Pediatrician
Dr Shapiro completed his undergraduate education at UC San Diego earning a B S in Biochemistry and Cell Biology and a B A in Political Science He furthered his education at UCLA where he earned a Masters Degree in Public…
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Is It Really All About the Children?
Posted in ADHD / ADD by Dr. Jeremy F. Shapiro on Nov 24, 2008

While enjoying a cup of coffee and the local Sunday paper earlier today, I came across an article which questions a basic premise I have...that it is all about the children.  Now deep down I really do believe that most (if not all) share in this ideal.  But after reading this article, one in which sheds light on a major obstacle diabetic children are encountering in the California public school system, I feel nothing but disappointment.  Disappointment and frustration that children would be used as pawns (a term so appropriately used by one of the parents interviewed for the article) in something solely motivated by politics and preserving one's own.


Now of course I encourage you all to take a look at this article in its entirety (http://articles.latimes.com/2008/nov/23/local/me-lopez23), but the key points of interest are as follows:



  • In 2007, with one of the poorest nurse-to-student ratios in the nation, parents in California sued the state seeking assistance and aid for their diabetic children while attending public school.

  • The outcome of this lawsuit led to a settlement in which nonmedical school personnel would be trained to deliver insulin to diabetic children (something already being done in 30 states and something I would be comfortable with if the training were to be monitored and performed by licensed medical diabetic professionals).

  • Shortly thereafter, numerous nursing organizations responded with their own lawsuit, contending only a medical professional should be allowed to administer insulin when on school grounds.

  • And just over 1 week ago, a judge agreed and ruled in favor of the nurses.


As a child in the California public school system years ago, I certainly recall having a nurse on the school grounds.  And not realizing the importance of this when I was young, I certainly would enjoy this being a staple in every school our children can be found today, public or private.  But unfortunately, the funds today just do not exist to support and place a nurse on the campus of every public school...something I stress again I wish not to be the case.


But is the answer to this dilemma that no one be present to assist and aid our children?  I think not.  Our children are just too important to tolerate this.


 


Dr. Jeremy



Displaying comments 20-1 of 20
20
Children are important because they strengthen the bond of every couple. There is a debate going between George David, former CEO of United Technologies and his future ex-wife Marie Douglas-David, a member of royalty, previously successful investment banker. Marie Douglas-David said that George David called her a ‘failure’ for not producing a child. Marie Douglas David is now asking for at lot more money than she seems to be entitled to, as the post nuptial agreement she signed leaves her with an already determined amount. She won't be hurting for a payday loan – she stands to get about $43 million. It seems difficult to summon sympathy for her, despite allegations of abuse, abandonment and affairs (on both parts), from a woman that blatantly married a man for his money, Marie Douglas-David.
By AnnaGF  Mar 31, 2009
19
I agree with mindlesley, people like tirebiter and faxlessloans are misinformed. There are several types of diabetes, type 1 and type 2 being the most common. Type 1 diabetes, which is usually diagnosed in children and younger people, has nothing to do with being fat, in fact as a rule due to ketoacidosis children with type 1 are underweight when diagnosed. Also, thin people can develop type 2 and not all fat people get it. Weight is only one factor in developing type 2, genetics, racial background and other factors can also affect it. So it is far more complicated than people being too fat. I have heard that type 2 in kids is on the rise though. Please could you specify which type you are referring to, Dr Jeremy?

