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Additional Info
- Segment Number 3
- Audio File allina_health/1620ah1c.mp3
- Doctors Mateffy, LeeAnn
- Featured Speaker LeeAnn Mateffy, -Lead Pediatric Occupational Therapist, MS, OTR/L, Courage Kenny Kids
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Guest Bio
LeeAnn Mateffy, lead pediatric occupational therapist, Courage Kenny Kids. LeeAnn is a pediatric occupational therapist with professional interests in sensory integration, therapeutic listening, interactive metronome (IM), teens, pre-driving skills, SOS and feeding. She says the best part of her job is working with families and their children. At a young age she became interested in occupational therapy because she saw OTs making cookies and doing crafts which looked like way more fun than what they were doing in physical therapy.
Learn more about LeeAnn Mateffy -
Transcription
Melanie Cole (Host): Helping kids with disabilities transition to adulthood can be challenging but it can be so rewarding. My guest today is LeeAnn Mateffy. She’s the Lead Pediatric Occupational Therapist at Courage Kenny Kids. Welcome to the show, LeeAnn. Let’s talk about what type of disabilities or challenges do you typically treat when you work with teens.
LeeAnn Mateffy (Guest): Sure. At Courage Kenny Kids we see kids of all ages who have all sorts of physical and cognitive disabilities. Some of the diagnoses are cerebral palsy, spinal cord injury, traumatic brain injuries, kids on THE autism spectrum, and kids with sensory disorders, developmental delays, communication disorders and strokes. We also work with kids who have short term health conditions like a sports injury or an orthopedic injury. We don’t work with just kids who have long-term disabilities.
Melanie: When we’re talking about these kids, what do their parents ask you every single day about their ability to transition to adulthood and manage some things on their own?
Ms. Mateffy: Some of the things that we can do – I’m an occupational therapist and I can assess and develop teens pre-driving skills. If you’re a driver, you probably kind of take these skills for granted but it’s really challenging for a teen to be able to scan the environment quickly, pay attention to what they’re doing, use their hands, use their feet and it’s really challenging and sometimes even anxiety producing for kids on the spectrum. At an OT I can reinforce some of those scanning skills using kind of a fun piece of equipment called a Dynavision. It’s a big screen and kids will look up at it and it blinks lights in all the quadrants--on the left, the right, the top, the bottom--so it really kind of looks at their reaction time and their peripheral vision. If kids need more help, I can refer them to our driver’s program and training. They are the group that recommends modifications or adaptations. Maybe a teen can only drive within a five mile radius of their home, only when it’s light. Another great example is speech therapy. They help kids practice social scripts. That’s kind of like role playing. It’s used to help lessen a teen’s anxiety when they’re maybe trying something new. Maybe they are trying to talk to a new friend or practice for a first job interview. So, the speech therapist and the teen role play until the teen feels more comfortable using the script like in a real life situation.
Melanie: When you’re working with them to transition, give us a few more examples of things that you might do. You’ve talked about driving skills and social scripts but there are other things, even transitioning to go to college or any of these other things. How do you work with these teens?
Ms. Mateffy: Transition for teens can be a tough thing. It depends on the child’s developmental stage. Maybe you have 16-year-old who physically or mentally is like a 16-year-old but some 16-year-olds might be a bit delayed so it’s like we’re working with a child who is 10 or 12. At Courage Kenny Kids, we specialize in working with kids with transition so they’re not little kids anymore where they go to a pediatric clinic but they aren’t adults. As therapists, we need a good mix of skills – pediatric skills and the adult skills--to make sure that we can appropriately treat those teens. Traditionally, we’re called the pediatric therapists or pediatric rehab but we need to make sure that we are able to work with adult tools and equipment. A lot of the things that we face with teens with disabilities is just what any parent faces with a teen. The disability just kinds of put a little extra spin on how the child transitions to adulthood.
Melanie: What about building soft employment skills or social skills so that they can transition and do some of these things on their own?
