I’ve been getting a lot of questions in response to a recent blog I wrote about monitoring H1N1 vaccine side effects, so I wanted to take the time to address some of your concerns. I know the overload of information on this pandemic can be confusing, but I’m here to help, so keep the questions coming and I’ll do my best to answer them for you.

I thought I heard that the H1N1 vaccine is bad for pregnant women as it has long term effects on the baby. Now, I find nothing on Fox about that. Can you PLEASE clear this up? My daughter is 6 months pregnant and does not know what to do!!
 
You must have heard wrong. We have been saying right from the beginning, as we say every year for the regular flu shot: Pregnant women are considered a high-risk group. Pregnant women have an underactive immune system as well as compromised respiratory capacity, so if a pregnant woman gets the flu, she could have serious side effects, which may not only jeopardize her health – but that of her unborn child. So get both flu shots!

Once you have had H1N1, can you get it again in the same season? What about next season? Can we get it again after it mutates?

We do not know the complete answer to this question however, if you have had the current H1N1 flu strain, you probably have immunity to this specific strain of the virus. So this season, you may have nothing to worry about. However, if the virus mutates or a new strain of H1N1 virus emerges, past exposures to the current flu strain may not be protective.

My son is 15 months old and he is borderline asthmatic. Should I get the vaccine? So many people say yes, and so many people say no. I’m so confused and don’t know what to do!! Please help!

The answer to your question is, yes. The CDC is specifically looking at children with asthma. Many of the complicated H1N1 cases we’ve seen have been in asthmatic children. The combination of viral pneumonia and asthma in a small child could be quite devastating and deadly. So talk to your pediatrician and strongly consider vaccinating your child. And don’t forget to get yourself immunized.

If the H1N1 vaccine is not available, will the pneumonia vaccine help protect your lungs from getting pneumonia if you get the flu?

The pneumonia vaccine is targeted to protect against bacterial pneumonia – specifically pneumococcal pneumonia. This will not offer protection against a viral pneumonia – which can be a complication of the flu. So talk to your doctor before you make any decisions.

Being a single parent presents the same challenges all parents face but you have two less hands to help. When you are raising a family by yourself you are the one getting lunches ready, giving baths, and driving to and from football practice. You can’t use the good cop/bad cop routine. You don’t ever get a break.  Many single parents work long hours or even work two jobs. You are faced with the financial and time constraints of a two-parent household with one income. Luckily, there are a few simple changes you can make that will help you support your child without adding stress to your already busy life.

Create a “home base”
For your “home base” you will need a calendar, a basket for incoming schoolwork, a spot for backpacks, and space to write. Your home base can be a corner of your kitchen, a side table in your living room, or an office. Announce this spot to your children as the hub of your home and remind them to use it as such. Use a different color pencil for each child’s activities to keep your children’s schedules straight. Encourage your children to keep track of their own activities. Designate a basket where your children can put notices that you need to see and forms you need to sign. Keeping all the forms in one place ensures you don’t miss important information. Keep pencils and pens next to the basket so you can fill out forms immediately and put them right back into your child’s backpack. Your time is valuable, and having a home base keeps you from wasting time searching all over the house for forms, notices, and assignments that need to get sent to school.

Ask for help…and return the favor
Don’t be afraid to ask a neighbor or friend for help. Most moms know that no matter what the circumstance, being a parent requires lots of juggling. Asking a neighbor to drive your child to school in the morning is fine, but be sure to return the favor and drive the kids to the school dance over the weekend. Remember- a simple thank you goes a long way. A bouquet of flowers, a gift card for a coffee shop, or a batch of cookies are inexpensive ways to show you appreciate the support you get and it has not gone unnoticed. A handwritten note to say thanks for the help does the trick, too.

Communicate with the teacher
Let her know what days or times are best for you to meet or to speak on the phone. Give her a time frame in which you intend to return her calls or notes. If you know you work late and don’t always get to her notes right away, let her know she can expect to hear from you within 48 hours. If you have a day off during the week, ask for her consideration when scheduling meetings. Being clear about communication with your child’s school leads to consistent and open interactions.

