What I Remember and Why It Matters: A 1978 Child EMS Transport

St. Petersburg, FL., the year was probably 1978 or 79. My partner and I had responded to a drowning in a large apartment complex at the north end of town. When we arrived we found a bunch of people doing or trying to do CPR. While we were getting into position to take over care a news crew arrived and began to film the action- the cameraman positioned right behind me.

The child was blue and just had that look and feel. The outcome was not going to change and it was not right that it was being filmed- solely for the benefit of the TV station. Somehow when I stood up I bumped into the cameraman and into the pool he went.

Fencing could have, would have prevented the death of this child. Parental oversight could have, would have prevented the death of this child. These were not the only mistakes to be made. We put the child on the stretcher and began the very long trip to the hospital.

We did not secure the child in any special way to the stretcher. We never had any means to do so and nothing bad ever happened. Each time we transported a child back then, we did so either using the stretcher or more commonly held the baby in our arms- as though we could hold onto a 30 pound baby in a high speed collision. But we did it time and again and nothing bad ever happened.

That’s not to say that there could not have been a catastrophic outcome from the transport – it just never happened – to me.

Back then we were not taught any better and frankly did not know better. Back then the world was a lot larger. We did not know what happened across the country or the world like we do today- only ‘major news’ received that level of exposure. And the fact that we did not believe anything bad would happen kept us from seeking change or improvement. As a society we have enacted universal laws that govern how we transport children in ordinary vehicles. We made these changes because bad things do happen. Emergency vehicles are the same as other cars- only riskier- they run red lights and go fast. We need to adopt the same laws as those that apply to all vehicles

How children are transported today is about the same as it was back then and largely for the same reason- we take a risk and nothing bad happens.

There are those who advocate for safer transport of children and infants and some states have enacted legislation to require safe transport equipment for emergency vehicles. Most people just assume that EMS, 911 responders, know what to do and do the right thing.

So what is the moral to this story? We often get angry when bad things happen and lash out in the wrong direction. Hindsight is most often crystal clear but too often we fail to use this vision to change the future.

* Learn CPR *
* Insist that all states require EMS vehicles to carry and use approved child and infant transport equipment *
* Ask questions and get involved *
* No Excuses*

How Important is Orthodontics When They’re Young…Really??

The ability to treat your child using a technique called “expansion” is one of the biggest benefits to early orthodontics. As its name suggests “expansion” means expanding the bone with orthopedics to allow room for the teeth. When you have a cross bite or severe crowding it often affects other normal processes. When we are able to expand the arches, it helps create a bigger airway, normal swallowing and better aesthetics.

There many other reasons why it is important to have your son or daughter’s orthodontic expansion work done early in their childhood

  • Their self esteem is certainly a factor to consider early on as this can be a source of teasing with their peers.
  • Beyond the emotional factors there are many physical and health factors that make an even better argument for having expansion orthodontics at a young age.
  • There are also times where expansion can prevent the necessity of orthodontic treatment later in your child’s life. When we can successfully expand the upper and lower arches, it often reduces the amount of time kids have to be in treatment or may even prevent the need for braces down the road.

Signs that your child might need expansion:

  • When lower teeth are on the outside of the upper teeth while biting
  • Over crowding of teeth
  • Even thumb-sucking

Dentists can typically start this type of treatment as early as 6 and it is commonly done up to the ages of 12 or 13. Don’t put off asking your dentist important questions about your child’s teeth. It could change the course of their treatment saving you money and your child extensive orthodontic work down the line.

Happy New Year!

Can Your Lovable Pup Help Your Child Grow Educationally?

Last month we talked about the value of a child with special needs having a service dog with them in the classroom at all times. We also talked about some of the pro’s and con’s for the child without disabilities. But what if there was an area that your child struggled with that maybe wasn’t severe enough to require the services of a full time, highly skilled and trained animal? Can your every-day run-of-the-mill pup still be able to help your child in educational ways? In many cases….yes!!