Ms. Mateffy: Just like any kid, a teen with a disability can benefit from playing recreational sports or teen sports. The Courage Kenny kid therapists, we often recommend that teens connect with our sports and rec department and they offer a really wide range of adaptive and competitive sports. Some of them are downhill skiing, they’ve got all sort of great skis on spikes or skis on tethers so kids can ski safely. They do snowboarding and they do archery, rock climbing, wheelchair softball, wheelchair basketball, wheelchair rugby, and track and field. I’ve seen kids do kayaking and power soccer.
Melanie: When they’re doing these things, that not only helps them adapt to a team sport but gives them some of those social skills as well, yes?
Ms. Mateffy: Yes, it does. Oftentimes, as a therapist when I’m working with a child, I’ll consult our SHARE Program—that stands for Sports, Health, Activity, Recreation and Exercise. Our SHARE experts will come and talk to a family about maybe what types of things they’re looking for. Maybe a teen is looking for a yoga class or a karate class. If you have a disability, our SHARE specialist will help the family figure out what are community resources that would be appropriate for that teen. We also have something called Allina Health Chance to Chill website. It’s called chancetochill.org. That’s a free, pretty to use information to help teens manage stress in a healthy way.
Melanie: Do you encourage teens to possibly volunteer to learn to use some of those pre-employment skills we mentioned before or some vocational skills? How do you do that with them, LeeAnn?
Ms. Mateffy: I’m going to talk about behavior services a little bit, too. Sometimes teens can have some challenging behaviors that sometimes get in the way of their ability to participate in family or school settings. We’ve got behavior services that can help the teen better manage their behavior so they’re more successful at home and at school and whatever kind of community services they might be involved in. Remember, when it’s a time of transition or change it can be really tough on a family. We can refer the teen and their family to counseling. You talked about some of the volunteer services. Teens also benefit from volunteering to learn how to use pre-employment skills in a safer volunteer setting. Sometimes a vocational counselor can help a teen and the parent figure out what are the teen’s special skillsets and how to match those up in an employment setting.
Melanie: Do young adults with disabilities need to or want to begin managing some of their own healthcare?
Ms. Mateffy: That might be something that we do in occupational therapy – have teens start working on some of the strategies they might need to use to pay attention and speech might work on that. Speech could help teens use their smart phones for things more than just texting and snapchat. Maybe they help the teen figure out how can they make lists kind of like to-do lists so that the parents don’t have to hear anymore, “Oh, gosh. I forgot about doing the chores” or “I forgot my homework” because they’ve already worked on figuring out how to make a list with a speech therapist.
Melanie: That’s fascinating work that you do. In just the last few minutes here, what else do you offer kids to help develop social skills and physical skills to help them transition to adulthood?
Ms. Mateffy: I don’t think I’ve talked about kids who’ve had concussions. So, we have a teen that will come in and a physical therapist would help them work on maybe some higher-functioning gait activities. Maybe this is a kid who played soccer so the physical therapist and the teen will work on that. Most other kids who’ve had brain injuries might have some balance issues and they would benefit from working in the pool with a physical therapist. Lots of times we’ll show teens how to safely use our fitness center. Maybe they need a little bit of help at first so they can safely use the equipment but eventually most of them can progress to being more independent and maybe they even get to transition to their local Y or their fitness center so they can continue with those skills. I think I’ve talked about occupational therapy. Maybe I would work with that teen who has had a concussion on some of the visual scanning that they need to do so that they don’t walk into walls and so they can progress to some safe pre-driving skills.
Melanie: It’s wonderful work that you do and certainly so interesting for parents to hear. Thank you so much, LeeAnn, for being with us today. You’re listening to The WELLcast with Allina Health. For more information, you can go to allinahealth.org. That’s allinahealth.org. This is Melanie Cole. Thanks so much for listening. - Hosts Melanie Cole, MS
According to Dr. Steven Masley, we can prevent 90 percent of heart disease with just diet and lifestyle changes.
Additional Info
- Segment Number 5
- Audio File clean_food_network/1619cf1e.mp3
- Featured Speaker Steven Masley, MD
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Guest Bio
Steven Masley, M.D., is a physician, nutritionist, author, speaker, and award-winning patient educator. He has devoted his medical career to the study of heart disease and aging, and has published significant research on these subjects in leading medical journals. His passion is empowering people to achieve optimal health through comprehensive medical assessments and lifestyle changes.
