Doc’s 7 Tips for a Safe & Happy Holiday Season

Cute Kid Girl In Glasses Thinking About Gift On Christmas HolidaMy daughter the anthropologist tells me that celebrations solidify relationships between people within a community, give them hope for the future, and serve as rights of passage.

These are excellent goals to keep in mind as you enter into the holiday insanity. What you want this season to mean to your children throughout their lives?

Do you want them to be involved in your community with its rich heritage and history? Emphasize that. Tell stories, act out events and celebrate your history. Help out people who are less fortunate.

Do you want holidays to strengthen family bonds? Put family first. Limit the decorating and shopping and work events, and hang out at home. Make gifts for each other, bake cookies and play games.

If you want holidays to be about joy, be joyful. Foster realistic expectations, appreciation for what they have and genuine values. Develop traditions that are more about time together as a family and less about how much stuff they get. The memories they keep forever will be the little things: sharing a bowl of popcorn while watching an old movie; reading a book while Mom or Dad runs fingers through their hair. Few people remember what they received for Christmas last year. They do remember that walk on Christmas Eve admiring the sparkling lights, tasting cookies straight out of the oven, and the look on Grandpa’s face when he got that homemade penholder.

Gifts

It’s tempting to get your children all the things they want for the holiday just to see them smile, but where do you go from there? Maniacal happiness is not joy. It cannot be sustained over time. Add to that that you have created unrealistic expectations for all the other holidays in their future. And the storage needs!

Restrain yourself. If holidays are about family time, board games, and baking cookies it is possible for holidays later in life to be happy. If holidays are about how much money was spent and how many new toys they received, how can real life ever work out? Bigger and better toys every year? That was not the goal.

If you can afford it, get them one or two of the things on their lists. Make them the ones they can create with, the ones that make them use their brains and bodies and talent. Add on some little things that are fun to open. Let little ones play with the boxes and bubble wrap. Then focus the day on family.

The Insanity

Don’t let holidays overwhelm you. There are so many expectations that no one can possibly meet them all and have any joy left. There are special foods that need to be prepared, special clothes that need to be bought, decorations, gifts, traditions to be followed, parties, travel, family… eeek! Weed out the excess so there is room left for joy, relaxation and rejoicing in whatever you were celebrating.

Before you decide to spend money on gifts or travel, be realistic about what you can afford. What did you get for your last birthday? Don’t remember? No one does. What people do remember is the conversation, the hugs and the warmth. Those are free. Take dollars out of the experience as much as possible and you won’t end up with a credit card bill for a present that was discarded six months ago. Don’t try to keep up with the people who have that bill and you won’t be laying awake at night and fighting with your spouse instead of relaxing snuggled up with hot chocolate.

Tune down the stress. Not spending more than you can afford will eliminate a huge amount of stress. Next, stop worrying about what other people think; they’re too busy worrying about what you think to care anyway. Keep to routines as much as possible. Sit down for meals; take some time to focus on each other. Step back from the hysteria and think about whether your progeny will actually play with that new doll or just stuff it in a corner, and whether you really need to travel or attend all the parties. Take some quiet time and relax. The world will not collapse if you skip a party or miss the line for the “it” gift. It will collapse if your child is so exhausted and stressed that he or she has a melt down.

Health

Keep healthy. The week after a holiday is always busy at my office. I make lots of money from airplanes crowded with sick people and stores packed with germy carts. Get enough rest, and hydrate. Use hand sanitizer. Eat as healthfully as possible–avoid fast foods, throw in some fruits and vegies. Hide the caffeine and limit alcohol. Get a flu shot. Nothing can destroy a holiday quicker than a trip to the ER.

