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SEPTEMBER 27, 2013

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Travel tips for family vacations Expert advice on childhood medical issues

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FAMILY LIVING

September 27, 2013

A LOOK INSIDE
Fitness as a family
Page 4

Moms clubs provide support system


Page 8

Travel together
Page 10

Many travel agencies offer international travel packages for families, including exotic locales like the desert in Namibia. Learn more about traveling as a family on
Page 10.

Picture-perfect family portraits


Page 14

Dont forget date night!


Page 17

Be prepared for a medical emergency


Page 18

Childhood allergies explained


Page 19

ON THE COVER:

The Stansberry family of Granite Bay dad Steven Stansberry, mom Michelle Stansberry, Javan, 6, Jada, 7, and Jordan, 4 stay active together at Johnson Ranch Racquet Club in Roseville.
ANNE STOKES THE PRESS TRIBUNE

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Keeping fit as a family


Find room for wellness in your busy schedules
BY ANNE STOKES

n todays world filled with electronic entertainment and fast food meals of convenience, families can face an uphill battle of the bulge. When trying to balance work, school and a bevy of extra-curricular activities, family fitness can sometimes fall to the wayside. But even when confronted with any number of excuses and obstacles, keeping active is important to keeping your family healthy. In addition to promoting weight loss, an active lifestyle has been proven to have many positive health effects. Exercise helps protect against developing heart disease and certain types of can-

PRESS TRIBUNE CORRESPONDENT

Ethan, 5, and dad Zach Speck of Rocklin enjoy some active time together at Rocklins Sky Zone.
ANNE STOKES THE PRESS TRIBUNE

cer, reduces the risk of developing diabetes, helps stave off osteoporosis and can relieve symptoms of depression and anxiety. Developing healthy habits early on for

kids is a significant influence in building good habits for a lifetime. One of the obstacles many families face in keeping active together is
SEE FITNESS PAGE 6

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September 27, 2013


JOHNSON RANCH RACQUET CLUB Where: 2501 Eureka Road, Roseville Info: (916) 782-2600; www.sparetimeclubs.com/club/ welcome.php?site=jrrc ALL THE WAY FIT Where: 3031 Foothills Blvd., Suite 130, Roseville Info: (916) 715-6156; www.allthewayfit.com SKY ZONE INDOOR TRAMPOLINE PARK Where: 1091 Tinker Road, Rocklin Info: (916) 644-9966; www.skyzone.com/sacramento

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advises. Make it fun, make it interactive. Toss a Frisbee around, get the dog out there, play fetch with the dog, run around. Being active, movement, is how you burn calories. So its just doing something that involves movement. At Rocklins Sky Zone Indoor Trampoline Park, the Skyrobics fitness program offers a novel workout option. What we want is to give something new, offer something innovative and unique, explains instructor Eric Kassis. Out there on the trampolines, people realize that its fun. But they dont realize, even coming here to do open jump, it is a tough workout! We like to give people the chance to work out with friends and family and meet some new people here. It is a tough workout, but it is very fun. Thats what this (routine) is sculpted for, for those people that want something a little bit different than going to the gym or pounding the pavement running for an hour. While exercise is important to maintaining a healthy family, diet also plays a crucial role. Portion control, as well as healthy options, help curb weight gain while at the same time fueling the body. Spread your meals throughout the day, Daniel advises. If youre not eating a lot of calories at one time, basically what that does is speed up your metabolism. You keep feeding your body constantly throughout the day, but youre only feeding it small portion sizes. Basically it allows your body to not starve, or go into starvation mode when your body doesnt know when its going to get fed again. What you put into your mouth is going to make a big difference, Packheiser says. As a mom or a dad, when you go grocery shopping and you bring stuff home like the chips, and the ice cream, and the cake, and stuff like that, then it creates bad habits that you take with you the rest of your life. Nutrition needs to go hand in hand with being active.

