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Lexie Grey Originally Had a Way Worse Death on ‘Grey’s Anatomy’ – Collider

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Despite being an overwhelming fan-favorite character, Lexie Grey (Chyler Leigh) was one of many Grey's Anatomy characters to fall victim to showrunner Shonda Rhimes' pen. She met her demise in the Season 8 finale after being on the ill-fated plane that was meant to bring the doctors to Boise to assist on a conjoined twin surgery. The crash had an effect on every member involved. It cost Arizona (Jessica Capshaw) her leg, almost destroyed Derek's (Patrick Dempsey) hand and any chance of doing surgery again. But most notably, it cost Lexie and Mark (Eric Dane) their lives. However, that wasn't always meant to be the case, according to Shonda Rhimes. Lexie was going to die, she knew that much, but her original idea for Lexie's death was so much worse. Which is surprising considering how devastating and brutal her death is to begin with, but Shonda's original plan would have caused an even bigger uproar -- even to her.

A drama centered on the personal and professional lives of five surgical interns and their supervisors.

In the show, Lexie is one of the six doctors from Seattle Grace chosen to assist on the conjoined twin surgery in Boise. Alongside her was her sister Meredith (Ellen Pompeo), Derek, Cristina, Mark, and Arizona -- who herself had taken the spot originally intended for Alex Karev (Justin Chambers). When the plane crashes, Lexie is found pinned beneath a piece of the plane, and though the doctors try and move it and free her, she knows that it's no use, she's dying either way. Mark tries repeatedly to push the plane off of her out of sheer denial, and insists that Cristina go find fluids to try and help stabilize her, but she knows it won't help. Still, she goes, leaving Lexie and Mark alone as he continuously denies that she is dying. Eventually he has no choice but to accept her fate, and simply lies down on the ground and takes her hand. He tells her that he loves her, and that she needs to stay alive because they're going to get married, and have children, and that they're meant to be together. Lexie echoes his statement of "Meant to be," and dies holding Mark's hand and envisioning their life together. It's gut-wrenching to watch, especially when adding Mark's reaction into the mix. But in Shonda's original plans, Lexie wasn't even meant to be on the plane, and she was supposed to die back at the hospital.

In an interview with TV Line, Shonda Rhimes spoke about killing off Lexie Grey. I adored that character and I couldnt imagine the show without her, Shonda gushed. It was important to me that her exit would have maximum impact. The plane was going to crash no matter what. I honestly wasnt sure, because of contract negotiations, who was going to die in that crash." When she learned that Chyler Leigh would be leaving the show, Shonda was tasked with finding a way to write her off. And because this is Grey's Anatomy we're talking about, Lexie couldn't just walk out of the hospital alive and never return. There was too much that she'd be leaving behind. So Shonda decided she would have to kill the character off in order to tie up loose ends. But her original plan didn't involve Lexie being on the plane.

"In my early finale plans, once I knew Chyler was leaving the show, Lexie wasnt originally even on the plane. She was going to die back at the hospital by doing something as simple as slipping and hitting her head. She would have been dying over at Seattle Grace while other people were dying in the woods. Which wasnt my favorite plan. She would have died without Mark at her side. Without the chance to say goodbye to him. Without the chance to hear that he loved her. I wanted them together when she left us.

Lexie dying at the hospital wouldn't have been a big deal, had it not been for the fact that the plane crash would be going on simultaneously. As Shonda pointed out, Lexie would have been dying back in Seattle, and there would have been no way of contacting Meredith or Mark, or anyone, for that matter. She would have died without saying goodbye to her sister, without getting to see Mark one last time. Granted, Lexie dying because she fell and hit her head isn't exactly far-fetched. Since we first met her, we've known and loved Lexie for how adorably clumsy she is, so it wouldn't have been a completely out-of-character way for her to die, but it certainly wouldn't have done her character any justice. Chances are her death would have felt more like a joke among audiences. Especially in comparison to the other deaths we had previously seen for main characters, like bus crashes, shootings, etc... So, as devastating as the plane crash was, it gave fans a better chance at getting closure for the beloved character.

