Causes of Swelling In Legs or Arms

walking

Today isn’t March 6, Lymphedema Awareness Day, but clearing up misinformation in a newspaper about swelling in legs or arms. Article says no one knows what causes it.

Thirteen years ago, my mail carrier, Nancy rang my home door bell in New Jersey. She asked if she could discuss a health concern with me.

Her 30-year struggle with swelling in her legs and arms, known as secondary lymphedema, began after she had lymph nodes removed due to a malignant melanoma.

Lymphedema is an accumulation of lymphatic fluid in tissue that causes swelling, most often in the upper or lower extremities of the body.

Despite walking miles daily to deliver mail she noticed the swelling worsened. Her symptoms were misdiagnosed for many years as edema. She never connected it to the lymph node removal she had. She’s not alone. Many people do not realize swelling symptoms can creep up years later.

She did extensive research about her symptoms and finally learned about lymphedema and began getting appropriate treatment.  It was 2005 and we decided if Nancy was misdiagnosed, then many others may be going through the same thing.

Our mission to raise awareness began. Both physicians and patients need to know about it, as misdiagnosis is common. Oftentimes, doctors either dismiss symptoms or say it’s due to water retention, weight gain or edema.

Lymphedema develops when lymph nodes are missing, impaired or removed. Twenty percent of lymphedema sufferers are women.

Women with breast cancer who notice swelling need to be aware of lymphedema.

For breast cancer patients, this chronic condition may happen months or decades later. It can also strike right after surgery. Research indicates over 41 percent of breast cancer patients had lymphedema in arms within 10 years of surgery.

Nancy also asked for my help in designating a Lymphedema Awareness Day. Local, city and state representatives listened. The resolution, sponsored by Assemblywoman Linda Stender, passed.  March 6 is now designated annually as Lymphedema Awareness Day.

She was treated by a lymphedema therapist at JFK Johnson Rehabilitative Institute in Edison, NJ.

Nancy received a Lymphedema Patient Award for her courage and efforts. The National Lymphedema Network was an invaluable resource during this time.

“It makes all the difference in the world when you know there’s an organization that actively supports keeping patients educated and informed.” ~Nancy P.

 

For more information visit http://www.lymphnet.org 

 

Causes ARE known and the following can help you recognize symptoms:

12 Common Causes of Lymphedema

by Rachel Despres

Lymphedema is a condition where the extremities become swollen as a result of damage to the body’s lymphatic system—particularly the lymph nodes. A part of the immune system, the lymphatic system is “a network of vessels that course throughout the body to collect excess fluid as well as waste products,” defines eMedicineHealth.com.Because these excess fluids and waste products are filtered through the lymph nodes, if they become damaged, it can lead to a build up in various parts of the body, resulting in swelling. There are a variety of factors that can cause this damage, which we’ll discuss below, along with the most common symptoms of lymphedema to be mindful of.

Causes of Primary Lymphedema

1. Congenital Lymphedema

Primary lymphedema is rare, and happens as a result of genetic mutations that cause the lymph vessels to develop improperly, “undermining its ability to drain fluid properly,” says MedicalNewsToday.com.

Congenital lymphedema is one such cause of primary lymphedema, and is present at birth. It is “more common in females, and accounts for about 20% of all cases of primary lymphedema,” says MedicineNet.com. The source adds that there is a subtype of congenital lymphedema as well, termed Milroy disease, where the condition occurs as a result of genetic inheritance.

2. Lymphedema Praecox (Meige Disease)

The most common cause of primary lymphedema is lymphedema praecox—also known as Meige disease—and is defined as “lymphedema that becomes apparent after birth and before age 35 years and symptoms most often develop during puberty,” says MedicineNet.com.

The source also indicates that females are four times more likely to develop it than males. And while it most commonly becomes evident during puberty, it’s possible that it may also (or only) occur during pregnancy.

3. Lymphedema Tarda (Late-Onset Lymphedema)

An even rarer cause of primary lymphedema is lymphedema tarda, or late-onset lymphedema. The type gets its name because of when it occurs in a person’s life, typically after the age of 35.

Whereas both congenital lymphedema and lymphedema praecox primarily affects females, the National Lymphedema Network indicates that lymphedema tarda “usually affects both lower extremities in men and women.”

Causes of Secondary Lymphedema

1. Surgery

Secondary lymphedema is far more common than primary lymphedema, and occurs “when a normally-functioning lymphatic system is blocked or damaged,” says MedicineNet.com. A variety of factors can cause a blockage or damage, including surgery.

For example, the Mayo Clinic says, “lymph nodes may be injured in surgery that involves blood vessels in your limbs.” Or, in the case of surgery to treat breast cancer—the most common cause of lymphedema in the United States—the lymph nodes may be removed altogether to stop it from spreading.

2. Cancer or Radiation Therapy for Cancer

It’s not just cancer-treating surgery that can cause lymphedema to occur. Radiation therapy, while effective at destroying cancer cells, “can sometimes damage nearby healthy tissue, such as the lymphatic system,” leading to lymphedema, says MedicalNewsToday.com.

The Mayo Clinic adds that the cancer cells themselves can “block lymphatic vessels,” resulting in lymphedema. “For instance,” the source says, “a tumor growing near a lymph node or lymph vessel could enlarge enough to block the flow of the lymph fluid.”

3. Infection

Secondary lymphedema can also occur because of bacterial infections, fungal infections, or parasites that cause inflammation or damage to the lymph nodes, restricting the proper drainage of the lymph fluid.

Severe cellulitis, for example, “may damage tissue around the lymph nodes or vessels,” says MedicalNewsToday.com, and can lead to scarring that increases lymphedema risk. Infection-related lymphedema isn’t a major concern in North America, though, as the Mayo Clinic indicates it is “…most common in tropical and subtropical regions and is more likely to occur in developing countries.”

Symptoms

1. Swelling in the Arms or Legs

When it comes to symptoms of lymphedema, swelling in various areas of the body is the primary one to be mindful of. MedicalNewsToday.com indicates that it may occur in “either a part or the whole leg or arm, including the fingers or toes.”

At early onset, the NHS says the swelling “may come and go…getting worse during the day and going down overnight.” Without proper treatment, however, it is likely to become “more severe and persistent” over time.

