Kid’s Mental Health

How to help your children navigate anxiety and depression brought on by COVID-19

As we head into the final month of summer, the effects of the COVID-19 vaccine surround us as life begins to feel more normal. For many children and adolescents, it’s a time to get back to sports and activities, hang out with friends and family, and soon return to school. Unfortunately, re-entry into “normal” is not as easy as it may seem for many youth in our community. Fifteen months of social isolation during the pandemic has magnified issues in children and adolescents who have struggled with anxiety and depression.

There have been studies regarding the relationship between loneliness and mental health in healthy children and adolescents. We know social isolation and loneliness can increase the risk of depression even a decade later. Throughout the country, pediatricians are concerned that the loneliness experienced during the COVID-19 pandemic will likely affect the future mental health of our youth.

Patrick Gaulier, Senior Clinical Social Worker at IHA WestArbor Pediatrics, notes that “many adolescent patients have talked about feeling isolated and separated from their friends and other supportive groups.” Children and teens have turned to social media as their primary source of maintaining a connection with their peers. In many cases, this online-only environment has ended friendships which, in turn, causes many adolescents to become reluctant to return to in-person learning. During a recent appointment, Patrick recalls a 10-year-old describing deeply disliking in-person learning because he “doesn’t know anyone anymore” and worries he will not be able to make friends again.  

What to look for

With the return to activities, symptoms of anxiety or depression could show up at any point. Some children may initially seem fine, with parents noticing signs several weeks later. Other children will exhibit symptoms right away. Not all children will be able to express their feelings of depression or anxiety in an obvious way. Instead, they will show complaints of physical symptoms or behavior changes. Parents and guardians should learn to recognize signs of mental illness, as it isn’t always obvious. Children and adolescents may express their worries through behaviors such as withdrawal from family and friends, irritability, argumentativeness, and aggression. Some may try to avoid activities that they previously enjoyed. Or, they may show physical symptoms like stomach aches or headaches. 

How to help the children and teens in your life

Checking in with kids about their mental health may be one of the most important things we do to help our youth out of the COVID-19 pandemic. Sometimes, it’s as easy as saying, “Hey, I see you are having a hard day today. Is something making you worried?” 

Encouraging children and adolescents to participate in physical activities and spend time outdoors with peers is an excellent step in helping improve physical and mental health. Kids will experience positive emotional benefits with increased safe socialization as we continue to vaccinate and cases continue to decrease. 

Of course, when in doubt, you should always reach out to your child’s pediatrician. Pediatricians routinely evaluate patients for mental health concerns. They can make recommendations such as healthy lifestyle changes or connect you with a mental health professional who has experience and expertise in treating children. 

We cannot ignore the negative impacts on mental health on the development of children and adolescents during the COVID-19 pandemic. We know that parents, family, friends, pediatricians, and therapists can all help address the mental health needs of children and adolescents. The earlier we intervene for our youth, the better chance we have of making a positive impact. If you would like to speak to a pediatrician about your child’s mental health, IHA Pediatrics is available for same or next-day appointments in-person or via video to determine the next steps. More information can be found online at then link below.

Mosquito Buzz

6 Tips to Prevent Mosquito Bites & Viruses

More than a pest, mosquitoes can carry and spread dangerous diseases to both humans and animals. And, it only takes one bite from an infected mosquito to cause and spread illness. The only way to prevent mosquito-borne illnesses is to avoid being bitten by them. Since we still have many weeks of mosquitoes, until the nighttime temperatures consistently fall below freezing, The Michigan Department of Health and Human Services has issued the following recommendations to protect yourself and your family against mosquito bites:

  1. Avoid being outdoors at dusk and dawn when mosquitoes are most active. For those that work outdoors or cannot avoid being outdoors at dusk or dawn, be diligent about using insect repellent, and cover as much of your skin as possible.
  2. Wear light-colored, long-sleeved shirts and long pants when outdoors.
  3. Apply insect repellents that contain the active ingredient DEET or other EPA – approved product to exposed skin or clothing, always following the manufacturer’s directions for use.
  4. Use nets over outdoor eating areas.
  5. Maintain window and door screening to help keep mosquitoes out of buildings.
  6. Empty water from mosquito breeding sites such as buckets, unused kiddie pools, old tires or similar sites where mosquitoes lay eggs.

