Monday, June 29, 2009

More Bad News About Too Much Television

Just a quick post on a subject touched upon before in this Blog.

Get your kids away from the television! Yet another study shows that too much television interferes with your kids' development. Specifically, too much television interferes with language development -- even if your kids are watching DVDs that are supposed to enhance language and development.

HealthDay News reports that "[t]elevision reduces verbal interaction between parents and infants, which could delay children's language development, says a U.S. study that challenges claims that certain infant-targeted DVDs actually benefit youngsters." Check out: http://dailyhealthtips.vitacost.com/dm?id=F12AC29D617DB539EA57955C82B824C0

The study appears in the June issue of the Archives of Pediatrics & Adolescent Medicine.

Wednesday, June 24, 2009

Unexplained Sudden Death and ADHD Meds

On June 15th, Good Morning America aired a piece regarding possible dangers associated with many of the drugs used in connection with ADHD. “ADHD Drugs Linked to Sudden Death” (http://abcnews.go.com/Health/MindMoodNews/story?id=7829005&page=1) reports about a study that has found a link between children taking stimulant medication and sudden unexplained death.

Specifically, the piece notes:

"In the study of 564 children and teens who died suddenly, researchers led by Madelyn Gould of the New York State Psychiatric Institute and Columbia University in New York City found that that those who died suddenly were 7.4 times more likely than not to have been taking the stimulant medications. The results of the study are reported online in The American Journal of Psychiatry."

This piece appears, in stark contrast, to a news report on ABC News that aired just about one year ago (June 13, 2008 to be exact (http://abcnews.go.com/video/playerIndex?id=5015268)) that reported on the American Heart Association's recommendation that all children be screened for potential heart problems prior to the administration of these drugs, and the American Academy of Pediatrics' (“AAP”) disagreement with such a suggestion and denial of any possible link between these drugs and heart problems. In what I can only deem a pro-medication report, the anchor person states that the AAP is fearful that any such required screening might pose a “A barrier to [children] getting on these important medications.” (emphasis mine).

This was followed by a discussion with a doctor who stated that while, on the one hand, she always takes a full history prior to administration of these drugs, such testing is not always necessary.

Are you kidding? Once again, the ridiculousness of the medical world staggers the mind. Chances are, you're not going to get into a car accident when you drive. However, we all put on seat belts. Why? Just in case.

These are our children. If there any possibility that there is some connection between these drugs and death (and now we know there is – correction, now it has been confirmed that there is), why wouldn't you run a few tests first?

Why? Because the anchor hit it right on the nose. You might be justifiably scared of these drugs, decide not to give them to your kids, and then the how would the pharmaceutical companies survive?

Unfortunately, none of this should come as a surprise. Problems, side-effects and dangers associated with these medications is nothing new. See my February 7, 2009 Post.

Please, remember, there are alternatives.

Use of these medications should only be an absolute last resort.

Tuesday, June 23, 2009

A Long Overdue Post

Well, the month of May has come and gone, and what a tough month it was.

Our family experienced injury and loss. We have done much in terms of healing. There is still much to do.

I've been meaning to blog for a while, but have not found the time nor, more importantly for someone like me, the inspiration.

This is a personal blog. If you're looking for something about medications and kids, skip down to the next post. A great story was aired on Good Morning America last week re: the dangers of stimulant medications used to treat ADHD.

This post is about running the Long Island Marathon. It was difficult, emotional, and as it turned out, a perfect reflection of my life.

I'm not sure why I'm writing about it. Who would be interested? I mean, don't most people just wonder why anyone would even want to run a Marathon? What kind of a nut am I?

But, it meant an awful lot to me. Probably far more than it should have, and that's why I'm writing. I often gain a better perspective on events once they're written down.

I've been running, on and off, for years, but never anything more than two or three miles, two to three times a week. That is, when the weather was nice, and I was feeling good. It was the convergence of two events that led to the marathon. First, I saw the movie “Run, Fat Boy, Run!” which climaxed with the main character, an out-of-shape guy who never, ever finished anything, completing a marathon on three weeks training and a sprained ankle just to prove a point to the woman he loved.

Second, a neighbor of mine started some serious running. She threw down the gauntlet when she said, “well, I see you running, and if an old guy like you can do it, so can I.” With that, we began a friendly game of oneupmanship.

I discovered, much to my surprise, that I was handling longer runs pretty easily (“longer” as in, six to eight miles), and a running friend of mine suggested we try a half-marathon together.

“What a great idea!” I thought. “And, while I'm at it, why not try a full marathon. I've got five months to train, and the Long Island Marathon is right in my backyard.”

Ah, Reflection: if I shoot at all, it's always for the stars.

