Helping My Kid Breathe Easier

I spent much of Tuesday dusting, scrubbing, vacuuming and mopping my children's room in an attempt to help my younger son Will breathe easier.

I'm no neatnick but my younger son had pneumonia about a year and a half ago and he still has mild asthma so when he gets a persistent cough, I get concerned. That's why we brought him to the doctor when his summer cold didn't seem to go away and he kept coughing for more than a week.

Will is one of about 9 million children nationwide who have asthma, according to the National Institute of Health's MedlinePlus. It's a chronic condition that causes "wheezing, coughing, chest tightness and trouble breathing, especially early in the morning or at night."

Will has suffered from this condition since he was a loud and active 1-year-old and I brought him to the doctor because he had a deep, raspy cough that wouldn't go away. The doctor put him right on a nebulizer (a machine with a tube leading to a face mask that allows kids to inhale medicine).

In fact, both my children have suffered from mild asthma and croupy coughs and we've spent many nights putting them into warm showers to try and open their lungs enough for them to sleep. They were both were on Flovent, an inhaled steroid, and albuterol, which helps open their lungs. But since our dog died about seven years ago they both have been a lot better. That is until Will got pneumonia and we started paying attention to every cough and wheeze.

We don't know what caused this latest episode but we suspect it might be our moldy damp basement. The list of things that can trigger asthma includes
* Allergens - mold, pollen, animals
* Irritants - cigarette smoke, air pollution
* Weather - cold air, changes in weather
* Exercise
* Infections - flu, common cold (Source MedlinePlus)

I am not the best housekeeper and although I make my kids clean their room, I have periods when I can't deal with the sheer volume of mess and I give up. So my cleaning storm was partly to make up over my guilt for letting their room get dirty enough to possibly make my kid sick.

There are many measures you can take to avoid triggering asthma, including running the air conditioner, closing windows on high pollen days and cleaning air filters. To deal with dust mites, The Nemours Foundation's kidhealth.org suggests cleaning and vacuuming once a week, washing bedding in hot water and covering mattresses with plastic, allergy-free covers (we did this several years ago). They also suggest removing wall to wall carpets, minimizing clutter, taking most of the books out of the room and having a minimum of stuffed animals.

I've fought a losing battle against stuffed animals for years despite my kids' allergies to dust and the fact that they're both too old for stuffed animals. This week, I took all but a few of the dogs, bears, elephants and rabbits and put them in a laundry bag and banished them to the basement. I removed the rugs and shook them out, then put them on the back porch to air out. I took off all the kids' bedding and washed it and then cleaned everything thoroughly.

My kid is still coughing but at least my conscience is clean. Ha ha. Now if I can only keep my children's room clean, maybe we can avoid a trip to the doctor for the rest of the summer.

*Photo from MedlinePlus

Summer brain drain

My children are complaining bitterly that I am torturing them and ruining their summer. Why? Because I’m forcing them to read for half an hour a day and spend 20 minutes working on math and writing.

I’m hoping that by forcing them to fit in some work along with their splashing in the pool or riding the waves at the beach, they just might arrive at school in September with one or two thoughts left in their head.

It turns out these long, lazy days of summer can mean losing valuable reading and math skills by the time summer resumes, according to experts.

``We think that they're both really associated with the same factor and that's the opportunity to practice,'' explains Harris Cooper, a professor of psychology and director of the education program at Duke University who did one of the most extensive studies on the matter some call the summer ``brain drain.''

Parents can make summer a time for reading anything children are interested in, from comic books to road maps, suggests John Schacter, president of the Teaching Doctors, who helped found a reading camp for inner-city youth in Los Angeles from 2000 to 2003. Activities such as cooking and playing games also help sharpen skills.

Reading with children for at least 20 minutes a day is crucial, Schacter says, adding that it's also important that parents find books at their child's reading level, especially for a struggling reader.

`` Children should be allowed to read anything they want, whether it's comic books or fashion magazines, says Ann Rambo, associate professor of family therapy at Nova Southeastern University in Fort Lauderdale and author of ``I Know My Child Can Do better: A Frustrated Parent's Guide To Educational Options'' (McGraw Hill, 2001).

As for writing, Schacter suggests children make up plays or stories or write letters to relatives. They could even help with grocery lists or planning trips.

Helping with math skills is more difficult because drilling seems the only avenue. But studies show that many children lose math skills during the summer for precisely that reason. Parents can help children practice math by having them add up purchases at the store or keep track of mileage on road trips or practice measurement in cooking projects.

Children from disadvantaged homes are the most likely to lose reading and math skills during the summer, according to research.

Schacter cites one study showing that these children may fall behind 2 1/2 years between kindergarten and fifth grade.

Some school districts have responded to the summer ``brain drain'' phenomenon by having a longer school year and starting school earlier in the summer. Others offer summer schools to help with academic skills. But putting children through a structured program during the summer can make reading and math chores, warns Schacter.

A better idea is offering summer camps for children who need extra help and trying to make it fun for children to improve their reading and math skills, Schacter says.

Parents should keep in mind that summer is also a great time for children to learn and develop in other ways, whether it's playing sports, practicing music or doing art projects, Rambo says. It's also a great time to learn through trips to museums or zoos or doing their own experiments, she points out.

Playing board games and puzzles can increase cognitive skills, Cooper says. And they're a good way for parents to spend quality time with their children.

It is important that the joy of learning doesn't diminish, Rambo says. ``There are a lot of academic skills that aren't measured in school. You can look at summer as an opportunity to spend more time with your child, to teach them in your own way.''

So, don't give up the lazy, hazy days of summer entirely. You can still spend most of the day lying around at the beach or by the pool with your children.

Just make sure you bring along a good book.


This is a revised version of a “Family Matters” column that appeared on July 12, 2005. Illustration from Lushpix at Fotosearch.