Going into Season 9, Shonda Rhimes was tasked with writing out Eric Dane's character, Mark Sloan as well, as he was departing the series. Shonda tossed around many ideas, but nothing felt right for the character. I had many options for ways Mark could leave the show. But any option that didnt include him dying required him to a) grieve for Lexie indefinitely and b) willingly walk away from his daughter." Rhimes explained. "We fought about this incessantly in the Writers Room. I didnt want Mark to die but, as the writers rightfully argued back, Mark couldnt abandon Sofia (Eva Ariel Binder) and he certainly couldnt abandon Callie (Sara Ramirez) once Arizonas leg was amputated. She also revealed she toyed around with the idea of sending Mark to Los Angeles to be with Addison (Kate Walsh).

I loved that idea, but it still required Mark to abandon his child. She explained. "Also, that would somehow suggest that everything he said to Lexie when she was dying was easily forgotten. So I fought it and I debated it and tossed and turned about it but in the end, I had to do what was right for the integrity of the character. Mark would never willingly abandon Sofia and he would never willingly abandon Callie. So Mark dies. And he and Lexie get to be together in a way. Their love remains true.

Obviously, there was never going to be an easy way to say goodbye to Lexie or Mark, and we'll never truly be over either of their deaths, but Shonda Rhimes' reasoning for both makes sense and shows respect for not only the characters, but the fans as well. It isn't great closure, we'd certainly love to have seen them survive and live a happy life together, but at least they get to be together for eternity -- and that's pretty darn romantic.

Grey's Anatomy is available to stream on Hulu in the U.S.

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Lexie Grey Originally Had a Way Worse Death on 'Grey's Anatomy' - Collider

‘Anatomy of a Murder’ Kicked Off Our Obsession With True Crime – Collider

Editor's Note: The following contains references to sexual assault.

In a culture dominated by true crime media and entertainment, audiences consuming grisly content with lurid details is nothing groundbreaking. Given Americans' high demand for in-depth examinations of violent crimes in film, television, book, and podcast form, it's clear we've undoubtedly become desensitized to violence. True crime has received its fair share of criticism for exploiting its subjects and glorifying its perpetrators. However, when the genre handles its stories with nuance and refrains from partaking in gratuitous brutality, it can teach us about the underbelly of American society. One landmark classic Hollywood film, Anatomy of a Murder starring Jimmy Stewart, appears tame today, but the raw depiction of a criminal investigation and unflinching legal trial that used forbidden crude language paved the way for our dark and cynical viewer tendencies.

An upstate Michigan lawyer defends a soldier who claims he killed an innkeeper due to temporary insanity after the victim raped his wife. What is the truth, and will he win his case?

Anatomy of a Murder, a noteworthy release in 1959, has not accrued the same legacy as other classics of the 1950s today. The film by Otto Preminger is often ignored in the checklist of classic films drafted by budding cinephiles, but its impact on contemporary filmmaking and media alike certifies its greatness. Based on the 1958 novel of the same name by John D. Voelker, a Michigan Supreme Court justice under the pen name Robert Traver, Anatomy of a Murder follows the trial of a soldier, Lt. Frederick Manion (Ben Gazzara), charged with murdering an innkeeper who raped his wife, Laura (Lee Remick). Manion is defended by small-town Michigan lawyer, Paul Biegler (Jimmy Stewart), a former district attorney living a leisurely life until accepting a case involving insanity pleas, morbid details, and various moral quandaries.

Anatomy of a Murder, which received seven Oscar nominations at the 32nd Academy Awards, is filled to the brim with exceptional talent above and below the line. It stars Jimmy Stewart at the peak of his abilities as a stirring dramatic presence, rising stars in Ben Gazzara and George C. Scott (playing prosecutor Claude Dancer), and reliable character actors in Arthur O'Connell and Murray Hamilton. The film also features the work of acclaimed opening credits artist Saul Bass, who left behind an instantly recognizable poster, and it is scored by none other than jazz legend Duke Ellington. This accumulation of talent created one of the finest courtroom dramas in history. With gripping cross-examinations, rousing testimonies, and an unpredictable verdict, Preminger's film epitomizes why Hollywood has routinely returned to the courtroom in the last 60 years to create its most exciting movies even if 99% of trials in real life are incredibly dull.