Prioritize
You can’t be in three places at once so choose the meetings, school events, and games that mean the most to you and your children. Include your children in the process by letting them choose an event they want you to attend. Be honest with your children about why you can’t be at all their events but don’t dwell on it. Refrain from constantly reminding them that you are the only parent helping out- they know this and you should vent to your friends, not your children. When they get home ask specific questions about what happened in the big game or the school play. If you want to volunteer at your child’s school but can’t be there all the time, ask if you can help stuff envelopes or make phone calls and do some of the behind-the-scenes work for events.

Remember that you are one person taking on a huge job and can only do your best each day. Pat yourself on the back for maintaining your children’s safety and security.  Give yourself credit for taking care of all the day-to-day responsibilities by yourself. Enjoy the time you get to spend with your children and stay positive- your children will model your attitude and you can be a happy and productive family together.

Jennifer Cerbasi teaches at a public school for children on the autism spectrum in New Jersey. As a coordinator of Applied Behavioral Analysis programs in the home, she works with parents to create and implement behavioral plans for their children in an environment that fosters both academic and social growth. In addition to her work both in the classroom and at home, she is also a member of the National Association of Special Education Teachers and the Association for Supervision and Curriculum Development.

Parents second-guess themselves all the time. Should I have let him go to that party? Was I too hard on her? Should I tell him to study more? Parents of children with special needs question themselves about day-to-day parenting decisions and much more. Parents of children with special needs have children with very specific emotional, social, and academic needs and often little or no training or education in these areas. While you don’t need to know every strategy for educating your child, you do need to know how to communicate with your child’s school. Consider this your general “To Do” and “Not-To-Do” list, which supports that communication. Remember- communication with the experts educating your child ultimately results in steps forward for his education.

DO:

Come to meetings with notes
Keep a notebook or binder that comes with you to every meeting. Record the date, location, attendees, and reason for meeting for future reference. You may need to refer back to something a team member said and it’s best to have all the facts. Meetings tend to move quickly and you may forget questions you had or points you wanted to make.

Take your time
Ask as many questions as you need to ask.  Don’t let anyone rush you. If you need a term defined, say “Can you please explain that to me?” Do not sign anything if you don’t know what it is. You may take your notes and reports home and look at them with your spouse before agreeing to any services or strategies. Make sure you understand what your child’s speech, OT, and PT services look like, as well as his core academic curriculum.

Establish a positive relationship with your child’s school
Communicate honestly and respectfully with your child’s teacher. This may seem like an obvious suggestion but stop and think. Do you really feel comfortable speaking with your child’s teacher? Do you feel like she understands what is important to you? There may be times when you disagree but having an established relationship makes those times much easier to navigate. Ask your child’s teacher how best to communicate with her. Does she prefer email or a phone call? Does she prefer you to come in for a meeting or write a note? Also, ask what time of day is best. Some teachers schedule time for communication in the morning or during a period when the class is out at a special activity. Keep in mind, the teacher has many families to attend to and reaching her at her optimal time ensures you have her undivided attention. It also shows that you appreciate her time.

DON’T:

Rely on information from other parents
Even if it’s someone you trust or consider “in the know.” They may have misheard something or interpreted something wrong. Remember the game “Telephone” you played as a kid? The last person to hear something rarely gives an accurate representation of what the first person said. Go directly to the source and ask specific questions. You are likely to get specific answers.

Get down on yourself
As your child grows, you will learn more about her challenges and strengths. Reach out to your child’s teacher and therapists and ask for strategies and tasks you can use at home. Remember that your child will not be “cured” in a day. The teachers and therapists, in conjunction with you, are working towards a common goal and there are bound to be some missteps along the way. Your child’s growth takes time and you will learn together how to steer her in the right direction. Pat yourself on the back for doing a good job!

Only communicate when you have something negative to say
Nothing burns a teacher more than hearing people say “Oh how nice! You get out of work at 3:00 and you have summers off!” This is not why we became teachers and it is not what keeps us motivated. Your child’s success is. (Also, I don’t know many teachers who leave at 3:00 and who aren’t setting up their classrooms most of August!) We love to hear that you see the progress we have so carefully crafted and nurtured. We love to hear that you liked the assignment we spent weeks planning. We love to hear that your child is excited about coming to school. This is what drives us. That and the “A-ha!” moments we get to see your child have when in our care keep us going. A simple “thank you” goes a long way.

