07-15-24- Summer kids safety with Dr Cassie Rice

Episode Transcript

(00:00):
Mix one. I was six'five. Good morning, It's Christina Woolford.
Welcome to Lady Parts with doctor RichardVillarreal of Adena Women's Health. Good
morning, doctor Villarreal. Well,good morning to you, Christina. How
are you. I'm doing great?Are you wonderful? We've got another show
for us this month or the monthof July, so let us know who
our special guests is today on ourtopic. This year is going fast and

(00:21):
we're already in the midst of summer. Yeah, so we've got a really
a good show for you today.And we have a special physician who's with
us, doctor Cassie Rice. She'swith the Adena Pediatric Group. She did
her medical school at the Kentucky Schoolof Osteopathic Medicine and then her residency up
a Children's Hospital of Michigan. SoCassie really excited to have you here today,

(00:43):
So thank you for being with us. Yeah, excited to be here.
And so we're going to talk alittle bit about summer. So,
you know, usually we talk aboutthe women stuff, but you know what,
this is very pertinent for the womenand all the caretakers out there,
so we want to give them somehints to some things just to be careful
of just with the heat, witheverything going on, you know, what
to look for, what to becareful of. And then the other part

(01:03):
two of this is, you know, as summer goes on, we're getting
ready for school again, and soit's hard to believe it, but you
know usually I say, fourth ofJuly, the summer is almost over,
and so we're there, and sowe want to make sure that everybody gets
ready, get the kids ready,get their vaccinations and everything else that needs
to be done. So we're goingto go through so with that today.
So with all that being said,let's get started a little bit. So,

(01:26):
you know, first things first,I mean, it's been hot.
It's been hot. So let's talkabout some tips around managing the heat exposure
for these kids and in the summermonths, and what basically should be done.
What do we need to do forthem to protect our children. Yeah,
sure, a great question. Well, you know, I always wondered
why was my grandma always so intriguedby the weather channel? And it was

(01:47):
constant, it was constant, andshe would be harping on us all the
time in the summer months. Youknow, Cassie in you better drink this
Cassie, and you better put onthis. And now, as a mother
and as a physician, I canwholeheartedly appreciate Grandma Eloise's concern for the weather
channel and so she you know,I feel like I've been prepared since that

(02:10):
point of time in my life asa child because she took it so seriously.
And there's good reason for that.So, I mean, my goodness,
last week we were reaching you know, humidity levels that were up there.
I was sweating like a man.I smelled worse than my husband and
kids combined ninety five ninety six onsome days. And so one of the
first things that I do, youknow, I always tell my patients this,

(02:32):
but then you know, everything thatI recommend, those are things that
I practice at home too. Sojust like Grandma, I check that weather.
I make sure, you know,make sure that if it is going
to be greater than ninety degrees,then sometimes I plan for other other things
other than being outside. So maybewe have movie days inside, maybe we
do crafts inside, but certainly checkingthe weather because heat illnesses such as cramps

(02:59):
or exhaustion definitely get escalated whenever youare greater than ninety degrees and you are
out there between those hours of tenam and four pm making sure you're well
hydrated. Of course, like youknow, physicians say this all the time,
but it's so important. If we'restarting off our day low in the
tank, it ain't going to takenothing for them heat cramps to come on.

(03:22):
So you know what I tell myown children all the time, have
you drank before you went outside?How many bottles of water? You know,
have you had? They tell meall the time, stop florry and
stop boring. But then on ourend over at Adena Pediatric sometimes we see
that scary side of things whenever kidsare going out and they are going out
without that hydration. So what doyou suggest to the mom's a drink?

