thing by serving milk rather than juice at snack time and then your little one begins complaining of tummy

troubles. Or, in an attempt to guide your teen toward more nutritional fare, you ply her with a freshly made egg salad sandwich and, suddenly, she’s covered in a rash.

In either case, you may be dealing with a food allergy — the immune system’s adverse response to a food protein. What’s more, you may be surprised to find you’re not alone.

IncreASIng numberSDoctors have seen the number of food allergies increase significantly during the past two decades, with scientists estimating that about 6 million children in the United States alone suffer from some type of food allergy. Ranging from mild to severe and even life-threatening, symptoms can come on immediately or be delayed, taking from about two minutes to even days to appear.

Although it’s not clear why such allergies are on the upswing, Mark Rose, M.D. said that the most accepted theory is the “hygiene hypothesis”. That’s the idea that the overuse of antibiotics and sanitizing products has made our environment so clean, our immune systems don’t have to fight those germs anymore. Instead, they’ve shifted to fighting other things, namely food proteins they perceive as harmful.

What your children eat might be making them sickBy Gremlyn Bradley-Waddell

FooDFIGHT!

Left: Jaxton Probst, 3, enjoys a gluten-free cupcake created by a local bakery. Right: Jaxton helps his mom, Chandice Probst, put together a gluten-free meal of chicken-basil spaghetti for her family.

feature

ToTalKid ‹7›totalkid.azcentral.com ToTalKid ‹7›

common culprItSMeal- and snack-time can definitely be challenging when a food allergy is involved. After all, some of the biggest culprits are familiar foods, those found in kitchens from coast to coast or hidden in processed foods.

“In kids, the most common foods that cause allergies are eggs, milk, wheat, soy, corn, peanuts and fish,” said Kevin Boesel, M.D., a Banner-affiliated pediatric allergist and immunologist who is Rose’s colleague. But because symptoms don’t always appear right away, the connection between a food and an allergic reaction may not be immediately apparent. Then again, sometimes things are more obvious. “If a kid is constantly spitting food out,” Dr. Boesel said, “the child may be saying that this doesn’t feel right.”

SymptomS to WAtch forParents and caregivers should know that common food allergy symptoms include:

• Upset stomach• Swelling/hives• Runny nose• Worsening asthma• Diarrhea• Eczema

The potentially life-threatening symptoms of anaphylaxis (a severe, whole-body allergic reaction to a chemical that has become an allergen), include:

• Drop in blood pressure• Swelling of face, tongue and/or throat• Wheezing• Dizziness or fainting• Acute (sudden onset) diarrhea and/or

vomiting, nausea

A food allergy is one thing, but what if your child has a medical problem — such

as swallowing, gagging or chewing problems — that makes the very act of eating a challenge?

That’s when families turn to the Pediatric Swallowing and Feeding

Rehabilitation Clinic at Cardon Children’s Medical Center in Mesa, a

literal lifesaver for those faced with feeding dilemmas. The clinic’s staff of pediatric specialists

provides assessments, consultations and therapy for children up to age 17, all within an environment that promotes healthy and positive eating behaviors. Staffers also work with parents and caregivers to develop strategies that will lead to success at mealtime.

Along with addressing picky eaters, the clinic also focuses on helping children who refuse food or have sensory issues, express fear or anxiety related to eating, or who are experiencing slow or inadequate weight gain. In addition to the clinic in Mesa, all these services will soon be available at Banner Thunderbird Medical Center in Glendale.

For more information: BannerHealth.com, search ‘feeding therapy’

NouRISHING LIFEFeeding clinic helps children thrive despite medical issues

DIAgnoSIS AnD treAtmentThere is no cure for food allergies, but many children do outgrow them. Nevertheless, both doctors recommend seeking advice from a board-certified specialist if you notice symptoms. A skin-prick test or blood test can often diagnose the problem and then a treatment plan can be developed to keep your youngster happy and healthy.

“If you manage a food allergy properly, it shouldn’t be an issue,” said Dr. Rose. lTK

Did you know? • Celiac disease is not a food allergy. It’s actually

an autoimmune disease caused by the body’s sensitivity to gluten, a protein found in wheat, rye and barley.