Remember that you are your child’s advocate and you must be informed about her education. Ask questions, gather information from reliable sources, and communicate often with the educators working with your children. It seems like an overwhelming list of tasks, but take it one day at a time and remember you too are still learning. You will continue to grow along with your child and meet success together.

Jennifer Cerbasi teaches at a public school for children on the autism spectrum in New Jersey. As a coordinator of Applied Behavioral Analysis programs in the home, she works with parents to create and implement behavioral plans for their children in an environment that fosters both academic and social growth. In addition to her work both in the classroom and at home, she is also a member of the National Association of Special Education Teachers and the Association for Supervision and Curriculum Development.

If you are a child:

• Children have not shown any immunity to this new strain of flu.
• Kids are super spreaders of flu, with schools being petri dishes for spread.
• Children should wash hands frequently for at least 30 seconds with soap and water, use hand sanitizers, and sneeze or cough into their sleeve.
• Children who have fatigue, fever, sore throat, nausea, or muscle aches, should STAY HOME and the family pediatrician should be consulted.
• Rapid flu tests are about 60% sensitive for H1N1 swine flu, and a presumptive diagnosis can be made by a child’s doctor, based on symptoms.
• Kids with the flu should stay home for at least two days after symptoms resolve.
• The H1N1 swine flu vaccine will be available beginning in late October. ALL children should take it, especially those with chronic illnesses. It will likely be offered in schools. It is not clear yet whether children will require one or two shots.
• The use of Tamiflu (anti-viral) in children is somewhat controversial; recent studies from the UK appear to show that it isn’t well tolerated or effective, though previous studies have shown that it is safe, shortens the course of illness, and can also prevent spread (80-95%) if given to close contacts. This was the experience of several summer camps in Maine this summer, where Tamiflu was also well tolerated.
• Secondary bacterial infections are common, and should be treated promptly with antibiotics.

If you are an adult:

• Especially at risk are adults with chronic illnesses such as COPD, Crohns Disease, Rheumatoid Arthritis, HIV, cancer, etc. These patients should be especially careful, take Tamiflu early for flu symptoms, be on the lookout for secondary infections including bronchitis, pneumonia, sinus and ear infections.
• The H1N1 vaccine should be given to these groups as soon as available, as well as pregnant women (currently in clinical trials), health care workers, and close contacts of those with chronic conditions.
• New studies just published in the New England Journal of Medicine show that the new vaccine works in 7-10 days, is well tolerated, and provides immunity with a single dose.
• Elderly patients appear to have partial immunity to this H1N1 swine flu strain, if born before 1957, probably because of exposure to a related virus when they were younger, but should still be considered for this vaccine, especially if they have chronic medical conditions.
• Those who had H1N1 swine flu in the Spring or Summer are likely immune. There may be a blood test available to test this.

Dr. Marc Siegel is an internist and associate professor of medicine at the NYU School of Medicine. He is a FOX News medical contributor and writes a health column for the LA Times, where he examines TV and movies for medical accuracy. Dr. Siegel’s new Ebook: Swine Flu; the New Pandemic, will be published in early October. Dr. Siegel is also the author of “False Alarm: The Truth About the Epidemic of Fear“ and “Bird Flu: Everything You Need to Know About the Next Pandemic.” Read more at www.doctorsiegel.com

No matter how much you and your family wish the days would stop flying by, the time for school bells and backpacks is rapidly approaching.  Hopefully you and your child are well-rested and ready for another great school year. There are many things you need to do to help your child start her year off right. Use these innovative tips to help you complete even the most commonplace tasks more efficiently and thoroughly.

Tackle the Supply List
This seems like an obvious thing to do but, given the number of supplies on each child’s list, it can be an overwhelming task. Most schools send home the supply list weeks before school starts so that your child has everything he needs and hits the ground running when the doors open on the first day of school. One reason lists go home early is that many teachers like to guide their class to set up notebooks, folders, and binders the same way so students can easily organize material during the first few days of school. The best way to tackle your child’s supply list is to do it in two trips. While this may seem like it makes the task more complicated, each trip has a specific goal and will cut down the time spent in the store. For the first trip, have a family member or babysitter stay with your children while you head out alone. This allows you to get the basics, such as pencils, pens, binders, art supplies, and paper without little voices behind you asking numerous times “Can I get this pencil, too?” Although shopping alone will get the task done quickly, children typically get excited about picking out new supplies, which is why you will make a second trip. Encourage your child’s excitement about school by specifying two or three items he will be allowed to choose. These can be more personal items, such as backpacks, pencil cases, or folders. Separating the supply list into two separate trips with clear goals allows you to check items off your list quickly and efficiently while still allowing your child to be part of the process.