And in response to the original question, I believe that once of school age kids should be able to do their own injections. But I do feel a school nurse is necessary.
By Lizzie  Jan 09, 2009
18
These comments contain lots of false or half truths about diabetes. NIDDM (non-insulin dependent diabetes mellitus or type 2) has causation including a high fat/calorie diet, sedentary lifestyle and certain genetic profiles.
Most children with diabetes have type 1 diabetes which IS insulin dependent (IDDM), and is caused by attack on the insulin-producing islet cells of the pancreas by a runaway immune system. The causation is mostly genetic but other factors (not excessive food and lack of exercise) are involved (under research).
So don't blame parents for IDDM and in these tough economic times how are people expected to work and treat their diabetic kids. Families of diabetics are under enough stress just from the disease.Here in Australia we have a world class public health system and public schools where designated and trained individuals (generally not nurses) administer insulin according to the child's continually Dr.-monitored prescription. No worries mate!With the western world suffering a medical work force crisis, what are your nurses thinking? Surely not about the children!Info contained within is accurate, to the best of my knowledge, if very abbreviated. Wishing you well with getting out the public health message, (a healthy child is usually a happy and smart child). Lesley
By mindlesley  Nov 29, 2008
17
In America we are lucky to have food, fast payday loans, water, and other resources right at our fingertips. I might even say that we are spoiled rotten. We are just more fortunate compare to other countries. In other places in the world, the people are not so fortunate. In Haiti, instead of mothers choosing what to feed their children, the mothers are choosing which children to feed. Starvation is a worldwide problem, but in America we are fortunate enough to have an ample food supply. That’s not to say that we do not have food issues of our own. America is the fast food nation. The American mantra is cheap convenience, and fast food restaurants embrace that mantra. The increased consumption of fast food has fueled the American obesity epidemic, and America is the fattest it has ever been. American families would be better off eating healthier, more nutritious foods found at the grocery store. However, many American families cannot afford the wholesome foods at the grocery store. While eating has become a sort of an epidemic, eating healthily has become a luxury in the United States. Even though healthy foods are expensive, your health, the health of your family, and the health of the world food supply are worth the extra cost. It can be tempting to indulge on fast food on a daily basis, especially when your budget is tight and the value menu is calling your name. Plus, a grocery bill can seem like a big expense. That’s why when you need to feed your family healthy food you can count on fast payday loans to help cover grocery expenses until your next payday. Click to read more on Fast Payday Loans.
By faxlessloans  Nov 28, 2008
16
Doc,
I agree with you. I feel that an issue of this importance should be addressed even if district taxes have to be raised a little to have the professionals on site.
The one thing that bothers me as a parent who went to gym as part of a curriculum in the late 70's through 1990 in NY Public schools, many districts are now not making gym mandatory and cutting back on after school sports and physical activity in general.
This is terrible for our childrens health, especially now with the video games and comuter games that many kids neglect physical activity for. I do understand that only certain diabetes are attributed to overweight kids who do not excercise, and it is not a cure-all but I think the excercise is very important as well.
By heyjjp  Nov 26, 2008
15
You would think for the welfare of the children that are indeed diabetic, the various nurses' organizations would find the benefit for having a trained individual administering the insulin.

From my experiences in LAUSD, at Kester, we parents donate money throughout the year to keep our school nurse on staff, else we would not have a nurse. I know that many LAUSD schools and communities don't have this 'luxury' and it's sad and appalling.

If our society actually shuffled our priorities to where they belong, it would be 'all about the children'. Instead, it is 'all about the money'.
By DLR77  Nov 26, 2008
14
Yes, it is all about the children. As a diabetic and having had raised special needs, it is my responsibility to insure that the environment I place my child is safe and is aware of my child's condition. I do not expect the school to be the administers of my child's medications for I am the responsible parent. I will educate myself; my child; and those involved. To insure the safety & health welfare of my child is to insure my communication of which I place my child. My priority at that time is my child; and if that institution does not insure the same safety & health welfare, I will hold them accountable. As I, and each parent are accountable. If 50% of parents and the educational system were to make physical positive moves towards this, we wouldn't have to ask this question.
By it2speaks  Nov 26, 2008
13
If you were truly worried about the expense to your pocket you wouldn't complain about the amount that went to schools. If you improve the school system and health care of those soon-to-be citizens when they are young you'll be saving yourself from paying money towards welfare and social services later. Everyone gives their share towards the betterment of our country as a whole, that's the point of taxes. The selfish attitude of "what does it get me" seems a little near-sighted when keeping that in mind. The purpose of taxes is so that the government can insure health care, protection, education, and quality of life to its citizens. Though our government might be lacking on one or two of those, the taxes are still there to support these purposes. You can't just shrug off your duty to keeping our community safe and well, not to mention giving equal opportunity to all, just because you can't see what it gets you.
By humanrhapsody  Nov 26, 2008
12
oh please, your children i private school were/are exposed to just as much crap as those in public school. they are just more discreet. and yes, there should be medical staff available for students in every school. you, the powers that be, force them to go there up to a certain age, you should be responsible enough to keep them as safe as possible.
wish we could spend less money making movies, paying football, basketball and baseball stars and start focusing on keeping people healthy in both body and mind.
By lookeehere  Nov 25, 2008
11
Thank you for the article Doctor, it was very good.
By hoops  Nov 25, 2008
10
Ms. Humanrhapsody, I am far from *rich* -- we sacrificed big time to put the boys in Catholic school where they did not have to go through metal detectors and be patted down every day on the way to school -- or have teachers throwing condoms at them in Grade 3. If we could have opted out of paying the $6,000 in school tax every year, I would not have had to work two jobs to pay their tuition.

