Health & Safety Tip: Have Fun in the Sun...Safely!

☼Summer time is for relaxing and having fun in the great outdoors. It’s also time to think about sun safety. The most common type of skin cancer in the US is caused by unprotected sun exposure (specifically UVA and UVB ultraviolet rays) in childhood and adolescence.

☼ Between 60% to 80% of sun exposure happens before we turn 18 years of age. That’s because children spend more time outdoors than most adults, especially in the summer.

☼ The majority of lifetime sun damage occurs before the age of 18, and did you know that just two or three blistering sunburns during childhood can DOUBLE the risk of skin cancer later in life? More than 90% of all skin cancers are caused by the sun, and yet less than 33% of adults, adolescents, and children routinely use sun protection.

☼UVA (the “AGING rays”) cause wrinkling, spotting and skin cancer by penetrating deep into skin. UVB (the “BURNING rays”) sizzle the top layer of skin and contribute to skin cancer risk.

Here are some practical tips to help reduce these risks:

• Avoid direct sun exposure during the peak hours of the day, usually between 10AM to 4PM. Harmful UV radiation is maximal during this interval. Stay in the shade if possible. Reapply sunscreen at 2-4 hour intervals if your child is dry, at 1-2 hour intervals if swimming or wet.

• Dress your child in UV infused clothing (Cabana Life and Wallaroo Hat Company are examples) or use an SPF rinse on tightly woven cotton clothing to raise the SPF value from 5 (regular cotton t-shirt) to spf 30 (we like SunGuard Laundry Aid).

• Your child should wear sunglasses that offer 99-100% blockage from ultraviolet rays (check for ANSI rated UVA & UVB protection). Also, remember a hat with a wide brim that will shade the face and cover the ears.

• Be more diligent about consistent sunscreen use around the water, sand and snow as they all reflect the sun’s rays, increasing the risk of sunburn. (Our Baby Silk Babysafe Sunscreen Towelette Singles are a convenient way to take sun protection on the go...no matter the locale or temperature!)

• The American Academy of Pediatrics and the American Academy of Dermatology recommend that, if avoidance of sun exposure is not possible, babies - no matter how young - should be protected with a sunscreen that has at least a SPF15 and offers both UVA and UVB protection (broad spectrum.) In addition, due to the sensitivity of young children’s skin, the ideal sunscreen should be one containing Zinc Oxide and Titanium Dioxide (pure physical block ingredients). These two ingredients offer the safest protection with the least potential for skin irritation. Unlike a chemical block, which needs minimum 20 minutes absorption time to be fully effective, a physical block will work immediately upon application, as the sun’s rays are reflected from the barrier on top of the skin.

• Use enough sunscreen for effective protection. One ounce (the size of a shot glass) is recommended per application. If a chemical sunscreen is used, apply it to your child’s face and body, wait 20 minutes and re-apply (so that any missed spots are covered, and areas that wear against clothing or sweat get double coverage). Reapply at 1-2 hour intervals if swimming or wet, and at 2-4 hour intervals all through the day. (Our Baby Silk Babysafe Sunscreen Towelettes have a premeasured dose of sunscreen to adequately cover the average 2-year old from head-to-toe.)

• Always patch test any new topical product on a small area of skin on the extremities or trunk. Wash off or discontinue use if redness, itching or irritation occurs. Discard sunscreen that has passed its expiration date. A good rule of thumb is that, if it is more than 2 seasons old, it has lost its potency.

"Safe sun" doesn't have to be a contradiction in terms. Know your sun facts, be prepared ( a little Girl Scout motto that has stuck with us!), and HAVE FUN! Happy Summer!

As seen on Better.tv: Head Lice

Head lice - yuck! Amazing how 2 little words can make you so...itchy! (Ever wonder where the term "lousy" came from? Now you know!)
There are many misconceptions about head lice that are simply not true. Head lice know no bounds (neither cultural nor socioeconomic) and are not a reflection of poor hygiene. Common to very popular belief, they do not jump from one head to another (don't look for any lice going for the pole vaulting gold in Beijing this Summer), and though they are incredibly disruptive and annoying, they are not dangerous. Here are a few tips on how to prevent, spot and treat head lice, and even some recommendations for a support team!

Remember...this advice does not constitute care...and the final call is with your pediatrician.

PREVENTION: lice can infest through DIRECT contact – so sharing hats, hair ornaments, caps, scarves and other adornments with others should be prevented. Lice can live on inanimate objects for a few hours, so even surfaces like movie theater seats/airline seats/car seats can be vehicles for spread – wearing a CAP to the movies (hair tucked under) might be a good strategy.

HOW TO RECOGNIZE: active lice are obvious – they are tiny, crawl, and hang out at the hairline under the nape of the neck, behind the ears, and hide in the depths of hair. Their eggs (called NITS) adhere pretty firmly to the hair shaft about 1/4" to 1/2" from the scalp. Nits are often mistaken for dandruff and vice versa. If you have a child with an ITCHY scalp AND see nits or live lice, your kid’s condition is obvious. Lice can also infest eyebrows and beards – anywhere there is a hairy hiding place.

