Friday, December 30, 2022

Managing the Tylenol and Motrin shortages/Winter 2022

 

Tylenol and Motrin shortages




My grandson Elliot isn’t feeling well. It turns out that he has croup.

He flew with his family during the holidays and came down with a fever the day after they got home. Lauren asked me to pick up some children’s Motrin for him. I had seen the news stories about the shortage of children's pain and fever relievers, but I still wasn’t quite prepared for the impact that the empty shelves had on me.

Fortunately, as a planner, I had snared a bottle of children's Motrin several weeks ago when I first heard about the shortage. We couldn't find any liquid, but had been able to get the chewable, but that was fine. He turns two next week, so he is old enough that this wasn't an issue. No one who knows me will be at all surprised that Elliot is familiar with chewables. He has been taking the Sambucol lozenges for quite a while.


Having a child who is sick with a fever is stressful. I imagine that not being able to get medication is adding to anxiety.


The lack of these medications is not dangerous!

While I am quick to suggest the use of acetaminophen and Ibuprofen as needed, they are mostly about comfort. In fact, it is important to keep in mind that fevers are doing an important job.


  • Fevers turn on the body immune system. They are one of our body's protective mechanisms

 

  • Many fevers can actually help the body fight infection.

 

  • Fevers that are associated with most viral syndromes and infections don't cause brain damage. Our normal brain's thermostat will not allow a fever to go over 105 or 106.

 

  • Only body temperatures higher than 108°F (42.2°C) can cause brain damage. Fevers only go this high with high environmental temperatures (e.g., confined to a closed car.)


As Dr. Ted shares in the fever post, He doesn’t actually worry about a fever unless it is higher than 105.


But we still would like to have the medication on hand.


The big chains may be out, but some parents have success at small health food grocery stores or convenience stores. The ‘natural’ or generic brands are fine. If you aren't finding what you want, consider getting suppositories if those are available


A Compounding pharmacy may be another option. Check in with your local one to see if they have access to what you need. Laws vary by state, but in California they can only ship to addresses here in CA. My favorite compounder Eddie Lau from Feel Good Pharmacy says:


The taste is probably not the best as the commercial item uses many syrups, sweeteners, etc. to make it palatable. But generally speaking, this is exactly the situation where a compounder can step in to help address drug shortages of commercially available products.


If your child is young and you can get your hands on the chewable version, you can try your own hand at compounding. Take the chewable, grind it up and sprinkle on applesauce or yogurt. When Elliot decided he was too tired to cooperate with the chewable last night, my son-in-law Adam ground it to a powder and added it to a little fizzy water with a bit of simple syrup. The fizzy ‘medicine soda’ was a big hit. Turning it into a little game got every drop down (dilute it in as small an amount as possible).


For older kids, it might be worth seeing if you can get them to actually learn how to swallow pills. Start with a little piece of candy. A Tic Tac works well for this. See if they can swallow one either with water, or by putting it in a spoonful of yogurt or jelly. If they have success, you can then try with a small caplet of the appropriate dose of medicine


Even if you are able to procure medication, that doesn’t necessarily need to be plan A. Here are some natural ways to reduce fevers.



Preparation for future situations

This supply shortage will likely pass before too long.

If you got caught without some basics on hand, don’t beat yourself up. Just try to do some basic planning so that it doesn’t happen again. A fine New Year's Resolution is to stock up. Here is a post on stocking your medicine chest .


And don’t hoard!


Friday, December 23, 2022

What's the deal with Santa? Having the 'talk' with your child

 

Talking to your kids about Santa




Let me preface this post by saying that I think it is essential to be honest with people in your lives. You don’t need to knock them over the head with the truth, but if they ask a question and press for an answer, please don’t lie.


Over the years several parents have asked me to weigh in on the ‘Santa discussion.’ What is the best way to keep the magic alive while not endangering the trust that is so important in any relationship? Covid has added an extra layer to the conversation. Some kids are worried that he will either have issues with social distancing or have trouble taking the time to wash his hands in between the houses that he visits.



For this general discussion about Santa, we can put him into the fine company of the Tooth Fairy and the Easter Bunny, but it is safe to say that Santa is usually the member of this trio that has the most emotional connection.