• Being lactose intolerant is not the same as being allergic to milk. Lactose intolerance means your body lacks lactase, an enzyme that breaks down milk sugars, leading to problems like cramps, bloating and diarrhea.

Josh Probst browns the chicken while his wife, Chandice, waits her turn with their son Madden, 18 months, to add the ingredients she has prepared to the mix.


feature

GLUTEN:The good, the bad and the ugly Dispelling the myths about celiac diseaseBy Gremlyn Bradley-Waddell

for people with celiac disease, consuming anything made with gluten, a food protein found in wheat, rye, barley, spelt and other grain, can spell big T-R-O-U-B-L-E.

celIAc DISeASe 101Although some people think it’s an allergy, in reality, celiac disease is an autoimmune disease in which the ingestion of gluten causes the body to damage its own villi, the microscopic hair-like projections on the small intestine that aid in food absorption.

The result can be malnutrition or anemia, said Paul Ufberg, D.O., a Banner Health pediatric gastroenterologist, both of which can affect one’s quality of life and lead to life-threatening complications. Symptoms in children can include a bloated abdomen, constipation, stomachaches, diarrhea, weight loss, bone loss and tooth defects. Infants may be small, short, irritable or considered failing-to-thrive.

“Celiac disease can go undetected for years,” Dr. Ufberg said, noting it seems to be hereditary and that it’s not uncommon for a child to be diagnosed, and then later, to have a parent receive a similar diagnosis. Dr. Ufberg recommends a screening test as well as a follow-up biopsy to confirm a diagnosis.

gluten-free lIfeStyleWhile there is no cure for celiac disease, there is one surefire treatment: avoid gluten. That’s easier said than done, but, luckily, gluten-free products and restaurant options have become more available in recent years.

Because a gluten-free approach can be a very healthy lifestyle, it may be tempting to convert the entire family so mealtimes are more streamlined, but Dr. Ufberg recommends checking with the family doctor before starting any kind of diet. He also suggests families join a support group or online organization.

“It can make a huge difference in life,” he said, adding that there is comfort in knowing there are others going through similar situations and that they can be a great resource in how to make the gluten-free lifestyle easier. lTK

Celiac disease can go undetected for years.

gluten-free

Think having celiac disease means no pizza, chicken nuggets or cupcakes? Think again!“Gluten-free can be fun!” said Chan-dice Probst — and she ought to know.

The Gilbert mother of two boys was diagnosed with the autoimmune dis-ease four years ago and is president and founder of the Celiac Disease Foundation — Arizona East Valley Chapter. She also runs two websites, glutenfreefrenzy.com and glutenfree-calendar.com, which promote celiac awareness through activities, blog-style commentary and, yes, oodles of recipes.

Although folks with celiac disease must avoid many foods, particularly processed items, Probst promises there are tons of tasty alternatives on restaurant menus. For example, Barro’s Pizza makes gluten-free pie and 24 Carrots in Chandler serves gluten-free pancakes and a chocolate-banana cheese-cake. There are many gluten-free products available on mainstream grocery store

shelves, and just about any dish is adaptable thanks to products like gluten-free rice pasta, which is what Probst uses when making spaghetti. There’s also the Gluten Free Country Store in Gilbert, packed with good-ies that don’t require hours of food-label research.

“They have gluten-free chicken nuggets and gluten-free Goldfish-style crackers — they have everything,” Probst said, noting her brood is particularly fond of one local brand the store carries: Julia’s Gluten Free Bakery.

“She does phenomenal cinnamon rolls and red velvet cupcakes!”

For gluten-free recipes, go to BannerHealth.com/BannerKids, search ‘gluten free.’

TASTy ALTERNATIvES


By Gremlyn Bradley-Waddell

you may roll your eyes when your little tyke says he has a headache, but experts say the child has probably called it right.

common mAlADyThe painful truth is headaches are common in youngsters of all ages, according to Eric Hastriter, M.D., a pediatric neurologist at Cardon Children’s Medical Center in Mesa. Just like adults, children are susceptible to tension and migraine headaches, and as a matter of fact, Dr. Hastriter said 82 percent of adolescents report having a headache before age 15. In addition, he said six percent of the adolescent population suffers from at least one “disabling” migraine each year.

