When Is a Children’s X-ray Necessary? A Parent’s Guide

Little girl looking at her x-rays with female doctor.

Dislocated joints and fractured bones aren’t picky about who they affect. Children aged 11 to 15 are especially prone to the latter, as bone mineralization tends to fall behind at this time of growth spurts. This leaves children with bones that won’t take much force to bend or crack, at least until bone growth finally catches up.

Anytime your child suffers a nasty fall or well-placed hit anywhere in the body, getting an X-ray is a good idea. That said, parents should know that X-rays are a form of radiation—and children are susceptible to it. One X-ray session may not seem harmful, but dozens of such sessions in succession might cause problems.

As such, rely on X-rays only when necessary. As to the situations that necessitate an X-ray, that’s what this article aims to discuss.

The Nuts and Bolts of X-Rays

To understand when an X-ray is necessary for your child, you first need a clear idea of how such tests work. X-rays are in the same high-energy grouping of the spectrum as ultraviolet (UV) and gamma rays. Whereas UV radiation can only penetrate up to the deepest layer of the skin, X-rays can reach up to the bones thanks to their shorter wavelength.

You can look up more information on how X-ray tests are done, but the gist is that the X-ray image everyone’s familiar with is produced when bones absorb the radiation. Calcium, the primary mineral in the human skeleton, has the highest atomic number among the other minerals in the body, allowing the bones to show up most prominently in an X-ray image.

Despite a high energy output, X-rays are one of the least intense sources of radiation. A single chest X-ray outputs 0.1 millisieverts (mSv) of radiation. By comparison, the earth your children stand, sit, or lie down on emits 0.21 mSv annually, and people in Denver are subjected to 0.8 mSv of cosmic radiation also annually.

So why are doctors cautious about overusing X-rays? As mentioned earlier, children are susceptible to ionizing radiation from medical or pediatric imaging, of which X-rays are one example. Too many X-ray tests across too short of a timeframe can quickly add up, increasing children’s risk of getting cancer or non-cancerous diseases later in life.

The good news is that today’s X-ray machines are capable of delivering quality imaging with less radiation. Still, authorities continue to advise doctors and healthcare professionals to use as little radiation as possible when screening patients under 21.

Justifying Undergoing an X-ray

Doctor with Child on X-ray Machine.

When Your Doctor Says So

The most common scenario that endorses undergoing an X-ray is when the doctor or physician deems it necessary to deliver an accurate diagnosis or treatment. In most cases, a doctor’s referral is required before the child undergoes the procedure.

A consultation with a pediatrician before an X-ray is essential for several reasons. For starters, it’s where the medical professional delves deep into the nature of the young patient’s condition. Pain from a hit in the arm or leg may reveal an underlying condition that may be news to the parent and child.

The Food and Drugs Administration (FDA) advises healthcare professionals to reserve X-rays and other forms of diagnostic imaging for last. Instead, they may do the following first:

  • Gauge if an examination is necessary to get to the truth of the matter
  • Check the patient’s medical imaging history for any existing records
  • Consider tests that use far less or no radiation, such as ultrasound or magnetic resonance imaging (MRI)

As a parent, you’d want to ask your doctor and the referred imaging facility as many questions as possible. Always assume that the risks of pediatric X-rays are genuine.

When The Symptoms Are Visible

X-rays are the primary means of getting a complete picture of the source of excruciating pain from an injury. However, doctors can tell when the injury involves a dislocation or fracture through several telltale symptoms, such as:

  • The shape of a limb out of place or protruding
  • Bruising or discoloration in the affected area
  • Having difficulty moving or placing weight on the limb
  • Intense and unbearable pain, accompanied by swelling

While the doctor will still require further information, these signs almost guarantee an X-ray examination to follow. They need to see how severely the bone has moved out of its alignment or how deep the fracture is.

Sometimes, X-rays may not show any visible fractures or signs of damage, especially in the wrist area. In such cases, they may order a more thorough scan of the area through a computed tomography (CT) scan or bone scan. If the doctor suspects fractures in the skull, they may not order an X-ray anymore and proceed to a CT scan immediately.

