Testing, Testing, 1, 2, 3

Teens have MANY questions about Sexually Transmitted Infections (STI's). One of their most consistent themes is "do my parents have to know?" Typically, that is followed up with, "my mom would kill me if she found out..." Teens- rest assured, though your parents may not be thrilled, in 15 years of practice I have NEVER seen a truly bad outcome from a kid telling their parent that they are sexually active. Believe me, as a parent, we'd rather have the discussion about your sexual activity BEFORE you have a viral STD like HIV, herpes or warts, and BEFORE you get pregnant. So, back to the questions:

1. Do I have to tell my Mom if I had an STD? In the state of Texas, anyone can be tested & treated for STDs without parental consent. However, if your parent is paying the bill (using their insurance) the doctor cannot lie and say they are treating or testing for something else- that is fraud, and the doctor can lose their license. I would strongly encourage anyone living with their parents to share this information- your parents love you & you will get through this together.

2. Can I get tested without a doctor ordering the test, like from an online source? Yes, there are multiple labs that allow you to order STD tests yourself. You can typically choose a single test you might be worried about (like your new partner tells you they have genital herpes) or a panel, that includes multiple tests. The key here is this: if your test is POSITIVE, meaning that you do have an STD, that lab cannot treat you. You are instructed to take the results to your physician for further treatment.

3. How much does it cost to get tested for "everything" if I pay cash? This has a huge range of answers, depending on where you go for testing and how much income you have. Online tests average around $30 per test, with a full panel being roughly $200. Community clinics and Planned Parenthood offer reduced rate testing, and some places offer free HIV testing. Please do not let cost stop you from seeking testing or treatment- timing is critical!

BOTTOM LINE: There are multiple options for STD testing that will allow anonymity, and work with your financial situation. Get yourself tested!

PS. For more details, FAQ, answers & stories, check out Seductive Delusions

Independence Day...and When to Give t Up

If you know an aging independent-living senior, most likely his or her greatest concern is maintaining that INDEPENDENCE. In a perfect world, we would all be able to mentally and physically care for ourselves as we age. Unfortunately, especially with all the advances in medicine that prolong our lives, that is too often NOT the case.

Driving is probably the hallmark of independence. As long as we can find our keys to GET to the car, we feel a strong sense of freedom. Getting groceries, heading to a doctor's appointment, visiting a friend or attending church is simple, because we simply get in the car whenever we feel like it. No one wants to give up driving, but here are some issues to consider:
Hearing
Vision
Limited neck mobility
Slowed reflexes/stiff muscles in arms

If you have trouble hearing, you may not hear that siren or warning honk, or even the loud motorcycle approaching.
Decreased vision (think cataracts and macular degeneration)- well, this seems obvious, but you can see cars with pretty poor vision. However, you need to be able to read SIGNS, too, as well as see colors of lights.
Stiff neck? You can't turn your head to check your blind spots.
Slow or stiff muscles- you can't manuever your car quickly enough to react to sudden changes.

Please check out an earlier blog on Driving Safely while Aging Gracefully.
BOTTOM LINE: There are many options to driving yourself that do NOT involve giving up your independence. Please do NOT wait to give up or limit your driving until you've hurt your car, yourself or another person.

Social Media Impact- from Disney to Facebook

The Journal of Pediatrics recently published a timely clinical report—The Impact of Social Media on Children, Adolescents, and Families. Kids are entering social media at earlier ages, logging on to Disney websites such as Club Penguin. Soon they progress to websites intended for more mature audiences, such as Facebook and Youtube. Once again, we need to be aware of a desensitization process- this time, in the parents! We are used to our kids being ON the computer, and may not be watching closely enough as they evolve beyond cartoons characters. The minimum age on Facebook is 13, but that doesn't mean all teens should have free rein on FB without supervision.

The report noted that up to 20% of teens log on to their favorite social media site 10 times per day. Most teens have smart phones that allow them constant access. Ever notice how few teens use their phones...to make PHONE CALLS? Cell phones are cameras and instruments to TEXT or IM (instant message). The significance is that a good chunk of teens emotional and social development is occurring through these screen communications.

There are absolute advantages to the social media for youth, including anonymous access to health education that they might not otherwise seek- depression, anxiety, and sexually transmitted disease, for example. This report did not offer shocking news, but is an excellent reminder for parents to stop, look and listen to our kids' social media. And I mean that- go on the sites, read what your child and their friends are saying, and follow up with real live conversation with your kids. BTW, this is a great time to remind everyone that the total recommended daily screen time (ALL screens, big and small) is LESS THAN 2 HOURS, and yet most youth are surpassing 6 or more hours.

BOTTOM LINE: Recognize the role social media is playing in your child's development, and play an active role in setting time and boundary (privacy setting) limits.