Health
Getting Your Family Through the 2024 Flu Season
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It’s that time of year – flu season. We are seeing many cases of Influenza at St. Louis Children’s Hospital. But hopefully, your child will not be one of them. Here is some information about influenza to help you keep your child healthy this flu season.
What is Influenza?
Influenza is a contagious respiratory illness caused by influenza viruses, which cause mild to severe symptoms and in some cases, lead to hospitalization and even death. There are two types of influenza viruses, A and B. Both cause seasonal outbreaks each year, known as the influenza or flu season. The flu season usually starts in the fall and can last until the end of spring. When there is an outbreak or epidemic in the winter months, the illness tends to be more frequent in preschool and school-aged children; however, it can spread quickly among teens and college students, too.
Who is Most at Risk from the Flu?
Children younger than five years old, especially those younger than two years old, and children and adolescents with certain underlying conditions (such as chronic respiratory conditions) are at highest risk of developing complications from the flu. That is why it is highly recommended that these children get an influenza vaccine. The American Academy of Pediatrics recommends that all children get a flu vaccine annually starting at six months of age.
What are the Symptoms of the Flu?
Symptoms of the flu include:
- Sudden fever (usually above 100.4 Fahrenheit)
- Chills
- Headache
- Body aches
- Being more tired than usual
- Sore throat
- Congestion/stuffy nose
- Dry, hacking cough
- Some children may have vomiting or diarrhea
After the first few days of symptoms, the sore throat, stuffy nose, and dry cough often become more prominent.
How Long Does the Flu Last?
The flu can usually last a week or even longer. You can distinguish the flu from the common cold because typically, children with the common cold have only a low-grade fever, runny nose, and small amount of coughing, and symptoms only last a few days. Children with influenza are much sicker, achier, and more miserable.
Is there Treatment for the Flu?
Some things can improve your child’s symptoms. Children will benefit from extra rest and drinking more fluids. If your child is uncomfortable due to the fever, acetaminophen or ibuprofen (for children six months or older) may help. Make sure to check that you are using the correct dosages of both. Do NOT give aspirin because children with influenza can develop a condition called Reye syndrome, which is very serious.
Because the flu is a virus, antibiotics are not effective in treatment. However, there is a prescription antiviral medication for influenza, and it can be helpful if taken during the first 1-2 days of symptoms. If you feel your child’s symptoms just started, talk to your pediatrician about getting your child tested for influenza and potentially starting the medication. The medication is especially recommended in children at most risk for severe illness from the flu (children under five years old, those with underlying health conditions, or those around others who are at risk for severe complications from flu).
You should talk to your pediatrician if your child’s symptoms last longer than a week or if they develop new symptoms, such as ear pain or pressure in their head that do not go away.
When is the Flu an Emergency?
The flu is an emergency if your child develops symptoms such as trouble breathing or unusual rapid breathing, pale, grey, or blue-colored lips or skin, ribs that look like they pull in with each breath, chest pain, muscle pain so severe that they refuse to walk, dehydration (no urination for eight hours and dry lips/mouth/skin), not interacting with you while awake, seizures, or any fever in a child less than 12 weeks old. In these cases, go to the emergency department immediately!
How can we Prevent the Flu?
As always, good hand hygiene is important to prevent the flu, as well as staying home if you or your child are having any symptoms and keeping your child out of school/childcare while having any symptoms. However, getting the influenza vaccine each year is the best way to prevent the flu. If your child hasn’t gotten it yet, ask your pediatrician if it would still be helpful. There are both shot and nasal spray versions, and they start to have a protective effect about two weeks after they are given. The influenza vaccine has very few side effects and can be given to all children older than six months, even those with egg allergies. The vaccine is also recommended while pregnant and for healthcare workers.
If your child begins to have flu-like symptoms, our Washington University Children’s After Hours locations provide convenient medical care for your child’s illnesses and injuries as a faster alternative to E.R.s when your pediatrician’s office is closed.
