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Direct to kid advertising

How upset do you get when you see drug ads which say, "Ask your doctor about..." This just burns me up sometimes! I see both sides of this in that patients come in and ask me about their medical conditions. But on the other hand, they sometimes demand to be placed on what they saw on television.

In the marketing world, they call this "direct to consumer" advertising. This has definitely transformed the sales of prescription medications. OTC manufactures have also followed suit. (What's that product you apply directly to the forehead? AHHH!)

The American Academy of Pediatrics (AAP) recently published a report stating that children and adolescents are constantly exposed to advertising on television, and even in schools. If adults can be lulled into these ads, think of the effect on children.

"Advertisers have slowly but steadily infiltrated school systems around the country," the [AAP] committee [on communication] writes. "The '3Rs' have now become the '4Rs,' with the fourth R being 'retail.' Ads are now appearing on school buses, in gymnasiums, on book covers, and even in bathroom stalls," notes the AAP.
I defninitely agree with this. In doing more research on this, I found an article from the Palm Beach Post talking about marketing to kids for toys and video games.
Nine times. That's the average number of requests a kid has to make before Mom and Dad cave and buy a toy, according to a national survey commissioned by the Center for a New American Dream, a Maryland-based consumer group.

That's if Mom and Dad are lucky. One of every 10 kids ages 12 to 13 cheerfully reported he asks his folks more than 50 times for something he really, really, really wants.

Then, there's this article from USA Today talking with James McNeal who wrote a book about direct marketing to kids.
Last year, marketers spent $1.4 billion per month marketing to children — 15% more than the year before, McNeal says. "I call it 'surround selling.' "

Mattel Brands President Neil Friedman says Mattel will spend half its ad budget — estimated at $460 million by Advertising Age — in the fourth quarter.

The American society makes such a big deal of people like drug dealers and predator teachers preying on innocent children. In my opinion, there is another group who should be included in this outrage.

Frankly, advertising, as an industry, should be ashamed of itself. To target those in our society who are most vulnerable to slick marketing techniques is deplorable. Parents are put in the precarious position of trying to de-program their kids from the daily onslaught of these brainwashing messages. They're using your kids to help their bottom line. What do you think about that? Happy Holidays....

Holidailies


Now, I failed miserably at NaBloPoMo last month. For all of you who succeeded (and didn't win any real prize), there's this reward for you. HA!

So, anyway, I'm a glutton for punishment. I ran into another blogging challenge over there on the Frectis blog. The challenge is easy - Post every day from December 1st through January 1st (sound familiar).

I guess there are two tiers to Holidailies. The top tier registration is closed and they're enforcing daily posts. If not, then you're demoted to the lower tier which they are affectionately calling the "home game" version of Holidailies 2006.

So, the underachiever blogging self signed up for the Holidailies at Home. If you haven't checked it out over there yet, I encourage you to do so. Lots of great writing and reading over there.

Speaking of which, I'm still considering accepting Cathy's challenge of writing a post ending with the line, "I shall not waste my days in trying to prolong them." Hmmmmm. I don't know if I have the creative juices for that. Still thinking...

Grand Rounds

Grand Rounds 3.11 is now up and running at The Antidote: Counterspin for Health Care and Health News. The host is Emily Devoto. No theme this week. Thirty-seven links are divided into nine categories. Here's my contribution:

Dr. Anonymous briefs on this week's new research findings on chemo-brain - now there's evidence of a neurologic basis for the phenomenon; with luck, the findings could spur further research to understand and address the problem.
Thanks Emily for including my submit this week. Next week, Grand Rounds moves to Anxiety, Addiction, and Depression Treatments. Experience the best the medical blogosphere has to offer this week. It's Grand Rounds!

McDonald's Children's Hospital

How was your weekend? Mine was wonderful and relaxing, thanks for asking! A time to just take a break. Until, this morning when I read the news....

Here's a question, how often have you seen McDonalds or other fast food restaurants somewhere in the hospital? How about if you have ever been at a children's hospital?

In a study recently released, researchers in Pittsburgh are very upset about this. The article is in today's Washington Post and is entitled, "Fast Food at Kids' Hospitals Causing Worry."

The researchers queried 200 pediatric residency programs in 2002-03. About 30 percent, or 59, had fast-food restaurants in their hospitals. McDonald's alone or in combination with other fast-food restaurants were located in 22.
The article goes on to say that this sends a mixed message to parents, especially with the growing problem of childhood obesity in the United States (no pun intended).