Attack the Pile of Paperwork
You likely have a mound of paperwork sitting in your house that needs to be completed by the first day of school. This may include medical forms, parent teacher organization materials, or activity registration forms. Allot a block of undisturbed time, perhaps after your child is asleep, to get through all the paperwork in one sitting. You may need to work on one child’s pile of paperwork each night to keep it organized. Once you have completed the paperwork, put it in the appropriate place, i.e. the mail or your child’s school folder. Completing the whole process of paperwork at one time, including the delivery of items, frees you from having the clutter hanging over your head.

Set Your Alarm
If you and your family have been enjoying the lazy days of summer by sleeping late, it’s time to break out the alarm clock. Morning can be a hectic time and getting sleepy students up and ready for school can be challenging. Start waking your child at the same time you will be waking him for school about a week before the first day. Start the morning schedule of eating breakfast, getting dressed, and brushing teeth, even if you don’t have anywhere to go. Children adapt quickly so they will get back in the swing of the morning routine and be ready to go on the first day of school. Also, remember that bedtime is crucial to the success of the morning schedule. A well-rested child is easier to guide and is much more compliant.

Organize Your Calendar
Organizing your calendar is an inexpensive and extremely effective way to maintain order and structure throughout the activity-packed school year. Have a family calendar on which all events are kept and keep it in a central location, such as the kitchen or family room. Encourage your child to reference the calendar each night to check for upcoming activities. For desk or hanging calendars, use colored pencils or erasable pens and assign one color to each member of your family. For calendars on your computer, cell phone, or PDA, use different color fonts. Assigning different colors keeps everyone’s activities clear and organized. It is also easy to read as you run by it on your way out the door! When you get hard copies of football schedules, karate lessons, or important school work, immediately put it on the calendar. You will spend less time looking for these important details and more time with your family.

Clean up!
Take some time to clean out frequently used spaces in the house, such as the kitchen, bathroom, and family rooms. Discard old or broken toys, cluttered decorative items, or unnecessary papers. If you have time, tackle your children’s closets and re-evaluate what clothing you will need to buy for the upcoming school year. Starting the year with a clean and organized space gives everyone a fresh perspective. It also allows you to take stock of items you already have and could save you money by avoiding buying duplicates.

Though summer is drawing to an end, there is still time for relaxing and regrouping. To celebrate the end of summer, invite some of your child’s friends and their parents over to toast some marshmallows or play a game in the backyard. Starting the year off connected to peers will help your child feel confident as he enters a new classroom. It also helps you stay connected with the parents of the children your son or daughter will be spending time with this school year.

Speak with your child about the upcoming year. Express your expectations and hopes and ask for her thoughts. She may be feeling nervous about entering a new school or new class or she may have questions about what her schedule will look like. As always, open and honest communication makes your child feel safe and confident, both factors that will positively impact her school year.

The important thing to remember is that back to school does not mean back to stress. Schedule down time for you and your children, especially at the beginning of the year, when schedules are likely jam-packed. You may need to be more creative and flexible about your break times but ensuring your family has a break is ensuring they have the energy to succeed throughout the school year.

Jennifer Cerbasi teaches at a public school for children on the autism spectrum in New Jersey. As a coordinator of Applied Behavioral Analysis programs in the home, she works with parents to create and implement behavioral plans for their children in an environment that fosters both academic and social growth. In addition to her work both in the classroom and at home, she is also a member of the National Association of Special Education Teachers and the Association for Supervision and Curriculum Development.

Parents of every background, religion, and nationality have one common wish for their children: to remain healthy throughout their lives. Unfortunately, many parents are forced to face their worst fears when a child is diagnosed with a medical condition that requires ongoing treatment or specific care. This could include seizure disorders, diabetes, or life-threatening allergies. It could also include a developmental disability such as autism, in which case your child may not be able to communicate his pain or discomfort. Regardless of the condition, there are certain steps parents of children with specific medical needs should take to ensure proper care and immediate action.

