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Jennifer Margulis

Mothering Outside the Lines

How to Start a Worm Bin: Guest Post by Attainable Sustainable (aka Kris Bordessa)

March 16th, 2011

You might know Kris Bordessa from her fabulous books for kids: Team Challenges, which is a book of cooperative trust-building games, Tools of the Ancient Greeks, and Great Colonial American Projects You Can Build Yourself, to name a few. Or you might recognize her as a travel resource for all things affordable in Hawaii. Kris (whom I’ve known for years in cyberspace but never met in person) has started a new project. Her new blog, Attainable Sustainable: Reviving the Lost Art of Self-Sufficiency, helps readers take the small steps towards doing more projects themselves and living more conscientious lives, fostering change without getting overwhelmed (Holly, are you reading this?!).

Kris has generously agreed to share her expertise with us at Mothering Outside the Lines. I’ve always liked the idea of starting a worm bin. Now Kris Bordessa shows us how.

Composting: Good for the Earth, Fun for the Family

by Kris Bordessa

Composting is a great way to create something wonderful – rich soil amendment – from something that would normally end up in our landfills. It can save families a substantial amount of money by reducing the amount of trash they need to dispose of and composting can even save water.

One fun and easy way for families to compost is with worms. Officially known as vermicomposting, this method involves feeding your food waste to red wigglers. They’ll munch their way through banana peels and apple cores and leave you with worm castings (a nice word for worm poop) that can be used for boosting your soil’s nutrition.

Composting with worms is easy and a great family project. While there are some really nice vermicomposting bins [http://amzn.to/hRxIFt] on the market, it’s easy enough to create a bin yourself – not to mention cheaper.

Materials:
Two same-sized containers such as a Rubbermaid storage container or smaller shoebox sized storage container
A drill
Newspaper
A bucket full of water
Red wigglers: If you know someone who has a worm bin, hit them up for some worms to get yours started. If not, they are available on Amazon.com.

How to Make the Bin:
Use a drill with a ¼” bit to drill four to six drainage holes in the bottom of one of the containers. Drill several more holes around the sides of the container for good air circulation.
Set the drilled container inside the one without holes. This will catch any moisture that may leak from the worm bin. If you plan to keep your bin outside where water drainage isn’t a problem, you can skip this step.

Shred newspaper, dip it into the bucket of water, and drain off excess water. Put the newspaper into the top container to a depth of 3-4”.
Put your worms under the damp newspaper along with a small amount (say, two cups) of kitchen waste. (Note that you can’t just use common garden worms; you really do need red wigglers.)
Cover the worm bin with the lid and let the worms get to work!

How to Maintain the Bin:
Check your worms every couple of days at the start. If you see that they’ve eaten most of the scraps, tuck more under the newspaper.

Maintain a moisture level similar to that of a damp sponge. Use a spray bottle to keep the newspaper moist.

Don’t give the worms lots of citrus; the high acid content makes citrus a poor choice for vermicomposting. Also, avoid meat – it will stink.

As your worms make themselves at home, you’ll get a better idea of how much they’ll eat. Feed them every two weeks (give or take) by tucking scraps under the damp newspaper. When the newspaper starts to disappear (the worms will eat that, too!), simply shred more and add it to the top of the bin.

Harvest Worm Castings (that is, the worm poop that becomes rich brown soil):
When you start to see what looks like a thick layer of dirt at the bottom of the bin, you can think about harvesting some castings for your garden. With this do-it-yourself bin, it’s not automatic like it might be with a pre-made bin, but it’s still pretty easy (and kids will love to help!). Simply turn the contents of the worm bin out onto several sheets of newspaper in the sunshine. The worms will try to get away from the light and dig deeper into the pile. Carefully scrape off the top layer of rich brown castings, then give the worms a chance to dig deeper. Continue until you’re mostly left with uneaten scraps and worms. Lift the whole mess – newspaper and all – back into the worm bin, add fresh scraps and newspaper, and the worms will get right back to work.

My worm bin has been active for about a year now, and I’m doing some experimenting. For instance, I soaked an entire phone book in water and used it in place of newspaper on the surface. The worms seem to love the space between the pages, but it’s not breaking down as fast as I thought it would. Our worm bin can’t possibly keep up with my family’s kitchen scraps, but they are multiplying so quickly that I’ve wondered about making an even larger bin. Meanwhile, I’ve added a handful of worms to our passive composting bins to help speed along the process.

