Parenting NH April 2017

parenting

COMPLIMENTARY

APRIL 2017

NEW HAMPSHIRE

April vacation fun for all Engineering a win for NH students ParentingNH.com

SPRING INTO GOOD HEALTH HEALTHY FAMILIES SPECIAL SECTION INSIDE

Your Health, Our Trusted Experts...

...in Newborn Intensive Care. Elliot Health Systemâ&#x20AC;&#x2122;s commitment to caring for you and your family is close to home. As the only Level III Newborn Intensive Care Unit (NICU) in the greater Manchester area, the Elliot NICU has the high-tech resources and a team of neonatologists, nurse practitioners, nurses, and respiratory care therapists specializing in premature infant care. Babies in our NICU receive close observation, attention, and intervention for their very unique needs. Contact us to learn more about why expecting parents deliver their baby at Elliot Hospital and how the NICU plays a role in this critical decision.

Visit www.elliothospital.org or call Physician Finder at 603-663-4567. Elliot Health System is a non-profit organization serving your healthcare needs since 1890.

Register today – visit BYPC.org for our complete summer schedule! Preschool Camps • Music, Theatre, Discovery Science, Superheros • Creative Kids Summer Program

theatre Camps • 3 Week Musical Theatre Camp for Grades 1-2, July 10-28 • Musical Theatre Production Camp • Taste of Broadway Camp

Dance Programs & Camps • Leap N Learn Summer Dance Program • Dance Samplers

Summer music • Private Lessons • Rock Band Camp • Recording Camp • Young Musicians Camp

APRIL VACAtIoN Week CAmP! Preschool Adventure musical theatre Camp April 24-28, 9am-2pm (extended day is available) Join the fun all week for only on the days you choose! Register today!

20 Years

Celebrating 20 Years as Southern NH’s premiere school for the performing arts!

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• contents

april 11

ON THE COVER:

Clara Brindley, 3, of Derry, makes sure she gets in a workout. Photo taken March 12, 2017, by Kate Brindley, special for Parenting NH. Check out her work at www.katebrindleyphotography.com.

Engineering for 39 NH students Family fun for April vacation

4 www.parentingnh.com april 2017

EDITOR:

Melanie Hitchcock, x5157 editor@parentingnh.com GROUP ADVERTISING SALES DIRECTOR:

Kimberly Lencki, x5154 klencki@mcleancommunications.com PRODUCTION MANAGER:

Jodie Hall, x5122 jhall@nhbr.com SENIOR GRAPHIC DESIGNER:

MARKETING REPRESENTATIVES:

Barbara Gallaher, x5156 bgallaher@parentingnh.com

SPECIAL SECTION

5 The Short List 6 I Want That 8 Cook with Your Kids 38 Dad on Board 40 Learning Curve 41 House Calls 42 Raising Teens & Tweens 43 Out and About 44 Five for Families 47 From the Editor’s Desk

PRESIDENT/PUBLISHER:

Sharron McCarthy, x5117 smccarthy@mcleancommunications.com

Nancy Tichanuk, x5116 ntichanuk@mcleancommunications.com

Healthy Families

departments

NEW HAMPSHIRE

Debbie Birch, x5133 dbirch@parentingnh.com OFFICE MANAGER:

Mista McDonnell, x5114 mmcdonnell@nhbr.com EVENT & MARKETING MANAGER:

Erica Baglieri, x5125 ebaglieri@mcleancommunications.com BUSINESS & SALES COORDINATOR:

Heather Rood, x5110 hrood@mcleancommunications.com DIGITAL MEDIA SPECIALIST:

Morgen Connor, x5149 mconnor@mcleancommunications.com 150 Dow Street, Manchester, NH 03101 (603) 624-1442, fax (603) 624-1310

www.parentingnh.com Subscription: One year (12 issues) $15

Parenting New Hampshire Magazine® is published by McLean Communications, 150 Dow St., Manchester, NH 03101, (603) 624-1442. All rights reserved. Reproduction in whole or in part without the written permission of the publisher is prohibited. The publisher assumes no responsibility for any mistakes in advertisements or editorial. Statements/opinions expressed herein do not necessarily reflect or represent those of this publication or its officers. While every effort has been made to ensure the accuracy of the information contained in this publication, McLean Communications, LLC.: Parenting New Hampshire Magazine disclaims all responsibility for omission and errors.

from the editor’s desk ELIMINATING EDUCATION LAW IS NOT THE ANSWER The Elementary and Secondary Education Act of 1965 was signed into law by President Lyndon B. Johnson as part of his “War on Poverty.” The act was designed to give each child a fair and equal chance at an education as it provides funds to help underprivileged children and children with disabilities. The Act has been reauthorized every five years since – most recently in 2001 by President George W. Bush as the No Child Left Behind Act and in 2015 as the Every Student Succeeds Act by President Barack Obama. Throughout the years the Act has been amended. Most notably in 1965, what we now know as IDEA (Individuals with Disabilities Act) was signed into law, and Title IX, enacted in 1972, protects people from discrimination based on sex in education programs or activities. Through the years, no matter which way the political winds were blowing the underlying intent of the ESEA has remained the same – all children no matter their race, class, gender, or ability are equal under the law when it comes to education. And the federal government enforces the law. But now Rep. Steve King of Iowa has put forth a bill in the House of Representatives called The Choices in Education Act of 2017 (HR 610). It would repeal the Elementary and Secondary Education Act of 1965 and would limit the authority of the Department of Education to award block grants to qualified states for an educational voucher program. Under HR 610, the most far-reaching piece of legislation regarding education ever passed by Congress would be completely wiped off the books. There would be no federal regulations governing schools. One bill would erase 50 years of progress in education. If the bill is signed into law, money for education would be distributed based on how many students there are in a school.

Under this system, public schools would be underfunded. It would not matter how many students are designated special needs – additional money would not be provided for those students, nor for those who are low-income. Schools would not be held accountable for adhering to educational standards. There would no longer be federal protections for students. King has even added a provision to the bill that eliminates established nutritional standards for the national school lunch and breakfast programs. There is no doubt that the education system has its flaws and is in constant need of being evaluated and repaired, but throwing out education laws is a recipe for disaster for our kids. Fundamentally changing education is a big deal; it’s too important to cross our fingers and hope it works. It’s hard to predict how likely the bill will pass the House and Senate, but the President has gone on record as supporting school vouchers. There is still time to speak out. Contact the members of the NH congressional delegation: Rep. Carol Shea-Porter, 202-225-5456; Rep. Ann Kuster, 202-225-5206; Sen. Maggie Hassan, 202-224-3324 and Sen. Jeanne Shaheen, 202-224-2841. For more information about the current bill, go to https://www. congress.gov.

Melanie Hitchcock Editor

SUMMER ART CAMPS ion tratrch 13 s i Reg s Ma n ope

June 12 - August 11

Ha lf 9am& Fu - 4 ll Day Camps for Ages 3.5 - 10 pm

Classes 10- Adults

FOR MORE INFORMATION VISIT

www.wildsalamander.com 30 Ash st Hollis NH 03049 603 465-WILD (9453)

april 2017 www.parentingnh.com 5

the short list ...TIPS, TRENDS & NEWS COMPILED BY MELANIE HITCHCOCK

This month on ww.parentingnh.com:

Easter and Earth Day fun

Spring is here, so that means longer and warmer days. After a long winter of hibernation, it’s time to get outside. Check out our web-exclusive Guide to Spring to find out where to hike, bike and go on a picnic, and more. Also, this year Easter is on April 16. Looking for an Easter Egg Hunt? We have you covered. Our online event calendar at www.parentingnh.com, which is updated daily, is filling up with lots of other great events for families. Check us out before you head out!  Easter Egg Hunts: parentingnh.com/easter  Earth Day: parentingnh.com/earthday  Guide to Spring (hikes, picnics, bike trails, gardening): parentingnh.com/spring

Enter to win a summer camp prize package Don’t miss your opportunity to enter to win two weeks at summer camp for your child at Camp Birch Hill. Camp Birch Hill is located in picturesque New Durham and is sure to be your child’s home away from home. Camp Birch Hill specializes in skill development and exploring new interests, with a focus on fun. With activities ranging from horseback riding to ultimate Frisbee and volleyball to swimming, there’s something for everyone and kids are sure to create friendships and memories for a lifetime. Enter to win a two-week summer session at Camp Birch Hill valued at $2,500 at www. parentingnh.com/birchhill by May 15.

Grab your art supplies and help spread the power of optimism If you have a budding artist in your family, make sure they spend time this month working on their entry for Life is Good’s second annual T-Shirt Art Contest. The grand prize winners will have their designs made into T-shirts

that Life is Good will sell to benefit its kids foundation. The winners will also receive a $2,000 academic scholarship. Kids age 4 to 18 are eligible to enter. Life is Good will give $1 to their kids foundation for every

6 www.parentingnh.com april 2017

submission; more than 7,500 entries were submitted last year. This year’s contest runs from March 27 through April 30. Go to www.lifeisgood.com for more information. Life is Good is a Boston-based lifestyle and apparel company with

Monster Jam returns to the Granite State Monster Jam is returning to the SNHU Arena in Manchester on May 6 and 7 for three shows. The Monster Jam Triple Threat Series presented by AMSOIL is a points-based format that showcases the best lineup of Monster Jam vehicles that deliver what fans want to see most…more trucks, more racing, more freestyle, more donuts, more wheelies, more action. The tour tests the versatility of the athletes as they go head-to-head in seven different competitions driving three different vehicles --- Monster Jam trucks, Monster Jam Speedsters and Monster Jam ATVs. These athletes battle for points in challenging racing and freestyle events that push themselves and their machines to the limit. The point leader from each series will receive an automatic bid to the prestigious Monster Jam World Finals to compete for the title of World Champion. Parenting NH is giving away tickets to this fun family event. Go to http://parentingnh. com/monsterjam by May 1 to enter to win. For more information about the event, go to www.snhuarena.com.

a Hudson, N.H. distribution center. The mission of Life is Good is to spread the power of optimism and that theme is incorporated into their Kids Art Contest by asking kids to draw what makes their life good.

Camp Marist For the

Best Summer of your Life! An outstanding overnight summer camp experience with a great Catholic tradition.

A Fun Place... A Safe Place... A Friendly Place Your Child Will Make “Friendships That Last A Lifetime”

Our 68th Summer! Boys & Girls – Ages 6 to 16 Great 2/3-week Sessions

More than 35 Activities to choose from… Horseback Riding · Water Skiing · Arts · Tennis · Team Sports · Wind Surfing · Sailing · Swimming · Go Carts · Ropes Course · Hiking · Camping · Karate · Golf · Ceramics · Special Trips…much, much, more! For more information, contact us at: (603) 539-4552 office@campmarist.org Or check us out online at: www.CampMarist.org

Camp Marist

Ossipee Lake · New Hampshire

Personalized OBGYN care Introducing a new destination for family-centered, holistic OBGYN and fertility care. At CMC’s Women’s Wellness & Fertility Center of New England, you are the most important member of your care team! Our highly skilled and compassionate staff identify and treat the underlying causes of your symptoms and develop individualized, natural treatments. Whether it’s promoting your health in a small, family-centered practice or managing your fertility without artificial chemicals, devices, or contraception, we’ll treat you with your long-term overall wellness in mind. Here, you will find a different approach to women’s care.

cmc-womenswellness.org 603.314.7595 88 McGregor Street, Manchester NH

april 2017 www.parentingnh.com 7

I want that COMPILED BY MELANIE HITCHCOCK

Freeze overnight, chill all day The classic lunch box is great for carrying everything from salad containers to delicious snacks. Whether on the way to a park or an exciting outdoor event, the Freezable Classic Lunch Box has the room to fit it all. A buckle handle clips onto totes, backpacks or sports bags for convenient travel to and from school and sports activities. There’s also a mesh pocket that fits a small water bottle and a slim zip pocket. Other styles and sizes available. Available at www.packit.com: $19.99

The exercise and everything else dress

Egg dyes made from herbs and plants

Designed to flatter women’s bodies and made from fabric that feels as good as it looks, the classic NuuMuu is a go-to for exercise, travel and life. Nuu-Muu does what you do, beautifully. Designed to cover most sports bras completely and with nothing built in for maximum versatility. Several different colors and patterns to choose from.

Now kids with sensitivities to artificial colors and dyes, gluten and dairy can have their Easter eggs, too. ColorKitchen has developed vibrant plant-based colors that dye eggs within seconds, making a rainbow of color combinations. They’re also non-GMO. The ColorKitchen Easter Egg Coloring Kit contains enough color for one to two dozen eggs, plus three mixing brushes. Egg decorating booklet included. Available at www.colorkitchenfoods.com; $11.99

Available at www.nuu-muu.com; $75

Good to the last drop

Ditch the plastic Stasher is the first, self-sealing, airtight, non-plastic bag! Made from 100-percent platinum silicone, it’s reusable, making it a green alternative to plastic. And it contains no BPA, BPS, phthalates, vinyl or petroleum, making it safe to cook in and eat out of (great for packing lunches). Stasher can also be used to store toiletries when you travel or keep your phone safe from sand at the beach.