Classic Hollywood films are often labeled as sanitized, both formally and textually. This claim is not entirely unjustified, as moral panic surrounded cinema at a substantially higher level, in large part due to the Hays Code, a set of industry guidelines for the self-censorship of content deemed obscene that presided over major releases from 1934 to the late 1960s. Governed by conservative values that restricted perverse language and sexuality onscreen, the classics relied on the imagination of the viewer to fill in these voids, which is not the worst thing for an artistic expression to inspire. In any film that challenges these doctrines, such as Anatomy of a Murder, the shock value of its themes and message is only heightened.

Preminger's film, written by Wendell Mayes, was marred in controversy for its use of crude language. The script featured blunt vocabulary often censored in motion pictures, including "bitch," "panties," "rape," "slut," "sperm," and "climax." The language, pertinent to the trial, emphasizes the "anatomy" element of Anatomy of a Murder, as the film deconstructs American law in real time. Manion's trial comes down to a tug and pull between fact and narrative, and how the two intertwine, creating a murky portrait of the truth.

Biegler encourages witnesses to use forward language to express their testimony during cross-examination. The courtroom audience uproariously laughs when the word "panties" is first uttered, relating to the undergarments worn by Laura Manion. Because the trial is framed around sexual assault, descriptions need to be crass to capture the horror of the alleged rape. The film studies the law through an etymological lens, showing how the historical implications of words can manipulate our interpretation of the truth.

The unprecedented display of crude language drew the ire of the mayor's office. After the film was previewed in Chicago, Mayor Richard J. Daley sought to have it banned in the city. The state's District Court ruled against Daley's plea to have Anatomy of a Murder removed from the city, deeming it unconstitutional, but before the ruling, the film was temporarily banned. Despite passing the ratings board, The National Catholic Legion of Decency, a group dedicated to policing objectionable content, said that the film "exceed[ed] the bounds of moral acceptability and propriety in a mass medium of entertainment."

Preminger has a storied track record regarding films with hot-button topics. His Frank Sinatra and Kim Novak-led drama, The Man with the Golden Arm, tackles drug addiction. Preminger's noir masterpiece, Laura, chillingly examines male obsession with the opposite sex. Anatomy of a Murder, or any of Preminger's films, are not provocative for the sake of shock value. They engage with complex subjects that require an unflinching attitude. If the language of the text is sanitized, the issues will feel cheapened.

Antithetical to most courtroom dramas, Anatomy of a Murder refrains from placing the prosecution and the defense on rigid sides of good and evil. Lt. Manion, with his lack of remorse and sinister demeanor, is far from a wholly sympathetic victim. Biegler proves to be ambivalent about upholding the law. Instead, he accepts Manion as a client to further his career, and to receive an adrenaline rush from this thorny case. Because no violent actions are shown on screen, there's a chance that we're being actively manipulated throughout the film's lengthy runtime. Preminger comments on society's treatment of rape victims as promiscuous, with Laura's callous label as an "army slut" blurring the lines of truth and perception.

The director understands the power of words as a rhetorical device. Words can accentuate the grave magnitude of a murder or sexual assault, but they can also cloud the judgment of a juror. During the trial, after the judge sustains an objection made by the prosecution, Manion asks his attorney, "How can a jury disregard what it's already heard?" Biegler responds calmly responds, "They can't, Lieutenant." While a jury is expected to hear a case with a clear mind, humans cannot remove past judgment and connotations, even when it comes to how we process a word as seemingly juvenile as "panties."

It should come as no surprise that Anatomy of a Murder is one of the most celebrated courtroom dramas for its artistic merit and its legal accuracy. More than any script by Aaron Sorkin or screen adaptation of a John Grisham novel, the film by Otto Preminger lives and breathes inside an American courtroom. Inside the dignified walls of a trial, the subject can be quite grisly, a concept that Anatomy of a Murder understood better than any film that followed in its wake. Today, we expect crude language and unfiltered descriptions of harrowing crimes across all forms of true crime media, but in 1959, audiences were used to films taking off the rough edges.

Anatomy of a Murder is available to watch on Prime Video in the U.S.

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'Anatomy of a Murder' Kicked Off Our Obsession With True Crime - Collider

Grey’s Anatomy: How Simone’s ‘Rock Bottom’ Moment Will Change Her Going Forward, According to Alexis Floyd – CinemaBlend

Spoiler alert! This story discusses the May 9 episode of Greys Anatomy, She Used to Be Mine. Use your Hulu subscription to catch up and then read on!

