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  1. My husband brought it in. At least, that’s what we think. We still have no idea where exactly he picked up the coronavirus, but it came into our house around mid-to-late March and upended our newly sheltered-in-place world. He first went down with extreme fatigue. He would occasionally shiver, and he had a cough, though not an entirely dry one, so we played multiple rounds of “allergies, flu, or COVID?” Tests were still in very rare supply at this point, reserved for only the sickest, most at-risk, and – apparently – famous. His doctor informed him to isolate in our house and call them if he got worse. Isolating in a condo in the city without a spare bedroom proved challenging. And by “challenging,” I do, of course, mean “impossible.” [Related: Will my relationship survive this virus?] His sickness lasted about three days before he recovered. I was responsible for getting supplies, entertaining/feeding our 5- and 3-year old kids, trying to keep them away from my husband, and monitoring how my husband was doing. During this time the kids were just...off. They were cranky, displayed some behavior regressions, and were generally lackadaisical, but they never had fevers, nor did they complain of sore throats or aches. We attributed it to adjusting to the new “shelter-in-place-no-school-no-friends-more-screens” life they were suddenly living. We watched a lot of Frozen 2. (This behavior, it might be worth noting, has yet to change.) In hindsight, they most likely had (generally) milder, kid versions of the virus. As my husband recovered, I went down. I first got a sore throat, a headache that made my brain feel like it was about to explode out of my skull, and felt extremely achy. The fatigue then set in. I started coughing a dry, from-the-lungs, deep cough that got progressively worse. The second day I felt...better. A lot better. I was up and about, energized and convinced I had just contracted a gross spring bug, and nothing to worry about at all. Anecdotally, this one-day early recovery is common early on with the coronavirus, and some people even recover fully from this point. I wasn’t so lucky. I went down again on my third day of symptoms and didn’t get back up for another five days. I was so tired I could barely sit up. I would cough so hard I would almost throw up. The chills and aches were so bad I would lie in bed physically shaking, even though my fever never went above mild at most. I started to get out of breath going 10 feet from my bed to the bathroom. If I happened to do something that required a lot of exertion – say, going 15 feet to the kitchen for water – I would be out of breath for a few minutes. My lungs started feeling like they were burning if I did anything more than lie down, or if I had just had a bad coughing fit. I slept a lot. And when I couldn’t sleep anymore, I would just lie in bed and stream episode after episode of Love Island: Australia, an activity that required fewer brain cells than sleep. [Related: 4 tips for managing your kids' coronavirus anxiety] We ordered a lot of delivery foods during this time, since our whole house was under strict quarantine. My husband carried Lysol with him when he took the dog out, so as to try not to infect our upstairs neighbors using shared doorknobs. I burst into tears with feelings of guilt wondering if I had infected anyone when I had made an essential run to the grocery store in the week prior to any of us being sick (masks at this point were not available, let alone common). We had always been very clear with the kids about the virus, and why they were home from school and why things like their soccer class was suddenly being held via video. While they wanted me to hang out, or watch Frozen 2 with them, they seemed to understand I couldn’t. I wanted nothing more than to squeeze them. Both my husband and I were supposed to be self-isolating. Unfortunately, there is no guide on self-isolation when both parents are still both sick and presumably infectious and you have two preschoolers in the house who need to eat, play, and be put to bed. Because my husband was functional and I was not, we had to make the choice for him to continue caring for them. Around day five my doctor told me I had a presumed case of COVID-19. At this point, she said, most people recover. Some people – and there was no telling who, or why – would not, and would take a nosedive. If that nosedive happened I was to go straight to the hospital because I would need oxygen. My husband and I had a distinct talk about what my wishes were if I were to go into the hospital and need to be put on a ventilator. We talked calmly about end-of-life decisions. Luckily, I started to recover. The isolation period our doctor suggested was 10 days from the start of symptoms, though we all isolated for longer. I started to have periods of feeling semi-functional, only to crash later. Those times of feeling better started to get longer and longer, and my husband resumed working from home again as I “watched the kids,” which mostly consisted of – you guessed it – watching them watch Frozen 2 or Star Wars. After about two weeks, I felt like myself again. I started exercising, even. It’s been several months since we went through this. We’ve learned a lot about the virus, but also about how fallible the testing is, even when you do get a test. (There are almost no false-positive tests, but worryingly up to 30% false negatives.) The antibody tests seem just as fallible, only with the opposite problem of over-predicting positives. We continue to follow the protocols: we wear our masks, socially distance, and bake an absurd amount of banana bread. My family came through this relatively unscathed and I realize just how lucky we are. I’ve let a lot of things I thought were important go. My house is a mess, but my kids are happy, healthy, and able to play. I will never again take for granted this time when my kids are playing happily and I’m able to watch them.