Ready for the photos (they’re sort of gross)?!

Worms thriving between the pages of an old phone book.

Worms thriving between the pages of an old phone book.


Worms at work. They leave behind the hard outer shell of an avocado

Worms at work. They leave behind the hard outer shell of an avocado


Look at the rich brown castings!

Look at the rich brown castings!

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Please Pass the Iodine: ways to protect ourselves and our children from the nuclear fall-out coming from Japan

March 14th, 2011

No one is sure what the death toll in Japan will be from the massive earthquake that struck on Friday, creating a tsunami that then slammed into Japan’s north coast, but it has been estimated that more than 10,000 people may have died, just in the Miyagi Province.

Then there’s the problem of Japan’s nuclear power plants. There have already been two hydrogen explosions at one plant and there are fears that a second plant may be facing a nuclear meltdown.

When these nuclear power plants malfunction they can dump radiation into the atmosphere. It’s for this reason that Japan has evacuated almost 200,000 inhabitants living near the plants.

Radiation poisoning can cause instant damage to the human body, including organ malfunction and massive skin burns. Radiation exposure over a longer period can cause cancer, genetic damage, and tumors.

Radiation poisoning is not patriotic. Radiation doesn’t respect international borders and if the fall-out from the Japanese nuclear malfunctions begins to spread, those of us living on the West Coast–especially–have a good reason to be worried.

Short of living for the next few years in an underground bunker, how can we protect ourselves? How can we protect our children?

Since people are exposed to radiation through sunlight, cancer treatment, and medical/dental interventions, there have actually been a good deal of scientific studies on using nutritional supplements to boost the immune system and ward off the ill-effects of radiation.

There are literally thousands of articles about this on the Internet.

I’m not sure, honestly, what or who to believe. But I do know that the healthier our children eat, the less likely they are to succumb to disease. A healthy body is a body that can better fight being poisoned. So here are some suggestions to help combat the toxic exposure we might be facing in the next few days and over the coming months from Japan:

1) Eat brown rice: whole grains, especially brown rice, are high in fiber and phosphorous, which help remove harmful toxins from the body.

2) Eat seaweed, kelp, and other sea vegetables: Canadian researchers have reported that sea vegetables contain a polysaccharide that selectively binds radioactive strontium to help eliminate it from the body. According to this account, “In laboratory experiments, sodium alginate prepared from kelp, kombu, and other brown seaweeds off the Atlantic and pacific coasts was introduced along with strontium and calcium into rats. The reduction of radioactive particles in bone uptake, measured in the femur, reached as high as 80%, with little interference with calcium absorption.”

3) Eat miso soup: In 1945 when Dr. Tatsuichiro Akizuki, M.D., Director of Internal Medicine at a hospital in Nagasaki, had his staff eat a diet of brown rice, miso soup, seaweed, and pumpkin, and prohibited them from eating any sugar or sweets, his staff and patients were much healthier and did not succumb to radiation sickness.

4) Stop eating sugar or sweets of any kind: You’ve known forever that sugar, especially refined sugar and corn syrups, are harmful for you and your children. With this crisis in Japan it is a good time to go cold turkey and stop the sweets, which is another of Akizuki’s recommendations.

5) Consider iodine supplements: This might be the most important thing you can do in the longterm but I put it last on the list because I think whole food intervention should be our first defense and because I worry about the quality of supplements. Still, we want to make sure our thyroids don’t absorb radioactive thyroid. To do this, we must have adequate iodine levels in our bodies, but we also need to be careful not to take too much iodine and be aware that iodine is secreted into breast milk.

For further reading:
Technology’s Curse: Diet for the Atomic Age by Sara Shannon
Suggestions from James Jordan, an Ashland nutritionist
Site that reports atmospheric radioactivity in the United States
Information from the CDC on radiation emergencies
MIT NSE Nuclear Information Hub

Are you worried about the nuclear fall-out from Japan? What steps are you taking to protect yourself and your family?

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15 Ways to Save a Lake (or part of one anyway)

March 11th, 2011

Screen shot 2011-03-09 at 9.10.00 AM1. Take a five minute shower. Set a timer and get out when it rings. You can click here to watch yours truly (yep, that’s me in a towel) talking on French TV about the importance of water conservation.

