Friday, June 30, 2023

Identifying and Managing your emotions/Emotional Intelligence

 

Identifying and Managing your emotions



“Anything that's human is mentionable, and anything that is mentionable can be more manageable. When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary. The people we trust with that important talk can help us know that we are not alone.”

Fred Rogers


When my kids were younger and we went out to a restaurant, one of our favorite activities was the ‘act out the emotion game’. The girls would hold a napkin over their face and we would take turns calling out a feeling. They would lift the napkin and show us their corresponding facial expression. Mad, sad, scared, excited, curious, happy, goofy... the lifted napkin would unveil a dramatic interpretation of the chosen emotion. Nearby tables were probably looking on and wondering what on earth we were doing. At the timeI am not sure that I recognized that this ‘waiting for the food to come out’ activity had potential therapeutic value. 


At OathCare, our founding mental health therapist Brittany Williams and I have many conversations with families about managing emotions. Teaching people to learn to identify, acknowledge and get comfortable with what they are feeling is necessary before they can figure out how to go a step further and actually manage the emotion. This naming and recognizing emotions is the first stop on our journey to understanding something called emotional intelligence. This is a basic building block when it comes to handling so many different aspects of parenthood.


Brittany shares



All emotions, pleasant and unpleasant, are energy-in-motion in our bodies. Knowing this simple fact can help children and adults not get swept away in the current of our emotions. Emotional intelligence (EI/EQ) is defined as a person’s ability to understand and manage their emotional experience as well as recognize and influence the emotions of others around you. Simply put, EI is human energy management.   


There are 5 core elements of EI: 


1. Self-Awareness 

2. Self-Regulation

3. Internal motivation 

4. Empathy 

5. Social 


Ages 1-4: 

Children at this age are still very young and pre-literate. It is normal for them to express themselves physically because they do not usually possess the capacity to express themselves verbally. This is often when parents first appreciate just how hard it is for us to remain self-regulated while teaching our children about emotional skills. As parents, one of our biggest duties to our children is to help them cultivate EI. However, our capacity to manage our own emotions doesn’t magically appear or become automated while we teach this skill to our children. We can help ourselves by having realistic expectations for what is within our child’s developmental capacity for emotional regulation. 


Ages 5-10:

Children of elementary school age are in need of the same social-emotional support from parents as younger children. The difference hinges on how (the tools) you use to teach and model EI. Children at this age can use body movement (dancing), art (collaborate and make a comic strip together that depicts how they feel), mindfulness activities (intentional breathing, yoga) and will be able to use appropriate emotional words to convey how they feel i.e. sad, mad, happy, confused, invisible, etc. whereas younger children may only be able to point to a face that shows sadness or say they feel blue. 


Ages 11-18:

Children at the middle and highschool ages begin to be more introspective and logical when it comes to emotions. Likewise, it is age appropriate for kids at this stage of development to explore their capacity to emotionally distance themselves from their parents. It’s important that the messages and behavior from parents/caretakers is congruent. Meaning, you do not want to be correcting a behavior in your child that you as a parent utilize. For example, punishing a child for cursing at you, when you curse at the child, is confusing, and hurtful. In psychology we call this a double-bind. 


Because of the hormonal changes at this age, children tend to be more reactive. It’s not uncommon for a child to express a “lack of control” over their emotions. As we help to parent and support this age group, focusing on being receptive to biological needs (sleep, food, exercise) will serve you well. Lastly, active listening to this age group will help with emotions, since this age group values friends/other’s opinions more than they ever have before.  



As Brittany stated, your little one's age is a big factor in what tools you actually can use with them. Some kids get to the reasoning stage much sooner than others. Be patient and try to be consistent.


Learning to handle your own emotions is as important as managing your toddlers' tantrums.

Not only can it help you stay regulated, but it allows you to model a good response for your kids (including when you screw up.) Having emotionally intuitive parents to learn from is one of the better gifts you can bestow on your family.


Here are some things to keep in mind


Emotions often come with a sense of misplaced urgency. 

They are associated with a biological response. Interestingly the body’s reaction to anxiety and excitement are almost indistinguishable. Taking a moment to think and breathe before taking action is a lesson that we all need to remind ourselves of.


Is the urgency real? 

This is the same question I teach parents to consider in my safety class. Essentially, if your child falls, do you really need to call 911? In the rare situation that they have lost consciousness then the answer is yes. In the much more common and likely scenario, such as a skinned knee, you have time to take a moment and assess the situation carefully before taking an action.


When dealing with feelings it is exceedingly rare that the sense of urgency is grounded in reality. I am sure it feels like a huge deal, but most of the time, giving yourself several minutes to process before speaking or acting is best. Remember that your feelings don’t have an expiration date. You can problem solve and tackle the issue much more effectively after you are a bit calmer. 


Is the emotion factually accurate? 

Are you reacting to something from the past or the present? Someone who has been around dangerous gunfire is likely to seize up from the sound of some fireworks. Try to be aware of your triggers. PTSD is real.


See if you can take a moment to identify the emotion and then check in with your body. Remember it is okay to feel mad, sad, or disappointed. Can you find the place in your body where all this upheaval is sitting? See if you can loosen things a bit. 