2. Feeling of Heaviness or Tightness in Affected Limb

Although swelling in the extremities is the primary symptom of lymphedema, it is not necessarily the first to occur. According to MedicineNet.com, “Mild lymphedema first may be noticed as a feeling of heaviness, tingling, tightness, warmth, or shooting pains in the affected extremity.“

The source adds that such symptoms “may be present before there is obvious swelling of an arm or leg” and can sometimes be accompanied by tightness in the joints, making them hard to move.

3. Difficulty Fitting Into Clothes and Wearing Jewelry

Along with feelings of heaviness or tightness in the affected areas, someone with lymphedema may also notice early on in the condition that they suddenly have a hard time fitting into their clothes or shoes.

Additionally, they may have difficulty wearing items like watches, rings, and bracelets, finding them too tight against their skin. This is due to mild swelling of the limbs, which can be hard to detect early on with lymphedema.

4. Restricted Range of Motion

Experiencing restricted range of motion is another common symptom of lymphedema. In some cases, it may be a result of tightness in the joints, which can cause affected individuals to have reduced flexibility.

Alternatively, range of motion can also be restricted due to swelling in the extremities, a common symptom of lymphedema that was mentioned earlier. Regardless of the cause, not being able to move the limbs as normal can impact a person’s day-to-day life by making it difficult to engage in exercise or other regular activities.

5. Recurring Infections

People with lymphedema tend to be prone to frequent and recurring infections, particularly of the skin. The National Lymphedema Network explains that this is because when lymph fluid becomes trapped within the body (as a result of damaged lymph nodes), it is “a favorable environment for the growth of bacteria.”

This can be particularly dangerous for those who have had their lymph nodes removed, as the source says, “…infections can progress rapidly and can be severe by the time they are detected.”

6. Hardening and Thickening of the Skin (Fibrosis)

Another common symptom of lymphedema is fibrosis, where the skin in the affected (swollen) area thickens and hardens. In some cases, MedicineNet.com indicates it may even “take on a lumpy appearance described as an orange-peel (peau d’orange) effect.”

Additionally, the source says, “The overlying skin can also become scaly and cracked, and secondary bacterial or fungal infections of the skin may develop.” Other skin symptoms to look out for include: tightness, warmth, redness, itchiness, blisters, wart-like growths, or skin that doesn’t indent when you press on it.

Additional Helpful Information:
WHAT TO KNOW BEFORE TRAVELING WITH LYMPHEDEMA
Today’s article that inspired this impromptu blog:
Mysterious Disease Makes It Impossible To Lose Weight 
https://nypost.com/2018/07/17/this-mysterious-disease-makes-it-impossible-to-lose-weight/
Hope this information helps someone avoid being misdiagnosed for decades.
stayhealthy
contact: maria.dorfner@yahoo.com
Advertisements

Who Knew? Frog Legs Are Healthy Appetizers

frog

When I think of a frog I think of an amphibian, Kermit, a science experiment or Prince Charming.

This weekend, I learn frogs are also a delicacy, when my friend Adam Yenser confidently orders frog legs, right after I order brussel sprouts as an appetizer at the lovely Bayou restaurant in Easton, Pennsylvania.

frogs

Frog legs?!?

I carry on about Brussel sprouts being one of the healthiest foods in the world — a cup a day offers an amazing dose of antioxidants. But frogs?!?

Adam says they’re real high in protein. We knew I’d research it, so we photograph the specimen.  Below is the crispy fried frog baby.

You’d never even know what’s under the bread crumbs if the menu didn’t say FROG LEGS.

Turns out, Adam is correct. Frog legs ARE healthy AND real high in protein. Men’s Health calls them a nutritional powerhouse. Apparently,  frog legs are one of the better-known delicacies of French and Chinese cuisine.

According to Wikipedia, frog legs are eaten in parts of the Southern United States, particularly in the Deep South and Gulf states where French influence is more prominent, including South Carolina, Georgia, Florida, Alabama, Mississippi, and Louisiana. They are also eaten in Eastern states, but not as commonly.

The most common kinds of frogs eaten are bullfrogs and leopard frogs, as these are abundant in most of the country, including the South. Although the consumption of wild native frogs is generally discouraged, the harvest and cooking of invasive bullfrogs, especially in the Western US, has been encouraged as a form of control and to promote local cuisine.[19]

“They are also consumed in other parts of the world, including Vietnam, Thailand, Indonesia, Northern Italy, the Alentejo region of Portugal, Spain, Albania, Slovenia, Romania, the northwest Greece and the Southern regions of the United States. As of 2014, the world’s largest exporter of frogs is Indonesia, also a large consumer.” It’s considered a Paleo meat and is very lean. Who knew?

I was squeamish to taste a tiny sliver, which tastes like real tender, mild chicken.

And it actually can be prepared in a variety of ways: deep fried, steamed, stewed or grilled, crumb breaded or battered.

Here’s more information about the nutritional value of frog legs:

  • Real low in fat, a 100g serving has only 0.3g compared to 3g in similar serving of grilled chicken breast
  • Real high in protein
  • Lots of omega-3 fatty acids, which are good for your brain & heart
  • High in vitamin B12, B6, E, D, A, and some K
  • Rich in iron, copper, zinc, selenium, minerals, potassium, phosphorus, and some calcium
  • Low in calories, a quarter of a similar serving of chicken thigh at 280 calories
  • Taste is mild, like fish or chicken. Now, I’m wondering are these frogs that already died a natural death or are they being killed for consumption? Hmm. I’ll have to find out later.

Four caveats.  First, it’s recommended you use less salt when cooking them. Secondly, they’re not considered kosher.  Despite that, it’s estimated that humans consume up to 3.2 billion frogs for food around the world every year. Wow. That’s one heck of a lot of frogs.

I recall once reading an article in the New York Times about frogs mysteriously dying and vanishing from Costa Rica.  Scientists couldn’t figure out why. They were actually testing them in labs and couldn’t do anything to make them die.

The weird thing is they not only found so many of them dead, but when they returned later, they were gone. I’m thinking they may want to consider murder. Nancy Drew here thinks when you have billions of customers, lots of money is involved.  Think wildlife trafficking. Case solved. You’re welcome.

And I may have just answered my own question above. Oh, it’s not natural causes.

Back to more caveats. Environmentalists urge the restriction of frog consumption, especially those harvested from the wild, because amphibian populations are declining (see? murder!) and frogs are an essential element of ecosystems.

Finally, edible frogs need to be raised in an environment free of toxicity.

I’m not sure how you check how the frog on a menu was raised.  I suppose you rely on the quality of the restaurant you’re in.