FITNESS:
continued from 4 time. With so many activities and commitments vying for parents attention, its hard to make time for their own exercise routine, let alone getting the whole family up and off the couch. Put it on your schedule like you would a doctors appointment, advises Lisa Packheiser, fitness director at Johnson Ranch Racquet Club. I think parents can definitely set a good example for their kids if they practice good, healthy habits. The kids usually follow suit. Thats where it starts at and I think if they see it and if the family does things together, it becomes part of their lifestyle. A key element to seeing effective results from exercise is consistency. What happens is, whether youre an adult or a kid, you get distracted with everyday life. Its hard to stick with it and maintain it, says personal

Brothers Aiden, 10, and Keenan Mayo, 13, play a game of tennis at Johnson Ranch Racquet Club.
trainer Brandon Daniel, owner of All The Way Fit in Roseville. The people that dont see results are the people who will do really, really good one week, and then one week theyll find excuses, whatever they may be. And a lot of it is that its hard to say, Im going to go to the gym and work out. Its so easy to talk yourself out of it. Its easy to say, Im not going to go, or Id rather do that instead, or This

ANNE STOKES THE PRESS TRIBUNE

came up. One way to make exercise more enjoyable and less humdrum is to inject a bit of fun and novelty into your fitness regimen whenever possible. Theres so many things out there that you can do, whether its playing catch with your kid or its kicking a soccer ball around, it could even be going on a jog, because maybe some kids like doing that, Daniel

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September 27, 2013

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Local moms unite


Roseville club offers support, friendship
Leo Coble, 2, James Coble, 5, Cobalt Mathis, 2, and Sterling Mathis, 4, show off their bags of trash to MOMS Club of Roseville West President Elizabeth Mathis.
PHOTOS BY STEPHANIE DUMM THE PRESS TRIBUNE

GOOD TO KNOW
For more information about joining MOMS Club of Roseville West, visit www.facebook.com/moms clubofrosevillewest or www.sites.google.com/site/ momsclubofrosevillewest/.

BY STEPHANIE DUMM

PRESS TRIBUNE CORRESPONDENT

ith a playful spirit about them, nine children and their mothers competed to see who could pick up the most trash at Dry Creek Community Park one afternoon in September. The trash pick-up was a service project organized by the MOMS Club of Roseville West. (The purpose of MOMS Club) is to provide a support group for mothers who choose to stay home and raise their children, said Elizabeth Mathis, president of the MOMS Club of Roseville West. The Roseville West club is part of a bigger organization, according to Mathis.

We are a part of MOMS Club International, which currently has over 1,500 chapters and over 100,000 members in the United States, Mathis said. The acronym MOMS stands for Moms Offering Moms Support, explained club member Lori Coble. The MOMS Club of Roseville West was originally part of a Citrus Heights/Roseville chapter, according to Mathis, and a Roseville West Chapter was created in 2004 when the club sistered, or split.

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In 2005 we sistered again and created Roseville North, Mathis said. Our current boundaries for Roseville West are 95747 and 95678 zip codes south of Pleasant Grove Boulevard. The club features a playgroup once a week and a moms night out once a month, as well as a variety of other activities that happen throughout the month, according to Mathis. The club also has play dates at parks, craft activities and music classes, Mathis said, and members also do classes at local places such as Flip 2 It and Growing Brilliant. Coble said the MOMS Club is primarily a support group and secondarily a service organization, which is where the trash pick-up at Dry Creek Community Park fits in. This is no cost to anybody today, and its an easy way to give, Coble said. Mathis said one of the greatest benefits for the kids are the interaction with other kids

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September 27, 2013

KNOW AND GO
What: Quarter Craze When: 6-9 p.m. Nov. 2 Where: Free Flow Academy, 1106 Tinker Road, Rocklin Info: www.facebook.com/ momsclubofrosevillewest

The kids of the MOMS Club of Roseville West stop for a water break while picking up trash at Dry Creek Community Park. Pictured from left are Evelyn Seyl, Leo Coble, 2, Lori Coble, James Coble, 5, and Sterling Mathis, 4.
their age before they start school. My favorite part is the friendships Ive made, Mathis said. Most of us are friends now outside of club activities. Coble has two sons, ages 5 and 3, and has been a part of the MOMS Club of Roseville West for four years. I was looking for friendship for me and my children, and a way to give back to the community, Coble said. I found it to be a wonderful support organization and I was on the board, so it also gave me the opportunity to use my brain. Lauren Pointer moved to Roseville four years ago and joined the MOMS Club to meet new moms and find activities for her two sons, ages 3 and 5. Meeting people in the community was tough, since I work from home, she said. Pointer said the MOMS Club of Roseville West provides just so much variety in activities. Theres always something going on for different ages, and I like that there are so many ways to give back to the community, Pointer said. The kids can be involved and learn the giving spirit. Pointer said the club has done book drives, bra drives and baby food drives. Coble added there is a Mother to Mother fund, to which