(03:46):
How much? Yeah? No,absolutely, So you know, before we
start our day with our kids,if you ain't had a bottle of water
down the hatch, guess what,you ain't going outside. So unless I
see an empty bottle of water,then you know you're going to stay inside
and have a pretty boring But ifyou can get adequately hydrated, and guess
what, we can have some funactivities you know, going on during the
day. Now, once we getoutside and we are sweating, so of

(04:09):
course, you're going to be losingthose salts. Potassium comes out through you
know, our sweat as well,so we start to rehydrate with something with
electrolytes in it. So pedialyte tastesa little salty and can sometimes be a
little gross to taste, but that'sactually one of the best things to rehydrate
with. But that's typically one ofthose things. But you know, we
usually reserve that for sick kids.But gatorades poweraids, those are going to

(04:32):
taste a little bit better. Theyhave a little bit higher sugar, you
know content, and then but alittle bit of sugar is going to be
okay if you're out about not allthe time, you know, but if
you're really out there sweating and youknow, doing your thing and you're a
drenched then that's going to be goodto get those muscles rehydrated. And then
also, you know, kids alot of times don't want to take breaks,

(04:54):
but if it's a hot day,you're out in the sun, you're
in between those ten to four youknow, ten am to four pm hours,
then it's going to be really importantto incorporate breaks throughout the day too.
So find those cool and shaded areas, you know, come inside and
make sure we take a bit ofa breather. And those are always times,
good times for moms and dad.You just check on your kids.

(05:15):
So, what are some signs ofeither dehydration or heat, you know,
heat exhaust. Sure, yeah,yeah, great question. And that's one
of those things we see quite abit. I even saw it in my
little one this past week. Sosomething that we have to be really in
tune to. So heat cramps isactually one of the first things that we'll
see in kids where their arms andlegs are just feeling a little bit more

(05:39):
achy. Sometimes you may see themout in the yard and they're kind of
squeezing their arm or squeezing their legs. Sometimes they'll be limping a little bit,
but they're still in a frame wherethey're still gonna keep going, going,
going, going. Yeah, we'restill going to be jumping cricks,
We're still going to be you know, outside run themselves ragged. And so
you know, that's one of thosethings as a parent. Okay, you

(05:59):
know, let me get you inside, let me have you cool down.
Maybe we take a break for acouple hours, rehydrate, and that's going
to be a time when you're goingto, you know, reach for something
with electrolytes in it, you know, instead of just the water alone.
Okay. In addition to that,you know, if you kind of go
one step beyond that, cramping isusually one of those first signs that you'll
have. But then you kind ofafter that, you go into heat exhaustion

(06:21):
where kids are starting to have likeheadaches, clammy skin, sometimes their bellies
a little bit upset. They mightbe having some nauseousness or vomiting. They
have those cramps that are there aswell too, and that's just going to
be that next phase of a heatillness where you're like, oh, okay,
we need to cancel an activity today. We really need to come in

(06:42):
and focus on ourselves. We needto get in a cool spot, we
just need to take it easy forthe rest of the day, rehydrate and
typically once you rehydrate, you'll getto the point where you'll start to see
those little symptoms falling back down.So, but what are some of the
signs when they need to come in? Yeah, you sure, absolutely so.
If their skin is a little bitmore dry, so wet skin is

(07:05):
you know, that sweaty content ofthe skin. Okay, well, we
just need to cool down and watchyou at home. But if you're if
you're overheating and you've got dry skin, let's let's make an appointment. Let's
get on in there. Let's seethe urgent care or the call at least
they can so we have same dayappointments even through the summertime. You know
a lot of times during the wintertimewe can be pretty booked up with what

(07:29):
sick kids going to school. Wedo have a lot of availability through the
summertime, and then our schedules arebuilt in a way where we can get
sick kids in the same day ifwe need to. Wonderful Okay, well
let's talk about so the other thingyou brought up was in the creeks and
things like that. Let's talk aboutsome water safety, because we've got the
pools, we've got the lakes,we've got the creeks, we've got the
kids. You know, sometimes they'regoing out by themselves. How do you