Here in Easton, PA  healthy living is a thing, so those were probably healthy frog legs.

healthy

Now you know eating frog legs is healthy! Murdering them is not.

healthy1

 

Maybe one day we’ll be hearing, “A frog leg a day keeps the doctor away!”

frogs

AdamYenser

Until then, I may return to being vegan. Meantime, when Adam isn’t contributing to the murder of high protein amphibian limbs, he’s a comedian and Emmy Award-winning writer for The Ellen DeGeneres Show. A native of Pennsylvania, Adam began performing stand-up at The Upright Citizens Brigade Theatre in New York City. He has appeared on Conan, has written for The Oscars, and has been a freelance contributor to SNL’s Weekend Update. Adam mixes sharp observational humor with a uniquely conservative political perspective and was named Best New Political Comedian at Politicon 2015. He can be seen on Ellen as a correspondent and in the recurring hidden camera segment “Kevin the Cashier Played By Adam.” Adam is a graduate of Penn State University, where he recently returned to serve as a commencement speaker.

The Ellen DeGeneres Show is on hiatus for summer, so he will be performing live next in PA at the Mohegan Sun Wisecrackers in Wilkes-Barre, PA Friday, July 13 and Saturday, July 14 and at The Hamilton in Allentown, PA next Friday, July 20!

For tickets and more information visit: https://www.facebook.com/ComedianAdamYenser/

Of course, I now want to save frogs. I have to find NYT’s article –funny it didn’t even occur to them nefarious humans may be the culprit of disappearing frogs.

stayhealthy

maria.dorfner@yahoo.com

Hidden Global Epidemic: Kidney Disease

Raising Awareness: Kidney disease is a “hidden epidemic” affecting more than 850 million people worldwide, renal experts say.

That’s twice the number of diabetics (422 million) and more than 20 times the number of people with cancer (42 million) or HIV/AIDS (36.7 million).

But most people don’t realize that kidney disease is a major health issue.

“It is high time to put the global spread of kidney diseases into focus,” says David Harris and Adeera Levin of the International Society of Nephrology.

Harris is the group’s president and Levin is past president. They note kidney diseases often cause no early symptoms.

And many people aren’t aware of their increased risk for heart problems, infections, hospitalization and kidney failure.

Chronic kidney diseases (ones lasting more than three months) affect 10 percent of men and nearly 12 percent of women around the world.

Up to 10.5 million people need dialysis or a kidney transplant, but many don’t receive these lifesaving treatments due to cost or lack of resources.

In addition, more than 13 million people suffer acute kidney injury. Some will go on to develop chronic kidney disease or kidney failure.

Levin says, “Using all these sources of data, and existing estimates of acute and chronic kidney diseases, we estimate approximately 850 million kidney patients — a number which surely signifies an ‘epidemic’ worldwide.”

Kidneys remove waste products and help balance the volume of fluids and minerals in the body. They also produce a hormone that tells the body to make red blood cells, the researchers explained.

“Even if many patients with damaged kidney function don’t feel ill, they’re at high risk for other health problems,” says Carmine Zoccali, president of the European Renal Association — European Dialysis and Transplant Association.

Heart disease deaths due to chronic kidney disease are high — 1.2 million cardiovascular deaths were attributed to kidney disease in 2013.

“The number of people with kidney diseases is alarmingly high, but the public is not aware of this reality. These patients have outcomes and kidney diseases impose a heavy financial burden on health care budgets,” says Mark Okusa, president of the American Society of Nephrology.

The annual per-patient cost of dialysis is $88,195 in the United States.

Even though you can have no symptoms, here are 10 to look out for, according to the National Kidney Foundation.

While the only way to know for sure if you have kidney disease is to get tested, Dr. Vassalotti shares 10 possible signs you may have kidney disease.

If you’re at risk for kidney disease due to high blood pressure, diabetes, a family history of kidney failure or if you’re older than age 60, it’s important to get tested annually for kidney disease.

Be sure to mention any symptoms you’re experiencing to your healthcare practitioner.

  1. You’re more tired, have less energy or are having trouble concentrating. A severe decrease in kidney function can lead to a buildup of toxins and impurities in the blood. This can cause people to feel tired, weak and can make it hard to concentrate. Another complication of kidney disease is anemia, which can cause weakness and fatigue.sleeping
  2. You’re having trouble sleeping. When the kidneys aren’t filtering properly, toxins stay in the blood rather than leaving the body through the urine. This can make it difficult to sleep. There is also a link between obesity and chronic kidney disease, and sleep apnea is more common in those with chronic kidney disease, compared with the general population.sluggish2
  3. You have dry and itchy skin. Healthy kidneys do many important jobs. They remove wastes and extra fluid from your body, help make red blood cells, help keep bones strong and work to maintain the right amount of minerals in your blood. Dry and itchy skin can be a sign of the mineral and bone disease that often accompanies advanced kidney disease, when the kidneys are no longer able to keep the right balance of minerals and nutrients in your blood.
    itching
  4. You feel the need to urinate more often. If you feel the need to urinate more often, especially at night, this can be a sign of kidney disease. When the kidneys filters are damaged, it can cause an increase in the urge to urinate. Sometimes this can also be a sign of a urinary infection or enlarged prostate in men.lawyersleaving
  5. You see blood in your urine. Healthy kidneys typically keep the blood cells in the body when filtering wastes from the blood to create urine, but when the kidney’s filters have been damaged, these blood cells can start to “leak” out into the urine. In addition to signaling kidney disease, blood in the urine can be indicative of tumors, kidney stones or an infection.openyoureyes
    6. Your urine is foamy. Excessive bubbles in the urine – especially those that require you to flush several times before they go away—indicate protein in the urine. This foam may look like the foam you see when scrambling eggs, as the common protein found in urine, albumin, is the same protein that is found in eggs.

 

healthy
7. You’re experiencing persistent puffiness around your eyes. Protein in the urine is an early sign that the kidneys’ filters have been damaged, allowing protein to leak into the urine. This puffiness around your eyes can be due to the fact that your kidneys are leaking a large amount of protein in the urine, rather than keeping it in the body.

hearteye
8. Your ankles and feet are swollen. Decreased kidney function can lead to sodium retention, causing swelling in your feet and ankles. Swelling in the lower extremities can also be a sign of heart disease, liver disease and chronic leg vein problems.

walkinggeneric
9. You have a poor appetite. This is a very general symptom, but a buildup of toxins resulting from reduced kidney function can be one of the causes.

eating
10. Your muscles are cramping. Electrolyte imbalances can result from impaired kidney function. For example, low calcium levels and poorly controlled phosphorus may contribute to muscle cramping.

walking4

HOW IS KIDNEY DISEASE DETECTED?