Some strong emotions such as anger come along with specific urges. Is there a safe way to satisfy these? Remember, the goal is to identify the emotion and collect some strategies for dealing with it. 


Having some skills for dealing with and processing emotions will be an enormous asset for your kids when they move into their teenage years.


At the bottom of this post we have made a list of items or activities that you can add to your ‘Toolbox’. If you have some additions that you think belong there, please let me know!


Brittany created a simple tool for her family that I love.


Introduce the concept of a volcano (or another analogy that fits your family). Everyone in the family has a volcano (name everyone, even the adults). It is our own responsibility to monitor and communicate where our hot lava level is within our volcano. Why? Because when our volcano erupts it doesn't feel good for the person whose inner volcano is overflowing, or anyone nearby who may get burnt by the spewing lava (give specific examples that you've seen in your family. Hitting, screaming, throwing things, harsh words, nasty looks, crying, etc). As a family, we have the great privilege of either giving each other fire tokens (not sharing, disobedience, etc) OR we can give ice tokens (communicating, sharing, comfort, listening, etc). Why is this important? Because as a family we ALL feel better when no one's volcano is erupting. Modeling a communal interest/family system. After you introduce this language it's crucial to start modeling it with the kids. For example, you ask them to pick up their dirty clothes from the bathroom floor and they start groaning. You may respond with something like, "This behavior feels like "fire tokens" falling into my volcano and that doesn't feel well for me. What would it look like to give ice tokens?" As with anything with children, it takes relentless consistency by parents for something to stick. I promise it's worth it!


Mindfulness activity 

Begin with some calming breaths. Inhale through the nose, exhale through the mouth. (I like to say, smell the imaginary flower, blow out the pretend candle.) What do they hear? What do they smell? Be aware of their bodies as well as the space they are inhabiting. Is the environment warm or cold? Are they sitting on something soft or hard? Have them plant their feet firmly on the floor and open their palms. Then have them turn their mind inwards and see if they can identify any emotions that they might be feeling. If they can’t, that’s okay. If they are able to be self-aware and pinpoint a specific emotion, can they find the place in their body where that emotion has settled? Common places are the jaw, the stomach, the chest or the neck. How does it feel? Is it tight? Is it tingly? Sometimes just breathing and noticing can ease some of the sensations. 


This can be a good bedtime activity. Trying this in the middle of a tantrum is not going to work.


Here are some other ideas for your 'DeStress toolbox

Obviously some of these are not appropriate for all ages. 


Physical or concrete actions


  • Deep breathing


  • Talking about it


  • Writing about it


  • Hitting a pillow


  • Squeezing a stress ball


  • Getting a hug


  • Asking for a massage


  • Drawing a picture or coloring in a coloring book


  • Playing an instrument. If it is the piano, go ahead and bang a bit. (Beethoven Pathetique Sonata..If you hear me playing that, you might want to make yourself scarce!)


  • Listening to music with headphones


  • Dancing or exercise! Moving our bodies is a fantastic way to release pent-up stress and feel the benefits of endorphins


  • Wrapping yourself in a weighted blanket


  • Blowing bubbles


  • Chewing bubble gum



  • Taking a bath/shower. Consider adding epsom salts to a bath for the calming effect of magnesium. Adding a few drops of an essential oil can take it to a whole new level (peppermint or lavender are both very relaxing). 


  • Sniffing some calming essential oils doesn’t have to wait for the bath


  • Petting an animal


 

  • Chinese pediatric herbal tinctures can be prescribed by a practitioner based on the specific symptoms a baby/child is experiencing. These tinctures help to restore balance, which in turn reduces stress, anxiety, insomnia, nightmares, digestive issues, etc. 

 

  •  Acupuncture is great for relieving stress and smoothing emotions! Acupressure (massaging/rubbing/pressing) on some of the same points can bring calm and help restore emotional balance. The point right between the eyebrows is especially good for moments of stress and anxiety, and can be used for all ages. Just apply light pressure for babies (slightly more than a touchIt’s okay to distract yourself with bad TV!


  • My daughter Lauren often leads professional development trainings that discuss how to navigate stressful moments or challenging behaviors. She believes that engaging with your senses is the most impactful way to regulate big feelings and accompanying behaviors. She has offered to share one of her handouts here, a handy chart identifying appropriate supports for respective sensory needs. Some of the suggestions on the handout are duplicated here, but it is a wonderful resource.



There was a study done with something as simple as putting a pencil (or chopstick) in the mouth. This forces the face into a smile. Here it is: Smiling Reduces Stress And Helps The Heart. The researchers say their findings suggest that smiling during brief periods of stress may help reduce the body’s stress response, regardless of whether the person actually feels happy or not.


Mental/spiritual actions


  • Letting time heal and ease


  • Meditation


  • Practicing gratitude


  • Forgiving others for not being perfect



  • Forgiving yourself for not being perfect


  • Reminding yourself of what is in your control and what is not.



For toddlers or older children and adults who are nonverbal there are tools such as mood meters that Lauren uses in her classes. Emotional intelligence doesn't always require verbal skills or conversation, just a little creativity.






Friday, June 23, 2023

Chinese Medicine and the Summer Season

 

Chinese Medicine and the Summer Season



Someone I know was having headaches along with some tingling in their arms. They called a popular neurology practice to see about getting a referral.