(07:50):
prepare them, how do you protectthem? Sure? Sure, So you
know, water safety is one ofthose things that my kids, again will
get really aggravated with me about becauseI am I'm a bit of a stickler.
They've been asking for a pool sincethey were four years old, and
I said, you know what,until you're an Olympic gold medalist, I
probably am not going to get aswimming pool because I worry about it so
much, you know what I'm saying, And so you know as early as

(08:13):
you can though, stressing the importanceof swimming. Can we swim, how
do we swim? Get involved withyour local YMCA, and or whenever the
city pools open up they have thelifeguards that are giving these lessons. So,
you know, the American Academy Pediatricswill a lot of time recommend,
you know, if we are threeor four years old, and they have

(08:33):
that class for those little ones,to get them involved in that so that
they learn that skill as early asthey can. So thankfully our kids this
year learned how to swim. ButI'm still that, you know, nervous
Nancy on the side of the pool, going like this with my fingers,
twiddling them the whole time. Butthat's a good thing because you never want
to get distracted whenever your kids arein the pool. Never leave your kids

(08:54):
unattended. And my rule of thumbis if I am not within arm's reach
of the water, then I amnot doing my job as a parent.
I need to make sure that Iam there at all times. Do I
need to be on my phone.Absolutely not. Not when we're at the
city pool, I know. Andyou know what happens when mom's good on

(09:15):
Amazon. It leads one thing toanother, you know, and you get
distracted and it's just like the worldcan be passing by, that's right,
and before you know it, you'refive hundred dollars in the hole and you're
not watching your kids. So thisis a situation. So you leave that
phone in your beach bag. Youstay there close, you know, at
all times. So it's important tolearn that skill of swimming early. You

(09:37):
know. In the US alone,drowning is the third leading calls of an
unintentional death for children. So it'sone of those things. And you know
a lot of times too, peopleand parents will say, gosh, I
thought I would have heard a scream. Oh I thought I would have heard,
you know, a call for help. But that's not usually what happens.
It's as silent as can be.And just recently we had went to

(10:00):
Columbus for my husband's sister's wedding andmy kids, of course, you know,
whenever you go out of town,can we stay at a hotel with
the pool? Can we stay atOkay, let's you know, let's find
this hotel with the pool. Andso we did and we got there and
we was there for about three,three or four minutes. And I always
tell my husband, who's who's waterwatching? That's why I say who's watching
the water? Me or you?Me or you? And that way,

(10:22):
you know, if he wants togo and do his thing for a second.
He likes to do workouts in pool. He looks like a weirdo when
he does it, but he stilldoes it. You know. It kind
of draws a bit of attention toare you doing? You know. And
so I was sitting there watching watchingthe water. Everything was calm and cool.
About a three and a five yearold brother and sister came in and
their parents was there in attendance aswell. They were sitting down. I

(10:46):
was on my rule. Okay,I have to be able to touch the
water, you know, I haveto make sure my phone is over here
in my bag. And the littlethree year old just jumped right in and
the parents realized that he had jumpedin. They weren't even I mean,
they were being attentive. They werejust in their bag getting beach towels out.

(11:07):
And I counted one one thousand toone thousand, help us. And
so you know, my husband washappened to be like in the pool.
So he went down to the bottomand yeah, this was just three weeks
ago. Yes, he sure wasright down to the bottom. And so
you know the parents were, youknow, completely out of there. You

(11:30):
know, they were scared, theywere they were yelling themselves, of course,
and brought that little one up andyou know, gave a few slaps
on the back. Up came thatwater and he started crying. So I
said, as long as we gota crying baby, we are good,
you know. And but I meanthat's all it takes, you know that
it is that fast. And therewas no noises, there was no you

(11:52):
know, cry for mom or dad, and so you know, it was
just one of those reiterating you know, themes that do not leave kids unattended,
keep observant, you know, putthe phone down, all of those
things. You know, that's agood one to hear. So it was
a scary time. Yeah, andthen of course, you know, my
little one said, well, wellwhat what did he do a cannonball into