In case of a medical emergency with a child, determine where the nearest accredited, Level I pediatric trauma center is located. St. Louis Children’s Hospital has six pediatric E.R. locations across the St. Louis and southern Illinois region. These include St. Louis Children’s Hospital, Children’s Hospital at Memorial Hospital Belleville, Children’s Hospital at Memorial Hospital Shiloh, Children’s Hospital at Missouri Baptist Medical Center, Children’s Hospital at Northwest HealthCare, and Children’s Hospital at Progress West Hospital.
Good luck this flu season! We are here for any questions and to evaluate your child if they are having any symptoms.
Health
Walmart Is Selling a $2,300 Treadmill for Just $660, and Shoppers Say It's a 'Good Choice for a Home Gym'
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Fall is right around the corner, which means it’ll soon be time to take your workouts inside. Thankfully, Walmart has a ton of deals on fitness equipment, including power towers, adjustable dumbbells, and exercise bikes, that’ll help keep your summer fitness regimen going smoothly indoors. If you’re a runner, you’re in luck, because one of Walmart’s most popular folding treadmills just sunk in price by more than $1,600.
The Famistar 4.5HP Folding Treadmill is now on sale at Walmart for just $660—a 71% markdown on the normal $2,300 sticker price. This is a popular model at Walmart, having earned nearly 900 five-star ratings from shoppers who say it’s “just right” for their home gym because it doesn’t take up much space.
Famistar 4.5HP Folding Treadmill, $660 (was $2,300) at Walmart
This treadmill has a weight capacity of 300 pounds and features a powerful 4.5 hp motor that cranks up to 10 mph. It has an impressive 15 levels of incline and 64 built-in routines for runners of all skill levels. The belt itself is 18-by-51 inches, which is enough for confident runs, and it sits on a shock-absorbing deck that won’t kill your feet. A comprehensive dashboard helps you customize your workout while two integrated Bluetooth stereo speakers connect to your phone or tablet to keep the music flowing so you don’t skip a beat. And, when you’re done, it folds up easily to open up space in your home gym for other exercises.
Those who have brought this compact treadmill home say it’s been great for daily use. “I am in love with this treadmill,” a shopper said. “I upgraded to this treadmill and use it almost every day…I love the preset programs and how you can watch TV and it plays on the speakers.” Another shopper agreed, saying, “Good choice for a home gym and very convenient.”
Treadmills can be very expensive, sometimes running up over $2,000, which is why the deal on this Famistar model at Walmart is such a great value. Since it’s a flash deal, the price is subject to increase at any time, so make sure to grab one for your home gym soon while the savings are still around.
Health
My Struggle to Control ADHD Hyperfocus
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Disclaimer: this article is not intended as medical advice. Please consult your physician regarding any questions or concerns about your own health or mental health, particularly regarding medication.
As a law student who just finished his second year as an evening student, I have been applying to post-law school jobs. I work during the day as a special education teacher, so I take fewer credits than the regular law students the year below me and am competing against those students for these positions.
To be fair, we’re all only applying to summer internships next year, but in law school, the narrative is “the internship you get after your second year of law is your job after law school.” I have applied mostly to law firms, through a process known as “pre-OCI.” In the past, recruiters used to come directly to law schools to recruit students, but right now, most law firms are skipping the whole OCI process to start early and get the best candidates.
I have, for lack of a better term, been neurotic about the process. Use any word you want to label — obsessed, hyperfixated, and borderline anxious. I have had a couple of interviews so far and all of them have, in my estimation, gone well. In some, I have asked insightful enough questions that the interviewer has talked more than I did.
However, these interviews have an initial “screening” interview and then, if you pass that stage, you get called back for a more extensive, 90 minute interview. This latter interview is called a “callback,” and if you pass this second interview, you usually get an offer.
I have not heard back from a single firm about the callback.
Yes, I had all my interviews in the past week and maybe it’s just too early to hear back. But I started not only freaking out not only about the interviews, but whether I would get a job after law school at all. I irrationally started wondering whether I should ask the interviewers about whether I would hear back at all, despite knowing how desperate it seemed.
I started to hyperanalyze whether I had completely misunderstood how amicably or how well the interviews went. I started to wonder what was wrong with me that I wasn’t getting a callback. I started to doubt whether I would get a job at all, and whether wondered whether this whole law school thing was a complete waste of time.