8 www.parentingnh.com april 2017

Available at www.stasherbag.com; $9.99-$11.99

Stop wasting the last of your makeup and beauty products. The Spatty is a new and innovative tool made to make sure you get the very last drop of foundation, lotion, liquid-liner and more out of the container. The Spatty is made of sturdy, resilient and flexible material that is dishwasher-safe so that you can use and re-use your Spatty. Different sizes available. Available at www.amazon.com; the six-inch spatty is $11.99

april 2017 www.parentingnh.com 9

Theme D ays Making Friends

Life Long M

emories

A lifetime of fun... in one camp experience. Camp CenterStage is a 12-day overnight camp for girls & boys ages 8 – 17 exploring Music, Theater, Dance & Leadership Skills through the Arts.

August 16 - 27, 2017 Camp Agawam

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Let Their Imaginations Soar This Summer! Summer Quest Day Camp offers convenient, 2-week sessions that are jam-packed with fun, adventure, new friendships and unique experiences. • Convenient 2-week programs • Junior Camp: Kindergarten + Grade 1 • Senior Camp: Grade 2-5 603.888.1982 WorldAcademyNH.com/SummerCamp 138 Spit Brook Road, Nashua, NH 03062

10 www.parentingnh.com april 2017

Swim

Sports

Crafts

Games

And More Fun!

Engineering a win for

NH students

Project Lead the Way is giving a boost to STEM education in the Granite State

s he approached ninth grade, Patrick Hoeing was considering two high schools in the Dover area – his choice ultimately led to his career.

Hoeing attended an information session at Dover High School where he received a curriculum pamphlet and noticed that it included pre-engineering courses. His middle school science teacher had encouraged Hoeing to consider engineering as a future career path, but Hoeing didn’t know much about the field. “When I read at Dover they had classes that were pre-engineering, I realized I could take those classes and test the waters before I went to college, to decide if that’s what I wanted to do,” said Hoeing. From freshmen to junior year, Hoeing attended pre-engineering courses developed by the national education nonprofit Project Lead The Way that exposed him to engineering fundamentals, analysis, technical writing, coding, electrical circuitry and his favorite: computer-aided design or CAD.

By Liisa Rajala, special to Parenting NH

“That was huge to get access to that software for three years and get experience and familiarity with that program,” said Hoeing. “We also got access to 3D printers, laser cutters, routers and got to practice with them.” When Hoeing interviewed for summer internships, his CAD experience was the skill that stood out most to employers, who took a double take at the years of experience on his resume – after all, he’s only 22 years old. It was this skill that led Hoeing to work two summers at Continental, a manufacturer of air induction systems for car engines, located in Rochester and subsidiary of the larger corporation ContiTech North America. Hoeing is now a full-time employee at Continental while attending the University of New Hampshire part-time to earn a bachelor’s degree in mechanical engineering. Although he used a different CAD program during high school, Hoeing says the interface is familiar. After being shown the ropes working in a manufacturing facility, Hoeing became part of a team that designed the new layout of one area of the plant. “I got to do the CAD work for the layout and do the planning for that, so I was able to bring that skill to the table,” said Hoeing. “[Project Lead The Way] gives you a tangible skill and helps get you involved in a lot of projects and makes you a valuable team player.”

Expanding curriculum

Launched in New Hampshire in 1998, one year after its founding, Project Lead The Way’s programs have spread to 47 schools in New Hampshire in the form of elementary, middle school or high school curricula. Each school has an approved list of optional pre-engineering curricula it can adopt or create its own, as the Nashua School District has done for its three middle schools. “Project Lead The Way is certainly the most well-known of the preengineering curricula,” said Val Zanchuk, president of Jaffrey-based manu-

april 2017 www.parentingnh.com 11

Photo courtesy of Project Lead the Way

facturer Graphicast and chair of the New Hampshire Pre-Engineering Technology Advisory Council and the Business and Industry Association of New Hampshire. “It’s in just about every state in the country.” There are many states that mandate Project Lead The Way as the pre-engineering curriculum in the state, said Zanchuk, but New Hampshire does not, as education curricula is locally controlled Historically, each biennium, the state Department of Education has allocated

Carol Stone Director

$200,000 for optional pre-engineering courses, although no funding has been allocated in this budget cycle as of press time. Schools can apply for one of the approved programs or adopt its own that must receive state approval. Middle schools are eligible for a grant up to $15,000; high schools, $25,000; and Career and Technical Education Centers, $50,000. The grant amount must be matched by the school district, though funds may also be donated by businesses.

So far, none of that money has been left on the table, said Zanchuk. On March 9, the House passed HB 412 by voice vote to expand grant funding to the elementary level. As the bill awaits consideration in the Senate, Zanchuk said that while the bill would expand the pool of potential grant recipients, it would not require an extravagant amount of extra funds. The reasoning: materials for younger grades are simple and cheap, and many high schools have already implemented the program and already paid the one-time fee for expensive kits such as the robotics kit and CNC machines, which can cost up to $10,000.

Starting younger

“It’s actually a very affordable program,” said Heather Drolet, a teacher at Christa McAuliffe School, an elementary school in Concord. “It cost $750 to train me and it’s $750 a year to be part of the program at the elementary level.” Much of the classroom materials can be purchased at the Dollar Store or have

been donated, said Drolet. Integrating the STEM (science, technology, engineering and math) program has gone smoothly, though Christa McAuliffe School has an advantage, with each student receiving their own iPad. “It’s really engaging,” said Drolet of the curriculum. “There’s not a single kid that’s disinterested and disengaged … The program is good at meeting the kids at their level. Every project or problem they have to solve is a story, and the characters are the same from grades K-5.” The school adopted the curriculum two years ago. Drolet attributes the move to her progressive administrators as well as a response to a drop in the number of high schoolers enrolling in the pre-engineering programs, whether due to lack of interest or unpreparedness. Since implementing the program, “We’ve seen a huge increase in interest among our kids in engineering, especially after we do engineering week,” said Drolet. “The way of thinking Project Lead The Way has brought us has helped us grow

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“Loving Care and Education”  Located at Trinity Life Community  12 Station Road, Bedford  (603) 622-6336 • Now enrolling ages 6 weeks to 6 years • Full- or part-time options • FULL-TIME Kindergarten beginning September 2017 (603) 622-6336 • E-mail: telc@tlcnh.org • tlcnh.org/telc

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Photo courtesy of Project Lead the Way

in other areas too,” said Drolet. “We call them the four C’s: creativity, communication, collaboration and critical thinking.” Changing the learning format has also flipped the classroom dynamics, said Drolet. Students who are book learners

and relied upon direction are challenged to analyze problems and develop solutions, while students who are not traditional learners thrive in a different setting. The school crafted a letter to the House Education Committee in support of the bill to expand funding. Earlier in March,

the committee unanimously voted in support of the bill. “Our kids could really benefit from this type of funding because they’re definitely capable of learning these skills at a young age,” said Drolet. Hoeing, who is a strong believer and becoming an advocate for Project Lead The Way – having spoken earlier this year at a conference held at NHTI for the nonprofit – responded positively to the idea of exposing the concepts to younger students. “That’s great to hear that’s a possibility moving forward,” Hoeing said about the bill to expand grant funding recipients. “I remember hearing about how it starts in middle school, where people differentiate and turn away from the sciences and the hard math, and offering the engineering perspective at that age might help because if someone can learn the application of what they’re learning in math and science, it might motivate them to stick with it and try harder.” A lack of STEM-skilled workers in the high-tech fields is a pressing issue con-

tinuously raised in meetings held by the Department of Resources and Economic Development with industry stakeholders and education administrators across the state. “We need to hit all cylinders, all the ways we can to increase the proficiency of the workforce, through students or retraining workers or bringing people in,” says Zanchuk. Drolet says Project Lead The Way builds skills across the board that employers desire, such as collaboration and critical thinking. “I’ve just done some research for a program on coding and computer science and there are about 1,700 open computing positions in New Hampshire but only 300 college graduates from our state to fill them,” said Drolet, citing the nonprofit Code.org. “It just showed me we need to engage our students at a younger age.” Liisa Rajala is the associate editor at NH Business Review. She covers topics including workforce development, manufacturing, startups and technology in New Hampshire. NH Business Review is published every other week by McLean Communications (www.nhbr.com).

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Ages 3 to 12 years old

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S P EC IAL ADVE RTIS I NG S EC TION

Featured Preschools & Early Edu Adult Learning Center 4 Lake St., Nashua 882-9080; www.adultlearningcenter.org Applewood Learning Center, The 2 Hampton Drive, Londonderry 434-3139; www.applewoodlc.org Blue Heron School at Squam Lakes Natural Science Center PO Box 173 / 23 Science Center Road, Holderness 968-7194; www.nhnature.org/programs/ blue_heron_school.php Children’s Winter Garden with White Wing School 58 Lowell St., Nashua 882-1041; www.cwg-wws.org Cobb Meadow School 273 Cobb Meadow Road, Dublin 563-7755; www.cobbmeadowschool.org

Creative Kids Preschool @ BYPC 155 Route 101, Bedford 472-3894; www.bypc.org Hollis Academy for Children 4 A Market Place, Hollis 465-7005; www.hollisacademy.net Immanuel Christian Preschool 673 Weston Road, Manchester 622-0309; www.immanuel-mnh.org It’s A Child’s World 341 Wilson Crossing Road, Auburn 606-1990; www.childsworldllc.com KinderCare Learning Centers 71 Deerwood Drive, Nashua 886-9085; www.kindercare.com

Leap Preschool 80 Clinton St., Concord 717-8932; www.tbcnh.org/leap

Merrimack Y 6 Henry Clay Dr., Merrimack 881-7778; www.nmymca.org

Learning Adventures ECC 51 Old Bedford Road, Bedford 669-2811; www.learningadventuresnh.com

Mount Saint Mary Academy 2291 Elm St., Manchester 623-3155; www.mtstmary.org

Little Einsteins Preschool Learning Center, LLC 199 Route 101, Amherst 673-3022; www.littleeinsteins.us

Nashua Child Learning Center 5 Saint Laurent St., Nashua 883-4356; www.nclckids.org

Little Pilgrim 4 Watson St., Nashua 880-9249; www.littlepilgrimschool.org Manchester Community College Child Development Center 1066 Front St., Manchester 206-8098; www.mccnh.edu/cdc Merrill Johnson Early Childhood Program 198 Londonderry Tpke., Hooksett 935-8260; www.facebook.com/MerrillJohnson-Early-Childhood-Program114429545243407/

N E W HAM

I LY

Namaste Montessori School 533 Mast Road, Goffstown 627-3503; www.namastemontessori.net North End Montessori 698 Beech St., Manchester 621-9011; www.northendmontessori.com Nutfield Cooperative School 47 East Derry Road, Derry 434-2602; www.nutfieldpreschool.com Portsmouth Christian Academy 20 Seaborne Drive, Dover 742-3617, www.pcaschool.org

nu t IRE

PA R

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Cornerstone School 146 High St., Stratham 772-4349; www.cornerstoneschool.org

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ucation Centers Presentation of Mary Academy 182 Lowell Road, Hudson 889-6054; www.pmaschool.org Purple Panther Preschool 36 Riverside St., Nashua 966-1141; http://purplepantherpreschool.weebly.com Rainbowland Child Development Center 3 Rundlett Hill Road, Bedford 622-6766; www.rainbowlandCDC.com Red Oak Montessori School 241 Sanborn St., Franklin 934-1002; www.redoakmontessori.org Sandwich Children’s Center 54 Maple St., Center Sandwich 284-7014; www.sandwichchildrenscenter.org Seacoast Community School 100 Campus Dr., Portsmouth 422-8223; www.seacoastcommunityschool.org

St. Christopher School 20 Cushing Ave., Nashua 882-7442; www.stchrisschoolnh.org Southern New Hampshire Education Center 1E Commons Dr., Londonderry 818-8613; www.snhec.org

Village Preschool 200 High Street, Hampton 929-7349; www.hamptonvillagepreschool.com

Ste. Marie Child Care Center 133 Wayne St., Manchester 668-2356; stemarie.childcare@gmail.com

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facilitates a developmental approach to learning.

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For 30 years, The Cornerstone School has offered a curriculum focused on fostering each child’s development and innate desire to explore and learn. Located on eleven acres in Stratham, NH, students ages 1-14 lay the foundation for an inquiring mind, respect for others and a deep inner confidence that prepares them for a successful, fulfilling future.