Fill out school and activity medical forms in detail.
You may think these forms get stored away, never to be referenced again. School nurses, educators, and instructors will read these forms to make themselves aware of your child’s specific conditions and learn about their responsibilities regarding your child’s care. Ask to sit down with this person so you can go over the form together in case they have any questions beyond what is printed. These forms are also crucial for substitute nurses or teachers, in case your child requires care while under their supervision.

Provide your child with proper identification.
Some conditions could render your child without the ability to communicate to emergency medical responders. Consider various types of identification, such as necklaces, bracelets, or shoe tags that list the condition, doctors’ or parents’ phone numbers, or medication. Consider which one best fits your child’s needs. If your child will be spending a lot of time swimming at camp, the shoe tag may not be best as she won’t have her shoes with her most of the time. Younger children may fare better with a bracelet over a necklace as the necklace may be uncomfortable. Ask your child’s pediatrician about pertinent information to be printed on the identification tag.

Train everyone who works with your child.
This means bus drivers, camp counselors, coaches, scout leaders, babysitters, and religious education teachers. Explain to your child that you are doing this in order to keep her safe, not to parade her special needs. Knowing that everyone is prepared to help her should make her feel safe but keep in mind it could make her feel like she is in an unwanted spotlight. Consider speaking with her close friends about her needs so they can be aware of warning signs she is in danger. Be sensitive to your child’s feelings about her condition but assure her you are acting in her best interest. Have these conversations discreetly and remind caregivers of their commitment to confidentiality. Caregivers will have access to only the information that will keep your child safe.

Have a family emergency plan.
Some children have medical conditions that require a call for emergency medical attention. Create a plan for this occurrence and practice with your family frequently. Make sure everyone has a job in case your child requires immediate medical attention. Jobs could include opening the front door for emergency responders, calling a neighbor or other adult family member, or gathering all the siblings in another room. Seeing a family member in need of emergency care can be frightening but having a plan will reduce everyone’s anxiety.

Ask your child’s pediatrician or specialist for important tips to share with those working with your child. He may have brochures to share or other printed materials to provide your child’s caregivers and educators.

Communicate with your child about his condition but don’t make it the only topic of conversation. It is important for your child to be educated about his needs but it should never define him. The most important thing for you to remember is he is a child first. Never address him as “diabetic” or “autistic.” He is a child with diabetes or a child with autism. Addressing him this way is a sign of respect for him as an individual.

Having a child with ongoing medical needs can be frightening and stressful for a parent. Being prepared and informed will make you empowered and able to care for your child. Educating people who interact with your child will make you secure about her care in your absence and, for any parent, that feeling is priceless.

Jennifer Cerbasi teaches at a public school for children on the autism spectrum in New Jersey. As a coordinator of Applied Behavioral Analysis programs in the home, she works with parents to create and implement behavioral plans for their children in an environment that fosters both academic and social growth. In addition to her work both in the classroom and at home, she is also a member of the National Association of Special Education Teachers and the Association for Supervision and Curriculum Development.

Children certainly need some rest and relaxation, but summer is a great time to work with your child without the pressure of his or her busy, school-year schedule. Often, parents express a lack of confidence when it comes to their own math skills and in turn, are hesitant to work with their child in this area. These simple tips will help you strengthen your child’s math skills now and throughout the school year.

Early Childhood
*Make math fun! Sorting, counting, and categorizing toys are all simple and fun ways to expose your child to math at an early age. When playing with blocks, identify and sort different colors and shapes. When coloring, ask your child to pass you different numbers of crayons. Find math in every day activities and show your young child how much fun math can be!

*Keep a calendar. Exposing your child to time concepts by utilizing a calendar will support him throughout his life. Identify the days of the week and teach your child to label yesterday, today, and tomorrow. Mark a special event on the calendar and count down the days as it drawers near. Specify when events are happening in relation to his daily routine. For example, “We will go to Grandma’s house after lunch.” Keeping a calendar not only exposes your child to time concepts but helps create structure.

Elementary School
*Check out your local teacher supply store. There are many pre-made materials that you can use at home, such as board games, flash cards, and other manipulatives. Playing a game such as Multiplication Bingo once a week will help your child maintain her multiplication facts in a unique way. Most of these materials are categorized by age so you will easily match the materials with your child’s needs. If you are looking for an inexpensive way to have access to materials teachers use, scan the  store for ideas and see if you can make some of these materials at home. Index cards and markers are an inexpensive alternative to store-bought flashcards.