As adults, we all have our strengths and weaknesses, just as children do! The difference is, our weaknesses are not often exposed, all day, every day, to our peers. Imagine how difficult it would be if you worked in an office, with the same people right next to you, no cubicles or dividers between you and them, and part of your job was a task that you had to perform daily, that you really struggled with…. Yet it seemed to come so easily and naturally to all those around you. How frustrating would that be? How embarrassing? Sure, you could ask for help; but that would get old, really fast…. Especially if it was something that you just ‘didn’t get’.

I know from personal experience, having struggled with learning disabilities, especially with numbers and math, how trying this can be… and what a hit my self esteem took time and time again! (I remember being a child sitting in the classroom and they were going up and down the rows, each child taking the next math problem in the book, trying to very quickly figure out which would be mine, so I could work it out before it was my turn and avoid looking foolish. This rarely worked and, being in a panicked state, quite often I miscounted and worked on the wrong problem…. And felt like an idiot anyway!)

As an adult, I have learned to kind of make light of it (I tell my clients, “Boy, I wish my talent with the dogs transferred to other areas of my life, like Math and a sense of direction!) For me, that statement always lessens the embarrassment when writing out a receipt for a client, when I cannot do the simple math to add it up in my head…. And forget about adding on the tax! But after that statement, I can grab a calculator. Tools like that aren’t always available when you’re a kid.

And let’s face it…. School is a tough place at times! Kids can be horrible…. Especially once they see a weakness in another child…. That child can suddenly become an easy target for taunting and bullying! And in that kind of atmosphere is it any wonder the child will become more insecure and not want to ask for help?

In 1999, a group in Minnesota called Intermountain Therapy Animals (ITA) who specialized in providing animal-assisted-therapies in the areas of physical, occupational, speech, psychotherapies, as well as special education developed and launched a program called R.E.A.D. (Reading Education Assistance Dogs.) The premise and purpose behind this program was to provide a safe environment where a child can sit down and read out-loud to a dog without any fear of judgment or ridicule. The immediate successes they saw encouraged the growth and popularity of this program, and the organization quickly branched out to include visits to numerous libraries, schools, and many other venues. It has helped thousands of children to improve their reading and communication skills. Here is a link to their site, which can obviously explain everything they do a bit better than I can, and they also provide a calendar of events (click on the ‘ATTEND” box on the right hand side of the screen) where you can see if they are going to be in your area… http://www.therapyanimals.org/READ.html

On this site are also numerous ‘how to’ videos where they show you what you can do if you would like to become a ‘R.E.A.D. owner/handler volunteer team’ in your area. But I want to simplify it a bit and mention a few things you can do to see if your own personal dog can accomplish this task for your child at home.

I want to mention here that although the program itself is very familiar to me, the ins-and-outs of how it works were not, so this has been a wonderful learning experience for me as well! All of the tips and feedback I am going to give you are a culmination of my training skills and experiences, mixed with highlights from the many videos I have watched that came directly from this organization. As I mentioned before, I wanted to simplify this so that you can see if your dog is a good candidate to provide this service for your child, and if so, how to best accomplish this task.

So to begin with, Part One would be to see if your dog can possess the skills needed to help your child. (I recommend doing this when your child is not around. If it turns out your dog is not a good candidate for this, we do not want to raise your child’s hopes and then have them disappointed.) What are those skills? According to the ITA videos, the basic skills required are:

  • A firm “DOWN/STAY” command
  • The ability to lie still for however long you choose to hold your reading ‘sessions’ (note: If your dog is not good at staying still for an hour at a clip, do not be discouraged and think this will not work for you. Try shorter durations.) This is important because we want to set up an atmosphere of a non-judgmental space for your child. If they are embarrassed already about their reading skills, or have ever been teased because of their reading difficulties, the dog getting up and walking away may be interpreted by your sensitive child as a form of rejection.
  • A good “Touch” command. This is important because it helps your child to really feel like the dog is involved in the reading when your dog periodically ‘touches’ the page with their paw or nose. This task becomes especially valuable when your child comes to a word they are having difficulty with or do not understand. You can signal the dog to touch the page, and then say something like, “Fido is having trouble understanding what that word is. How about we look it up so we can explain it to him.” Again, this is a very non-judgmental way to help your child….. Similar to when child therapists use dolls to help children speak about difficult things without it being in the ‘first person’.
  • A not-so easily distracted dog. This kind of goes hand in hand with the solid DOWN/STAY. It is very important because again, the last thing you want is your child sitting down to read with the dog, someone walks by, and the dog gets up and leaves. Again, we do not want to risk your child feeling not-important or rejected by the dog in any way, which can happen if the dog suddenly gets up and leaves.