  2. The coronavirus can be scary for kids. Kids pick up on information and emotions from the adults around them, and some kids may become worried or anxious about this information. Here are some tips for how to best support your child when presented with worrisome information. Focus on what you can control In a society overwhelmed with news and information, worry around COVID-19 can make us feel helpless and out of control. It is hard to believe or find a way to gain some sense of action and control. What we can focus on is what we can control: ourselves and those we care for. You can be an active participant in stopping the spread of illness and germs by washing your hands regularly and well and avoiding touching your face. Thorough hand washing is proven to reduce the spread of illness and germs. Read more science behind handwashing. Read evidenced-based material In a time of pandemic, we are quick to absorb all the information we can find. Unfortunately, not all information we find is rooted in factual and/or evidence-based information. To ease anxiety, it can be helpful to refer to sources that are objective and evidenced-based. Some sources include but are not limited to the Center for Disease Control and Prevention and the Chicago Department of Health These sources are frequently updated and reviewed by individuals whose roles are to ensure this information is accurate and updated. The CDC’s responsibility is to keep the public healthy and safe. Outlining the CDC’s role in health and safety for children will help your kids understand that there are professionals who are monitoring what is best for the public. Practice self-care Self-care is not only beneficial for getting our minds off of worry-provoking ideas or situations, but it also helps our overall well-being. Self-care looks different for each child; teaching your child to understand what they enjoy and seek out these activities is the first step to consistently practicing self-care. Self-care can be physical, mental or emotional. Ideas for physical self-care: Eating healthy Going for a walk, bike ride or scooter ride Drinking lots of water Sleep! Stretching or yoga Getting a hug Taking an extra long bath Playing with your pets Dancing Playing a fun sport Ideas for mental self-care: Being silly with a friend over video chat Coloring or making art projects Alone time Playing a board game Reading a book Singing Helping others Being in nature Ideas for emotional self-care: Make a list of things you’re thankful for Telling a joke Cuddling with your family and pets Writing thank-you notes Practice positive self-talk Saying "I love you" Talking about feelings and emotions Stock up on fun activities Since large activities are being canceled, having a stock-pile of fun home activities will help keep you and your child occupied. Some ideas to stock up on: Save scraps of newspaper and paper for crafts Save your boxes, strings, and other materials to make musical instruments Create homemade Playdough using flour and water Make a playlist of your family’s favorite songs for a dance marathon Take pictures of your family treasures and create a virtual scrapbook Gather dish soap and bubble wands to make homemade bubbles Create a dress-up box Write a story, or play to perform, or play charades Guest authored by Annie McGunagle, MSW, LCSW, and Leah Dunleavy, M.A., BCBA, OTR/L, OTD. If you’re noticing your child continues to express worry more than other children, reach out to a health care professional for further support. Eyas Landing offers social work services for children with worry. Check us out at eyaslanding.com.