“Headache pain is a frequent problem. I see about 30 new patients per week and 20 of them are chronic sufferers,” said Dr. Hastriter, who has diagnosed a migraine sufferer as young as 23 months.

typeS of heADAcheSMild, or tension, headaches often strike children in the afternoon, said Tamara Zach, M.D., a pediatric neurologist at Banner Thunderbird Medical Center in Glendale. The pain typically feels like a band wrapped around the head.

Migraines in children differ a bit compared to those of adults, Dr. Hastriter said. Children’s migraines can last one hour to three days. And whereas adults feel migraines on

one side of the head, Dr. Hastriter said kids experience them at the front of the head and/or the temples. Youngsters also often feel lightheaded and fatigued, he said, even to the point of looking drained and exhausted.

Zach notes that, like adults, children may have sensitivity to light and sound and experience nausea or vomiting.

While most times a headache is just that, any headache that escalates in frequency requires a visit to a pediatrician or specialist since, Dr. Hastriter said, between five and 10 percent of headaches are due to a secondary cause, including head trauma, obesity or a tumor.

treAtment optIonSAlthough parents often give children over-the-counter (OTC) medications — which are fine if headaches are infrequent, or once or twice a month — Dr. Hastriter recommends seeing a pediatrician or specialist if a child is having three or more headaches per month. A doctor can provide more accurate dosage (the instructions on most OTC headache medication boxes are general guidelines) and recommend a preventative or daily medicine and, if suitable, prescribe vitamins.

“The earlier in life that we can treat these issues, the better,” Dr. Hastriter said. lTK

For more information: BannerHealth.com/BannerKids, search ‘headaches’.

TRUTHTHE Headaches in children are

more common than most

parents think

feature

The most common things that cause headaches are dehydration and stress, said Eric Hastriter, M.D., a pediatric neurologist at Cardon Children’s Medical Center in Mesa.

DehydrationDr. Hastriter said dehydration happens easily in

Arizona’s desert climate, so he suggests patients drink their body weight, so to speak. He said a child’s weight – in kilograms – is the same number of ounces of water a child should drink daily. So, a 110-pound child weighs roughly 50 kilograms and therefore should drink 50 ounces of water a day.

StressToday’s kids have considerably more hectic lives than those of days past. Tamara Zach, M.D., a pediatric neurologist at Banner Thunderbird Medical Center in Glendale, notes many young migraine sufferers she sees are “type A, high achievers.”

Sleep deprivationSleep deprivation is another com-mon problem, especially with kids’ access to tech-nology. Texting, calling, gaming or otherwise com-municating into the wee morning hours is detrimen-tal to their health. “Turn everything off one to two hours before going to sleep,” Hastriter said.

Poor eating habitsPoor eating habits, including fasting or skipping meals, can trigger headaches, so making sure kids eat regular meals is important.

Inadequate exerciseNot getting enough exercise can also lead to headache problems.

CaffeineCaffeine, which, incidentally is in some headache medications, can trigger headaches, and Hastriter points out that caffeine is a mixed bag. “I recommend kids don’t drink caffeine at all. It works against hydration and messes with sleep,” he said.

PoTENTIAL HEADACHE CAuSES6 What triggers headache in children? Pretty much the same things that bother adults.

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does a sixth-grader need a presence on Facebook? Should your 12-year-old be embarrassed because

you don’t see the need for him to have an email account when that’s how his teachers communicate with students while off campus?

The advent of electronic communications and social media has brought on these questions and many more, along with a host of new issues for

parents. The result is that keeping kids safe on today’s cyber playground takes effort, planning and an understanding that there are rarely ‘one-size-fits-all’ solutions.

leArn hoW It WorkSIf you’re not familiar with social media, create a Facebook or Twitter account so you can learn how it works. Read about parental controls, how to report

Social media poses many questions, challenges for parents

SuPERvISING THE CybER

PLAyGRouND


feature

totalkid.azcentral.com ToTalKid ‹11›

inappropriate activity and check out sites like connectsafely.org, where you’ll find detailed guides about cyber-safety. Kathy Thomas, Ph.D., director of pediatric neuropsychology at Cardon Children’s Medical Center in Mesa, suggests setting an age minimum for various types of accounts and then reminding your child that you will be a ‘friend’ or ‘follower’.