When Other Diseases Are Suspected

X-rays aren’t limited to fractures and other bone and joint problems. They can also be helpful in producing images of diseases affecting certain internal organs, of which three common procedures come to mind.

The first is a chest X-ray, which targets the internal organs within the ribcage, such as the heart and lungs. Its results can help assess a range of heart and lung problems, from foreign bodies inhaled by accident to pneumonia.

Another is an abdominal X-ray, which is used to spot the source of pain in the abdomen and lower back, as well as nausea and vomiting. Conditions that can be diagnosed via this procedure include ingested foreign objects, intestinal blockages, and gallstones.

Finally, there’s the dental X-ray, which produces a two- or three-dimensional image of the jawbone to find problems with the child’s teeth. This is ideal for diagnosing dental conditions like impacted wisdom teeth or root decay. Given that their teeth have a lot of growing to do, children can expect to undergo dental X-rays more often than adults.

When The Doctor Asks for A Follow-Up

Follow-up X-ray exams are relatively common, as doctors need to monitor the progress of the child’s recovery from a disease or injury. As for when the follow-up can be done, the interval can be several weeks or months from the last one. Sometimes, the doctor may not ask for a follow-up at all.

Again, this will require a written referral from the pediatrician, especially if they expect the patient to undergo more X-ray tests than usual.

Preparing Your Kid

An X-ray exam needs no special preparation most of the time. However, at this point, you probably can’t help but need to ascertain your child’s well-being during the exam, which is understandable. At the end of the day, X-rays are still a form of radiation that must be used wisely to prevent complications in the long term.

As such, when your doctor recommends that your kid undergo an X-ray, here are several precautions and preparations worth doing.

Roleplay the Procedure with Your Child

X-rays are a prevalent trope in cartoons, with one common gag involving an unlucky soul getting shocked so badly that their entire skeleton becomes visible. Of course, that’s not how X-rays work, and your child may be none the wiser. Playtime is a great way to set their expectations and ensure a smooth exam.

Consider a roleplay X-ray setting where your child plays the patient getting scanned. Using toys and other media you can purchase at a toy store or online, you can teach your child how to behave during the procedure. Printouts of the part of the child’s body to be exposed to X-rays can be helpful guides.

This is a good idea for children undergoing an X-ray for the first time or those who have done so but aren’t too keen on having to undergo another one.

Dress Up Your Child in Comfy Clothes

Loose clothing is preferable in the radio imaging room that houses the X-ray machine. This can help your child stay calm and comfortable during the procedure, which won’t take longer than 15 minutes on average. Depending on the target part of the body, the radiologist may ask your child to wear a gown for the exam.

Avoid getting your child to wear anything that can affect the imaging results, such as metal accessories. If they insist on wearing accessories, make sure to take them off and hold onto them until the exam is finished.

Be advised that the radio imaging room will be cold, something your child may need to bear for the duration of the exam. The room is kept that way because X-ray machines and other equipment emit lots of heat when in use.

And that’s about it. Unlike a CT scan or ultrasound, there’s no need for your child to fast several hours before an X-ray. After the exam is done, they can proceed with their usual routines and even enjoy any meal they like. They mostly won’t feel a thing, all thanks to advances in diagnostic imaging technology over the decades.

Wrapping Up

Despite X-rays being one of the safest means of assessing bone and organ health, it’s important not to underestimate their potential side effects. Always seek professional advice from your child’s doctor or pediatrician to determine whether or not your child needs an X-ray. If any side effects manifest, contact your doctor immediately.

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How Plants Can Enhance Home Learning Spaces

Plants play a vital role in home learning spaces and can help enhance the educational experience by promoting focus, concentration, and much more. So, what is the best way to create this calming atmosphere?  Here are five prime benefits of placing plants in kids’ study spaces.

You will also learn practical steps to help you and your kids acquire and maintain your plants. The benefits of plants in home learning spaces include:

Improved Concentration and Focus

Fresh air has many benefits, including enhanced focus and concentration, an idea supported by a study showing how spending time in a green environment helps create a calming and relaxed mind.