Early detection and treatment of chronic kidney disease are the keys to keeping kidney disease from progressing to kidney failure. Some simple tests can be done to detect early kidney disease. They are:

  1. A test for protein in the urine. Albumin to Creatinine Ratio (ACR), estimates the amount of a albumin that is in your urine. An excess amount of protein in your urine may mean your kidney’s filtering units have been damaged by disease. One positive result could be due to fever or heavy exercise, so your doctor will want to confirm your test over several weeks.
  2. A test for blood creatinine. Your doctor should use your results, along with your age, race, gender and other factors, to calculate your glomerular filtration rate (GFR). Your GFR tells how much kidney function you have.

It is especially important that people who have an increased risk for chronic kidney disease have these tests. You may have an increased risk for kidney disease if you:

  • are older
  • have diabetes
  • have high blood pressure
  • have a family member who has chronic kidney disease
  • are an African American, Hispanic American, Asians and Pacific Islander or American Indian.

If you are in one of these groups or think you may have an increased risk for kidney disease, ask your doctor about getting tested.

 maria.dorfner@yahoo.com

Female Founder Set To Disrupt Billion Dollar E-Learning Industry

amy3

Busy Mom Frustrated with Finding STEM Classes for Daughter Starts Online Learning Platform 

Learning is always healthy, so today we’re excited to tell you about a new way to keep your brain cells sharp. Meet Amy Olivieri, President and CEO of TakeAClass. TakeAClass is an online resource to support academic, recreational, and professional class searches, payment processing, live stream technology, and Classalytics – an event management tool for instructors, schools, and organizations.

It seeks to revolutionize educational options for adults and children by providing access to local and online classes to anyone in the world.

Turns out, the Global E-Learning Market is expected to reach $325 Billion by 2025.

Amy2

Welcome Amy. Tell me more about what prompted you to start TakeAClass?

AMY OLIVIERI: “As a busy mom and professional the last thing I have time for is to spend hours online searching for swim or piano classes for my daughter or a salsa dancing computer class for me. I discovered that when needing to take a class there was no online platform that immediately came to mind. So, I would have to search the internet or ask my friends and family for recommendations. So, I created TakeAClass!

Name is easy for everyone to remember. That’s a major plus right there.

AMY OLIVIERI: “Yes! And TakeAClass takes the drama out of the class search process, making it easy for consumers to find exactly what they want – including fitness, cooking, dance, computer, skydiving classes and thousands of other classes. The idea behind TakeAClass is to organize all the information needed to make an informed decision in one place. We allow consumers to search class listings for free.”

Who can use it?

AMY OLIVIERI: “Instructors, schools, and organizations will have the convenience of listing their classes, which will help increase their visibility and get more students with stunning profiles, photos, class descriptions and schedules.”

What if someone wants to teach cooking or how to knit or play basketball on the site, how does it work? Do they get paid?

We charge a 18% booking fee for every class purchased through our website. There is no monthly subscription. We don’t get paid unless a class is paid for.

AMY OLIVIERI: “Teachers are our class vendors. They get to set their own price for teaching and get paid weekly for all completed classes.”

Let’s say there’s a local kid’s cooking class in town or yoga class for adults and they want to fill those classes locally — can they utilize the site to fill classes?

AMY OLIVIERI:  “Yes. Right now, we’re launching in Houston, Texas. But we will be available everywhere soon.”

Great. What about the person wanting to take the class? Do they pay?

“It’s free for consumers to search through our marketplace of classes. They simply search, find, and buy the class they wish to take.”

You also intend to utilize blockchain technology. Tell me about that.

AMY OLIVIERI: “We seek to take advantage of the exciting blockchain technology by offering global access to education while removing the barriers to pay for it by introducing our own cryptocurrency, which we hope will change the way payments are accepted for academic institutions.”

Amy1

You were raised by a single mother who is now a retired nurse. Tell me what role your upbringing played in what you’re doing today.

AMY OLIVIERI: “My mother instilled in me at an early age that if I wanted to be successful I needed an education. So education was my first passion. She raised two children and worked multiple jobs. She was my first role model and gave me my work ethic. She taught me that I could pave my own path, which gave me the confidence to excel in my professions as an African-American woman in male dominated industries.”

What are some challenges you faced launching it and how did you overcome them?

AMY OLIVIERI: “My greatest challenge was finding trusted service providers who didn’t over promise and under deliver. It’s not easy to find the right team ofpeople who see your vision and are willing to move with that vision to make your idea a reality. And as a female founder of a tech company there are many obstacles you must overcome in this space. I have an amazing support infrastructure that helps me navigate around the challenges and stay focused.”


Part of that supportive infrastructure is from you forming a strategic partnership with KiwiTech, 
where we met.

AMY OLIVIERI: “Yes, we’re pleased to join hands with KiwiTech and view them as the ideal technology partner to help us launch our platform and take it to the next level.”

Explain to our readers what KiwiTech does.

AMY OLIVIERI: “KiwiTech, LLC, is a technology services provider that invests in tech startups. Most recently, they featured their first all Female Founders Demo Day in New York City. As part of the partnership, KiwiTech will provide exclusive technology development capabilities to TakeAClass.”

CEO of KiwiTech says:

“KiwiTech is excited to partner with TakeAClass,” says Rakesh Gupta, CEO of KiwiTech. “Their platform offers consumers fast access to academic and recreational local and online classes. Leveraging our deep domain expertise, we’re committed to helping TakeAClass achieve their mission.”

When do you launch?

AMY OLIVIERI: “We’re real excited to go live Monday, June 25, 2018.

amy3

How can be people sign up for a class or offer one on the site?

AMY OLIVIERI:  Go to:  http://www.takeaclass.com

Thank you, Amy! Congratulations and continued success. You’re a great role model.

Amy2

More About KiwiTech 
KiwiTech provides end-to-end digital technology solutions across a wide range of industries, including publishing, healthcare, media & entertainment, education, financial services, energy and nonprofit & government.

KiwiTech has quickly gained recognition as an innovator by investing in numerous early-stage startups and partnering with large enterprises. Drawing on its deep expertise across mobile and web technologies, KiwiTech enables companies to create groundbreaking digital experiences. KiwiTech is based in Washington DC, with additional offices in New York and New Delhi.