*Give your child an allowance. Managing money is a math skill your child should learn early. He should learn to save money, become familiar with the cost of items, and make decisions about purchases. After making a purchase, he can count the change and make sure he got the correct amount back. Helping your child become comfortable with money is a skill that will last a life time and make a clear impact on his success as an adult.

Middle School
*Leave your child a to-do list. Word problems are a source of weakness for many children so having your child attend to written language will sharpen her attention to detail and order of directions. Make your lists fun, and even a little silly, by giving directions like “Make your bed. Jump up and down three times. Put your shoes in the closet.” As always, bringing humor into learning will make the experience more enjoyable.

*Review tests and quizzes together. Not all teachers have children correct their errors but you can use this opportunity to look at where the errors occurred and help your child learn from his mistakes. Mistakes, as we all know, are invaluable opportunities for learning.

High School
*Host study sessions. Teenagers often crave independence and establishing their own homework routines is one common source of conflict between them and their parents. Inviting your child’s classmates over for a study session creates a fun way to ensure your child is getting her homework done. It also provides an opportunity for students to “tutor” each other: if one child is unsure of how to solve a problem, another student can explain it. Provide healthy snacks and a good work space and check in on the work session periodically.

*Put your teen to work! Encourage him or her to get a part-time job. Many jobs, such as working in a grocery sore, retail store, or movie theater, offer real life experience with math skills such as making change, monitoring inventory, and discounting sale items. Children this age often begin to ask “When am I going to use this skill in real life?” Applying these skills from an early age is motivating and reinforces that classroom work can be beneficial outside of the classroom.

Another great way to incorporate math skills for children of any age is to get in the kitchen and start cooking! Reading a recipe, measuring ingredients, and timing the completion of your creation are all math skills in action. Your child will be so proud of her work she won’t even realize you just taught a math lesson!

The most important factor for helping your child is to get over your own fear of math. Remember that making mistakes is part of learning and showing your child how to work through a problem is also an essential skill. If you are stuck, consult the textbook, your child’s notes, or contact the teacher and ask for help. Teachers will appreciate you asking for help!

Jennifer Cerbasi teaches at a public school for children on the autism spectrum in New Jersey. As a coordinator of Applied Behavioral Analysis programs in the home, she works with parents to create and implement behavioral plans for their children in an environment that fosters both academic and social growth. In addition to her work both in the classroom and at home, she is also a member of the National Association of Special Education Teachers and the Association for Supervision and Curriculum Development.

I have long been concerned about potential overuse of the anti-flu drug Tamiflu, in fact there are sections on this topic in both my book on fear and my book on flu. But in my opinion, the current situation with H1N1 swine flu calls for the careful use of Tamiflu at large camp outbreaks. Use of the drug is warranted to help decrease shedding time in patients with mild cases and to prevent additional cases in their close contacts.

The CDC does not agree with me.

Here are the plusses:

1 – Since Tamiflu is highly successful at slowing spread, its use to squash outbreaks can help keep camps open which has the added benefit of keeping sick kids from bringing flu home to many different zip codes and thereby expanding the outbreak. People who are more at risk (including pregnant women, infants, and those with chronic conditions) may catch it that way. Even though this is a mild virus so far, with millions of cases around the world and only 700 plus deaths, there is always the chance that it will get worse; in fact a recent study shows that it lingers in the lungs of Ferrets (who react to flu like humans), causing lung infections.

2 – More circulating virus may increase the chance of a lethal mutation. The famous second mutation that may have occurred in 1918, when the virus became much more severe in time for the fall flu season, is extremely unlikely, but possible.

3 – Children seem more at risk for severe cases, perhaps because of a lack of immunity to an older H1N1 virus that was circulating before 1957. Older patients who have that immunity may have milder cases.

