Advice from the experts
Parenting Hub

Learning Difficulties Linked To Headaches

It is the start of the school year and many children are refreshed after the summer holidays. Unfortunately some children are frustrated by learning difficulties or Attention Deficient Hyperactivity Disorder (ADHD). A recent study found something noteworthy: There is an association between headache diagnosis and school achievements. The study, published in Pediatric Nursing, found that learning disabilities and ADHD are more common in children and adolescents who are referred for neurological assessment due to primary headaches than is described in the general pediatric population. Dr. Elliot Shevel, a South African migraine surgery pioneer and the medical director of The Headache Clinic, says the research shows poor to average school academic performance were more prevalent among children with headaches. “We should look deeper at poor performance. It might be more complicated than parents think,” says Shevel. A retrospective review of medical records of children and adolescents who presented with headache to outpatient pediatric neurology clinics during a one year period was done. Demographics, Headache type, attention deficit disorder (ADHD), learning disabilities and academic achievements were assessed. A total of 243 patients met the inclusion criteria and were assessed: 135 (55.6%) females and 108 (44.4%) males. 44% were diagnosed with migraine (35.8% of the males and 64.2% of the females), 47.7% were diagnosed with tension type headache (50.4% of the males and 49.6% of the females). Among patients presenting with headache for the first time, 24% were formerly diagnosed with learning disabilities and 28% were diagnosed with ADHD. When to see a doctor It is crucial that if your headaches persist, you should get to the root of the problem. The longer the headache persists, the more damage will be done to the underlying structures. “A multidisciplinary assessment will need to be done,” is Shevel’s advice. Contact The Headache Clinic for help in this regard.

Parenting Hub

IS IT POSSIBLE TO BREASTFEED WHILE SICK?

The first thing that a nursing mom will worry about when she gets sick is the possibility of infecting her baby. This concern may lead to limiting contact with her baby and even to terminate breastfeeding out of fear of making her baby sick. In truth, it is very rare for a mom to have to stop breastfeeding due to illness. Sickness is not transmitted via breastmilk unless bacteria is present in the mother’s blood (such as septicaemia). During sickness, the mother’s body will produce antibodies (specific to that illness) which will actually protect her baby from the infection that she is carrying. Your baby will have been exposed to the illness a couple of days before you even realised that you were sick and so the best thing that you can do for your baby while sick, is to FEED. If baby does get sick, it will most likely be a much milder case than anybody else in the family has suffered. Because of the antibodies which your milk carries, limiting breastfeeding may actually increase your babies chances of getting sick. Contrary to popular belief, breastfeeding during a bout of food poisoning is completely safe unless the bacteria has crossed over to the mother’s bloodstream which would result in septicaemia and ultimately the mother being hospitalised. As long as the food poisoning is contained to your general vomiting, stomach cramps and diarrhoea, breastfeeding can continue as normal. While nursing is the best thing for your baby, it is not always the easiest task to carry out when you are not well. One may notice a slight drop in your milk supply and this could be due to a number of reasons, but it will build up again quickly once you have recovered. Rest well, keep yourself hydrated and make sure that the medications you are taking are safe for breastfeeding. Try to avoid large doses of vitamin B as well as drugs which contain pseudoephedrine (present in most oral decongestants) as well as throat lozenges containing menthol. Though safe for baby, these may decrease your milk supply. Opt for decongestant sprays rather than oral meds and use these sprays for the recommended time period only. Always take medication immediately after feeding to give your body the maximum amount of time to work through your meds. If possible, have someone help you with other daily tasks so that you can focus on feeding and recovering without the hassle of running everyday errands. Feed baby lying down to maximise rest and to minimise the chance of dropping your baby. Although many medications are completely safe while breastfeeding, you may wish to consider a few natural tips and remedies to see you through your next illness: Hot liquids relieve congestion, drink up Drink fenugreek tea to help ease head and chest congestion (fenugreek is also used to increase breastmilk) Inhale a vapour made with apple cider vinegar to help alleviate congestion Massage and hot packs placed on and around sinuses can ease pain and congestion Drinking strong black tea (using 2 teabags) can bring some comfort to a sore / scratchy throat Warm Sprite / lemonade has an anaesthetising effect on a sore throat Make your own rehydration drink using 1/2teaspoon salt, 1 teaspoon bicarb, 8 teaspoons sugar, 250ml orange juice, 1l water Drink ginger tea to relieve nausea *please note, this blog is in no way intended to replace medical advice. Ask your doctor should you have any queries or concerns regarding medication that you are taking while breastfeeding.

Parenting Hub

Treat Headaches Safely During And After Pregnancy

Being a new mother can be an exciting time for many women. Taking care of a new child can be one of the most wonderful experiences. But this time can also be extremely stressful when headaches occur. A recent study published in the journal Headache showed there are many safe methods to treat these headaches and migraines when women are breast-feeding. A list of commonly used migraine medications was agreed upon by the 6 researchers, who treat migraine and other headaches on a regular basis. Each medication was researched by an author utilizing widely accepted data sources, such as the American Academy of Pediatrics publication “The Transfer of Drugs and Other Chemicals Into Human Milk”. Dr. Elliot Shevel, South Africa’s migraine research pioneer, said the study found there are many reliable medications for women who are worried it will affect their babies through breast milk. This comprehensive study revealed there are many commonly used migraine medications that may be compatible with breast-feeding based on expert recommendations. “Ibuprofen, diclofenac, and eletriptan are among acute medications with low levels in breast milk. They are therefore safe to use,” says Shevel. What does not work? Aspirin did, however, cause some concern. Due to an association with Reye’s syndrome; sedation or apnea is problematic with opioids. Finally, preventive medications not recommended include zonisamide, atenolol, and tizanidine. Headaches during pregnancy Most headaches seen in women are primary headache disorders (migraine, tension-type headache), complications or conditions associated with pregnancy can present with a secondary headache. Headaches are very common symptoms in idiopathic intracranial hypertension, eclampsia, and reversible cerebral vascular syndrome. Migraines may begin or worsen during pregnancy, but pregnancy tends to reduce migraine frequency and severity. Although it is desirable to avoid medications for headaches during pregnancy, treatment should be considered when headaches are severe and cause significant disability. “We always promote treating headaches and migraines without the use of drugs. This is the safest method we can employ,” says Shevel to treat these headaches and migraines when women are breast-feeding. Being aware of possible treatments for migraine and headaches during pregnancy is essential. To find out more about how migraines affect your child, call 0861 678 911 or visit www.theheadacheclinic.net

Parenting Hub

Adolescence And Suicide

Suicide is a devastating tragedy which is a grim reality in most parts of the world. If you suspect that your adolescent is at risk get assistance from a mental health care worker as soon as possible. There are a variety of risk factors regarding the adolescent and suicide which can include some of the following: Specific characteristics of the adolescent: (for example, hyperactivity, impulsivity, ‘difficult’ temperament, and other psychiatric difficulties, such as depression) Peer relationships:(for example, if they are rejected by their peers or belong to a group of “bad company” or have poor interpersonal skills) Functioning at school: (for example, not achieving at school and failing) Cultural/Community and Societal influences: (for example, poverty, discrimination, unemployment, societal acceptance of aggression, easy access to guns and alcohol in the community, societal acceptance of violence, and exposure to violence in the community or via the media etc.) Victimisation, shame and humiliation: (for example, bullying which in this technological age takes on an additional form with the advent of the social media and easy distribution of photos etc. South Africa has unique facets that can exacerbate the problem, for example the high rate of “corrective rape” of lesbian young woman and perpetrators getting away with the crime.) Very high expectations/pressure to perform: (These high expectations can be self- imposed or they can emanate from other sources such as from within the family etc.) Poor problem solving skills and difficulty communicating their feelings. What are some of the warning signs? Depressed mood Talks about committing suicide Previous attempt at committing suicide Family dysfunction such as significant problems with a parent/s Withdrawal behaviour (withdraws from family and friends) Difficulties dealing with sexual orientation (a high percentage of this minority group have been found amongst suicide rates in adolescents) Substance Abuse (alcohol and/or drug abuse) Giving away belongings that had special meaning for them Preoccupation with violence and gory themes in TV shows, movies, internet sites etc. Having a family member or relative who committed suicide Family violence or abuse Engaging in anti-social behaviour (cruelty to animals, fire-setting, running away from home; being jailed) Isolated from family and peer group/social isolation Poor self-esteem.

Parenting Hub

The Effects Of Trauma On Children

Unfortunately, trauma is an all too common occurrence in South Africa. Trauma has many different guises and can encompass anything from criminal occurrences (such as muggings, hi-jackings, smash and grabs, house robberies etc.), natural disasters (floods, etc.) or any other unexpected event (such as witnessing or experiencing abuse, being involved in a motor vehicle accident, divorce of parents, having a family member that is ill, etc.). In addition, some children can also experience a secondary traumatization when their school peers for example, undergo a traumatic experience and re-tell the event. If parents are concerned that their child has undergone a trauma they need to be aware of some of the possible signs and symptoms of trauma: Anxiety, manifested by excessive worries and fears especially about the safety of significant others and themselves; Mood changes, such as irritability and whining; Behavioural changes, such as decreased levels of concentration and attention, withdrawal, aggression and over-activity which can adversely affect school performance; Somatic complaints, such as headaches and stomach aches etc.; Increased talk and awareness regarding death and dying; Sensitivity or a startled response to various sounds and noises; Talking about the traumatic event repeatedly as well as recreating the event via play; Regression in younger children, such as ‘wanting to be a baby’ and not performing age appropriate tasks that they were completing before such as eating by themselves, sleeping in their own beds etc. Adverse impact on issues of trust, security and safety; Symptoms of depression, such as lack of interest in usual activities and changes in sleep or appetite and withdrawal; Anger, as well as hateful statements; and Avoidance of people, places, or situations that remind them of the traumatic event. Not all children will experience trauma in the exact same way as well as manifest all the above symptoms as not all circumstances are the same for every child. In addition, children have different personalities and temperaments which affects the way they experience a traumatic event (for example, an anxious child may react differently to a laid back child if they were to experience the same trauma). Moreover, trauma can be subjective in that what is traumatic for one child may not be perceived in the same way by another child, or indeed an adult). If you are concerned about your child with regard to a trauma consult with a child psychologist who will determine the best course of action, such as play therapy or parental guidance to help you assist your child.