“This is so you can step in and give feedback and be present when they’re having these (online) relationships,” Thomas said, noting parents should be sure to respect their child’s privacy and refrain from commenting on posts unless necessary. “Because you’re a ‘friend’, you can also provide protection.” Similarly, Thomas says parents should have all passwords to their children’s accounts and let their kids know that, as parents, they have the right to log on anytime to monitor any and all activity on a phone or computer.

grounD ruleS ImportAntParents should also establish additional ground rules such as where the computer will be used in the home, how much ‘screen time’ will be permitted and what kind of language, posts and pictures are appropriate. After all, she said, youngsters don’t have a fully developed frontal lobe. “It’s the part of your brain that is your ‘wise mind’,” said Thomas, “and it’s not fully functional in children.” If rules are broken, there needs to be consequences, perhaps restricting access or deleting an account.

Until you think your child is old enough, consider establishing a family account, a private Facebook account or a private YouTube channel. This way, your child can still share with family and friends, but on a considerably safer level.

“Families are so different, but the important thing is to talk with the other parent, come up with an agreement and stand by it,” Thomas said.

Just remember your child’s peers may have significantly more free reign — so as with all else in parenting, be prepared to hear about it! lTK

As much fun as cyberspace provides, the anonymity it offers also makes it a dangerous place where bullies can lurk.

That’s why it’s important for parents to be involved with their kids’ online activities, said Kathy Thomas, Ph.D., director of pediatric neuropsychology at Cardon Children’s Medical Center in Mesa.

“Bullies can spew venom, and it can be damaging psychologically,” she said. “The core job of parenting is to make sure you protect your kids because they can get sideswiped in a really bad way.”

She suggests parents monitor activity on all accounts — email,

Facebook and Twitter — and become a friend or follower, where applicable. And if a child is bullied, connectsafely.org suggests ignoring any provocations, using blocking and abuse-reporting tools, and saving any evidence in case the situation worsens.

To keep kids from being bullied, or from participating in bullying behaviors, Thomas said it’s wise to address the following:

• permanence: “There are long-term repercussions of social networking,” she said. “Kids don’t realize they’re setting down a permanent track record and it’s discoverable.” A post can be removed, but who knows how many people, in any number

of places, saw it — or printed it or posted it — before it was taken down.

• courtesy: Remind kids that the Golden Rule applies online. Encourage them to report inappropriate or bad behavior or any bullying, whether it’s against them or someone else, and let them know you’re there to help.

• respect: “What one kid may think is harmless or funny may not be harmless or funny to someone else,” Thomas said. “When in doubt, ask permission.” The virtual world makes it easy to say and do things because we’re not looking someone in the eye and getting feedback, she added.

SITES WHERE

kIDS CAN GET

CoNNECTED

9Why should big people have all the fun on the Internet? Fact is, they don’t!

Here are a few cyber-sites

where kids can have fun playing and learning

while in a safe online

environment:1. Club Penguin 2. Everloop3. Free Realms4. FaceChipz 5. Kidzrocket 6. Kidswirl7. Kidzui 8. Kidzworld9. Whyville

bEWARE oF CybER buLLyING

Bullies can spew

venom

‹12› ToTalKid fall 2012‹12› ToTalKid

totalkid.azcentral.com

if so, be sure to sign up for the Cardon Children’s Medical Center Fit Kid Challenge, a free, easy-

to-follow wellness program that’s aimed at kids, but offers parents information about making good choices for their family’s health. Not only that, participants and their families are invited to fun activities and events throughout the year and have opportunities to enter contests and receive discounts from local businesses.

Think you’re too busy to juggle one more thing? Fit Kid Challenge makes life easier by regularly emailing health reminders so you and your

youngsters can stay on track.All you have to do is register and

you’re automatically entered into the contest for the California getaway (valued at more than $1,300, plus airfare!). So, warm up those fingers and sign up:• Online at bannerhealth.com/

cardonchildrensfitkid; or• Use your phone and text

FitKids to 411923.

lotS of greAt InfoOn bannerhealth.com, you’ll find plenty of stories and comments from Fit Kid participants and their

families, along with kid-friendly recipes for easy meals and snacks. There’s also a newly posted section about the growing problem of childhood obesity, packed with resources for parents who have questions about what to do if their child is overweight. Topics include body mass index, nutritional counseling services at Cardon Children’s, and the various risk factors for diabetes.