2. Skip the shower. Then you can go on European TV in a towel too. Americans bathe too often and for too long. It’s better for your skin and the planet if you don’t take a shower every day. More in this New York Times article “The Great Unwashed.”

3. Don’t bathe your kids. Children don’t need baths every day. Sponge off the places that are dirty and have them bathe once or twice a week instead of daily. Spot clean infants under the chin where the milk tends to curdle and around the privates and you can get away with bathing them only once every two weeks, if that often.

4. Put a bucket in the shower to catch the water that’s usually wasted as you wait for it to heat up. Use this gray water to flush the toilet.

5. Water the house plants with rinse water. House plants love beer and milk. When you rinse out the milk container (the glass one that you will bring back to the store or the carton that you will save for your friend Sue because you can’t recycle it in Ashland but you can in Portland), water the plants with this water instead of throwing it away.

6. Fix the leaks. A leaky faucet or a running toilet can skyrocket your water bills and your water consumption. A huge amount of water waste comes from unfixed leaks. Check outdoor faucets as well.

7. Use a cup with some water in it when you brush your teeth. If you have to use the faucet, don’t let the water run.

8. Don’t wash your clothes after just wearing them once. Even with a super efficient washing machine, washing clothes wastes water. Besides, you’re just going to stink up your exercise clothes, why bother washing them?

9. If it’s yellow let it mellow. Close the toilet cover after use and only flush down the brown (with the water from the shower bucket, see #4). Every time you flush the toilet you use about 3.5 gallons of water. Use the money you save to go to the movies.

10. Run the dishwasher or the washing machine only when they’re full. Our friend Bruce says you can always squeeze in one more dish.

11. When you need new appliances, upgrade to energy and water efficient models, low-flow shower heads, and a low-flow or composting toilet. Low-flow shower heads are often available for free from your town or city, and cities will also give you a healthy rebate check if you buy an energy-efficient appliance or low-flow toilet.

12. Compost kitchen waste. It takes a lot of water to grind kitchen waste in the disposal, and there’s no reason to do it. Start a compost heap or an indoor worm bin. Here’s Attainable Sustainable’s primer on lazy person composting.

13. Use the same glass all day. Whether you’re drinking water, coffee, or juice. That way you don’t have to wash it, just refill.

14. Don’t run the water to defrost food. Defrost in the refrigerator the night before.

15. Use a rubber spatula to scrape food into the compost bin (see #12) before putting in the dishwasher. Do this for every plate at every meal and you’ll save hundreds of gallons!

Related posts:
15 Ways to Save a Tree
The Impact of No Impact
Turning on the Heat

What are your best tips for saving water?

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How Much Should You Pay the Babysitter?

March 9th, 2011

My daughter, the one who wants to get her ears pierced, charges $2/hour. She began her childcare career as a mother’s helper, playing with her little brother’s friend while a parent was at home. But now she’s a full-fledged babysitter. She’s taken a “When I’m in Charge” class at the American Red Cross and she has lots of experience with her younger siblings. She would know what to do in an emergency and she’s very responsible. She’s the kind of babysitter, I imagine, who puts the toys away and tidies the kitchen after the kids are in bed.

“I think you should raise your rates,” I suggested when Hesperus came home after a two-hour babysitting stint with four singles.

“Ut uh,” she shook her head. “Two dollars an hour is plenty. Besides, it’s not a good time for them to be paying me more.” (The parents of the 7-year-old she’s been sitting for most often are going through a temporary separation, and feeling the pinch of the economy.)

I remember my friend Katelyn remarking that it was cheaper to hire a sitter to watch her son while she cleaned her own house than to hire someone to clean. Yet we would all agree that having someone take care of our kids is more important than vacuuming the corner dust bunnies. Wouldn’t we?

Twelve years ago when we lived in Atlanta, I earned $12/hour caring for a 3-month-old (who slept for two to three hours every morning) when I lived in Atlanta. Today we live in a small city in southern Oregon where the rates tend to be much lower.

When I asked our current sitter how much she charged, she said, “Five dollars for the first child and a dollar an hour more for each child after that.” She’s in high school. She lives at home. She’s happy to have the extra money. Her rates are so reasonable I worry she’s being underpaid. Even so, our finances have been less than enviable lately and I’m often daunted by how much it costs to hire a sitter for more than a few hours.