For the young kids who ask if the mythical creature is real, you might deflect the questions fairly easily without telling a falsehood if you want to extend the magic for another year. A simple,“What do you think?” works pretty well. Or, “It is fun to believe in magic sometimes and Santa is part of the holiday magic.”


Keep in mind that once your child gets to kindergarten, believing that Santa is actually going to try to fit down your chimney, rather than the ‘spirit of the holiday magic,' may result in a shocking disappointment for them when they learn the truth. There are lots of kids at school, even virtually, who are eager to share the cold hard facts with your innocent child. It is much better if this discussion comes from you before your kids find out a harder way.


I spoke to several people who recounted that they believed in Santa with all of their hearts and were completely devastated when they learned the truth.They felt deceived. One person told me that finding the truth was the moment they stopped believing in all magic. How sad!


Letting them know the truth gently doesn’t have to be a negative experience.


For older kids, I love a good story. Perhaps this one has an element of historical truth:


“Once upon a time in a far off country there was a man named Nicholas. He loved to do good things for other people. What was special about him is that when he gave people presents or did nice things, he didn’t do it because he wanted something in return. He simply wanted to do good things. Lots of times he did it in secret and no one even knew who did something nice for them. Maybe this Nicholas was big and jolly and had a white beard. He became known as Santa Claus. Santa is a symbol of love and magic and hope and happiness. He teaches children how to believe in something that they can’t see or touch. I am on his holiday kindness team and now you can be too. Really little children might believe that there is one Santa who manages to be everywhere at once. Big kids like you get to know the secret. Team Santa is all the big kids and grown ups who want to help make other people happy. “


Perhaps take the opportunity to help your child be an active member of this awesome team; an initiation of sorts. Is there someone in your life that seems like they need a little kindness? What could you do for them? Is there a little gift that might make a difference? Plotting a secret kindness is the thing that wonderful lasting holiday memories are made of.


Every kid and family are unique. There are families that make the choice to protect the ‘Santa is real’ narrative as long as it is possible. Make whatever choices feel right for you, but if your child asks a direct question, my advice is to find a gentle way to be honest.


One more piece of Santa advice. The photo on Santa's Lap should be voluntary. If your child isn't eager to go sit on a stranger's lap, please don't force them.


 

Friday, December 2, 2022

The Magic of a Great Big Box

 

The Magic of a Great Big Box


We are heading into the holiday season. Lots of people are busy making lists of what to buy for their friends and family. It’s time to think outside of the box. Or actually IN the box!


For young kids, a great big box can be magical. If you have any large purchases that come in a box, pause before breaking it down and automatically putting it in the recycle bin.


Any large box can be hours of entertainment, but a really giant box, like the one from an appliance, is a treasure. (If you spot any neighbors getting anything huge delivered, ask them if you can have the box.) These can be turned into a clubhouse or a rocket ship. The possibilities are limitless. There are great ideas all over the internet with just a little bit of searching.


https://www.pinterest.com/ClassroomDirect/cardboard-box-ideas-for-kids/


But even a moderately big box can be a way to foster creativity and imagination. You can make it a unique art project. Do this in a garage or someplace where you are not afraid of mess. Cover it with stickers or painted hand prints. Cut out pictures from a magazine and glue them on. Cover it with a layer of mod podge which will seal it.

Make sure everything is dry before moving back into your living space. I would avoid anything with glitter (my niece Rose calls glitter ‘the herpes of the art world’!)


A mid sized box is just big enough to sit in there with grandma and pretend it’s a car. Take turns driving of course. Or add a blanket and a stuffed animal and make a sweet little nest.


You could also flip it over and make it the perfect table for a pretend tea party. Or a hiding place for the toddler!

Get the imaginations in gear.



“I am inviting the zebra queen. She has purple stripes and is wearing a giant hat that is covered in strawberries. Who are you going to invite?”


Smaller boxes can be turned into instruments. Rubber bands wrapped around them can be plucked. Tapping on the box with a spoon can make it a drum.


Is it a box with a lid? Those are great for storing little toys. Take a picture of the items that will live there, print it and stick it on along with any other fun decorations. The task of cleaning up after playing is much easier if it is clear where things belong.


Have fun!