RELATED:

Online Learning Industry Poised for $107 Billion In 2015
https://www.forbes.com/sites/tjmccue/2014/08/27/online-learning-industry-poised-for-107-billion-in-2015/#287eae667103

The $107 Billion dollar industry that nobody’s talking about
https://www.inc.com/john-nemo/the-107-billion-industry-that-nobodys-talking-about.html

Global E-Learning Market 2017 to Boom $275.10 Billion Value by 2022 at a CAGR of 7.5% – Orbis Research
https://www.reuters.com/brandfeatures/venture-capital/article?id=11353

Global E-Learning Market to Reach $325 Billion by 2025
https://globenewswire.com/news-release/2017/02/06/914187/0/en/Global-E-Learning-Market-to-Reach-325-billion-by-2025-Rapid-Growth-in-Online-Content-Digitization-Innovations-in-Wearable-Technologies-are-Flourishing-the-E-learning-Industry.html

Global Online Education Market (2018-2023) by Type, Technology, Vendor and End-User – Market to Reach $286.62 Billion Growing by 10.26% CAGR – ResearchAndMarkets.com
https://www.businesswire.com/news/home/20180226006458/en/Global-Online-Education-Market-2018-2023-Type-Technology

US E-Learning Statistics
https://www.statista.com/statistics/693280/the-self-paced-e-learning-industry-revenue-in-the-us/

 

MEDIA:

To book an interview with Amy or for more info call: (713) 298-6597

Available live in Boston July 1-7, New York City, July 26-27

 

amy3

http://www.takeaclass.com

 

 

 

Coming Up Next…

Female Physician finds flaws in system when she needs to find help for own child. Instead of getting angry, she creates a solution.

Click FOLLOW below to be notified of story.

 

Safety Musts for Kids Around Pools

Sharing this again to raise awareness about pool safety and children.

Deepest condolences to the Miller family after losing their 19-month-old.

LOS ANGELES (AP) — A 911 call reveals people pleading for help as they try desperately to save Olympic skier Bode Miller’s 19-month-old daughter from drowning in a backyard swimming pool. Emeline Miller died at an Orange County hospital Sunday, a day after being pulled from the pool in suburban Coto de Caza. The call was released Tuesday by the Orange County Fire Authority. It begins with a woman screaming frantically, “Hurry,” as a dispatcher asks for the location of the emergency. He’s told Emeline fell into the pool, isn’t breathing and has no pulse. The dispatcher then spends several minutes instructing people gathered around her on what to do until emergency vehicles arrive.

Please click on “view original post” below to read full article.

NewsMD: What's Hot in Health

swim10

Swimming is one of the best cardiovascular exercises. Great for your body AND mind.

pooltime1

 That said, it’s important to do safely, especially if you have kids or there are children around you.

PLEASE make sure to read this if you have any type of pool (even an inflatable) or are thinking about getting one.

There are rules and regulations in each State and it’s YOUR responsibility (not your child or anyone else) to stay safe.

POOL SAFETY REQUIREMENTS BY STATE:

https://patch.com/pennsylvania/peters/residential-pools-require-adherence-to-state-laws-and37599f6bb8

Drowning happens in the blink of an eye.

swim22

Hold your child’s hand when near water. 

swimming25Even if they CAN swim, never ever take your eyes off of them, not even for a second.

swimming13

Swimming lessons should be mandatory in schools. To this day, I meet adults who can’t swim and say they’re “afraid” and “too old now.”  That’s nonsenses. You’re never too old to learn anything.

Remember, it’s never…

View original post 279 more words

Top 10 Safe Tea Brands

tea8

Great news. There are still safe pesticide-free tea brands out there, and my favorite, Yogi tea is on there.

 

Top 10 Safe Tea Brands by Tammy Catania

tea10

Testing Teas for Pesticides

According to a report done by CBC Marketplace pesticides in some tea exceed the allowable limit.

CBC had 10 different teas tested by an accredited lab, the lab used the same testing method as the Canadian Food Inspection Agency.

Half of the teas tested contained pesticide residues above the allowable limits in Canada. As per the test results eight of the 10 brands tested contained multiple chemicals, with one brand containing residues of 22 different pesticides. (1)

But what actually is the allowable pesticide residue in tea? As per the Canadian Food Inspection Agency, it is 0.1ppm. (2)

Other Countries Are Banning These Ingredients

Two of the chemicals that they found are actually in the process of being banned in other countries.

One of the chemicals found was Endosulfan.

This chemical is one of the most toxic pesticides on the market today. It is responsible for many fatal pesticide poisoning incidents around the world.

Endosulfan is also a xenoestrogen—a synthetic substance that imitates or enhances the effect of estrogens—and it can act as an endocrine disruptor, causing reproductive and developmental damage in both animals and humans. (3)

The second chemical they found was Monocrotophos. It is acutely toxic to birds and humans. Being also a persistent organic pollutant, it has been banned in the U.S. and many other countries (4)

Top brands of tea that CBC Marketplace had tested

  • Uncle Lee’s Legends of China – Green tea and Jasmine green tea
  • No Name- Black tea
  • King Cole- Orange pekoe
  • Signal- Orange pekoe two cups
  • Twinlings- Earl grey
  • Lipton- Pure green tea and Yellow label black tea
  • Red Rose – Orange pekoe
  • Tetley- Pure green tea

Out of all the teas that were tested, the only one that came back clean was the Red Rose Pekoe. (Here is the full test report from CBC marketplaces lab.)

Did you know that pesticides have been linked to a wide range of human health hazards, ranging from short-term impacts such as headaches and nausea to chronic impacts like cancer, reproductive harm, and endocrine disruption.

Some of the Acute dangers – such as nerve, skin, and eye irritation and damage, headaches, dizziness, nausea, fatigue, and systemic poisoning – can sometimes be dramatic, and even occasionally fatal. (5)

Some of the symptoms of Mild Poisoning or Early Symptoms of Acute Poisoning are headache, fatigue, weakness, dizziness, restlessness, nervousness, perspiration, nausea, diarrhea, loss of appetite, loss of weight, thirst, moodiness, soreness in joints, skin irritation, eye irritation, irritation of the nose and throat.

 

Another great place to get amazingly healthy, pesticide tea is from Mountain Rose Herbs.