TREATMENT: OTC: Many of the over the counter treatments are ineffective – partially due to some resistance that has developed with the lice themselves, but also because the MOST IMPORTANT STEP OF TREATMENT, which is to PICK OFF ALL THE NITS is hard to do. Lice combs may help, but the most tedious, yet effective way to cure an outbreak is to go through EVERY strand of hair and physically pick out the nits with your fingers. With boys, piece of cake – haircut, buzz ‘em, most don’t mind. With a child with luxurious locks, pin up 1 inch sections of all the hair, round up some magnifying dimestore glasses, a bright light, and a big bucket of patience and go through section by section.

Prescription treatments: there are 2 that we use pretty routinely – Elimite (permethrin – oil of chrysanthemum) and Ovide.

With Elimite, we saturate the dry hair/scalp and leave on for 8-12 hours, shampoo out, NIT PICK – and repeat in a week. Ovide (malathion, an insecticide) always works, but we restrict it’s use to older children.

ALTERNATIVE REMEDIES: From our good friends at DrGreene.com...

Most alternative treatments are untested, but early reports are promising. One method with widespread stories of success is the Vaseline (or mayonnaise) treatment. Cover the infested head liberally in Vaseline. Place a shower cap over the entire head for the night (or an eight-hour period). Then shampoo the Vaseline out of the hair. This treatment is reported to "smother" the lice. The downside of this method is that the Vaseline does not shampoo out of the hair easily -- in fact, it usually takes a week or so to get it all out. The upside is that it is not toxic, and from all reports, it seems to work. Washing the hair with dishwashing liquid, which has a degreasing agent in it, may help. I've smothered my own hair in mayonnaise (loved the smell), and it came out easily with Dove Ultra dishwashing liquid.
The Packard Children's Health Services Pediatric Hotline at Stanford is hailing another popular treatment. It uses regular shampoo and three ingredients that can be found at most health-food stores:
Shampoo (use an inexpensive brand such as Prell -- these seem to mix more easily with the oils).
3 tbsp olive oil.
1 tsp tea tree oil.
1 tsp rosemary or eucalyptus oil.
Add the oils to a small amount of shampoo and mix well. Work into hair and leave on for half an hour with a tight-fitting shower cap. This mixture has a strong smell. The fumes may burn the eyes, so don't lean forward. Wash hair two or three times to get the oil out. Repeat the procedure if necessary.
I'm hearing positive reports about this nontoxic treatment, though to my knowledge, no medical studies have been conducted to establish the efficacy or possible side effects of this treatment.
One of our readers suggested using a hot blow-dryer for 15 minutes, morning and evening, in conjunction with thorough nit combing. The heat helps to kill the nits and adult lice, but the combing is essential to the process. This type of treatment should not be combined with the over-the-counter treatment.

ENVIRONMENT: so anything that has touched infested scalps needs to be dealt with – sheets, hats need to be washed in hot water/dried on hot. If seat cushions/pillows/toys have been in contact with the lice, they can just be bagged up in large trash bags for 2 days (lice can’t live that long without a human host) and then tossed in the dryer for a few minutes to remove the nits (or vacuumed). All hair brushes/combs need to be soaked in boiling water.

WHO CAN HELP: There are several services out there that will NIT PICK for you – some come to your home, some are housed in salons. Check for a service in your area, but a few we like are:

Hair Fairies : http://hairfairies.com/

Lousy Nit Pickers : http://www.louseynitpickers.com/

The Hair Whisperers : http://www.liceremovalla.com/

Some will accept a prescription from your doctor, and some insurers will actually pay for delousing!

Good luck!

The Doctors are IN!

Well, here we are, finally joining the blogosphere! If we haven't met, allow us to introduce ourselves...
We're the MD Moms - Dr. Diane Truong and Dr. JJ Levenstein. We are nationally recognized, board-certified pediatricians and moms. We were inspired by the needs of our patients and our own children to create Baby Silk, the first skincare line for babies developed by pediatrician-moms.
We are so proud to share our experience and expertise...both by providing babies and their parents with the most effective, gentle, modern and thoughtfully developed products on the market and also by giving real-life advice and support. (By the way, we try to speak English, not Doctor...)

In The Pulse, we'll be posting our monthly health and safety tips you may have seen on our site (and a lot that you haven't), answering your questions, addressing any hot topics, and welcoming a few of our friends and favorite experts as guest bloggers. From the country's most renowned sleep experts to The Baby Planners to some of the world's leading tastemakers and trendspotters....We know you have multi-faceted lives and we look forward to bringing you tips and topics that address each part of them!

Welcome...we can't wait to chat with you again soon!