Maybe it’s partly because I have mixed feelings about childcare in general (having spent a good chunk of my childhood missing my own mom and being cared for by nannies), but I’m often reluctant to pay someone for the job I feel James and I should be doing ourselves.

Readers, how much do you pay the babysitter? What do you think is a fair wage for childcare? How do you juggle the need for quality care with your financial situation? Please share your thoughts in the comment section below.

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Injustice in Our Justice System

March 7th, 2011

When he was 18 years old, Tony Yarbough’s mother was murdered.

So was his 12-year-old sister, and her 12-year-old friend.

The grief of losing a mother and a sister to murder is unimaginable to me.

But it’s possible that what Tony Yarbough is going through now is even worse.

He’s in jail.

For the murders of his mother and his sister.

Tony Yarbough is innocent. A slight, soft-spoken young African-American man, Tony Yarbough was not given a fair trial. He wakes up and goes to sleep every night behind bars. Even though he committed no crime.

He’s being held in Attica Correctional Facility, a maximum-security prison in upstate New York.

Two years ago a man named Eric Barden went to see my brother, one of New York City’s top criminal defense lawyers. My brother tried to brush him off. Barden persisted, asking him simply to review the transcripts of Tony’s trial.

As he read the transcripts, my brother, Zachary Margulis-Ohnuma, started getting angry:

“What I read was astounding: Tony was convicted in 1994 of murdering his mother, his 12-year-old sister and another 12-year-old girl on the slimmest of evidence, a rehearsed, contradictory statement from his 15-year-old co-defendant who had been convicted of the same murders based on a confession he gave after hours of interrogation without an adult present. No physical evidence, no motive, no murder weapon, and no investigation of a far more believable alternative theory (Tony’s mother was a drug addict and had been threatened at knifepoint the night of the murders by a junkie she had ripped off). Worst of all, Tony’s lawyers failed to pursue the fact that the physical evidence showed the murders took place hours earlier than the co-defendant claimed, when both boys had an alibi the DA did not challenge. It did not take much more than reading the transcript to see that Tony was innocent and desperately needed legal assistance. But Eric—who turned out to be Tony’s cellmate in Attica—also gave me a letter from the co-defendant to Tony’s aunt recanting his testimony and explaining how the police set the boys up.

My brother filed a motion to set aside the verdict for Tony last summer. The DA opposed the motion, but agreed to some limited DNA testing. In the motion papers and subsequent requests, my brother asked the judge for resources—they need a private investigator, a forensic pathologist and a crime scene expert. The court has ignored those requests. The need for a private investigator is particularly acute as my brother believes the crime can be solved and that Tony is unlikely to be freed unless the real killers are caught.

What kind of justice system is this?

Why would we start a witch hunt against an 18-year-old with no prior record, no motive for murder, and no evidence against him, and put him behind bars for a crime he didn’t commit?

I’m saddened and sickened by Tony’s story.

I’m saddened and sickened by the racism and sexual orientation discrimination that persists in this country and by the way young black men are often treated as guilty when they have done nothing wrong, as if being young, black, and male is enough of a reason for the white “justice” system to put you behind bars.

More information can be found here. Bottom line: We need to get Tony Yarbough out of Attica. We need to find the real criminals who killed his family. DA, are you listening? Stop perpetuating this cruel cover up that has robbed a young man of his freedom and his life. Reopen Tony Yarbough’s case. We have a black president. This isn’t the 1950s. Everyone in America has the right to a fair trial.

Related posts:
When Your Husband is in Jail
I Go to Jail
Crime at the Co-op
A New Mom’s Story of Stealing

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My Daughter Wants Pierced Ears

March 4th, 2011

My daughter, who’s eleven and a half, is planning to pierce her ears when she is twelve. She’s been begging me for permission for years. I’ve been stalling.

My mother wasn’t allowed to pierce her ears because her father thought it was unseemly. My grandfather–who drank too much and talked too loudly–also believed only prostitutes wore anklettes. But when I was in second grade, my mother and I went together to get our ears pierced. I must have been seven, she was 38.

I’m not sure I even wanted pierced ears. But my mother did. And she wanted company.

