Friday, July 17, 2015

MAVEN Provides Quality Solutions for Time-Crunched Moms

A recent conversation with a good friend about healthcare got me to thinking about how much time is lost by working Moms, caregivers and busy families with simple visits to the doctor’s office. The conversation that sparked this research involved a good friend of mine who was lamenting her third trip to the doctor’s office that week for a sinus/ear infection that was circulating through her very large family.
“I am going to have to take off yet another whole afternoon of work just to take my daughter in so that they can give her the same antibiotic ear drops they gave to the other three. The same thing happened last month when they all got pink eye…. I miss my old pediatrician. She used to just automatically call in prescriptions for all of the kids for certain things. This new one requires I bring each child in.”
After that conversation, I began to think there had to be a better way to handle simple healthcare requests than taking 2-3 hours out of a busy day to drive to school, pick up the child, head to the doctor’s office, sitting in the waiting room, being seen by the doctor, checking out and heading home, or back to work and school.
As it turns out, an emerging market known as telehealth is primed to answer that very need. According to the Mayo Clinic, “Telehealth is simply using digital information and communication technologies, such as computers and mobile devices, to manage your health and well-being.”  Telehealth practitioners rely heavily on video based appointments, a technology that more and more Americans are becoming familiar with thanks to applications like Skype and Facetime.  Video based appointments are still a relatively new phenomenon, but as more consumers are seeing the benefits of using these emerging companies and are embracing the benefits that technology, insurance companies are increasingly embracing them as well. In 2013 US News published a report on the convenience of this new technology, “Telehealth: The Ultimate in Convenience Care.”
Like any new technology, the regulation and laws are working hard to keep up, but thus far the telehealth industry has proven that the convenience and benefits are significant, the cost savings to the health industry substantial and the tendency for fraud and misrepresentation to be no higher than in traditional health care settings.
One new company joining the existing ranks of telehealth is Maven. The company focuses primarily on women’s health, specifically prenatal, post-partum, lactation consulting, pediatric needs and nutrition and mental health needs.
I had the pleasure of giving Maven a try, courtesy of the incredibly kind and engaging owners and managing staff.  I found the application to be easy to use. First I downloaded the application with a simple click. After navigating through the customer friendly website I found it very simple to find a Nutritionist that I thought sounded like a good fit. I made the appointment filled out the pre-appointment forms in less than 5 minutes. The process of connecting was also very user friendly (and this is coming from someone who is somewhat of a technophobe). All I had to do was to click launch appointment and allow the program access to my camera and microphone.
The practitioner I spoke with was extremely professional, kind and knowledgeable. We discussed some issues I have been having with finding the right diet to help with some current health problems. She listened and then provided me some good suggestions I could implement immediately, as well as options for on-going monitoring and support.
The only frustration that I experienced during my appointment time was the stilted video feed and the fact that we lost connectivity twice. The first time I panicked when my I-pad dropped the signal, but I quickly realized that reconnecting was as easy as retouching the “launch appointment” button again.
As a user, I was extremely impressed with the openness of the practitioner to provide email and telephone information, as well as a plan for ongoing monitoring if I was interested. At no point did I feel like I was just a “patient,” but instead I really felt like a person.
I admit, I was somewhat skeptical about the benefits of telehealth, but after experiencing it for myself, I feel that these telehealth options could very well be the answer for families already strapped for time and money. The application is affordable, relationship based, user-friendly and extremely convenient from a time perspective.
The Two-Penny Soapbox is not typically a site that provides reviews, or advertisements, but in this case I feel that the benefit to my readers outweighs my objections to product endorsement. I will definitely be using Maven again in the future. While telehealth is never going to fully replace in-person healthcare, when it comes to everyday health questions, using telehealth services just makes sense.
So, as a conclusion, let me run-down of the benefits and drawbacks of Maven’s application.
  • Exclusively on Apple/ Android devices not yet supported
  • Connectivity issues

Yep, I only found two drawbacks. The benefits, on the other hand are significantly higher in number;

  • The application is simple to download, simple to use
  • Compiling your health history is automatic and easy to access
  • Providers make themselves very available
  • Extended communication and post-appointment notes create a relationship based health care
  • Appointments are affordable
  • While not currently supported on Maven, telehealth options are increasingly being accepted and utilized by insurance companies
  • Even when connectivity is lost, reconnecting is as simple as clicking a button
  • A free forum where providers answer questions is available in addition to video appointments
  • The time savings are immeasurable

So, as a gift to all my readers, Maven has provided me with an access code that allows you to try out the Maven application. Just use your special reader code TWOPENNYSOAPBOX for $25 (one free appointment). I promise you won’t be disappointed. And while this doesn’t let businesses off the hook in regards to the need for more family-friendly policies, the telehealth industry provides a much needed time-saving solution for busy families while we are waiting. 