As I trained, the Marathon took on more and more meaning for me. It was no longer just some run. I was putting more and more effort into the training – sacrificing days off, running in the snow and rain in the dead of winter (dreadful time to undertake this, which brings us to the next Reflection: I have really bad timing. We bought our house at the height of the market in the 1980's; we bought our tech stocks right before the bubble burst; we had Robert just when the spike in ASDs began; start a business as the recession hits; the list goes on and on.) I was getting on Tina's nerves as I began to devote more and more attention and energies to this.

Reflection: obsessing over a new project? Yeah, a little bit. It's all or nothing with me. Always has been, always will.

And, I began to need to prove something to myself. Life has been a bit rough lately – not bad in any way (God knows I am exceptionally thankful for everything in my life), but over the past several years, a lot of things have not really gone my way, despite my best efforts. I wanted to prove I could still be successful, to do something exceptionally challenging.

I thought the Marathon might be the key. It was challenging, and most importantly, its outcome was something over which I believed I had control. Or at least, the illusion of control. (We can never be fully in control of anything, can we?)

And you know what? It was really hard – much harder than I had anticipated. When I started to get into the real mileage (15+ mile runs), it wasn't at all easy, but I would get through this.

(I guess it's like a first-time pregnancy for women. Sounds like a wonderful thing to experience, but you really have no idea what you're in for.)

Then the inevitable happened. I raised the bar. I started to push myself harder and harder. There were no “easy” runs. I changed my diet, I became obsessed with the Weather Channel, I combed the Internet for training advice. And, I set myself a goal. Not only was I going to finish the Marathon, I was going to run it fast enough to qualify for the Boston Marathon – anything less, and I would be disappointed.

Ridiculous, I know, but – there it is again, Reflection – always with the highest expectations for myself. I can't seem to do “good enough.” Everything has to be done right. (And, maybe that explains why I often hesitate to take on a new challenge. I'll study it to death before I begin. Will I be able to do it as well as it should be done? I doubt my abilities and think about everything that could go wrong. . .)

Of course, in the days leading up to the race, I grew nervous. I should have trained more -- more miles, more days running. More practice races – longer runs. Reflection: I NEVER feel like I've done enough.

But, I simply could not allow myself to fail – again.

“Again.” When did I add that word to the sentence? Then I understood why this stupid run meant so much to me.

I was good through high school – all honors, class valedictorian. I got into my first choice college. But, then, things didn't quite go as well as I had hoped. Yes, I graduated magna cum laude, and the school was ranked number one in the country at the time, but, I didn't make any of the sports teams, and I dropped out of the honors' program. Success?

From there, I got into a prestigious law school, but not my number one choice. Success?

I got a job in Midtown Manhattan at a very good law firm, and while according to my reviews, I was a good lawyer, I discovered that I didn't love the job. And, when Robert started having problems, I put family before work, and my “career” suffered. I did not move up the ranks as others did, and soon was behind everyone in my starting class. Suffice it to say, I don't look back to my life as a lawyer as a “success.”

No wonder that when presented with the opportunity to change careers and engage in something that I found infinitely more interesting and rewarding (i.e., working with children like my son), I jumped at the opportunity. And, as always, threw myself 110% into the job. However, I worked for a boss who managed to run an effective, successful business into the ground. I lost money, and I lost time. I stuck it out for a long time – too long – waiting for it to turn around. It didn't.

I was severely disappointed. That venture was not a success.

I left and helped create a development and learning program that was even better. My new company got our program into three schools as a pilot with the promise of more funding and more schools to come. But despite great results, the funding never materialized (hell, the schools couldn't even afford to pay their own staff), and once again, circumstances seemed to conspire against me. That venture was not a success.

So, I decided to give it one last try. I would open my own center – I would do it right, do it my way.

My illusion of control.

Which brings us to today. Spark Development is in its fifth year – an accomplishment in and of itself. We have helped dozens of families, and they willingly and enthusiastically sing the praises of our program to anyone who will listen. Surely, that's the whole point of this venture – to help others who experienced the same problems, pain and obstacles that presented with children like my son.

The fact is, the program is better than ever. There has never been so much science supporting our approach. There have never been better, nor faster, results for our students.

And yet, I don't have multiple centers, Tina still needs to hold down a job at the hospital. Between the recession, the banks, and the issues many of my clientèle and would-be clientèle must face on a daily basis, this business is not making me financial secure.

Success?

And, so I heap even more significance on the outcome of the Marathon. How can my ability to run 26.2 miles have any bearing whatsoever on my sense of self-worth? I don't have an answer to that, but it did.

I ran the Marathon in 3 hours, 27 minutes, and qualified for the Boston Marathon by four minutes.

I did it. I did not fail.

