WEBVTT

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So Alicia, did mom make us wait 30 minutes after

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eating before we get back in the pool? Of course

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she did. Because otherwise we would get a cramp,

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right? And then we wouldn't be able to swim?

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Correct. Was that true? No, it is not true. So

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what you're telling me is that we spent a significant

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portion of our childhood sitting miserable on

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the side of the pool for 30 minutes after every

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snack and meal for absolutely no reason? Yes,

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that's correct. I would like all of that time

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back. Unfortunately, that is not something I

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can help you with. But I can tell you that this

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is far from the only summer safety rule generations

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of parents have really confidently passed down

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that isn't actually supported by evidence. Ooh,

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so we're going to upset some grandparents today.

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Probably. Excellent. Welcome back to the Rolling

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Forward Podcast. I'm Dr. Stephanie Rolin, a

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psychiatrist. And I'm Dr. Alicia Rolin. I'm

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a pediatrician. And we do this podcast as a way

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of tackling health misinformation and making

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sure that parents and families have the evidence

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that they need to make the decisions that's best

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for their family. This summer, we're doing our

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summer school series, Lessons from the Pediatric

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Emergency Department, where we discuss some of

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the most common preventable injuries we see every

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summer. And today, we're doing a fun twist. summer

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school myth busters. We're going to take some

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of the things we've all heard from our parents

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and grandparents about swimming, sunscreen, food,

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backyard adventures, and ask one simple question.

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Is that actually true? So let's get started.

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Okay Stephanie, so here's how it's going to work.

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I'm going to give you some of the summer rules,

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warnings, and random facts that we've all heard

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growing up. And your job is to tell me true,

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false, or somewhere in between. Am I being graded?

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Not yet. I don't like the yet. Ready? I'm ready.

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Let's do it. Number one. You have to wait 30

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minutes after eating before you can swim. We

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just covered this. False. Correct. There's no

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evidence that swimming right after eating increases

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your risk of drowning. The theory behind this

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was that digestion would divert blood away from

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your arms and legs, and you get a terrible cramp

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and somehow be unable to swim. That is not how

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the body works, though. That is not actually

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how the body works. You might feel a little uncomfortable

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exercising immediately after a huge meal, but

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you don't need to set a 30 -minute timer after

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your child eats a sandwich before letting them

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back in the pool. So this feels like justice

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for our childhood. Justice. You do not have to

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watch all the other children swim. Okay. Next

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one. you can still get a sunburn on a cloudy

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day. True. That is true. Clouds don't block all

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UV radiation. Ultraviolet rays can still reach

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your skin when it's cloudy, hazy, or even relatively

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cool outside. Which just feels deeply unfair.

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The sun does not care whether you can see it.

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And I think this is why people get caught off

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guard. You go to the beach on an overcast day,

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it doesn't feel particularly hot, and you assume

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that you don't need the same sun protection.

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But temperature and UV exposure are not the same

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thing. So cloudy beach day, Belgium, not guys,

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I'm looking at you, still need to wear sunscreen.

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That's correct. Speaking of the sun, getting

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a base tan at the beginning of the summer protects

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you from getting sunburn later. I'm going with

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false. That is false. The American Academy of

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Dermatology calls the idea that a base tan prevents

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sunburn is a quote absolute myth. In fact, a

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tan is actually evidence that your skin has been

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damaged by ultraviolet radiation. Whatever protection

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you get from that base tan is minimal, and it's

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absolutely not a substitute for sunscreen, protective

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clothing, or, you know, hanging out in the shade.

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So there's no such thing as a healthy base tan,

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which is all of a sudden significantly less glamorous

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when you describe it as sun damage. The glow

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is from UV damage. To your DNA! Okay, let's keep

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going. Keep going? Mm -hmm. Mosquitoes really

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do like some people better than others. True,

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and I know this because they like you more than

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they like me. That is true. That is true. I just

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have noticed that we go on vacation together

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and you're miserable and I'm fine. I know. It's

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so true. I know. There really are individual

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differences in how attractive we are to mosquitoes.