From this, we can conclude that adding plants to home study spaces creates an ideal learning experience by reducing or removing stress and anxiety.

Furthermore, plants help improve cognitive functions, relieve physical tiredness, and promote focus for longer periods.

Air Purification

Air purification is one of the most foundational benefits of having plants in a home learning space.

As you know, the human body breathes in oxygen and releases carbon dioxide; plants, on the other hand, absorb and process CO2 into fresh, clean air. This symbiotic relationship improves air quality. Breathing clean air reduces the chances of respiratory issues or allergies and creates a healthier learning environment for kids.

Certain plants, including aloe vera, weeping fig, peace lilies, friendship plants, and others that you can order online from providers like BloomsyBox, are great air purifiers, easy to care for, and ideal for dedicated learning spaces.

Aesthetic and Psychological Benefits

Adding plants to a home learning space can make it more visually appealing and inviting to kids. Placing decorative plants in kids’ study spaces also improves their mood and motivation and can encourage them to spend more time in their study area.

Indoor plants also help children feel more connected to nature, which can be very beneficial because they will want to spend more time around their inviting learning space. This kind of connection creates a sense of satisfaction.

Green plants throughout a room at home with desk and worktable.
Image by freepik

Educational Opportunities

Caring for plants can be an educational experience that gets kids into gardening. It can teach them about plants, how they grow, how they help the environment, and even how to care for them. Learning this helps complement their academic studies in STEM subjects like science and biology.

Adding plants to home learning spaces can also help kids acquire practical life skills they can use as they grow up. For example, plant-related activities like measuring plant growth, photosynthesis, or drawing plants can enhance their education and motor skills.

Teaching Responsibility and Care

Caring for plants in the home learning space can also teach children responsibility and care.

For example, since plants need regular watering, ideal light conditions, and good air circulation, teaching children how to do all this will instill a sense of responsibility and teach them valuable life skills.

Practical Ways to Incorporate Plants Into Home Learning Spaces

Now that you know the benefits of having plants in home learning spaces, let’s focus on a few key steps you can take to get started:

Step 1: Choose the Right Plants

For starters, do your best to choose the right indoor plants for your space based on your goals. Before buying plants, consider the maintenance options and check if they are safe for the children’s environment.

Select easy-to-care-for plants that thrive indoors. Pothos and succulents are good examples because they require minimal watering and can tolerate low light levels.

Step 2: Go for non-toxic plants

Choose plants that are safe for children and pets, aka non-toxic plants. Spider plants and Boston ferns are ideal examples, but since you have unlimited options, feel free to go for safe plants that meet your goals and needs.

Step 3: Strategically place the plants

Plant placement and care are also crucial. Place the plants where they can receive enough sunlight and air, which is important for their growth. Some ideal places to put your plants are window sills, desks, shelves, and other easily accessible and reachable areas so your kids can care for the plants.

Step 4: Create a maintenance plan

Involve your kids to create a maintenance plan detailing how often you’ll water and care for your preferred plants, including who’s responsible for what and when. Train them to do it daily or weekly to foster a sense of responsibility and ownership.

Step 5: Shop for the plants together

Online shopping is the easiest way to get plants. However, you could also get plants from local nurseries and garden centers. Either way, involve your kids in the shopping experience to ensure they choose plants they want in their learning spaces.

Conclusion

In conclusion, incorporating plants into home learning spaces creates a clean environment for studying by purifying the air. It also provides educational opportunities and enhances the overall aesthetic of the environment.

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How To Choose The Best Pediatrician For Your Child

Pediatrician gives boy a needle at her clinic.

Every parent wants a healthy and fulfilling life for their child. Among the many things you can do to gift your loved one this type of life is to choose only the best pediatrician around to cater to them. But you may wonder: how do I separate the wheat from the chaff? Exploring the essential qualities can help you choose right.

From their expertise to their approach, the ideal a child-centric pediatrician can make all the difference in your child’s health journey.