club members from all of the chapters can contribute money. (MOMS Club) members can apply for money when they are having some sort of hardship, Coble explained. Samantha Hendon, who serves as treasurer on the MOMS Club of Roseville West board, has been a member since her 10-year-old daughter was a baby. She took a break for a few years, but now has a 4-year-old and has since rejoined. I joined because I did not have any friends or family in the area that had kids, Hendon explained. I wanted to get out and get support, and meet friends. Hendon said she had tried going to the park with just her kids, but its more fun when you actually know people there. I can go to the park or a play group and have five moms there, Hendon said. That makes it more enjoyable to do kids stuff.

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Consider a family adventure on your vacation, like whitewater rafting in Colorado.

Baby on board: Tips for your next family vacation


Travel adventures for everyone in the family
BY TINKA DAVI

COURTESY AAA

eeing a baby about to board a flight with his or her mom is disconcerting to some, maybe many, travelers. Theyre worried about a fussy,

PRESS TRIBUNE CORRESPONDENT

crying baby who might disrupt their expectations of a smooth, quiet flight. But there are some satisfying solutions. Mary Barclay, AAA travel counselor and seasoned traveler, is also a mom. So when she encountered a young mother trying to soothe her

crying baby on a recent flight, she offered to hold the little one. Babies pick up on your energy, and that mom was uptight, Barclay said. I held and rocked the baby and she fell asleep almost immediately. The mom and the

nearby passengers relaxed. Now Barclay is planning to fly to San Diego with her 1-year-old grandson, and shell be prepared. She asks herself the same thing she asks clients: Whats the atten SEE TRAVEL PAGE 12

TRAVEL TIPS
TIPS FOR FLYING WITH INFANTS AND THE VERY YOUNG Schedule direct flights during nap times or nighttime. That way you wont have to wake a sleeping baby or a young toddler if you have to change planes or have a layover. Keep young ones hydrated. Pack a bottle, pacifier or toddlers sippy cup. Sucking prevents ear pain due to changes in airplane cabin pressure. Bring along favorite snacks and small disposable containers. Pack games, toys and books. Bring out one at a time to keep the little ones entertained. Carry a change of clothes for you and baby in case of spit-ups or diaper accidents. Pack complete outfits in plastic bags so you dont have to dig for tiny socks or shirts. Pack plenty of diapers (one per hour), wipes and a disposable bag for soiled diapers. Bring along blankets and a changing pad. Pack a small first-aid kit and sunscreen. Carry emergency checklists with doctors name(s), medical history, health insurance and other essential information. Dont forget the car seat. The Federal Aviation Administration recommends each child under 2 be buckled into a car seat when flying. Be among the last to board a plane. Little ones get antsy if they have to sit too long. And, as a courtesy, be among the last to disembark. That way you have time to check pockets, seats and the floor and avoid leave-behinds.


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September 27, 2013

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A family enjoys an adventure at Bryce Canyon National Park in southwestern Utah.


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TRAVEL: Many benefits of international trips


continued from 10 tion span of a 1-yearold? Shes taking along a baby bottle. The child needs to be sucking, because that helps the ears. She also plans to carry a small backpack with
snacks such as goldfish, a hand-held DVD player with her grandsons favorite videos, a few toys and a blanket. The blanket is essential, said AAA agent Heidi Kazemi. Airlines dont provide blankets on domestic flights, only on international. Most people focus on domestic trips, but Kazemis family travels internationally. In fact, she recommends international trips for adults and children. Theyre educational for children who can be exposed to art, she said.