Simone Griffith went through a heart-wrenching situation on Greys Anatomys latest episode, She Used to Be Mine, when a pregnant woman almost died during childbirth, just like her mom had in that same hospital when Simone was born. The mom, Lauren, was going to be OK in the end, but Simones fate was less clear, as she headed straight to the bar and started downing tequila shots. Alexis Floyd says her character hit rock bottom, and she opened up about how this experience will change the surgical intern going forward.

Miranda Bailey (Chandra Wilson) called on Simone to help out when Lauren continued to have complications following an emergency C-section. The longtime doctor also noticed when Simone stepped away from the operating table, terrified because she saw her mother lying there rather than Lauren. Alexis Floyd told People that Simones personal and professional life intertwined to become more than she could handle, and she realized shes got to address this trauma that she carries from her mothers death. Floyd said:

I think the first step is just awareness, and that is something that she hasn't necessarily had to this extent yet. And sometimes it takes rock bottom for you to reach a place where you're ready to finally make the change. They say when you hit rock bottom, the only place to go from there is up. So I think she maybe has hit a low she wasn't expecting to, but I hope that it is a breakdown that leads to a breakthrough.

Bailey was picking up food from the bar when she saw Simone pounding tequila, and she took the barely functioning intern home. In a wonderfully moving scene, the two women discussed how important it is to have Black women in the medical field to help make sure that no one falls through the cracks or has their pain ignored.

Alexis Floyd thinks this personal trauma that she experienced at work and the conversation with Bailey afterward will absolutely affect the way she practices medicine in the future. The actress said:

I think it will empower her as a doctor. I think it'll make her a more empathetic doctor. I think it'll make her a braver doctor who makes bold choices for her patients. I think it'll make her an activist in her place of work because she'll no longer be trying to hide the sort of emotional complexity of what it is to be not just a Black woman physician caring for Black female patients in an industry, in a healthcare system that exorbitantly neglects that class.

I loved seeing Bailey and Simone come together like that, especially to address such an important issue. I cant wait to see the first-year resident taking this rock bottom moment and using it to advocate for patients and their wild medical cases, and I also am excited to see how this mentor/mentee relationship between her and Bailey continues to develop.

While we wait for next weeks episode, set to air at 9 p.m. ET Thursday, May 16, you can relive the best Greys Anatomy episodes or start from one of these jumping-off points to binge through your favorite era.

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Grey's Anatomy: How Simone's 'Rock Bottom' Moment Will Change Her Going Forward, According to Alexis Floyd - CinemaBlend

Grey’s Anatomy Season 20 Has Dropped A Crucial Plotline That Needs To Return In Season 21 – Screen Rant

Summary

With Grey's Anatomy season 20 nearing its conclusion, it has become apparent that the show dropped an all-important season 19 plot thread at least for now. The cliffhanger ending of Grey's Anatomy season 19 saw Dr. Simone Griffin (Alexis Floyd) ditched her wedding to be with fellow intern Dr. Lucas Adams (Niko Terho). Across the country, Dr. Miranda Bailey (Chandra Wilson) finally received a much-deserved Catherine Fox Award, just as Ellen Pompeo's Dr. Meredith Grey announced to a room full of wealthy donors that everything they think they know about Alzheimer's disease is wrong.

Thanks to its slim 10-episode order, Grey's Anatomy season 20 focuses on the bigger picture...

While the twentieth installment of Shonda Rhimes' long-running medical drama resolves several cliffhangers and continues a handful of season 19 stories, including the thread about Meredith's groundbreaking (and subversive) Alzheimer's research, it isn't able to dig into every character's life as fully. Thanks to its slim 10-episode order, Grey's Anatomy season 20 focuses on the bigger picture and character dynamics more than backstory, though there are a few exceptions. Even so, the series has yet to revisit a crucial storyline involving Simone and her grandmother, Joyce Ward (Marla Gibbs).

Although Joyce has only appeared in three episodes of Grey's Anatomy, she's positioned to have a huge impact on both her granddaughter and the series as a whole. When viewers are first introduced to Joyce, she's seeing Simone off to work. Handing her a lunch bag, Joyce insists that she packed her granddaughter's favorite meal. Upon opening the bag, Simone discovers a TV remote and other household items, though she pushes past her feelings and thanks her grandmother. In her second appearance, Joyce visits the hospital to see Simone's mother, who died years ago during childbirth.