Now, I totally agree that childhood obesity is a problem. But, do hospitals serve McDonalds in patient rooms? I don't think so. Who buys the fast food for their children? Oh yeah, that's right! The families of children buy the fast food.

Now, I know what you're going to say. "Dr. A, if fast food wasn't IN the hospital, then it wouldn't be a problem." Are fast food places the ONLY places to get food in the hospital? How about parents taking their kids to the hospital cafeteria? I'm sure a children's hospital would choose healthier food for their own cafeteria, right?

Here's are some facts that are left out of the above article. I did a quick search of the website for Ronald McDonald House Charities. Did you know that as of 2004, more than $400 million in grants worldwide have been distributed to benefit children. How many times have you heard about the Ronald McDonald House helping someone you know?

Also, I did a quick scan of the sponsor lists for charities like St. Jude's Children's Research Hospital, the Children's Miracle Network, and the Muscular Dystrophy Association. Did you know that they have sponsors like Anheuser-Busch, Wal-Mart, Dairy Queen, and Coca-Cola? Oh no! This is definitely sending the wrong message to children! C'mon, gimme a break.

In my opinion, this Pittsburgh study is another attempt to attack fast food establishments and give parents a free pass on the care of their own children. So, according to this article, the solution is simple - If you want to solve the problem of childhood obesity, go to the hospital cafeteria!

Condom Olympics

After my last two posts, here is something a little lighter today. Question: How are you observing World AIDS Day? Here are two examples...

A Canadian community is holding the condom olympics which organizers call a "light-hearted face on a very serious issue." Events will include blowing up condoms, condom relay races, shooting condoms, and condom volleyball using flyswatters to keep blown up condoms in the air. Laurel Petty, the city's AIDS Community Action Project coordinator says said this, "It will be a fine evening brainstorming with the kids."

If you haven't had your fill of condoms (*cough*), then get on a plane to Thailand. Because there, you will be trying to make history with a Guinness World Records attempt at the "longest condom chain". I'm not making this up. Here's the quote:

Participants at the "Condom Chain of Life" festival will link 25,000 condoms and will be led by UN Aids special representative Mechai Viravaidya, a national Aids activist formerly known as "Mr Condom", who was named a 2006 Time magazine hero for his groundbreaking HIV prevention efforts. The attempt will take place at 7:30pm inside the King Rama VI entrance to Lumphini Park.
I just want to go on record right now, and place my rubber stamp of approval (*cough again*), to these two projects. Now, before you throw stuff at me, don't get me wrong. I realize that AIDS worldwide is a considerable concern.

But, the condom olympics and the condom chain of life? Pleeze! Will hyped events like these have an overall positive effect over time to advance the cause of worldwide AIDS education? I guess time will tell.

Update: Just when you thought you had enough condom talk, I saw this item at MedGagdet this morning. The title of the article is Spray On Condom = Instant Lovin'. No joke! Check it out.

Chemo Brain

All cancer patients treated with chemotherapy swear that the very treatment which helps their cancer ultimately affects brain cells. Friends and family of chemotherapy patients describe neurological side effects like memory loss, dementia, and even seizure.

In an article from Thursday's BBC News, there is now scientific evidence that this is in fact the case. Patients call this syndrome "Chemo Brain." Researchers at the University of Rochester found, in lab tissue samples, that at high chemotherapy treatment doses, not only are cancer cells killed, but also a significant percentage of the normal brain tissue is destroyed.

Lead researcher Dr Mark Noble said: "This is the first study that puts chemo brain on a sound scientific footing, in terms of neurobiology and cellular biology."

The Rochester team carried out tests with three drugs used to treat a wide range of cancers: carmustine, cisplatin and cytosine arabinoside.

All three drugs were toxic to several types of brain cell whose job is to repair other cells in the brain - even at very low concentrations.

So, if you're a cancer patient who has received chemotherapy, how do you react to this news? Some may find solace in the fact that for the first time, there is solid scientific data confirming their suspicion of chemotherapy side effects on the brain. Prior to this, cancer patients had to wonder why their doctor did not believe them when they talked about neurological side effects.