Anyone who has tried to get an appointment with a specialist lately will not be surprised that they were told


  1. Get a referral from your primary doctor
  2. This will go to referral center where it will be reviewed to see if they think an appointment is warranted
  3. At that point (likely several weeks) you will be contacted to make an appointment (possibly several months)



This is an indicator of how broken our healthcare system is, but wait…


Every doctor in that practice has their own specialty. You would need to see the headache specialist for the headache, and the neuromuscular specialist for the tingling, so two separate referrals would be needed.

ARE YOU KIDDING ME?


I know that often western medicine focuses on different body parts. This is the perfect example.


Traditional Chinese medicine is on the complete other extreme. It looks at the entire body, spirit and energy flow. It also believes that our bodies are deeply connected to nature and the planet. All of that can be impacted by seasonal changes. Since we are right around the summer solstice, I sat down and spoke to my ‘go-to’ local acupuncturist about this. Here is some of Dr Den’s summer time wisdom.


According to Traditional Chinese Medicine (TCM) theory, each season is intricately related to a specific stage of development, element, organ, climate, emotion, and taste. 


This serves both to help explain our physical and emotional states in any given season as we experience our interconnectedness to the earth and one another, as well as to offer guidance to help us achieve our optimal health. Adopting practices that support our bodies through these seasonal transitions brings us into alignment with our planet and encourages our overall wellness. 


All of the new growth that occurred in the spring season is now surrounding us with vibrance. TCM teaches us that summer belongs to fire, which is symbolic of maximum activity or greatest yang.


This means that it is a time of heat and reaching outward in nature and in our lives. When the fire element is in balance, the heart is strong and the mind is calm. When the fire element is out of balance, there may be agitation, insomnia, anxiety, and heartburn. This time of transition from spring into summer is a wonderful time to focus on self-care.


Here are five tips to help you live your best summer season:


1. Permission to Nap

Take advantage of the long days! Rise earlier, stay up later, and take a rest or nap in the afternoon. This allows for hours in the sun before its rays are too strong, and also late evening outdoor dinners, walks and other activities. While following this type of sleep schedule is often easier when on vacation, it is possible to incorporate aspects of it into a regular summer schedule. A short meditation in the afternoon, even at work, can lead to more energy to enjoy the evening with family or friends.


2. Eat Well and Stay Hydrated

In the hotter months of summer, our diet should center around light, cooling, nutrient-dense, brightly colored, and hydrating foods. As nature would have it, these foods are plentiful at this time of year. Some great options are: summer fruits (watermelon, cantaloupe, berries, stone fruit and tomatoes), vegetables (cucumbers, asparagus, zucchini, bok choy, snow peas, and spinach), and flowers/herbs (mint, chrysanthemum, dill and cilantro).


Bitter is the taste associated with the summer season, so incorporating foods that are bitter in nature will help keep your body cool and your heart healthy (coffee, tea, dark chocolate, asparagus, kale, arugula, escarole, celery and rhubarb).


TCM reminds us to eat raw fruits and vegetables in moderation, as overconsumption can lead to bloating and indigestion. Lightly cooked vegetables are a great alternative to salads!


And while the summer weather may be way too cold for some of us in San Francisco, it’s still crucial to stay hydrated and keep your electrolytes in balance. Coconut water is nature’s greatest electrolyte drink, and watermelon juice is magical for cooling the body.


3. Movement

Summer energy is quick and lively - seek activities that bring you joy! Water activities help to balance the fire element and keep you more comfortable. It’s a great time to focus on cardiac health, but make sure you are not getting overheated. Stay hydrated, wear appropriate protection from the sun, and rest when you feel tired. And since movement may also include in and out of air-conditioned environments (some homes, airplanes, malls, etc.) and also the ever-evolving San Francisco weather, keep a light scarf handy to protect yourself from the rapid and extreme environmental changes.


4. Spirit and Joy

The emotion associated with summer is JOY, so seek out people and activities that nurture that feeling in you. The longer days allow more time for this. Nourish creative projects and play like you did as a child. 


5. Seasonal Tune-up

According to TCM, summer corresponds with the Heart and Small Intestine organ systems. So, symptoms like poor memory, anxiety, agitation, insomnia, UTIs, heartburn, or depression will indicate an imbalance of these organ systems at this time of year. If you're struggling with any of these issues, it's time to schedule an acupuncture treatment! Everyone who has been treated in my clinic has heard me say, “Come in to see me at the first sign of anything, and if you’re well, come in once a season.” So here we are in summer…schedule an acupuncture treatment for any symptoms you may be having, or for a summer seasonal tune-up. Tune-ups help to keep you and your family healthy, and will set you up for a healthier fall and back-to-school season!



Giant thank you to Dr Den for sharing her wisdom.


Many parents don't even consider acupuncture for their kids or (who are we kidding) themselves because of dislike of needles. I can assure you that they are very thin and you often don't even feel them. Many kids tolerate them much better than you could ever imagine. There are also options for acupressure and herbs for those who absolutely don't want needles.


