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Children

Blog posts with a category of Children.

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The drug world: taming a wild frontier

 

Eli Zaret, New Oakland Community Liaison

Eli Zaret, New Oakland Community Liaison

As a collegian in the late 60’s and early 70’s, and therefore a 40-plus year observer of drug use and abuse in America, I can’t help but reflect with amazement on the changes I’ve seen. It’s as if the drug world has turned upside down:

  • Marijuana has gone from “Reefer Madness” to being viewed by many as a miracle drug that appears to be rapidly on its way to full legal status, treating many things, like epileptic seizures in children
  • Heroin has gone from an urban ghetto drug to rampant and deadly use in affluent suburbs
  • Opium has gone from a rarely seen substance, to its prescription opioid derivatives sitting in bowls for the taking in NFL training rooms as well as becoming the number 1 source of American drug addiction and death
  • Doctors, not drug dealers, are the now the most prolific narcotics distributors in America

Across America, drug overdoses now kill more Americans drugsthan guns or cars do. According to a recent New York Times editorial, this stems from the mid-90s when pharmaceutical companies argued that doctors were under-treating pain and aggressively marketed opioids like OxyContin.

Even after executives of the company that made OxyContin pleaded guilty to a variety of criminal charges, profits still rolled in, and many users who could no longer get or afford prescriptions for it turned to heroin, which is cheaper and produces the same effect.

Here are a few examples of the non-recreational variety:

  • A.D.H.D drugs, often unnecessarily prescribed, are an $11 billion a year industry
  • Antipsychotic drug prescriptions for children have grown 7-fold in the last 20 years
  • Johnson & Johnson registered $30 billion in sales of Risperdal before paying a $2 billion penalty for deceptively marketing its dangerous side effects for children

It goes without saying, of course, that prescription drugs are literally lifesavers. And when wonderful medications aren’t curing malaria, lowering cholesterol or blood pressure and preventing heart attacks, antipsychotic drugs are also helping millions of people of all ages with mental illnesses to lead productive, happy lives.

That’s why solving this problem is so difficult, and to solve it we have return to our core principles and values about how prescription medicines should be used. When New Oakland’s founder, the late Dr. Ismail Sendi, opened the doors to the first of New Oakland’s now seven locations in the early 90’s, prescribing anti-psychotic drugs to children was viewed as a very delicate matter. According to Harvard psychiatrist and former director of the National Institute of Mental health, Dr. Steven Hyman, “Children, because their brains are still developing, are not just small adults.”

As Dr. Sendi continually reminded us, a deep and thorough mental health diagnosis the only way to bridge the potentially deadly gap between the right medication and unnecessary over-prescription or the wrong prescription.

Today, New Oakland medical director, Dr. David Harris, carries on that essential philosophy.“We treat each patient and family individually after our extensive diagnostic procedures,” says Dr. Harris.  “Our team of doctors, psychiatrists, social workers and therapists determine what the best course of treatment might be and whether medication needs to be part of the solution.”

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In respect and deference to Dr. Sendi’s example, New Oakland continually strives to be a standard bearer of proper procedure, always putting the patient’s health and safety first when it comes to prescribing medications.

It’s because in a rapidly changing landscape for both the proper use and abuse of medications, rigorously following that philosophy can often be of life and death consequence.

Why I hate Coca-Cola

FCBK-1By Eli Zaret, New Oakland Community Liaison

My mom, Lillian Zaret, wasn’t perfect, but in certain areas she really knew her stuff. In my 18 years under her roof, she never brought a bottle of Coca-Cola into the house. “It’s junk – all sugar” she’d say. “Tab” was Coca-Cola’s precursor to Diet Coke which came along in the early 80’s. Tab didn’t make it into my fridge either. “Artificial sweeteners are poison,” she’d growl.

Right again, Ma.

Let’s face it. Coke and its many carbonated cousins contain no nutritional value. The sugary ones are stuffed with bad, unneeded calories and help foster obesity. Peer-reviewed scientific studies seem to indicate the “diet” ones seem to do no better in the long run.

But the main reason I hate Coke today is its deceit and influence peddling. At New Oakland, our passion for good mental health starts from the premise that, after all, mental health — for individuals or society as a whole — begins with good health. And we tend to get particularly outraged when anyone — companies, government — tries to distort the truth about what matters when it comes to good health.

And yet, take a look at an article from this week’s New York Times this week that’s titled, “Coke Spends to Sugar Coat Science.”

It documents how, in just the last five years, Coca- has handed out $120 million in grants to organizations supposedly dedicated to children’s health. In exchange for cash, these organizations obscure how truly awful sugary beverages and sugar-laden foods are for children.