For others who have not started chemotherapy, it may make them think twice about receiving treatment. To be honest, I hope that doesn't happen. Being given the diagnosis of cancer is devastating in itself. Treatment options include surgery, chemotherapy, and/or radiation - possibly a combination of these. All carry side effects. But, the alternative of no treatment (depending on the severity of the cancer), has it's own ramifications.

Hopefully, this newly discovered data will assist oncologist researchers to develop neuro-protective properties in chemotherapy agents. Cancer research has always been furious and technology is always changing. I have hope that more treatment options will be available for patients with cancer.

Childless

I had an interesting conversation with a patient this week. As you may or may not know, I'm the soccer doc for our boys high school soccer team. We got to talking about my experiences with the team when she said, "You know, I don't think I want to have children."

"Really," I said. "Now, doc, don't give me that look that everyone else gives me when I say something like that." We got to talking a little bit more. She's in her mid-30's, married, and she states that she's doing well in her career.

"Don't misunderstand, I like kids," she said. "I could be wrong, but I've never really believed that you could have it all - meaning both family and career - at least for women." She continued, "At least with the people that I know, when you try to go for both, then one suffers, and I never wanted that. I always knew I could be a good mom, but I didn't feel that I had the passion or drive to be a good mom."

Now, I know people out there in blog land are trying to figure out if I'm trying to make some kind of political statement with this post. I'm not. In talking with some of my female staff members at the office after this encounter, I guess this having children thing (or not having children) can be a divisive issue.

I did further research on this and found an article in today's Washington Post called Childless: Some by Chance, Some by Choice. The columnist begins the article by talking about how she had a stillborn baby. Soon after that, she and her husband divorced and the columnist chose to remain childless.

The next part of the article describes her work on a documentary about childless women. The reasons for remaining childless are similar to my patient's reasons.

Just as some women talk of a visceral urge that propels them to have children, others speak of an equally visceral urge that propels them not to. Laurie, a transplanted southerner who teaches history in New York, began to realize at an early age that she didn't want children, as she watched wealthy mothers in Richmond hire other women to care for their children. "These people compelled to have trophy babies in certain socioeconomic echelons don't want to face the realities of raising a child." She is now infuriated by what she calls "that Mother Right" -- the assumption that everyone will make way for a woman with a stroller or a child in tow. She goes on to challenge me: "If we believe that this is the hardest thing that anyone can do, then why should it be assumed we should all be doing it?"

This has been a more painful journey for my friend Lori from Tennessee, who, though quick to find humor in things, was devastated by a miscarriage. Her husband, who had two children from a previous marriage, was reluctant to try again. She's irritated by the signs in parking lots reserving spaces for parents with children: "I park in those spots sometimes just out of sheer defiance -- I'm a peri-menopausal woman under stress -- and I need a sign!" Lori argues that "if you don't have children you've . . . thrown a brick in your path that you're going to spend your entire life trying to crawl over. It would have been a lot easier having had children."

I realize that I'm putting a big target on myself and my blog for bringing an issue like this up. I have found that the "child people" Vs. "childless people" are very passionate about their respective points of view.

Me? I'm not passing judgement on this either way. I will be further exploring both sides of this issue, because I think it will help me better understand a patient's point of view.

Christmas Song Meme


Yes, that's right, boys and girls! It's not even December yet and I'm starting this meme. Can you believe it? Well, I figure that I actually still like Christmas songs right now. Ask me two weeks from now, and I'll be totally sick of them.

This meme is pretty simple: List (at least) five of your favorite Christmas tunes and tag (at least) five of your favorite blog friends to keep the meme going. Simple, huh?

My Fave Christmas Songs (in no particular order):
Christmas Time Is Here from A Charlie Brown Christmas
Christmas (Baby Please Come Home) by U2
Santa Claus is Coming To Town by Bruce Springsteen
Run Rudolph Run by Brian Adams
The Chanukah Song by Adam Sandler (I know, not a Christmas song)
Christmas Eve (Sarajevo 12/24) by Trans-Siberian Orchestra
Please Come Home For Christmas by The Eagles
The Christmas Song by Nat King Cole
(I'd better stop here, or I'll be here all day...)