I hope this summer allows you all time to regroup and build some resilience before moving into the cold weather and fall/winter illnesses



Friday, June 16, 2023

FATHER'S DAY 2023

 

A few years ago, Mr. Nurse Judy (aka Sandy) wrote a few Father’s Day Posts that ended up being some of my most widely read ones. Since it’s been a few years, I thought I would rerun them for this new generation of parents. Happy Father's Day!

Fathers Day 2023



2016

 

In honor of Father’s Day, Nurse Judy has invited me pen this week’s column and share some of my thoughts about why I have, and believe you can have, the absolutely greatest relationship with your kids through all stages of their lives. I believe that inherently, mothers are more nurturing, protective, overtly emotional, physical, and “maternal” in their instincts, beliefs and behaviors towards their children. But from the moment I first saw Lauren, a day that all who know me recognize as the most impactful day of my life, I knew I was going to give Nurse Judy a run for the money. I, like many of my generation, had an ok relationship with my parents. But it was not the one I wanted with my kids, and that became immediately obvious that day Lauren was born.

 

I have been called a lot of things over the years. I am frequently referred to as Mr. Nurse Judy. After years of taking our golden retriever to the park up the hill in the afternoon when the local elementary school let out, I became known to a few generations of kindergarteners and first graders as Java’s daddy. I was known as a business executive. But the grandest name I treasure is that of daddy (or father or papa bear or now Papa…) Why? Because after building a relationship with Lauren for 28 years, and with Alana for 25 years, I continue to have new and grand experiences with them, experiences that are direct descendants of the beliefs I had in raising them. And now I have a daughter who jumped at the opportunity to go on a daddy/daughter cross country road trip when she left for grad school, where we got to eat yellow (yes, there’s a story there) in Indiana, and simply cross a bridge into Kansas, make a U-turn, leave and say “we’re not in Kansas anymore.” And I have a daughter who is still my roller coaster buddy every August, and is accompanying me on what may be the stupidest thing I ever try – climbing Kilimanjaro. So how did I get here?

 

First of my early parenting philosophies was simply make time. I’m not talking about the “I’ll play with you when I get home and I’ll read you a bedtime book” type of time. I’m talking about the “take a morning off to hear your 2nd grader say one line in a play; use vacation days to chaperone school outings; play Barbie for hours on end; and supervise a cabin full of 5th grade boys on the school trip” kind of time. A typical dad probably spends more time away from their child than the mom. So take advantage of the time that you can have! As soon as my kids came home from the hospital, I never missed an opportunity to be with them. Each night, when an infant would wake up and cry, I went in. It was pickup and delivery to Judy to nurse them. Judy thinks I was doing this for her but she was just a benefactor. I picked them up, sang softly or told stories to them as I cleaned them up, and then brought them to our room. And then back to their cribs. Every night. We built up quite the relationship. Bath time? That was mine too. Nightly bedtime ritual? Well we both had one. But much of my daughters’ love for the great rock and roll of my youth comes from that time we spent every night. As they became toddlers, every weekend I took them to Miz Brown’s diner in Laurel Village. So Judy could get more sleep? Hmm, ok, but not really. It was completely selfish on my part. Want more time? Be the home that welcomes the gathering of the friends. While perhaps not directly involved in your child’s life at that moment, the benefits are extraordinary in what you get to witness, the welcoming environment you’re modeling for your kids, and the lifetime of relationships with your childrens’ friends, who consider you an extra dad. (2023 update - as a result of this, I have officiated three times at the wedding of one of my extra daughters!)

 

Next on my list of dad-parenting beliefs is “don’t look for a reason to say yes; assume that’s the answer, and instead force yourself to look for a reason to say no.” It’s simple but at least for me, it was initially uncomfortable and unnatural. But once I grew comfortable with this practice, it was an epiphany! Saying yes to as much as you can say yes to, is so much easier than saying no. And it has such wonderful benefits. Questioning, exploring, learning, experiencing…and you get to be a cool dad! Talking about going on a family camping trip when you’re asked if they can try camping in the house? Say yes, and set up the tent in the living room, light the fire, roast marshmallows, and sleep in sleeping bags. We can all think of valid reasons not to do this and I’m certain my instinctual reaction was “too much time; too much effort, and then I have to clean it all up and put it away.” But saying “no” wasn’t going to lead to the magnificent shared family memory we now have 20+ years later, and I certainly don’t remember anything about setting it all up or taking it down. “Dad, can I help?” Of course there are reasons to say no; it will certainly take more time. And you may have to watch your language. Unless it’s urgent, so what? Invite your 3-year-old to crawl under the car with you. Rub some dirt on their nose to make it official! And let them help! “Can I go someplace?”; “can someone sleep over?” Yes. And yes. Unless something is a threat to their health and well-being, be quick with the yes! Might some of these yeses have less than ideal implications to you and your free time? Probably, but that’s not what you’re going to remember! Only after saying yes can you then figure out if there is a “no” reason significant enough to change your mind. The more you say yes, the more they will ask you. As school children. As teenagers. And now as adults.