4 – Isolation of sick people and their contacts is the first priority, but use of Tamiflu (especially when there is no vaccine available), is a useful adjunct which may help to keep the camp open.
Here are the minuses:

1 – Use of Tamiflu may increase the chance of resistance occurring. There are some excellent articles on recent Tamiflu resistance, which also demonstrate that resistance sometimes occurs spontaneously, without exposure to flu:

H1N1 swine flu – the non-sustained Danish and Japanese resistance cases were in patients taking Tamiflu prophylactically. (see New Scientist article)

The interesting case in early July of a girl from San Francisco who picked up Tamiflu resistance in Hong Kong but NEVER took Tamiflu. (see NY Times article)

And the spontaneously generated resistance to seasonal H1N1 (NOT SWINE FLU) in last year’s flu season which led to massive resistance to that strain. (See NY Times article)

2 – Tamiflu shortages could emerge (although the CDC has stockpiled 50 million dose courses, and it is difficult to envision a scenario where there is a shortage of this magnitude, especially with a vaccine in the offing.

3 – Potential side effects of Tamiflu, including nausea, or an allergic reaction. But side effects are rare, Tamiflu is a very well tolerated drug overall.

4 – By having the flu now, when it is mild, a person should be immune later on, during flu season, when the flu could return in a more severe form.

I must admit, some of what drove me to put my own 12 year old son on Tamiflu prophylaxis at Camp Modin where there were more than 80 cases was because I have a 4 year old son at home with asthma and chronic ear infections. I was worried about my older son bringing the flu home. But my own scenario was far from unique, which is why I recommended that all of Camp Modin take Tamiflu.

My article on the Modin Protocol I created was published in Slate on July 10th. (see Slate article)

This was followed by a front page article by Tamar Lewin this past Thursday July 23d in the NY Times which described the problem – and solution – at the camp. (see NY Times article)

The following day, Dr. Anne Schuchat, director of the National Center on Immunization and Respiratory Diseases at the CDC, reacted to the Times article by disagreeing with camps using Tamiflu to control outbreaks. She said she “strongly recommended” giving the drug only to people already seriously ill, or to their family members who are pregnant, have asthma or have other conditions that could be life-threatening if they caught the flu.

Finally, on Saturday, July 25th, Donald McNeil wrote an excellent balanced article in the Times describing Camp Modin’s use of Tamiflu, the rationale for my advice compared to the reasons for the CDC’s disagreement. (See NY Times article)

Dr. Marc Siegel is an internist and associate professor of medicine at the NYU School of Medicine. He is a FOX News medical contributor and writes a health column for the LA Times, where he examines TV and movies for medical accuracy. Dr. Siegel is the author of “False Alarm: The Truth About the Epidemic of Fear“ and “Bird Flu: Everything You Need to Know About the Next Pandemic.” Read more at www.doctorsiegel.com

Dear Dr. Fulbright,
I’m a 54-year-old man, divorced and dating again, and find that older women who are into menopause or post-menopause have different attitudes about sex and their own sexuality.  When I was a teen, I was the “hunter.” Now, in middle age and single, I find myself being “the hunted.”  Women who can no longer have children also seem to be more sexual now in their later years. Your thoughts?  —Mark

Dear Mark,
There are a couple of major things going on when it comes to older women being seemingly more “aggressive” with their sexual relationships. First, with some widowed or divorced women, their quest is to find a partner for their later years. In some cases, there is the need or hope for financial support. For others, fear of loneliness is a driving factor. Knowing that the pickings get slimmer with every passing year, they’re going to be that much more assertive with the men they come across.

Second, between education, media programming, and simply the times, many older women are embracing their sexuality as never before. They’re not afraid to see themselves as sexual — and flaunt it. They love the fact that they no longer have to worry about getting pregnant, PMS, menstruation, birth control or raising children. In so many ways, they’re free when it comes to responding to their sexual urgings.

Do you have a question about sex? If so, foxnewshealth.com wants to hear from you! E-mail your questions to drmanny@foxnews.com

Dr. Yvonne Kristín Fulbright is a sex educator, relationship expert, columnist and founder of Sexuality Source Inc. She is the author of several books including, “Touch Me There! A Hands-On Guide to Your Orgasmic Hot Spots.”

Your child will likely face many transitions in her life, but entering middle school, high school, and college are undoubtedly three of the biggest. Each brings the possibilities of new friendships and experiences but also more independence and autonomy which, as most parents know, is not always a smooth road for young adults.