Parenting Hub

ADHD And The Foods We Eat

ADHD: The most common childhood disease ADHD is the most commonly diagnosed childhood disease and is said to affect approximately 10% of the South African population. It could be present from birth (often not recognised) or early childhood and usually persists into adulthood. It is often undiagnosed in adult, which is an unfortunate oversight, since appropriate treatment helps control symptoms and improves quality of life. The term ADHD denotes Attention Deficit Disorder with &/or without hyperactivity & has been used to describe both ADD and ADHD as well as all aspects of the condition more accurately. ADHD is a chronic condition of the brain that makes it hard for those affected to control their behaviour. According to the American National Institute of Mental Health, two to three times more boys than girls are affected by the disorder and the reason for this is uncertain. Problems generally associated with ADHD include inattention, hyperactivity and impulsive behaviour. This can affects nearly all aspects of life. How can I tell if my child has ADHD? Most specialists believe that a child shouldn’t receive a diagnosis of ADHD unless the core symptoms of ADHD appear early in life and create significant problems at home and at school on an ongoing basis. Ideally ADHD should be assessed and diagnosed by a multi-disciplinary team. As there is no proven diagnostic test for ADHD at this time, a clinical diagnosis is usually made by a paediatrician based on specific criteria. It is a process that involves several steps and it requires information on behaviour. Information is required form parents, teachers, carers, health professionals for an official diagnosis to be made. In most children with ADHD, a diagnosis are made from the age of 5 – 7 years (formative school-going age), although some of the symptoms could be present from birth. These symptoms must significantly affect a child’s ability to function in at least two areas of life – typically at school and at home. It is important that the symptoms, be present for a period of more than six months in all situations. This helps ensure that the problem isn’t with only a particular teacher or with their parents. Most children with ADHD don’t have all the signs and symptoms of the disorder, and they may be different in boys and girls. Boys are often more likely to be hyperactive and girls tend to be inattentive. In addition, girls who have trouble paying attention often daydream, but inattentive boys are more likely to play or fiddle aimlessly. Boys also tend to be less compliant with teachers and other adults, so their behaviour is often more conspicuous. What causes ADHD? Parents often blame themselves when a child has been diagnosed with ADHD. However, the cause of ADHD is at present still unknown. Experts are investigating a number of genetic and environmental causative factors – some of these theories have led to dead ends, some to exciting new avenues: Altered brain function & anatomy: There is an imbalance of certain neurotransmitters or poor nerve communication and transport in certain parts of the brain. Genetics (70-80% of cases): There is great deal of evidence that ADHD runs in families and if one person in a family is diagnosed with ADHD there is a 25-35% probability that another family member also has ADHD. Exposure to toxins such as cigarettes and alcohol during pregnancy, high levels of lead in the bodies of children. Brain injury: only small percentage of children with ADHD has been found to have suffered from traumatic brain injury. There is no clear answer! What we do know is that ADHD is a condition of the brain, likely caused by unknown factors which influence nerve communication and transport in certain parts of the brain, which has a strong genetic basis. Common misconceptions:  Food additives and sugar has long been controversial. Some research suggests that artificial colourings and preservatives may be associated with hyperactivity in children. But an association is not the same as a proven “cause-effect” relationship. There is no proof that food additives cause ADHD. Poor parenting, family problems, excessive TV watching, poor teachers and schools, food allergies or excessive sugar intake are not thought to cause ADHD. These environmental factors may contribute and worsen ADHD symptoms though but are not the cause. How is ADHD treated? Optimal treatment is still a matter of debate and every family wants to determine what treatments will be the most effective. It is thought that lifestyle can either reduce or strongly exaggerate symptoms of ADHD. Clinical experience has shown that the most effective treatment for ADHD is a combination of: Medication, when necessary Dietary intervention The correct supplementation of vitamins and minerals Exercise Therapy and counselling to learn coping skills and adaptive behaviours Medication  There is a wide range of medications available, the most common being Ritalin, Dexedrine, Adderall, Concerta. Medication does not cure ADHD. The role of medication is to control the symptoms when taken and works effectively in 70% of ADHD cases. Each medication has its negatives. The most likely side-effects include reduced appetite, corresponding weight loss, headaches, nervousness, irritability, tummy aches, nausea & vomiting, sleep disturbances. It is found that 30% of cases don’t respond or do not tolerate prescribed medication for ADHD. In these cases there is no other option then to opt for dietary treatment. Diet and ADHD Each child requires an individual approach. Helping a child with ADHD is like trying to solve a jigsaw puzzle. Puzzle pieces might include low iron status, poor diet, essential fatty acid deficiencies, magnesium deficiency, zinc deficiency, sensitivity to food stuffs such as artificial colourants, flavourants and preservatives. Remember each child is a unique puzzle with different puzzle pieces. It is therefore essential to consult a dietitian specialising in the field. Diet in itself does not cause ADHD but can worsen the symptoms. Diet modification however does play a major role in the management of ADHD and the associated symptoms. When dietary changes are made the results could

Parenting Hub

The Mommy Blues

Mutual regulation refers to a communication system that allows a mother to read emotional signals from her baby and meet his or her needs, as well as allowing the baby to read his/her mother’s response. So what happens when this system breaks down? Post Natal Depression (PND), otherwise known as Postpartum Depression, is a condition that affects between 10% and 15% of mothers. It has many similar characteristics with depression, and if help for this form of depression is not sought, it may have an impact on the way the mother interacts with her baby, as well as the child’s future cognitive and emotional development. One of the biggest problems with PND in mothers is that they are less sensitive to the needs of their babies, as well as being less engaged with them. Things like interpreting a baby’s cry and responding to it is one of the aspects that can be affected, such as being able to tell the difference between the hungry, sleepy or nappy-change cry. Symptoms of PND (according to the Royal College of Psychiatrists)include: Depression Irritability Chronic fatigue Changes in appetite An inability to enjoy anything Loss of interest in sex Guilty thoughts Anxiety Unsociability Hopelessness Thoughts of suicide Effects of PND also include feelings of guilt, the idea that you may not love or feel close to your baby, or that he or she doesn’t love you back, and resentment towards the baby. It is important for women to understand that these symptoms are normal, and are a result of hormonal and emotional difficulties and are not an indication of good or bad parenting. There are various suggestions as to how this can be treated or even prevented. Techniques to help depressed mothers include: Listening to music Visual imagery Aerobic exercise or yoga Meditation or massage therapy Talking to a professional Advice to new mothers: Don’t take on too much too fast. Learn to ask for help. Find someone to talk to Seek antenatal advice Sources: A Child’s World and The Royal College of Psychiatrists

Parenting Hub

A New Fact On Migraines And Participating In Sport

Claims that participating in sporting activities is detrimental for migraine patients are untrue – a new study found that participating in sporting activities actually has health benefits for migraine patients. The study, recently published in the Sports Neurology Journal ascertains that under Neurological supervision sporting activities can be safely integrated into the lives of migraine patients. This is the first time empirical research has been done to review known risks involved with participating in sporting activities by migraine patients. “It was a study that sampled patients with; epilepsy, migraines, and multiple sclerosis”, says Dr. Elliot Shevel a South African migraine research pioneer and the medical director of The Headache Clinic. Shevel confirmed that as long as there is proper supervision in place for migraine patients, playing sport is not harmful. Dr. Elliot Shevel says that migraine patients are often discouraged from participating in sports based on theoretical detrimental effects, when in actual fact they can and should be encouraged to participate in sports provided that the exercise does not trigger the pain. Where exposure to prolonged sun triggers the pain indoor sports should be pursued. With schools re-opening and sporting activities being part of the academic experience, children that suffer with migraine should take the time with parents and teachers to work out which sporting activities suit them best.

Parenting Hub

Tips For Choosing A Family Car

Buying a car when you are young, single and have just started working is very different to when you are trying to buy a car for a family. Your needs as a new couple are not the same as they are when you start having children, suddenly safety is more important than speed, space is more important that style. It can be confusing trying to choose a family car because you aren’t always sure what you need to look for. We have a few tips that can make the hunt for a new family car easier. Check the safety features. Safety becomes of utmost importance when you are transporting your children. Make sure you check if there are safety belts on all the seats, that the back seat is safe for a car chair. Size does count.  Whether you decide to only have one child or a rugby team, children take up space. Take this into account when you are looking at cars. If possible take your pram with to see how easily you can get it into the boot and how much space it takes up. Consider things like going on holidays, lifting friends, additional sports bags and how many car chairs you will need to have at one time. A car may say 5 seats but with car chairs in it suddenly becomes a 4 seater.  Sometimes the 7th seat is in the boot taking away boot space. Is it a wanted car? While we don’t want to have to think about being hijacked, it should be a consideration. Try to steer clear of cars that are high on the hijacking list, it may mean you don’t have the coolest car in the parking lot but it will be worth it. Consider your needs. How many children do you want? Will you have two car chairs at the same time? Do you go away in your car a lot? Do you need to transport bicycles? These things will all play a part in the size and type of car you buy. Take it for a test drive. If you are going to be the primary driver, test drive it, parks it, make sure you are comfortable driving it especially if it is on the bigger size. Buying a family car can feel like an overwhelming decision but it really doesn’t have to be. Do not rush into the decision, take your time, consider all your needs and requirements and do not settle for anything less than that, no matter how hard the salesman may try to convince you otherwise.

Maz -Caffeine and Fairydust

Bipolar Disorder- Growing Up, Pregnancy & Motherhood

It has taken me a long time to write this post. It is something so deeply personal, but I can’t tell you how good it feels to let it all out. This is my clean slate… my fresh start to 2015. Sometimes the baggage gets too heavy to carry in your mind. Up until a few years ago, most of my thoughts consisted out of wanting my life to end. There was no real reason – I just didn’t, and sometimes still don’t, want to be here any more. It has taken me years to understand my disorder. I know I will never be cured, but after years of juggling medication, therapy and building a support base I know I can manage it. I am no healthcare professional, I believe there are as many ways people develop to cope (or not cope) as there are people suffering with depression and Bipolar. I am simply telling my story. What is Bipolar Disorder? Bipolar disorder is a mental illness marked by extreme shifts in mood ranging from a manic to a depressive state. Bipolar disorder is also called bipolar disease or manic depression. Symptoms are caused by a defect in the brain’s regulation of mood. The major symptoms are lack of interest in activities you used to enjoy, lack of motivation, sleeping problems (either Insomnia or oversleeping), feelings of hopelessness, a lack of energy and social withdrawal. At other times, high or manic moods can bring confidence, a feeling of invincibility, high energy levels and optimism, as well impulsive reactions and decisions. All of these feelings are usually to the extreme and anything can trigger it. On paper these symptoms can be confusing – not everyone who has sleeping problems or has trouble getting excited about their job has a mental disorder. Everyone feels hopeless from time to time and sometimes things happen that can cause a period of depression (losing your job, death of a loved one, a break-up, etc.) – that’s life… When you are Bipolar or depressed you feel like that for weeks and months on end for no concrete or apparent reason.  A state of depression becomes clinical when it is no longer manageable to yourself, or others, or where there is a significant disablement on daily life. Bipolar disorder can have a significant impact on someone’s life, but it’s important to know that people who live with it can lead productive, creative lives. I grew up in a stable, loving home with a supportive family who gave me the world and more. There was absolutely no reason for me to be depressed or unhappy. As a child I was always a bit different, I never felt like I fitted in and I found it extremely hard to make friends. I felt like an unwelcome tourist in a place called earth, as dramatic as that sounds. I had a rough start at school. I am not sure why, but my Grade 1 teacher hated me. She targeted me as the child she would use to make an example of. I remember her telling me that I wasn’t as pretty as I thought I was, I remember her making me stand up in class and asking me really hard math questions – when I did not know the answer or could not answer fast enough she would call me names like ‘dumb’ and ‘stupid’. To this day I have a massive mental block towards maths. When we were colouring in I got into so much trouble for colouring in different directions and writing my name in the corner of the picture – when I tried to explain that it was the way my mom (an artist) did it I was hit with a ruler over my knuckles and told that I was no artist. All this special attention I was getting made the other kids reluctant to be friends with me and I was teased for being ‘dumb’. That pretty much set the tone for the rest of my school life. It is true what they say, a teacher can make or break you. A significant event in my life that triggered the first onslaught of depression was when my mom told me that my dad was not my biological father and that my biological father had died in an accident before I was born. It shook me more than I realized, even though it had no reason to. I can honestly say that my stepdad never treated me any different to his own daughters, I never felt like I was loved any less and to me he was and always will be my real dad and hero. The shit hit the fan when I found out that the accident my dad died of was actually suicide, and that his family wanted nothing to do with me or my mom and left her to struggle as a single mother for years before my stepdad came along. I think this was where I noticed that there was something wrong with me.. I had lost faith in humanity. I know my mom did not tell me the whole story to protect me, but I could not help but feel a little bit betrayed. More than ever I felt like I did not belong, I was angry and depressed. I had so many questions about my biological father, but could not bring myself to ask my mom about it for fear of hurting her or bringing up painful memories. I started making up stories, I created a whole new fantasy life for myself… I made up stories of who he was and later on struggled to distinguish between my lies and reality. Soon I wasn’t just lying to myself, I started lying to my friends and parents about little things. The lying and depression did not go unnoticed and I was eventually sent to a psychologist – his feedback to my parents was that I was selfish and manipulative, and other than that