 

You will recognize my last pearl of wisdom as a modification of the Peter Pan syndrome. Let them be kids as long as possible! While it may be cliché, as we all know and live every day, once that’s gone, it’s gone forever, and I know that I, and maybe you, wish you could get it back! So don’t take it away from them. Don’t be in such a hurry to “help” them see things as you see them, through adult eyes and perceptions. They are emotionally, physically, and intellectually naïve – it's a wonderful time so don’t rush to take that away from them. In fact, for a truly wonderful relationship, force yourself to see the world as they do! That’s why I once found a pet/fish store open till midnight so I could go out and replace the fish that had died when Lauren was asleep (and yes, I brought the dead fish with me to try to get a match!) Of course she would have to learn to deal with the death of a beloved pet, and eventually beloved humans. But she didn’t have to learn about it that day, and it let her be a kid a little bit longer. 

 

Don’t try to explain why work is so busy, that you need to do it to pay the bills that benefit them, and thus you don’t have time to play Chutes and Ladders for the 5th time in the past 2 hours. Instead, see it through their filters – why would anyone want to deal with things that are drudgery and frustrating when you can have fun playing a grand game? They didn’t ask to be your child – you decided to make them your child. I hope that decision was made with an appreciation for the fact that this responsibility instantly became the single greatest responsibility you have ever undertaken. The consequences of that decision are literally life changing for all involved. If it’s not your greatest responsibility, then something’s awry and you will miss out on immeasurable joy.

 

In the summer of 1988, my family of 3 (Lauren was 1) was invited to a swimming party at the home of my then senior VP. He had 4 adult daughters. While everyone was subtly vying for his attention, I spent the greater part of the day with Lauren in the pool. Late in the afternoon, the VP’s wife found me and pulled me aside to tell me that her husband had spent much of the day watching us play in the pool. Why? As she explained, he had been the wonderful corporate soldier. Moved all around the country when he was asked to. Frequently travelling. Successfully moved up to senior VP of one of the world’s largest companies. And she told me that if he had to do it all again, he would rather have spent the time in the pool with his daughters, because now he was here, envying me and the relationship I was already building with my child. Over the course of my career, I was often asked to make those same sacrifices, but by then I had already learned my golden rule – I worked to live; not lived to work. And while I had a satisfying and rewarding career, I never reached for those corporate stars that were dangled in front of me. Because one day I was hoping that I would have the type of relationship with my children that allows me to eat yellow with one of them and climb a mountain with the other.

 

Part 2

2017

I want to thank you all for the kind comments I received after last year’s post about my wonderful relationship with my children, a relationship that continues to get better, even now as I close in on the end of my 6th decade of life, and my daughters near the end of their 3rd decade. It is a role that is paramount to me, and I refuse to let time and distance interfere with my efforts to continually improve it. So far, I think I’ve been pretty successful, and the rewards are immeasurable. Certainly it’s a lot easier when they are young, living in your home, and “need” you to be involved in their lives. But the foundation you create early for how you want that relationship to be makes it a lot easier to enable it to grow, flourish and blossom at any stage of life, even now as they establish their own lives, careers, and relationships.

 

I want to make clear that I have no special training or educational background in this area. What follows are simply my own philosophies about fatherhood; you may disagree with some or all of them. But this is what has worked for me, and I cannot really imagine a father with a better relationship with his adult kids than I have!

 

So first an update on my relationship with my daughters. At this time last year, Lauren and I were weeks away from traveling to Tanzania for the challenge of a lifetime. AND WE DID IT!!! We summitted Kilimanjaro on the morning of July 19th, an absolutely grueling climb that took me to the very limits of physical, intellectual, and emotional endurance. In fact, I couldn’t have done it without Lauren’s support, and I was quick to make sure she knew that. We spent two weeks together in very close quarters, most of that time unwashed, extremely sleep deprived, and cold. Summit temperature was 24 below zero! The only cross words that were exchanged were over a misplaced towel (I both misplaced it and spouted those cross words!) I never want to face an ordeal like that again!! At least not until April 2018 when we climb to the base camp on Mt. Everest! See – the relationship just keeps giving!

 

If you are an avid reader of Nurse Judy’s blog, you may remember that when she was in grade school, Alana ended every night by telling one of us all about her day…in exquisite, and often lengthy, detail! The big, the little; the important and the minutiae. Well, more than 20 years later, I get to do that with her all over again. Every day. And I look forward to it and resent it when another friend has a need for Alana’s time! After obtaining her MSW last June, Alana is now a practicing therapist in a community mental health center in Michigan. She has about a 30-minute commute in each direction and on her car ride home, I get to keep her company!!!! And we talk all about our respective days. The time flies past and she is home before we both know it, but not without each of us learning a little bit more about something in each of our lives. What I have primarily leaned is that her counseling clients are the luckiest people in the world because they have Alana as their therapist. I listen in wonder and respect as I get to share in the progress they make dealing with the issues that brought them to her in the first place. She is changing lives on a daily basis and I get to be the fly on the wall. I am overjoyed that she still wants to spend that time of her day with me. I frequently tell her that I am in awe of what she is doing and remind her that she has to take the time to sit back and reflect on that also, and not just move on to the next client… which brings me to my first point of this year’s father’s day recommendations for building that relationship with your children:

 

Find reasons to be proud, and praise them whenever you can!