When Simone tries to intervene, Joyce becomes agitated, which prompts Meredith to step in...

During season 19, viewers learn that Simone was born at Grey Sloan Memorial Hospital, making her employment there a real full-circle moment. When Dr. Richard Webber (James Pickens, Jr.) notices that she seems distracted on her first day, Simone shares that her mother died at Grey Sloan something Simone's sister has always held against her. Being back is difficult, but it becomes even more challenging when a disoriented Joyce visits the hospital and asks for Simone's late mother. When Simone tries to intervene, Joyce becomes agitated, which prompts Meredith to step in to calm Simone's grandmother down.

While there's no true replacement for Sandra Oh's iconic Dr. Cristina Yang, Grey's Anatomy season 20 might have found a solid stand-in attending.

Part of the reason Joyce becomes so agitated is that she believes Simone is her own daughter, Denise. When Simone tries to correct her grandmother and explain that Denise is gone, Joyce's frustration and confusion only deepen. Notably, Grey's Anatomy opened with Meredith, then an intern herself, navigating her own mother's struggles with Alzheimer's. Recognizing the signs, Meredith steps in and assures Joyce that they will find Denise. It isn't true, but it deescalates the situation. Later, Meredith sits with Simone and listens to her talk about her grandmother's symptoms, which have progressed rather rapidly.

Several characters, including Adele Webber and Ellis Grey, have navigated Alzheimer's in earlier seasons of Grey's Anatomy .

Meredith shares her own Alzheimer's story and gives Simone some crucial advice: She needs to play along with whatever Joyce's reality is at the moment. Knowing it's a challenging prospect, Meredith assures Simone that she'll find it in herself to do so. Simone's relationship with her grandmother is not only crucial to her character, but to the series at large, allowing for a kind of full-circle moment for Meredith, who's able to pass on her knowledge. Unfortunately, the truncated season 20 has impacted the show's ability to delve into over-arcing stories like this one.

Where Simone is concerned, most of her season 20 screentime has revolved around her on-again, off-again connection with Lucas. While Grey's Anatomy's new Meredith and Derek-level relationship is intriguing, Simone's relationship with Lucas cannot be her only story. The show has recently paired Simone with the sharp-witted and often-impatient Dr. Benson "Blue" Kwan (Harry Shum Jr.). Developing Simone's relationship with another surgical intern has been a much-needed break from the angst of her love life, but Joyce's absence from Grey's Anatomy season 20 is rather glaring, especially in the wake of Simone's failed wedding.

Grey's Anatomy season 20, episode 7, suggests that a complex case involving a pregnant woman will dredge up Simone's most painful feelings and memories.

Previously, Simone told Meredith that her grandmother was a mother figure a crucial person who raised her. One of Simone's biggest worries revolved around her grandmother returning to Grey Sloan time and again to search for Denise. While that doesn't need to be a constant concern, it's strange that Joyce hasn't come up at all. Grey's Anatomy season 20, episode 7, suggests that a complex case involving a pregnant woman will dredge up Simone's most painful feelings and memories. While it's possible Joyce will figure into the episode, it's clear that Grey's Anatomy season 21 needs to place a renewed focus on Simone and Joyce's relationship.

Although Ellen Pompeo has taken a step back from Grey's Anatomy, season 20 sheds even more light on the series' mishandling of Meredith Grey's story.

In addition to caring for her mother, Dr. Ellis Grey (Kate Burton), Meredith has previously been involved in several Alzheimer's-related threads. Notably, she assisted her late husband, Dr. Derek Shepherd (Patrick Dempsey), with a clinical trial only to completely skew the results by giving Webber's wife, Adele (Loretta Devine), special treatment. More recently, Meredith's oldest child, Zola (Aniela Gumbs), has navigated anxiety around Meredith developing the genetic disease. That anxiety is part of what pushes Meredith to leave Seattle and pursue Alzheimer's research with the Catherine Fox Foundation.

It's possible Meredith's research will intersect with Simone's grandmother, giving Meredith a chance to redeem her clinical trial mishap.