Parenting Hub

Type 2 Diabetes in the Youth

Dr Kuben Pilay  is a paediatric endocrinologist in private practice at Westville Hospital, Durban. In the last 20-30 years there have been changes in the world of diabetes. Firstly, there has been a rapid increase in the number of people with diabetes. It is recognized that more adults are developing type 2 diabetes across the world. It has also become clear that the number of children who are developing diabetes is increasing. Twenty years ago, there was a clear distinction between the types of diabetes. Type 1 diabetes developed early in life, affected people required insulin from diagnosis, they were usually thin and often had ketones when diagnosed. Type 2 diabetes occurred after 45 years of age, usually in overweight/obese adults, people were usually asymptomatic and they could be treated with life style change, weight control and tablets. In the last 20 years, the types of diabetes in child, adolescents and young adults have changed. Now, we can recognize more types of diabetes in these young people. While the majority of young people in South Africa still have type 1 diabetes, we now recognize that they may also get type 2 diabetes, neonatal diabetes (in children younger than 6 months), cystic-fibrosis related diabetes and range of rare types of diabetes. It is also becoming more difficult to determine what type of diabetes children have. Youth with type 1 diabetes are more often overweight and those who may have type 2 diabetes may be unwell with ketones and are occasionally not very overweight. Many affected youth now have features of both type 1 and type 2 diabetes. This inability to differentiate the types of diabetes has created ‘new terminology including ‘type 1.5 diabetes’, ‘double diabetes’ and ‘even triple diabetes’. The increase in type 2 diabetes in both youth and adults is closely associated with the increase in the rates of obesity around the world. Increasing weight is a huge risk factor for the development of type 2 diabetes at all ages. The main reason for the increase in obesity is a change in life styles to increased intake of (often high carbohydrate and high fat) foods and decreased physical activity. Only in rare circumstances is obesity due to hormonal disorders or medical conditions. Certain other features increase the chances of a young person having type 2 diabetes including: Family history of diabetes Females Certain ethnic groups e.g youth from African and Asian ethnicities (also Hispanic, American Indian and Pacific island ethnicities) The onset of puberty is often a time when youth are diagnosed with type 2 diabetes as the hormonal changes that occur with puberty increases insulin resistance. People of all ages often have no symptoms of type 2 diabetes. When they do occur, symptoms develop slowly and may include: Unexplained weight loss Increased hunger or thirst  Dry mouth Increased urination (including at night) Tiredness and lethargy Blurred vision Slow healing of sores or cuts The diagnosis of diabetes is made by checking blood glucose values. In recent years, and HbA1c has been used for making a diagnosis of diabetes. Unfortunately, in youth, this is a less reliable way of making the diagnosis (particularly in obese children and adolescents). In certain countries where children have type 2 more commonly than type 1, screening for diabetes in carried out in schools! While the treatment options for type 2 diabetes are well known, less is known about how to treat this condition in children and adolescents. The safety and effectiveness of medications have not been tested in this group of people. As more youth with type diabetes are cared for around the world, it have become more obvious that this is a more aggressive form of diabetes than type 2 diabetes in adults. Complications appear more rapidly and therapy needs to be more aggressive than in adults. The additional changes in growth, puberty and the emotional changes of puberty increases the challenge of having type 2 diabetes at a young age. These changes and the emergence of type 2 diabetes in youth means that these young people need medical attention from practitioners that have the necessary knowledge and skills to give them appropriate care.

Parenting Hub

ADD And ADHD In Adolescence

Adolescence is the period in a child’s life which is filled with much turmoil and changes. Not only are there physical changes (including hormonal) but an emotional shift where the youngster has to grapple with several of the following: Acquiring a feeling of identity (self-identity such as “who am I”; social identity such as “which group/s do I belong” and certainty about his/her own values and ideals “where am I going with my life”). In establishing an identity for themselves, the adolescent phase is characterised by experimentation and rebelliousness, which leads to conflict with parents mostly about authority and decision-making. Being acknowledged by peers as well as being accepted by them (fitting in). Concerns and worries about school, exams and careers after school. Foray into romantic relationships with accompanying insecurities etc. During a youngster’s development from childhood to adolescence it becomes common for the symptom pattern of ADD/ADHD to change, most notably by a decrease in hyperactivity. Nevertheless, difficulties with attention and impulsivity remain. It was thought that ADHD tends to “burn out” by the time children reach adolescence and rarely continues into adulthood, however research suggests that this is not the case. Other difficulties that can appear for an adolescent suffering from ADD/ADHD over and above the usual teen concerns are: Adolescents with ADHD often feel “different” from others and they may become socially isolated, especially if they are impulsive and act before they think without due consideration for the feelings of others. They may also still carry the remnants of a lowered self-esteem developed in childhood as a consequence of ADHD. Remember that children and adolescents that have been diagnosed with ADD/ADHD would have experienced the gamut of difficulties on an academic, social and personal front. Low self-esteem may lead to a teenager refusing medication, avoiding educational or other activities and be more vulnerable to peer pressure in order to fit in. They may also lack motivation as they could have internalised that they are not as competent as their peers. Difficulties with focusing, organizing and long-term planning usually pose a difficulty for the ADHD adolescent as the workload at school increases and becomes more complex. As a result adolescents may have difficulty completing tasks, taking good notes, being able to prioritize important tasks and apply adequate study methods for tests and examinations. Adolescents with ADD/ADHD are to some extent more likely to experiment with undesirable behaviours at an earlier age because of their impulsivity and not considering the consequences of their actions. Usually teenagers tend to develop new strengths that help them with decision making, consequently, their ability to think long term, resist instant gratification and regulate their own behaviour does improve. The teenagers with ADHD, however, are simply likely to lag behind in these areas. Therefore, teenagers with ADHD have much more of a harder time regulating their impulses, even when they know their behaviour is destructive. As such, impulsiveness can potentially lead to substance abuse, aggressive acting out, unprotected sex, promiscuity, reckless driving or any other high-risk activity. Like all teenagers, the need for acceptance and to “fit in” is substantial. Some teenagers with ADHD will be more at risk of becoming the “class clown” or becoming the “most rebellious” or the “outrageous” one to get some attention and acknowledgement from their peers. On the whole, ADD/ADHD is a complex disorder and usually there are accompanying conditions such as depression, learning difficulties, anger and anxiety which can affect adolescents with ADD/ADHD in widely contrasting ways. Sandton Psychology Centre has psychologists that work with adolescent difficulties and issues. It may become necessary for a parent to seek professional assistance for their teenager during this period. Adolescents will likely benefit from psychological intervention that will teach them how to deal with impulsive behaviour, difficulty with remaining focused and/or organisational skills, long-term planning and low self-esteem which are all aspects related to ADHD

Parenting Hub

The Big Issue With Self Esteem

What is all the fuss about and what can parents do to improve their children’s self-esteem? In recent years self-esteem has become a bit of a buzz word. Parents, teachers, occupational therapists, psychologists and social workers (to name a few) have all become reasonably obsessed with the concept, and near panic proportions are reached if a parent is told that their child has (gasp) POOR self-esteem! For many parents, the very thought that their child might have poor self-esteem is met with horror, severe guilt and is coupled with dire thoughts about the child’s future and whether or not he or she will ever be a success. But what is self-esteem exactly, and why is it so important? More importantly, what can parents do to ensure that children develop a healthy self-esteem? Put very simply, self-esteem is the way in which a person thinks and feels about him or herself. An individual with good self-esteem perceives herself as acceptable, competent and accomplished. A person with poor self-esteem feels unacceptable and doubts his or her ability to confront and solve problems in a masterful manner. The reason there is a big fuss about self-esteem is that it does appear linked to important things such as physical and mental health and satisfaction in life. Many studies have shown that poor self-esteem is linked to such things as low academic performance, depression, anxiety, sexual risk behaviour, drug and alcohol abuse…to name a few. It is therefore reasonably understandable that parents feel a sense of concern over the quality of their children’s self-esteem. The big question then, is WHAT CAN PARENTS DO to enhance the self-esteem of their children? The following article will answer this question, starting from the moment that an individual first becomes a parent, giving simple hints and suggestions for dealing with infants and older children alike. Infancy: The importance of a good attachment A child’s most significant relationship is usually (although not necessarily) with it’s parents. It is within the safety of this primary relationship that children start developing thoughts and feelings about themselves that are mirrored to them through the eyes of their parents. The bond between a parent and child is traditionally referred to as the ‘attachment’ between the child and it’s primary caregiver. The quality of this attachment can range on a continuum from very good, to very poor and starts developing from the moment that a child is born. Importantly, a good attachment is one of the primary foundations upon which one’s self-esteem is based. Although there is no rule book for establishing a positive attachment with one’s infant, there are a few things that parents can do to make a good attachment more likely. There are also red flags to look out for that might prevent a parent from establishing a good attachment with one’s child. Most significantly, it is critical that parents are RESPONSIVE and focussed on the needs of the child. Infants are completely dependent on their parents for protection and nourishment and are unable to meet any of their needs independently. A responsive parent is one who is reasonably in tune with their infant. As such, they are able to react quickly and accurately to the needs of the child. These needs could be physical or emotional and may include food, a clean nappy, comfort, warmth or sleep. As the child gets older and more interactive, this responsive style starts to include the child’s increasingly complex emotional experiences. It becomes important for a parent to accurately respond to both positive emotions, such as smiling back or laughing when the child smiles; or negative emotions, such as soothing a frustrated or upset infant. Red flags for parents to be aware of are any issues that prevent a parent from being able to respond to the needs of their child. These could include: post natal depression, marital conflict, alcohol or drug abuse, mental illness such as depression or anxiety, or burnout from severe work stress. Parents are advised to seek timely help from a professional if they are unable to cope with these issues on their own or with the help and support of family and friends. Consistent praise and encouragement: How it relates to self-esteem As children grow older and start talking, praise and encouragement become incredibly important for children and are a vital ingredient in promoting a healthy self-esteem. Positive feedback can relate to behaviours, but can also relate to specific aspects of a child’s character (for example, “You were so kind when you helped that little boy who fell”; “You laugh so easily, I love your sense of humour”) as well to the relationship between you and your child (“you’re my special boy”; “I love you”). In these ways, positive feedback can help a child to understand that they are loved and cherished, for specific qualities that are noticed and appreciated. Solve problems WITH your child rather than FOR them As children continue developing, their abilities become more complex and more is expected of them by society. As individuals, our ability to confront and solve problems determines much of our experience of success or failure. Children who consistently rely on parents to solve their problems for them are unlikely to feel the sense of accomplishment and pride that comes from solving their own problems. In addition, as children develop into adults, over-reliance on parents for problem solving will lead to unhealthy levels of dependence. In order to foster independence and a positive self-esteem, it is important that parents allow or assist children to solve their own problems. Problem solving refers to a variety of different situations and often involves a great deal of patience from parents. For example, it might take your child ten agonizing minutes to figure out how to use a new toy or to find the place where the puzzle piece fits in. Although you might be able to do it for your child in seconds, it is more important that you allow your child to explore