Dr. Masley has received the award of Fellow from three prestigious organizations: the American Heart Association, the American College of Nutrition, and the American Academy of Family Physicians. He is also a Clinical Assistant Professor at the University of South Florida, and he teaches programs at Eckerd College. Dr. Masley sees patients from across North America at the Masley Optimal Health Center in St Petersburg, FL.
Dr. Masley has published several health books, SMART FAT, The 30 Day Heart Tune-Up, Ten Years Younger, and numerous scientific articles. His work has been featured on the Discovery Channel, the Today Show, Public Broadcasting Service (PBS), plus over 250 media interviews. He also completed a chef internship at the Four Seasons Restaurant in Seattle and has performed cooking demonstrations at Canyon Ranch, Pritikin Longevity Center, and on multiple television appearances.
Did you know that certain cooking oils become toxic at higher heats?
Additional Info
- Segment Number 4
- Audio File clean_food_network/1619cf1d.mp3
- Featured Speaker Steven Masley, MD
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Guest Bio
Steven Masley, M.D., is a physician, nutritionist, author, speaker, and award-winning patient educator. He has devoted his medical career to the study of heart disease and aging, and has published significant research on these subjects in leading medical journals. His passion is empowering people to achieve optimal health through comprehensive medical assessments and lifestyle changes.
Dr. Masley has received the award of Fellow from three prestigious organizations: the American Heart Association, the American College of Nutrition, and the American Academy of Family Physicians. He is also a Clinical Assistant Professor at the University of South Florida, and he teaches programs at Eckerd College. Dr. Masley sees patients from across North America at the Masley Optimal Health Center in St Petersburg, FL.
Dr. Masley has published several health books, SMART FAT, The 30 Day Heart Tune-Up, Ten Years Younger, and numerous scientific articles. His work has been featured on the Discovery Channel, the Today Show, Public Broadcasting Service (PBS), plus over 250 media interviews. He also completed a chef internship at the Four Seasons Restaurant in Seattle and has performed cooking demonstrations at Canyon Ranch, Pritikin Longevity Center, and on multiple television appearances.
What is a smart fat and why do you need more of them in your diet?
Additional Info
- Segment Number 3
- Audio File clean_food_network/1619cf1c.mp3
- Featured Speaker Jonny Bowden, PhD, CNS
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Guest Bio
Best-selling author, Jonny Bowden, PhD, CNS, is a nationally known expert on weight loss, nutrition and health. He is a board-certified nutritionist with a master's degree in psychology and the author of 14 books on health, healing, food and longevity, including The 150 Healthiest Foods on Earth, Living Low Carb, The Great Cholesterol Myth, and his new book, Smart Fat.
A frequent guest on television and radio, he has appeared on Fox News, CNN, MSNBC, ABC, NBC, and CBS as an expert on nutrition, weight loss, and longevity. He is a past member of the Editorial Advisory Board for Men's Health magazine, is the Nutrition Editor for Pilates Style, and is a regular contributor to AOL, Vanity Fair Online, Clean Eating Magazine, Better Nutrition, and Total Health Online.
Fiber is key in feeding the healthy bacteria in your gut. The problem is that most people don't eat enough fiber.
Additional Info
- Segment Number 2
- Audio File clean_food_network/1619cf1b.mp3
- Featured Speaker Liz Weiss, RD
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Guest Bio
Liz Weiss is an award-winning broadcast journalist, speaker, blogger, and spokesperson. She is the co-author of three cookbooks, The Smoothie Bowl Coloring Cookbook: Healthy Recipes and Playful Mandala Food Designs for Kids and Adults (M3 Press, 2015), No Whine with Dinner: 150 Healthy, Kid-Tested Recipes from The Meal Makeover Moms (M3 Press, 2011), and The Moms’ Guide to Meal Makeovers: Improving the Way Your Family Eats, One Meal at a Time (Broadway Books, 2004). Liz champions good nutrition on her website, MealMakeoverMoms.com where she shares healthy “makeover” recipes and practical mealtime advice for families. Liz co-hosts the food and family radio podcast, Cooking with the Moms, and she’s the co-creator of Meal Makeovers, a mobile recipe App filled with kid-friendly recipes and cooking videos. Liz is a columnist for Live Well Digest, a WIC publication, and Relish magazine.