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For 30 years, The Cornerstone School has offered a Located on eleven acres in Stratham, NH, curriculum focused on students ages 1-14 lay the foundation for fostering each child’s an inquiring mind, respect for others and a deep inner confidence that prepares them For 30 years, The Cornerstone School has development and for a successful, fulfilling future. offered a curriculum focused on fostering innate desire to each child’s development and innate desire explore and learn. to explore and learn. For 30 years, The Cornerstone School has offered a curriculum focused on fostering each child’s development and innate desire to explore and learn.

MONTESSORI EDUCATION AT ITS

MONTESSORI EDUCATION FINEST MONTESSORI EDUCATION AT AT ITSITS FINEST For 30 The years, The Cornerstone has For 30 years, Cornerstone School School has onfocused eleven in Stratham, NH, offered a curriculum focused on fostering offeredLocated a curriculum on acres fostering eachdevelopment child’s development innate each child’s desire students agesand 1-innate 14and lay thedesire foundation for to explore and learn. to explore and learn.

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Like us on Facebook for news, healthy tips & medical information.

contents

NEW HAMPSHIRE A PUBLICATION OF MCLEAN COMMUNICATIONS, a division of Yankee Publishing, Inc., Dublin, NH

PRESIDENT/PUBLISHER: Sharron McCarthy, x5117; smccarthy@mcleancommunications.com

24 What you should know

about smokeless tobacco

EDITOR: Melanie Hitchcock, x5157; editor@parentingnh.com ADVERTISING SALES DIRECTOR: Kimberly Lencki, x5154; klencki@mcleancommunications.com PRODUCTION MANAGER: Jodie Hall, x5122; jhall@nhbr.com GRAPHIC DESIGNER: Nancy Tichanuk, x5116; ntichanuk@mcleancommunications.com

29 Fluoride and healthy teeth 30 A beginner's guide to seeing

a chiropractor

MARKETING REPRESENTATIVES: Barbara Gallaher, x5156; bgallaher@parentingnh.com Debbie Birch, x5133; dbirch@parentingnh.com EVENT & MARKETING MANAGER: Erica Baglieri, x5125; ebaglieri@mcleancommunications.com 150 Dow Street, Manchester, NH 03101 • (603) 624-1442 fax (603) 624-1310 • www.parentingnh.com Subscription: One year (12 issues) $15

32 Relief from migraines 34 Keeping your teen healthy 37 Go meat-free when you go out

Ready, Set, Connect!

ABA for Children with Autism Six-year-old Jameson loves dinosaurs, sharks, pizza, his iPad and his family. Yet his autism presented challenges including explosive behavior and difficulties communicating.

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“One of Jameson’s biggest breakthroughs was his ability to receive and show emotion. Thanks to the expertise and genuine affection from his ABA therapists at Ready, Set, Connect!, Jameson is thriving. The sky is the limit for him.” — Deborah (Jameson’s grandmother)

Meet Jameson in this video at cmf.org/jameson

Now in Manchester and Concord, NH! april 2017 www.parentingnh.com 21

Empower your child to feel the confidence that comes with learning gymnastics. We offer a wide range of classes and summer camps for boys and girls, tots to teens. Enhanced flexibility, coordination and overall fitness are proven benefits of gymnastics training. Our lessons fit your Summer Camp is back at Gymnastics Village with child’s level of development. A dozen instructors half and full day options (9am-3pm)! Designed for with top-notch credentials are dedicated to boys and girls from 6 to 14, kids will participate making your child’s learning experience enjoyable. in gymnastics rotations, fitness activities, Ninja Ask about our family discount. Summer schedule/ Challenge obstacle courses, games, crafts, party registration begins April 1. Sept. 2017-June 2018 apparatus like our inflatables, zip-line and more. School Year registration begins June 1st. Registration for summer camps and recreational Call 603.889.8092 classes begins April 1st. Call 603.889.8092 or visit www.gymnasticsvillage.com or visit gymnasticsvillage.com.

editor’s note Spring into a healthy summer Welcome to the spring/summer 2017 edition of Healthy Families, our 20-page special section dedicated to providing you with information about keeping your family healthy. In this edition, we talk about smokeless and edible tobacco products and the dangers they pose to teens and young adults. You can find out where you can get some great meatless dishes and learn more about fluoride for kids. We also tell you how to prepare for your first visit to the chiropractor. If you suffer from migraines, check out our story about new treatments. And if you are a parent of a teen, you’ll want to read about teen wellness visits and what doctors check for and ask them at these appointments. Parenting New Hampshire Magazine is the only and best source of information for parents and families throughout the state. More than 20,000 copies are distributed to hundreds of locations including supermarkets statewide. We also publish four annual publications: Family Resource Book, Family Summer Fun Guide, NH Next: Your Guide to Life After High School and Stepping Stones NH: A guidebook for people with disabilities, their families and the professionals who support them. For web-exclusive content, check us out at www.parentingnh.com. Look for our fall/winter edition of Healthy Families in October 2017.

— Melanie Hitchcock, Editor

Keeping Kids Healthy for Over 35 Years!

our sponsor Dartmouth-Hitchcock and Children’s Hospital at DartmouthHitchcock (CHaD) are proud to sponsor this Healthy Families issue. After all, the health of children and families is what we’re all about.

Left to Right: Mary B. Shupe, MPH, APRN, CPNP • Rochelle Heit, MD, FAAP Catherine Leighton, APRN, CPNP • Sharon VanTuil, MD, FAAP Helen Poremba, MD, FAAP • Martin Schwartzberg, MD, FAAP Photo by: kendaLL j. bush PhotogRaPhy

Now Accepting Minuteman Health Insurance River Road Pediatrics is a well-established, highly respected group of board River Road Pediatrics is nurse a well-established, group of certified pediatricians and pediatric practitioner. River Roadhighly Pediatricsrespected has providing health care services and for children for overnurse 35 years.practitioners. Our experienced We have been boardbeencertified pediatricians pediatric and dedicated provide qualityfor carechildren for newborns, children andOur experienced providing healthstaff care services for infants, over 35 years. in a sensitive and supportive manner. New patients are welcome and and adolescents dedicated staff provide quality care for newborns, infants, children and same day appointments are generally available.

adolescents in a sensitive and supportive manner. Kidsand Healthy for Over 30 Years!are generally available. New patientsKeeping are welcome same-day appointments

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DARTMOUTH-HITCHCOCK (D-H) is a nonprofit academic health system serving communities in northern New England. D-H provides access to more than 1,000 primary care doctors and specialists in almost every area of medicine at Dartmouth-Hitchcock Medical Center, the Norris Cotton Cancer Center, the Children’s Hospital at Dartmouth-Hitchcock, four affiliate hospitals, 24 ambulatory clinics, and through the Visiting Nurse and Hospice for VT and NH. The D-H system trains nearly 400 residents and fellows annually, and performs world-class research, in partnership with the Audrey and Theodor Geisel School of Medicine at Dartmouth and the White River Junction VA Medical Center. ABOUT CHaD: As New Hampshire's only children's hospital, the Children's Hospital at Dartmouth-Hitchcock (CHaD) is committed to providing outstanding compassionate care for children and their families. Their physician expertise provides primary, specialty, and tertiary care to the children of New Hampshire, Vermont, and beyond, as northern New England's children's hospital. CHaD offers both inpatient and outpatient services at Dartmouth-Hitchcock Medical Center in Lebanon, NH. Outpatient and same day surgery services are available through CHaD at DartmouthHitchcock Manchester, and outpatient pediatric specialties are available in Exeter and at Wentworth-Douglass Hospital, Dover. Pediatric primary care is available at Dartmouth-Hitchcock facilities in Bedford, Concord, Keene, Lebanon, Manchester, Nashua, New London, NH, and in Bennington, VT.

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There’s not always smoke ou may not smell cigarette smoke on your child, but that doesn’t mean they aren’t addicted to nicotine. The sophomores on the hockey team? They may be getting an invisible energy boost on the bench and the coach has no idea. Meanwhile, that college freshman who’s hooked on cigarettes gets through a two-andhalf hour lab class by sucking on nicotine lozenges. And a middleschooler got started by stealing his mom’s nicotine gum, which she chews to help her quit smoking.

Other tobacco products or “OTPs” are nicotine-containing products that are not lighted and burned. They’re also known as non-combustibles and smokeless tobacco. “There is no such thing as a harmless or safe tobacco product,” said Albee Budnitz, M.D., who practices and is board-certified in pulmonary medicine and internal medicine in Nashua, and is a Breathe New Hampshire board member. “Tobacco-related disease killed 1,900 people in New Hampshire in 2015, and tobacco is still the number one cause of

Breathe New Hampshire: The Fun Pass Folks Breathe NH’s mission is to eliminate lung disease and improve the quality of life for those living with lung disease. Starting with tuberculosis 100 years ago, and now focusing on asthma and chronic obstructive pulmonary disease (COPD) among others, Breathe is the only nonprofit committed solely to lung health. The Fun Pass — a coupon book offering $2,000 in savings on New England’s favorite family attractions — is our biggest fundraiser. Go to www.breathenh.org/funpass or call 669-2411 for details.

24 www.parentingnh.com april 2017

premature death and disability in the state and the country,” he said. But while the number of youth who are smoking cigarettes is down, other forms of nicotine — in candy flavors and kid-attractive packaging — are rampant. Sold in convenience stores and gas stations alongside cigarettes, these non-combustibles pack a nicotine wallop. In young people in particular, Dr. Budnitz said, “Nicotine has been continually shown to be a gateway drug, affecting the developing brain, hard-wiring it to be susceptible to other

addicting substances, including opiates and alcohol.”

Off to a bad start

According to the National Institutes of Health, more than 80 percent of adult smokers begin smoking by 18, and an estimated 3,000 youth start smoking cigarettes every day. The Centers for Disease Control and Prevention (CDC) reports that almost half-million American kids age 12 to 17 start using smokeless tobacco (versus combustible cigarettes) for the first time. The 2013 National Tobacco Survey

where there’s fire By Mary Ellen Hettinger, APR for Breathe New Hampshire

found that 22.9 percent of high school students reported current use of a tobacco product, including 12.6 percent who reported current use of two or more tobacco products, including smokeless tobacco. Male high-school athletes in the United States use OTPs at a rate of 17.4 percent; the more sports participated in, the higher the rates of smokeless tobacco use, according to the CDC. They may believe that a nicotine charge gives them an edge, and/ or they may use it because teammates do.

Why nicotine?

Nicotine is a highly addictive, poisonous substance that is found in tobacco. (In much smaller amounts, nicotine is also present in a few vegetables.) It’s a stimulant that increases heart rate and blood pressure by triggering a release of dopamine and epinephrine in the brain. This makes users feel more alert, gives a mood boost or buzz, and may suppress appetite (think supermodels). In heavy users accustomed to it, nicotine may just

give a feeling of relaxation. But nicotine is a drug that is known to be as addictive as heroin or cocaine, and along with the nicotine comes tar, nitrosamines and many other cancer-causing chemicals. Because their brains are still growing, children, teens and young adults are more susceptible to becoming addicted to substances. Some smokeless tobacco products deliver more nicotine into the bloodstream than cigarettes, making them more addictive and dangerous. According to the CDC and the U.S. Food & Drug Administration (FDA), all OTPs are made from tobacco, contain nicotine and carry the risk of addiction. Tobacco plants are the number one cost-effective source to produce nicotine. Nicotine amounts vary from one product to another, but some OTPs such as snuff have several times the

amount of nicotine in a single cigarette. They all carry a risk of oral cancer, gum disease, tooth loss, heart disease and pancreatic cancer, according to the National Cancer Institute. Kids are attracted to smokeless forms of tobacco because they are easier to hide and use, don’t look like an illegal substance, and are cheaper than cigarettes. Nicotine is highly toxic, especially to younger children and pets. So if an adult does not store liquid nicotine for ecigarettes or OTPs such as nicotine strips or lozenges safely, the results can be deadly.