How to Know if Your Tea Is Safe

  1. Look for the certified organic label on the package so you know that your tea was cultivated without harmful chemicals. You can find information on Organic certification here http://www.pro-cert.org/en/tea
  2. You can grow your own herbs and make your own tea.garden
  3. Research the brands you plan on purchasing. The Environmental Working group has many teas and their ingredient and toxic levels listed. Also, they have a great App that you can use when out at a store shopping.tea7
  4. Do be careful of buying tea that is grown in China or India, even if they state they are organic. Here is some information on the pesticide use in India, and here is some information on the pesticide use in China .

tea1

 

Thank you registered holistic dietician, Tammy Catania. Stay healthy!

 

June Is Grass Pollen Month: All You Need To Know!

allergy1

June is key grass pollen month in many areas.

People with seasonal allergies will feel symptoms.

al36

Rain, time of day and temps all affect pollen level.

Google pollen in your city/state, so you’re aware when levels are high.

Today, they’re “Very High” in most areas.

Prevention is BEST, so be sure to make a note of what you can do to avoid allergic reactions to grass.

walking8

What Is a Grass Pollen Allergy?

If your allergies are worse in the spring and summer time, you may have a grass pollen allergy.

Grasses are the most common cause of allergy. Each year, plants (including grasses) release tiny pollen grains to fertilize other plants of the same species. Unfortunately for people with grass allergies, these pollens trigger allergic reactions.

Symptoms of grass pollen allergy include:

  • Runny nose
  • Sneezing
  • Itchy nose, eyes, ears and mouth
  • Stuffy nose (nasal congestion)
  • Red and watery eyes
  • Swelling around the eyes

You may not see the grass pollen in the air, but your body can react to even small amounts.

Many people know pollen allergy as “hay fever.” Experts usually refer to pollen allergy as “seasonal allergic rhinitis.”

grasspollen

What Types of Grasses Cause Allergy Symptoms?

If you have a grass pollen allergy, you may be allergic to more than one type of grass.

There are hundreds of types of grasses, but only a few are responsible for allergy symptoms. Your geographic location may determine which grasses may be responsible for your symptoms.

The most common types of grasses that cause allergies are:

  • Bermuda
  • Johnson
  • Kentucky
  • Orchard
  • Rye
  • Sweet Vernal
  • Timothy

When Is the Grass Pollen Season?

In northern regions of the United States, grasses usually pollinate in the late spring or early summer. In southern regions, grasses may pollinate throughout many seasons and could trigger symptoms throughout the year.

These small, light and dry grass pollen grains are released into the air and can travel for hundreds of miles by the wind.

allergy7

How Can I Prevent Allergic Reactions to Grass?

Here are ten ways you can reduce allergic reactions to grass pollen:

  1. Limit your outdoor activities when pollen counts are high. Check your local forecast and pollen count every day. On high grass pollen count days, aim for some indoor activities like seeing a movie.
  2. Keep the lawn cut short. If possible, ask someone else to mow the lawn. Most grass pollen comes from the flowery top of tall grass. If you keep your lawn short, it is less likely to release pollen. Close all your house windows before someone mows your lawn.
  3. Keep windows closed during pollen season and use central air conditioning with a HEPA filter. This applies both to your home and to any vehicle (car, bus, train, etc.).
  4. Bathe and shampoo your hair daily before going to bed. This will remove pollen from your hair and skin and keep it off your bedding.
  5. Wash bedding in hot, soapy water once a week.
  6. Wear sunglasses and a hat. This will help keep pollen out of your eyes and off your hair. You can also wear long pants if you will be in contact with grasses.
  7. Change and wash clothes worn during outdoor activities.
  8. Dry your clothes in a clothes dryer, not on an outdoor line.
  9. If you have furry pets, wipe their fur off with a towel before entering your home. Also, keep pets out of your bedroom and off your bed.
  10. Start an allergy treatment.allergy10

How Can I Manage My Grass Allergy Symptoms?

The first step is to get properly tested and diagnosed. Once your doctor/allergist knows what specific allergens cause your symptoms, he or she can work with you to create a plan.

There are over-the-counter and prescription pills, liquids or nasal sprays that can help reduce or prevent grass allergy symptoms.

These medicines include antihistamines, decongestants and nasal corticosteroids.

allergy3

Most allergy medicines work best when you start taking them before pollen season begins. This allows the medicine to prevent your body from releasing histamine and other chemicals that cause your symptoms.

However, many people with pollen allergy do not get complete relief from these medicines. This means they may be candidates for immunotherapy.

Immunotherapy is a long-term treatment that can help prevent or reduce the severity of allergic reactions. It can change the course of allergic disease by modifying the body’s immune response to allergens.

allergies1

There are two types of immunotherapy available for grass allergy: allergy shots and allergy tablets.

  • Allergy Shots – Subcutaneous Immunotherapy (SCIT) is administered at the doctor’s office. It involves getting injections of allergens in an increasing dosage over time.During the course of immunotherapy, a person with grass allergy becomes progressively less sensitive to that allergen.

    Patients may experience relief within one to three years of starting SCIT. The most common side effects for SCIT include local reactions at the injection site, such as redness, itching, swelling, tenderness and pain.

    Less common systemic reactions may include generalized redness, hives, itching, swelling, wheezing and low blood pressure.

  • Allergy Tablets – Sublingual Immunotherapy (SLIT) is a more recent form of immunotherapy that can be done at home.It is needle-free, and involves placing a tablet containing the allergen under the tongue for 1 to 2 minutes and then swallowing it.

    Treatment begins prior to the grass allergy season and continues throughout the grass allergy season. By taking these tablets every day, you may reduce your grass allergy symptoms.

    This treatment offers people with these allergies a potential alternative to allergy shots. SLIT tablets also have side effects and some may be serious, which is why it’s important to talk with your doctor about your treatment options.

    allergy8

Both forms of allergy immunotherapy (shots and tablets) are prescribed by your doctor. Talk to your health care provider to get started on your allergy treatment plan.

Courtesy The Asthma and Allergy Foundation of America 

Tomorrow’s Time Change May Change Your Mood

insomnia43
Tomorrow marks the end of Daylight Saving Time –when we turn clocks ‘back’ one hour.

According to Scott Bea, PsyD, of Cleveland Clinic, when it gets darker outside sooner, it can impact our likelihood of developing seasonal affective disorder, or ‘SAD.’

