Monday, January 27, 2020

Teens Tattoos and Piercings: MD’s advised to talk with patients


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In my practice, I work with a lot of teenagers. Most are angry, and often confused, about their feelings and role in society. Regularly, they want tattoos and often are bashing heads with their parents about getting them.
In the last 10 years, the age of children who want a tattoo or piercing has gotten younger. It is common for parents to consent to earrings, especially for their daughters. The conflict often starts when the child, as young as 11, wants a bar across the upper ear cartilage, or a lip hoop, nose bobble, belly button jewelry, or a tongue barbell.
Many parents try to be reasonable and chose to barter, “OK, when you are 13 you can get a small nose ring.” At this point the whining starts, “But why do I have to wait?” “Sarah’s mom let her get a tongue stud.” The incessant whining often comes with tears and tantrums.
In a recent article in MD Edge Pediatric News, the author states:
“Although Dr. Breuner didn’t want her daughter to get the piercing, she knew saying “no” wasn’t likely to stop her teenager any more than it would another adolescent…”
I hear this often. And I agree. Parents need to say, “no” if they believe that, “no” is the correct answer. Unapproved piercings and tattoos may happen, but it is not a guarantee. The important thing is to set the expectation.

If I say no my teen yells and hates me more
OK. Your child does not like the limit setting you are doing. Welcome to parenthood. My question to you, as a caring parent, when will you set a limit? At a tongue piercing? At a nipple barbell? At a penis or labia piercing?

Tattoos, piercing, and/or cigarettes are often a fight for control
Often teens demand permission to smoke, get a tattoo, or a piercing as a way to gain a feeling of control. (Similar to a balding, newly divorced man buying a sports car.) The issue isn’t the tattoo or the piercing it is an attempt at a quick fix. The teen is trying to solve the age-old problem they struggle with, “I want to be taken care of but I also want complete freedom.”
Teens often know what they want but not what they need. I recommend having the ongoing discussion (drama and all) with your teen. Buckling because of your fear of being disobeyed or being yelled at will not help you build a supportive relationship with your child. 
I recommend digging deep into why your teen wants to change their body. What do they expect to change in their lives when they have the new piercing or tattoo? 

I have been told, by teenagers, many deeply held reasons for getting a tattoo or piercing:
  • I want to be noticed
  • I want to be cool/different/feared
  • I want to get a boyfriend/girlfriend
  • I want excitement in my stressful life
  • My favorite answer came from a 15-year-old, profoundly shy boy who had never had a date or held a girl’s hand: I want a tongue stud so I can pleasure girls the way they like to be pleasured.

Please note, the issue often isn't the tattoos or piercings it is the problem the teen thinks the tattoo or piercing will solve.
The following article has lots of helpful ideas and solid information concerning teens, tattoos, and piercings. 


Please let me know what you think by clicking the “comments” below.

Saturday, January 19, 2019

Shark week gets it wrong


I know when it is (cue the music) Shark Week!!!!
I get a few calls every time Shark Week comes around. The caller is a scared TV viewer that has lost sleep because of her fear of sharks. 

I have to worry about sharks!
I try to reassure her that she is safe because she doesn’t live by the ocean. She is usually not impressed by this information. I continue, “We live in Redding, California, a long way from sharks. Plus, Redding is pretty much a desert. In fact, this year Redding is a desert on fire. Sharks want no part of our very hot and dangerously dry environment.
Shark week may be good programing for selling commercials, but it is poor programing in terms of what we should be cautious about. So, let's play a game. Here is an alphabetical list of dangerous animals. See if you can rank this list from most dangerous to shark. That is right, the shark is the least dangerous animal on this list.