The key is to remember that they are just that — young adults — and now is the time to start preparing your child for the challenges and situations she will surely face throughout her life. Balancing a social life and daily responsibilities as well as money management are keys to a successful future and supporting your child as she develops these skills is important. Make sure she knows you are always there to offer guidance and use these tips as your child transitions through three of the most crucial times in her educational and social development.

Middle School:

Assist with summer reading
Your middle school student will likely be tested on his summer reading when he returns to school in September. Help set a weekly goal for summer reading then step back and allow him to follow through. Earning extra allowance or earning an extra half hour on curfew one night may motivate your child to get his work done, but if you have an agreement and he breaks it, it is important that he not get the reward. While this may seem harsh, it is a great lesson in following through for your middle school student. Middle school teachers are looking for your child to complete work independently and there are consequences for not doing so. His grades could be lowered or he could have to stay after school to complete work. Setting up a system where your child is reinforced for completing work without you hounding him will get him ready for more responsibilities come September.

Strengthen the lines of communication
Your middle school student is about to enter a socially-challenging time. Middle school often proves to be students least favorite years in school, as children’s bodies, preferences, and attitudes are changing and peers are quick to judge. While girls tend to use more verbal or non-verbal approaches and boys tend to use more physical means, bullying is common at this age in both genders. Clearly- and often- remind your child that you are there to listen. Knowing that Mom or Dad is a phone call away is very comforting for a child who is entering young adulthood and unsure of her steps. Repeatedly tell your child that you are proud of her, you love her, and that you are always there for her. Although children at this age often don’t seem to be listening, they are. Make sure you let her know she can count on you and she may just call in that favor.

High School:

Set clear expectations for social outings
This is again a time when your child is likely to test his boundaries and break the rules you have set. Be clear on what you expect of him, whether it be a curfew, who he is allowed to be in the car with, or where he is permitted to go. Some parents offer a half hour added to curfew each school year. Whatever your rules are, be clear on them and the consequences of breaking them. If you say he is going to be grounded for a weekend if he breaks curfew, then he needs to be grounded if he comes home late. If your child knows you are serious, he is going to consider his choices with you in mind. If he knows you are going to bend the rules or change them midway through, he is going to see what he can get away with. Be clear, be firm, and be proud when he follows the rules!

Help choose extra-curricular activities
High school is a time when children try different sports, clubs, or activities in an effort to establish their own identity. Make sure your child understands the time commitment involved in each club or sport she is interested in and how this will affect her studies. The workload in high school is often more time consuming than middle school and this may be a difficult adjustment for her. Most coaches or advisors will have meetings in the beginning of the year to give important information out, such as schedules of practices and games, financial commitments, and expectations for the season. Get a copy of any paperwork handed out and review it with your child. Decide on activities that allow study time and some down time, which is often neglected during these years.

College:

Pack Up!
Many home goods stores and department stores now have generic packing lists for incoming college freshman. This is a great starting point so you don’t miss out on important items, like a shower caddy, flip flops, and a bathrobe. (As any college sophomore will tell you, these items are life savers, especially for co-ed dorms!) Also, have your child contact the housing department at his college to see if there are any larger items he will need to bring, such as a microwave or a small refrigerator. Most schools have clear rules on what is allowed in dorm rooms and many offer rentals of such equipment at a reasonable fee. There is much to be said of having the comforts of home while away for the first time!

Encourage your child to be a savvy saver
One of the biggest pitfalls of college students in America today is the credit card. The average student comes out of college carrying between $3,000 and $7,000 worth of credit card debt, in addition to an average $21,000 in student loans. Encouraging your child to have a summer job and save money to use during the semester may help him avoid applying for and overusing a credit card. You may want to consider having one for your child with a low limit for emergencies but speak to him about the dangers a credit card can bring. Using cash is still the best way to go for a young adult away from home for the first time as it lowers the temptation to overspend.

Throughout each of these transitions, remember to praise your child for all the good things he does and all the ways he makes you proud. Surely he won’t get through middle school, high school, or college without a few missteps, but being there to support him will certainly guide him in the right direction.

Jennifer Cerbasi teaches at a public school for children on the autism spectrum in New Jersey. As a coordinator of Applied Behavioral Analysis programs in the home, she works with parents to create and implement behavioral plans for their children in an environment that fosters both academic and social growth. In addition to her work both in the classroom and at home, she is also a member of the National Association of Special Education Teachers and the Association for Supervision and Curriculum Development.