For nearly two decades, Liz wrote and reported on nutrition and health for CNN, PBS, Time Life Medical, ABC Boston, and Ivanhoe Broadcast News. Currently, she hosts the “Meal Makeovers” cooking segment for CNN Accent Health, which runs in 30,000 physician waiting rooms nationwide.
Liz is a sought-after cooking instructor, speaker, and consultant. She has extensive experience as a live television and radio guest. During her career, she has conducted hundreds of live and taped interviews, appearing on NBC’s Today Show, CNN Headline News, the Food Network, FOX News, ABC-Boston, and many more.
Pollinators are critical to a healthy food system. Unfortunately, their numbers are rapidly declining.
Additional Info
- Segment Number 1
- Audio File clean_food_network/1619cf1a.mp3
- Featured Speaker Larissa Walker, Pollinator Program Director at the Center for Food Safety
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Guest Bio
Larissa Walker is the Pollinator Program Director for Center for Food Safety. In her role, she integrates national grassroots campaigns with hard-hitting scientific and legal expertise, working with lawmakers on Capitol Hill and regulators at key government agencies to affect positive policy change. Larissa spearheads CFS’s pollinators program, which focuses on protecting bees, butterflies and other beneficial insects from the harms of pesticides. She regularly serves as a spokesperson for pollinator and agriculture issues, and has been interviewed and quoted by a variety of print and broadcast media outlets, including the New York Times, NPR, Politico, Bloomberg, and the Huffington Post.
Additional Info
- Segment Number 5
- Audio File allina_health/1614ah2e.mp3
- Doctors Freehill, Michael
- Featured Speaker Michael Freehill, MD- Orthopedic Surgeon
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Guest Bio
Dr. Michael Freehill is an orthopedic surgeon specializing in sports medicine at Sports and Orthopaedic Specialists in Edina and Minneapolis. His comprehensive training includes extensive cutting-edge experience in adult joint reconstruction and arthroscopic reconstructive techniques.
Learn more about Dr. Michael Freehill -
Transcription
Melanie Cole (Host): Does your child play a competitive sport? Maybe something that they play all year long? Well, they could be risking an overuse injury. My guest today is Dr. Michael Freehill. He’s an orthopedic surgeon specializing in sports medicine at Allina Health. Welcome to the show, Dr. Freehill. Let’s talk about children and sports specific training. Do you think that parents today are putting too much emphasis on one sport when they find that their child has really got some talent for one sport?
Dr. Michael Freehill (Guest): Absolutely. We’re seeing that more and more where kids are specializing early on in their careers and specific sports and oftentimes when they get into their young teen years, experiencing injuries that we typically wouldn’t see except maybe in the adult population in the past. So, I do think we are seeing young kids having injuries based on doing one sport over and over for an extended period of time at a young age.
Melanie: Because this is a fine line, if a child does show a gift towards a specific sport and they want to excel in that, it’s hard to get them to try other things. Not only is it the parent but it’s the athlete themselves.
Dr. Freehill: That’s true. Trying to convince not only the parents but the athlete that playing an additional sport is beneficial can be challenging. What I oftentimes tell the patient--the child--and the family, is that other sports can actually improve the performance in their primary sport because we’re using other muscles, other muscle groups and we’re using other skills that can be further developed by playing other sports other than their primary sport.
Melanie: What are some of the risks of that sport specific training if it’s tennis or pitching or anything that they do repetitively? Tell us some of the risks of complications.
Dr. Freehill: For example, in the overhead athlete, you mentioned tennis. We see a number of tennis players, volleyball players, swimmers, baseball players--they all come in with very similar injuries. We’re seeing young kids who are having rotator cuff issues. They’re having fractures or stress fractures around the shoulder and elbow areas. We’re seeing an increase in the popular Tommy John injury where the ligament on the inside part of the elbow is damaged. We’re seeing this in younger and younger kids. In fact, Jimmy Andrews who is one of the more preeminent orthopedic surgeons in the country who does UCL reconstruction, is seeing about five times the number of injuries in young kids that he used to see. So, I think there’s an indicator that, again, over-training is causing these injuries to occur earlier and earlier in young athletes’ careers.