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Many clients are collectors who purchase artwork from another country. Kazemi suggests Africa, Paris and Hawaii, and not just the beaches there. Other popular family destinations are Italy, Spain, England, Canada, Glasgow and Lake Louise. Children should be exposed to different places, learn another language and (the older ones) might get college credit, Kazemi said. Its healthy for children to travel. The two travel counselors book many families on special trips, such as a Harry Potter excursion in London or Disney Adventures, which include accommodations, day trips, meals and recommended ages. Disney offers several travel packages to specific spots in the U.S., Ireland, Ger-

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September 27, 2013

13

Children should be exposed to different places, learn another language and (the older ones) might get college credit. Its healthy for children to travel.
Heidi Kazemi, AAA agent

TRAVEL TIPS
TIPS FOR TRAVELING WITH OLDER YOUNGSTERS AND TEENS Visit destinations online or purchase travel books. Young travelers and teens can check out attractions and help decide the places theyd like to see. Purchase tickets to attractions or excursions in advance so you can select dates and times that are best for your family. Pack in advance and bring along a checklist to make sure youve repacked everything. Have each youngster carry his or her own backpack or small carry-on with wheels. Consider the same color for everyone, including adults, or an identifier thats easy to spot, like matching colored straps, duct tape or large tags. Childrens names should be inside the backpack, not on the outside. Buy new or pack favorite DVDs and games. On longer trips, keep young ones busy by pulling out a new toy or game every so often. Surprise them with activity books and crayons or markers. Give each child a notebook or drawing pad so they can create a diary or scrapbook about their trip. Bring along plenty of their favorite snacks.

many, Peru and others for children as young as 4. Trafalgar and Tauck Bridges are other AAA travel partners, which offer family travel packages both in the U.S. and abroad. Trips include such adventures as mountain biking in the Alpines, cruising the Danube River and a family safari in Tanzania. Barclay sees a trend in multi-generations traveling together. Many families take cruises, she said. She helped plan a trip to London for a couple in their 70s who took their 40-something chil-

dren and grandchildren along. Cruise lines such as Royal Caribbean have a range of age-appropriate programs for babies, youth and teens. That includes a Barbie Dream Cruise and on-board attractions such as rockclimbing walls and ice skating. Cruises beat living out of a suitcase in a hotel and eating every meal in a restaurant. Royal Caribbean Cruise Lines also pampers babies by providing diapers and baby food. Those are two more things to remember to pack for taking baby on board.

Pack carry-on bags with changes of underclothes, toiletries in a clear plastic zip-top bag, extra eyeglasses, swimsuits and medication. If your luggage is delayed, you and your kids can still have some fun. Check the weather and pack appropriate clothing and shoes. Pack a small first-aid kit, hand sanitizer and tissues for runny noses. Bring along an emergency checklist with doctors name(s), medical history, health insurance and other essential information for each child and adult. Make sure medications and vaccinations are up to date. Check the Centers for Disease Control and Prevention website at http://wwwnc.cdc.gov/travel/. Buy travel insurance to protect you if the trip is delayed or canceled, or your luggage is lost. Get an international driving permit, which is required in almost 80 countries and valid in more than 150 countries. Apply or update passports well in advance of a trip. All minors regardless of age, including newborns and infants, must have their own passport when traveling internationally by air, according to the U.S. Department of State. And passports should be renewed approximately nine months before they expire and should be valid for at least six months beyond the dates of the trip.

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September 27, 2013

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Look at the camera, and say cheese! W


hen we were younger, isnt that what we were all taught to do when we had our portrait taken? Whether it was a school photo or a family session, portrait photography often seemed very contrived. Dont get me wrong, theres still a need to take photos where people are looking at the camera and smiling, but thank goodness family portraiture has come a long way since then, and the process has evolved in such a way that the subjects personality is allowed to come through in the finished product. Although many people still enjoy having their portraits done in a studio, there really is no limit as to where you may have your portraits taken. Regardless of where you choose to have your professional portraits taken, one of the most important things in selecting a location is to choose one where your family feels comfortable this

DEBBIE BROWN PHOTOGRAPHY

Phone: (916) 645-3356 Online: www.debbie brownphoto.com

Debbie Brown

PHOTOS BY DEBBIE BROWN THE PRESS TRIBUNE

Getting kids to sit still and smile is not always easy, or what parents want, so its a photographers job to capture unique ways to engage the kids. The Luc children were being playful and playing a little peek-a-boo between mom and dads legs, so it was the perfect opportunity to get some great images. I always try to photograph the children doing what they want, not making them do what I want.