If you’re concerned about or experiencing symptoms from a mosquito bite, reach out to your primary care physician: Make An Appointment

Or visit an Urgent Care location near you: Save Your Spot

Men and Cancer

Screening for the most common cancers in men

Each year 300,000 men die from cancer in the United States. The most common types that affect men include skin cancer, prostate cancer, lung cancer and colorectal (colon) cancer. Luckily, there are screening tests available that can detect cancer before you start seeing or feeling symptoms. This early detection can save lives. This Father’s Day we’re encouraging the men in our lives to focus on their health and schedule cancer screenings when recommended by a physician.

Colorectal (Colon) Cancer

Unless you are considered high risk, a colon cancer screening is typically done starting at age 50 and continue on a regular schedule through age 75. This screening can be done using a few different methods including, colonoscopy, sigmoidoscopy, or fecal occult blood testing (FOBT). Your physician will recommend a screening schedule depending on the type of test used.

If you think you may be at risk for colorectal cancer ask your doctor when you should begin screening, which type of screening is best for you and how often you should be screened.

Prostate Cancer

The second most common cancer in American men, Prostate Cancer occurs when cancer grows in the prostate, a part of the male reproductive system. There are two tests that are commonly used to screen for prostate cancer: Prostate Specific Antigen (PSA) Test and the Digital Rectal Examination (DRE). There are risks associated with screening, diagnosis and treatment of prostate cancer. Before deciding whether to be screened, patients and physicians should discuss the balance of benefits and harms based on family history, race/ethnicity, current health, and any other health needs.

Lung Cancer

Lung cancer is the leading cause of cancer death in the US. It often doesn’t present symptoms until the cancer is in an advanced stage. For high risk individuals, a screening may be done when the patient is asymptomatic in an effort to diagnose and treat the cancer early on. If you are 55 to 80 years old and are a heavy smoker or a past smoker who quit within the last 15 years, talk with your doctor about having a low-dose CT scan every year.

Skin Cancer

Most cases of skin cancer are caused by overexposure to ultraviolet (UV) rays from the sun, tanning beds, or sunlamps. UV rays can damage skin cells. In the short term, this damage can cause a sunburn. Over time, UV damage adds up, leading to changes in skin texture, premature skin aging, and sometimes skin cancer. UV rays also have been linked to eye conditions such as cataracts. Skin cancer screening can begin at home. Examine your body on a regular basis noting any new or unusual moles or changes to the skin. Talk with your doctor about any concerns you have and whether or not you may be high risk for developing skin cancer.

Staying current with recommended screenings is important, but staying healthy involves daily effort.

  • Maintain a healthy weight
  • Exercise regularly
  • Get plenty of rest
  • Don’t drink alcohol, or limit it to no more than two drinks a day
  • Don’t smoke
  • Protect your skin from the sun and avoid tanning beds
  • Get a checkup every year

Is it time for your annual physical? Scheduling an appointment with your primary care physician is easy! Click below to make an appointment online, or call your practice to schedule.

Trinity Health Announces COVID-19 Vaccine Requirement for All Colleagues

IHA, Saint Joseph Mercy Health System and Mercy Health included in decision

LIVONIA, MICH., July 8, 2021 – Trinity Health today announced effective immediately, the national health system will require all colleagues, clinical staff, contractors, and those conducting business in its health care facilities be vaccinated against COVID-19.  The requirement applies to Trinity Health’s more than 117,000 employees in 22 states nationwide in an effort to stop the spread of the virus and keep all patients, colleagues, and the broader communities safe. 

This includes roughly 24,000 Trinity Health Michigan colleagues working across five Saint Joseph Mercy Health System hospitals, three Mercy Health hospitals, and two employed medical groups — IHA and Mercy Health Physician Partners.