Symptoms of nicotine withdrawal

As with any addiction, the more you use, the more you want. Stopping nicotine, as with cigarettes, causes a physical reaction. Withdrawal symptoms may include:

 Stomach

cramps and nausea

 Agitation  Tingling

of feet and hands

 Headaches  Cough

and sore throat

 Sweating  Feeling

depressed and/or anxious. These unpleasant side effects are accompanied by a craving for more nicotine. Symptoms are usually worse in the first few days of going without nicotine, but some may feel the effects of withdrawal for a few months, depending on how much and how often they used it, as well as environmental triggers they may still be exposed to. Early education and greater awareness about the dangers of tobacco is one effective way to prevent nicotine addiction, in whatever form, the CDC and

“Alternative” cigarettes Because of their easy availability, cheap price and popularity with teens who mistakenly believe these are harmless and “all natural,” we’ll mention bidis or biris and kreteks here, even though they are lit and smoked. These are filter-less, sweet-smelling mini cigarettes made from dark tobacco leaf flakes (considered of inferior quality and not good enough for regular cigarettes), mainly in India, where they are hand-rolled in factories. They may be tied at each end with colored thread, and come in mint and spice flavors; sometimes called clove cigarettes. They have two to three times the amount of tar and nicotine compared to regular cigarettes, and cause tongue and other oral cancers, in addition to lung cancer.

april 2017 www.parentingnh.com 25

Examples of smokeless or non-combustible tobacco products E-cigarettes/ENDS: The numberone way kids get addicted to nicotine today is by “vaping,” that is, using electronic nicotine delivery systems (ENDS devices), also called e-cigarettes. "E-cigarette use among U.S. youth and young adults is now a major public health concern. E-cigarette use has increased considerably in recent years, growing an astounding 900 percent among high school students from 2011 to 2015,” U.S. Surgeon General Dr. Vivek H. Murthy reported in December 2016. These products are now the most commonly used form of tobacco among youth in the United States, surpassing conventional combustible tobacco products. These devices, which may be decorated with everything from skulls to Hello Kitty to sparkles, use batteries to heat liquid nicotine in an atomizer. Vapor is produced and inhaled, delivering nicotine to the lungs. “In New Hampshire, the Youth Risk Behavior Survey (YRBS) shows there has been a markedly increased use of e-cigs over the last three to five years,” Dr. Budnitz, chairman of the Tobacco Free NH network (TFNH), said. The Surgeon General’s report also noted that the secondhand aerosol emitted from e-cigs is not harmless water vapor. It can contain nicotine and volatile organic compounds such as benzene, and heavy metals, among others. For more on

e-cigarettes, go to www.parentingnh.com and look for the article in the October 2015 digital issue. Chewing tobacco: Cured tobacco in the form of plugs, twists or looseleaf (see below). This needs to be spit out once the “flavor” and nicotine jolt is gone. Dip: Smokeless tobacco that is shredded finely and comes in a tin. Users put a pinch between their bottom lip and gums, which sends nicotine (more than in a cigarette) into the bloodstream through the tongue and gum tissue. Dissolvables: Lozenges, strips, sticks, and orbs or pellets that melt inside the mouth, releasing nicotine. They come in a variety of minty flavors and may come with cartoon characters on the package. The strips look like breath strips; the pellets and orbs like Tic Tacs—down to the container. They disappear inside the mouth, so there’s no evidence. Hookah: This is another type of OTP with a special kind of tobacco (shisha) that is smoked through a waterpipe. There are many flavors from fruit to candy to cappuccino. Looseleaf tobacco: The most popular kind of smokeless tobacco, it’s made from scraps of tobacco left over from making plug tobacco (see below). It’s sweet like plug but sold in packets and put in the mouth. Nicotine gel: Packaged in a small

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tube, this is a hand gel intended to get smokers through airline flights and meals where no smoking is allowed. Orbs, Pellets: See dissolvables above. They look like breath mints or candy. Plug: Cured tobacco pressed together into sheets or small bricks using syrup such as molasses. Users chew a piece off the plug. Smokeless tobacco: Any form of tobacco that is not smoked. Snuff: Finer texture of tobacco that comes in a teabag-like pouch. It’s used like dip (above), but the advantage is the tobacco is contained so it doesn’t get between teeth. It comes in dry and moist forms, with the moist snuff usually sold in tins. You may be familiar with Copenhagen and Skoal brands. According to the Campaign for Tobacco-Free Kids, moist snuff is the most popular form of smokeless tobacco. Dry snuff is powdered or very fine tobacco that is snorted through the nose. Snus: Rhymes with “loose,” this is the Scandinavian term for snuff. Sticks: Toothpick-sized wooden sticks with tobacco coating one half. Strips: See dissolvables above. They look like gel mouthwash strips. Twist: Like a plug, but the tobacco leaves come twisted together. Users cut or chew a piece off.

U.S. Surgeon General reported last year. The first teachers are always parents, then schools. With the current opioid crisis, recognizing and stopping the cycle of addiction in developing brains caused by substances is vital. Start by having an age-appropriate discussion at the dinner table or while carpooling. Does your son or daughter know about these products, know anyone using them? Do they understand the danger and how powerful an addiction can be? Find out what their school is teaching about tobacco and if smokeless versions are included. A good resource for parents to get you ready to have important conversations is a quiz, What’s Your Message? on The Youth Council website: www.theyouthcouncil.org. Mary Ellen Hettinger, APR, is an awardwinning reporter, editor and writer, and accredited public relations professional. She’s also the Director of Public Relations and Communications for Breathe New Hampshire, a 100-year-old nonprofit dedicated to lung health.

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From brushing to fluoride By Andrea Bushee Belanger

inding your child a dentist by their first birthday and brushing teeth as soon as they erupt are important practices, said Steven Chapman, pediatrician at Dartmouth-Hitchcock in Lebanon and New Hampshire oral health advocate for the American Academy of Pediatrics.

1 part fluoride to 1 million parts water (parts per million or ppm). Some areas near where Cheifitz practices have fluoride that measures up to 9 parts per million. He sometimes has to caution parents to not let children drink the water at home and in extreme cases, the family is not even able to cook with water from their wells. Although there are concerns about some children consuming too much fluoride, there are also concerns about children who need it the most. The American Academy of Pediatric Dentistry First teeth come in at about six months and parents may be guidelines for supplemental surprised to find they should start brushing right away. fluoride outline that the Some pediatric offices, like Chapman’s also offer topical fluoride primary caregivers treatments. Chapman says 18 months is about the age when he begins using a fluoride varnish and the practice is starting to catch dental health should be considered. If they on with pediatricians throughout the state. have cavities, fluoride But even if a child receives fluoride varnish in a pediatrician's might be suggested office, they still need to see a dentist. for their children. Andrew Cheifetz, pediatric dentist at Children's Dental Center Low socioof New Hampshire in Amherst, said the first visit with a dentist is economic status, primarily about meeting the family, discussing best practices like putchildren who have ting your child to bed without a bottle, brushing and fluoride, as well several sugary as answering questions the parents have. Unless the child has dental issues, Cheifetz said he may not even drinks or snacks a day or are put to see the child back until a year or more after that first visit. “As soon as your teeth come in, you can get cavities,” Cheifetz said bed with a bottle that contains sugary liquids, which is why it is important to establish good dental habits very early. Dentists tell parents to use toothpaste containing fluoride on chil- are among some of the dren starting at about 1 year, Cheifitz added, although some dentists other risk factors professionals consider. hold off on that recommendation until the child is 2. Parents should speak with their child’s doctor and A smear of toothpaste or an amount about the size of a piece of dentist about what kind of dental care is best. rice is what most doctors suggest using on younger children. “A little bit goes a long way,” Cheifitz said, he tells patients to start Andrea Bushee Belanger is a PMA award-winwith about half the size of a pea. ning freelance writer and mom

Fluoride: How much is too much?

Guidelines regarding fluoride supplements have changed in the past several years, Cheifitz said. Pediatricians routinely prescribed fluoride supplements to patients 6 months to 16 years who do not have fluoride in their well or town supplied water. New pediatric dental recommendations suggest supplementing with fluoride pills only if a child is at higher risk of tooth decay. This helps with what Cheifitz calls the “halo effect.” Although there might not be fluoridated water at home, the children may spend a lot of time at their grandparents or another place where there is fluoride in the water. If they are on supplements and drinking it in the water on a regular basis, they may be getting too much. Fluoride comes from many different sources and too much can cause fluorosis of the teeth, which can result in a brownish staining. In New Hampshire fluoride naturally occurs in some areas; people with well water should test to see how much fluoride they have. Cheifitz has some patients whose fluoride level in their well water is way too high for children to drink. The recommendation for fluoride in water for children is

living in Pembroke.

april 2017 www.parentingnh.com 29

The secret to well-adjust A beginner’s guide to seeing a chiropractor, for adults and kids

•

By Jacqueline Tourville

ost people don’t think about visiting a chiropractor until they are in pain. But there are many reasons why chiropractic care may be a benefit for you, and for your kids, even if you don’t have a sore back at the moment. What can seeing a chiropractor offer your family? Here’s what you need to know.

How chiropractic works

Chiropractic care is a form of alternative medicine that uses no medication or surgery to produce results. Instead, a chiropractor uses hands-on techniques to manipulate and adjust spinal vertebrae that have become misaligned, usually as the result of injury, bad posture, or repetitive stress. As the American Chiropractic Association explains, “Chiropractic is a natural form of health care that uses spinal adjustments to correct misalignments and restore proper function to the nervous system, helping your body to heal naturally.” Many adults visit chiropractors because they are seeking pain relief for back, neck, join pain or headaches, especially migraines. According to the National Institutes of Health, research backs up chiropractic’s effectiveness in these areas. Other people use chiropractic care to address health issues that are connected to the nervous system, including fibromyalgia, attention deficit disorder in children, depression, immune system issues and more. You can read and hear about all kinds of chiropractic success stories, but mainstream studies on chiropractic for treating these types of conditions, however, tend to be small or inconclusive.

Finding a chiropractor

Chiropractors have attended four years of chiropractic college, hold a license to practice, and have passed national board examinations. Many insurance companies cover chiropractic treatments as part of standard care. One survey of insurance plans offered through the Affordable Care Act found that a majority offered some kind of chiropractic benefit. A single standard chiropractic visit can cost anywhere from $25 to $75 or more. Some chiropractors may offer sliding scale fees to make treatment more affordable. To find a chiropractor, check online for reviews, get word of mouth recommendations, and keep your eyes peeled the next time you are at a local wellness fair. If you see someone with a long table and a skeleton prop, chances are you’ve found a chiropractor.

30 www.parentingnh.com april 2017

ed families Your first visit

At your first visit, your chiropractor may take X-rays and will ask you questions about your health and the issues that brought you there. The chiropractor will also take time to educate you about neck and spinal adjustments, what it can help with, and how it can help address the issues you are facing. The adjustment itself can be compared to getting a massage, except you remain fully clothed. And the technique is very different as the chiropractor goes through a series of manipulations to your neck and spine to correct alignment. An adjustment is not supposed to hurt, though it can be unnerving to hear the sound of your vertebrae moving back into place. Dr. Cindy Lanzara, a chiropractor at Results Chiropractic in Nashua, prepares her patients by telling them that they might hear a sound like “popcorn popping.” Some people feel instant relief after an adjustment, for others it takes time, and multiple adjustments. As Dr. Lanzara said, once you feel relief, the key to staying painfree is maintenance. “Some patients come in until they are pain-free, this is referred to as relief care; others choose…to maintain the level of health they have achieved, hence they return for periodic spinal check-ups. [It’s] just like the importance of regular checkups for your eyes, teeth, blood pressure, and cholesterol.”

Kids and chiropractic

For children, chiropractic care can start from birth. “Often times the birth process can cause spinal misalignments,” Lanzara said. “If a spinal misalignment is detected early and corrected, the child will be able to develop a good spinal structure. It’s similar to dental checkups…the earlier you begin caring for your teeth, the lesser the risk for tooth decay and cavities. The same concept goes for your spine.” Different techniques (more like gentle massage) are used for small children. As kids grow, chiropractic can be used to help combat ear infections. A clogged ear that’s not draining properly is often a sign of misaligned vertebrae. A chiropractic adjustment can help the ear drain normally, avoiding infection — and antibiotics. Other pediatric health issues chiropractors treat include ADD symptoms, usually combined with nutritional therapy. For children involved in sports, chiropractic is often used to provide relief for bumps and bruises, and may be viewed as “complimentary care” to physical therapy. Sound like something you are interested in learning more about? To find the right chiropractic doctor for your child, look for chiropractors who belong to the International Chiropractic Pediatric Association (www.icpa4kids.org). For general information about chiropractic care for all ages, contact the NH Chiropractic Association (www.nhchiropractic.org). Jacqueline Tourville is a freelance writer and children’s book author who lives on the Seacoast.

april 2017 www.parentingnh.com 31

When it’s more than just a New treatments for migraine sufferers • By Rob Levey

ew and non-traditional treatments are giving migraine patients hope that they will experience less pain and fewer headaches from the neurological condition.

Is it a migraine?