(12:15):
that deep in? I said,you know, sometimes you know, kids
just saying and he's three, andyou know, we always think that everybody
else. We're saying, everyone elsecan do it, so why can't I?
So just always make sure, especiallylike a pool parties too, there's
always so many adults around, buta lot of times nobody's watching the water
talking. Yeah, so it's justalways important designate a water watcher. I

(12:39):
like that. I like that.Well, good, Well, let's talk
about some other things. There's somuch to talk about. So well,
we were talking about a DNA pediatricshere a second. What are some of
the other things that you see duringthe summer. Yeah, so, I
mean just in terms of summer,we do see a lot of sunburns.
We see a lot of heat rashesin little ones, so infants. You

(13:03):
know, we always tend to thinkthat babies need to be bundled at all
times. Well, let me askyou this question for the kids. The
sunblock. You know, there's fifteen, there's thirty, there's fifty. There
is there really a difference between fifteenand yes? You know, so what
do you do for the kids?Yeah, so, dermatologist, Well,
you know, that's who we usuallypull a lot of information from. From
a sunscreen standpoint, We'll say atminimum thirty SPF. I think for good

(13:28):
measure and to check off, likethe mom brain part of me, I
do fifty. I do fifty whenI go out and I'm dark complectedough to
begin with, and I still usefifty. Yeah, yeah, So fifty
is what we typically tend to gowith. But you know, there are
a lot of different sunscreens that arethere on the market now. Over the
past I would say four to fiveyears, I have had more sunscreen related

(13:48):
rashes than I have ever seen before. And so interestingly enough, there is
PABA. It's type of acid,so that is it can be a little
bit more for sensitive skinned little ones. It can be irritating to the skin.
So that is one ingredient that I'llalways look for to make sure that

(14:09):
that's not in the PABA. Anotherone that has been a little bit more
irritating actually has some hormonal content toit as oxybenzone. So that's one that's
in there as well too. Thatthere has been like a few more studies
on. But I want to seethat, so you don't want to see
those things in there. So typicallyif you go with like the mineral based

(14:30):
sunsoring, that's going to be likeyour zinc oxide. There's some titanium that
is in there too. Those aregoing to be like your chalky, chunky
white classic. Oh, I don'tlike this. The kids are running away
from you because they're screaming and theydon't want you to put it on,
and that's going to act as moreof a barrier. It's one of those
things that it works immediately once youget on, so that's not the kind

(14:50):
that you necessarily need to put onten or fifteen minutes before you go out.
It works like right away, butyou still need to reapply it.
Any sunscreen that you have, youalways want to make sure that minimum you're
reapplying every two hours. Now,for me and my kids, when we
hit this city pool, if it'severy forty five minutes, we've got a
pool break. So I'm that putsome more on. I'm that mom.
That's yes, that's putting more sunscreenon the kids. Now, there's also

(15:13):
chemical sunscreens as well that kind ofabsorb the yuckier rays that we don't want
to, you know, to botherour little ones. But sometimes I just
see a little bit more rashes withthose two. So the mineral ones I
haven't really had any problems with,especially for the kids that have eczema or

(15:33):
just sensitive skin. Okay, wellthat makes sense because there's nothing worse than
the child with the sunburn you justcannot conduct. Yeah it's miserable. Yeah,
it's miserable. So well perfect,Well let's talk about excuse me.
So right now we're getting back intothe sports. So, I mean,
the baseball leagues are finishing up.I mean, these kids were playing out

(15:54):
in the heat and things like that. We got the football team starting up
their podcasts again. So what arethe things some of the things we need
to look out for. Yeah,sure, I mean, so anytime that
you know, I have a anathlete that's in or maybe not even an
athlete, but someone who enjoys outdooractivities, hiking things where you're really going
to be exerting. You know alot of calories, you know, during