A few months later she took me on a work trip to Toronto. We stayed with a friend, a scientist who wore billowy skirts and a scowl. My mom’s colleague had a parrot. I was fascinated by its sharp black talons, riot of colorful feathers, and cheerful, taunting squawks. While my mother worked, I played with the parrot. Our hostess let me take the bird out of its cage. It stood on my shoulder, careful not to dig its talons into my flesh.

But there was one thing the parrot couldn’t resist: the small sparkling gem on the lobe of my ear.

The parrot craned its neck towards my earring, pecking at it with its sharp beak. The first time I giggled. The next time it hurt. The third time I had to take out my earring because it was getting infected. Since the piercing was so new, the damaged skin closed back together to heal itself. I was seven years old and had one earring, like a pirate or a teenaged boy.

Part of me thinks to pierce your ears is a bodily mutilation, which it is. You put a hole in your flesh and insert a metal object into it. When a young man pierces 25 places on his face, most of us find it disturbing or even disgusting. How is putting holes in our ears or our children’s any different?

I re-pierced my ears at the mall years later. A gun at my lobe. Hold still. This will only hurt for a second. On the count of three. One–two–then a sharp and unexpected pain as the stud perforated my flesh.

This time I took better care of my ears. I cleaned the wounds three times a day with alcohol. They crusted over with infection but healed quickly.

I love wearing earrings. I love long dangling ones, big bold hoops, the gold filagree with rubies that my mother bought me for my wedding. My grandfather on my father’s side was a jeweler. Every time I wear a pair of earrings that he gave me I remember the pleasure on his face when he showed me his collection, his pouty lower lip, and the way he loved to make salads.

Still, I can’t help wondering if vanity is a good reason to cause your body pain? If the chance to wear earrings is worth putting holes in your flesh? There are always clip-ons, which is what my mother wore, for special occasions.

I’ve told my daughter that she has to decide who will pierce her ears (a doctor? a teen at the mall?) and she has to pay for the procedure with her own money. She can’t wait. I have beautiful family earrings that will someday be hers. But I look at my daughter’s perfect smooth lobes and I wish she would change her mind.

At what age do you think it’s okay for a parent to pierce a child’s ears? Do you have pierced ears? Do you wish you didn’t? I’m eager to read your thoughts and opinions in the comment section below.

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Should You Let Your Baby Be Naked?

March 2nd, 2011

In much of Europe and Africa it’s common to see naked toddlers playing outside. Most Europeans aren’t as uptight about nakedness as we are in America. But when my almost 16-month-old started taking off her clothes at a recent playgroup, I worried what the other parents would think.

Since we keep our house so cold, I’m often surprised at how comfortable Leone is in her birthday suit.

The other parents didn’t flinch, even when Leone insisted on doffing the diaper. They seemed to think the baby, with her Buddha belly pooching over her legs, was as cute as I did.

In a different crowd I think the response would be different.

I was hoping readers would weigh in:

Do your kids like to be naked? Do you discourage nakedness or are you okay with letting them tromp around in the buff?

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Ten Things About Turning Ten

February 28th, 2011
A fish or a dwarf frog might make a good pet

A fish or a dwarf frog might make a good pet

“Do I have to go to school tomorrow?” Athena asked in a half whisper as she shrugged off her robe and pajamas. “It’s my birthday.” She frowned. “I don’t want to go to school on my birthday.”

Athena’s staying home, helping me clean up for baby playgroup, opening birthday cards from grandparents, and generally feeling happy about turning ten. She started the day with breakfast in bed (Me: oh god, how can I do this? I have to get lunches made and the other kids off to school. Couldn’t I just skip this part?). I made her an egg in the basket, carrot sticks with Goddess dressing, orange wedges, and fresh squeezed orange juice with lime.

It’s a big deal to turn double digits. “There’s only one time in my life when I turn from single digits to double digits, and I want to make that time fun.”

1. You need to have three parties. Not one. Not two. But three. One with your family. One with your friends from your new school. One with your friends from your old school. With three cakes (lemon, chocolate, and another lemon) and five flavors of ice cream. For each party.

2. You need to have a pet because you’ve been waiting your entire life to get one.

3. You need to do something kind and helpful on your birthday–for endangered animals or trees. “I’m going to help the environment,” Athena says. We’re donating money to Wildlife Images, a wild animal rescue and education organization in southern Oregon.