If this sounds familiar, it should. The article shows how Coke is copying the tactics of tobacco companies in the 50’s and 60’s — who paid off doctorssgar1 to endorse highly addictive and deadly cigarettes as good for your health while glamorizing it in advertising as cool and sophisticated.

So, shame on Coca-Cola. But it’s also shame on the organizations that are only too happy to take Coke money, including:

  •  The American College of Cardiology ($3.1M)
  • The American Cancer Society ($2M)
  • The American Academy of Family Physicians ($3.5M)
  • The Academy of Nutrition and Dietetics ($1.7) and
  • The American Academy of Pediatrics ($3M)

These are organizations that claim to share New Oakland’s commitment to health of all kinds — mental, physical, nutritional — and to the importance of unbiased scientific inquiry and education about what contributes to a healthy lifestyle.

When the American Academy of Pediatrics needed funding for a website to promote children’s health, it turned to Coke. In exchange for $3 million over 6 years, the group praised Coke on its website as a “distinguished” company for its commitment to “better the health of children worldwide.”

Now under pressure for allowing Coke to buy its influence, the Academy will end its relationship after 2015 saying, “We no longer share the same values with Coca-Cola.” Dr. Arnold Matlin, a retired NY pediatrician led the fight against the Academy’s illicit relationship with Coke. “Coca-Cola is bad for children,” Matlin wrote. “And the AAP should never accept sponsorship from Coke or any company that makes sugar sweetened beverages. It’s obscene.”

In 2013 when former New York City Mayor Michael Bloomberg tried to ban sugared sodas bigger than 16 ounces, the N.A.A.C.P. and the Hispanic Federation both sided with the beverage industry in a lawsuit against him even though minorities have disproportionate rates of obesity. Guess why? Each had accepted about $500,000 from Coke.

New Oakland has only one goal, and that is to positively influence the mental and physical health of the thousands of children it deals with yearly. We’re not saying kids should never drink a Coke, eat a donut or devour a piece of birthday cake. But too much sugar leads to much more than just obesity. It also contributes to:

  • Rotting teeth
  • Overloading the liver
  • Insulin resistance leading to Type II diabetes
  • Higher risk of cancer
  • Higher levels of cholesterol leading to heart disease
  • Greater dopamine release in the brain leading to sugar addiction

Sugar is added to many other food products besides soda. But each 12 oz. Coke has 35 grams of sugar, 30% more than what an entire, safe daily intake should be.

My mom has been gone almost 20 years and I’m grateful for the stance she took against sugar when there wasn’t any research to back her gut instincts. I just wish more modern day moms would take her lead. And I hope any modern day organization whose mission is to advance children’s health will think twice about taking money from a company whose products essentially do the opposite.

Spare the child? Then throw away the rod!

IMG_1342By Martha Adair, New Oakland Therapist, Director

Proverbs 13:24 says, “He who spares the rod hates his son, but he who loves him is careful to discipline him.” The  bible defines “rod” as a thin stick or GetAttachment

switch that can be used to give a small amount of physical pain with no lasting physical injury.

The Bible also warns that parents should never abuse the power and authority they have over their young children because it “provokes the children to righteous anger.”

Perhaps if the bible had “spared” us the word “rod” and gave a more nuanced explanation of discipline we might be having a very different conversation in America today.

Instead, we’ve come face to face with the fact that physical abuse masquerading as discipline has been a scourge of children throughout history, and brought into harsh light recently with the case of Minnesota Viking running back Adrian Peterson.

Peterson, by all accounts, is a pretty decent guy, aside from beating the daylights out of his small children with a switch. A Texas grand jury indicted him on child abuse charges after a doctor saw his son’s badly bruised and cut body. He and his mom call it “love,” quoting right from the good book.

Evidence as brought forth by the Global Initiative to End All Corporate Punishment of Children, flies in the face of  the conventional concept of not sparing the rod. Their research has revealed the following in regards children subjected to corporal punishment:

  • Increased aggression in children is a reflective response to experiencing pain
  • The subsequent increase in antisocial behavior makes them less likely to learn the lessons adults want them to learn
  • Increased bullying, lying, cheating, truancy and crime
  • Reduced empathy and moral regulation rather than developing the desire to behave on their own accord
  • Decrease in mental health including anxiety, depression and hopelessness
  • Impaired cognitive development like lower IQ scores and smaller vocabularies

And in reference to the other recently publicized NFL abuse cases, corporal punishment makes children more likely to commit domestic violence as adults.

New Oakland deals with many cases of mental trauma and dysfunction brought on by physical abuse. We advise setting well-defined boundaries to discourage your children from testing you, and that you follow through with positive and negative consequences that you outline. And give clear instructions with eye contact or a hand on the shoulder and ask the child to repeat back to ensure understanding. Continue reading

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