Part Two – what skills and tools do you personally need to work with the dog and your child?

  • Patience
  • A sense of humor
  • A non-perfectionist attitude (remember, we want to encourage, not discourage! So ITA recommends it is very important that you not get ‘bogged-down’ on mistakes and be careful of the way your correct them.
  • Do not be over-exuberant in introducing this concept to your child. While this may be an exciting new venture, I encourage you to first work with your dog consistently when the child is not around until you are relatively comfortable that this will succeed. Again, we do not want to raise your child’s hopes, and risk them feeling like this is their failure if the dog is not appropriate for this task.
  • A PLACE set up specifically for this task. A private room or corner can work. A place where there are no distractions such as people going by, phones ringing, TV’s on in the background, etc. In this space you can set out blankets, pillows, sleeping bags, a lamp, a bookshelf with plenty of books you will take on together…..whatever you would like that does not cause distractions, but will be a comfortable place for you, your child, and your dog to work in. Make sure this place always remains the same, and is SOLELY used for this specific task. Remember that dogs and children both respond well to familiarity and routines. If this place is only used for this purpose, your dog will always automatically know what to expect and how to behave while there.
  • Plenty of children’s books. Make sure they are appropriate to where your child’s skills are at. You do not want to use material that is too advanced, causing frustration for them. At the same time, you do not want to use books they may see as ‘babyish’. It will insult their intelligence and possibly make them feel that you think they are stupid. While you know your child is not stupid, if they have been previously made to feel that way by other kids, the last thing you want is for them to believe you think that way of them! Also, when choosing your books for them and your ‘place,’ pick numerous books about subjects and topics they are interested in. For example, start off with books about dogs.

So, you have now determined that you and your dog both have the skills needed to help your child, now it’s time for Part Three – very important – practice this consistently when your child is NOT around. Call the dog over to the ‘space’ you have created, get them into the DOWN/STAY, pull out a book, and start reading. The ITA also recommends adding a “LOOK” command to this. They state that it really helps your child to feel like the dog is very involved, and it is a simple task to teach!!

Before calling your dog over to the space, insert small treats into numerous pages of the book. Every time you get to a page with a treat in it, you say the command “LOOK!” and allow the dog to take the treat from the book. This essentially conditions your dog to expect something good to be on the page and to use his nose to ‘look’ for it every time you say the word “Look”. But again, this must be accomplished before your child joins you in this. You want your child to believe the dog is really involved…. Not that the dog is looking for a treat or reward!

Once you are sure you have done all the necessary foot-work needed to successfully accomplish this, invite your child to join you. You can say something like, “You know…. The other day I was reading out loud and I noticed that Fido seemed to really enjoy it!! I think it might be fun to see if this was a fluke, or if he really likes being read to!” or something along those lines. You know your child best, and what would peak their interest in being open to trying this. Keep the session relatively short in the beginning…. 10 or 15 minutes at most. Make it fun, be enthusiastic, laugh when the dog paws the page, you can even act surprised at how involved the dog is!! And always end the sessions on a positive note…. Such as, “WOW! You and Fido did amazing!!! I think he deserves some treats…. And you should be the one to give it to him!!” Make sure you use words like ‘teamwork’ (ie: “What a great team the two of you make!” This will be very encouraging to a child that was initially ostracized and made to feel separate or not a part of.)