Parenting Hub

Teenager Self-Harm & Cutting

Self-harm, self-mutilation or self-injury behaviour all mean an action that is deliberate on the part of the adolescent to hurt or injure themselves. Self-harming behaviour is usually not an attempt from the adolescent to commit suicide, however does suggest that the teenager is struggling with underlying emotional issues. Depression and suicidal ideation, should however, never be discounted as for some teenagers this is a real concern. Teenagers who engage in this behaviour may partake in other risky behaviours such as alcohol and drug use. One particular phenomena related to self-harming behaviour is that is can become contagious in that it is common for teenagers to ‘copy’ or try fit in with their peers. It thus becomes ‘cool’ or trendy and self-harming behaviour can occur more prolifically when others in the peer group start engaging in this type of behaviour. There is not one particular reason why teenagers self-harm. It generally suggests emotional turmoil brought about by several factors such as the following: Inability to deal with emotional difficulties, such as relationship difficulties or problems within the family (such as not getting on with siblings, parent/s, step-parents etc.); Feelings of distress, anger, frustration, guilt Feelings of having ‘no control’ over their lives; Poor self-esteem and feelings of worthlessness; Clinical disorders such as depression, anxiety or obsessive compulsive disorder; Inability to deal with stress; Feelings of pressure (academics, sports or from peers); Inability to express feelings in a healthy way; Loneliness and feelings of isolation; Wanting the attention of people who can help them; Spending with time with individuals who self-harm; and History of abuse or of having experienced a traumatic event. Self-injury can become addictive and progressively serious. Teenagers who self-harm have difficulty asking for help. It is therefore important for caregivers and teachers to look out for this behaviour and seek the help of a psychologist.

Parenting Hub

Depression And Anxiety During And After Pregnancy

Pregnancy is generally assumed to be a wonderful time in the life of a family, a time of abundance and anticipated joy. For some women however, pregnancy can be an extremely stressful time, with many women experiencing feelings of both depression and anxiety. It is well known that pregnant women need to take care of their bodies in order to foster the growth of a health baby. However, it is equally important for pregnant women to take care of their emotional well-being, as untreated depression and anxiety during and after pregnancy can have long term consequences for the whole family. This article addresses some of the important issues with regards to pregnancy and depression and anxiety, and offers some advice on how best to cope with depression and anxiety during pregnancy. Are there different forms of depression during pregnancy? Depression is a common problem amongst women, and is most common in women age 18 to 44. This is the time when many women fall pregnant and so it stands to reason that pregnancy and depression can often overlap. Depression can therefore take on several different forms during and after pregnancy. Some women will be depressed prior to falling pregnant and this will continue into their pregnancy and even after the birth of their child. Some women will only become depressed during pregnancy and this can continue once the baby is born (becoming what is classified as postnatal or postpartum depression). In fact, research has established that women who are depressed whilst they are pregnant are more likely to experience postnatal depression, making it important that women who are depressed during pregnancy seek help before their baby is born. Some women will be emotionally well during their pregnancy, but will suffer with postnatal depression after the birth of their baby. Postnatal depression does not necessarily occur immediately and can start up to eight weeks after the birth of a child. It is important to bear in mind that all forms of depression are treatable, and that there are many different forms of treatment available to pregnant women who are depressed. Depression during pregnancy can often go hand in hand with anxiety. This is not surprising, as the many changes that occur during pregnancy can be very stressful for many women. During the first trimester, many women become anxious that they will miscarry, or that something else will go wrong at this early stage of pregnancy. During the third trimester, many women can become anxious about the birth of their child, worrying about the birthing process itself as well as the enormous impact that having a baby will have on them and their relationships. Many first time mothers become anxious during pregnancy as they worry ability to take care of an infant. Research has also shown that it is common for women to become anxious before being discharged from hospital once the baby has been born. These are all normal concerns and should not be seen as abnormal or wrong. However, if these anxieties become too extreme, or they are coupled with feelings of depression, then it is important that they are addressed and treated during pregnancy, as women who are extremely anxious during pregnancy are also more likely to experience postnatal depression. Why does depression often go undiagnosed and untreated during pregnancy? During pregnancy women experience many physical changes which differ depending on the stage of pregnancy. It is not uncommon for pregnant women to feel extremely tired, especially during the first and third trimesters. It is also very normal for pregnant women to have a change in appetite, ranging for example from nausea and lack of appetite in the first trimester, to increased appetite in the second and third trimesters. In addition, many women who are pregnant experience changes in libido. These are all normal aspects of pregnancy and are certainly no cause for concern. However, these changes are also hallmarks of depression. For this reason, depression can often go undiagnosed during pregnancy as both women themselves, and doctors, do not recognise these physical changes as depression. Unfortunately, up depression in pregnant women is misdiagnosed up to 50% of the time. This does not mean that all pregnant women should become overly concerned with becoming depressed or worry that the physical changes that they experience during pregnancy could be depression. Whilst up to 70% of women will experience some feelings of depression during pregnancy, it is estimated that only between 5 and 10% of women will experience clinical depression during pregnancy. In addition, approximately 13% of women who give birth will experience some degree of postnatal depression. This means that most pregnant women will not encounter problems with depression at any stage of their pregnancy. However, it is important for the small proportion of women who become depressed during pregnancy to seek help. Importantly, pregnancy is generally a time when women have regular contact with health care providers, meaning that there are numerous opportunities to access treatment for depression and anxiety during pregnancy. How will I know if I am depressed? Two important signs of depression are feeling down, depressed or hopeless and feeling little interest or pleasure in things that were previously enjoyable. We can’t all be happy all of the time, but if these feelings persist for most of the day over a period of about two weeks, then it is likely that your doctor would need to consider the possibility that you are clinically depressed. Many pregnant women feel too ashamed or embarrassed to mention these feelings to their doctors or to their friends or family. Women often feel an enormous amount of pressure to maintain a ‘happy face’ as they believe that pregnancy is supposed to be a time of joy, not sadness. However, it is extremely important for depression during pregnancy to be treated as there may be long term effects of depression on the baby as well as on the relationship between the mother and the baby. Importantly, depression during pregnancy is also

Parenting Hub

Childbirth Education Can Save Lives

Knowledge is the key to a safe, successful pregnancy, birth and parenting experience. At the very least childbirth education will improve your birth experience, and at best it can save your life. Of the million plus women who become pregnant in South Africa each year, those who receive antenatal care and quality childbirth education are the most likely to experience a healthy pregnancy and birth.  Ideally all pregnant parents would attend childbirth education classes, which cover all aspects of pregnancy and birth as well as how to care for the newborn baby. However only about 5% of expectant parents do. There are some good online courses available. However, attending classes – which are usually held in the evenings or over a weekend – are more recommended; the interaction with the childbirth educator and other pregnant couples in the class is invaluable. Often lifelong friendships are formed. Typically childbirth education classes will cover:  Pregnancy – physical and emotional changes Birth options Labour – breathing, water, massage, relaxation, visualisation Pain relief options Birth plan Breastfeeding Care of the new born baby Postnatal depression To help find the right childbirth educator for you and your partner ask the following: What are her qualifications? Ideally your childbirth educator is a qualified midwife and has completed a post-graduate diploma in Childbirth Education. Is she a member of the Childbirth Educator Professional Forum? Is she a mother? Which birthing methods are covered in the course and which are emphasised? What are her ideals of labour and do they match yours? Can partners attend? Ideally dad will be involved in some or all of the classes too! Are practical techniques taught e.g. breathing and positions for labour, massage, relaxation and visualisation? There is a list of qualified childbirth educators in the Expectant Mothers Guide or online on www.expectantmothersguide.co.za.

Parenting Hub

Peer Pressure

The powerful lure of peer pressure is synonymous with adolescence. The adolescent essentially has a need firstly to “belong” and secondly to individuate. What this means is that in order to belong and be accepted one has to ‘fit-in’ with peers and that is more or less wearing certain types of clothes, reading the same books, and generally doing what others are doing. The reasons for bowing into peer pressure vary, and can be for a variety of reasons such as fear, loneliness, depression, fitting in, avoiding embarrassment/humiliation, low self-worth and so forth. Therefore, the views and judgment of their peers is practically like oxygen for the adolescent’s survival. In addition, adolescents need to ‘separate’ from their parents, which often involves a stage of rebelliousness and a desire to be different to them. Therefore, the opinions and values of parents become less important to them whilst the views (including judgment and acceptance) of their peers becomes increasingly important. Peer pressure can be both subtle (when a teen says ‘I want those clothes because everybody has got them’ without any peer actually saying they must acquire those clothes) to blatant where teens are told directly to do something so as not to be a “bore” etc. In addition, peer pressure can be both positive and negative (for example, there may be a culture within certain peer groups that adolescents need to obtain good grades or participate in sport and they therefore feel motivated to achieve which is pressure that is generally positive). Of course, peer pressure is negative as it can heavily impact on issues such as drinking alcohol, sexual activity or promiscuity, substance abuse and other reckless and potentially dangerous behaviours. In addition, peer pressure can lead to criminal behaviour, as well as harmful and damaging behaviour towards others (in the case of the abuse of social media and technology, for example). How can parents help their teens? As always communication is key. Parents should discuss peer pressure with their children. They can help their teenagers by reminding them of their values and beliefs and the importance and merit of just “being themselves”. Parents can ask their child to write a list of the pros and cons of peer pressure. Parents will have ample opportunity to discuss peer pressure, as this does not always have to be directly about their teenager. (For instance, they can be watching a TV program where an incident of peer pressure occurs and this can be an opener for a discussion with their teen (..“what do you think about that”..; “what do you think he/she should have done?…” “why do you think he/she acted like that….”). Parents should encourage their adolescents to associate with like-minded peers. In addition, it is important that parents are good role models themselves. Adolescents need to be reminded that there is always a parent they can talk too, no matter how difficult the subject is. They also need to be encouraged to talk to a person they trust, such as an aunt or uncle. If you require a psychologist for your teenager in the Johannesburg area contact the Sandton Psychology Centre. The psychotherapy and assessment Centre has a variety of psychologists that work with adolescents by providing.