4. You care about stylish clothes and wear a beige belt with your perfectly ripped jeans and name brand half sweater. You brush your hair and actually ask Mom if it’s okay if you take a shower.

5. If you set up a science experiment for the upcoming Science Fair to test the corrosive nature of different liquids (soda, coffee, milk, water) and you use hard candies, the hard candies will disappear in two days and you will have to do the experiment over again, this time with pennies.

6. Ten is old enough to bicycle to Sierra’s house and back by yourself. Don’t worry, Mom. I’ll walk my bike across the streets. I won’t talk to strangers. I won’t space out and forget where I’m going. Yes, yes, I’ll call when I get there. Bye!!

7. You and Sierra decide you are too fat and need to get skinny. This upsets your parents, who realize that even though you don’t watch TV or play video games (except when you sneak them on the paternal iPod) you have already imbibed some of the negative parts of America’s popular culture.

8. You appreciate alone time with just Mom. Without Baby Sister.

9. You like to read the Narnia series, the Percy Jackson series, Eragon and Eldest, and Bridge to Terabithia (even though it makes you cry) and Tuck Everlasting (even though you read it a long, long, long time ago when you were still nine.)

10. You get more frustrated and angrier when things don’t go right. Mom calls these bad personality moments. You call it asserting yourself and growing up.

Athena the day before her birthday. I was still nine then, Mom, that photo doesn't count.

Athena the day before her birthday. I was still nine then, Mom, that photo doesn't count.

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Cribs, Playpens, Bassinets Associated with Infant Injury, Death

February 25th, 2011

Since the baby almost always sleeps with us and usually naps on the big bed, I keep wondering if we should dismantle the crib in the corner of our room. Mostly it stands empty. Sometimes I pile it with clean laundry I haven’t had a chance to fold.

We bought the crib eleven years ago when Hesperus was just a few days old. Still sore from a difficult birth, I tottered into a baby superstore in Atlanta, Georgia, with my husband and best friend Sue flanking me. Sue carried the baby.

Hesperus was a flail-y sleeper. Even as a newborn, Hesperus rarely fell asleep nursing (though I did). I napped curled around her tiny body, holding her foot in my hand. We also put her in her crib. Everyone we knew told us not to sleep with the baby, to let her “cry it out,” and to teach her to sleep on her own. My dad bought me the Ferber book on “solving” your child’s sleep problems even though in retrospect I realize that the baby didn’t have any. I read it. I wish we hadn’t listened but we did. James and I spent several difficult evenings upset and holding each other as we listened to the baby cry herself to sleep in the other room. After that, when she was tired Hesperus dove for the crib. When I think of it now I feel like I betrayed her, leaving her alone to comfort herself when she needed me most. But I wouldn’t be telling the whole story if I didn’t add that she’s always been our best sleeper. I don’t credit the sleep “training” (which could be more aptly dubbed sleep “abusing”) but the fact that Hesperus was the only one of our four kids to comfort herself by sucking her thumb. Though I remember her having fussy nights, Hesperus usually slept long and often, waking briefly for a quick diaper change and a midnight nurse. I loved her crib. She loved her crib.

Until she learned to climb out of it. Then, for a few very difficult months, every nap and every night was an opportunity for our toddler to practice her gymnastics, pad down the hall, and wander around the house looking for uncovered wall sockets and sharp objects.

Babies #2 and #3 used the crib, but not nearly as often. As our family grew, we learned to listen more to our instincts and we realized it was often easier to have a baby in bed with us.

Now there’s a new study, which was just published in the March issue of Pediatrics, the journal of the American Academy of Pediatrics, that analyzes the injuries associated with cribs, playpens, and bassinets between 1990 and 2008. The study reveals some surprising facts:

–There is an average of 9,561 crib, playpen, and bassinet injuries a year in American children under two.

–More than 9 million cribs have been recalled by the US Consumer Product Safety Commission since 2007 because of safety issues.

–An average of 113 children died a year from crib-related deaths. Often from getting caught or wedged in the crib. The study authors suggest because of lack of reporting the number of crib-related deaths actually might be much higher.

The authors of the study conclude that more attention needs to be paid to nursery product safety. But most cultures around the world, and many parents in the United States have a different answer: sleep next to your baby on a firm mattress and forego the crib, bassinet, and playpen completely.

Does your baby sleep alone in a crib or in bed with you? Are you concerned about crib safety?