  • Avoid injuries. Most holiday injuries have nothing to do with the particular holiday, but everything to do with people being so busy that they are not as watchful as usual. Sports are more dangerous when we want to impress cousins. Teenagers tend to get more reckless during a celebration, and young children sneak away quickly. Most holiday injuries are from everyday activities and household objects made dangerous by the holiday craziness.
  • Chokings and poisonings are popular. The one I see most is an overdose on Grandma’s meds. At Grandma’s home they are left on countertops; at your home they are in her purse. A left over drink is a common way to poison children. A little alcohol can drop a child’s blood sugar and throw him or her into a coma.
  • Toddlers will put anything in their mouths. Unfortunately this means that everybody needs to pick up their stuff. Items over 1¼ inch in diameter are generally safe. Smaller items than that can go straight into their gut or lung. The most dangerous items to swallow are batteries and magnets; the most dangerous to choke on are grape sized (older children’s toys, hard candy) or stretchy (balloons, plastic bags, marshmallows). Clean up!
  • Holidays also provide a banquet of things to irritate children’s allergies. Live trees indoors, foods, cigarette smoke, wood fires and other people’s homes and pets come to mind. Avoid them if your child has allergies.
  • Fires and electrical injuries are especially common during holidays. Decorations can be flammable, old Christmas trees will be dry, and space heaters, candles and fires are commonly nearby. Frayed and loose wires easily start fires. Keep your eyes open for dangers.
  • Use your common sense during celebrations. If it doesn’t seem safe, don’t let people pressure you into it. Feel free to let watching your kids take precedence over seeing Uncle Joe’s trophy or Aunt Mary’s vacation photos. “He’ll be fine” doesn’t make him fine. Keep an eye on him, or her.
  • Feel free to be rude and head for home when the kids get tired, if a situation feels out of control, or if your child is being exposed to something you aren’t happy with. Use the munchkin’s youth or fatigue as the excuse for you to head home, relax and read a bedtime story.

Remember that the point of celebrations is to solidify relationships and give hope for the future. Get there by focusing on your history, rejoicing in your present and not sabotaging your future. Don’t go crazy with gifts: they don’t teach your children anything you want them to learn and the financial stress will eat away at that joy and hope you were dreaming of. Pick fewer things to do, and do them together. Be safe and stay healthy.

Trendy Poisons for your Kids

tidepod-01Kids always seem to find new and interesting ways to hurt themselves, intentionally or accidentally. Poisoning is the #1 or #2 cause of injury death annually, fighting for that honor with car accidents. The annual numbers on poisonings are out (thank you, Annals of Emergency Medicine). The new winners are opioids, laundry detergent packets, bath salts, synthetic cannabinoids, and energy drinks.

Opioids are the traditional first place winner for deadly poisonings, and they are in that spot again this year. 90% of poisoning deaths involve drugs, and opioids are involved almost half the time. Opioids include all of the narcotic painkillers. They are intentionally abused because of the euphoria they induce; they are also accidentally ingested because people keep them laying around the house on countertops and in purses. When taken in high enough doses, the kids who took them forget to breathe; when taken chronically they are addictive.

The new second place finisher is laundry detergent packets. They are a problem because they are more concentrated than traditional laundry detergent, and can cause nausea, vomiting and sedation when taken by mouth, and irritation when put in contact with skin and eyes.

Bath salts” have been popular since 2010. They are substituted cathinones (stimulants) which cause disorientation, extreme paranoia, and violent behavior. In 2012 there were 994 reported exposures and 16 deaths. They are called bath salts because they resemble Epsom salts, but are also known as plant food, ivory wave, vanilla sky, and bliss.

Synthetic cannabinoids (man made marijuanas) are common now and have an added level of danger above Mother Nature’s version. Kids have anxiety attacks, psychosis (loss of contact with reality), rapid heart rates, and seizures. In 2012 there were 5225 reported exposures and 6 deaths. The kids call this stuff spice, genie, Yucatán fire, or aroma. Drug screens do not pick it up.

Energy drinks are on the upswing, causing about half of the 2.3 million calls to poison control centers in 2012. They cause seizures and heart rhythm abnormalities.

The new kids on the block are the liquid nicotine refills for  e-cigarettes, which come in vials without child resistant closures. One teaspoon is enough to kill a child. Liquid nicotine is unregulated, which means that in 10 states and DC a child can buy it; it can be advertised to children in all but 4 states. In 2014 poison control received 3353 calls for exposure to nicotine products, up from 1543 the prior year. Children can be exposed by inhaling the vapor, by swallowing the liquid, or by absorbing it through their skin. Children experience a racing heartbeat, vomiting, and grunting breaths, before they loose control of the muscles in their upper body and die.

So take a few minutes to clean out your medicine cabinet. Throw out meds you don’t take anymore. Lock up the ones you do take, vapor refills, and laundry detergent packets. Don’t buy energy drinks. Talk to your kids about the risks of  drug use, and learn the language they are using. While you’re at it, lock up the rest of your cleaning products and pesticides as well.

Poison control’s phone number is 1-800-222-1222 in the US; keep it posted on or in every phone. They are excellent in an emergency, and they have more in depth analysis of which age groups are taking what and why on their site, if you are interested.

Be safe. Safe is always better than sorry.