Mia Von Scha

Hurt Children

What has always interested me most about bullying is who is bullying the bully? Bullying is never just a cut and dried case of this child here is the bully and that child there is the victim. In fact, it is very much a group dynamic. In 90% of cases of bullying you will find other children either standing by and not doing anything to help the ‘victim’ or actively participating in the bullying along with the ‘ringleader’ of the problem. And in almost all cases you will find that the one leading the bullying has also been bullied, either at school by other kids at a different time, or by a parent or teacher or other adult in their lives. Hurt children hurt children. Because this is a group dynamic and involves so many levels of victimhood, it is best dealt with as a group. One of the best examples that I have seen of this working effectively was a documentary I watched on a Japanese school teacher. In every case of bullying he halted all his lessons and brought in a group intervention. Every child in the class was expected to participate and they focused on how each one was feeling. He looked at how the victim felt having been bullied, how those watching or participating felt, how the bully felt about doing the bullying and about hearing how the victim felt. He got the bullies to think back to a time when they had been treated like the victim and how they felt then. He got the kids to dig really deep about what was going on and the causes for their own behaviour. He got the group to find group cohesion again – to find unity as a class so that no-one was an outsider worthy of being treated differently. He helped them to find that place where we are all human and we all share a common humanity through the way that we feel. Hurt children hurt children. When their pain is heard and acknowledged it is more likely to heal. It was moving to watch and reminded me of a similar intervention process that was introduced years ago to Australian prisons. In this case the criminals and their victims (or families of the victims in the case where the victim had been killed) met for mediated sessions where the victims could explain to the criminals how their actions had affected them and in all the ways that their lives had been upset; the emotional and physical and financial implications etc. And the criminals were given the opportunity to give their side of the story – what their life had been like to bring them to the point of that crime. It was incredible to see the level of healing and the amazing results the prison system had with reducing recidivism. Hurt people hurt people. If we can get behind the hurt, then instead of just punishing the offenders and consoling the victims, we can start a dialogue of change and reconciliation. We may even find victims comforting the bullies. It has been known to happen. Is this not a more healing and ultimately more sustainable solution to this very human problem? Hurt children (and adults) hurt because they don’t have the skills or understanding to work through their own pain and past experiences. What they need is guidance, from someone who has the relevant skills, the patience and the understanding to see the situation from a greater perspective. Bullies and victims don’t need to be removed from each other, but brought together. With love and guidance. Without such intervention we create yet another cycle of pain. The chances of a victim becoming a bully in another situation or time are high. Hurt children hurt children. I would like to see teachers and support staff trained in mediation and this becoming a standard part of school life. I think every class could halt their lessons of maths, language and sciences to take a day here and there to teach these essential life skills. We need to remind our children about the power of their shared humanity. I’m sure we can turn this around. I’m also sure that healed children will heal children.

Parenting Hub

Emotional Intelligence In Childhood

In a nutshell, emotional intelligence is the ability to recognise, understand and control one’s thoughts and feelings. In addition, emotional intelligence refers to the ability to communicate feelings in an appropriate manner and to have the ability to empathise with the feelings of others, thereby interacting with others on an emotional level. When children and adolescents (and adults for that matter!) have high levels of emotional intelligence they will: Have a good self-concept as they will really know themselves; They will have a good understanding of their feelings, so they will be able to deal with for example, patterns of thinking which may not be constructive; Be more resilient to setbacks; Have a good ability to problem solve; and they will have the ability to be self-motivated, and thus find it easy to set goals for themselves, problem solve and deal with conflict effectively.

Panado®

The Artificial Road To A Miracle Baby – An Inspiring Journey

I heard about Kerry and Michelle’s story through a mutual friend. Something about their story broke my heart and warmed it at the same time. I think sometimes we take for granted how easy the road to pregnancy for some of us are, without sparing a thought for those around us who might not be so lucky.  Kerry and Michelle are a wonderful couple from Cape Town going through a journey of a lifetime and I hope we can all spare them a thought and send amazing positive vibes their way. I find their strength and positivity so inspiring. This is their story as told by Kerry… In September 2013 we decided that we would start trying for our first baby. We got started right away deciding that Kerry would be the one to carry the baby and we would find an anonymous donor at the Cape Fertility Clinic. We started off with saving for the procedure and taking all of the required vitamins, healthy dieting and no drinking or smoking to get Kerry’s body in tip top shape. We managed to get our first appointment with Dr Heylen at the Cape Fertility Clinic in late January 2014 after being bumped up the waiting list. The initial check up was perfect and we were all set for our first Artificial Insemination (AI) in early February. Unfortunately for the first time in her life, probably due to a lot of stress (we had a car accident that week), Kerry did not ovulate and the procedure was cancelled. We started on Clomid which could only be found at Wynberg Pharmacy. It made Kerry very moody and caused terrible hot flushes- we were optimistic that all would go well the second time around. After four failed inseminations – all with two to three beautiful follicles and a perfect uterus lining, Dr Heylenwas not happy and suggested surgery to see what was happening… The surgery (Laparoscopy & Hysteroscopy) was scheduled at Kingsbury Hospital in June 2014. Dr Heylen is one of the very best fertility surgeons in Cape Town and he assured us that any problems he found, he would be able to fix and we would have our baby. He made us feel very confident… Unfortunately we found that Kerry’s Fallopian tubes were completely closed at the base. It was very likely that she was born with this, as there was no damage at all. This is something neither Dr Heylen or his staff had ever seen. It was pointless to fix and our best option would be IVF. We did an follow-up Hysteroscopy to see how severe the blockage was and where exactly it was located. This showed that there was 0% possibility of natural conception as all of the contrast fell out and nothing went into the Fallopian tubes. At this point we had put in about six months,  R36 000 and many emotions – still no good news. We were understandably very desperate at this stage. The IVF journey was not easy at all, we completely understand why Dr Heylen started us off on AI. The procedure cost about R42 000 and was a very painful and time-consuming process. It consisted of three painful and complicated injections daily, many vaginal scans checking the follicle growth and an extremely painful egg retrieval procedure (by far the worst part as it was very painful and Kerry could only take Panado). The egg retrieval went very well and we retrieved eight perfect eggs, seven fertilized and made it to a perfect five-day embryo. On day five we put back two of the perfect five-day embryos with the hopes of a twin or singleton pregnancy. The procedure was perfect and Dr Heylen confirmed that at most we would have was twins, but more likely a singleton. We asked what the odds of having triplets were with the two embryos and he said it was literally none, he had never seen it in the decades he has been a fertility doctor and the odds were radically against this ever happening. The two week wait began again… This time slightly shortened as we were already five days in. On 27 July 2014 we did a sneaky home pregnancy test two days early, we promised we wouldn’t as we have done so many and each time we have been utterly devastated- but this time we came back with a positive result! We were over the moon, but still nervous in case it was a chemical pregnancy. On 29 July 2014 we did the blood test and got a BHCG of 167, quite high for this stage and from here we were already suspecting that we were going to have twins. The follow up test on 1 October 2014 gave us a result of 654, which was again quite high and showed all was going well. All we had to do now was wait for the first scan at 5-6 weeks. The 2-week wait was agonizing as we couldn’t wait to see our baby and confirm if it was twins or not. This was also quite an adjustment period for us as we had expected some morning sickness and other pregnancy symptoms but not to such an severe extent. Kerry was sick every morning and evening and nauseous all day. She was losing weight rather than gaining and her belly and breasts were growing rapidly. The 6-week scan finally came and we got the extremely wonderful news that we were indeed expecting twins! Everything looked perfect – size, heartbeats and placement… we were so excited! We had confirmation that there were just two fetuses and everything was perfect as there was no chance they could split now. Another long three week wait for the final follow up scan with Dr Heylen at nine weeks was too much to handle and Michelle moved the appointment from Monday 6 October to Friday 3 October. It was at this appointment that everything changed and the pregnancy went from happy and exiting to absolutely terrifying. Dr Heylen told us that one of the embryo’s must have split shortly after implantation and as they are so small it was missed on the first scan. We now had triplets, two identical (Monochorionic-Diamniotic) and one fraternal. There was a brief moment of excitement where we were thinking ‘Wow! we have three babies!!’ but that was over as soon as Dr Heylen started talking. He explained that identical Monochorionic-Diamniotic twins by themselves is very complicated and dangerous as they share a placenta and they can get a condition called Twin To Twin Transfer Syndrome. This is