is especially important if you have young children in the family. In addition to ensuring the kids feel comfortable with the surroundings, finding a photographer you all feel at ease with will be the most crucial element to your session. Being a photographer for more than 20 years, I give my clients suggestions on what they need to look for in a photographer. At the top of the list (yes, even more important than price) is whether they feel comfortable with the photographer. If a photographer and client dont have a relationship

where the client is made to feel at ease, the awkwardness will show in the photographs. How many times have you made a purchase of a television, car or even your home, and the sales process either made the entire experience enjoyable or something you never want to address again? Think about how that will translate to your finished portraits. With digital SLRs being so available, many people pick up a camera, do a couple of portraits for friends and call themselves a photographer, so be sure to ask a lot of questions when youre interviewing photographers. The best way to find

Supplement to The Press Tribune


one is to ask friends for referrals, or to look to your past experience (maybe your wedding photographer, or your childs school photographer, does family portraits). Some of the questions you need to ask are 1) Are you licensed? Photographers must carry a business license and be registered with the State Board of Equalization. 2) Are you insured? Having a photographer who is insured will protect you and your family in case an accident should happen at the session, due to negligence of the photographer. 3) Do you carry backup equipment? By carrying extra equipment, a photographer is prepared in case something should happen. You dont want to have to reschedule because of failed cameras. 4) Do you do retouching, and is it included in the cost of the prints? Head swaps, eyes being reopened, removing blemishes, etc., are all things a photographer must be capable of doing in order to give you a properly completed family portrait. 5) Be sure to see examples of their work with the type of portraiture youre looking for, and ask for referrals. Now that youve selected your photographer, you need to think about what youll wear. Whether you want everyone in the photo to be dressed alike, or to just have the clothing complement each other, your clothing choices will be important. Keeping the colors to a maximum of two to four (depending on the size of the family) will help the photo to be cohesive. In regard to patterns, select clothing that doesnt distract from the family. After

FAMILY LIVING
all, you want your family, not the clothing, to be the focus of the photograph. Make sure your kids are well-rested and have full bellies. Taking along photo-friendly snacks is a must. Bring along water bottles (no colored juices that may dribble on their clothing) and snacks that arent messy (goldfish crackers, pretzels, dried fruit) are great for keeping those cranky hunger pangs away. In addition to beverages and snacks, distractions are a must when working with kids. A container of bubbles is one of my favorite props to use with kids, and it adds an element of whimsy to a session. Parents are often concerned about their kids sitting still while their photos are taken. Some of the best portraits are ones where the families interact with one another and just let the kids be themselves. Of all the things I mentioned that are important, I cant stress enough the importance of this next item: Do not wait to have your family portrait taken until you lose weight, your hair grows out or any other excuse youve been using. Life is short, and one of the greatest gifts you can give your family is a portrait session if, God forbid, the unthinkable should happen. Several

September 27, 2013


years ago I photographed a family whose young daughter, Ally, had been diagnosed with congestive heart failure. The doctors said she probably had about five years to live, but the parents wanted to get their portraits taken while she still looked like herself. The family had also just had a new baby and wanted to take this opportunity for some family photos. Three weeks after I did the portrait ses-

15

sion, Ally passed away. Imagine how treasured those portraits are now. No excuses are more important than having your family all together and creating memories with something that will last a lifetime. After all, todays family portraits will become priceless fa-mily heirlooms in the future.
Debbie Brown has been a portrait and wedding photographer for more than 20 years.

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Give . Hope . Love

Foster Parents Needed


Foster Care and Adoption
Se Habla Espaol

Help keep children in your community.

Service Quality Compassion

Our focus at Arbor View is providing your pet Comprehensive Medical and Surgical Care including:
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Call EMQ FamiliesFirst Toll-Free (877) 488-5437

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NOVEMBER is Senior Pet Health Month FEBRUARY is Dental Health Month APRIL is Parasite Prevention Month

7441 Foothills Bl. #100 Roseville, CA 95747 Phone: (916) 789-2211 Fax: (916) 789-2211

Follow us into Nature


3700 Christian Valley Rd, Auburn, CA 530-878-6053 www.placernaturecenter.org

Rekindling romance
omance is vital to long-lasting relationships; rekindling romance should be a part of everyday living. How can romance be rekindled?