 

From the first time they can lift their head by themselves, to the first crawl, to standing up, and that first use of the potty, let them hear your voice filled with pride and encouragement. Let it become ingrained in them that you are their number 1 supporter, for both the little and big accomplishments in life. As I mentioned last year, that’s why I took a day off of work to go see a VERY shy 2nd grade Alana (right now, all her friends are saying “who the heck are you talking about?”) get up on stage just to say one line in a play; it was a grand small accomplishment that deserved to be recognized. When younger, even though they can’t understand the words, they can hear and feel the sentiment in your voice, and for the rest of their lives, that sound will provide great sources of satisfaction and comfort, and it will provide a lifetime of encouragement for future exploration. Now, I am not one of those in favor of participation trophies and I am not saying that everything they do should get this level of exuberance. But be generous with the praise, especially in their formative years. This brings me to my next recommendation:

 

Value the efforts too, not just the successes!

There is an old saying that good judgement comes from experience; experience comes from bad judgement! It is a cycle that cannot be completed without falling down. So let them fall down, but don’t bemoan the failure; commend the attempt, and any part of the effort that will help them gain “good judgement” next time. It is quite easy for children to focus on your critical evaluation of whatever it is they are attempting, while underappreciating the praise you may simultaneously be conveying. For example, if you’re trying to teach them to throw a ball, don’t focus on the fact that the ball landed by their feet. Appreciate that there are things they may simply be incapable of at any given age. It’s up to you to understand that, not them, so focus on the things that they can do well (gripping the ball, placing the feet, shifting the weight…) and celebrate these building blocks that will one day end up in those ultimate tasks being that much easier, and enjoyable! Simply focusing on the failure of achieving the end result will certainly lead to frustration, and possibly anger and resentment.

 

It's ok to be wrong. In fact, it’s good! Admit it, and apologize!  

It is sad when I see a parent who either insists they are never wrong, or twists circumstances to make it seem that they were not wrong in a specific situation. It’s very easy to play that mental game with a child in an effort to demonstrate that you always know what’s best or think you will be respected because you are always right. Satisfied that you out-strategized a child in this mental arena? Get over it; it’s not that hard. And it’s not that smart. I (and I think my daughters would agree,) created some of our most profoundly important relationship building moments by admitting I was wrong about something, and apologizing for it. Think about it – is there anything more empowering to your young child than having a person in a position of authority implicitly say to them “I not only heard you but I really listened to what you had to say. I thought about it with all my years of advanced experience, education, and knowledge, and I realized that you were right and I was wrong.” Trust, confidence, consideration, kindness, communication…. there are innumerable benefits to acknowledging your own fallibility to your child! And it tells them it’s OK to be fallible too! You don’t expect/need/want perfection, and they don’t have to live up to that standard. And it teaches them that being wrong is a part of life, not something to be defensive about, and can be dealt with responsibly and respectfully.

 

Tolerance!

I mentioned above that you should “appreciate that there are things they may simply be incapable of at any given age. It’s up to you to understand that, not them…” You must accept very early on that you are incapable of thinking like a child, nor they as an adult. Kind of like the “Men are from Mars, Women are from Venus” paradigm, you and your children speak the same language, live in the same environment, are familiar with the same behavioral mannerisms, yet you have such different frames of reference, experiences, emotions, intellect…that at times it will seem to each of you that the other is speaking a foreign language. And you are!! It is so very easy at those times to get frustrated, and even worse, angry. But it is unrealistic for you to expect them to be able to think, analyze, and express themselves at the level you do. They don’t have your emotional and intellectual development and it is unfair to simply use your advanced capabilities as the measure of their intent. When you feel that coming on, take a break, remind yourself of this, and try your best to see things as they do. You most surely won’t completely succeed, but every little bit of empathy you can muster will bridge that gap just a little. It’s also never a bad idea to voice this self-realization; let them know that you are consciously aware that you are cross communicating and invite them to help think about how each of you can get your respective thoughts out. They’ll develop patience, compassion and problem solving skills!

 

Establish ground rules for how to disagree!

My girls and I had a very useful rule – we weren’t allowed to go to sleep mad! The rest of the argument or disagreement could proceed along its natural course, but ultimately it had to end at this rule. It was really quite simple in its effectiveness since it forced (encouraged?) us to resolve our differences. There were times long after bedtime that one of them would either come out of their room to say “I’m still mad” or amusingly, would slip notes under our door detailing the issue (Alana was the talker; Lauren the writer!) This led to frequent comical exchanges of notes going back and forth under each other’s doors but it was such an easily understood rule that it almost always worked! The key though is to take it to heart! As my brother-in-law sometimes says “gravity, it’s not just a good idea, it’s the law.” My daughters and I made this a law, and if one of us was “violating” the law by claiming fatigue, or anger, or issue complexity, or…etc., the other party was free to demand that we follow the law, sometimes leading to late nights and missed bedtimes! But always successful resolutions of the issue. And guess what? Most of what I have written about here represents the philosophies that I tried to use to help make sure each day ended on a happy note.

 

Happy father’s day to all. See you next year when we get back from Everest!

 

Nurse Judy - Update 2019

Last year, Sandy had more milestones and amazing experiences with our daughters.