Melanie: What do you want to tell parents about cross-training and maybe it’s not even training another sport but doing something else? Swimming in the off season or taking up cardiovascular training or something else to get them to strengthen other muscles and even their cardiovascular system.
Dr. Freehill: That’s a great question. In terms of a multi-sport athlete or a well-rounded athlete, what we know is that the major emphasis is oftentimes on the same body part. As we discussed in swimmers and volleyball players, it’s the shoulder. If you’re going to participate in another sport, we typically recommend you take at least two to three months off your primary sport so that you give those body parts a chance to rest and then, participate in a sport that uses other muscle groups. For example, if you are swimmer, you may want to participate in soccer or track and field where you’re not using your upper extremities as much but you’re training the lower body and the core which can oftentimes parallel the muscle groups that you use in swimming. So, it can be beneficial in that way also. It’s picking a sport that doesn’t stress the same body parts over and over again. Golf is another fine, kind of fun sport to play. It doesn’t stress the body too much. So, making sure that if you’re a swimmer you’re not going out and playing volleyball. If you’re a baseball player, you’re not playing tennis where you can continue to overuse the shoulder and elbow areas.
Melanie: Certain sports go together. I mean, certain sports might lend themselves, as you say, to doing them on alternate seasons. Basketball is during one time of year and soccer is during another. So, do you help parents figure that out so that they don’t injure something that could possibly hinder the sport they really want to play?
Dr. Freehill: Yes. We really have to make sure that when they are playing the other sport, if they do become a multi-sport athlete, that they’re not over stressing as you said. Basketball and soccer are played at different times of the year where there’s a lot of running. We know that runners actually have the highest rate of overuse injuries. About 68% of runners will develop an overuse type injury. If you’re participating in a sport that requires a lot of extensive running, basketball and soccer being great examples, probably those are not the best crossover sports to do back to back because they could lend themselves to overuse. So, if you are a basketball player, you might be better off playing tennis or baseball where you’re using different muscle groups to participate. We do have to break that down with the parents and the athlete, again, that you’re doing this sport nine months out of the year and try something different working different muscle groups during that timeframe.
Melanie: Let’s talk about some not only prevention but treatment. If kids are playing a specific sport, they’re training pretty hard, they’ve got, maybe, tennis elbow, a forearm injury. They’ve got shoulder pain, knee pain. Do you recommend first that a parent help with wrapping, RICE--ice, compression and elevation--or do you tell them to give it a rest from the sport for a bit?
Dr. Freehill: Ultimately, it does come down to some early treatment is always the best prevention for hoping to stop the injury before it becomes significant. Having the athlete, if they have access to an athletic trainer or their pediatrician or a physician who can actually assess the injury to see if it’s something more severe that can be handled with the typical rest, ice, compression, elevation routine that we frequently recommend. If the pain is something that is inhibiting their ability to play, for example, I would highly recommend they seek professional help at that point in time. If it’s a minor injury--a bruise or a little bit of overuse that just started a few days ago, I think that the ice and compression and rest is oftentimes helpful. We typically recommend that they take at least one to two days per week off from organized or structured sports so that they can give their body a chance to recover during the season. So, not playing six or seven days a week can help prevent these overuse symptoms.
Melanie: What about anti-inflammatories and such? We hate to give those to our kids to get them through the season.
Dr. Freehill: Personally, I’m not a huge fan of the anti-inflammatories for a couple reasons. Number one, yes, they can help in some circumstances with the symptoms of pain and discomfort but oftentimes, depending on whether the injury is acute or chronic, an anti-inflammatory may actually inhibit the ability for the body to heal itself. I am typically more of a fan of Tylenol or Tylenol derivatives where they can actually help with the pain. They have what we call an analgesic effect. So, they do help with the pain symptoms but they don’t interfere with the body’s ability to heal itself. Ice is actually quite favorable in that circumstance, if you want to avoid anti-inflammatories like the ibuprofen and things. Ice has been shown to change the way the body reacts to pain signals. So, it can help reduce swelling and actually help reduce the sensation of pain that you’re having in the affected area. I’m much more a fan of icing and rest and, if you need something for pain, taking a Tylenol-based medication, I think, can be more effective in those circumstances.