Since December 2020, when the U.S. Food and Drug Administration approved the first vaccine for Emergency Use Authorization, Trinity Health has strongly encouraged vaccination for all colleagues and within the communities its various Health Ministries serve.  To date, the health system estimates that nearly 75% of Trinity Health employees have already received at least one dose of the vaccine, and it now looks to close the gap with this new requirement.

“As a faith-based health care system we have pledged to protect the most vulnerable, those that have a high risk of developing severe health complications if they were to contract this deadly virus,” said Rob Casalou, president and CEO of Trinity Health Michigan and Southeast Regions.  “We are grateful to all colleagues working inside our hospitals, and specifically those navigating the frontlines.  We understand that not everyone will agree with this decision, but after listening to their feedback, and after careful consideration, we know this to be the right decision.”

The Centers for Disease Control and Prevention (CDC) estimate that more than 331 million doses of the COVID-19 vaccine have been administered in the United States.  The vaccines have proven to be safe and effective against symptomatic infections, hospitalizations and death, with more than 99% of COVID-19 deaths today occurring in unvaccinated people.

“As a trusted health care leader within Michigan communities, our patients and colleagues look to us to keep them safe,” said Rosalie Tocco-Bradley, PhD, MD, chief clinical officer of Trinity Health Michigan.  “There is widespread acceptance of the vaccines and their effectiveness within the medical community.  The science is clear – vaccines protect against infection and they help save lives.”

Employees at Trinity Health and its Health Ministries must meet a series of rolling deadlines, with most locations requiring them to submit proof of vaccination by Sept. 21, 2021.  It has not yet been determined if a COVID-19 vaccine booster will be required annually, but if so, employees will also need to submit proof of the booster as needed.  Exemptions are available for religious or health reasons and must be formally requested, documented, and approved.  Employees who do not meet criteria for exemption and fail to show proof of vaccination will have their employment terminated.

About IHA

Established in 1994, IHA is one of the largest multi-specialty medical groups in Michigan delivering more than one million patient visits each year, practicing based on the guiding principle: our family caring for yours. Led by physicians, IHA is committed to providing the best care with the best outcomes for every patient and an exceptional work experience for every provider and employee. IHA offers patients from infancy through senior years, access to convenient, quality health care with extended office hours and urgent care services, online patient diagnosis, treatment and appointment access tools. IHA is based in Ann Arbor and employs more than 3,000 staff, including more than 700 providers consisting of physicians, nurse practitioners, physician assistants, care managers and midwives in more than 100 practice locations across Southeast Michigan. IHA serves as the Medical Group for Saint Joseph Mercy Health System and a member of Trinity Health. To learn more about IHA, visit www.ihacares.com.

About Trinity Health Michigan 

Trinity Health Michigan is a leading health care provider and one of the state’s largest employers. With more than 24,000 full-time employees serving numerous counties, Trinity Health Michigan is composed of eight hospitals, including the five hospitals of Saint Joseph Mercy Health System located in Ann Arbor, Chelsea, Howell, Livonia and Pontiac, and the three-hospital Mercy Health, operating in Grand Rapids and Muskegon. The health system has 2,348 beds and 3,400 physicians. With operating revenues of $3.4 billion, Trinity Health Michigan returns $195 million back to their local communities each year. Together with numerous ambulatory care locations, three home health agencies, one hospice agency and 17 senior living communities owned and/or operated by Trinity Health, Trinity Health Michigan provides the full continuum of care for Michigan residents.

Nationally, Trinity Health is among the country’s largest Catholic health care systems. Based in Livonia, Michigan, with operations in 22 states, Trinity Health employs about 129,000 colleagues, including 7,500 physicians and clinicians. The system has annual operating revenues of $18.3 billion, assets of nearly $27 billion, and returns about $1.2 billion to its communities annually in the form of charity care and other community benefit programs. For more information, visit www.trinity-health.org.

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Celebrating Safely

Source: Centers for Disease Control and Prevention (CDC)

Holiday safety tips for a fun and festive 4th of July

This Fourth of July, more than ever, we are looking forward to celebrating with family and friends.  Although some of the restrictions around COVID-19 have been relaxed, there are some other health concerns to consider.  Follow these safety reminders to keep yourself and your family safe this holiday weekend.