Tension headaches are characterized by pain around the top and both sides of the head and neck, but migraines are much more severe and usually accompanied by extreme sensitivity to light, sounds and smells. Additional symptoms include nausea and vomiting, changes in vision, difficulty sleeping, anxiety and depression. A migraine, however, is not simply a bad headache, according to Ryan Khalsa, DC of Dynamic Chiropractic. “It is a neurological condition that effects the sensitivity of the part of the nervous system that deals with regulating pain,” he said. “The result is heightened pain perception due to a lack of ability for the brain to ‘dampen’ pain signals.” He said those that suffer from migraines have brains that are genetically predisposed to become easily excitable. He said they also lack strong inhibitory control over key areas of their brain. “This tendency for head pain is just one feature of a broader migraine ‘disease,’” said Dr. Khalsa, who treats patients at Whole Life Health Care in Newington. Noting approximately 30 percent of adults have reported experiencing one, Mary Lynn Fahey MS, ARNP, Nurse Practitioner at Whole Life Health Care, said migraines are often distinguished by pain on one side of the head. She said many describe it as “pulsating.” “Migraine sufferers often can't engage in usual activities while having headaches,” she said. Although not experienced by everyone, one classic symptom is an aura. Geoffrey Starr, MD of Core Neurology, located in the Center for Orthopedics & Movement in Exeter, described it as a visual phenomenon that precedes a migraine. “It comes out of the blue and the person develops flashing lights or zig-zag lines,” he said. “It may come on slowly, too, and gradually worsen.”

Triggers

32 www.parentingnh.com april 2017

Before deciding on a treatment for migraines, Fahey said it is important to first understand what may be causing or triggering them. “The individual is often asked to keep a headache log to track when headaches occur, what their diet and activity were like at the time,” she said. “We also ask them to track any symptoms that happened before or with the headache, how they treated it and how long it lasted.” Dr. Khalsa noted that common triggers include musculoskeletal pain, fatigue, alcohol, dietary factors, weather change, hormonal change, alterations to sleep habit, and altitude. According to Dr. Starr, the key for migraine sufferers, though, is to first recognize that what they are experiencing is not a headache. “A lot of people are walking around and writing them off as headaches, tension headaches,” he said. In such instances, these individuals often turn to over-the-counter products or use caffeinated products. “When the medicine wears off, it triggers another headache,” said Dr. Starr, who referred to these episodes as analgesic-rebound headaches. “Migraines that were once a month turn into once a week and then daily.”

headache Treatment

According to the experts, there are many new treatments available for migraines from both a traditional and non-traditional perspective. In regards to traditional approaches, Matthew Robertson, M.D. with Appledore Medical Group in Portsmouth said regular migraine sufferers have historically taken daily medications that were originally designed for blood pressure management. “Many of these medications work reasonably well, but often have limiting side effects,” he said. “More recently, Botox injections every three months have been used with good efficacy to reduce migraine frequency and severity.” He said there has also been renewed success and interest in a simple clinic-based procedure that targets the sphenopalatine ganglion called SphenoCath. The SphenoCath device delivers anesthetic through the nasal cavity, effectively delivering a sphenopalatine ganglion block for migraine pain, according to the company. “It has worked quite well for both migraines and other types of head pains, including trigeminal neuralgia,” he said. According to Dr. Khalsa, one newly discovered, non-invasive, drug free treatment for migraines is Pneumatic Ear Insufflation therapy, which he said can provide immediate relief of pain. It involves using a simple device called an insufflation bulb that attaches to a common instrument used to look inside the ear known as an otoscope. “The insufflation bulb creates a suction on the ear drum, which moves the ear drum in and out,” he said. “Within minutes, a person in the midst of a migraine can be completely free of pain by creating this movement on the ear drum.” Noting that the reason as to why this works to decrease pain during a migraine is still being studied, he said it is theorized that moving the ear drum in this manner during a migraine stimulates a specific nerve. “This nerve is linked to a key area of the brain involved in a migraine called the trigeminal nucleus,” he said. “This stimulation overrides the pain of the migraine. In the cases where it works for people, the effect is immediate and long-lasting.” From a nontraditional perspective, Dr. Robertson said there are certain herbal supplements that have been reasonably well studied with proven efficacy in migraine prevention. When taken at 75 mg twice daily, Butterbur has been shown to reduce migraine frequency and severity. He said there are issues, however, with relying on herbal supplements. “The trouble is that there is no guarantee as to the exact amount of active ingredient in any given pill, which can lead to varying results,” he said. Talk to your doctor before starting an herbal supplement regimen. Other nontraditional treatments include several devices that rely on supraorbital (above the eye) transcutaneous (through the skin) electrical stimulation, which have been shown to help with migraine frequency. “These devices, such as Cefaly, are placed on the forehead once or twice per day and provide pulses of electrical stimulation,” said Robertson. Fahey cited other alternative methods to treating migraines. “Acupuncture, biofeedback, and massage therapy have been found effective by many migraine sufferers,” she said. In looking ahead at the treatment of migraines, Dr. Starr expressed enthusiasm at a new class of drugs that are being tested that he says possess different mechanisms of action. “They could be more effective than the ones we have now with less risk and side effects,” he said.

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april 2017 www.parentingnh.com 33

What you need to know about teen

wellness visits

As your child grows into adulthood, their medical needs change By Rob Levey

34 www.parentingnh.com april 2017

t happened so fast. Your cute and adorable child has become an adolescent. What, if anything should change regarding medical care? According to Kimberly O’Mahoney, FNP at Families First in Portsmouth, the American Association of Pediatrics and the American Academy of Family Physicians both encourage annual wellness visits for teens. During these visits, she said at minimum they check for vital signs and review their immunization records as well as the history as to why they are visiting the office. “They also include screenings for hearing, vision, lead, hemoglobin, lipids and other issues as deemed necessary, recommended by guidelines, or based on an individual provider's knowledge of the patient/family,” she said. She said an example of a specific screening includes the Adolescent Risk Assessment (ARA). “It is a confidential screening given to all of our 12 to 18 year old patients,” she said. “It deals with the ‘sex/drugs/ rock and roll’ of kids’ lives, which is the way I lightheartedly get parents to leave the room so that their child and I can get some one-on-one time.” She said these private discussions are particularly crucial, as teens often divulge information they would not otherwise feel comfortable telling their parents or caregiver. “They need to know I will hold this information in confidence, and there are very few instances which require me to share this with others,” she said. Anna Swan, ARNP at Whole Life Health Care in Newington, said they generally recommend to parents that they leave the room during a physical for children older than age 14. “Above age 14, children can talk to providers about drugs, alcohol and sex—and unless we feel like they are in danger, we legally do not have to inform the parents,” she said. During these times alone, Elizabeth Melendy, MD, FAAP at Core Pediatrics and Adolescent Medicine-Plaistow office, said she discusses numerous subjects with teens, including puberty changes,

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social pressures, friend drama, sexuality, and substance abuse. She said the most important part of their assessment is screening teens for depression, as they are at higher risk for suicide. “We want teens to know that we are here to support them if they are feeling depressed and there is always help available,” she said. Dr. Melendy said that depression, anxiety or substance abuse can sometimes sneak up on parents, as teens often initially engage in some isolating behavior or have a bad “attitude.” “Parents understandably often attribute this to ‘hormones,’” she said. “If these behaviors are persisting, or if they are suddenly doing poorly in school or getting in trouble — either legally, at home or in school — then this may need further assessment.” In conducting annual checkups, O’Mahoney said she approaches girls and boys differently. She cited sexual health and risk-taking behaviors as just two examples of subjects she might approach differently with each of them. Dr. Melendy agreed and noted that boys and girls both experience tremendous pressures during adolescence. For any issue, she said they try to remain sensitive to a teen’s concerns to ensure they have “the happiest, healthiest life possible.” “For boys, it is sometimes peer pressure to fulfill society expectations for men — be strong, perform well in sports, grow tall, etc.,” she said. “Girls sometimes feel societal pressure about their size and watch their weight or their appearance, hair, makeup, body type…Girls also often have concerns about menstrual cycle, cramps or irregularity.” Dr. Melendy said they additionally discuss academics and time management concerns with adolescents, as middle and high school presents substantially more demands. “We also focus on autonomy and developing safe independence,” she said. There are circumstances, however, in which visits should take place more frequently, O’Mahoney said. “For example, if I have a patient on medication for asthma, depression or ADD, I am seeing them at least every three months,” she said.

According to Swan, any prolonged issues might warrant an impromptu visit to a provider, including headaches, nausea, vomiting, diarrhea, fevers, aches/pains and rashes. “Other concerns are behavior issues not resolved at home or school, anxiety or mood changes interfering with daily life – sadness, loneliness, and isolation,” she said. “Those are a few and the major ones we see.” While periodic fatigue is normal for teens, persistent sleep issues are a more serious concern. “As adolescence approaches, the normal circadian rhythm starts to shift — feeling tired later at night and wanting to sleep later into the morning,” Dr. Melendy said. “This shift can bring about problems with adequate sleep or fatigue.” Swan agrees and added, “If they complain of continued fatigue after nights of ‘normal sleep’ of eight to 10 hours each night or they are requiring extra naps, generally we want to see them.” As for whom teenagers should see for their medical checkups, Swan cited adult nurse practitioners, family nurse practitioners, pediatric nurse practitioners, pediatricians, family doctors, and even some internists. “Pediatricians have training from birth through the college years,” added Dr. Melendy. “We love all ages, but teens and young adults definitely have different needs than a younger child. Our training helps to address these specific adolescent issues. Past the age of 18, some could choose to move on to a family practice physician or family nurse practitioner. If there is one thing a parent can do to best support his/her teen in-between exams, O’Mahoney cited consistent communication with the provider. “Providers appreciate being made aware of life-changing events in a kid's life — job loss, divorce, death, family issues, housing change or challenge. It all can have an effect,” she said. “Parents need to know that it is important for kids to be seen by their providers and to consider us a safe place for their children to share physical as well as emotional/psychological concerns.”

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Your baby’s growing up: transitioning from pediatrics to adult primary care Children grow up whether we are ready or not. As parents, we want to prepare our children for their lives beyond us. One of the many changes our children will experience as young adults is the transition from a pediatric medical provider to an adult medical provider. This transition doesn’t start with the first visit to a new provider at the age of 18, but begins in the early teen years in the preparation for this change. Starting as early as the age of 12, it’s important to give your child alone time with the pediatrician. This gives the child an opportunity to discuss anything he/she wants without a parent in the room. No matter how close the parent/child relationship is, children may be more comfortable discussing sensitive topics with another trusted adult. Children by this age should be able to list medication allergies and what reaction they have to those medications. In addition, they should know any medications with dosage that they take. In the later teen years, children should attend visits on their own with parents attending at the very end to ensure all concerns are addressed. There are also important legal, privacy related issues to consider as your child grows up. Here in the state of New Hampshire, children at the age of 12 can seek care for pregnancy and drugs or alcohol without parental permission. As a result, special permission is required to release medication information, lab results or appointment information to anyone other than the child himself. As your child nears 18, it’s a good idea to have your teen start to think about who will replace their pediatrician. It’s important to find a doctor your child is comfortable with and trusts, and this provider should be easy to reach if your child is heading off to college as well. Remember, once your child reaches the age of 18, he/she is considered an adult so no information will be released to anyone other than your child. After the age of 18, your child will need to call on their own for advice on an illness, questions about a symptom, or results of lab testing. If your child will be going away to school and would like you to be able to continue to make appointments, request medications, get lab results or immunization records if needed on their behalf, forms will need to be signed by the young adult. Once a child transitions to an adult provider expectations are that the child will be able to take care of the majority of these things on their own. Transitioning to an adult provider is one of the many ways we help our children navigate the independent adult world. If you or your child have questions related to transitioning from pediatrics to adult primary care, contact your child’s health care provider. Lisa E. Atkinson, MD is an internal medicine/pediatrics physician at Dartmouth-Hitchcock Concord. Dartmouth. Dartmouth-Hitchcock Concord has been in the community for over 26 years and is committed to caring for your primary and specialty care needs. For more information call (603) 226-2200 or visit dartmouth-hitchcock.org.

36 www.parentingnh.com april 2017

Go veggie when you go out NH restaurants are offering delicious meat-free dishes for the entire family • By Michelle Lahey

ating less meat is better for the environment and better for our health, experts say. But cheeseburgers and steak are really, really tasty. Thankfully, chefs around New Hampshire are making meatless dishes more delicious than ever, so that – at least one or two days a week – adults and kids alike can easily pass on the meat. Fortunately chefs are making sure that going meatless doesn’t mean your only option is a mediocre salad. Vegetarian dishes can include everything from vegetable-filled pasta dishes to vegetarian burgers to pizzas piled high with non-meat toppings – and yes, even salads that are more interesting than boring. “We have a WoodFired Vegetable Salad that makes a great meal,” said Katie O’Brien, human resource and guest relation manager of Lui Lui in Nashua and West Lebanon. “It has balsamic-glazed vegetables, [including] zucchini, squash, car-

rots, peppers, broccoli and mushrooms.” At Lui Lui, the vegetarianfriendly options also go well beyond the salad offerings. Kids and adults will also both love light yet satiating dishes such as the Mediterranean Flatbread, topped with marinated plum tomatoes, Greek olives, feta, mozzarella and scallions, as well as the eggplant parmesan. “Our eggplant parmesan is very popular,” O’Brien said. “We slice the eggplant thinly so it is nice and crispy from the breading.” Having a meatless meal can be tricky for the pickier, younger eaters in your brood, but when all else fails: comfort food is a good go-to. “I believe that a lot of vegetarians come to us because they can be bored with the normal vegetarian options, and Mr. Mac’s provides something that is different and satisfying,” said Mark Murphy, vice president of operations at Mr. Mac’s in Manchester and Portsmouth. Most kids would not be too bummed to dine at a restaurant that specializes in macaroni and cheese, which is why Mr. Mac’s is a safe bet for all the palates in your family. While Murphy points out that their most popular entrée is the Classic All-American mac and cheese, guests can also add a variety of vegetables to their pasta for a nutritional boost. “[One of our] most popular vegetarian options is our Jalapeño Popper Mac,” Murphy said. “This mac has chopped jalapeños mixed with Cabot’s mild cheddar, American and Muenster cheeses, and then topped with more cheese and breadcrumbs.” For adults looking for a lighter bite while the kids dig into their cheese-laden pasta creations, Mr. Mac’s also offers customized salads to help balance out the meal. Anything from pickles to onions to broccoli can be added to a salad to increase the satiety factor.