Supplement to The Press Tribune

FAMILY LIVING

September 27, 2013

17

scaglia, my favorite true romantic, has numerous books available on the shelves.
Sheri Hitchings

Quality time
Understand the importance of quality time with your spouse. Take the time and make the effort; remember, surprises are special to most individuals. Become a slue with your spouse, discovering changing ideas, beliefs and goals for romance. If you dont ask, you may not discover what really works best. people. Time, being a valuable asset, needs to be maximized to enjoy connecting with one another. Scheduling dates, at least once a month, is a good way to proceed. Think about scheduling dates at home with an ambiance of soft music, candlelight and fragrant candles. Include favorite romantic dishes cooked together or delivered to your home.

Making the efforts pays off


How do you know your efforts will work? All you have to do is share your feelings and be patient. Daphne Rose Kingman explains, Like a wish or a work of art, the beauty of a relationship is sculpted over time.

Romantic films set the mood


My extended family provided a list of their favorite romantic movies: Casablanca, From Here to Eternity, Gone with the Wind, Love Story, Pretty Woman, Somewhere in Time, The Notebook, The Way we Were, When Harry met Sally and While you were Sleeping.

Instigate with conversation


To be romantic takes understanding and lots of conversations, discovering the needs of one another. Good communication is vital. Talk about your expectations for romance. Find out what romance means to your spouse. How can you be more romantic? How can your spouse help you to meet your needs? What are the important things you wish to communicate? Rekindling with good communication is a necessity.

Family
Most children understand the importance of your relationship and time alone, usually encouraging affection and your attention to one another. At some ages, they may seem embarrassed, but deep down they appreciate the fact that you are close and loving. A bonus is that learning from your loving actions and words firsthand offers opportunities to observe what loving, caring and gratefulness look and sound like.

What does rekindled romance look and feel like?


Rekindled romance looks and feels like affection, bonding, commitment, a deeper relationship, positive attitudes, gratefulness, imaginative and intuitive thoughts, learning, loving and living, nostalgic moments, sensitivity to the others needs, supportiveness, thankfulness and understanding with a pronounced zeal and zest for living. Buscaglia knew all about love. One message I particularly am fond of is: One does not fall in or out of love. One grows in love. While nestled by the fireside, rekindle romance and watch the sparks fly.
Sheri Hitchings, married for 47 years, has two children and four grandchildren.

Date nights
So, youre newlyweds, or perhaps youve been married for a while. Quality time is still important in your lives, and so is time for romance, especially romantic dates. How can you make sure you have planned a date your spouse will enjoy? The best way is to ask for ideas or listen to your spouse talk about someone elses experience he or she thought was enjoyable.

Romance is worth its weight in gold


Learning the secrets of love is vital. Sometimes an expert comes in handy, especially providing food for thought. A few experts with a repertoire of ideas include Gregory J.P . Godeks 1001 Ways to be Romantic; Leo Buscaglias Love: What Life is all About; Daphne Rose Kingmas True Love; and Lois Wyses Family Ties: The Legacy of Love. Bu-

Communicating, dating, connecting


Most of us are busy

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Preventing pediatric injuries and illnesses


E
mergency rooms are filled with patients being treated for injuries and illnesses, many of whom are children. In my experience as an emergency medicine physician and pediatrician, I know many of these are preventable. When it comes to keeping children safe, common-sense prevention methods are the most effective way to stop injuries from happening. Here are tips on how to prevent some of the most common injuries and illnesses:
Hillary Goodwin, M.D.

boarding and other similar activities. Its equally important to make sure the helmet is properly fitted and worn at all times during the activity.

Burns
ous injuries from motor vehicle accidents. Child seat recommendations by age and weight can sometimes be confusing, but a helpful summary of guidelines can be found in an online brochure published by the California Department of Public Health at www.cdph.ca.
gov/healthinfo/injviosaf/d ocuments/parentbroch ure-english.pdf.

Limiting infant and toddler exposure to hot surfaces and liquids can prevent painful burns. In addition, staying away from fireworks can eliminate serious eye and hand injuries and the burns we often see related to their use.

children need to understand these risks and follow prevention guidelines. When adults are visiting your home, make sure purses and handbags that have medications in them are kept beyond the reach of toddlers and small children.

child pain at the elbow and inability to use that arm. Unfortunately, these injuries typically require a visit to the emergency room or doctors office, but most of the time can be fixed within a few minutes and dont typically require X-rays.