(16:15):
our well checks, during our sportsexams, a lot of pedutritions focus a
lot on nutrition and health. Soa lot of times, you know,
kids don't eat the best typically.You know, a lot of the teenagers
you know are usually on the chickennugget diet, you know, And that's
just what it is. That's justthat is true. You know, it's

(16:36):
just easier. It is easy.It's it's very convenient, you know.
And so you know, when yougot Johnny in the back seat and it's
nine thirty and you're a tired momand you still got that laundry done,
you're going to whip it into afast food joint. You know. You
know I've done the same thing sometimes, but repeated and routine. You know,

(16:56):
fast food, processed foods aren't settingyou up to have a good season.
So we're always stressing hydration, hydration, hydration, What are you eating?
What are you putting? Are thesegoing to be good building blocks to
have you have a healthy season,or are these things that's going to set
us up to have some injuries alongthe way, or maybe just you know,
is it going to set us upto be more dizzy? Are we

(17:18):
going to have vitamin deficiencies? Youknow, what does that look like?
And so we stress that quite abit. You know, we also dive
into family histories quite a bit.That way we can try to tease out
and see is there anything that isis genetic or that is coming out in
our family history because you know,we can't control that. You know,
my dad is a walking autoimmune book. So I'm just you know, one

(17:41):
of these days, you know,these are things I got to look out
for. But those are things also, especially with the heart, you know
anymore, that's one of those things. As pediatricians, we're always listening,
listen and listening to the heart.You know, are you having any chest
pains? Are you having any youknow, shortness of breath or just discomfort
anywhere whenever you're exerting yourself. Andif that's the case, hey, we
got be on that. And thesekids, I mean they are being exerted.

(18:02):
They are the football practices and thebaseball yeah, I mean they are
really working. Yeah. And thenyou know a lot of times too with
that, you know, we're hangingout with their friends and we're still eating
that food that ain't gonna be thebest for us. We ain't drinking either.
You know, we've got a TOUTSIpop in our mouth and that's dinner.
So you know, those are ourthings that we just try to stress

(18:22):
and we try to talk through duringthose you know, sports related appointments and
or just those general well checks.So those are things that we you know,
we try to focus on. Allright, well, I like that,
so let's talk a little bit nowabout Okay, so it's still at
summertime, so families are in themidst of their vacation. Yeah, yeah,
there's so much going on. Imean, you can go to the

(18:45):
lakes, you can go to thebeaches, you can go to the mountains,
you can yeah, you know,whether you have motor homes or trailers
or you stay in little motels whateverI mean, but there's still a lot
of things that you got to becareful of and a lot of things you
need to sure so you know,with that, one of my rules of
thumbs is anywhere that we are wantingto go and you know, you can
title me Cassie the Nerd if youwant to, and I will gladly accept

(19:08):
the title. But what I typicallydo is I research the area where I'm
going. What kind of things areyou know, common medical things that happened
to kids in this area, becauseI'm not used to that area. So
if we're at the beach, Istart to look at all, right,
what's the treatment for jellyfish thing?What you know, Well, you know,

(19:30):
I am pretty sure I urinated ona jellyfish staying one time at Virginia
Beach. I was in sixth grade, and I'm telling you, I don't
know if it was just in myhead, but I think it worked now
the science behind it. Can Ilet you know that? Absolutely not,
I'm pretty sure street so with thatas well, if you know with that

(19:56):
as well. One thing that Ialways commonly do you also is I always
research where is a children's urgent carethat's idea right there? I need them.
So we have one little one andhis lungs, I mean he just
got the crappy end of the stickfrom the lung standpoint, he wheezes,
you know, we need Inhaler's blesshis heart. And so because of that

(20:18):
reason, that's definitely made me morein tune. Like you know what,
kids have problems not only at home, but you know what, they're going
to have problems when we're going togo outside of our you know, comfort
zone too. So I always makesure that wherever we go within you know,
five miles, I have a placeto go if I have a medical
emergency. So I always let familiesknow that we always have one bag it's
one Superman the suitcase. Why isa Superman? I don't even know.