“What most parents will do is get a large salad and share with the family before the meal or as a side,” Murphy said. “Popular combinations tend to be a salad loaded up with other veggies.” In Hanover, Molly’s Restaurant also makes a macaroni and cheese dish that’s popular with kids, and their kids’ menu highlights meat-free, healthful options such as apples with peanut butter. “In addition, Molly's Super Food Salad is also a great vegetarian seller on our menu,” said Justin Hoyt, chef at Molly’s Restaurant. The Super Food Salad consists of kale, shaved Brussels sprouts, cabbage, radicchio, avocado, and Napa cabbage, topped with fresh tomato and almonds and served with green goddess yogurt dressing on the side. While Molly’s house-made black bean burger isn’t the most popular menu item with the little diners, it’s a big hit for adult patrons looking for a meat-free option. “We made the decision to stay with our own inhouse black bean burger to make sure we use all fresh ingredients and have no additives that are [often] found in the pre-made burger patties you find in the stores,” Hoyt said. Bean burgers and vegetable-loaded pasta not your thing? Other easy-to-find meatless alternatives – that are ideal for any palate and age – include classics like falafel, vegetarian chili, vegetable quesadillas, and caprese sandwiches, made with mozzarella, basil, and tomato, to name a few. Whether you’re looking to become a full-time vegetarian or just want to cut back on the meat a few times a week, meatless dishes have become a lot more exciting over the last few years. From inventive salads to gourmet mac and cheese loaded with vegetables, there are plenty of meat-free options across the state that the whole family can enjoy. Michelle Lahey is a food writer who was born and raised in New Hampshire. She also blogs about food at www.ahoppymedium.blogspot. com.

april 2017 www.parentingnh.com 37

38 www.parentingnh.com april 2017

April vacation

family fun

Add some excitement to spring break with these family-friendly events By Jacqueline Tourville

he days are growing longer, the sun is getting warmer, and the grass is finally green. Who needs Florida when you’ve got springtime in New Hampshire? If you’re sticking close to home for spring break, fill your week with kid-friendly fun.

The start of spring break coincides with Earth Day, so what better way to kick off vacation than by showing Mother Nature a little love? On Saturday, April 22, in Dover, head to the Children's Museum of New Hampshire for its annual Earth Day Celebration and the opportunity for little visitors to get their hands dirty while learning about plants, animals, and protecting the local ecosystem. www. childrens-museum.org Just up the Spaulding Turnpike in Milton, the New Hampshire Farm Museum’s Earth Day Festival, also taking place Saturday, April 22, celebrates the springtime planting season. Families can plant spring vegetables and learn

how to compost and build a raised bed garden at home. Families are also encouraged to take a walk on the farm’s nature trail to enjoy the fields and woods as they come to life. www.farmmuseum.org At Strawberry Banke in Portsmouth, get ready for cuteness overload when heirloom breed lambs, kids (the baby goat kind), piglets, bunnies, chicks and more make their spring debut at the museum. From Saturday, April 22, through Sunday,

April 30, kids (the human kind) can get an up-close look at baby animals, and learn about raising and caring for farm animals. Look for the big tent on the museum’s Puddle Dock lawn. www. strawberybanke.org Spring is certainly a time of new beginnings, but for the Ringling Bros. and Barnum & Bailey Circus, this spring marks the end of the legendary big top’s 146-year run. Catch the amazing animals and performers one last time in New Hampshire, Saturday, April 21, to Sunday, April

april 2017 www.parentingnh.com 39

23, at the SNHU Arena in Manchester. The Greatest Show on Earth’s Circus XTREME promises two hours of thrilling entertainment including high-wire wizards, powerful strongmen, BMX trick riders, trampoline daredevils, a high-flying human cannonball, and more. Tickets start at $10. www.snhuarena.com Continue the circus-themed fun at Manchester’s Currier Museum. On Monday, April 24, the museum’s always popular story time and craft drop-in program features the picture book, Roar: Calder’s Circus, which is about artist Alexander Calder making a toy circus from bent wire. After the story, kids can create their own wire circus figure. Story time starts at 11:30 a.m.; all ages are welcome. During vacation week, museum admission for adults is $5 and children under age 13 get in free. www.currier.org This year marks the 25th anniversary of the Seacoast Science Center at Odiorne Point State Park in Rye. To celebrate, the center is offering 25 weeks of special programs, through September. During spring break week, the theme is Isles of Shoals. After visiting the center’s mini aquarium and touch tank, learn about the mysterious string of islands located just a few miles from shore — use the center’s binoculars to get an up-close view. Kids can also participate in the center’s new Blue Rangers Badge Program, where the more they explore and learn, the more badges they earn. www.seacoastsciencecenter.org The Nashua Public Library wants to help keep tweens and teens busy during spring break week with drop-in craft projects each weekday, like duct tape art day on Wednesday, April 26. On Monday, April 24, and Tuesday, April 25, the library hosts Minecraft and Wii gaming afternoons for the same age group. The entire family can come back Satur-

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Summer programs for children and teens ages 9 - 19

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40 www.parentingnh.com april 2017

CAMP PONEMAH at Hampshire Hills Athletic Club

Stop Motion Animation

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Lasting Friendships. Exceptional Staff. Full Day/5-12 Yrs Half Day/3-5 Yrs Bus Transportation Swim & Tennis Lessons Weekly Themes & Field Trips

For more information and registration for Summer Theatre Camp, please visit our website or contact our Education Administrator Andrea Underhill at (603) 816-2695 or andreau@peacockplayers.org.

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hampshirehills.com april 2017 www.parentingnh.com 41

day, April 29, for the library’s much-anticipated annual book sale, with books and CDs/DVDs for all ages. www.nashualibrary.org For some spring break party action, look no further than the Manchester Public Library’s Minion Party, on Wednesday, April 26, from 3:30 to 4:45 p.m. Play games, and make your very own Minion pal. Best for kids in grades K-5; registration is required. Do you have any Star Wars fan in your family? Head back to the Manchester Public Library on Saturday, April 28, for Star Wars Day. From 3-5 p.m., you can test your knowledge of a galaxy far, far away; play games, and make Star Wars-related crafts. Refreshments will be served. All ages are welcome; registration is recommended. Vaca-tion week programming takes place at the library’s main branch on Pine Street. Call 624-6550 ext. 3328 for more information. Ready to take a walk on the wild side? On Sunday, April 29, the New Hampshire Fish and Game Department’s always fun and exciting Discover WILD New Hampshire Day takes place at the department’s headquarters in Concord. Explore New Hampshire’s wildlife resources and outdoor traditions with crafts, games, and hands-on learning ac-tivities, including archery, casting, and fly-tying. Plus, see live animal exhibits, big fish, trained falcons, and more. Admission is free. Consider this a preview of all the summer fun in the great outdoors that’s coming your way. www.wildnh.com

APPLE TREE FARM

Jacqueline Tourville is a freelance writer and children’s book author who lives on the Seacoast.

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July 10 - 14 • July 24 - 28 Aug. 14 - 18 Week includes daily riding lessons and many fun activities & games focusing on horsemanship, health care, and barn safety.

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april 2017 www.parentingnh.com 43

Only the best We are proud to announce that Parenting New Hampshire was honored seven times by the Parenting Media Association at its 2016 Design and Editorial Awards Competition.

Just for you!

Publisherâ&#x20AC;&#x2122;s Note, Ancillary Publication Overall Design and Ancillary Publication General Excellence, and a bronze award for News Feature. This marks the 10th year in a row that Parenting New Hampshire has been honored by PMA, and we are flying high.

Parenting New Hampshire brought home gold awards for Humor Column, Special Series and Service Feature; silver awards for Editorâ&#x20AC;&#x2122;s Note/

NEW HAMPSHIRE

44 www.parentingnh.com april 2017

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A Unique Summer Camp for Boys Ages 10-14 Located in Vermont’s Green Mountains IT’S NOT TOO EARLY TO THINK SUMMER! ▲ tipi living ▲ nature crafts ▲ canoeing archery ▲ wilderness skills ▲ swimming ▲ backpacking ▲ hiking ▲ atlatls & ‘hawks bison jerky ▲ cooperative work & play and lots more!

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CAMP BIRCH HILL With a focus on each individual camper Birch Hill offers over 50 activities to choose from to create a personalized schedule. Let’s have a fun summer! AN AUTHENTIC SLEEPAWAY CAMP EXPERIENCE IN THE LAKES REGION OF NH

BOYS & GIRLS AGES 6 –16 • 2, 4 & 6 WEEK SESSIONS

summer@campbirchhill.com

WWW.CAMPBIRCHHILL.COM april 2017 www.parentingnh.com 45

cook•with•your• kids CELEBRATE THE EARTH – ON EARTH DAY AND EVERY DAY

By Susan Nye

he first Earth Day, a brainchild of U.S. Sen. Gaylord Nelson of Wisconsin, was celebrated in 1970. His goal was to raise awareness of water and air pollution and spark public demand for environmental protection. Let this historic day motivate you and your children to think up some earth-friendly activities for school vacation week. Here are a few ideas to get your started:

Start your garden. Stock up on peat pots, soil and seeds — think flowers, fruits, vegetables and herbs. You and the children will have fun getting your hands dirty. Find a sunny window and water regularly. By Memorial Day, your seedlings will be ready to transplant. Whether you plant an enormous garden or have a few containers on the deck, the kids can take pride in what they grow. Recycle the clutter. Donate once-loved, now-ignored toys to your favorite charity-based thrift store or homeless shelter. Be ready for the inevitable rainy day. Chances are good that you will have a rainy day or two during the vacation. If you need to stay inside, get creative with upcycle crafts. You and the kids can turn old socks into puppets, egg cartons into fanciful creatures, and cardboard tubes and boxes into architectural wonders. When you’re ready to relax, enjoy a marathon of environment-themed movies like Whale Rider, Happy Feet and Wall-E. Spend time outside. Take a family hike in a nearby park or discover a new nature trail. Don’t forget your rubber boots – it’s a pretty good bet there’ll be mud on the trails. Look for the first buds of spring and snap some photos. Take a few deep breaths and celebrate New Hampshire’s fresh air and beautiful scenery. Be a good citizen. Pass out rubber gloves and grab some trash bags. Enjoy the sunshine while you walk around the neighborhood and pick up trash from the side of the road. Cook green. Let the children help you in the kitchen and add a touch of green. From pasta with pesto to spinach pizza, you may discover some new family favorites. Susan Nye writes for several New England magazines and newspapers. She shares stories and recipes on her award-winning blog Around the Table at www.susannye.wordpress.com.

PIZZA WITH SPINACH & MUSHROOMS Serves 4 - 6

• • • • • • •

Olive oil 8 oz. mushrooms, sliced 1 onion, cut in half and into thin wedges Pinch hot pepper flakes Sea salt and freshly ground pepper 1 clove garlic, minced 16-20 oz. pizza dough (your favorite recipe, store-bought or from your favorite pizzeria) • About 12 oz. frozen spinach, thawed and well drained • 6 oz. shredded mozzarella Preheat oven to 450 degrees. If you have a pizza stone, place it in the oven. Heat a little olive oil in a skillet over medium-high heat. Add mushrooms, season with salt and pepper and sauté until golden. Remove from pan and reserve. If necessary, add more olive oil to the skillet. Toss in the onion, season with pepper flakes, salt and pepper, and sauté until golden. Stir in the garlic and cook 1-2 minutes more. Remove from heat and reserve. Stretch pizza dough into a circle or roll out with a rolling pin. One large pizza can be unwieldy, so if it’s easier, split the dough and make two. Place the pizza or pizzas on parchment paper. Top with spinach, onion and mushrooms and sprinkle with shredded mozzarella. Transfer pizza(s) to the pizza stone or a baking sheet. Bake until the cheese is bubbly and crust is crisp; 10-15 minutes if are using a baking sheet, or about eight minutes if you use a pizza stone. Remove from oven and let rest for a minute or two before cutting into wedges to serve.