Note: Maven in no way paid for this endorsement. The only benefit I received was the same free appointment that I am extending to all my delightfully loyal readers.

Friday, June 26, 2015

How America is Shooting Itself in the Foot

As an anthropologist, I have become frustrated by certain subjects that have come up in recent news stories. News stories about things like; the dangers of technology for children under 12, the growing obesity epidemic, the increased awareness of fat shaming, how the American work week has increased in hours, and of course, the previously discussed topic of pressure on parents to supervise their children 100% of the time.

What I see, from an anthropological perspective, is that all of these disparate things are actually all very intimately interlinked with each other. There is not one issue on that list that is not caused by, affected by, or is the causal effect for something else on the list. America is shooting itself in the foot by focusing on the symptoms, but not recognizing the underlying issue.

Americans are putting more hours in, for less buying power and less vacation/sick time than at any point in history. Because of this, we are experiencing a severe time crunch in regards to outside of work activities (not to mention a spike in stress and depression related illnesses and a decrease in overall health-but that is a topic for another day).

With the expansion of the 9 to 5 workday to a more typical, 8 to 6 schedule, a casualty has been the time to make from-scratch, home-cooked meals. Convenience meals are great for speed and efficiency, but they are typically higher in sodium, fat and chemicals than meals that are prepared from scratch. Also, they are typically higher in price per serving.

We complain about obesity and yet we live in a fast-food, convenience food culture. Our culture demands that workers eat to live vs. live to eat. Take certain European cultures like France, Spain or Greece in contrast. These countries have a thriving culture of  the importance of experiencing food as a family event. Because of this, business set aside specific hours to honor that. In America, your average retail worker gets 30 min for "lunch,"  which depending on the schedule, can often be at odd times of the day. Our workplaces are not concerned about our health or our enjoyment of our nourishment, it is merely a means to an end, a necessary step to productivity.

With people having less free time and eating more instant food, or restaurant food, we have a growing problem with obesity in this country. Childhood obesity has specifically be targeted as something that America needs to address imminently. As a result, a host of organizations have sprung up in the past decade in attempt to change things. In rare, but increasing cases, governing agencies have removed children from their parents for being too obese.

The most common answer to childhood obesity? Encourage parents to make sure their kids get outside as much as possible. Then add in all the stressors on parents about not letting children experience too much "screen time" and exposing them to more nature. These articles frequently come in fear-mongering style about how without more nature and less technology your child will end up fat, stupid and riddled with issues like ADD, Sensory Processing Disorder, depression, anxiety, and technology addiction.

But wait! You are absolutely NOT allowed to let them outside without proper supervision, which means that you need go outside with them. They should only have 30 minutes to 1 hour of screen time, which means a huge chunk of time should apparently be given to supervised outdoor play. If you send your child outside or up to the park unsupervised, beware. You will probably receive a visit from Child Protective Services for neglectful parenting because limiting screen time is really only a secondary priority to constant supervision.

Now let's revisit the first paragraph. As previously mentioned, parents are in a time crunch. They barely have time for family and caregiving as is, and they certainly aren't given the space or opportunity to really sit down and make and enjoy a good meal. So how the heck are they going to supervise their children outside for large periods of time? That right, they aren't. Parents can barely skate through their existing responsibilities, much less add intense child supervision to their list.

So, out of fear of that well-meaning call from a well-meaning neighbor to social services about children running around unsupervised, parents lock their kids up inside and pacify them with screens. This is done out of survival, not out of laziness. Then we are bombarded with  guilt that we are failing our child somehow. We feel victorious when we get something on the table that doesn't come from a box, and where everyone sits and eats at the same time. We constantly feel pushed and pulled between what we "should do" vs. what we "can do."