 

Two weeks after I broke my right arm last winter, Alana decided that she wanted to be just like mom. She slipped on some ice and broke her left arm. Sandy caught a red-eye flight that night so he could be with her for the surgery she would need. He knew she was frightened and that his orthopedic experiences (5 surgeries) would serve her well! The change in her demeanor was instant when she realized daddy would be there. This was a week prior to his scheduled big trek with Lauren.

 

On April 2nd, my birthday, I got a call from Lauren and Sandy from Everest Base Camp! They had an epic adventure. (For those of you considering climbing mountains, the 38-hour summit day on Kilimanjaro was the single most challenging day of either of their lives, while the Everest trek was more difficult on the whole. ) But they did it! And on Lauren's wedding day, outdoors on a chilly San Francisco August evening, Lauren was quite cold while we walked her down the aisle. So Sandy turned to her and whispered "Just remember, it was 24 below zero on the summit of Kilimanjaro!" Her reply - "Not helping dad!"

 

And since Alana was returning permanently to San Francisco from Ann Arbor in August, he and she did another cross-country road trip, exploring the Black Hills of South Dakota, the Badlands, Mt. Rushmore, Yellowstone, the Grand Tetons, and more, singing and laughing their whole way across. Oh, and a stop in Reno to play poker!

 

Part 3

Update 2023

So here we are 4 years after the last update, with too much of that intervening time spent dealing with the pandemic. But that doesn’t mean the father–daughter relationships have been stagnant. In fact, they have become more meaningful, at least to me, as I have gotten to share in and help with some of their life’s most complex, and in some cases, challenging moments. As much as I wanted to (from my first post in 2016,) the one thing I couldn’t do was let them be children forever, and now they have to experience those challenges as adults. But, conversely, during the pandemic, I got to start building a new wonderful relationship with a new family member who I will strive to keep a kid as long as possible also….

 

My climbing partner is now closer to 40 than 30 (!!), and in 2021, made Nurse Judy and me grandparents. While all of you followers of Nurse Judy instinctively know how lucky Lauren was (and is) to have her as her role model for motherhood (both personally and medically!), Lauren will be the first to tell you how much she loves seeing me with almost 2 & 1/2 year old EJ. In rereading these posts from years ago, I realize that without even having to think about what my grandparenting style should be, I have intuitively adhered to the philosophies I developed over the past 30+ years. I can count on one hand the number of times I’ve said no to him. Since unlike when my daughters were young, he does not live with us full time, I have to take advantage of every free moment he wants to spend time with me. So I will never pass up an opportunity, even if I’m tired, or it’s inconvenient. Soon, he will be starting school, have a gaggle of friends, and while I hope Lauren and Adam will follow in my footsteps and create the type of relationship with EJ that I described in my previous posts, that will not be an option for me. In the time together that we have, he and I have already developed a magical bond. I was the first person to babysit him, and feed, bathe and put him to bed, while Judy and the kids went out for the evening (I think they were all surprised when without hesitation, I immediately said yes; but they shouldn't have been!) But he may be fussy. OK. He may cry. OK. You’ll have to change his diapers and bathe him. OK… None of that phases me because I also get to introduce him to my generation’s greatest music. And I get to tell him stories. And I get to start building that relationship…. And now we “play” guitar together, dance to silly songs, hide from zebras and giraffes (and now dinosaurs) and chase after bubbles trying to pop them. Just yesterday, I picked him up from day care and when I got there, he started squealing with delight that he was going to Grandma and Papa’s house. When he said (while putting on his coat) “papa, can we clean the carpet there?” his caregivers burst into laughter. Yes, just like eating yellow with Alana in the post above, there is a story here too. It’s never too early to start making those stories! I continue to turn down opportunities to go out with the family so that I can be the one to babysit him. And when given the choice, he almost always opts to go to Papa’s house to play with me. And since he was born, there have been a few times when Lauren has reached out to “daddy” for an emergency rescue from some unanticipated crisis; It fills my heart knowing that she both feels comfortable reaching out, and instinctively knows that I will always be there for her, and now her family. Remember my rule from previous posts – Always say yes, and then see if there is a reason to say no.

 

The youngest child, who is still closer to 30 than 40, continues to amaze me with the way she deeply impacts people’s lives. After graduating top of her class at the top graduate school of social work (when she got her MSW, I told her that at that very moment, she was the #1 graduate student in her field in the country!), she has now established her own thriving therapy practice here in SF. The relationship I built with Alana over the decades also served us very well during the pandemic. There was a period where she carried burdens of life that no parent wants for their child. As Nurse Judy has said, as a parent, you are only as happy as your unhappiest child; during this time, all of us were, to put it mildly, unhappy. As a father, I would have gladly taken all the burdens away from her and carried them myself, but that was not an option. And so I had to find the ways I could help without adding any additional burdens. I knew what that “something” was. Relying on the lifetime of love and trust we had built, I simply said to her “Alana, I need you to trust me. There is something that I need to do to help you.” I wasn’t providing any details to her, nor asking for her involvement; I was just asking her to trust me. And because of the relationship I had so dedicated myself to building from the day she was born, she simply said “yes.” I was both overwhelmed at being able to help, and by the fact that our 30+ year relationship had yielded the level of mutual trust where motives were unquestioned, and respect and love were assumed!