  3. If I possessed one superpower, I would disregard flying, teleporting or telekinesis. I would simply want to stretch our 24-hour days to have more time. That was one of the most surprising transitions for me as a new parent: clocks no longer mattered because you can’t finish all the things that are on your list — and there’s even less time to unwind. But I’m a firm believer that we were each a person before we were a parent, and maintaining some semblance of your interests is core to avoiding burnout. Remembering the activities that gave you energy before you had kids is an important first step. The harder next step is carving out time to do those activities. But I think both things are possible: making time for yourself and being a good parent. [Related: Working mom hacks: Tips and tricks to make your life better] How can we be a light to others if we’re burned out? From one parent to another, here are my five tips* to beat off burnout before it happens: Be honest with yourself. Do you feel on the brink of flipping out about something tiny? Not being your best self with your kids? This is typically a good sign that you need a break. Even a short one can make a difference. Parenting can feel as if you’re on a hamster wheel. Stop running. Understand that self-care isn't selfish. Caring for yourself is necessary, not indulgent. Reading for 15 minutes in bed or enjoying a cup of coffee you didn’t have to re-warm 9 times can be self-care. While a trip to the spa is wonderful, self-care doesn’t have to be luxurious, expensive, or time-consuming. It just has to be for you. Take the pressure off of social media. When you see on Instagram that another mom baked homemade cookies or DIYed all their kid’s birthday decorations, remind yourself they may enjoy baking or crafting. Or they may hate it and are just doing it for likes. In either case, don’t compare yourself. [Related: To the moms running on fumes, here's how to refill the tank] Don’t commit to things you don’t care about. You have the right to say no to activities you don’t want to do, and I encourage you to try it. If you dread that party you said you’d go to, kindly bow out. Be honest with others. The most rewarding conversations I’ve had with friends and family are the real ones. The ones where you talk openly about your lives and are vulnerable. It takes a village to raise a child, and it takes a village to support a parent. Be that village for others and you’ll find the favor is returned. Hats off to the moms and dads who magically make it happen every day — minus sleep and superpowers to pull it off. *I am an amateur parent, and only marginally and intermittently qualified to offer advice.
  4. We sure know how to bundle up in the Midwest. We don’t let winter stop us from living life and enjoying the parks, zoos and fun outdoor activities. But it’s a lot of work to get all that winter gear on, and then there's that “no coats in car seats” rule. Madness! As a child passenger safety instructor at Lurie Children's Hospital (and a mom), I have some practical tips on how you can buckle in your kids safely and quickly during our never-ending winters. Why can’t my kid wear a coat in their car seat? Let’s start out with a refresher of how to buckle up safely. Kids should always be buckled into their car seat snugly. To check this, use the pinch test—once your child is buckled up, try to pinch some harness webbing between your finger and thumb near your child’s shoulder. If you can pinch some slack, the harness needs to be tightened until your fingers slide right off and you can’t pinch any extra webbing. Once kids are snug enough, pull the chest clip up to armpit level. Kids need to be snug because the harness will stretch during a crash. This stretching keeps our bodies from stopping too quickly. When a child wears anything bulky in the car, it creates too much space between their body and the car seat harness. If a crash happens, a child who is wearing a coat or snowsuit isn’t buckled in snugly enough to begin with, so when the harness stretches, that child can pop out of the car seat harness. Even if they don’t come out completely, their little body is subjected to too much movement and they are more likely to have head contact with the interior of the car or with another passenger. Sometimes parents try to solve this coat problem by pulling the car seat harness even tighter and squishing the coat material down. This doesn’t totally compress all the bulk though, and it can create a few other problems, too. We don’t want to overheat our babies and increase their risk of SIDS. Pulling the harness tighter when a child has a coat can also squish the coat material closer to their face, creating a suffocation risk for babies and young kids. Then how can I keep my kids from freezing during a polar vortex? There are lots of ways to keep kids warm in the car, but only one way to keep them safe in the car. And kids don’t freeze to death in the short time it takes to get out to the car, buckle up and start driving. The warm air will be blowing through those vents in a matter of minutes. Here’s what my family does on those bone-chilling days: Start the car to warm it up, but not in a garage (carbon monoxide!) Actually, I’m lying. I’m always running late, so I don’t have time to warm the car up. I totally skip this step. Put on coats and hats, then run out to the car. Get in and start the car. Yank those coats off and get buckled up. Now here’s the best part—you can put those coats back on! Toddlers and older kids can put their coats on backward, over the car seat harness or seat belt.* The hood will end up on the front of their body when you do this. Now the bulky material isn’t between your child’s body and their harness or seat belt. If they start to overheat, it’s easier to remove. But this isn’t safe for babies, because the coat and hood could create a suffocation hazard. So… Dress baby in thin layers. Once baby is buckled in, tuck a blanket around baby’s torso and under their arms so they can’t accidentally flip it up on their face and create a suffocation risk. Thin layers and blankets are okay for big kids, too. If you have an infant seat, bring the seat in overnight so it’s not cold when you go out to the car. Once you switch to a convertible seat, it isn’t practical to bring it inside, obviously. * This is advice for toddlers and big kids who have good head and neck control and who don’t have any special needs that could compromise their airway safety. Always listen to your pediatrician about your child’s individual needs and safety.