(20:41):
My kids like spider Man, butit's a Superman a suitcase, and that
always has our medical supplies in it. So we always yeah, if you
have Superman suitcase in your house,so we always packed tailand all lotren.
I always have been and drill inthat bag as well, because you never
know when an allergic reaction is goingto happen. You need to have been
a drill just in case. Thatway you can get My boy is always

(21:02):
somebody to help. I get it. I get it. But those are
a couple of things. And thenanother thing that you know, like a
lot of times parents don't think aboutis you know, I saw this beautiful
article in a magazine about Sullivan's Island. It's down in the Carolinas, and
I was like, man, thisjust looks like a great place to go.
There ain't no one there, They'rejust all mom and pop stores.

(21:25):
Like this is my this is myjoint, Like this is my my thing.
And then I was like, youknow what, I'm going to have
to take a ferry to get Stephie'swheezy lungs to an e R if he
starts acting up. So guess whatSullivan's Island is not until he's twenty one
in out the house. So thoseare yeah, I mean, those are
just things whenever he thinks his parentsare not cool anymore, and JT and

(21:45):
I get to go on vacation,you know, maybe a Sullivan's Island.
But those are just things that sometimesthink through those, you know, traveling
with ideas because you know, Ibet most parents don't think about that.
Where is the local urgent care?How long will it take to get there?
What if something happens? You know, what are the most COmON things
that could happen at the beach orsomewhere else? And am I ready to
take care of it if it wouldhappen? Yes, those are great ideas

(22:07):
to be ready. I love that. Okay, So let's talk a little
bit. We don't have a lotof time. We are really going through
stuff here. This is awesome,okay. And she told me beforehand that
she likes to talk. Yes,I love that. So getting ready,
it's already time to start getting readyback for school. I know we went
through a lot of this, butwhat are some of the things that we

(22:29):
need to start getting start thinking aboutI mean, we're not there yet,
but you know, they're going toneed to eventually get back into the patricians.
We got to get them in fortheir well exams, We got to
make sure they got their vaccinations,all this type of stuff. What are
some of the things to start gettingthe parents ready for all this? Yeah,
yeah, so a lot of times, you know, June is definitely
summer all in, you know,full go. July, we start getting

(22:51):
them j C Pennies back to schoolsale catalogs. You know, well now
it's all online. I don't knowif we even get any catalogs anymore with
that, but we kind of startthinking, thinking, thinking, so this
might be something that's unique to ourhouse. But in July I start doing
some some little homework assignments with Itold you I earned the idol and I
embody that title as well too.So the kids start thinking, no,

(23:15):
no, not this again. Butthere's so much that you just forget,
you know, and just for us, you know, I we we just
leveled up. We're going to secondgrade this year. I have two seven
year olds, they're headed to secondgrade. So we're just doing simple addition,
subtraction, you know, trying toget back into the swing of reading
again. Why we always do iton the fourth step of our farmhouse,

(23:36):
I don't know. It's just theplace to to do academics, the fourth
step there. And so we justget back into the swing of things.
What things have you remembered? Whatthings have you know? Do we maybe
need to brush up on before wehead back. Now, July is usually
still we're hitting the bed pretty late. You know, we're we're still watching
professional wrestling until eleven pm at nighttime. And my little embarrassed I even

(23:56):
admitted that we're watching professional I wasgonna, yeah, absolutely, but you
know, we have two second gradersand we're full on Cody Roads right now,
you guys. And so we arestill you know, up kind of
lay eating popcorn a little bit later, you know what I'm saying. And
so once August hits though, we'retrying all right, we're gonna have to

