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The H Word: How and Why to Talk With Your Kids About the Deadly Heroin Epidemic

In the U.S., 60,000 people died from drug overdoses last year – the most ever. Drugs are now the leading killer of Americans under 50 years old, with more than half of overdoses attributable to opioids/heroin which, alone, now kill Americans at roughly the same pace as gun violence.


As a recovering alcoholic, these figures confirm the frightening trend I see developing in Alcoholics Anonymous: More and more young people are primarily addicted to opioids – including heroin – as opposed to alcohol or other drugs.

Before we go further, some clarification: Generously prescribed painkillers like Percocet, Vicodin, and OxyContin are in the same family of drugs as heroin – namely, opioids. The abuse of both is at crisis level. And though addiction is addiction, all drugs are not created equal. Opioids are simply far more lethal and especially likely to cause overdoses following periods of clean time.

Heroin’s growing popularity stems from accessibility and cost. Since it’s illegal, heroin doesn’t require a prescription and, on the streets, is far less expensive than its pill-based counterparts. The result is widespread “addiction by accident” scenarios in which patients are prescribed painkillers for a legitimate reason, become physically dependent, and eventually turn to cheaper, more obtainable heroin.

Scared yet? You should be. We’re raising our children amidst an unprecedented scourge of deadly addiction, and staying silent is simply not an option. Here are ways parents can communicate the perils of opioids.

“Whatever you do…”

The best advice my father ever gave was, “Whatever you do, don’t drive if you’ve been drinking.” He said this not when I reached legal drinking age, but four years earlier when I got my driver’s license – ceding, without condoning, the likelihood of underage drinking while emphasizing drunk driving as completely unacceptable. One sin was venial, the other potentially mortal.

Similarly, a holier-than-thou approach won’t suffice when it comes to heroin. We must hammer home the singular danger of opioids without explicitly condoning the use of other drugs, alcohol included. Heroin must occupy a never-ever-ever category unto itself.

Whether that makes kids more likely to imbibe other substances is debatable. Regardless, you’d rather your child come home drunk, stoned, or even high on cocaine than find opioids in his backpack.

Arrange a “pre-intervention” – even if your teen doesn’t realize it

Chances are, you know someone in recovery – someone like me. And chances are, they’re very comfortable with discussing their experiences as alcoholics and addicts. It’s something we do regularly in AA, where identifying with fellow sufferers is key to staying sober.

Our checkered pasts and the plainspoken, preach-free manner in which we discuss them make those in recovery ideal to deliver a stern yet unassuming warning about the dangers of opioids and heroin. Know a recovering drunk but not a junkie? No problem. Anyone with a firm foothold in recovery is well aware of the emergency that heroin has become, and can speak to its unique lethality. We’ve been to enough wakes.

A pre-intervention need not be a big production – in fact, the lower-key the better. For example, I once tactfully found a few moments to informally chat with a friend’s kid during a barbecue. He got the message – and he didn’t even know the discussion was orchestrated by his parents.

To those who’d call that deceitful or manipulative, I say this: Welcome to the real world. Desperate times call for drastic measures and, of all the indignities to which we can subject our children, I’d put some pre-planned “Just Say No” stagecraft pretty far down the list.

Hesitant to ask a recovering friend to discuss so personal a topic? Most of us are so grateful to be free of addiction’s grasp that we’re happy to pay it forward and help prevent someone from having to endure the same hellish consequences we suffered.

Play to teenage exceptionalism & rebellion

Every generation of parents ascribes, in some degree, to the “When I Was Your Age” cliché, the idea that our childhoods were tougher than that of our offspring. And indeed, this eye roll-inducing saying is true in certain areas – the sophistication of technology, the four-star resorts most college campuses have become, and so on.

But in terms of navigating illicit drugs, the current youth generation has it worse not only than their parents, but any generation. Again, the difference between marijuana and heroin – or even cocaine and heroin – is the difference between being picked up by the police and being zipped up by the coroner. Opioids have upped the ante to the point where parents need to pitch a near-perfect game.