“”Of course we know people in Florida aren’’t going to suffer quite as much,”” says Dr. Bea. “

Research shows the rate of seasonal affective disorder down there is about 1.4 percent, but if you get up to New Hampshire, it’s about 9.7 percent. So where you exist in relation to the equator makes a difference.”

 

Dr. Bea says ‘SAD’ is marked by 3 things:

sleepiness

withdrawal

irritability

 

Research has shown that women tend to suffer from ‘SAD’ about four times as much as men do, but when men develop symptoms, they tend to be more severe.

insomnia33

In addition to longer periods of darkness, the grayness of winter impacts a lot of people.

walking7

About four percent of folks will experience ‘SAD’ during the winter, while another ten percent will get ‘winter blues.’

winter1

Dr. Bea says light therapy works for many people. He suggests getting a light-therapy lamp, sitting in front of it for about 30 minutes every day, ideally in the morning.

sunshine

Starting light therapy as early as October and keeping it going through the spring will provide the most benefit.

winter6

And, if nothing else, Dr. Bea says just getting outdoors more often can help too.

“”What people do is they stay indoors and so they don’t get ordinary light exposure.  One of the problems is we’’re not outside enough, even on a cloudy day, if you’re outside for thirty minutes in the morning, you’re going to get enough light exposure and that seems to make a difference.””

Dr. Bea also suggests creating social obligations – meeting up with other people or perhaps taking up an exercise program – can be beneficial for our mental health during colder months.

walking5

 

Again, to keep smiling through darker, colder weather follow these tips:

  1. GET OUTDOORS, ESPECIALLY IN MORNINGS FOR AT LEAST 30 MINUTES
  2. SOCIALIZE WITH FAMILY AND FRIENDS -LAUGHTER!
  3. MAINTAIN A DAILY EXERCISE ROUTINE
  4. USE LIGHT THERAPY 30 MINUTES DAILY UNTIL SPRING

If you’ve used light therapy in the past, we’d love to hear from you.

There are several brands available on Amazon from small portable ones you can place on your desk for about $39. and ones costing up into the hundreds so if you’ve used one, please let us know if and how it worked for you!

 

Stay healthy!

smile1

 

SOURCE: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4673349/

One Woman Starts Legislation Sweeping Nation To Inform Women Of Dense Breast Tissue

 

nancycappello1In 2004, Nancy Cappello, PhD from Connecticut, was diagnosed with advanced stage breast cancer.

She was shocked as she had no prior risk factors, and normal screenings for a decade.

breastcancer13

“I was shocked my cancer had metastasized to 13 lymph nodes and was the size of a quarter, I asked my team of doctors, with my latest ‘normal’ mammogram report in hand, how could this happen since I just had a normal mammogram.” -Nancy

Each physician told her that her cancer was hidden by the mammogram due to her dense breast tissue.

Dense breast tissue is comprised of less fat and more connective tissue which appears white on a mammogram. Cancer also appears white thus tumors are often hidden or masked by the dense tissue.

As a woman ages, her breasts usually become more fatty. However, 2/3 of pre-menopausal and 1/4 of post menopausal women (40%) have dense breast tissue. 

Additionally, as the density of the breast increases, the risk of breast  cancer also increases.

Radiologists have been reporting a woman’s dense breast tissue to her referring doctor for twenty years.   Most often, that information is not conveyed to the patient.

Displaying heterogeneously or extremely dense breast tissue on a mammogram is considered dense (BIRADS C, D). 

Learn More

NancyCappello2
Amy Colton, Nancy Cappello

“After an extensive search of the literature, which existed for decades before my diagnosis, I learned that 40% of women have dense breast tissue, that mammograms are limited in ‘seeing’ cancer in dense breasts and that there are other technologies, such as ultrasound or MRI that can significantly ‘see’ cancers that are invisible by mammogram.”

When Nancy asked her doctors to report dense breast tissue to women in her community, each of them refused.  

NancyCappello4
Nancy Cappello featured in the New York Times

“My Italian heritage with our tenets of truth and justice immediately kicked in.”

 

Her doctors’ rejection led to action when in 2009, Connecticut became the first state in America to report dense breast tissue to the patient through the mammography report.

NancyCappello3

As of today, thanks to Nancy Cappello’s unplanned advocacy, thirty-one states have a density reporting law and more are pending.

 

Nancy Cappello: One of 8 ‘chemo’ infusions 3 months before 11th NORMAL mammogram

Nancy has since been honored by UNICO at its national convention with the 2017 Americanism Award for her breast health advocacy through the work of her two non- profit organizations, Are You Dense Inc. and Are You Dense Advocacy Inc.

The Americanism award recognizes an Italian-American who has made an enduring impact on humanity which encompasses the cornerstone of UNICO’s foundation.

“When I received notice of this prestigious honor, I bowed to give thanks to my parents and my Italian ancestors, who paved the way for me to relentlessly pursue an early diagnosis for women with dense breast tissue, through the democratic process, turning an injustice to justice for women’s breast health.”

Unico National President Tom Vaughn, Nancy Cappello and her husband Joe, Francine Nido, Unico’s National Secretary

Check out the following map link to find out if your state has a law and updates:

http://www.areyoudense.org/news-events/density-reporting-bills-spread-across-country/

NancyCappello5

For More Information on Nancy’s incredible advocacy work please visit: http://www.areyoudense.org

NancyCappello6

So much valuable information for women on http://www.areyoudense.org

 

Thank you, Nancy!

 

UPDATE:

BREAKING HEALTH NEWS:  Senators Dianne Feinstein (CA) and Dean Heller (NV) and Representatives Rosa DeLauro (CT) and Brian Fitzpatrick (PA) introduce a national bill requiring physicians to notify patients whether or not they have dense breast tissue.

On Twitter: Representative Mike Rohrkaste  and Senator Alberto Darling  introduce bill in Wisconsin to prompt patient notification if they have dense breasts, which increases cancer risk.

#NotifyMeNow

Helping Kids Cope After A Tragedy

talkingtokids

By Dr. Robin F. Goodman

With the horrific tragedy in Las Vegas, a 24 hour news cycle, and wide access to social media kids are more on top of current events more than ever before. Parents have a tough job when scary things are in the news. But there are some general guidelines to keep in mind when tackling such topics. Below are some brief tips:

 

·        Be honest.

·        Be age appropriate.

·        Be attentive and listen to their specific worries.

·        Be aware and review your own family safety plans

·        Be careful managing your own fears.

·        Be comforting and focused on the here and now.