Physical injuries
Children need to be handled with care. A frequent pediatric orthopedic injury we treat is Nursemaids Elbow, which occurs when a bone in the forearm slips out of position at the elbow. Infants and toddlers have loose ligaments compared to adults. Sometimes, when parents or siblings suddenly pull a toddler out of danger by quickly tugging on the childs outstretched arm, they can inadvertently pull a ligament out of alignment, causing the

Vaccinations
Making sure your child is fully immunized is one of the best ways to prevent certain serious childhood infections. Even though we dont frequently see many of the diseases that were common even at the start of my medical training, they unfortunately have not disappeared. Pertussis, for example, is still very active in our local community and is a particular danger and sometimes deadly to young infants. Making sure all

Poisoning
Locking up medications (prescription and over-the-counter) can prevent accidental child medication overdoses. A common scenario we see is when a child gets into a grandparents or other relatives medications. All adults who supervise

Injuries from motor vehicle accidents


The correct use of seatbelts, child safety seats and booster seats and following the recommended guidelines for child seat selection in a car can prevent many seri-

Head injuries
Many serious head injuries can be prevented by using helmets while riding bikes, skiing, snowboarding, skate-

children and caregivers are up to date on the pertussis (whooping cough) vaccination is important. In addition, there are still outbreaks of measles and tetanus in the U.S., and influenza alone causes many preventable childhood hospitalizations. Even chickenpox, which most consider to be a fairly mild illness, can be particularly dangerous to older unimmunized teens, adults and pregnant women who have contact with affected children. We urge parents and caregivers to use common sense so their children can stay safe and healthy.
Hillary Goodwin, M.D., is an emergency room physician at Kaiser Permanente Roseville Medical Center.

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September 27, 2013

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Caring for children with food allergies


he American Academy of Allergy, Asthma and Immunology estimates that 8 percent of children in the United States have a food allergy. In addition, a little more than 38 percent of these children have a history of severe reactions, and 30 percent of these children have more than one food allergy. There is a difference between food allergy and food intolerance. A food allergy involves the immune system and the risk of anaphylaxis, an allergic reaction, while food intolerance does not. Instead, food intolerance involves the GI tract, and reactions include uncomfortable symptoms such as abdominal pain, nausea, vomiting and

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September 27, 2013

FAMILY LIVING

Supplement to The Press Tribune

Sunil Perera, M.D.

Be sure to talk to your childs care providers, teachers and other adults who regularly interact with your child. Emphasize that an allergic reaction in your child can be lifethreatening and requires immediate action.
restaurants, buffets, ice cream parlors, bakeries and birthday parties or family gatherings. It is important to take special care of children who have known food allergies. Below are some helpful tips to keep your child safe from a lifethreatening allergic reaction. Read all food labels. Be sure to read and understand the disclaimers in food packaging. It is important to know what your child is eating and drinking.
Create an allergy plan with your childs physician or with an allergist if your child has life-threatening allergies to food. This

allergic reaction in your child can be life-threatening and requires immediate action. In addition, ensure that your child knows to ask for help if he or she is having an allergic reaction to food.
Explain food allergy symptoms. Instruct the

diarrhea. Food allergies can cause a variety of problems that range from eczema to life-threatening allergic reactions. Most allergic reactions for children stem from eggs, milk, soy, fish, peanuts, shellfish, tree nuts and wheat. Some of these foods, like peanuts and tree nuts, are used as ingredients in common baked goods or in desserts or salads. They may be hidden and hard to identify when eating at

adults who spend time with your child on how to recognize the signs and symptoms of an allergic reaction.
Consider a medical alert bracelet or necklace for your child. This alert

emergency. Visit the Food Allergy and Anaphylaxis Network. Visit www.food allergy.com for general information about food allergies. Other sites include the American Academy of Allergy, Asthma and Immunology (www.aaaai.org) and American College of Allergy, Asthma and Immunology (www.caai. org).
Sunil Perera, M.D., is a Sutter Health allergist.

may include prescribing emergency epinephrine to carry at all times if your child is as risk for a severe allergic reaction.
Educate others that your child has a food allergy. Be

sure to talk to your childs care providers, teachers and other adults who regularly interact with your child. Emphasize that an

lists your childs allergy symptoms and explains how other can provide first aid in an

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