So use that. Adolescents and teenagers love believing the world is singularly tough on them and their peers. Here’s a novel concept: agree with them. And while you’re at it, play to teen angst and rebellion.

Explain to them what got us here: Lies and profiteering. For decades pharmaceutical companies have reaped massive profits by vastly downplaying the addictive nature of a class of painkillers so similar to heroin that, today, most heroin addicts started with prescription painkillers.

A telling statistic: In Ohio about 20 percent of the population was prescribed an opioid last year. Faceless corporations who didn’t care whether people live or die started, and continue to propagate, this scourge. Let’s tell our children exactly what this is: the epitome of authoritarian evil deserving of their contrarian teenage rage. Most important, don’t help them by becoming just another customer.

And if all else fails, ground them for 18 years.

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Between the sleepless nights, endless worries, and persistent temper tantrums, parenting can feel like a fast track to gray hairs and wrinkles.

Now, researchers at Northwestern University have proven what we've suspected all along: having children does, in fact, speed up the aging process. A new study, which was published last month in Scientific Reports, found that each pregnancy can age a mother's cells by up to two years.

Each baby ages a mother’s cells

Researchers studied 821 women in the Philippines between the ages of 20 and 22, with various reproductive histories. They examined two separate markers of cellular aging—telomere length and epigenetic age—to measure the toll pregnancy takes on the body.

"Telomere length and epigenetic age are cellular markers that independently predict mortality, and both appeared 'older' in women who had more pregnancies in their reproductive histories," Calen Ryan, lead author of the study and a doctoral student in biological anthropology at Northwestern, said in a statement. "Even after accounting for other factors that affect cellular aging, the number of pregnancies still came out on top."

The researchers were surprised to find that cellular aging increased between about six months and two years for each additional pregnancy—a figure much higher than what they originally anticipated. Meanwhile, women who were currently pregnant had cells that looked significantly younger than predicted for their biological age."

It's an interesting situation in which pregnancy makes someone look temporarily 'young,' but there appears to be some lasting, cumulative relationship between the number of pregnancies and more accelerated biological age," noted Christopher Kuzawa, PhD, senior author of the study and a professor of anthropology at Northwestern University.

Our telomeres shorten and our epigenetic age increases

Telomeres, which are stretches of DNA at the end of chromosomes, protect our DNA and make it possible for our cells to divide. Longer telomeres are associated with longer lives and better health. As people age and as cells divide and replicate, those telomeres shorten.

Given that there is hyper cell production during pregnancy, it makes sense that those telomeres would shorten and, therefore, appear to age dramatically.

"During pregnancy, more cells need to be produced for carrying and nurturing the fetus, such as in red blood cells, placental cells, and more," said Dr. Kim Langdon, an Ohio-based retired OB-GYN who writes at Parenting Pod. "In addition, the cells in all organs such as the heart and uterus enlarge. This is known as hypertrophy—and when cells hypotrophy, their telomeres shorten."

Meanwhile, the epigenetic age begins to climb. This is an estimate of a person's biological age based on changes in the DNA that are caused by environmental factors, such as toxins and stress.

In other words, pregnancy puts a lot of pressure on the body. "I'm not really surprised," Langdon told Healthline about the findings. "Every OB-GYN knows the extreme stress to the system that pregnancy causes."

Throughout pregnancy, the blood volume increases by 50% as does the cardiac output, which puts strain on the heart. The kidney function increases and the lungs have reduced capacity, which causes breathlessness.

Why, then, did the pregnant women seem so much better off?

It may all come down to the immunological, hormonal, and physiological changes that take place during pregnancy to support development of the baby.

For example, pregnant women experience elevated estrogen levels, which can lower oxidative stress and prevent damage to telomere length and epigenetic age. Once the baby is born, though, those shifts are no longer necessary.

The findings may not be permanent

The study supports previous evidence that women who have had more pregnancies are more susceptible to certain illnesses and have slightly shorter life spans. Earlier this year, researchers from George Mason University found that childbirth could age a woman by as many as 11 years.