Join the Fit Kid Challenge today — it’s a win-win, all the way! lTK

fit Kid Corner

GET FIT, WIN A TRIPWant to learn new hints and strategies to keep your kids healthy? Or how about a chance to win a trip to San Diego for the family?


Tatum Brown, 11, rides her bike at the Phoenix Zoo during during a Banner Health fair for children.

ToTalKid ‹13›

“What we wish parents knew…” Helpful comments from Banner doctors

“I wish parents knew the dangers associated with NOT vaccinating their children. The worries of associated illnesses with vaccinations have not been proven to be true, and the dangers of NOT protecting your children have been proven true time and time again and can be lethal.”

– DR. JOSEPH WINCHELL, emergency medicine

“Parents should rotate their baby’s sleep position to keep the baby’s head round during the first six months of life, and avoid crooked head shapes.”

– DR. DAVID MOSS, pediatric neurosurgeon

“People with Type I Diabetes do much better when they have a support system, and parents should stay involved if their child has this disease.”

– DR. EDWARD HOLLAND, pediatric endocrinologist

“Not every cough should be treated with an Albuterol puff or nebuliser treatment.”

– DR. MANISHA THAKKAR, pediatrician

bannerhealth.com/ bannerchildrens bannerhealth.com/ bannerkidsbanner Poison Control: bannerhealth.com/poisoncenter 800-222-1222

Facebook: facebook.com/cardonchildrens facebook.com/bannerthunderbird

Sign up for our e-newsletter: bannerhealth.com/econnect

Cardon Children’s Fit kid (info on fitness and nutrition): bannerhealth.com/cardonchildrensfitkid

info To Keep handyMore health info for kids and parents:

for parents


No Need to travel North to add fall colors to your home’s palette. Get your fall fix by creatiNG aN autumN fabric wreath. this is a fuN, family do-it-yourself project that will add a pop of color aNd a seasoNal touch your home.

This quick and easy recipe is perfect for a healthy and delicious frozen treat.

Here’s what you’ll need:• Wire hanger• Strips of ribbon• Scraps of fabric in fall colors

(strips should be 6-7 inches long)

DirecTiOnS:1. Pour yogurt into paper cups. Fill to almost

the top.

2. Stretch a small piece of plastic wrap across the top of each cup.

3. Using a Popsicle stick, poke a hole in the plastic wrap. Stand the stick straight up in the center of the cup.

4. Put the cups in the freezer until the yogurt is frozen.

5. Remove the plastic wrap, peel away the paper cup, and enjoy!

Serves: 3 to 4 Source: Banner Health

ingreDienTS:• one 8-oz.

container of your favorite flavor of yogurt

• popsicle sticks• Small paper cups• plastic wrap

Frozen yogurt pops

autumn fabric wreath

Directions:

Carefully unfold the wire hanger and twist it into a circular shape.

Begin tying the scraps of fabric to the wire with a simple knot, varying the

colors and types of patterns. Be sure to push the knots very close together and twist the fabric around the wire to give the wreath dimension.

Once the wire is completely wrapped with fabric add a ribbon around the main frame and tie with a bow.

Source: A Beautiful Mess Blog

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What you’ll need

Kids’ activities



It’s nice to know that when emergencies happen, there’s expert care nearby. That’s why you’ll like knowing

about Banner Children’s. With Banner Thunderbird Medical Center in the West Valley and Cardon Children’s

Medical Center in the East Valley, Banner Children’s has kids’ emergency care covered, 24-hours-a-day,

seven-days-a-week. Our pediatric emergency specialists can handle it all, from a broken bone to the most

serious issues. And if care is needed beyond the emergency room, Banner Children’s features more than 30

pediatric specialties. Isn’t it comforting to have kid-focused care that’s easy to get to from all over the Valley?

Banner Children’s. We’ve got pediatric emergency care covered.

Banner Children’s has kids’ emergency care covered 24/7.

Cardon Children’s Medical CenterBanner Thunderbird Medical Center

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total kid fall 2012

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clasen total kid magazine

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