Megan Kelly Botha

Circumcision

When we found out that we were expecting a boy, my husband acted as if a great weight had been lifted from his shoulders. He had an intense fear of raising a teenage girl who would PMS and end up liking and dating… boys! I have a sister and many female cousins, so there is no denying that my knowledge of boys and what to expect when you’re raising one is lacking. One of the most challenging decisions that I have had to make, as a mom of a boy, was whether to make the cut –circumcision. I am all about creating community and have found that when it comes to teething, rashes, and fevers, you will find an abundance of moms sharing their stories and experiences. But when I had to come to terms with circumcising my 10 day old son, there is all the complicated, medical information available but no real-life stories. It puzzles me that in this day and age, we still hide over a trivial word like “penis” and “vagina”. There is a list of reasons why circumcision is considered, they range from religion, cultural beliefs and hygiene. Some articles suggest that daddy and baby should look the same to avoid confusion, in the nearby inquisitive years. My husband’s argument was that he’d feel more comfortable having it done, as he wouldn’t even know where to begin when it came to cleaning an un-circumcised penis, that he worried about our son being confused in locker rooms or worse, teased. I suggested that we wait until he was older but after speaking with an adult, who was forced to have it done in his adulthood, he mentioned how painful it was and how much more complicated the procedure could become. You are probably wondering why I would be discussing circumcision with other men, but I wanted to know, is this as important as my husband was making it out to be. Turns out, it is! There are several emotions that I experienced going through this process. I was filled with anxiety that tethered to the insides of my stomach. I couldn’t quite picture handing my son over to someone, who’s intention was to take a blade to his penis. I set to Google who didn’t soften the punch when explaining the procedure. Anger settled in, when I tried discussing my concerns with my husband who wouldn’t hear the other end of it. I was so livid that he was all for handing over my baby, it just made no sense that he could be okay with this! Sadness was closely followed by acceptance when I realized that this is happening, that the following day, I would walk into a hospital where I would pass my son over to a stranger, who I would need to trust. On the day, I was greeted by very friendly nurses who took my son from me, they undressed him and put a numbing cream on him. The doctor took time in explaining what would happen in each step of the procedure. He didn’t laugh at my insecurities when I asked him how many circumcisions he had done, or would my son really be grateful in the future? After everything was explained, I signed the documentation and went for coffee, while we waited for the cream and Ponado to settle in. We went back, handed Axl over and left the room. He encouraged that we go for coffee and return in 20 minutes. We did so. I expected to return to an upset baby who would just want boob and the comfort of his mom’s arms, but instead, I returned to a sleeping baby being cradled by a nurse. The doctor explained that there would be blood in his next nappy change, and that there would be a yellow bandage that should stay on for a few days but that he’d see us in a week, and if it still hadn’t fallen off, he’d remove it. We weren’t to bath him, but needed to keep him clean. I had complete heart failure for the first nappy change. The sight of blood coming from my baby was all too much, and surely something had to be wrong!? The doctor had given me his private cell number, but I felt pretty lame calling him – as it is, I had quizzed him with a half dozen unmentionable questions, that still make my cheeks flush. On day 6, his bandage came off and even though the doctor had told me to expect it. I called my husband in panic, explaining that his penis looked “weird” and pinkish. It was expected that it would be pinkish, but I didn’t really know what to expect it to look like. Remember, I was brought up with girls! We put Vaseline on, after every nappy change, to stop the nappy from sticking, and continued for about 2 weeks after the procedure, to ensure everything was healed. I remember for our 1 week check-up, the doctor said my son has such a good looking penis. I mean, what is that even? What makes a penis good looking, doctor? Remember the emotional rollercoaster that I mentioned, earlier? Turns out that it continues. I am both humoured by my journey and how I reacted, but more so, grateful! I am glad that my husband asked for our son to be circumcised, and I am sure my son will be too. At the end of the day, it is done and will never be a concern in the future whether he is being clean about his habits, or whether he has infections that can lead to more serious issues. I wish that more moms would share their stories, to help comfort and support other moms. Circumcision is a big decision to make, especially when you’re sleep-deprived and new to motherhood, with very little knowledge on the male anatomy. It is scary that you only have 8-14 days after birth, to make that

Bill Corbett

How To Give Your Kids A Life-Long Damaging Complex

The little boy was unhappy for some reason and threw himself on the floor in the grocery store, blocking the path of several customers pushing carriages. His mother grabbed him by the arm and dragged him off to the side and out of the other shoppers’ way, scolding him for the outburst. The strongest word I heard her say was in her sentence, “Shame on you for being so rude!” The word was SHAME. For some, it may be a very normal word that they’ve heard often. I’ve heard it used to lift some up above others; “He played so well on the field that he put the others to shame.” I’ve heard other adults say, “For shame, for shame!” A man once shared with me that he first felt the effects of shame when he was very young. At preschool age, he and his male playmate were swimming in a wading pool in the back yard and decided they didn’t need to wear their swim trunks. When his grandmother saw what the two boys had done, she ran out to them and screamed “Shame on you,” sent the playmate home, and dragged her grandson into the house. This man revealed that he was forced to feel shame many times throughout his childhood and it left a painful feeling inside that was hard for him to describe. Hearing that word made him feel bad, damaged, broken, and less than others. He said it carried over into his marriage, impacting his intimacy and his self-esteem. Looking up the definition of the word in the dictionary will define the word as; the painful feeling arising from the consciousness of something dishonorable, improper, or ridiculous. It is that painful feeling that can have lasting effects on the person being shamed for his or her actions. That pain can actual alter the way a person lives out their daily life. Instead of using shame to control your child, use unconditional love; remain calm, explain why certain actions aren’t OK, and be cognizant of a child’s emotions. When the boys decided to take off their swim trunks, grandma could have calmly given them a choice to wear their trunks to keep swimming, or return home. Then some time later, calmly explained to them why that rule is important. When that little boy in the grocery store had his meltdown, his mother could have gently removed him from the middle of the isle and held him until he calmed down. She could have refrained from speaking to him because children having tantrums are unable to interpret the words they hear. Forcing a tantrum to stop by using shame is not a healthy method for discipline.

Parenting Hub

Remove Toxic People From Your Circle

In a recent article I wrote listing 25 tips for entrepreneurs, one stood out that I thought was worth rewriting for parents who read my column. It has to do with cleaning out for the holidays and I don’t mean cleaning out the house. It’s more along the lines of cleaning out your closest circle of people for your own emotional health. Here’s how it came about. One night my wife and I were leaving a business social event. We couldn’t help but share with each other on the drive home, the lingering feelings we had after listening to a few other couples, bicker with each other and complaining to the rest of us. None of them had anything encouraging to say and the experience made us want to leave. That’s the night several years ago that we decided together on two very important things going forward. Our first important decision, as parents and entrepreneurs, was to surround ourselves only with encouraging and supportive people. Over the next few days we began ‘cleaning house’ by listing all the adults in our lives who we felt were toxic. These are the people who complained and berated others, bickered with each other in front of others, and the ‘doubting Thomas’ who usually tell you every reason why your new idea won’t work. The second thing we did was to promise each other to always speak respectfully and kind to each other, not only in front of the kids, but out in public as well. This was especially important if the other was absent. We promised never to air any issues we have with each other in public and to address them in private. This included not making each other the butt of a joke or busting on each other in humiliating or embarrassing ways. To cultivate a relationship and life as good parents and as entrepreneurs, it’s critical to remain positive, encouraging and to always focus on gratitude for all of the gifts that appear in our lives each day. Steer clear of the ‘crabs’ that will always try and pull you down to join them in their misery or misfortune, and to pass this all on to our kids. So here are some additional guidelines we came up with for ourselves. Surround ourselves with positive and encouraging people. This was a difficult task to perform, limiting who we would invite to socidal events. Unfortunately, it meant eliminating some family members. Add statements of gratitude to our blessings before family meals. Take notice of all the little things that others did for us and recognize the gifts that appeared in our day that helped us in some way. Send out hand-written thank you notes (not emails) each week to anyone who helped us solve a challenge or provided service to us in some capacity. As parents, we owe it to our children to understand the difference between encouragement and discouragement and how to manifest what they need to develop their own resiliency.

Parenting Hub

Childhood Overweight And Obesity

When it comes to the low down on healthy eating and weight loss, most of what we read in the media, and what is portrayed on television, is directed at adults with little attention focused on children. But what about our children and where do they stand in the battle against the bulge? Childhood obesity: The problem we are facing South Africa has been experiencing an increase in obesity over the past 2 decades, especially among children and adolescents and is reaching epidemic proportions. According to the International Obesity Taskforce one out of every 10 children is overweight.  13.5% of South African children (between ages 6-14 years) are overweight and/or obese. Scary about this statistic is that it is higher than the global prevalence of 10%. It is further estimated that 1 in 5 children is either overweight or obese. Research show that girls are more likely to be overweight or obese. Ironically in developing countries like South Africa, where underweight and poor growth have been the main health concerns in children, overweight and obesity are now becoming significantly prevalent as a consequence of a poor diet and energy dense foods combined with increased sedentary activity. Childhood obesity is a serious medical condition that affects children and adolescents. It occurs when a child is well above the normal weight for his/her age and height. Childhood obesity is particularly troubling because the extra kilo’s often start kids on the path to health problems that were once confined to adults, such as diabetes, high blood pressure and high cholesterol. What causes childhood obesity Although there are some genetic and hormonal causes of childhood obesity, most excess weight is caused by kids eating too much and exercising too little. Children, unlike adults, need extra nutrients and calories to fuel their growth and development. So if they consume the calories needed for daily activities, growth and metabolism, they add kilo’s in proportion to their growth. But children who eat more calories than needed, gain weight beyond what’s required to support their growing bodies. However the picture is much more complex when one takes a look at all the risk factors involved in the development of childhood obesity. Many factors, usually working in combination, increase your child’s risk of becoming overweight. These risk factors include: Genetic conditions: These rare genetic diseases and hormonal disorders predispose a child to obesity. They include conditions like Prader-Willi syndrome, Bardet-Biedl-syndrome, Cohen syndrome and affect a very small proportion of children. Diet: Regular consumption of high-calorie foods e.g. foods high in sugar and fat, together with low fruit and vegetable consumption. Inactivity: Sedentary kids are more likely to gain weight because they don’t burn calories through physical activity. Inactive leisure activities, such as watching television or playing video games, contribute to the problem. Family factors: It is well known that obesity ‘runs in families’. If a child comes from an overweight family he/she may be genetically predisposed to put on excess weight, especially in an environment where high-calorie food is always available and physical activity isn’t encouraged. For children under the age of 10, if one parent is obese, it doubles the chances of the child developing adult obesity. If both parents are obese, there is an 80% chance that the child will be obese. Psychological factors: Some children over eat to cope with problems or to deal with emotions. How to tell if my child is overweight or obese? Do you know when to be concerned about your child’s weight? Of course, all children gain weight as they grow older. But extra kilo’s – more than what’s needed to support their growth and development – can lead to childhood obesity. Not all children carrying extra weight are overweight or obese. Some children have larger than average body frames. Children normally carry different amounts of body fat at the various stages of development. So you might not know just by looking at your child if his/her weight is a health concern. One of the tools that we use to determine if your child is obese/overweight is the Body Mass Index (BMI) chart.  By calculating your child’s BMI you will be able to determine where they fall on the BMI-for-age chart. Using the chart, your child’s BMI is compared to that of other children of the same sex and age. Cut-off points on these growth charts, help identify overweight and obese children. You can calculate your child’s Body Mass Index (BMI) for their age and gender by the following equation: Current weight (kg) ÷ (Height x Height) = BMI. E.g. 30kg ÷ (1.35 × 1.35) = 16.5 kg/m.  Then plot the number you have obtained against your child’s age on the chart below. This will serve as an indication of their nutritional status i.e. if they are overweight or obese and is it important that a paediatric dietitian evaluate your child. Your dietitian can give you advice on your child’s specific dietary needs and help you to make sure that they are receiving a nutritionally adequate diet and one that is right for them, while losing weight. International cut-off points for body mass index for overweight and obesity by sex between 2 and 18 years (adapted from Cole et al., 2000) e (years) Overweight (kg/m) Obese (kg/m)   Boys Girls Boys Girls 2 18.41 18.02 20.90 19.81 3 17.89 17.56 19.57 19.36 4 17.55 17.28 19.27 19.15 5 14.42 17.15 19.30 19.17 6 17.55 17.34 19.78 19.65 7 17.92 17.75 20.63 20.51 8 18.44 18.35 21.60 21.57 9 19.10 19.07 22.77 22.81 10 19.84 19.86 24 24.11 11 20.55 20.74 25.10 25.42 12 21.22 21.68 26.02 26.67 13 21.91 22.58 26.84 26.76 14 22.62 23.34 27.63 28.57 15 23.29 23.94 28.30 29.11 16 23.90 24.37 28.88 29.43 17 24.46 24.70 29.41 29.69 18 25 25 30 30 Middle circumference is another important tool that is used to determine your childs’ risk of developing disease e.g. diabetes or heart disease. If you are worried that your child is putting on too much

