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IN THIS ISSUE
Blissfully Ignorant
ADHD and Your Heart
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Issue: #9February 20, 2012
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Volume 2, Letter 9

 

February 20, 2012 

  

Blissful ignorance!  Back when I was a child, I can remember caring less about what my dad was listening to on talk radio or what my parents were conversing about at home.  The worlds' or my towns' politics, drama and issues were a foreign concept.  

 

I spent my days finding frogs, eating whatever I could get my mouth around and just being silly.  Oh! What a time to be at peace.  I was fortunate enough to have two loving parents and only semi-quarrelsome siblings.  My parents rules were simple:

  

1) Love God  

2) Love your family and friends  

3) Listen to your elders - euphemism for listen to us and you will be smart 

4) Study hard

5) Eat what is put in front of you even if you want to throw it across the room

6) Stay out of trouble

 

 

I had the biggest trouble with number 6.  I talked to much to honor that rule.  

 

Today, I marvel at how difficult it is to instill the same beliefs in my own children. Most days I feel that I am sending a clear and loving message.  However, often I feel unheard and abused.  In reality, my father felt the same way and I turned out ok (according to me).  

 

Blissful ignorance is hard to achieve with a full adult conscience.  I am thankful that my children appear blissfully ignorant to the world's troubles.  With so much difficulty in the world, it is a good thing to love your children in a way that allows them to grow with nature and friends without us burdening them with our issues and trials.

 

I am amazed at how many children act out and come in for behavioral issues.  When you sit with the child you often find that they are responding to a non blissful life stress.  For example, at a recent visit a mother informed me that her child was becoming aggressive and it had a start date.  When we went back to look at that time period we found that he was reacting to a perceived father figure loss.  His mother's brother was in town to visit for three weeks.  He was happy!  His own father is non existent.  

 

After three weeks the uncle had to leave.  The aggression took off.  Blissful ignorance was gone.  The reality of the single parent household hit him in the face.  

 

Ideally, the 6 rules are still in play, but the bliss is shaken. 

 

As a parent, this is the time to love and support your child and ask the hard questions about what is bothering them. Let them open up and speak of the pain and return to blissful ignorance.  

 

 

  

My take home point today:  Be blissfully ignorant to that which you do not need to burden yourself with!

  

 

6 rules,

  

Dr. Magryta

 
ADHD and Medicine Use
  
ADHD, attention deficit hyperactivity disorder, is real and becoming more prevalent with every passing year.  The causes are myriad, but suffice it to say that the data is pointing towards an in utero insult (occuring during pregnancy).  I think that we will find that chemicals and poor quality maternal diets are turning on the cassette of genes responsible for inattention and dysfunctional executive brain functions.   
 
At Salisbury Pediatrics and Touchstone Pediatrics, we focus on all possible avenues to treat these disorders without defaulting to medicine use.  However, at times medicine seems to be the only effective avenue.  For those who are taking medicine, here is some good news. 

In the past 5 years there has been a flurry of concern regarding heart problems in people taking ADHD medicines.  To allay these fears we have a study by Cooper et al. in the 
New England J Medicine
2011, showing data that children taking ADHD medicines do not have an increase risk of adverse cardiac events.  They followed people for the equivalent of 2.5 million person years and found that the rate of serious heart complications was 3.1/100,000 person years.  

  

This rate is the same as the general population not taking these medicines.        


This data does not rule out subgroups that could be more sensitive to the medicines. The prudent thing to do, if you or your child is taking these medicines, is to get a full physical exam with a cardiac evaluation.  If you have a family history of sudden cardiac death, prolonged QT syndrome, hypertrophic cardiomyopathy or a personal history of unexplained chest pain, shortness of breath or episodes of syncope(passing out), then a visit to a cardiologist would be warranted.  

The long and short of this data is great news for medicine users.  Take the medicines, if you have to, and be secure in the fact that you have little risk for heart related issues. 

Dr. M 

 

 

 

 

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Copyright � 2010-2012 Christopher J. Magryta, MD. Readers, please note: The information provided in this newsletter is for educational and informational purposes only. It is not a substitute for advice and treatment provided by your physician or other healthcare professional and is not to be used to diagnose or treat a health issue.


 


Chris Magryta
Salisbury Pediatric Associates
Touchstone Pediatrics