In Grey's Anatomy season 20, Meredith enlists the help of her sister-in-law and acclaimed neurosurgeon Dr. Amelia Shepherd's (Caterina Scorsone) to further her groundbreaking research. As seen in the season 19 finale, Meredith's theories about Alzheimer's will completely upend leading medical research, positioning the thread as an incredibly important one for future seasons. It's possible Meredith's research will intersect with Simone's grandmother, giving Meredith a chance to redeem her clinical trial mishap. Moreover, by helping Simone navigate her grandmother's Alzheimer's disease both personally and medically Meredith's Grey's Anatomy story would have a satisfying full-circle moment.

New episodes of Grey's Anatomy season 20 premiere on Thursdays on CBS, with next-day streaming available on Hulu.

Grey's Anatomy is considered one of the great television shows of our time, winning several awards and four Emmys. The high-intensity medical drama follows Meredith Grey and the team of doctors at Grey Sloan Memorial, who are faced with life-or-death decisions on a daily basis. They seek comfort from one another, and, at times, more than just friendship. Together they discover that neither medicine nor relationships can be defined in black and white.

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Grey's Anatomy Season 20 Has Dropped A Crucial Plotline That Needs To Return In Season 21 - Screen Rant

The anatomy of imperfection: Inside Stefano Colferai’s playful stop motion animations of everyday life – It’s Nice That

For Stefano, there is a preliminary process to his works that requires him to take heed of his surroundings; an artist tethered to his notebook, finding inspiration everywhere during a walk, while driving the car, in the shower, or while running, he tells us. But whats so interesting is that all the majority of his work doesnt reflect the scenic qualities of a bike ride, run or drive, theyre overwhelmingly documented in the studio, surrounded by his tools. Perhaps because he wants to honour the surroundings where the idea is fully actualised; where he spends days creating the characters and animating their expressions.

This process starts quite directly, straight after he has taken down the ideas. I dont like to leave time for me to lose excitement, he shares, I try to grab it and give it shape as soon as I have the chance. After he sculpts the props, he begins moving them frame by frame, taking pictures with his camera on a tripod and connecting them to the software permitting him to see how it moves and how the animation is going. And although he finds the animation portion of the process to be the most challenging, due to its time consuming nature and the close attention it requires, he also decides to lean into the magic of it. Its magic and the most fun, because after a few frames you begin to give life to your creations, you get to see everything youve created with your hands, move, he adds.

All in all, Stefanos mission is to imbue a lightheartedness and joy to the everyday. Each animation is like a short story, a glaring attempt at communicating all that he sees. But most importantly he just wants to make people smile. Im really happy with what Ive created when people tell me: youve made my day. This, for me, gives meaning to everything I do.

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The anatomy of imperfection: Inside Stefano Colferai's playful stop motion animations of everyday life - It's Nice That

Should You Put Sunscreen on Infants? Not Usually – FDA.gov

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When you go outdoors with your infant, whether for a quick stroll in the park or a day at the beach, its important to keep your little one out of the sun. But should you put sunscreen on your baby to protect them from the suns bright rays? Not usually.

Your infants sensitive skin is vulnerable to serious burns. But sunscreen isnt the answer, according to the U.S. Food and Drug Administration. Thats because infants are at greater risk than adults of sunscreen side effects, such as a rash.

The FDA and the American Academy of Pediatrics (AAP) recommend keeping newborns and babies younger than 6 months out of direct sunlight. The best sun protection for these infants is to stay in the shade. Look for natural shade, such as under a tree. Or create your own shade under a beach umbrella, a pop-up tent, or a stroller canopy.

Its especially important to keep your baby out of the sun between 10 a.m. and 2 p.m., when the sun is at its strongest and ultraviolet (UV) rays are most intense. If you do need to be outside in the sun during those times, be sure to take extra precautions. And check with your pediatrician before applying sunscreen to children younger than 6 months.

The AAP suggests dressing infants in lightweight clothing, such as long pants and long-sleeve shirts. Babies should wear a hat with a brim that shades the neck to prevent sunburn. Not baseball caps, which dont shade the neck or ears, both of which are sensitive areas for a baby. And for fabrics, tight weaves are better than loose ones.