Credentials and Experience

Parents should consider a pediatrician who is not only medically qualified but also understands the broader health needs of children. In complex situations, patient advocacy becomes vital. Advocates play a crucial role in supporting families by helping them understand medical information and navigating healthcare systems efficiently. If you feel overwhelmed, it’s wise to find patient advocates who can assist in decision-making processes, ensuring your child’s health needs are properly addressed.

  • Board certification: Ensure the pediatrician is certified by the American Board of Pediatrics (ABP) or a similar body if you’re outside the U.S. This certification means they’ve completed specific training and passed exams that validate their expertise in child health care.
  • Medical school and residency: Knowing where your pediatrician trained can give you an idea of their medical education background. Top medical schools are often associated with rigorous training programs, but excellent pediatricians come from a wide range of schools.
  • Fellowships or additional training: Some pediatricians undergo additional training in pediatric specialties such as pediatric oncology, endocrinology, or pulmonology (which could be particularly relevant if your child has asthma). This extra training can provide deeper expertise in specific areas.
  • Licenses: Check that the pediatrician is licensed to practice in your state or region. This ensures they meet regional standards and are legally permitted to provide care.
  • Professional memberships: Memberships in pediatric associations, such as the American Academy of Pediatrics (AAP) or its international equivalents, indicate that a pediatrician is committed to staying current with the latest advancements and standards in pediatric care.

These credentials are signs of a pediatrician’s dedication to their field and commitment to providing the best possible care for children.  Parents should consider not only pediatricians but also the importance of choosing the best family doctor. A reputable family doctor offers accessible health services and extensive advice when making crucial health decisions, accommodating the whole family’s unique needs.

Find a trusted family care physician to better manage health from infancy to adulthood.  Consider asking about these qualifications during your initial consultation.

Office Environment and Staff

Hospitals might not be a comfortable place for your child. That’s why getting a friendly pediatrician and hospital should be a top priority. Look out for the following:

  • Child-friendly atmosphere: When you visit, notice if the office is welcoming to children. Are there books, toys, or a play area? Such amenities can make waiting times less stressful for both you and your child.
  • Staff interaction: Pay attention to how the staff, including receptionists and nurses, interact with children and parents. Are they patient and kind? The first faces you see often set the tone for the entire visit.
  • Efficiency and organization: Observe how the office operates. Is it well-organized? Do appointments run on time? An efficiently managed office can reduce wait times and improve your overall experience.
  • Cleanliness and safety: Check for cleanliness. A clean environment is vital for preventing the spread of germs, especially in a pediatric setting.

First impressions do matter. If your gut feels like something is off, do not ignore it. Inquire.

Young girl holds teddy bear and high fives her Pediatrician.

Office Location and Hours

When it comes to office location and hours, the following should come to mind:

  • Proximity: Choose a pediatrician whose office is close enough to your home, work, or child’s school. This can make it way easier to get to appointments without disrupting your day too much.
  • Accessibility: Consider how easy it is to get to the clinic. Is it a simple drive? Is parking available? How about public transportation options?
  • Office hours: Look for a pediatrician who offers hours that match your availability. If you work traditional hours, early morning, late evening, or weekend availability can make a huge difference.
  • Emergency after-hours service: Does the practice offer a way to consult the pediatrician or a nurse after hours? Some practices have an on-call service for emergencies.

Convenience matters. You’ve got to think through the different scenarios here then make your decision.

Hospital Affiliations

The hospital that your pediatrician is affiliated with counts. When out scouting, you should focus on the following:

  • Quality of the hospital: Check the reputation of the hospitals where the pediatrician can admit patients. You should specifically aim for hospitals with accredited pediatric departments.
  • Continuity of care: It’s advantageous if the pediatrician can see your child in the hospital. This continuity helps in managing your child’s care since they are already familiar with your child’s health history.
  • Insurance coverage: Health emergencies or even routine procedures can be quite a shocker when it comes to costs. That’s why you’ve got to make sure the hospitals are covered by your health insurance plan to avoid unexpected costs.