Use of convenience foods and lack of exercise lead to obesity. Obesity leads to fat shaming and lack of opportunity. Lack of opportunity leads to long hours in poorly paid jobs.....and we have come full circle. The only way we are going to break this ridiculous cycle is when businesses step back and realize that taking care of caregivers and families, or in other words, taking care of their employees as people, is the sole path to change.

Start "Valuing Families" and many of these "American problems" will self-correct themselves. So writers, I beg you, stop writing about how parents or society can do better and focus on how businesses can do better. Focusing on caring for employees can strengthen a business in the long run, obtain higher productivity and less time out for health issues. It really is a win-win for everyone.

Monday, June 22, 2015

Top 5 Things NOT To Say To a Mom With A Late Potty Trainer

In my humble opinion, potty training has got to the be the hardest, most frustrating time of parenthood. I understand it doesn't work that way for everyone, but for me I have struggled with not one, not two, but three hard to train preschoolers. I would have had more children, but I waived the flag when I realized that with the time and money that I have spent training my three, I could have trained six "normal" kids. I have gathered a plethora of information on how to handle potty training parents who are struggling. So here is a list of 5 helpful suggestions on what not to say to parents of late potty trainers:

1. "Oh, is she still not potty trained?.....How old is she now?" - Yes, I get it. My kid is still in diapers, thank you so very much for pointing that out to me. Furthermore, your question about age is really just a thinly veiled judgment, rude at best and insulting at worst. You and I both know by listening to her talk and the fact that she is a head taller then a normal sized two-year old clearly means she is "too old" to be in diapers. I get it. This question is in no way helpful and actually makes me feel more horrible about the situation than I already do. Don't. Just Don't!

2. "You know what worked for me..."- Trust me when I tell you that any parent whose child is over the age of 3 1/2 doesn't need to hear this. We have already Googled every method we can think of, read every book, talked to our pediatrician, experimented with strategies, and bashed our heads against the wall at least half a dozen times. There is a very high probability that the miracle solution that you are about to proffer is not something we need or want to hear. Unless specifically requested DO NOT tell me how your magic bullet was the M&M method, bare bottom drills, sticker chart, jelly bean jar, offering him something he really wants or making him want to be part of the big kids. Been there done I have to go change another diaper.

3. "Well I just made them change/clean up after themselves."- Seriously? How does this even work? I attempted this method with my middle child when she was approaching four and do you know what it got me? A bathroom covered in *redacted* and a whole stinkin' (literally) load of laundry. What it did not produce, despite 4 dedicated weeks, was a potty trained child. In fact, I would pay good money to meet the child that this method actually worked on because I feel like they would be akin to a unicorn or the Loch Ness monster.

4. "Well all children potty train in their own time." - This statement in itself is not actually that offensive, but it so frequently is what is proffered after the three sentences above have already been covered. They start out with, "Oh, not potty trained yet?," and move on to, "well, have you tried...?," and finish up with the lame, "well, you know, kids do things in their own time." If you want to close down an uncomfortable potty training conversation with a poor soul whose child is clearly not as advanced as your precious angel, just say something like, "I am so sorry, that sounds frustrating. I will send good thoughts your way that it is over soon."

5. "My child potty trained in X-days at X-age." - Pretty much anything along the lines of indicating that your child potty trained in 3 days at 18 months is bound to be met with jealously and resentment by anyone still having to change disturbingly large diaper disasters at the age of 4. I feel a little piece of my soul die every time I hear my almost 4 year old say, "Mommy, it is time to change me." It isn't that we don't want to celebrate your amazing success, it is just that right now, in the thick of our frustration we most likely can't dig deep enough to get past our own angst. If you know someone is struggling with potty training it is best to avoid sharing those stories with them until it is all over. Then, and only then, is it okay to say, "I felt so bad for you having to deal with that for so long, you know little Jr. only took 3 days to potty train at 18 months and it was just so easy." It is safe at that point because then we can sit quietly in our own smug superiority and think how we had to fight in the trenches and persevered. We didn't have it handed to us on a silver platter.

I hope this list has helped you. Remember, just like you can't force an anorexic to eat, you can't force a potty resistant child to "get over it" and start using the bathroom. Parents of late potty trainers are often stressed out, frustrated and just a little bit jealous- so tread carefully. We will get there too- eventually. As it is so often stated to me by others, "most kids don't go to kindergarten in diapers."