While it may be nerve-racking to learn that having children can accelerate the aging process, scientists still don't fully understand why this happens and don't want women to worry.

According to Langdon, we are far away from understanding if these findings could impact family planning or the longevity or long-term health of the mother.

"We don't know if these findings are permanent," Langdon said. "More longitudinal studies need to be done over many years, even decades, to see if this is reversible or if it really can predict when you will die."

The researchers from Northwestern University and the University of Washington have already started they working on a follow-up study that will examine the same group of women 13 years after their cellular measurements were first taken. Eventually, we'll be able to see if the women's cells continue to appear older throughout their life.

Until then, though, you can keep blaming your kids for those fine lines and dark circles.

Originally posted on Healthline.

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In the moments after we give birth, we desperately want to hear our baby cry. In the middle of the night a few months later it's no longer exactly music to our ears, but those cries aren't just telling us that baby needs a night feeding: They're also giving us a hint at what our children may sound like as kindergarteners, and adults.

New research published in the journal Biology Letters suggests the pitch of a 4-month-old's cry predicts the pitch they'll use to ask for more cookies at age five and maybe even later on as adults.

The study saw 2 to 5-month olds recorded while crying. Five years later, the researchers hit record again and chatted with the now speaking children. Their findings, combined with previous work on the subject, suggest it's possible to figure out what a baby's voice will sound like later in life, and that the pitch of our adult voices may be traceable back to the time we spend in utero. Further studies are needed, but scientists are very interested in how factors before birth can impact decades later.

"In utero, you have a lot of different things that can alter and impact your life — not only as a baby, but also at an adult stage," one of the authors of the study, Nicolas Mathevon, told the New York Times.

The New York Times also spoke with Carolyn Hodges, an assistant professor of anthropology at Boston University who was not involved in the study. According to Hodges, while voice pitch may not seem like a big deal, it impacts how we perceive people in very real ways.

Voice pitch is a factor in how attractive we think people are, how trustworthy. But why we find certain pitches more or less appealing isn't known. "There aren't many studies that address these questions, so that makes this research especially intriguing," Hodges said, adding that it "suggests that individual differences in voice pitch may have their origins very, very early in development."

So the pitch of that midnight cry may have been determined months ago, and it may determine part of your child's future, too. There are still so many things we don't know, but as parents we do know one thing: Our babies cries (as much as we don't want to hear them all the time) really are something special.

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I always thought I'd have babies. As in, multiple babies. Maybe three or four? I knew it would be hard. I knew pregnancy was tough and childbirth was no walk in the park.

I just didn't know how tough. And I also had no idea how hard my recovery would be.

It's been nearly four months, and I'm still taking pain medicine. I'm still using the witch hazel pads and haven't touched toilet paper. I'm still struggling with issues from my labor and delivery that just won't go away.

I'm still dealing with the emotional guilt that comes from feeling like I failed my daughter because I don't remember her first moments of life due to the trauma of what my body went through.

My birth story was traumatic and terrifying—and rare.

At 38 weeks pregnant, I had been in what we thought was labor for almost two days—but was actually a kidney stone. I was in constant, terrible pain for nearly 48 hours straight, and morphine didn't take the pain away—it only took the edge off. I watched out the hospital window as the world went by outside, and the hours dragged on.

I didn't sleep because of the pain. My body was completely drained and had gone into survival mode because of what felt like endless torture. Eventually, I was induced because of a small leak of amniotic fluid and had to give birth in an exhausted physical state and a completely anxious mental state.

I was in no way ready to have my baby—the baby I had been so ready for just weeks earlier.

This lead to all the things I had hoped to avoid for my birth—inducement, more inducement because I wasn't progressing fast enough, having to lie flat on my back, epidural, episiotomy and forceps.

By the time my sweet daughter finally entered the world, and they placed her in my arms—all I could do was immediately fall back onto the bed and close my eyes. My body was shutting down from sheer exhaustion. I wasn't even able to look at my brand new baby, let alone admire her or watch her take her first breaths. This part of my birth story still breaks my heart.