 

And finally, those of you who regularly follow Nurse Judy know that because of the gift of life Alana gave to one of her best friends by donating eggs, we have a new grandson! Due to geography, it will be a bit of a challenge to develop and maintain the same type of relationship with him as with EJ, but I accept the challenge, and I am determined to make sure he grows up knowing that same love, respect and childhood joy that my daughters experienced, and that will allow us to build the foundation for a wonderful, loving and trusting lifelong relationship.

 

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I don’t know if there will be future Father’s Day posts from me, but I hope over the years, I have successfully portrayed the lifetime of wonderous benefits that accrue from creating the most meaningful relationships you can have with your children, from the moment they are born. That foundation has unambiguously provided me with the greatest and most profound joys I have ever experienced, and will hopefully continue to experience, for a very long time. 



Friday, June 9, 2023

Playground safety tips

 





Most playground injuries happen when a child falls from the equipment onto the ground. According to the US Consumer product Safety commissions (USPSC) there are more than 200,000 emergency room visits for children who were injured at the playground each year. And while most of these happen when a child falls from the equipment, unfortunately there are plenty of other ways to get hurt.

My friend's 1 ½ year old son just broke his leg going down a slide with his older sibling. So in honor of Dylan, poor little fellow in a cast for the next 4 weeks, but still smiling, I thought I would put out a list of things to consider when going to the playground.


There are articles out there warning people that slides are dangerous if going down with an adult, but no one ever thinks this will happen to them, and frankly this is the first time I personally, have ever seen it happen when they went slid down with a 4&1/2 year old sibling. The big brother weighs about 40 pounds.


If a little one is sitting on the lap of a parent or someone heavier, the relative force is greater due to the additional weight. This means that if the child’s foot catches on the side of the slide, the faster speed and the extra force, makes the chance of a broken bone more likely. Even when they are going down by themselves, getting them in the habit of ‘feet together’ is safer.


Playgrounds might be places where accidents can happen, but they are also a wonderful place for kids to play, burn off some energy and have fun. Also playground interactions with other kids are a great time to learn about taking turns, sharing, and even learning the importance of saying “I am sorry” if someone gets an accidental bump. Learning how to ‘play nicely in the proverbial sandbox’ is an important social skill. But we want to keep our kids safe and be prepared in case an accident happens.


You have been warned about the slide, but I understand that there might be times where you are at the top and really have no choice but to get down together. 

Just be very aware of the legs and make sure they are tucked in, and get down safely.


Even when kids are going down solo, reminding them to keep their ‘feet together’ is a safe habit.


Make sure that kids are on the age appropriate equipment; ideally there are guard rails at the top of the structures.


Choose a playground that has a softer ground surface rather than concrete in case they fall.


Do a quick check of the equipment to make sure there is nothing broken, rusty or has a jagged edge.


Make sure your little one is properly dressed with the right shoes. Sandals and flip flops are more of a tripping hazard. Sturdy, closed toed shoes are better for running around


Don’t wear necklaces or clothes with loose material that can get caught


If it is a warm day, check any surfaces before playing on them. I have seen kids get burned from a hot metal slide, but other materials can also get pretty hot.


If it has been raining, wet slides can be VERY fast, so be careful.


Is there sand? Do a little sift of the sand before they sit down to make sure there isn’t anything gross in there. Sorry to say, I have seen everything from syringes, to broken glass, to cat poop.


Teach your kids to be aware before walking in front of or behind a swing, or in front of a slide.


For the really young kids the only option is usually those little bucket swings. Make sure they have enough core and head control to be able to sit in those safely. Bring along a little blanket to pad them to make the seat even more secure.


Have sun protection


If there are mosquitos around have insect protection


If there are lots of bushes, tall grass, do a tick check when you get home



What happens if there is an injury?


Take a breath. The first question is simple. Is this an actual emergency or not?


If there is loss of consciousness or potential neck injury, call 911 immediately. This is never the wrong choice. I would much rather have help arrive when you realize it isn’t really necessary, then delay in case you actually do.


If your child is crying that means they are conscious and breathing. Stay calm and do a further assessment.


Are you concerned about possible head injury? My blog post goes into detail about this


Having a properly stocked diaper bag or backpack can make an enormous difference. Here are some things I suggest you pack in there:


A pair of clean socks (these are perfect for applying some pressure in case there is some bleeding)

Have some gauze and Coban bandages on hand, but once you get home, do a thorough cleaning and re-dress with some antibiotic ointment.

If bleeding lasts longer than 15 minutes, a laceration or gash needs medical attention.


instant cold packs are great to apply to any bruises or sprains.


Arnica gel can be very helpful for bumps, sprains and bruises as well. Kids often get comfort from having you put ‘something’ on the booboo. Arnica is perfect for that.



Other health concerns

Make sure you keep your kids hydrated. If it is hot and humid, pedialyte is perfect. The powder packets can be mixed in your water bottle.


Okay, you just read this and are ready to put your kid in bubble wrap and never go outside ever again, let alone a playground. That was not the intent. Kids need to play and run around!


I will share that this grandma has a little trouble watching my grandson climb. Two year olds can be parrots and everyone got a kick out of his “Oy Vey” after a trip to the playground with me!


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