The lucky people I'm tagging:
Mimi from Mimi Writes (The Meme Queen)
Julie from Flip This Body (It is meme Tuesday, isn't it?)
Kim from Emergiblog (Are there any Notre Dame Christmas songs?)
Fat Doctor (Check out her blog Thursday for the Change of Shift blog carnival!)
Morgen from the Blog Eat Blog World (Gimme the BIG MO song list!)
Skittles from Skittles Place (Just a quickie list would be fine. HA!)
Ipanema from Under the Canopy (Great wreath on your site!)
Irene from Pregnant Pauses (She has the best gift on her site for you!)

If anyone feels left out, then consider yourself tagged as well. Give me your top five Christmas songs and tag five other people for me. (Just place a link back to this post so I know who's in!) This will be fun! Go for it! Gimme your favorite five songs!

What to do with a MeMe: Copy the idea of the MeMe into a new post on your blog. Fill in the answers. Tag people! (Thanks Skittles. I forgot to add this sentence in case people didn't know what a meme was or what tagging people meant)

Grand Rounds

Grand Rounds 3.10 is up and running at Notes from Dr. RW. It is self-described this week as a "running commentary, stream-of-consciousness style, to provide some structure to this incredibly diverse collection of links and perhaps liven things up a bit. I’ll sneak a few opinions in here and there, but you’ll know them when you see them." Thanks to Dr. RW for including my submit this week:

Ectopia what??? Ectopia cordis---a rare developmental anomaly in which the heart is situated outside the chest. Dr. Anonymous writes about a recent case.
For those of you sitemeter watchers out there (I am definitely one of them), it'll be interesting to check out the Dr. RW sitemeter as it goes through the day today.

Next week, Grand Rounds moves to The Antidote: Counterspin for Health Care and Health News. That's funny. Does that mean that Grand Rounds is a poison? Tune in next week to find out. Enjoy Grand Rounds!

Hosting Grand Rounds 3.09 (pt2)

(Look below for part one of this post)

This post will be a little more free-flowing. I thought I would have some steps that you could follow, but it was hard for me to boil down my experience into some simple steps. I encouage you to check out Emergiblog and Tundra Medicine for some other feedback on GR hosting.

I was on call the weekend before my GR posting. So, my schedule was just crazy. As I've said before, my job gets in the way of my blogging. I tried to keep ahead of things by reading submissions as they came in. Sunday was kind of nuts because it was a busy day on call. And, Sunday night after the deadline, there were some people still submitting. That's when I came out with my submission closed posting on Monday which some people remarked as a little moody.

I spent the entire day Monday trying to stay awake and make my final edits on the GR post. I was switching posts from the bottom section to the middle section, from the middle section to the top section, and all combinations in between.

The GR post went live at 6:30am and I waited. To further punish myself, I put up two poll questions to seek feedback on the GR layout and on the quality of GR. I had no idea what the reaction would be to the "link dump" at the end of my post.

At 6:30am, my site meter read 100 total visitors for the day. For the first few hours, it was reading between 20-30 per hour. Then at 9am, it spiked up to 52 visits in an hour. The next few hours, it was between 40-50 visitors per hour. Then at 2pm, the number read 72 visitors the prior hour. A few more hours went by, and then at 5pm, here's what the sitemeter read:

Yes, that's right 183 people saw the GR post in the last hour. Plus, in seeing more data, there were 85 people on my site at the same time! Thinking about this is just incredible.

Then, I was wondering if I hit 1000 visitors in one day. This occurred just before 8pm. Yay! The final question I had on that Tuesday was how many total visitors? When all was said and done - just over 1,300 visitors!

I had no idea what Wednesday would bring. I thought things would cool off a bit, especially because it was the day before Thanksgiving in the US - usually a huge travel day - and not expecting too much blog traffic. Then, at 10am, I saw this from site meter:

Little did I know that at the end of that day, I would have just below 1,400 visitors - quite a shock to me. Then, reality set in and on Thanksgiving day (Thursday), I only had 600 visitors.

Looking back, this was a memorable experience for me. People have asked me how much time out of my day did it take to put everything together. Hmmmmm. That's a tough one. People have estimated about 20 hours total during GR week, I guess that sounds right. Knowing me, I probably spent more time than that. I hope I get the opportunity to host again - although maybe not very soon. HA!

Finally, here are the poll results:
What did you think of Grand Rounds 3.09?

  • One of the best: 38%
  • Great: 51%
  • Ok: 8%
  • Below Average: 0%
  • Awful: 3%
Did you like the format/layout of Grand Rounds 3.09?
  • Yes: 94%
  • No: 6%