And, in a moment of peace and insight, I realize that I am confusing my sense of satisfaction with an outcome with what it means to be “successful.” Hell, what is “success” anyway?

We have three healthy, beautiful, happy children. I love my family dearly, and we want for nothing. We have developed a business and a program that saved my son and dozens of other like him, I am passionate about what I do, and the business continues despite the worst of business-related circumstances.

So, maybe, just maybe, I have been “succeeding” all along.

Tuesday, March 24, 2009

Told you so . . .

Just a little follow up to the "Drugs for Everybody" post. In that post, we talked about an article entitled, Feed brain with pills, published in Newsday, where so-called experts stated that “’[w]e should welcome” the idea of allowing otherwise healthy people to take powerful, psychotropic, Class II narcotics in the hopes of “improving our brain function.” That sentiment appeared in an opinion article published in the journal Nature.

Now, in an article entitled "'Smart Drug' Might Be Addictive, Experts Say," also published in Newsday, it turns out that one of the drugs that the above-noted Nature opinion article was pushing - Provigil (also known by its generic name, Modafinil) - causes "changes in the brain's pleasure center, very much like potentially habit-forming classic stimulants."

The Newsday article goes on to state that "Modafinil once was thought to be safer than conventional stimulants because it was believed that it did not engage the brain's dopamine system, which is linked with addiction. Studies in mice and monkeys have suggested otherwise. The new study [in the Journal of the American Medical Association] is the first human evidence that a typical dose of modafinil affects dopamine as much as a dose of Ritalin, a controlled substance with clear potential for dependence."

"It would be wonderful if one could take a drug and be smarter, faster or have more energy," said Dr. Nora Volkow, director of the National Institute on Drug Abuse, who led the study with a team that included several members of Brookhaven National Laboratory. "We currently have nothing that has those benefits without side effects."

But, here's the best part . . .
"One author of [the Nature opinion letter], brain scientist Martha Farah of the University of Pennsylvania, said the new study "goes to show that we need a little caution and a little humility when we're messing around with our brain chemistry."

Really?? Did you just think of that? For how many years have drugs like Ritalin been pushed on our kids, and it's just NOW that you experts think some "caution and humility" are in order?

Wow.

Monday, March 16, 2009

Heal Thyself!

Came across two interesting articles about "natural cures". The first was a post about vitamin supplements that appear to prevent noise-induced hearing loss.

"According to researchers, . . . it may be possible to create a pill that protects against noise-induced and even age-related hearing loss in humans."

My immediate thought was, "Uh-oh. A new med for 'NIHLD' ('noise-induced hearing loss disorder'(not a real disorder, I just made that up (or did I?))).

Cynicism (as one psychologist so eloquently put it, "the world is always warped by the lens we are looking through")? No, there was an earlier article that reported our auditory systems can actually adjust themselves to filter out damaging noises to which they are repeatedly exposed in order to prevent long-term damage. (This, by the way, offers fascinating support for auditory training programs like The Listening Program ()(Yeah, I know it's a plug, but it's a good plug)). Anyway, the article then went on to suggest that this finding would point to new treatments for hearing loss prevention. I expected to then read about auditory training programs, and the like, but no, the excitement was about using this research to create new "MEDICATIONS"!

But, much to my surprise, the "pill" the latest article was talking about was not medication related at all. It was about natural supplements!

"Two studies found that giving supplements containing antioxidants [beta carotene and vitamins C and E] and the mineral magnesium to test animals before they were exposed to a loud noise prevented both temporary and permanent hearing loss.

In the first study, vitamin supplements protected guinea pigs exposed to four hours of 110-decibel noise, similar to levels reached at a rock concert. In the second study, vitamin supplements prevented hearing loss in mice exposed to a single loud noise. . . . Previous research showed that antioxidants can also protect hearing days after exposure to loud noise.

What is appealing about this vitamin 'cocktail' is that previous studies in humans, including those demonstrating successful use of these supplements in protecting eye health, have shown that supplements of these particular vitamins are safe for long-term use,' according to University of Florida researcher Colleen Le Prell, senior author of the studies.

Cool!

The second article appeared today in Newsday, and was about fighting (dare I say, "curing") peanut allergies. What was done? Under close medical supervision, incredibly minute amounts of peanut/peanut flour were given to allergic children over time [WARNING: DO NOT DO THIS AT HOME! There's no way to dice a peanut as small as the treatment doses required!]. Eventually, over several years, the children's bodies learned to tolerate peanuts.

So, basically the doctors helped these children's bodies to "heal themselves" without resort to medication.

This, by the way, is what much of the nutrition intervention practiced by our nutrition counselor, Tina Stevens, BS, MS clinical nutrition, is all about (yeah, yeah, another plug. Shoot me.)