After they moved me to my recovery room, I asked my husband what our delivery room number was—because I never wanted to go in that room again. I didn't want to see it. I didn't want to walk down the hallway past it. And I really didn't want to think about what happened in there. My mind was scarred by the fear and anxiety I experienced.

The hardest part of all of this is that now, the thought of getting pregnant again terrifies me. My heart longs to have a house full of little feet running down the halls, yet my body says "closed for business." It's a confusing tension.

I know of women who have suffered through experiences much worse than I have. I know there are stories out there that are almost unbelievable. I don't know if or when or how I will ever feel ready for another baby again.

Yet, I have been realizing a few things.

It's okay that I'm scared. It's okay that I didn't feel as strong as I hoped to be. It's okay that I didn't power through childbirth without assistance. It's okay that I wasn't like the moms who can give birth in their sleep.

And it's okay that I wasn't physically able to witness my daughter's first moments of life. It doesn't make me a bad mother. It won't ruin my daughter's life. She doesn't even know what happened—only I do. I'm the one whose heart is broken because of this—not hers. She was in mama's arms and that's all she knew.

So I'm giving myself grace. I'm letting my mind and body heal for however long it takes. I'm not going to feel the guilt of failure—because I didn't fail.

So, mama with the traumatic birth story, please give yourself grace too. You're a good mom. You're a strong and powerful woman who has done something amazing.

You brought life into this world.

Your body didn't fail—you survived, and you're a mother now. And it's absolutely, 100% okay if you change your mind about having another baby. You have permission to feel exactly how you feel, right now at this moment.

Don't feel like less of a woman because of a story that was ultimately out of your control. You did it. You really did it. That is what makes you a strong, powerful woman. You are amazing, and you are a rockstar for going through what you did.

And you know what? You're killing this whole motherhood thing, too—just so you know.

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First responders do a lot of heroic things on the job. We're used to seeing police officers on TV pulling victims to safety or chasing down the bad guys, but sometimes heroism looks a lot different. Sometimes, it looks like breastfeeding.

A Facebook photo of a police officer breastfeeding a hungry baby in an Argentinian hospital has now gone viral for a very good reason. It's a simple act, but to that hungry baby, Officer Celeste Ayala is certainly a hero.

The photo was posted to Facebook by Marcos Heredia, who says he witnessed the police officer comfort and breastfeed a hungry baby while on duty at the Sister Maria Ludovica Children's Hospital in Buenos Aires.

According to Heredia, who tagged the officer in the Facebook post, Officer Ayala was attending the busy hospital on August 14 when she noticed the baby, a patient, needing care and comfort, and took it upon herself to give it.

"I want to make public this great gesture of love that you had today with that little baby, who without knowing you didn't hesitate, and for a moment you fulfilled [as if] you were their mother," reads a loose translation of Heredia's post.

Multiple Spanish-language websites report the 6-month-old baby Ayala breastfed is the youngest of six siblings who were in the process of being placed into foster care because their mother did not have the resources to feed them. The children were at the hospital for the medical exams they needed before being moved into foster care when Ayala came into contact with the baby, who was desperately hungry while waiting, according to reports.

Metro reports Ayala spoke to local media in Buenos Aires, explaining that she noticed hospital staff were overwhelmed so she, a mother of two, asked if she could comfort and feed the baby. "I noticed that he was hungry, as he was putting his hand into his mouth, so I asked to hug him and breastfeed him. It was a sad moment, it broke my soul seeing him like this, society should be sensitive to the issues affecting children, it cannot keep happening," Ayala reportedly said.

Not only is Ayala a mother and a police officer, but she is also apparently a volunteer firefighter as well. Her fellow firefighters joined in the chorus of people supporting Ayala's simple heroism on social media.

'We want to congratulate the voluntary firefighting cadet Celeste Ayala who yesterday in her job as police officer whilst she was on guard duty at the hospital, breastfed a young child who arrived crying."

Sometimes, first responders pull people from a burning building or save people from a hostage taking. And sometimes they feed babies.


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