46 www.parentingnh.com april 2017

PASTA WITH PESTO AND ROASTED TOMATOES Serves 4

• 4-8 firm, smallish to medium-sized tomatoes, cut in half • Extra-virgin olive • Red wine vinegar

• Kosher salt and freshly ground pepper to taste • 4-5 c. gently packed fresh basil leaves • 1-1 1/2 c. gently packed fresh flat leaf parsley leaves

Preheat oven to 375 degrees. Put tomatoes on baking sheet, drizzle with just enough equal parts olive oil and vinegar to lightly coat, season with salt and pepper and toss to coat. Arrange tomatoes in a single layer and roast for about 30 minutes or until tender and caramelized. While the tomatoes roast, make the pesto and cook the pasta. Put the basil, parsley, garlic and a tablespoon of vinegar in a food processor, season with salt and pepper and pulse to chop and combine. With the motor running, slowly add about 1/2 cup olive oil. Process until smooth.

• • • •

3-4 cloves garlic, minced 8-12 oz. of your favorite pasta 1/4 c. pine nuts, toasted About 2 oz. (1/2 c.) or to taste grated Parmigiano-Reggiano cheese

Makes about 1 1/2 cups and you’ll need about 1/2 cup for this recipe. If making ahead, cover and store in the refrigerator until ready to use. Cover and store extra pesto in the refrigerator or freezer. Cook pasta in salted boiling water according to package directions. Drain well and return to the pot. Add enough pesto to coat and toss to combine. To serve: Transfer pasta to shallow bowls, arrange tomatoes on top of the pasta and sprinkle with pine nuts and Parmigiano-Reggiano cheese.

april 2017 www.parentingnh.com 47

★★★

13TH ANNUAL 10

★★★

dad onTHE board SAVE DATE!!! Wednesday, Daddy Film Festivals April 30, 2014 censored 5:30pm - 7:30pm

MY CHILD HAS SEEN ONLY THE FIRST 15 MINUTES OF MANY OF MY MOVIE FAVORITES Pick up your free copy of Parenting New Hampshire magazine at more than 600 locations throughout the state! Or visit us at parentingnh.com. Connect to us anywhere, at any time.

Try it!

SAVE THE DATE! Wednesday, May 3rd, 2017 5:30–7:30pm New Hampshire Motor Speedway Join us for free bike and helmet safety checks, healthy snacks and educational handouts Your family can bike on the same track driven by your favorite NASCAR stars! For more information, contact Safe Kids New Hampshire at (877) 783-0432 or James.E.Esdon@ hitchcock.org

48 www.parentingnh.com april 2017

BY BILL BURKE

For more information, contact Safe Kids New knows Hampshire y daughter that the Dude abides, at (877) orme the worst father which783-0432 probably makes IPC@Dartmouth.edu ever. One of the fun things about having a 14-year-old is that I’m getting a chance to share with her some of the pop culture touchstones that we’ve been referencing since her birth. I’ve been quoting movies as far back as she can remember, and she’s at the point where I can now put many of those repeated references into context for her. We often have Daddy Film Festivals on lazy Sundays, screening such influential and critically acclaimed titles such as “The Highlander” and “Caddyshack.” This can be good, but it has made me rethink some choices. The fun thing for me is that she’s curious about what inspires her mom and I, what makes us laugh, and what has stuck with us over the years. The frustrating thing for her is that I won’t let her watch most of them. “’Pulp Fiction’ is such a great movie. No, you can’t watch it.” “’Slapshot’ is the best movie of all time. But you can’t watch it.” “You’re going to love ‘The Usual Suspects.’ Just not today.” Lately, however, she’s convinced me to let her watch a few films that I tend to bring up more than others. She asked to see “The Big Lebowski.” I told her the language was too harsh. She countered with the, “I’m in high school – I’ve heard it all before” argument. She had a point, and because we share a similar sense of humor, I thought maybe we’d ease into it. “We’ll watch the first few minutes,” I said. “If I get uncomfortable, I’m shutting it off.” She was fine with that, so we fired up the DVD. She learned about the rug that really tied the room together, that you better mark it zero if your toe goes over the line or else you’ll be entering a world of pain, and that Walter doesn’t roll on Shabbos. But then I started to get a little antsy. As the movie went on, I started to remember scenes that would be coming up, and that my first job in life is to be a father, not a buddy. So I shut it down. “That’s it?” she said. I told her we were just taking an intermission – for about five years. I had even used my own patented method of shouting “LALALALALA” and waving my hands in front of her face during potentially embarrassing phrases, but the plot was going down a road I did not want to travel with my kid. I think she understands. I tell her that I can’t watch those things with her because I respect her and we don’t talk like that – an argument that seems both responsible and at odds with my rave reviews. The screenings have continued, though. We’ve shared movies like “The Godfather,” “Gone Baby, Gone,” and “Goodfellas.” Evidently, just films that start with “G.” It’s fun watching her reaction to scenes and lines that have become pop culture staples, and for every two hours we spend watching “True Grit,” it’s two more hours that I’m not allowing my wife to show her “Footloose.”

Bill Burke is a writer who abides in southern New Hampshire with his wife and teenage daughter who knows to leave the gun and take the cannoli.

learning curve The confidence game SUPPORT AND ATTENTION HELP STUDENTS BECOME SELF-ASSURED

BY ELIZABETH FEINGOLD

eflecting on what I could’ve changed about my school experience, it comes down to wishing I’d had more confidence. I didn’t believe in myself as a learner. And I sure didn’t believe in myself as a performer. In fourth grade I was asked to sing a solo for a school production of “Fiddler on the Roof.” I had memorized all the lyrics to the songs, had a costume, and really loved acting and singing. But when the day came to perform, I feigned being sick (sorry, mom) and stayed home because I didn’t believe I could perform in public. In high school I was chosen to sing in a select choir, and again I loved it. I enjoyed going to school early to rehearse with my fellow choral members. But when the choral director asked me to sing a solo in front of the group, I froze again, unable to sing something I easily sang when I was at home. I never believed I sang as well as my peers, and I wondered how I was chosen for this select group. Looking back, I know that was the thinking of someone who had absolutely no confidence. Those were painful experiences, and the memories remain strong and uncomfortable to this day. What could have helped a shy student who had the ability to be involved in the performing arts, but lacked the confidence to do so? Maybe if my choral director had asked me to practice with him first without my peers around, I would have gained confidence in my singing. And if I’d practiced in front of family or friends, that could’ve helped, too. There are things we can do to help students feel more confident in school. For the child who has difficulty making peer connections, we can provide opportunities to help them develop those connections. For example, if all the other students know how to do something that they don’t – like playing checkers – then working one-to-one with that student to build confidence playing that game can be constructive. Once the student gains the skills to play the game with a supportive adult, we can set up guided experiences during which they practice playing with one or two trusted peers. As the student gains confidence, we add in more opportunities to connect with other peers, which strengthens that student’s peer relationships. Some night school students have told me that no one read to them at home in their early years. Why then would we think they would feel comfortable reading out loud? We assume that all young students have been read to and are experienced at sitting quietly, listening well and taking turns reading. But the truth is not everyone has had this experience, so reading out loud can be overwhelming. In my English class, I initially do all the reading to ease the students’ anxieties, then gradually add in paired activities in which they quietly read to each other. We build on this until they feel comfortable reading to the whole group. And it’s fine that some don’t feel ready to read out loud, because developing confidence takes time. Individual attention, supportive practice, and time definitely could’ve helped this kid sing her heart out in public.

A FAMILY FUN CLUB! JOIN OUR KIDS CLUB! • A birthday shout-out on TV & online • Special kids events with VIP status • Exclusive family e-news 4 times a year • A surprise gift for kids

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Elizabeth Feingold retired from Kearsarge Regional School District, where she worked for over 30 years as a special education teacher and coordinator at the elementary, middle and high school levels. She is now a consultant and advocate. Reach her through www.seacservices.com or email seacsvcs@gmail.com.

april 2017 www.parentingnh.com 49 PARENTING NH MAGAZINE APRIL 2017 4.38” x 5.42

house calls What is newborn congenital heart disease screening? STATE LAW REQUIRES BABIES ARE TESTED 24 HOURS AFTER BIRTH

April School Vacation

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BY ALISON VOLPE HOLMES, MD, MPH

f you have had a baby in New Hampshire during the last five years, or if you are expecting, you may have heard about newborn screening for critical congenital heart disease. Obtaining this screening during the newborn’s hospital or birth center stay has been a state law since 2012. Critical congenital heart disease, or CCHD, refers to a subset of newborn heart defects that can cause life-threatening illness if not detected early. When detected early, specialty interventions provided by pediatricians, neonatologists, pediatric cardiologists and pediatric cardiac surgeons can prevent severe disability or death in many cases. The screening is simple and non-invasive. It involves placing temporary sensors, known as pulse-oximeters, on the newborn’s right hand and on one of their feet. They are like Band-Aids with lights on them. The sensors measure the percentage of oxygen in the blood and the test takes just about a minute. After 24 hours of age, any level 95 percent or above is considered normal. Due the transition from fetal to newborn circulation, there can be a difference between the level measured in the hand and in the foot, but these measures should be no more than three points apart to be considered normal. The test is not done until 24 hours of age, because normal newborns can have levels under 95 percent before 24 hours of age. If a newborn fails three hourly rounds of screening, they are referred for an echocardiogram, an ultrasound to look at the heart’s structure, before being allowed to go home. How good a screening test is the CCHD screen? It turns out that it is pretty good. Out of the approximately 10,000 births in New Hampshire each year, about 25 newborns will have CCHD. Seventeen of these will be detected during pregnancy, often by prenatal ultrasound, and in those cases parents and health-care teams should plan on delivering at an appropriate specialty care center. Of the eight remaining newborns with CCHD not detected during pregnancy, five will have symptoms or physical exam findings after delivery that allow for proper diagnosis and treatment. Of the remaining three newborns with CCHD who do not have symptoms shortly after delivery, two will fail the CCHD screen and be diagnosed through an echocardiogram. Universal screening has therefore reduced the number of newborns who don’t become ill from heart disease until after they are discharged home from the hospital from three to one each year. Many wonder how many false positives there are from CCHD screening. When done properly, the answer is not many. Annually in New Hampshire, about five newborns will fail their CCHD screen, but have a structurally normal heart. Due to the low number of false-positives, 35 states have legislation similar to New Hampshire’s, where CCHD screening is mandatory. Because the inexpensive test picks up most silent CCHD without an excessive number of false-positive results, the Centers for Disease Control and Prevention and the American Academy of Pediatrics both recommend universal CCHD screening.

Alison Volpe Holmes, MD, MPH, is vice-chairman for education at the Department of Pediatrics and Associate Professor of Pediatrics of The Dartmouth Institute, Geisel School of Medicine at Dartmouth. For more information on pediatric services at the Children’s Hospital at DartmouthHitchcock, go to www.chadkids.org.

50 www.parentingnh.com april 2017

raising teens and tweens Why teens get derailed by drugs and alcohol AND WHAT PARENTS CAN DO TO KEEP THEIR KIDS ON TRACK BY TRACEY TUCKER

Tracey Tucker is Executive Director of New Heights: Adventures for Teens and a licensed mental health counselor at Tradeport Counseling Associates in Portsmouth.