If your children are as valuable to you as mine are to me, perhaps they are valuable enough for you to pay a nurse to attend on them, instead of reaching into my pocket for money that rightly belongs to my children. Or do you feel that I OWE your kids, somehow? Should I get a third job too?
By Appleby  Nov 25, 2008
9
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By bless4u  Nov 25, 2008
8
Wow, what a horrible thing to say. Sending children to private school is a personal choice. Public school students, mostly those who cannot afford a private school, deserve just as much care as do others. Until the school system is revamped, possibly with the money that would go to public schools go instead to a voucher system that went to individual students, who could then choose which school to go to (causing schools to compete and improve), the money that goes to schools is far from wasted. If you want the overall quality of Americans to stay on par if not above, we cannot ignore the needs of the many in favor for those rich and obviously stuck-up few.
By humanrhapsody  Nov 25, 2008
7
Frankly, you people with children in public school are already draining my wallet well beyond what I think is reasonable. I sent my children to Catholic School and had to pay twice -- once for services I would not touch with a barge pole. And please do not attempt to convince me that you will sell your kids into wage slavery so their salaries can be drained for my benefit! If you really think that is the deal we made, you ought to feel ashamed of yourself.

If you want any private nursing done for your particular child, take up a collection among those who want one and hire her yourself. And stop thinking my pockets are a free lunch counter for anything you believe your kids DESERVE.
By Appleby  Nov 24, 2008
6
I have to tell you that you should not be surprised at how not about the children things in life are and one reason is because it is mostly women who do the majority of the advocacy {no offense please]and are completely shut down in what they can do for their children and that children as well have no voice because even if they can word their feelings and frustrations they also are not listened to.Yes politics have a major part in this and yes if you look in the local newspaper you see that all the school awards go to the who's who of the systems.I pray hard that someday someone with some say can really look at our most precious resource ,our most precious of what life gives us and steps up to the plate.Thank you Doctor.........FLY
By flybynight  Nov 24, 2008
5
It is all about the children.
By Anna000  Nov 24, 2008
4
Dear Dr. Jeremy,

Please contact me at katesmith2@earthlink.net. Across the country, school administrators have lost sight of the Educational Mission. Our children are being betrayed by the very system we entrust to educate and nurture their minds, bodies, and spirits.

My special-needs daughter was physcially and emotionally abused at school, and when I objected, the retaliation was so severe that it became the nation's most expensive, most complex, and the U.S. Office of Civil Rights called it the most pathetic case of administrative due process in the history of our nation.

Diana Rigby, the Special Education Director, was the first school administrator found guilty of IDEA and ADA. That year, she was promoted to Assistant Superintendent and awarded State Administraotr of the Year by Santa Barbara COE Bill Cirone, the most powerful county superintendent in the U. S.

Bill Cirone, and SB D.A. TOM SNEDDON (of the Michael Jackson fiasco) created the Truancy and Parent Accountability Program. It spread throughout the country and has gripped our national school system in a School-Polito Industrial Complex. (There is an unholy alliance between the school, law enforcement, and the non-profit agencies that feed at the Public Fundiing Trough.)

Struggling-in-school students are criminalized by truancy, "zero tolerance," or class failure. (By law, they are to be tested, diagnosed and treated for learning disabilities or problems.)

Rather than being educated and supported, low socio-economic students (blacks and Hispanics) are pushed into "jail schools," educational wastelands where they bond with other victims and form "gangs." They never return to normal society.

But school test scores improve. There is no due process or public defense---there is no school self-scrutiny. Boards are co-opted and atuocratic programs, policies, and practices are established and maintained.

Youth violence increases to the point that the next machination is a fascistic police force, funded by the schools, and today, in Carpinteria, the city council will pass a "day curfew" so that any youth on the streets can be detained, interrogated, and charged with a misdemeanor.

