How we give new meaning to “happy campers”

Child abuse is underrecognized and underreported but estimates are that as few as 4% to as many as 30% of children worldwide experience some sort of maltreatment- physical injury, emotional abuse, neglect, sexual assault or exploitation.

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For one week I was the doctor at an exclusive summer camp for children age 7 through 11 years. Only a few children are accepted to this camp from those who qualify. There are strict requirements for admission, but once a child qualifies, they can return every year until they reach 11. Both boys and girls are recruited to attend.

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So exclusive is this camp that the ratio of staff to children is almost one to one. Some activities are done in large groups; others are done in groups of four campers with at least 2 adults.  There were adult staff in charge of leading music, teaching crafts, hiking, fishing, swimming and drama presentations. Additional staff came each evening for special programs and a birthday party for everyone. Since we were there the week of Independence Day, there was a fireworks show one evening.

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Three hot meals, served all-you-can-eat style, and snacks were provided daily. Assisted by a registered nurse, I oversaw treatment of any injuries, assessed illness and dispensed medications. The campers slept in air-conditioned cabins with full bath facilities, supervised by adult staff.

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The total cost of running this 5 day camp is in the tens of thousands of dollars; the cost to each child’s family-nothing. Sound wonderful to you? The kind of camp you would like to send your child or grandchild to? No, it isn’t.

This camp is exclusive but you can’t buy your way into this camp. It is not for the children of the rich and famous, celebrities, entertainers, politicians, or doctors. This camp is reserved for children who are in the foster care system- children who have been abused, neglected and/or abandoned by their parents.

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A special camp for special kids

 

Royal Family Kids has been confronting abuse and changing lives since 1990 by  sponsoring these camps .  The camps are staffed by local people for children in their community. All are volunteers. Funds to pay for the camp are raised by individual and corporate donations, grants, and old fashioned fund raisers like pie auctions .

Child abuse is a preventable, treatable medical condition- and a crime.

The American Academy of Pediatrics calls it  “a public health problem with lifelong health consequences for survivors.”

The World Health Organization calls it a “global priority” due to its potential impact on social and economic development.

All organizations that deal with child abuse agree that prevention is much more effective than treating the effects of abuse.

simple children's paintings on a wall

Many of these children land  in the foster care system which can be another form of abuse. Foster children may be shuffled from one home to another without warning, separated from siblings, leaving behind  personal possessions like  clothes, toys, books and photos. They have few opportunities to do normal kid activities like summer camps, family vacations, play sports and music lessons.

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Why Royal Family Kids

That is why our camp is so important. For their week at camp, each child gets  caring attention from safe adults, many of whom return year after year. The goal of the camp is to create positive memories for kids who have few. Each craft is carefully packed to go with the child, as is a small photo album filled with pictures of their activities at camp.

For the sake of their privacy and protection, I cannot show pictures of the children to you, but these photos  from the camp give you an idea of the fun things they did that week. Most important, they are taught that their life has value and that they can overcome the challenging situation that has brought them here. 

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If you suspect a child is being abused, here is how you can help.

Contact the National Child Abuse Hotline

or your local child protective agency – find the number at this link.

Together we can help every child feel safe and create positive memories. Thank you.

(This is not an affiliate link. Donations to Royal Family Kids are not shared with this blog.)

drawing of a laptop with GIVE on the screen
Royal Family Kids

 

 

How to lose weight when nothing else has worked.

In helping people lose weight, there is a significant gap that needs to be closed. When diet/exercise fails, we need something less invasive  before resorting to surgery with its significant risks and complications. One option is prescription medication.

This post has been updated July 22, 2021

On this blog we’ve looked at

how lifestyle changes can make losing weight possible and

which weight loss programs work best.

 But what if those do not work? Studies show that any low fat, low carb , or other restricted calorie diet can lower weight, but then weight tends to plateau and may even rise again.

For severely overweight people, especially with a BMI of 30 or more, this means that even if they lose weight, they still have not reached  a healthy weight. For them, some type of weight loss (bariatric) surgery may be considered.

For some, medication is a good option for weight loss.
For some people, medication is an acceptable option for weight loss.

One option is prescription medication. Prescribing drugs for weight loss is not new, and has been an approach used by some retail weight loss clinics, “weight doctors”, for years.

Most of these programs used stimulant type drugs, amphetamines, to decrease appetite. People do lose weight on these because they eat less, but the drugs’ effect tends to diminish with time. They also have high potential for abuse and dependence.

When the non-amphetamine drug Meridia (sibutramine) was released, we thought we had found the solution- an effective drug without the risk and side effects. of amphetamines.  However, once a significant risk of  serious cardiac effects was found, its use was suspended.

Another drug, orlistat,  seemed promising. Known by the brand names of Xenical and Alli, it works in the gut to block the absorption of fat. But patients found the unpleasant side effects of gas, diarrhea and oily stools not worth the benefit.

In past few years  several new drugs have come to the party.

Belviq, lorcaserin, a serotonin agonist with uncertain action on appetite; as of September 2020, this has been withdrawn from the market.

Qysmia, a combination of two drugs- phentermine/topiramate,a stimulant and an antiseizure drug,

Contrave, also a combo -naltrexone, used for alcohol dependence and bupropion, an antidepressant

Saxenda, liraglutide; unique in that it is taken by subcutaneous (SC) injection similar to insulin; it also is used for diabetes under the name Victoza

Wegovy, semaglutide, also a subcutaneous injection, given just once weekly, rather than daily like Saxendra

Please note: none of these drugs are approved for use in pregnancy, and are in fact contraindicated, meaning they are unsafe in pregnancy and probably unsafe while breastfeeding. 

an MRI of the human brain
an MRI of the human brain

These drugs all work in the brain to control appetite and increase satiety, the feeling of fullness. The long term solution to preventing and reversing obesity may lie in finding new ways to control the processes in the brain that control eating behavior. Much of obesity management research is directed to this area. 

Learn more about the use and side effects of these drugs here-

via Diet Pills, Prescription Weight Loss Drugs, Appetite Suppressants.

 

exploring the HEART of health

Dr. Aletha