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One of America’s Top Pediatricians Leaves Pediatrics

February 24th, 2011

Maggie Kozel with her husband and two daughters. A top pediatrician, she decided to leave the profession. Her new book explains why.

Maggie Kozel with her husband and two daughters. A top pediatrician, she decided to leave the profession. Her new book explains why.

“You have to read this book,” my friend Rebecca urged, handing me back an advanced review copy I had loaned her. “Everyone needs to read this book. We need to get this book in front of every member of Congress. This is exactly what happened to me. This is why I left medicine.”

Even though I’m an avid reader, I have stacks and stacks of unread review copies, sent to me by authors or by their nice PR folks. It was one of these books, Maggie Kozel’s The Color of Atmosphere: One Doctor’s Journey In and Out of Medicine that I loaned to Rebecca. After her wholehearted endorsement, I put Kozel’s book on the top of the stack. I read it in two days.

Maggie Kozel with a patient when she was a Navy doctor

Maggie Kozel with a patient when she was a Navy doctor

In the book, Kozel describes growing up one of four children of often sloppy drunk and shouting parents. She escapes the depressed town of Point Lookout, New York to become a pediatrician. She meets her husband, Randy, in medical school (there’s nothing like dissecting a cadaver to spark a romance). Randy chooses a career as a neurologist. Eager to travel and see the world, they both find work at the US Navy Hospital in Yokosuka, Japan.

During her medical training, Kozel is at first resistant to becoming a pediatrician. “…[T]he last think I wanted to do was spend my time locked in mortal combat with screaming kids, digging wax out of their ears while their deranged parents hovered over me, wringing their hands,” she writes. “I had hated pediatrics in medical school.”

But become a pediatrician she does, learning how to intubate a premature baby and distinguish between a life-threatening childhood illness and a simple viral infection. Providing medical care to active duty military personnel and their families, Kozel and her colleagues “saw illnesses we never saw back in the States–typhoid fever, malaria, tuberculosis and many more … There were expert subspecialists a phone call and twelve time zones away, but we were the front line, doing what we were trained to do, and being a doctor was wonderful.”

After working for the Navy for ten years, Kozel, her husband and their two small daughters head back to America. They end up in Rhode Island, where she joins a pediatric practice. Used to the government’s single-payer health system, Kozel has to adjust to the system in the States. It’s demoralizing: Because pediatricians have to bill insurance companies in order to get paid, Kozel details how much of her practice’s decisions on treatment have more to do with how to make sure they will get paid than with what’s in the best interests of the patients. She finds herself working exhausting hours, rushing patients through appointments as fast as she can, and being pressured by parents to prescribe unnecessary medications.

So when a job opportunity at her daughter’s school opens up, Kozel acts precipitously and does the unthinkable: she quits her job as a doctor and becomes instead a high school science teacher.

Maggie Kozel in her new job: teaching chemistry to high school students

Maggie Kozel in her new job: teaching chemistry to high school students

She’s energetic and funny and the gum-chewing ponytail-wearing 14- and 15-year-olds love her. She works regular hours, is no longer exhausted, and does not have to decide her curriculum based on what the medical insurance companies will reimburse her for.

Color of AtmosphereThe Color of Atmosphere tells a gripping story. It’s an important book. It shows, firsthand, what’s wrong with our healthcare system. Kozel has been called a “traitor” by her colleagues on doctors-only Internet sites. I’m not surprised she’s struck a chord. Though so many doctors in America feel demoralized and burnt out, and though most feel that they are no longer delivering an adequate standard of care, it’s totally taboo, and a betrayal of the profession, to admit as much in public.

I applaud Kozel’s courage in writing such an honest book. I hope you’ll read it. And send a copy to Congress.

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Help me battle the green eyed monster posted by greenmom4, Fri, 25 Nov 2011 14:38:01 +0000
need to know im not the only one :-( posted by totallyhadenuff, Thu, 24 Nov 2011 08:05:23 +0000
Made A Change And DH Is Loving The "New" Me posted by IwannaBanRN, Thu, 17 Nov 2011 11:59:54 +0000
addicted to MDC - support thread posted by kathymuggle, Sat, 12 Nov 2011 22:44:51 +0000
How do you handle criticism? posted by Snapdragon, Wed, 09 Nov 2011 03:04:45 +0000

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