Of course, all of these thoughts are pretty unreasonable and irrational. First of all, it’s incredibly early in the process, and second, it’s not the end of the world if I don’t get a job two years in advance of this summer. It’s not the end of the world if I don’t get a law firm job at all and just work in the government or a public interest group.
It is safe to say I started panicking. But I am the type of person that likes to channel panic into action — it isn’t always the answer, but it gives me a much higher locus of control. Instead of checking my email every five minutes to see if a law firm extended a callback interview, I started mass applying to other law firms. It wasn’t all I did to calm myself, but any time my mind focused and fixated on the process of getting a job, I would just apply more and more to cast a super broad net and maximize my chances.
The ongoing fixation and panic surrounding getting a job reveal yet another episode of an ADHD symptom I have had my whole life. It has had a plethora of benefits, but also some drawbacks: hyperfocus.
. . .
According to Royce Flippin at ADDitude, hyperfocus (or hyperfixation) is an intense fixation on an interest or activity for an extended amount of time, to the extent that the world around the person is blocked out. People with ADHD will often hyperfocus on things that interest them, and hyperfocus comes in direct contrast to the other side of the ADHD coin: inattention. Inattention is one of the most common ADHD symptoms, which, according to VeryWellHealth, is difficulty focusing, getting distracted easily, and being easily forgetful. When people think about ADHD, they mostly think of inattention of hyperactivity, but not hyperfocus.
I have often thought of hyperfocus as a superpower — as long as I directed it to the right tasks. Playing video games eight to 12 hours a day was not a very productive use of hyperfocus when I was younger. But I struggled mightily to break out of the video game habit and addiction for years. To this day, when playing some RPGs and MMORPGs, I can play video games for eight hours a day or more if I don’t set limits and regulate myself.
Whether I exhibit hyperfocus or inattention depends on how engrossed I am by the task and how interested I am in it. Something I deem undesirable, like mowing the lawn, cleaning the house, or doing the dishes, is an area where inattention often takes over. Watching TV or reading a book I really enjoy is a time when hyperfocus takes over.
This isn’t necessarily a bad thing, but the problem with ADHD and vacillating between hyperfocus and inattention is the sheer lack of balance. Flippin notes that ADHD often means a dysregulated attention system rather than a balanced one. Hyperfocus is due to a dopamine deficiency which makes it very difficult to shift gears to another task, and is a coping mechanism to deal with distraction.
When I am in a state of hyperfocus binging a Netflix show I really enjoy, four hours can fly by without me even realizing it. When I am in a state of inattention, three minutes can drag on and feel like an eternity. I realize this is what everyone goes through with activities they find engaging and unengaging. It’s not that these are problems unique to people with ADHD, but ADHD does exacerbate them.
There is also hyperfocus when something seems incredibly urgent, when there seems like there is a life or death deadline at stake. It does not always feel like I am going to die, but something comes over me, an almost animalistic instinct that does not let me focus on anything else.
It is almost like I can internally sense and triage the importance of very urgent situations, like the last mile of the marathon, the thirty minutes before a paper is due, the day before an exam, or the day I need to finish a report without my school going into noncompliance. Because this has felt like a survival instinct, I have embraced it rather than pushed it away. I have, at times, tried to control it.
I have used some variation of the Pomodoro Technique to spend 20 to 25 minutes doing an undesirable task, and then keep going on that task if I start to enjoy it or see the importance. This has worked extremely well for some tasks, like doing law school readings I initially dread starting but eventually enjoy analyzing. When I feel like I’m making good progress, it’s momentum that keeps me going.
. . .
Inevitably, however, this hyperfocus is not always helpful and has backfired, particularly in my obsession over these law firm interviews. I can deem certain tasks helpful, but then misgauge my actual locus of control. My grades and credentials are set in stone at the moment, and without another semester of school, I cannot change them. My interview skills can be worked on, but I largely have little control over this process and do not have insight over the internal recruiting conversations or mechanisms that determine hiring decisions.
So this neurotic obsession over why I’m not getting callback interviews can be a bit unhealthy.
I think a lot of us, especially those with ADHD, can try to rationalize and embrace hyperfocus because it can be put into very productive uses. It also seems to be a lot better than the flipside inattention.