Dangerous Animal List/Alphabetical
____ Ants
____ Bees
____ Cows
____ Deer
____ Dogs
____ Hippopotamuses
____ Horses
____ Humans
____ Jellyfish
____ Mosquitoes
13   Sharks
____ Snakes
____ Spiders

Answers below:

01. Humans 
About 17,000 people die due to homicide in the US every year. (Yep, people are animals.)
02. Mosquitoes
About 650,000 people die worldwide every year because of protozoan parasites transmitted to humans by mosquitoes.
03. Hippopotamuses
About 3,000 people are killed a year by these highly territorial, semiaquatic mammals, especially during the mating season.
04. Deer
About 125 people are killed by deer in the US alone, mostly due to car accidents. 
05. Bees
About 70 folks are killed a year by our busy buzzy friends in the US alone due to allergic reactions to being stung. This number includes the bee “cousins,” wasps and hornets.
06. Dogs
About 40 Americans are killed each year due to dog bites. This does not account for the deaths, most often elderly people, who accidentally fall due to their pet dog.
07. Ants
About 30 people a year are killed in Africa because of swarm stinging leading to a deadly allergic reaction.
08 Jellyfish
In the warm waters of the Philippines, about 30 people die from a severe allergic reaction to Jellyfish venom each year. 
09. Cows
About 25 people are killed by bovine.
10. Horses
About 20 people die from horse kicks or from falling off their mount. 
11. Spiders
About 6 people die per year in the US from spider bites. 
12. Snakes
About 6 people die in the US each year due to snake venom. (Most snakes are not venomous.)
13. Sharks
Less than 1 person in the US dies per year from shark attacks. You can up your chances by going to Australia and purposefully swimming in shark-infested waters. (About 3/year).
And for the vegetarian reader that loves coconut, about 150 people die every year due to falling coconuts. 
Stay safe and please use your seat belt. (Cars are very dangerous.)


Please let me know what you think by clicking the “comments” below.

Friday, September 7, 2018

CDC new guideline for diagnosing and managing concussion or mild traumatic brain injury in children

Philip Copitch, Ph.D. ~ Author of Basic Parenting 101: The Manual Your Child Should Have Been Born With




The Centers for Disease Control and Prevention (CDC) has issued the first evidence-based clinical guideline in the United States for

•diagnosing and 
•managing concussion or mild traumatic brain injury (mTBI) 

from all causes in children.

The guideline was published online September 4, 2018 in JAMA Pediatrics.

Friday, June 15, 2018

Study finds a correlation between food allergies and autism spectrum disorder


Researchers looked at almost 200,000 US children ages 9 to 17 years of age. 
The researchers found, “children with food, respiratory, and skin allergies were significantly more likely to have autism spectrum disorder than children without these allergies.”
This is a correlational finding. It means that the two observations occurred, in this case, allergies and autism spectrum disorder, together at a significantly higher level than by chance. It does not necessarily mean that one causes the other.

Read the study in JAMA Network Open

Tuesday, January 23, 2018

4 of 10 Doctors Feel “Burned Out”


“When I grow up I want to be a doctor,” is a common statement heard from children. Our society respects doctors and often pays them well, but on the other side of the equation—the work of a doctor is often long and hard.



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The survey says:
Alicia Ault reports on Medscape Psychiatry, that:

42 percent of doctors say they are burned out with their job
15 percent feel depressed 

Over 15,000 physicians from 29 medical specialties answered the survey.

Medical specialties that are not happy at work:
  • Critical care physicians (48%)
  • Neurologists (48%)
  • Family medicine doctors (47%)
  • Oncologists (39%)
  • Orthopedic physicians (34%) 
  • Ophthalmologists (33%)
  • Pathologists (32%)
  • Dermatologists (32%)
Plastic surgeons reported the lowest level of burn out at 23 percent.
Female physicians report more burn out than their male colleagues.


The survey takers reported that too much bureaucracy and paperwork was the main factor contributing to burnout (56%).

Friday, January 12, 2018

James Randi Educational Foundation - 2017 Award

James Randi Educational Foundation announced today their award for 2017.

The honor was given to Susan Gerbic and her team of "guerilla skeptics" for their work "to enlist and train a team of editors who continually improve Wikipedia as a public resource for rationality and scientific thought."

For more information about the James Randi Educational Foundation see: JREF - Home

Learn more about Guerrilla Skepticism on Wikipedia.

Congratulations Susan and all the Guerrilla Skeptics.