  5. My 4-year-old and I had a date with our pediatrician yesterday. Though kids can get their second MMR vaccine any time between 4 and 6 years old, he received his second MMR vaccine exactly a week after his 4th birthday. After the visit, we got cinnamon rolls (and a large coffee for me) and I told him how proud and excited I was that he was protected against measles and a bunch of other nasty diseases much better now. It sounds pretty cheesy, but I said this out loud to him and I woke up this morning breathing a sigh of relief. As many of you have heard, there have been multiple outbreaks of measles in the U.S. so far this year and we are up to 662 cases in 22 states as of April 19, 2019. We are on pace to exceed the 2014 record for highest number of cases since measles “elimination” in 2000. Illinois has had some of these cases. I know this not only because I am a pediatrician and infectious disease specialist, but also because I do disease surveillance for measles and other vaccine-preventable diseases at the Chicago Department of Public Health. Measles keeps me up at night, when my two kids are not waking up with wet beds or nightmares. Many children are suffering in our country and will continue to suffer if these outbreaks spread. Even after recovery from measles, children are more likely to get bacterial infections for a certain period of time and there is a rare complication of delayed swelling of the brain lining (encephalitis) that can occur ten years or more after infection. Measles spreads through the air when an infected person coughs or sneezes and it’s so contagious that if one person has it, up to 9 of 10 people around them will also become infected if they are not protected. Measles starts with a fever that can get very high, cough, runny nose, red eyes, and a rash of tiny, red spots that start at the head and spread to the rest of the body. The virus can cause serious health complications, such as pneumonia or encephalitis, and even death. Though all this sounds scary, we should feel good that most parents in Chicago and Illinois vaccinate their families. We all need to do our part to protect children under the age of 12 months or those with weakened immune systems who may not be able to receive the vaccine. They could be your neighbor, classmate or friend and you may not even know it. Travelers returning to Chicago from areas both internationally and within the United States experiencing ongoing measles outbreaks may pose a risk of spread of the illness within the city. The majority of measles cases in the U.S. currently are in New York City and New York state, which are primarily among unvaccinated people in Orthodox Jewish communities and associated with travelers who brought measles back from Israel. With the current Passover holiday that ends the evening of Saturday, April 27, there may be more opportunities for measles to spread. The best way to protect against measles is to get the measles-mumps-rubella (MMR) vaccine on time. We recommend that most children get the first dose of the MMR vaccine at the age of 12 months and a second dose after the 4th birthday. If you are not sure if they have had the vaccine or if they had a prior measles infection, talk to your doctor. If you travel internationally, anyone in your family older than 6 months should receive the MMR vaccine. Talk with your health care provider about protecting your baby at least 4 weeks prior to departure. A lot of my friends and colleagues ask me if they should bring their newborns and infants on planes to some of these U.S. locations with measles outbreaks. In general, infants who are too young to be vaccinated should avoid contact with sick people or situations where they may be exposed to sick people. Adults who are traveling internationally may need one or two doses of MMR vaccine depending on their vaccination history. Check out the following links for more information: Learn more about measles and prevention: https://www.cdc.gov/features/measles/ Measles fact sheet: https://www.cdc.gov/vaccines/parents/diseases/child/measles-basics-color.pdf

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