Quality is something you shouldn’t compromise on. In some cases you may find it to be a little bit on the pricier end (depending on the scope of your insurance coverage), or may be busier than other present solutions. But if it can guarantee your child’s health, that may be a very small price to pay.

Communication Style

How a pediatrician addresses your concerns should be a dealbreaker. Focus on the following:

  • Clarity and patience: Does the pediatrician take time to explain diagnoses and treatments in a way you can understand? It’s important they are patient, especially when addressing your concerns or explaining health issues to your child.
  • Empathy and understanding: Evaluate whether the pediatrician shows genuine care and empathy towards your child. A supportive and kind approach can significantly ease a child’s anxiety about doctor visits.
  • Engagement: Does the pediatrician engage with your child directly? Pediatricians who speak directly to children, making them feel heard and important, can make the overall experience way better for the child.

How a pediatrician approaches your child can set the tone for the whole experience. Remember, your child may not be feeling too well by the time they go to the hospital. Or maybe they are just plain anxious.

A disinterested pediatrician, or one who doesn’t take the time to approach your child at their level, will only add to the anxiety and maybe make things significantly worse.

Availability for Emergencies

Boy passed out on floor as if having a seizure.

Things happen when it comes to kids. That’s why you should plan for emergencies when choosing a pediatrician.

  • After-hours services: Determine what the protocol is for after-hours situations. Can you call a dedicated number, or is there a nurse hotline? Knowing you have a plan in place can relieve stress during unexpected illnesses or other medical emergencies.
  • Telehealth options: Check if the pediatrician offers telehealth services for non-emergency consultations after hours. This can be especially convenient for addressing minor concerns or getting advice without needing an in-person visit.
  • Response time: Ask about typical response times for emergency calls or emails. Knowing how quickly you can expect an answer can help manage anxiety when urgent situations arise.
  • Coverage: Find out if there is always a pediatrician on call, even when your primary pediatrician isn’t available. Continuous coverage ensures that professional advice is just a phone call away, regardless of the time or day.

Emergencies don’t choose a time. So, make sure you’re prepared for anything at any time by getting involved with experts who are prepared for anything at any time.

Patient Reviews and Recommendations

Other patients who’ve been to a facility can tell you a lot more than what websites, brochures, and even personal visits may be able to reveal. Look out for the following:

  • Online reviews: Search for reviews on websites like Healthgrades, Google, or even Facebook groups dedicated to local parents. Look for comments about how the pediatrician handles various health issues, their approach to treatment, and overall satisfaction.
  • Community feedback: Talk to other parents in your neighborhood, at your child’s school, or in parent groups. They can offer personal anecdotes and insights you might not find in online reviews.
  • Consistency in feedback: Look for patterns in reviews. If several people praise the pediatrician’s ability to engage shy children, it’s likely a strong point. Similarly, repeated concerns about long wait times might be a valid red flag.
  • Specific praise or concerns: Note any specific praises or concerns relevant to your child’s needs. For example, if your child is anxious about doctor visits, a pediatrician known for their calming manner might be ideal.

When most of the feedback praises a pediatrician or a hospital, the odds are high that it’s a good place. Do your own research and make an informed decision.

Philosophy on Health Care

What’s the pediatrician’s philosophy on care? Focus on the following:

  • Initial consultation: Use your first meeting to discuss the pediatrician’s views on health care extensively. Ask about their approaches to preventive care, treatment options, and routine health checks.
  • Vaccination policy: Since vaccinations are a fundamental part of child healthcare, understand the pediatrician’s stance. If vaccinations are a priority for you, ensure the pediatrician supports the standard immunization schedule.
  • Approach to antibiotics and medications: Some doctors prefer a conservative approach to medication, while others might prescribe more liberally. Clarify their policies to ensure they match your comfort level regarding medicinal interventions.
  • Handling of developmental concerns: Ask how they approach developmental screening and issues. Whether it’s language delays, behavioral challenges, or learning difficulties, ensure their methods and resources align with what you believe is best for your child.
  • Holistic and alternative treatments: If you’re inclined towards a holistic approach, check if the pediatrician is open to integrating alternative treatments with conventional medicine. This might include dietary advice, natural remedies, or referral to specialists like chiropractors or acupuncturists.