Summers heat presents other challenges for babies. Our sweat naturally cools us down when were hot. But younger babies dont sweat like adults do. Their bodies havent fully developed that built-in heating-and-cooling system, so they can become easily overheated and have a greater risk of becoming dehydrated.

Here are some things to keep in mind this summer when outside with infants younger than 6 months:

05/09/2024

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Should You Put Sunscreen on Infants? Not Usually - FDA.gov

Thousands of bike helmets to be distributed to Ohio children | 10tv.com – 10TV

Since the program's launch in 2011, more than 100,000 free helmets have gone to Ohio children.

COLUMBUS, Ohio Thousands of bike helmets will be handed out to children across the state this year as part of theOhio American Academy of Pediatrics bike helmet safety awareness campaign.

This is the ninth year that the Ohio Department of Transportation has teamed up with AAP to distribute helmets during Bike Helmet Safety Awareness Month in May. This year, 10,000 bike helmets were passed out to law enforcement agencies and community-based groups in Ohio.

Since the program's launch in 2011, more than 100,000 free helmets have gone to Ohio children.

The Honda USA Foundation provided a $25,000 grant for the helmets this year.

ODOT Press Secretary Matt Bruning said groups and agencies apply to get the helmets that they can then distribute to their community. Those groups will also get educational resources and a helmet-fitting demonstration.

Its something were proud of and happy to do because we know that biking is very important. We want kids to go out and do that, but we want to make sure theyre safe when they do it," Bruning said.

More than 150 law enforcement agencies and community organizations traveled to Columbus to pick up their allotment of helmets on Tuesday.

Wearing a helmet can reduce the risk of head injury by 85%, helping prevent unnecessary trips to hospitals, said Melissa Wervey Arnold, Chief Executive Officer of the Ohio AAP. We are incredibly grateful for ODOTs support of our Put a Lid on It program. Through this partnership, we are protecting kids and creating a safer environment for them to thrive.

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Thousands of bike helmets to be distributed to Ohio children | 10tv.com - 10TV

How to talk to your teenaged patient about pregnancy and contraception – Contemporary Pediatrics

How to talk to your teenaged patient about pregnancy and contraception | Image Credit: JPC-PROD - JPC-PROD - stock.adobe.com.

Here is some sobering news: Teenaged mothers are twice as likely to experience postpartum depression (PPD) as adults.1 For this population who are still maturing on a cognitive level and have not yet fully developed their basic coping skills, the impact of PPD can be crippling. Additionally, the stress that a pregnancy adds to this population group can lead to other increased mental health concerns, including severe depression and anxiety.2 Furthermore, parenthood is the leading reason why teenaged girls drop out of school, with more than half of teenaged mothers never graduating from high school.3

Although the national teen pregnancy rates for girls aged 15 to 17 years and 18 to 19 years (the number of pregnancies per 1000 females in the specified age group) have declined almost continuously for the past 30 years,4 the teen birth rate in the United States is still higher than in many developed countries, including Canada and the United Kingdom.5 At the same time, sexual intercourse among adolescents has become the norm: by age 19, approximately 70% of teenagers have had sexual intercourse at least once.6

For these and other reasons surrounding sexual health, initiating discussion of sexual activity, pregnancy, and contraception is a necessity for health care providers. According to the American Academy of Pediatrics (AAP), Pediatricians [should] spend one-on-one time with adolescents starting at the 11- to 13-year-old checkups. The pediatrician will ask about sexual behaviorsand, if indicated, talk with the young person about birth control and ways to prevent sexually transmitted infections [STIs].7 The question is how to broach issues of pregnancy and contraception with this patient population to produce optimal outcomes.

Initiating the discussion As the Nike ad says, just do it. Jessica Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN, clinical professor of nursing at Baylor University Louise Herrington School of Nursing in Dallas, Texas, says to simply start a discussion, honestly and plainly. Having an established relationship with a primary care provider makes it easier to initiate conversation on both sides. As girls progress into the teen years, its important to give anticipatory guidance before any risk-taking behaviors occur.

Additionally, with the current laws on abortion having changed dramatically, Peck notes, It is critical to know your state laws and your scope of practice according to your education, training, licensure, and certification, and providers should adhere to those boundaries, referring when necessary. She adds, Its important to emphasize regular well childcare, where questions about reproductive health are easier to ask in the context of health promotion.