Firework Safety

Fireworks are a favorite tradition and for the Fourth of July, but they can cause death and injury, including burns, cuts, bruises, and foreign objects in your eyes.

  • Never allow young children to play with or ignite fireworks.
  • Always have an adult supervise fireworks activities.
  • Designate the people who will be responsible for igniting fireworks.
  • Avoid buying fireworks packaged in brown paper, which often means they were made for professional displays and could be dangerous for consumers.
  • Make sure you and your family watch fireworks displays from a safe distance. Draw a line using chalk or string, so children have a visual indicator not to cross and get too close to where the fireworks are being launched.
  • Call 911 immediately if someone is injured from fireworks.

Food Safety

Hot weather and food that’s been left out a little too long are a recipe for a stomachache. According to the Centers for Disease Control and Prevention (CDC), the summer months typically see a spike in reports of foodborne illness.  Whether hosting or attending a 4th of July picnic or BBQ, follow these tips to ensure you and your family

  • Use separate plates and utensils for raw and cooked meat and poultry and ready to eat foods, like raw fruits and vegetables.
  • Use a food thermometer to make sure meat and poultry are cooked hot enough to kill harmful germs.
  • Don’t leave food at room temperature for longer than two hours – one hour if the outside temperature is over 90 degrees. Keep perishable food in an insulated cooler packed with ice or ice packs. If you are not the host or hostess and are unsure about how food is being handled, consider bringing your own cooler of food.

Pool Safety

According to the CDC, drowning is responsible for more deaths among children 1 to 4 years old than any other cause except birth defects.

  • Designate a responsible adult to watch all children swimming or playing in or around water. Drowning occurs quickly and quietly, so adults should not be involved in any other distracting activity while supervising children. If there are multiple children swimming, have multiple adults to supervise, each assigned to monitor specific children.
  • Teach kids to swim. Formal swimming lessons can protect young children from drowning.
  • Always swim with a buddy. Whenever possible choose swimming sites that have lifeguards.
  • Avoid drinking alcohol before or during swimming, boating, or water skiing. Do not drink alcohol while supervising children.
  • Know the local weather conditions and forecast before swimming or boating. Strong winds and thunderstorms with lightning strikes are dangerous.

Heat Safety

From parades to fireworks, the Fourth of July typically means a lot of time outdoors and in the sun. In hot temperatures your body may be unable to properly cool itself. This could lead to serious health problems.

  • Drink plenty of fluids, regardless of your activity level. Don’t wait until you’re thirsty to drink. Warning: If your doctor generally limits the amount of fluid you drink or has you on water pills, ask how much you should drink while the weather is hot.
  • Don’t drink liquids that contain alcohol or large amounts of sugar–these actually cause you to lose more body fluid. Also, avoid very cold drinks, because they can cause stomach cramps.
  • Stay in the shade when you can, and when you can’t, create your own shade. Protect yourself from the sun by wearing a wide-brimmed hat and sunglasses. Wear lightweight, light-colored, loose-fitting clothing.
  • Put on sunscreen of SPF 15 or higher – the most effective products say “broad spectrum” or “UVA/UVB protection” on their labels.

Bug Safety

Uninvited party guests like mosquitoes, ticks, and some flies can spread diseases like Zika, dengue and Lyme disease. They’re also really annoying and their bites can cause pain, itching and in some cases, an allergic reaction.

  • Use EPA-registered insect repellents that contain at least 20% DEET for protection against mosquitoes, ticks, and other bugs. Remember always follow product instructions. Do not use products containing OLE or PMD on children under 3 years old.
  • If possible, wear long-sleeved shirts, long pants, socks, and a hat. Tuck your shirt into your pants and tuck your pants into your socks for maximum protection, especially if walking in a grassy area.
  • Check yourself and your children for ticks. Learn more about ticks and how to remove one from your skin: blog.ihacares.com/tick-tick-boom/

Despite taking precautions, illness and injury can still happen. IHA and St. Joe’s Medical Group Urgent Care locations will be open this holiday weekend to care for you and your family. Click below to save your spot in line at an urgent care near you.