But this hyperfocus does have a dark side by making us obsessive and neurotic. I won’t attribute all of this to ADHD — I am just obsessive and neurotic by nature, too. But the ADHD definitely makes it worse.
It is bad when it is put to unhelpful uses, like social media, binging Netflix, or online shopping. It is bad when it is put to unimportant uses, and there is a time and place for unhelpful and unimportant uses because we’re all human and need to relax and have fun. But the challenge and misery is the excess, not the actual act of relaxing or having fun. Not knowing when to stop is its own curse, and sometimes be a liability when left unchecked, according to Flippin. It can lead to missed meetings and deadlines as an adult, and trouble socializing. It can also lead to poor time management when unmedicated.
People know me for being obsessive and for not being able to stop when something is on my mind. I won’t get the hint to move onto another topic, and won’t learn to read the room that people don’t want to talk about something anymore. Given my affinity for politics, sometimes my friends do not want to talk about the most controversial or sensitive topics of the day, but I insist anyway.
Personally, I don’t take medication for ADHD but am working on taming my neurotic hyperfixation and hyperfocus through giving time cutoffs. Even in tasks I enjoy or when the hyperfocus kicks in, I try to force myself to stop after 20 to 25 minutes and set limits. Sometimes, I channel that hyperfocus into another task that is also pressing, so if I feel the need to apply to more jobs, I will stop myself at a certain point so I can do the dishes, spend time with my wife, or go on a run. I will stop so I can go to bed at a reasonable time and get an adequate amount of sleep.
Again, hyperfocus has served me well in my athletic, academic, and professional endeavors. But I have to admit it’s maybe not the best for my personal life or my own mental health when put to certain uses. I won’t cut off a cognitive tendency which is a huge asset, but I will do my best to turn it off when it’s time to take care of myself.
—
This post was previously published on Invisible Illness.
***
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Health
Brooks Ghost Max Running Shoes Are Nearly $50 Off Right Now
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Dick’s Sporting Goods is in the midst of a major sale on running shoes from brands like Hoka, On, and Nike, with Brooks accounting for some of the retailer’s most appealing discounts. Styles like the Glycerin StealthFit and the Adrenaline GTS are on sale, but the one turning heads right now is the high-stack and ultra-cushioned Ghost Max—and it’s selling fast.
Right now,
Brooks Ghost Max Running Shoes in Black/Ebony, $102 (was $150) at Dick’s Sporting Goods
The Ghost Max takes all the best features of the traditional Ghost running shoe, like great breathability and ample under-foot support, and adds a super high-stack cushion that amplifies protection and shock absorption from surface textures. This is a huge upgrade for those with sensitive feet, as it decreases the pressure exerted on the foot, and the larger cushion also provides a wider base, which helps with stability. And, though this sneaker has a more level 6 mm heel-to-toe differential (half that of the normal Ghost), it uses a rocker bottom to help achieve a smooth, comfortable stride when walking.
The maximum cushion is an immediate standout for anyone who steps into these Brooks running shoes, especially those who have to stand a lot. “I’m not a runner, but stand on concrete all day,” a shopper began. “They are, by far, the most cushioned and comfortable shoes I’ve ever worn. I’ve tried Hoka, Asics, and Oofos, but the Ghost Max is my favorite. If you need cushion in your step, look no further.” Another shopper agreed, simply saying they were “super comfortable shoes” with “lots of support.”
Brooks Ghost Max Running Shoes in Cream, $102 (was $150) at Dick’s Sporting Goods
In some cases, shoppers are even switching from their Ghosts—the brand’s most popular sneaker—in favor of this model. “I have been a Brooks Ghost user for many years,” a shopper said. “Love the Ghost Max. Superior cushioning is the key. Being a larger runner of over 30 years (6-foot-3, 240 pounds) the extra cushioning is very much appreciated. The shoes fit perfectly and the ride is smooth. My knees, ankles, and thighs thank you!”
Whether you’re looking for the perfect walking shoe or some extra protection from a daily runner, it’s well worth trying the
Prices are accurate and items in stock at time of publishing.
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