A recent paper published in Frontiers in Pediatrics8 discusses the actions that health care providers can take in the prevention of unplanned pregnancy. Study authors note it is crucial to be empowering young adolescents to become more aware and capable of making informed decisions about their sexual life, health, and future.8

The paper cites several factors contributing to adolescent pregnancy, including personal vulnerability, family context, lack of information, poor access to contraception, and religious and cultural background. Adolescents, especially under the age of 16 or 17 years, lack a long-term vision of the consequences of their behavior and are driven by experimentation and emotions. Therefore, although they cognitively know about contraception and the risk of pregnancy, they may choose to ignore these aspects of their behavior as a kind of denial (it cannot happen to me). This explains why, even in high-income countries with a good coverage of health care needs, some adolescents find themselves pregnant, the authors state.8

What the discussion should include The authors developed several recommendations for health care providers in terms of discussing pregnancy and contraception with their teenaged patients and educating them about it (Table). Key elements that impact on the quality and effectiveness of service provisions are, among others, easy access to health services, including sexual and reproductive health (SRH); confidential, respectful empathetic care; communication and counseling skills; [and] easy link with specialized colleagues and the community, the investigators note.8

Birth control recommendations When it comes to counseling teenagers on methods of birth control, the AAP continues to recommend long-acting reversible contraceptives (LARCs), which include contraceptive implants and intrauterine devices, as the most effective contraceptives to prevent pregnancy. They also recommend that teenagers who use LARCs should also use a condom or other type of barrier protection during sexual activity to prevent sexually transmitted infections (STIs).

Additionally, the AAP notes that hormonal contraceptivescombined oral contraception pills, progestin-only contraception pills, patches, injections, and vaginal ringsare more than 90% effective in preventing infection. They recommend use of a condom here as well to prevent STIs.

The progestin-only pill containing norgestrel (Opill) is the first nonprescription birth control approved by the FDA and is now being sold over the counter (OTC).

Finally, should a teenager decide they want to see their pregnancy through and become a parent, the AAP affirms that all pregnant adolescents should be counseled in a nonjudgmental, developmentally appropriate manner about their full range of pregnancy options.9

Click here for more from the May issue of Contemporary Pediatrics.

References:

1. Ladores S, Corcoran J. Investigating postpartum depression in the adolescent mother using 3 potential qualitative approaches. Clin Med Insights Pediatr. 2019;13:1179556519884042. doi:10.1177/1179556519884042

2. Hodgkinson S, Beers L, Southammakosane C, Lewin A. Addressing the mental health needs of pregnant and parenting adolescents. Pediatrics. 2014;133(1):114-122. doi:10.1542/peds.2013-0927

3. Teen moms. American Society for the Positive Care of Children. 2024. Accessed March 26, 2024. https://americanspcc.org/teen-moms/

4. About teen pregnancy. CDC. November 15, 2021. Accessed March 26, 2024. https://www.cdc.gov/teenpregnancy/about/index.htm

5. About teen pregnancy and childbearing. US Department of Health and Human Services. Accessed March 27, 2024. https://opa.hhs.gov/adolescent-health/reproductive-health-and-teen-pregnancy/about-teen-pregnancy-and-childbearing

6. Lindner J. Sexually Active Teen Statistics: Market Report & Data. Gitnux. Updated December 20, 2023. Accessed March 27, 2024. https://gitnux.org/sexually-active-teen-statistics/

7. Ott MA, Alderman EM. Contraception explained: birth control options for teens & adolescents. HealthyChildren.org. Updated March 8, 2024. Accessed March 26, 2024. https://www.healthychildren.org/English/ages-stages/teen/dating-sex/Pages/Birth-Control-for-Sexually-Active-Teens.aspx

8. Martins MV, Karara N, Dembiski L, et al. Adolescent pregnancy: an important issue for paediatricians and primary care providers-a position paper from the European Academy of Paediatrics. Front Pediatr. 2023;11:1119500. doi:10.3389/fped.2023.1119500

9. American Academy of Pediatrics; Committee on Adolescence. Options counseling for the pregnant adolescent patient. Pediatrics. 2022;150(3):e2022058781. doi:10.1542/peds.2022-058781

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How to talk to your teenaged patient about pregnancy and contraception - Contemporary Pediatrics