Parenting Hub

Raising Happy Teenagers: How Mindfulness and Meditation Practices Can Help Build Coping Skills for Life

Everyone wants their daughter to be happy. Yet, when girls start to focus on perfection and their body image, they may ignore their true strengths. New brain science reveals that relaxation skills can be useful in showing girls how to feel happy from the inside out. Happy Teenagers and Sulky Adolescents: What’s Going on in a Teenage Girl’s Brain? A curious thing happens when our little girls start to become teenagers. Not only do girls begin to bloom in so many ways, they often start to pull away. It’s not uncommon for parents to wonder: “What happened to my happy, carefree girl?” It may be a comfort to know that the shift you see in your daughter’s personality and mood is not just about hormones. In fact, it’s so much more than that. Her brain is undergoing an amazing rewiring process which happens during the teen years. With the right experiences, new and emerging neural connections allow her to stretch her abilities and develop into a thoughtful, empathetic and creative human being. The Desire to Conform Can Prevent Teenage Girls from Discovering How to be Happy with Who They Are A part of this growing-up process also means that girls will naturally compete and compare themselves to other girls. This is an evolutionary behavioural trait that allows them to adapt to the world. It also means that girls begin to look outward for affirmation of their self-worth, body confidence and sources of happiness. Fitting in and being accepted can become more important than being with family or enjoying once-loved childhood hobbies. All of a sudden, girls may shift from thoughtful self-reflection, creativity and tuning in, to tuning out from an authentic sense of self. Often what makes children happy is pursuing their individual hobbies and interests, but for many teenage girls it’s more important to be like everyone else. The need for peer approval can diminish their ability to draw on their developing sense of identity. Friendship groups and the media can create beliefs around beauty and being cool, fuelling the myth that perfection leads to happiness. Buying into these myths can reinforce something called ‘negativity bias’ in the brain; making us super-sensitive to differences and causing us to see them as flaws or dangers. For example, many girls start to believe they can only be happy if they… Are skinny Have bigger boobs Are super trendy Have a boyfriend Get straight As Get 100 Likes on their profile pics It’s important to help girls to realise that ticking items off these “wish lists” isn’t the key to everlasting happiness. In fact, it’s impossible to feel happy all the time because feeling happy is a momentary experience. Instead, the key is to savour those happy moments, appreciate them, remember them, and reflect on them. Encouraging girls to consider the joyful instants during their week helps them appreciate that life has its ups and downs. Next Steps: Ten Ways to Help Raise Happy Teenagers Dr Willard offers simple ways for parents to help their daughters feel positive and get more joy out of life: Be calm. Demonstrate thoughtful responses in your own daily life rather than immediate reactions. If your daughter gets a bad grade at school, don’t get cross but offer to sit down with her and go through steps on how she might improve next time. Take deep breaths when you feel stressed. When you are calm, children are often calmer – they can understand how to be happy even when plans fall through by following the example you setting. Take perspective. When challenges come up for your daughter, especially around body image, help her take a step back. For example, if she doesn’t like her thighs, acknowledge her feelings, but help her ‘zoom out’ by pointing out that her strong thighs make her a faster runner. Take gentle care of your body. Exercise regularly and make healthy meals. By encouraging these healthy habits and by practicing them yourself, your teen will in all likelihood also adopt them and so take care of her body and be more conscious of all the great things her body allows her to do. This will nurture body confidence. Make time to have meals together. Spend time outdoors. Go for a walk and take in the sights and sounds around you. Have a technology-free zone in the house. Keep all cell phones, iPads etc. charging in one spot and don’t allow them in bedrooms. Screens on these devices keep the brain awake and interrupt natural sleep rhythms. Show kindness to others. Show that you are thankful for the little things. Even when life may seem stressful. Celebrate the best parts of the day and share things to be happy about.   To read more articles like this visit the Dove Self-Esteem website: http://selfesteem.dove.co.za/

Amanda Rusch

Healthier Holidays: A time For Learning

Holidays and Christmas are upon us, which means our kids are hit with a double whammy of loads of free time combined with a glorious array of Christmas treats to indulge in. This is a valuable time to teach our little ones lifelong habits to keep a moderate, healthy, balanced diet even throughout the silly season – a time when even grow-ups tend to lose their heads about food and health! Firstly remember that this is a natural time for treats and indulgences. Creating rigid rules around how many mince pies or chocolate balls are allowed will only create a feeling of deprivation and may lead to food sneaking or overeating when at friends’ houses. Don’t create drama about the difference between “healthy” foods and “unhealthy” foods – quite simply, most kids don’t care, and this will only make those forbidden pleasures more enticing. Encourage the idea that all foods are equal, and cultivate a moderate intake of all sorts of foods: “Gingerbread men are a delicious part of Christmas and of course we will enjoy them, but turkey meat and roast vegetables and nuts are also delicious Christmas treats so let’s have some of them too!” Remember the great thing about kids is that they don’t yet have a preconceived idea of what a Christmas tradition is, so you can create your own and make healthier habits an exciting part of your family’s Christmas. Christmas cheer is about so much more than the food, so place great emphasis on non-food activities. You can even make a Christmas calendar with a different festive activity scheduled for each day: Putting up decorations together, singing along to Christmas Carols and attending Carols by Candlelight, Christmas treasure hunts, creating homemade gifts, enjoying crafts such as painting or clay with a Christmas theme, dressing up, going to see Christmas lights, reading the story of Jesus’ birth. Create your own advent calendar with healthier treats, or even include non-food surprises in the calendar such as a challenge for the day or small inexpensive gifts such as marbles or stickers. Put a Christmas spin on healthy foods and sell them as being just as exciting as the marzipan and chocolate: Have lunch as a “picnic” by the Christmas tree Use fruit pieces to create Christmas tree shapes Make treat bags as a craft project (using anything from Christmas gift wrap to fabric), and decorate them with a Christmas theme, then filling them with nuts, dried fruit or biltong as a Christmas snack every day Using Christmas cookie cutters to shape sandwiches, cheese slices or even to mould starches Putting red or green food colouring into otherwise white foods such as pasta or porridge (for the adventurous child and parent!) Getting the kids involved in choosing red and green foods for meals (e.g. tomato sauce on meat with broccoli) The best thing you can do for your little people during this season is model healthy food behaviours and create an environment that supports healthy behaviours. Don’t buy tins and tins of treats and then forbid everyone from touching them. Buy appropriate quantities – a small pudding for the family, a pack of 6 mince pies for a family of 6. If you buy a bigger quantity, or even better, if you are baking, take the excess and use it as a lesson the gift of giving – take your children to hand out treats at retirement homes, orphanages or a charity of your choice. Even driving about and giving Christmas treats at traffic lights or to neighbours can be a valuable lesson and will have the bonus of removing the foods from your home. Eat a healthy balanced diet throughout the season to model to your children a moderate way of enjoying Christmas foods, and avoid negative food talk such as “I shouldn’t have any more”, “I’m cheating on my diet” or “I’m being very naughty by having an extra slice of cake”. Remember: a neutral, moderate attitude to all foods is important for fostering healthy habits. In the meantime, use all this free time to go wild with lots of fun physical activity! Go for bike rides, walks, play games in the garden or games on your Wii. Create activities that will require movement such as scavenger hunts or decorating large areas. This will benefit you and your little people. Of course you can try healthier ways of preparing traditional Christmas foods, like baking a sugar free Christmas cake or gluten-free shortbread (no end of recipes for this online or in cook books). There is nothing wrong with trying this and it will benefit the whole family physically. However, it is more important to use this time to teach your children (and maybe some adults!) to exercise moderation and balance with eating, and to cultivate a healthy, happy and moderate relationship with all food ranging from carrots to cookies. This is a lesson they will benefit from for the rest of your lives. Have lots of fun during this special time with your children!

Parenting Hub

Too Much Caffeine When Cramming For Finals Poses Health Risk To Students

Exam season is upon us and soon hundreds of thousands of students across the country will be pulling caffeine-fuelled all-nighters in an attempt to cram a year’s worth of information into their heads, but a pharmaceutical company warns of caffeine-induced anaphylaxis or allergy. Mariska van Aswegen, spokesperson of allergy medicine provider, Pharma Dynamics says with final exams looming, the next month or so is going to be particularly stressful for students. “Whether intentional or not, many students tend to leave studying for finals till the 11th hour resulting in many nocturnal hours spent slumped over a desk in last-minute preparation. This is when stimulants such as coffee and energy drinks become the go-to in order to help students stay awake and alert,” she says. But too much caffeine can lead to caffeine-induced anaphylaxis or caffeine allergy toxicity, especially in sensitive individuals. Van Aswegen explains that a caffeine allergy can be deceptive. “The allergic person may experience typical symptoms associated with an allergy which includes sneezing, difficulty breathing, hives an itchy or swollen mouth and tongue, heart palpitations, dizziness or eczema, but these physical cues are often accompanied by psychiatric responses. Depending on how much caffeine is consumed, symptoms of caffeine allergy – also termed by some as a cerebral allergy – can range from mild to severe which include lack of concentration and comprehension, aggression, hyperactivity and disorganised thought processes. “Students may diagnose their symptoms as a sign of overtiredness making them reach for yet another cuppa or energy drink, which may provide minor relief, but it just continues to jeopardise the body,” cautions van Aswegen. She says a caffeine allergy is difficult to detect and can take several hours for symptoms to become apparent. Caffeine is also the last thing you associate the response with. Doctors in turn also rarely diagnose caffeine allergy because few know of it and aren’t likely to ask about your caffeine consumption. Although many people drink coffee, energy drinks and cola, which contain large doses of caffeine, some may not realise that they are actually allergic to it. Symptoms may vary depending on how strong a person’s allergy to caffeine is. “How you react to caffeine has a lot to do with how much caffeine you are used to drinking. People or students in this case who aren’t used to consuming lots of caffeine on a regular basis can be much more sensitive or allergic to its negative effects. The converse may also be true. According to medical literature, the longer a person is exposed to an allergen, the greater the chances of developing an allergy to the substance. “Once this happens, those allergic to caffeine can’t adequately metabolise it. Consequently, they experience hypersensitivity or inflammation in certain organs. So, it pays to know your limits with caffeine.” Her advice to students studying for end-of-year exams is as follows: Ditch the caffeine for H2O. Water gives the brain the electrical charge it needs for all brain functions including thought and memory processes Eat a well-balanced diet of fruit and vegetables at least a week prior to and during exam time Take a five minute break every hour to allow your body to produce more glucose – the fuel you need for studying. Rather opt for snacks such as almonds, blueberries, avocados, fatty fish and yoghurt Get enough sleep and avoid the all-nighters. Studies show that all-nighters impair reasoning and memory for up to four days. Review the toughest material right before going to bed the night before the test which makes it easier to recall the information later Avoid distractions such as listening to music, SMSing or tweeting while studying as this will limit your ability to retain information “By drinking three caffeinated energy drinks a day, students could be ingesting more than 500mg of caffeine or 1.5 times the amount of caffeine that is regarded as safe for adult consumption. Two to three cups of coffee (300mg of caffeine) a day is considered safe and teenagers should limit themselves to no more than 100mg of caffeine a day,” says van Aswegen.