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They use a whole combination of signals to find

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us, including the carbon dioxide we breathe,

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are body heat and odors produced by our skin.

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So if you're sitting outside with someone like

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me and you get 10 bites when they get home and

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they have none, you might not actually be imagining

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it. So the person who says to you, mosquitoes

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just love me, might actually be right. So you

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were right. I'm right. And the difference can

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be dramatic. In one study, the most attractive

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person was more than 100 times more attractive

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to mosquitoes than the least attractive person.

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So science says You might be generally a mosquito

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magnet. What about the I have sweet blood? That's

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the myth. They're not choosing you because your

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blood tastes sweeter. Uh, I don't care why they

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don't love me as much as they love you. It's

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perfect. You invite me on all... Every, every

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outdoor adventure and I stand right next to you.

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Yeah, okay, yeah, okay, yeah. All right, here's

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one I have for you. Okay. This is based on when

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I used to live in Australia. Okay. Okay? Someone

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gets stung by a jellyfish. Okay. So you should

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pee on that sting. Oh, I know this one. That

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is incorrect. It is on my board exam prep. Yeah,

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that's so funny that that's on exam prep. So

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basically that Friends episode lied to us. I'm

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going to say for the most part television, not

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a really reliable source of medical advice. And

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as you were learning for your boards, urine is

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not a recommended treatment for a jellyfish sting.

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And treatment for a jellyfish sting can actually

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vary depending on the type of jellyfish. So this

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isn't one where I would want people memorizing

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one universal kitchen remedy solution. But we

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can confidently say you do not need to pee on

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your friend. You do not need to pee on your friend,

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which is excellent news for everyone. I'm ready

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for the next one. OK, I'm ready for the next

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one. I'm ready for the next one. I'm ready. It's

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my turn. You tell me. True or false? You can

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get hypothermia in the middle of the summer.

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I'm going to say that this is true. This is true,

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and the biggest summer culprit is cold water.

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Cold water is so cold. So cold. Cold water can

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pull heat away from your body very quickly. So

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even when the air outside feels warm, prolonged

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exposure to cold water can lower your body temperature

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dangerously. So we're talking lakes, rivers,

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oceans. Exactly. Especially colder natural bodies

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of water. And that's part of what makes it surprising.

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People associate hypothermia with snowstorms

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and freezing temperature. But you don't need

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snow on the ground to become hypothermic. So

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summer school has officially managed to cover

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both overheating and hypothermia. Check, check!

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We're nothing if not thorough. Alright, so here's

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a weird one that I've seen on Facebook. Okay.

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You can end up with a burn -like skin reaction

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from drinking a margarita on the beach. I'm sorry,

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what? It's true. I think I'm going to need an

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explanation. There is a real condition called

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phytophotodermatitis. Certain plants contain

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chemicals that when they get onto your skin and

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are exposed to UV light, particularly UVA, they

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can trigger a phototoxic skin reaction. The classic

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example here is a lime. So you're out in the

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sun, you're squeezing a lime into your margarita

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on the beach. The lime juice gets onto your hands.

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Then you're out in the sun. You get exposed to

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UV, particularly UVA. And then you get redness,

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blisters, and some pretty dramatic change in

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skin pigmentation exactly where the lime juice

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touched you. So from the limes in the sunshine.

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Yes. Sometimes people even call it margarita

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burn. And it isn't just lime. Other plants can

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cause similar reactions. But limes are well known

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for this. I'm just going to say this sounds completely

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made up. Which is exactly why I wanted to include

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it in this episode. Importantly, it's not an

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allergy to lime. It is not. It is a chemical

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reaction involving compounds in limes plus UV

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light. Okay, so far this has been my favorite

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fact. All right, you got one for me. True or

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false? Salt water cleans wounds, right? In the

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emergency department, we're always using sodium

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chloride. So swimming in an ocean is good for

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your cut. That sounds like a terrible idea. I'm

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gonna say no. It is a terrible idea. Sterile

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saline and the Atlantic Ocean are not the same

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thing. Not at all. Natural bodies of water contain

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microorganisms, and exposing an open wound to

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ocean or brackish water can cause infection.

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One organism the CDC specifically warns about

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is Vibrio, which lives naturally in coastal water

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and can have serious wound infections. So, salt

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water is healing? Isn't a reason to take a fresh

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wound swimming? Correct. The ocean is many things.

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Sterile is not one of them. Many animals have

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to poop in the water. All right, let's keep going.

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Sugar makes children hyper. True. False. I object.

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I knew that you would. So control studies have

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repeatedly failed to show that sugar itself causes

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the classic sugar rush that parents describe.

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But I have been to a toddler's birthday party

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and I have seen this happen. You have anecdotes.

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But is it really the sugar? So imagine that you're

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six, you're at a birthday party, your friends

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are there, there's music, there's balloons. someone

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has a bouncy house, and you've been handed a

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cake. So you're saying the cake isn't the problem.

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It's just that this is a highly stimulating environment

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filled with many excited six -year -olds that

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just happen to also have cake. There's actually

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research showing an expectation effect. Parents

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who were told that their children had been given

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sugar rated them as more hyperactive even when

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their children had received a placebo. So perhaps

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the sugar rush is happening to the parents. Basically.

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That also doesn't mean that unlimited added sugar

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is healthy. There are plenty of nutritional reasons

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to limit it. But the evidence doesn't support

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the classic idea that one cupcake transforms

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your child into a tornado. Okay. Okay, so now

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this one. We heard this one a lot. Going outside

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with wet hair will make you sick. As someone

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growing up, I think my grandmother told me this

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every day. Every day. All the time. And it is

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false. It is false! Because the common cold and

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many other respiratory infections are caused

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by viruses. Wet hair doesn't magically cause

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a virus to be present. It causes your hair to

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be wet, and sometimes it freezes. Yeah. I mean,

00:11:06.159 --> 00:11:08.100
it might be a bad idea to go outside with wet

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hair because you might be cold, uncomfortable,

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and annoyed about it, but you don't become sick

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because your hair was wet. Moving on. Moving

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on. Ready? As someone who is studying for boards,

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true or false? A snake with a triangular head

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is venomous. I mean, if I see any snake, I'm

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not going to be looking at the shape of its head.

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I'm going to be going the other direction. So

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I have no idea. Snake is bad. That actually is

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a pretty good answer. So it's false. If you see

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a snake with a triangular head, you can't necessarily

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assume that it's venomous. Or if it doesn't have

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a triangular head, you can't assume that it's

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not venomous. There are characteristics that

00:11:47.860 --> 00:11:50.240
experts use to identify particular snake species.

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But triangular head is not a reliable rule. Some

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harmless snakes can flatten their head when they

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feel threatened, and then they look triangular.

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Plus, like, are you a snake expert? What is triangular?

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I just, it just sounds like that. But Disney

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lies, too. Disney will make it seem like snakes

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that are venomous have different pupils, right?

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I've heard that. That's also not a reliable universal

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rule. And more importantly, if you're close enough

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to an unidentified snake to examine its pupils,

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You have made some questionable decisions. Yeah,

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this is one where I'm going to say give that

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snake space. Do not touch it. Do not get closer

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and go home. Go to your home. Exactly. If you're

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in the middle of a hiking trail, give the snake

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some space. Don't handle them. Don't get closer

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because you're trying to figure out whether it's

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dangerous. Assume all of them are dangerous.

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But what if you do get bit? Should you cut the

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bite and then suck out the venom? No, don't do

00:12:49.700 --> 00:12:53.940
that. That is false. Don't cut the wound, don't

00:12:53.940 --> 00:12:56.039
try to suck out the venom, and don't use one

00:12:56.039 --> 00:12:58.200
of those commercial snake bike suction devices

00:12:58.200 --> 00:13:00.740
expecting to pull the venom back out of your

00:13:00.740 --> 00:13:04.220
body. What? Once venom has been injected into

00:13:04.220 --> 00:13:06.200
the tissues, you're not going to solve the problem

00:13:06.200 --> 00:13:09.720
by removing. This sounds like another movie treatment

00:13:09.720 --> 00:13:13.659
that has lied to us. Exactly. A bite from a snake

00:13:13.659 --> 00:13:16.120
that could be venomous is a medical emergency.

00:13:16.350 --> 00:13:18.370
The important thing is getting away from the

00:13:18.370 --> 00:13:20.450
snake and getting appropriate emergency medical

00:13:20.450 --> 00:13:23.210
care, not trying to extract the venom yourself.

00:13:23.970 --> 00:13:25.750
And I'm assuming that you don't want parents

00:13:25.750 --> 00:13:27.730
to capture the snake and bring it with them to

00:13:27.730 --> 00:13:30.090
the hospital for you to look at. Please do not

00:13:30.090 --> 00:13:32.309
bring me the snake. Please do not bring me the

00:13:32.309 --> 00:13:34.850
snake. If you can safely take a photograph from

00:13:34.850 --> 00:13:37.350
a distance, that might be useful, but do not

00:13:37.350 --> 00:13:40.009
approach, capture, or kill the snake for identification.

00:13:40.870 --> 00:13:42.769
And if you're looking for a great story about

00:13:42.769 --> 00:13:44.889
why you should not bring venomous snakes anywhere,

00:13:45.210 --> 00:13:47.529
There's an absolutely wild one from here in D

00:13:47.529 --> 00:13:51.490
.C. in 1983. I'm ready. A 16 -year -old stole

00:13:51.490 --> 00:13:54.090
two Gaboon Vipers from the National Zoo, put

00:13:54.090 --> 00:13:56.350
them in a plastic garbage bag, slung it over

00:13:56.350 --> 00:13:58.570
his shoulder, and got on a city bus. I'm sorry,

00:13:58.669 --> 00:14:01.690
he got on a city bus? He got on a city bus with

00:14:01.690 --> 00:14:05.049
two Gaboon Vipers in a garbage bag. And then

00:14:05.049 --> 00:14:08.830
one of them bit him. No. He ended up critically

00:14:08.830 --> 00:14:12.149
ill at the children's hospital and they actually

00:14:12.149 --> 00:14:14.169
had to scramble to get enough anti -venom sent

00:14:14.169 --> 00:14:17.009
in from zoos all across the country. And here's

00:14:17.009 --> 00:14:18.990
the part that I learned from colleagues who were

00:14:18.990 --> 00:14:21.210
actually working at the hospital at the time.

00:14:21.809 --> 00:14:24.549
They remember the entire bus just vroom, pulling

00:14:24.549 --> 00:14:26.350
up to the emergency department at the hospital.

00:14:26.710 --> 00:14:29.149
The entire bus went to the hospital? The entire

00:14:29.149 --> 00:14:31.350
bus because he screamed, I've been bitten by

00:14:31.350 --> 00:14:34.889
a venomous snake. And then the bus detoured and

00:14:34.889 --> 00:14:38.169
they all went to the hospital. Oh, that's so

00:14:38.169 --> 00:14:40.500
funny. I haven't been able to find that detail

00:14:40.500 --> 00:14:43.299
in old nude coverage, but that's the hospital's

00:14:43.299 --> 00:14:46.159
oral history. The teenager survived, but I think

00:14:46.159 --> 00:14:48.840
the lesson is clear. If a snake bites you, you

00:14:48.840 --> 00:14:51.600
come to the hospital, but the snake should not.

00:14:52.320 --> 00:14:55.659
Please do not bring a snake to my emergency department.

00:14:55.840 --> 00:14:58.059
Feels like a really reasonable place to end today's

00:14:58.059 --> 00:15:02.759
lesson. Except we're not quite done. What? Because

00:15:02.759 --> 00:15:05.980
this is our last official summer school lesson

00:15:05.980 --> 00:15:08.639
before we go back to school. And before you can

00:15:08.639 --> 00:15:12.220
finish summer school, no, you have to pass the

00:15:12.220 --> 00:15:14.919
final exam. I knew there was a catch. I thought

00:15:14.919 --> 00:15:18.500
you said I was going to be graded. I lied. I'm

00:15:18.500 --> 00:15:20.000
going to give you a statement from something

00:15:20.000 --> 00:15:22.299
we've covered in summer school this year, and

00:15:22.299 --> 00:15:26.899
you will tell me true or false. Ready? No. Perfect.

00:15:28.480 --> 00:15:32.080
Question one. Starting from last week. Recent

00:15:32.080 --> 00:15:36.350
history. If someone is drowning. They'll always

00:15:36.350 --> 00:15:39.889
yell for help or wave their arms. False. Correct.

00:15:40.750 --> 00:15:43.470
Drowning can be quick and quiet, which is why

00:15:43.470 --> 00:15:45.710
active supervision around the water is so important.

00:15:46.330 --> 00:15:50.850
One for one. Whoo! Question two. Chlorine kills

00:15:50.850 --> 00:15:52.990
all the germs in a swimming pool. Did we talk

00:15:52.990 --> 00:15:55.809
about this? We did talk about this. Did we? We

00:15:55.809 --> 00:15:58.210
talked about this in the episode... about having

00:15:58.210 --> 00:16:00.149
vomiting and diarrhea all summer long. Oh, I

00:16:00.149 --> 00:16:03.549
remember. So no, chlorine does not kill all germs

00:16:03.549 --> 00:16:05.110
in the swimming pool, which is why you should

00:16:05.110 --> 00:16:07.429
not get in the pool if you've had recent vomiting

00:16:07.429 --> 00:16:10.289
or diarrhea. Correct. Some germs, especially

00:16:10.289 --> 00:16:13.149
cryptosporidium, can survive for days even in

00:16:13.149 --> 00:16:15.789
properly chlorinated water. I'm crushing this

00:16:15.789 --> 00:16:18.090
two for two, and I only needed a small hint.

00:16:19.049 --> 00:16:22.570
Question three. Poison ivy spreads when you scratch

00:16:22.570 --> 00:16:24.090
the rash. Scratch, scratch, scratch, scratch,

00:16:24.090 --> 00:16:26.429
scratch, scratch, scratch. False. It's that you're

00:16:26.429 --> 00:16:30.750
touching the plant's oil that might be on you

00:16:30.750 --> 00:16:33.450
and you're spreading it by touching it. Correct.

00:16:33.950 --> 00:16:36.730
The rash itself isn't contagious. It's the plant's

00:16:36.730 --> 00:16:40.090
oil that causes the reaction. I think everyone

00:16:40.090 --> 00:16:41.970
should know that I have been paying attention.

00:16:42.710 --> 00:16:46.730
Okay. Okay. Let's see. Question four. I'm ready.

00:16:47.549 --> 00:16:50.529
If your child is wearing a life jacket, you probably

00:16:50.529 --> 00:16:52.409
don't need to watch them as closely. Absolutely

00:16:52.409 --> 00:16:55.580
not again. False. Correct. Life jackets are only

00:16:55.580 --> 00:16:57.639
one layer of drowning prevention and they never

00:16:57.639 --> 00:17:01.120
replace adult supervision. Similarly, adult supervision

00:17:01.120 --> 00:17:03.059
does not replace the need for a life jacket.

00:17:03.679 --> 00:17:07.220
Okay. Question five. A lawn mower can pick up

00:17:07.220 --> 00:17:09.660
a rock or other nearby objects in the grass and

00:17:09.660 --> 00:17:11.859
launch it fast enough to seriously injure someone

00:17:11.859 --> 00:17:15.019
standing nearby. True. Correct. And that's why

00:17:15.019 --> 00:17:16.940
the American Academy of Pediatrics recommends

00:17:16.940 --> 00:17:18.740
keeping young children out of the yard entirely

00:17:18.740 --> 00:17:20.960
while someone is mowing, not just telling them

00:17:20.960 --> 00:17:24.329
to watch from the other side. and no children

00:17:24.329 --> 00:17:27.990
on the writing mower. Look at you bonus points.

00:17:28.369 --> 00:17:31.029
I want that reflected in my final grade. We will

00:17:31.029 --> 00:17:34.470
see. Final question. After an entire season of

00:17:34.470 --> 00:17:36.569
the Rolin forward summer school, the safest

00:17:36.569 --> 00:17:38.890
thing you could do is keep your child indoors

00:17:38.890 --> 00:17:42.589
until September. True. 70. I'm kidding. It's

00:17:42.589 --> 00:17:45.410
false. Very false. The entire point of the series

00:17:45.410 --> 00:17:47.390
has never been that summer is dangerous or that

00:17:47.390 --> 00:17:49.549
kids shouldn't take risks. Kids should swim,

00:17:49.789 --> 00:17:51.190
they should ride bikes, they should hike and

00:17:51.190 --> 00:17:53.869
play outside and go to camp and get dirty. Our

00:17:53.869 --> 00:17:56.230
job as adults isn't to eliminate every possible

00:17:56.230 --> 00:17:58.430
risk. It's to understand that risks can cause

00:17:58.430 --> 00:18:00.809
serious harms and use the evidence we have to

00:18:00.809 --> 00:18:03.769
make these activities safer. So, did I pass?

00:18:03.910 --> 00:18:06.670
You passed! With honors? Let's not get carried

00:18:06.670 --> 00:18:14.589
away. But I'll take it. Thank you for spending

00:18:14.589 --> 00:18:16.369
your summer with us here at the Rolin Forward

00:18:16.369 --> 00:18:20.220
Podcast. If you've enjoyed summer school, make

00:18:20.220 --> 00:18:22.799
sure you follow or subscribe wherever you listen.

00:18:23.279 --> 00:18:25.019
And if you have a minute, leave us a five -star

00:18:25.019 --> 00:18:27.380
review. It really helps other listeners find

00:18:27.380 --> 00:18:29.420
the show. Share the podcast with your friends,

00:18:29.519 --> 00:18:31.460
your family, your group chat, or another parent

00:18:31.460 --> 00:18:34.720
who has spent their childhood waiting 30 minutes

00:18:34.720 --> 00:18:36.660
to get back into the pool and is ready to break

00:18:36.660 --> 00:18:38.920
that generational trauma. Generational trauma.

00:18:39.759 --> 00:18:41.660
And as always, we'd love to hear from you. Send

00:18:41.660 --> 00:18:43.839
us an email with your questions, your feedback,

00:18:44.119 --> 00:18:46.200
your own health myths you want us to fact check,

00:18:46.259 --> 00:18:48.099
or any topics you'd like us to cover in a future

00:18:48.099 --> 00:18:51.259
episode. Our email address is rolin, R -O -L

00:18:51.259 --> 00:18:54.880
-I -N, forward show at gmail .com. Next week,

00:18:55.359 --> 00:18:58.019
summer vacation is officially over because we

00:18:58.019 --> 00:19:01.460
are heading back to school. New backpacks, new

00:19:01.460 --> 00:19:05.759
teachers, new germs. So many germs. So get ready.

00:19:06.339 --> 00:19:08.059
And we'll see you next week. Thanks for listening.

00:19:11.889 --> 00:19:16.710
I'll sing another song, thank you. Chicken banana,

00:19:17.250 --> 00:19:24.569
chicken banana, poyo banana, poyo banana, poyo

00:19:24.569 --> 00:19:31.849
banana, poyo banana, poyo banana, banana, banana,

00:19:32.369 --> 00:19:32.630
banana.