Heal the gut, heal the immune system. Strengthen the body, and what was once troublesome may not present trouble anymore.

Of course, because doctors were involved, the peanut treatment gets a neat name: "oral immunotherapy".

I kid you not.

Wednesday, March 4, 2009

How NOT to diagnose ADD

Got a call from a mom the other day. Concerned that her son might have ADD, she brought him to the family pediatrician. However, the doctor said he could not diagnose ADD with certainty. Instead, Mom told me the doctor said, "he would prescribe the ADD medication, and if it worked [?], then they would know for sure her son had ADD."

My jaw dropped into my lap. This is so wrong, that in my humble opinion, it borders on malpractice.

First, how on Earth can you prescribe a powerful, psychotropic drug to a child without having at least a reasonable certainty that the child suffers from the disorder which that drug is supposed to treat? These are serious drugs with serious known side-effects we're talking about!

Imagine fearing you had cancer, and you seek a diagnosis from your doctor. Your doctor says he can't tell for sure whether you have cancer, but, he'll start you on chemotherapy. If it works -- whatever that means -- then you'll know you had cancer.

Sound right to you?

Second, using drugs to diagnose ADD was rejected as an approach over a decade ago! The fact of the matter is, when given in prescription appropriate doses, these drugs have the SAME effect on "normal" folks as they do on those with ADD. Thus, the drugs "work" no matter to whom they are given.

Finally, has this mom's doctor not read anything about these drugs being abused on college campuses by students seeking an edge? If these students are using these drugs to enhance their attention and studying skills, how can you possibly use them as a diagnostic tool?

When did the prescription of these drugs become so commonplace, so automatic, so nonchalant, that we forget that there are dangers attached to the practice? That it is not "normal" to need these drugs? That we are doing no more than putting these poor children into a drug-induced state?

Again, I understand the use of medications. When you've tried everything else, and nothing is working, and you are desperate for your child to have a happy, successful life. I get it. I've been there. I've done that.

But, it is a last resort! One taken after very careful consideration. You would think a doctor would know that.

Friday, February 13, 2009

Do you think the pharmaceutical companies have something to do with it?

I came across an article entitled “Drugmakers draw criticism for pushing fibromyalgia” in Newsday, distributed by the Associated Press. While the article was about fibromyalgia, I couldn’t help but think otherwise.
WASHINGTON - Two drugmakers spent hundreds of millions of dollars last year to raise awareness of a murky illness, helping boost sales of pills recently approved as treatments and drowning out unresolved questions . . . . 

Key components of the industry-funded buzz over the pain-and-fatigue ailment fibromyalgia are grants, more than $6 million donated by drugmakers Eli Lilly and Pfizer in the first three quarters of 2008, to nonprofit groups for medical conferences and educational campaigns, an Associated Press analysis found. 

 . . . Fibromyalgia draws skepticism for several reasons. The cause is unknown. There are no tests to confirm a diagnosis. Many patients also fit the criteria for chronic fatigue syndrome and other pain ailments. 

Experts don't doubt the patients are in pain. They differ on what to call it and how to treat it. 

Many doctors and patients say the drugmakers are educating the medical establishment about a misunderstood illness. But critics say the companies are hyping fibromyalgia along with their treatments, and that the grant-making is a textbook example of how drugmakers unduly influence doctors and patients. 

"I think the purpose of most pharmaceutical company efforts is to do a little disease-mongering and to have people use their drugs," said Dr. Frederick Wolfe.
Couldn’t you just sub in any number of so-called childhood psychiatric disorders wherever it says “fibromyalgia”? I mean, there is no denying that the pharmaceutical companies “spent hundreds of millions of dollars” to “raise awareness” of these disorders. Just look at their full page ads in magazines, full length, prime time commercials, and the videos, CDs and mailings that are sent directly to consumers about these “disorders.” Equally true is the fact that such direct to consumer advertising helps increase sales of the pharmaceutical companies’ products.
There is also no denying that drug companies have contributed lots of monies to “nonprofit groups” to “educate” people about these disorders. CHADD (a national nonprofit group that deals with attention deficit disorder) immediately comes to mind. That organization alone had has received hundreds and hundreds of thousands of dollars from the makers of Ritalin.
Similarly, the cause of childhood psychiatric disorders is unknown; there are no biological tests to confirm a diagnosis – only observation and questionnaires; many patients diagnosed with a particular disorder also fit the criteria for other disorders or other conditions. Experts don’t doubt that the patients are experiencing difficulties, but many experts disagree on what exactly is wrong and how best to treat it.
We are talking about a billion dollar industry, after all.
It just makes you wonder . . .