(24:18):
start going about fifteen and a halfhour earlier to bed boys, and you
know, they're gonna wine the wholeway up the stairs. But we're gonna
need to get back into the swingof things. One thing that I always
try to make it to is anopen house. So a lot of times
there's a lot of anxiety and nervesjust about the unknown. What's the room
gonna look like? What's my teachergonna be like? Are there gonna be

(24:40):
some new kids we're gonna see?I don't know. So I feel like
open house relieves that's important because there'sso many of the kids right now that
have anxiety, Oh, have someof these other issues. Yes, you
know, absolutely, and what agreat idea. Make sure they go back
because that'll relieve some of that stress. Absolutely will relieve at least. I
mean, that's all we can dois relieve some of it. That's better

(25:00):
than not, you know, that'sbetter than none. So a lot of
times, if like you know,kids are able to talk with their teachers
before that first day of school hitsor just know, oh, this is
what the setting is going to looklike, because sometimes kids even stress out
with that. How far away willI be from a locker? Oh my
gosh, can I even open alocker? I never opened my locker for
eight years in school. I couldnever get the dagone thing open. You

(25:22):
know, are there going to besome new kids? Oh my god,
where am I going to sit?So all of these things just kind of
culminate and make for a really stressfulday. You know, other things that
you can do as well too,is just to make sure like whenever that
week gets there of school, ourclothes are laid out, are we packing?
Are we not? Oh? No? Do we forget the lunch meet
at the Jamestown Market? You know, like, what do we need to

(25:45):
do to do as much planning beforethat first day hits? So how do
you just another time, we weretalking about the kids, how can you
prepare your children for the stress andanxiety of going back? Yeah? What
are something Yeah even as a pedutritionWhat can you tell the parents how they
can help? Yeah? Sure.So one thing that I do with my

(26:06):
little ones per se is I'm veryvery open and honest about what my first
days were, like, what weremy experiences as well too? And granted
I know that that was a littlewhile ago now, but those stories are
still are still relevant. You know, I want them to know that.
You know, it's okay to bea little nervous. We all are.
It's okay to be a little anxious, we all are, but we still
get through it at the end ofthe day. Is there going to be

(26:29):
times where your heart pitter patter isa little bit heavier. Sure is there
times where we're going to breathe alittle bit, a little bit more because
we're a little bit nervous about what'sto happen. And that's okay, but
we can't stay there and we gotto work our way through it. You
know a lot of times that wedo to dinner time every single night.
You know, I'm a terrible cook, so sometimes it's over a burnt dinner.
But we still do it. Youknow, we still do it.

(26:52):
Is we just talk about our day. You know, every single day I
come home, Oh, how wasall the kids? Were? They?
Okay? What happened? You know? And I asked them the same thing,
how was the school day? Andthat's one thing. As much as
you can parents, don't short changeyourself. Get involved with your kids.
You know. Just this past year, I become a lunch lady. So

(27:15):
on Wednesdays, ladies, well Iam body lunch ladies too, So I
mean hairnet and all you know wherewe're going full lunchun So this is on
Wednesday. So I had a dayoff, Like, thank the Lord,
I have a four day week.It's wonderful. But I had one day
off, and I was like,you know what, I need to be
more involved with my kids. Iwant them to know that I'm there.

(27:37):
I want them to know that ifCassie has one day off, I'm going
to be there and they're going tosee my face. So they had an
opening, you know, mashed potatoesor green beans. What's it going to
be? Kids? And so thatis what I do on Wednesday. And
so getting involved in serving you lunch, that's right? Yeah? Nice?
Well, you know the best partis is one of the little girls,

(28:00):
you know, she she had beensick and she had seen me for her
illness, and and she whispers toher friend, she said, she used
to be a doctor, but no, she's a lunch lady. And I
said, you got voted. Notwrong, I got promoted. But I
do both. And if you needany help, you can come to the
lunch line and I can take careof that problems. I love that.
Oh my god, I can getinvolved. The more that you know your