And the last thing (which can also be the hardest part) once you have established this new and exciting journey with your child, try not to make this a ‘if you don’t do this, this will be the consequence’ type of thing. We want this to always remain an enjoyable thing for your child. I know firsthand when I do something I enjoy, once it becomes mandatory, I often quickly lose interest. So think about different ways to keep your child interested and engaged. Here are a couple you might want to consider:

  • Weekly trip to the library with your child to pick out a new book she and Fido might enjoy reading together
  • To keep it light and fun, make a sign out of some of the more difficult words your child figured out and/or looked up during the week’s readings, and then plan a ‘treasure hunt’ trip to locate those items and label them with the sign your child made. Be willing to be silly with them! If the word was “Mother”, go along with it and wear the sign!
  • Find and set aside some “special treats” – for your pup and for your child that they get to enjoy together.
  • Anything that makes this a special time your child looks forward to.

With both kids and dogs, there is no such thing as a ‘cookie-cutter’ way to learn! Each kid learns and responds differently… So if you have some additional ideas for us to try, please add them to the comments below!! We’d love to hear your ideas!

Erin’s Law: Teaching Children to Recognize & Avoid Sexual Abuse

In October 2011, New York State announced it would join the ranks of those states to introduce a bill entitled Erin Merryn’s Law. The measure would require schools to make a change to their existing curriculum for child abduction to include child sexual abuse prevention. This alteration would give critically important information to victims – many of whom do not know there is a way out of their horrific situation. As a child, Merryn was abused by both a neighbor and a family member. She says she stayed silent due to a combination of threats from her abusers, and the lack of knowledge about available help. If passed, New York would become the third state to enact Erin Merryn’s law, following Missouri and Merryn’s home state of Illinois.

In light of recent events at our nation’s universities, parents should continue to be vigilant about teaching child sexual abuse prevention in the home. By age three, children should be taught that their bodies have private parts and no one is to touch those parts (with the necessary medical and hygiene exceptions). Of course children should be taught the correct terminology for their body as nicknames can be confusing and delay a disclosure. The following are some tips that are often overlooked:

  1. When someone tickles a child, if the child says No, all tickling should cease. Children need to know that their words have power and No means No.
  2. Teach children that it is OK to say No to an adult. Without permission from you, many children may be reluctant to do so even if the adult is doing something that makes them feel uncomfortable.
  3. Teach children that all of these lessons apply to other children as well. If another child is touching your child in a way that makes him or her uncomfortable, teach your child to say No, get away and tell someone.
  4. Be careful with the language you use when speaking with children. Avoid saying things such as “Have a good day and do everything your teacher tells you to do.” Children are very literal and need to be told that they should not listen to someone who is telling them to do something that might be harmful to them or to someone else.
  5. Let your child decide how they want to express affection. If they do not want to hug or kiss Grandpa goodbye or sit on Santa’s lap, do not force them. You take away their power over their own body if you force them to be demonstrative in their affection. Children need to be taught their body belongs to them.
  6. Teach children to respect the privacy of others. They should learn to knock on doors that are shut before opening them and close the door to the bathroom when they are using it. If they learn to respect the privacy of others, they may be more likely to recognize that an invasion of their privacy could be a red flag meaning danger.
  7. Use your poker face. Encourage your child to come you if they have questions about anything. Avoid looking shocked or embarrassed by the question. Children who sense their parents’ discomfort will be less inclined to approach the parent next time he or she has a question.

The U.S. Centers for Disease Control and Prevention estimate that 1 in 4 girls and 1 in 6 boys is sexually abused by age 18 in the United States. 93% of the abuse happens at the hands of those entrusted with the care and protection of the child. With the passage of Erin Merryn’s Law, critical information will reach every child in New York State.

Is your state advocating for the welfare of children?

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Editor’s Note: Erin’s Law passed in New York in August 2019. On passage, they became the 37th State to mandate that K-8 students get at least an hour a year of instruction on how to spot the signs of child abuse or exploitation. Often described as teaching “good touch, bad touch,” the idea is to help youngsters distinguish between an adult who is simply being compassionate and who is being sexually abusive.

Thank you New York for working to keep kids safe!