Melanie: When should parents make an appointment with a specialist such as yourself? When does it come down to them saying, “Come on we have to go see somebody now?”
Dr. Freehill: I think if the child continues to complain of the same symptoms, if it’s a very localized area of discomfort, they’re having a hard time performing their day-to-day activities, they can’t put their backpack on anymore, they’re having a hard time doing their hair in the morning before they go to school. So, when the basic activities of life start to get affected and they really are having a hard time participating effectively in their sport, I think that’s when you seek professional care to make sure that it’s treated appropriately and that there can be a safe and timely recovery.
Melanie: In just the last few minutes, Dr. Freehill, give your best advice for parents and their young athletes on avoiding these overuse injuries and sports specific training and what you tell people every single day.
Dr. Freehill: Number one, you have to keep it fun and interesting for the athlete. We want to avoid the burnout syndromes that we see. So, making sure the athlete is still having fun in their sport. That’s primarily number one. Number two, as I mentioned earlier, is making sure you have adequate time during the season to rest. So, taking one to two days off per week, allowing the body to rest and participate in other outside activities that aren’t using the same body parts over and over again. Routinely, particularly in my baseball players where we often times see this more frequently, I recommend not participating in the sport more than nine months out of the year. Multiple studies have shown that if you play a sport more than nine months, you’re risk of overuse or overtraining goes up significantly. The final thing is making sure you have adequate rest so you’re sleeping well. Nutrition and hydration is vitally important, getting good proteins, making sure you’re drinking plenty of water or recovery drinks, if necessary, depending on the intensity of your sport. They can help maintain the body’s general, overall condition to help you recover from the stresses that we place on it.
Melanie: Thank you so much, Dr. Freehill. What great information. You’re listening to The Wellcast with Allina Health. For more information, you can go to allinahealth.org. That’s allinahealth.org. This is Melanie Cole. Thanks so much for listening.
- Hosts Melanie Cole, MS
Breakfast can be tricky, especially if you have a picky eater in your household.
Additional Info
- Segment Number 5
- Audio File clean_food_network/1618cf1e.mp3
- Featured Speaker Erin Macdonald, RD
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Guest Bio
Erin Macdonald, RD, and her partner, Tiffani Bachus, RD, have created an incredible program to give you the proper tools to lead an active and healthy lifestyle through realistic nutrition and training.
They are two MOMS on a mission.
Lasting weight loss has to incorporate ALL aspects of life.
Additional Info
- Segment Number 4
- Audio File clean_food_network/1618cf1d.mp3
- Featured Speaker Erin Macdonald, RD
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Guest Bio
Erin Macdonald, RD, and her partner, Tiffani Bachus, RD, have created an incredible program to give you the proper tools to lead an active and healthy lifestyle through realistic nutrition and training.
They are two MOMS on a mission.
By 12 months, infants and toddlers are consuming more than five teaspoons of added sugar and more than 1500 milligrams of sodium a day (which is the recommended limit for adults).
Additional Info
- Segment Number 3
- Audio File clean_food_network/1618cf1c.mp3
- Featured Speaker Nicole Silber, RD, CSP, CLC
- Guest Bio Nicole Silber, RD, CSP, CLC, is a Registered Dietitian and a Certified Lactation Counselor specializing in pediatric nutrition. She is in private practice in New York City and is a Pediatric Nutrition Expert for Beech-Nut Nutrition Company. Nicole worked as a clinical nutritionist at The Morgan Stanley Children’s Hospital of New York-Presbyterian/Columbia University and NYU Langone Medical Center/Fink Children’s Ambulatory Care Center. She has managed the nutrition of critically and chronically ill children, pregnant and breastfeeding women, children with feeding tubes, gastrointestinal disease, prematurity, cardiovascular disease, food allergies, diabetes, picky eating, underweight and obesity.