Parenting Hub

I Am Woman, Stroke Affects Me

Stroke is the second biggest killer of women in South Africa. It is estimated that about 150 women suffer a stroke in South Africa every day. That is a stroke every 10 minutes. These statistics alone highlight the massive impact of stroke on women. This is why the Heart and Stroke Foundation SA (HSF) is joining forces with the World Stroke Organisation in its global campaign: “I am woman, stroke affects me” to raise awareness about stroke in women. A stroke is also known as a “brain attack” and can injure the brain like a heart attack can injure the heart. It happens when the blood supply to part of the brain is interrupted. When that happens, part of the brain doesn’t get the blood and oxygen it needs, causing damage and results in the person experiencing the symptoms of stroke. Stroke doesn’t discriminate; it affects us all, so why do women have a higher stroke mortality rate than men? “Women are more likely to die when suffering a stroke than men. In fact, every year, 4000 more South African women die because of a stroke than men and our unhealthy lifestyles are largely to blame,” says Dr Vash Mungal-Singh, CEO of the Heart and Stroke Foundation SA. “Up to 70% of our women are overweight or obese and almost half of our women are physically inactive which increases their risk of having a stroke.” Added to this, high blood pressure is the biggest risk factor for strokes and 1 in 3 women in South Africa have high blood pressure. It is vital that South Africans regularly check their blood pressure and lower their salt intake as a high salt diet is a key contributor to high blood pressure. “The statistics are worrying,” says Dr Mungal-Singh. “But by making small changes to your lifestyle, you can vastly reduce your chances of having a stroke in the first place. Up to 80% of stroke and heart disease can be prevented by adopting a healthy diet and lifestyle,” she says. When asked why more South African women are dying of strokes than men, this is what Professor Alan Bryer, Head of the Division of Neurology and of the Stroke Unit at Groote Schuur Hospital and the University of Cape Town had to say: “Women share the traditional risk factors for suffering a stroke with men. However, more women than men suffer from migraines with aura, atrial fibrillation, depression, emotional stress, metabolic syndrome and obesity. These factors increase the risk of a stroke. In addition, there are gender specific risk factors that can further explain the higher incidence of strokes in women. These include high blood pressure during pregnancy, hormone replacement therapy and contraceptives. Lastly, smoking interacts with these gender specific risk factors to make women more susceptible to suffering a stroke.” Professor Bryer’s remarks are aligned with the American Stroke Association Guidelines and Dr Mungal-Singh echoes his sentiments. Additionally, the Global Stroke Bill of Rights was launched on 21 October at the Opening Ceremony of the 9th World Stroke Congress in Istanbul. The document identifies the aspects of care that are important for all stroke survivors and caregivers from across the world. World Stroke Organisation (WSO) President Stephen Davis states, “It is now time that all stroke patients and caregivers around the world have their own Bill of Rights. The Bill of Rights forms the basis to ensure that every patient has access to all elements of appropriate stroke care, to optimise their best chance of survival and recovery. The WSO is calling on governments, ministries of health and healthcare systems, with the support of key opinion leaders and stroke advocates, to rise to this challenge and ensure that the Bill of Rights is fully supported and implemented.” To support the launch of the stroke Bill of Rights, the Heart and Stroke Foundation is also launching an online stroke manual, ‘My stroke: a practical manual for stroke patients’. A first in South Africa, the manual was developed in partnership with Professor Bryer and the Heart and Stroke Foundation, and is a comprehensive resource to support stroke survivors and their families. The manual and Bill of Rights are both available online on the HSF’s website: www.heartfoundation.co.za.  

Parenting Hub

Should You Let Your Child Play Minecraft?

A client of mine asked me what I thought about her child playing Minecraft on the family computer. She said he is constantly begging her to let him play and complains that all of his friends are playing it. This child’s school is even dabbling with allowing the kids to use it in the classroom. My simple answer was YES, but it comes with a more complex HOW and WHEN to let him play it. Let me explain in more detail. What is it? Minecraft is an interesting and time-consuming game that was created in 2011 by an independent company Mojang, a Swedish software developer. In September of this year, the company was purchased by Microsoft for $2.5 million. The developers also released another game called Scrolls. This first person, sandbox type of game has few rules, no story line, and allows users to create items and buildings from resources they find around them. It is an open-ended, exploration type of game that also has monsters the users can fight using swords and bows. This game is a bit primitive from a graphics standpoint and there is no blood and gore. Many have referred to it as a Legos-type video game. The Positives Kids who play this game develop problem-solving and design-thinking skills. They learn creative thinking, geometry and even a little geology as they create imaginative block structures and collaborate with others in building structures and communities. With this game, they can use their imagination to build and show off their digital creations. Experts suggest that children be 11 years of age and older, yet many parents believe that children as young as 8 years can master it and learn. The Drawbacks Parents need to know that this game is part of a large online community, hosted by private, adult-run servers that are not moderated in any way. This means that your child can be contacted by adult strangers online through chat conversations, who play the game and participate. Other risks include your child being exposed to adult-natured conversations, profanity, and sexually oriented objects or digital images (for example, phallic-shaped buildings). Precautions Many parents will think that the benefits to their child of allowing them to play, outweigh the risks if some rules and boundaries are set in place. Here are some suggestions if you decide to allow your child to play Minecraft. Locate a common-use computer in a well-traveled area of your home where your child can play the game. This will allow you and other adults to “check in” and observe your child as they play. Ban all computers from bedrooms of children and younger teens. Limit your child’s play of Minecraft to 30 – 60 minutes on weekdays and no more than 2 hours on weekend days. Setting these limits will keep time on the game in perspective with the rest of your child’s world, and make more time for active play, reading, homework and family time. Engage your child in conversation about the game and their experiences often. Invite them to show you what they are building and consider participating with them on some level, especially if they are under the age of 11. Finally, get to know the parents of your child’s friends they visit for playtime in their homes. Find out what supervision and computer access your child may have there when they visit and play.

Parenting Hub

What Is Dyslexia Really? Part 1

The term dyslexia was coined from the Greek words dys, meaning ill or difficult, and lexis, meaning word. Spelling and writing, due to their close relationship with reading, are usually also included. According to popular belief dyslexia is a neurological disorder in the brain that causes information to be processed and interpreted differently, resulting in reading difficulties. Historically, the dyslexia label has been assigned to learners who are bright, even verbally articulate, but who struggle with reading; in short, whose high IQs mismatch their low reading scores. When children are not as bright, their reading troubles have been chalked up to their general intellectual limitations. What does it look and sound like? One of the most obvious tell-tale signs is reversals. People with this kind of problem often confuse letters like b and d, either when reading or when writing, or they sometimes read (or write) words like “rat” for “tar,” or “won” for “now.” Another sure sign is elisions – that is when a person sometimes reads or writes “cat” when the word is actually “cart.” The person may read very slowly and hesitantly, read without fluency, word by word, or may constantly lose his place, thereby leaving out whole chunks or reading the same passage twice. The person may try to sound out the letters of the word, but then be unable to say the correct word. For example, he may sound the letters “c-a-t” but then say “cold.” He may read or write the letters of a word in the wrong order, like “left” for “felt,” or the syllables in the wrong order, like “emeny” for “enemy,” or words in the wrong order, like “are there” for “there are.” He may spell words as they sound, for example “rite” for “right.” He may read with poor comprehension, or it may be that he remembers little of what he reads. The person may have a poor and/or slow handwriting. Some misconceptions Because of the erroneous belief that the brain cannot change, it was historically believed that dyslexia is “incurable”: “Dyslexia is like alcoholism … it can never be cured” (Clark, M., & Gosnell, M., “Dealing with dyslexia,” Newsweek, 22 March 1982, 55-56.) Advocacy groups, in the rush to generate public awareness for the condition of dyslexia, with the cooperation of a compliant media, have perpetuated the belief that a host of famous individuals such as Albert Einstein, Leonardo da Vinci, Thomas Edison, Walt Disney, Winston Churchill and Hans Christian Andersen were dyslexic. The folk myth – the “affliction of the geniuses” – continues to be spread despite the fact that knowledge of the definition of dyslexia and the reading of any standard biographies would immediately reveal the inaccuracy of many such claims. For example, as educational psychologist Dr Coles points out, Einstein’s reading of Kant and Darwin at age thirteen is hardly representative of individuals who are currently labelled dyslexic. New technology sheds new light By the turn of this century, the advancement in technology has made it possible for scientists to see inside the brain, resulting in the knowledge that the brain is plastic. New connections can form and the internal structure of the existing synapses can change. New neurons, also called nerve cells, are constantly being born, particularly in the learning and memory centres. A person who becomes an expert in a specific domain, will have growth in the areas of the brain that are involved with their particular skill. Even if the left hemisphere of a person’s brain is severely injured (in 95% of people the left hemisphere controls the capacity to understand and generate language), the right side of the brain can take over some language functions. With fMRI-scans et cetera it has now been confirmed that – as was always suspected – there are indeed differences between the brains of dyslexic persons and good readers. More and more research studies, however, suggest that the cause-effect relationship should be reversed, i.e. that these differences might not be the cause, but the effect of the reading difficulty. Using brain imaging scans, neuroscientist John D. E. Gabrieli at the Massachusetts Institute of Technology have found that there was no difference between the way poor readers with or without dyslexia think while reading. The study conducted by Dr Gabrieli involved 131 children, aged 7 to 16. Following a simple reading test and an IQ measure, each child was assigned to one of three groups: typical readers with typical IQs, poor readers with typical IQs, and poor readers with low IQs. During the test, researchers used functional magnetic resonance imaging (fMRI) to observe the activity in six brain regions identified as being important in connecting print and sound. The results indicated that poor readers of all IQ levels showed significantly less brain activity in the six observed areas than typical readers. But there was no difference in the brains of the poor readers, regardless of their IQs. Another study, published online in the Journal of Neuroscience, researchers analysed the brains of children with dyslexia and compared them with two other groups of children: an age-matched group without dyslexia and a group of younger children who had the same reading level as the children with dyslexia. Although the children with dyslexia had less grey matter than age-matched children without dyslexia, they had the same amount of grey matter as the younger children at the same reading level. Lead author Anthony Krafnick said this suggests that the anatomical differences reported in left-hemisphere language-processing regions of the brain appear to be a consequence of reading experience as opposed to a cause of dyslexia. One must also consider that neurological differences do not equal neurological disorders and disabilities. We now also know that there are differences between the brains of people who can juggle and people who cannot juggle, between the brains of people who can play a musical instrument and people who cannot play a musical instrument. Then logically there will be differences between the brains of people who read

Sidebar Image

Scroll to Top