PBS KIDS! ON NHPTV WEEKDAYS 6:00 AM 6:30 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30

Cat & The Hat Arthur Wild Kratts Ready Jet Go! Nature Cat Curious George Daniel Tiger’s Neighborhood Daniel Tiger’s Neighborhood Splash & Bubbles Sesame Street Dinosaur Train Peg + Cat

SATURDAY 6:00 AM 6:30 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30

Peg + Cat Curious George Thomas and Friends Bob the Builder Splash & Bubbles Nature Cat Odd Squad Wild Kratts Ready Jet Go! WordGirl

Parenting NH APRIL 2017 1/4 page: 4.38” X 5.42”

12:00 PM 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30

Super WHY! Thomas and Friends Sesame Street Dinosaur Train Splash & Bubbles Curious George Nature Cat Ready Jet Go! Odd Squad Odd Squad

SUNDAY 6:00 AM 6:30 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30

Daniel Tiger’s Neighborhood Bob the Builder Sid the Science Kid Arthur Splash & Bubbles Nature Cat SciGirls Cyberchase Granite State Challenge Odd Squad o rg v. nhpt

hile not all adolescents will experiment with alcohol and drugs, many will be tempted and many will fall victim to the negative consequences of giving substances a try. Here are a few trends that we see in middle and high schools that indicate why adolescents may experiment. Modeled behavior: Kids learn coping skills and habits from what their parents and peers model for them. Watching people who are close to them engage in behaviors that encourage drinking, smoking or drugs, normalizes these behaviors. If parents have a drink every night to “calm down,” kids view this as normal. It is important for parents to model behaviors they want to instill in their children — healthy eating, exercising, healthy communication skills. Actions speak louder than words with this issue. Boredom: I cannot tell you how many kids come to my office and tell me that they smoke pot because they are bored. What we know from the research about healthy transitions into adulthood is that kids need hobbies, healthy outlets and social connection. Getting kids connected to peers or activities that keep them engaged and connected to something they enjoy will offset the need or desire to use drugs or alcohol. Media: Alcohol and drug use is prolific in TV, movies and social media. Although this is nothing new, the level of information coming at our kids is exponentially higher than even 10 years ago. Although there is no way to prevent our kids from seeing or hearing information about drugs and alcohol, we as parents can preemptively strike by educating our kids about alcohol and drugs. Depending on age, we can also restrict access to these outlets, to make sure that they are observing developmentally appropriate material. It is also helpful that parents watch movies and other media with their children, as well as listen to their kid’s favorite songs so they can begin a dialog about what they are hearing and watching. Escaping: Stress, anxiety, and depression can be catalysts for drug use. Drugs and alcohol give a false sense of relief or “escape” from the feelings adolescents experience. Developing this coping skill is a dangerous precedent, as most research suggests that these teens will continue to use drugs and alcohol to cope throughout their life. Helping kids understand coping skills that focus on healthy eating, exercise and communication can drastically reduce the need for kids to experiment with substances to reduce their feelings of anxiety, stress or sadness. Peer pressure: Many adolescents work hard throughout high school to fit in to the popular group and many of these kids get caught up in experimenting with substances to maintain their friendships. Some kids report that if they do not participate, it will push them out of their social network. Giving your kids scripts for when they are at parties or out with their peers allows your kids to know how to get out of scenarios they are uncomfortable with. For example, if your kid is in a situation they are not comfortable with, have them text you a safe word you’ve discussed previously that signals their discomfort. The parent can then text or call their kids and let them know that they have to come home. They can then “blame” you as an excuse for leaving.

april 2017 www.parentingnh.com 51

out about

april

HERITAGE BREEDS AT THE BANKE 22 SATURDAY – 30 SUNDAY PORTSMOUTH – Strawbery Banke, 14 Hancock St. Visitors will meet more than a dozen heritage breeds of baby animals (and their moms) under a tent on the museum grounds. Each variety is typical of livestock found in coastal northern New England farms from the 1600s to the present day. This year’s event includes Jacob sheep, Nigerian goats and Gloucester Old Spot Pigs. In addition to the animals, Strawbery Banke hosts fiber arts demonstrations and hands-on weaving activities as well as interpretive storytelling in a tent adjacent to the main tent each day. Tickets: $10 for adults and $5 for children, 5-17. Younger than 5, Strawbery Banke members and active duty military and their families admitted free. Event takes place daily, 10 a.m. to 5 p.m. www.strawberybanke.org

SLEEPING BEAUTY 2 SUNDAY

MANCHESTER – Palace Theatre, 80 Hanover St. Will the beautiful Princess Aurora prick her finger on a spindle and be cursed to sleep for 100 years? Will a handsome prince find this sleeping beauty and waken her from her slumber? Will good triumph over evil? Join Southern NH Youth Ballet as they bring the enchanting tale of Sleeping Beauty to life on stage in this magical ballet. This show is appropriate for princesses and budding ballerinas of all ages. Show length is approximately 90 minutes including a brief intermission. Tickets: Adults, $25; children (12 and younger), $20. Tea with Sleeping Beauty and her friends pre-show for an additional $20 per person. Shows at 1 and 4 p.m. 6685588; www.palacetheatre.org

HOLLIS TOWN BAND POPS CONCERT 2 SUNDAY

HOLLIS – Alpine Grove, Route 111A. Enjoy a variety of music from original arrangements to classic marches as well as an array of delicious desserts at the 56th annual Hollis Town Band Pops Concert. Tickets: $24 (includes concert plus a dessert buffet). 1:30 p.m. Call 883-2448 for tickets.

QUEEN CITY MOTHERS OF TWINS CLUB ANNUAL AUCTION 8 SATURDAY

MANCHESTER – Derryfield Restaurant, 625 Mammoth Road. Join the Queen City Mothers of Twins Club for its annual auction. Members reside in and around Manchester and have a

52 www.parentingnh.com april 2017

47-year history of assisting families of multiples in need. The club donates to other nonprofit organizations such as local food banks, Project Linus, Autism Speaks, Animal Shelters and senior citizen communities. Bid on various auction items including Disney Park Hopper tickets, Story Land passes, gift baskets and gift cards — donated by generous supporters. Cash bar and raffles. Tickets available at the door. $20 per person includes appetizers and buffet dinner. 6 p.m. www.nhtwins.com

10TH ANNUAL EARTH DAY FESTIVAL 8 SATURDAY

AUBURN – Massabesic Audubon Center, 26 Audubon Way. Help the Massabesic Audubon and Student Conservation Association celebrate the earth at their 10th annual festival. Connect with nature on the trails or through the festivities. Live

animals, drawings to win prizes, birdhouse kits for sale, games, mural painting, crafts, live music, and marshmallow roasting at the campfire. See Massabesic’s live turtles and frogs up close, as well as some of McLane Audubon Center’s birds of prey. Earth friendly businesses and organizations such as Smelly Hippie, Red Manse Farm, Amoskeag Fishways, The Healthy Porcupine and Seacoast Science Center, will share tips on how to reduce your impact on the earth. Admission: $7 individuals, $20 families. 10 a.m. to 3 p.m. 668-2045; www.nhaudubon.org

KIDS SPRING CONSIGNMENT SALE 8 SATURDAY – 9 SUNDAY

DOVER – Hellenic Center, 219 Long Hill Road. Find gently used, quality children’s clothes from infant to teen, baby gear, footwear, costumes, toys,

nursery furniture and décor, sports equipment, books and more at outstanding prices. Maternity wear also available. Proceeds benefit the Children’s Museum of New Hampshire and its education and outreach programs. Free admission. Saturday, 9 a.m. to 3 p.m.; Sunday, 10 a.m. to 1 p.m. www. childrens-museum.org

THE GOLDEN DRAGON ACROBATS

12 WEDNESDAY ROCHESTER – Rochester Opera House, 31 Wakefield St. The Golden Dragon Acrobats represent the best of a time-honored tradition that began more than 25 centuries ago. The Golden Dragons are recognized throughout the United States and abroad as the premiere Chinese acrobatic touring company. World-renowned impresario Danny Chang and choreographer Angela Chang combine award-winning

acrobatics, traditional dance, spectacular costumes, ancient and contemporary music and theatrical techniques to present a show of breathtaking skill and spellbinding beauty. Tickets: $18-$28. 6 p.m. 335-1992; www. rochesteroperahouse.com

9TH ANNUAL EASTER EGG HUNT FESTIVAL 15 SATURDAY

BEDFORD – NH Sportsplex, 68 Technology Drive. Ten thousand plastic colored eggs filled with candy and prizes will be ready on the fields for children to gather in a controlled environment. Each family will receive a ticket with a specific time to enter the egg gathering part of the event. Entertainment, magic show, the Easter Bunny, princesses, Joey the Kangaroo from Launch trampoline Park, mascots, bouncy houses, games, silent auction, bake sale, Easter Baskets raffle and

more. All proceeds support the mission to find a cure for Batten Disease. Named after Nicholas Dainiak of Bedford, OPTN has established in 2009 after Nicholas was diagnosed with this rare genetic brain disease. Nicholas lost his battle to Batten Disease on his 11th birthday. In keeping our promise to Nicholas, we continue to work toward a cure. Tickets: $8 (find family packages online). 8:30 a.m. to noon. www. ourpromisetonicholas.com

FAMILY FUNERGY FESTIVAL 22 SATURDAY

NORTH CONWAY – North Conway Community Center, 2628 White Mountian Highway. Come enjoy this hands-on investigation of energy and resource conservation. A full slate of environmentally friendly vendors, activities, and live demonstrations is sure to please kids and grandparents

alike. Solar s'mores, can crusher recycling, worm buffet composting, water conservation shower bike, reusable book give-away, and a visit from The Lorax just to name a few. Free. 10 a.m. to 1 p.m. 447-8361

6TH ANNUAL EARTH DAY BARN SALE 22 SATURDAY

HOLLIS – Beaver Brook Association, Maple Hill Farm, 117 Ridge Road. The Earth Day barn sale is a fundraiser for Beaver Brook trails and programs. An entire barn full of household items, tools, antiques, toys, lawn and garden implements, small appliances, sporting goods, jewelry, and surprises for great prices. Rain or shine: It’s indoors. Get some ideas of how to repurpose unused items. Free admission. 8 a.m. to noon. www. beaverbrook.org

HEALTHY KIDS RUNNING SERIES 23 SUNDAY

DOVER – Seacoast Titans, Commissioners Field, 259 County Farm Road. The Healthy Kids Running Series is a nonprofit running program for kids in pre-kindergarten to eighth grade. The race series takes place once a week and offers age-appropriate running events including the 50-yard dash, 75-yard dash, the ¼-mile, the ½-mile and the mile run. Kids compete each week for a chance to earn points. At the end of the series the boy and girl with the most points in their age division receive a

trophy. All participants receive medals and gift bags. HKRS was created to combat childhood obesity by providing kids with a positive, educational, and fun experience. Parenting NH is a proud sponsor and supporter of this event. A $35 registration fee covers the entire five weeks of the series. 3 p.m. each Sunday. The dates of the series are April 23 and 30, May 7, 14 and 21. www.runsignup.com/ hkrsdover

SUPERHEROES EVENT 30 SUNDAY

KEENE – Cheshire Children’s Museum, 149 Emerald St. Complete the Superhero Obstacle Course to become a certified superhero. Superhero crafts, snacks, games and more. Admission: $10, member children; $15, non-member children. Noon to 3 p.m. 903-1800; www. cheshirechildrensmuseum.org

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Hits for the

whole family!

Z107fm.com

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five•for families

COMPILED BY JACQUELINE TOURVILLE Spring Farm Fair: Millcreek Dairy in Chester doesn’t fool around when it comes to welcoming spring. On Saturday, April 1, the farm opens its grounds for a lively farm and craft fair with music, crafts and activities for the family. Visit the goats, pigs, chickens, turkey and oxen. See how the farm’s delicious cheese is made and be sure to taste some. Browse the farm store, shop the fair’s special guest vendors, and enjoy the freshness of spring on the farm. www.millcreekdairy.com

Literacy Day: On Saturday, April 8, stop by Nashua High School North to enjoy a day of reading fun with activities for all ages and reading levels. The annual event includes story time, reading with dogs and cats, face painting, games, as well as art and cartooning workshops by EPLIS Comics and Project Street Art. Children can choose free books to take home. Healthy refreshments available. Free admission. For more information, email info@epliscomic.com.

High flying egg hunt: Join the Aviation Museum of New Hampshire in Londonderry for its 2nd annual Easter egg hunt on Saturday, April 15, on the museum grounds. Kids ages 4 and younger hunt for eggs starting at 10 a.m.; ages 5 and older begin at 10:30 a.m. After the hunt, stay for kids crafts and explore museum exhibits. Regular museum rates apply (children younger than 12 admitted free). www.nhahs.org

April breezes in with Earth Day, egg hunts, fun runs and warmer weather. What’s on your family’s to-do list for this first full month of spring? Here are five kid-friendly possibilities.

Earth Day outdoor fun: On Saturday, April 8, the Massabesic Audubon Center in Auburn celebrates Earth day, all day. From 10 a.m. to 3 p.m., the center offers games, mural painting, crafts, music, food, and live animal displays including turtles, frogs, and birds of prey. Plus, visit booths to learn about earth-friendly businesses and organizations and pick up tips and tricks to reduce your impact on the earth. Admission: individuals, $7 members/$10 non-members; families, $20 members/$30 non-members. www.nhaudubon.org

Family-friendly run for marine mammals: Lace up your sneakers and get ready to run at the Seacoast Science Center’s annual 5K, taking place Saturday, April 22, at Odiorne State Park in Rye, beginning at 9 a.m. Families with children ages 6 and older are welcome to run together; younger runners can also sign up for the kids’ fun run. Post-race festivities include music, face-painting, eco-friendly activities, and a beach cleanup. All proceeds from the run support the center's Marine Mammal Rescue program and ocean education. www.seacoastsciencecenter.org

Jacqueline Tourville is Parenting NH’s travel and tourism guru.

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