Soon, there will be a school-funded "under cover" inteligence agent in every school in Santa Barbara. They will force targeted students to be "snitches;" drive-by shootings and other violence will ensue, as "snitching" is a serious offence in gang culture.

IDEA and ADA mandates are ignored; there is systematic and systemic denial of rights under color of law; there is institutionalized racism in the schools. "Dismantling the School to Prison Pipeline" naacp.org explains the Machiavellian mechanism; ACLU and Marian Wright Edelman's Children's Defense Fund have issued a Call to Action.

In my daughter's case, the school district refused to allow the teachers to fill out a questionnaire for a nationally-known developmental pediatrician. My case cost me 1.5 million. My funds have been put under trusteeship and I cannot pay for lawyers but that is for the best: this is now a grass-roots revolution---we are in the midst of a Parent-Student-Teacher Civil Rights Movement.

At the November 18, 2008 SBSD School Board meeting, the parents had an uprising---and we are exposing corruption. No longer will guilty administrators be passed on to unsuspecting districts! (This is worse than the Catholic Priest Scandal where child molestors who were found out were passed on to other parishes!)

I ran for the SBSD School Board and was ILLEGALLY DISQUALIFIED by Bill Cirone---and I still got 17,000. The People are mobilizing against tyranny!

Please contact me. Our county is facing a $32 MILLION liability from fraudulent billing in ADMHA---the schools are "double-dipping"---receiving state and federal funds for special education services AND THEY BILL ADMHA FOR THE SAME SERVICES. (Uh, that's nothing compared to the rest of the story!)

Bill Cirone's PERSONAL CREDIT CARD has been paid for by the SELPA for twenty years. The oversight committee, the Joint Powers Agency, (of which Bill Cirone is a permanent member) has paid up to $6,000 per month of sight-unseen charges.

The FBI is moving in. (The home-office files of the recently-retired SELPA accountant are being shredded.)

This is a Racketeering-Influenced and Corrupt Organization (RICO). We need your help to expose this corruption, to restore justice in our schools, and return to Democratic Education.

God Bless America!

Kate Smith, aka "LONGSTORY"
By longstory  Nov 24, 2008
3
In the best of times, a nurse in every school would be a wonderful goal. However, these are not the best of times. Many other worthy school programs are also cut to the bone. My chldren are fortunate enough to attend a private school but we can't afford a nurse, either, so we depend on parent volunteers, and are fortunate that most if not all have had good first aid training and many are in the medical field. We have diabetics at our school who do well and have had inservices with the volunteer healthroom staff, as well as flow charts printed in the office on how to handle emergencies. Their parents are proactive in ensuring that emergency supplies are kept in the health office. I am not saying school nurses shouldn't be a priority, I am only saying that in the real world we live in, there are other ways to provide necessary and prudent care at a lower cost. Times are tough and we have to get over our sense of entitlement that the government will provide for all our needs.
By pianogirl  Nov 24, 2008
2
Dear Dr. Jeremy,

With respect, I would like to say that the real issue is being overlooked. I grew up in the 1950's when childhood obesity was rare and diabetes was almost unheard of. I was an obese child. I am just now, at age 58, getting some much needed psychological counseling. I was obese because my mother allowed it. She meant well, but she was trying to compensate for a certain lack of emotional support. If it is "all about the children", why do we allow them to become obese and therefore require nurses to take care of them? I believe it is more about the adults who would sacrifice their children's health over having their children dislike them for withholding unhealthy food. Just my opinion.
By tirebiter888  Nov 24, 2008
1
We need we trained nurses in schools for more than just diabetic children. My child was sent back to class with a serious injury by a PE coach who did not even have basic first aid training. The PE teacher decided that my child was just a "whiner" and not really injured.

Lucky for my child, the classroom teacher recognized that the injury required immediate attention and notified me. This happened during the morning hours of the day. I hate to think what would have happened had the teacher ignored my child.

A volunteer nurse saved another childs sight with quick attention and contact of the parents to receive medical attention.

No child should be without appropriate medical attention when necessary. It is a sad declaration about our socities lack of value of our children that a nurse is not present on every school campus during all school hours. Every child deserve to be protected from danger which must include trained personel when emergencied arrise.
By catlovesdi  Nov 24, 2008
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