 

talkingtokids2

We have all been struck by the tragic events in the news and offer the following suggestions to the adults who will guide their children.

Talk to your children: Start with a general statement or question then listen to what they say or ask. Look for opportunities to check in more than once.

Be honest: Use age appropriate language, share basic information, and correct misinformation. It’s OK to say “I don’t know” and focus on what you do know.

Reassure: Using routine and structure to reassure children they will be all right, you are all right, and things in their world will continue. Remind them of the people that take care of them and how to get help.

Return to the familiar: Getting back to familiar tasks and distracting or even fun activities provides balance and perspective.

Use media sense: Turn off or limit TV viewing especially for little ones. Monitor what news and social media children and teens are watching or using.

Model coping: Adults have feelings and can help children by modeling appropriate ones and especially how to cope with upset or sadness in healthy ways.

Encourage expression: Children may more easily express their thoughts and feelings in pictures, music, play and poems. Be careful not to press for details but rather validate how they feel and problem solve ways to feel better.

Stay connected: Being connected to others – friends, family, a faith community – can be especially healing and powerful when feeling upset, overwhelmed and alone.

Provide comfort: Hugs – given and received – help everyone, young and old.

Find the good: Look for stories of hope. Cope with kindness. When able, be the hope – reach out a hand, offer help, care for others day to day.

 

Dr. Goodman, a licensed clinical psychologist and art therapist, with particular expertise in trauma and bereavement, was clinical director of the New York City Children’s Grief Connection. She has published, taught and lectured in the United States and abroad. Her credits include more than 100 online articles and five books.

Her Caring for Kids after Trauma and Death: A Guide for Parents and Professionals, was used throughout the country following 9/11 and the war with Iraq. She was a clinical associate professor of psychology at NYU School of Medicine, and while at the NYU Child Study Center was Director of Bereavement Programs and co-directed a research and clinical program for children bereaved after 9/11. She has been a frequent on-air contributor to national and local media.

She can be reached at (917) 757-1286

For More Information visit:

https://www.acaringhand.org/single-post/2012/12/16/Helping-Children-After-Tragedy

 

Talking to Kids About Tragic News Events

​​

After any disaster, parents and other adults struggle with what they should say and share with children and what not to say or share with them.

The American Academy of Pediatrics (AAP) encourages parents, teachers, child care providers, and others who work closely with children to filter information about the crisis and present it in a way that their child can accommodate, adjust to, and cope with.

Where to Start – All Ages

No matter what age or developmental stage the child is, parents can start by asking a child what they’ve already heard. Most children will have heard something, no matter how old they are. After you ask them what they’ve heard, ask what questions they have.

Older children, teens, and young adults might ask more questions and may request and benefit more from additional information. But no matter what age the child is, it’s best to keep the dialogue straightforward and direct.

Avoiding Graphic Details & Exposure to Media

In general, it is best to share basic information with children, not graphic details, or unnecessary details about tragic circumstances. Children and adults alike want to be able to understand enough so they know what’s going on. Graphic information and images should be avoided.

Keep young children away from repetitive graphic images and sounds that may appear on television, radio, social media, computers, etc.

With older children, if you do want them to watch the news, record it ahead of time. That allows you to preview it and evaluate its contents before you sit down with them to watch it. Then, as you watch it with them, you can stop, pause, and have a discussion when you need to.

Children will generally follow good advice, but you have to give them some latitude to make decisions about what they’re ready for. You can block them from seeing the newspaper that comes to the door, for example, but not the one on the newsstand. Today, most older children will have access to the news and graphic images through social media and other applications right from their cell phone. You need to be aware of what’s out there and take steps in advance to talk to children about what they might hear or see.

Talking to Very Young Children

The reality is that even children as young as 4 years old will hear about major crisis events. It’s best that they hear about it from a parent or caregiver, as opposed to another child or in the media.

Even the youngest child needs accurate information, but you don’t want to be too vague. Simply saying, “Something happened in a faraway town and some people got hurt,” doesn’t tell the child enough about what happened. The child may not understand why this is so different from people getting hurt every day and why so much is being said about it. The underlying message for a parent to convey is, “It’s okay if these things bother you. We are here to support each other.”

Talking to Gradeschool Children & Teens

After asking your child what they have heard and if they have questions about what occurred during a school shooting, community bombing, natural disaster, or even a disaster in an international country, a parent can say something such as:

“Yes. In [city], [state]” (and here you might need to give some context, depending on whether it’s nearby or far away, for example, ‘That’s a city/state that’s pretty far from/close to here’), there was disaster and many people were hurt. The police and the government are doing their jobs so they can try to make sure that it doesn’t happen again.”

A parent can follow-up as needed based on the child’s reactions and questions.

Talking to Children with Developmental Delays or Disabilities

Parents who have a child with a developmental delay or disability should gear their responses to their child’s developmental level or abilities, rather than their physical, age. If you have a teenage child whose level of intellectual functioning is more similar to a 7-year-old, for instance, gear your response toward her developmental level. Start by giving less information. Provide details or information in the most appropriate and clear way you can.

Talking to Children with an Autism Spectrum Disorder (ASD)

What’s helpful to a child with an ASD may be different. For instance, the child may find less comfort in cuddling than some other children. Parents should try something else that does calm and comfort their child on other occasions. Ask yourself, “Given who my child is, his personality, temperament, and developmental abilities, what might work for him?”

Signs a Child Might Not Be Coping Well

If children don’t have a chance to practice healthy coping, a parent may see signs that they’re having difficulty adjusting. Some of things to look for are:

  • Sleep problems: Watch for trouble falling asleep or staying asleep, difficulty waking, nightmares, or other sleep disturbances.
  • Physical complaints: Children may complain of feeling tired, having a headache, or generally feeling unwell. You may notice your child eating too much or less than usual.
  • Changes in behavior: Look for signs of regressive behavior, including social regression, acting more immature, or becoming less patient and more demanding. A child who once separated easily from her parents may become clingy. Teens may begin or change current patterns of tobacco, alcohol, or substance use.
  • Emotional problems: Children may experience undue sadness, depression, anxiety, or fears.

Sometimes it can be hard to tell if a child is reacting in a typical way to an unusual event or whether they are having real problems coping, and might need extra support. If you are concerned, talk to your child’s pediatrician or a mental health professional or counselor.

Don’t wait for the signs. Start the discussion early, and keep the dialogue going.

Additional Information on HealthyChildren.org:

​​Additional Resources: