By Lisa Yang, ND
The summer season has begun early this year in Seattle. We have had many beautiful sunny and warm days in the past few weeks. As summer vacation is starting, you may have planned trips to sunnier places, summer camps for kids, and numerous summer BBQs. Summer fun has begun, and as you make lists for packing, sun safety should be at the top of that list!
The sun provides two main types of ultraviolet light, UVA and UVB. UVA plays a major part in skin aging and wrinkling. UVA radiation can penetrate the skin deeper than UVB rays. UVB is the chief cause of skin reddening and sunburn, tends to damage the skin’s more superficial layers. The most significant amount of UVB generally hits the between 10am to 4pm. (1)
Look for shade
A sunburn is damage to the skin, and serious sunburns can increase your child’s risk for skin cancer later in life. Finding a shady spot on the grass is a great way to avoid ultraviolet rays especially when its the strongest during midday. Bring an umbrella to the beach or a pop-up tent to provide protection. Use these options as much as you can to prevent sunburn.
For infants under 6 months- they should be kept out of the direct sun as much as possible. So finding shade or bringing supplies to make your own shade is very important.
Wearing long sleeve shirts, long pants, and skirts are great way to provide protection. Sticking with clothing made from cotton can also provide cooling properties. When at the beach, wearing long sleeve shirts and pants may not be feasible, so consider a beach cover up or a T-shirt.
Hats are also great options for protecting the scalp, face, ears, and back of the neck. Canvas material may provide the best protection because the material is tightly woven and won’t let UV rays through any holes. If your child wears a baseball cap, it is important to protect the ears and back of the neck by wearing clothing that can cover those areas, apply sunscreen, or seek shade
Protect the eyes
Sunglasses are more than just an accessory, they play a large role in reducing protecting from UV rays as well as reducing the risk of cataracts. Sunglasses are able to block both UVA and UVB rays.
The Environmental protection agency recommends using a broad spectrum sunscreen with the minimum of SPF 15 before going outside. Please be aware that a sunscreen with SPF30 does not make it twice as protective as SPF15. SPF of 15 protects the skin from 93 percent of UVB radiation and a SPF 30 provides 97 perfection protection (2).
How to use sunscreen:
1. Apply sunscreen 20 minutes before going out into the sun to give it time to absorb into the skin.
2. Re-application is important with use of sunscreen especially if your child is swimming, sweating, or drying off with a towel.
Picking a good sun screen:
1. Avoid oxybenzone. This is a synthetic estrogen that disrupt the hormone production if penetrated through the skin. Look for products with zinc oxide, 3% avobenzone or Mexoryl SX for UVA protection
2. Zinc oxide give protection against both UVA and UVB according to the FDA
3. The Environmental Working Group (EWG) has a great guide for safe sunscreen for all purposes. Here they will grade the product and safety of its ingredients. http://www.ewg.org/2015sunscreen/
It is very important to keep your child hydrated and nourished while playing in the sun. You can make water fun by placing frozen or fresh berries in the water to add an extra fun summer taste. This way your child will get in some antioxidants and vitamins with their water. Also consider coconut water, or natural electrolyte mixes to keep then hydrated. Popsicles made with coconut water and frozen blueberries can also be tasty hydrating treat when the weather gets even warmer.
If you have any further questions regarding protection from the sun or your child’s health, please make and appointment with your doctor. We are here to serve you. Now, go have fun in the sun!
Eating out when you have food allergies or sensitivities can be challenging, especially when you are first getting started. The good news is that it doesn’t have to be! You can enjoy going out to eat in the company of family and friends with the help of these tips. (And as someone who has food allergies, I can tell you it all gets easier with practice. You’ll be a pro in no time!)
1) Create your own food allergy card that lists all of your allergens or known sensitivities– This is extremely helpful to both you and the restaurant staff to ensure that you get a meal that will make your stomach happy. When you sit down at the table, let the server know as soon as possible that you have food allergies and present him or her with the card so he or she can make suggestions about what meals to order or what can be modified. If they are not sure, they can take your card to the chef to consult them. This makes it easy for everyone. I do this and I have had many waiters thank me for bringing it with me and some restaurants even asked to keep a copy at the restaurant for when I return. You can make copies of your card to carry with you to give to friends and family members too so they can prepare allergen-free foods for gatherings, birthdays, etc. There are also websites that can make custom allergy cards if you would rather not make one yourself. If you are traveling you can get your card translated into the language of your destination country.
2) Research online or with mobile applications to find allergen free restaurants– Just type “allergen friendly restaurants” into your choice of a search engine and you will find plenty of reviews and websites that will let you know which about what restaurants might be a great fit for you. Another way to find information is using mobile applications. Some of them will use GPS to find restaurants for you to check out that are within close distance of you. This is so helpful when you are looking to get a quick bite unexpectedly. I have listed some helpful websites and mobile applications at the bottom of the page. If you find a restaurant that has good reviews you often go to the restaurant’s website and look at the menu to get an idea of what you may order there. You can also find contact information for the restaurant, which leads me to my next tip…
3) Call the restaurant ahead of time– Call the restaurant and ask to speak to the manager or chef between 2 and 4 pm if possible before the typical restaurant rush hour. Inform them of your food allergies and how you will be affected should you consume any of them and ask if they have anything suitable for you to eat on the menu or are willing to make accommodations. If they say yes and you believe that they understand the severity of your allergic reaction this is a good sign. If they do not agree, you will want to find a new place to eat. Some other questions you may want to ask are:
“Do you have a separate preparation area and utensils to prepare food for special diets?”
- Their response will clue you in on the measures the restaurant takes to avoid cross contamination.
“Do you carry any specialty products for people with food allergies?”
- This will show you how contentious the restaurant is about guests with food allergies.
“Will you be at the restaurant while I am there?”
- This will ensure that proper measures are taken that the meal is safely prepared. If they say they will not be there when you plan on coming in ask if they can alert someone who will be working at that time.
- Next you can discuss the menu and the ingredients in dishes that they suggest or you find on the menu online to make sure there are no allergens. Make sure to talk about ingredients in sauces and garnishes. Also discuss cooking methods so you can avoid cross contamination issues. Once you come up with a dish together that sounds tasty write it down so you can request it when you make your visit to the restaurant.
4) Avoid getting anything deep fried – Even if French fries are labeled gluten free in a restaurant, ask the server if they have a dedicated gluten free fryer. If they do then, order the French fries! However if they do not, it is risky because the French fries are most likely in the fryer with breaded gluten-containing foods and can easily get contaminated.
5) Add some flavor by bringing your own condiments- From my experience with food allergies and restaurants, most often there are allergens in the sauces and dips so the dish I order is fairly plain. To make it more exciting, consider bringing small amounts of your favorite flavors with you. For instance, you can bring a container of tamari if you are gluten free and going to a Japanese restaurant that only has soy sauce. Get creative. If you can’t have the dressing on a taco salad, ask for some oil, salsa, or extra avocado or bring your own if you suspect they might have ingredients that your body doesn’t agree with.
6) Always bring food allergy medications just in case- If you have severe allergic reactions to foods, don’t leave without your EpiPen, antihistamine or any other medications you need to get things under control should you have an unexpected reaction. Better safe than sorry!
Find Me Gluten Free
- Use this application to find gluten free restaurants near you. It uses GPS to help find places to eat nearby, especially if you are somewhere unfamiliar. Even if you have additional food allergies this is a good application to use to get a sense of how conscientious restaurants are about allergens. You can see ratings and reviews from others and add your own.
- This application also helps guide you to local restaurants that serve food that is free of your allergens.
- Learn about the latest food allergy research, hear stories from others and find lots of information about managing your food allergies in every aspect of your life, and more on this site. You can also connect to food allergy related events here.
- This site shows restaurants that are committed to being 100% gluten free facilities across the country.
- This is one site where you can purchase custom food allergy cards that are translated into foreign languages to take traveling. The cards cost $8 and are custom so you can add up to 10 allergens on them.
Favorite Seattle Restaurants:
Razzi’s Pizzeria – Greenwood
When I was diagnosed with dairy, gluten, and basil allergies one of my first thoughts was “bye-bye pizza”, which was very sad to me. However, when I went to Razzi’s I found that was absolutely not true. They have the most extensive vegan and gluten free Italian menu I have ever seen. Also the owner is very gracious and dedicated to his business. He told me if I let them know a few days in advance they will prepare a pizza sauce without basil and they also asked to keep my food allergy card. Not only are they extremely kind, but their food is also incredible!
The Flying Apron- Fremont and Redmond
This is certified gluten free bakery, which means their facility is audited by the Gluten-Free Certification Organization (GFCO) every year and they test their ingredients for gluten 4 times a year. They make amazing gluten free and vegan cookies, scones, muffins, you name it. They also have coffee, tea and some lunch items. My top picks are their ginger wheel cookies and dark chocolate muffins. Can you say moist!
Capitol Cider- Capitol Hill
With a completely gluten free menu and one of the country’s largest selections of hard ciders, what is not to love? I have had many wonderful dining experiences here with beautiful food. Another perk is that they have a dedicated gluten free fryer so this is one of the only places where I indulge in fresh fish and chips. Yum!
Vital Kids Medicine, PLLC
3216 NE 45th Place suite #212
Seattle, WA 98105