(28:23):
kids see you being present, themore that they feel, you know,
supported, and that they're going tobe able to get through that they're gonna
be able to get through the year. What a great thing. I love.
These are great stories. Oh mygosh. So well, let's talk
a little bit real quick about somevaccinations. Oh yeah, sure, sure.
So school vaccines are always one ofthose things that you know, if
you're like me and you're kind ofa procrastinator, you're going to be rolling

(28:47):
in sometime in August and say,oh lord, we got shots, and
the kids are going to be freakingout, you know, but it's gonna
be okay. We're gonna get youthrough it. So typically in between the
years of four and six years ofages are going to be technically like our
kindergarten shots. We try to getkids whenever they come in at four.
That way, whenever a parent missesit at five or six, guess what,
it's okay, you already had itat four and that's totally fine.

(29:08):
So those shots are gonna be likethe chicken pox shot. There's a tetanus
shot, measles, mumps, rebella, and polio. It sounds a lot
worse than it is. It's onlytwo shots, even though I named again
there. Yeah, so there's twothat's there, and that's gonna be those
old school kindergarten shots. Ain't nottand change for a real long time,
so all that's gonna be the same. Now we get a big old break,
so no shots, you know,after our kindergarten shots until you're kind

(29:32):
of entering junior high. So notuntil we start getting smelly armpits. That's
whenever we're gonna get another set ofshots. Okay, so eleven years of
age, that's gonna be our tetanusupdate. You're gonna get one of your
first meningitis shots, and then weoffer the guards or the HPP shot.
Yeah, so that and that's alwaysgoing to be you know optional. Schools

(29:52):
don't look at that and send youback to a clinic if you don't have
it, but it's always one ofthose things that's really nice to have.
Yeah, and them you get abig break after your eleven and you don't
got nothing until you're getting ready toget your license. So we gotta think
kindergarten, smelly armpits and then licensetime about these things. And so that's
going to be your you know,usually if you need another HPV shot,

(30:15):
you'll get it done around that time, and then we get a meningitis update
as well. To you just checkedtheir arm pits. It's easy come and
smelly. We got it, that'sall. Oh my gosh, this is
great. Well, you know what, let's put it. I want to
put a plug out to the teacherstoo, because you know what, as
a gind of college is I takecare of a lot of the teachers.

(30:36):
Oh yeah, what wonderful people theyare. I mean, they care,
they want to be there, youknow. And for the kids. The
teachers love being with you. Theylove being there. They love teaching.
That's why they're there. It isvery rare that there's a teacher that's a
grouch. You know, It's true. These kids, they are the teachers

(30:56):
that are in the particularly the younggrades, the kindergarten for they love those
kids. And there should be noreason, you know that the children should
be scared because these teachers they're goingto love them. They are going to
love them. And the teachers lovethese kids because they talk about them all
the time when they come into theoffice about my kids, and I'm like,

(31:17):
how wonderful. So yes, SoI'm hoping everybody has a wonderful school
year. Absolutely, and enjoy therest of your summer. My goodness,
it was so fun having you onthe show today. Yeah, it was
a lot of fun, but absolutelyso. Doctor Cassie Rye, she's at
Adena Pediatrics. As she mentioned onthe show, their same day visits.
Get into her. She's wonderful.You are going to love her and you're

(31:41):
going to laugh, and she willtake care of your kids because she puts
some of those memories of herself intoit and it'll make you very, very
comfortable. So I thank you somuch. Yeah, pleasure to being here.
Thank you, absolutely all right,thank you so much again our guest,
doctor Cassie Rice at aDNA Pediatric Group. This has been Lady Parts with
Doctor Richard Villa, brought to youby Adina Health System at. Lady Parts

(32:02):
with Doctor Villareal has heard the thirdMonday of each month on Mex one oh
six point five. You can alsocatch the podcast on the free iHeartRadio app.
Just open up the app and doa search for Lady Parts with Doctor
Richard Villarreal.