Discussing these aspects can help you gauge whether the pediatrician’s healthcare philosophy sits right with your family’s health journey.

Closing Thoughts

Choosing the best pediatrician for your child can be the best investment you ever make concerning their health. Research all the options out there and settle for the one that meets your criteria and safeguard your little ones’ health.

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Should Education on Drug Use Be More Prevalent in Schools?

Teaching in classroom writing on green board as children watch from their desks.

The prominence of drugs in society has changed a lot over the years. Long gone are the days where we’d see it on Grange Hill, a popular BBC television show, and it was a big thing. The normalization of drug use in everyday life has become more pervasive, blurring the lines between conversation and serious concern.

The ultimate warning sign? Noel Gallager in the 1990s claimed taking drugs were “like getting up and having a cup of tea in the morning”, stating most people took drugs in the UK.

And while that is far from the truth, the sentiment is sort of true. Drug use has been normalised, whether it be through television, music or just within the community people grow up in, with them more accessible than ever before. However, the dangers and problems they cause are far less so.

While you might find a TV drama with people taking drugs in a nightclub. It’s far less common to see them in drug rehab further down the line. Which means education is key in order to get the full context and scope of drug consumption. And it’s perhaps in school where education should be at its peak.

However, there’s a large number of people who believe more should be done in schools to make children understand the risks of drugs earlier and in more detail. But what can schools do exactly?

Addressing Gaps in Current Drug Education

While drug education does exist in schools, its quality and consistency vary widely. Many programmes focus heavily on scaring students with the dangers of drug use, employing shock tactics that may not always be effective. Studies show that fear-based approaches can be less impactful because students, particularly teenagers, tend to rebel against or dismiss messages that feel exaggerated or disconnected from their experiences. Furthermore, these methods can fail to address the complex social and emotional reasons why young people might turn to drugs.

Another issue is that current drug education is often too limited, both in frequency and scope. In many schools, drug education is delivered sporadically—perhaps as part of a one-off session or assembly or embedded in a broader health class that touches on many different topics. For education on drug use to be truly effective, it needs to be integrated into the curriculum in a way that allows for regular engagement. One or two lessons are unlikely to be enough to address the nuanced challenges young people face.

A Holistic Approach to Drug Education

To truly make a difference, schools should consider adopting a more holistic approach to drug education—one that moves beyond merely presenting the facts about drugs. Comprehensive drug education should include information on mental health, emotional wellbeing, and the impact of drugs on family and society, while also addressing the social pressures students may face.

Moreover, education about drug use should be tailored to the age and maturity level of students. For younger children, it might focus on the importance of making healthy choices and resisting peer pressure, while for older students, it could involve more detailed discussions about the physical, emotional, and social consequences of drug use. Importantly, it should also teach students how to seek help if they, or someone they know, is struggling with substance misuse.

Parents and communities can also play an important role in reinforcing the messages delivered in schools. Schools should consider providing resources and workshops for parents, so they feel empowered to have open and informed conversations with their children about drugs.

The Role of Schools in Promoting Wellbeing

Another argument in favour of making drug education more prevalent in schools is the fact that schools are increasingly seen as key places for promoting overall mental and physical wellbeing. With rising awareness of the importance of mental health, many schools are already focusing more on emotional education, mindfulness, and resilience-building.

Drug education fits naturally within this broader emphasis on wellbeing. After all, the use of drugs is often tied to emotional struggles such as anxiety, depression, or stress. By promoting wellbeing and offering students the tools they need to manage their emotions, schools can potentially reduce the likelihood that young people will turn to drugs as a coping mechanism.

Preparing Students for a Changing World

Finally, expanding drug education in schools is essential given the constantly changing landscape of substance misuse. In recent years, vaping, prescription drug misuse, and synthetic drugs like fentanyl have become major concerns, and many young people may not fully understand the dangers associated with these substances. Schools have an obligation to keep students informed about these emerging risks, equipping them with the knowledge and skills to make safe and healthy decisions.

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