THE DANGERS OF SKATEBOARDING – What every parent and skateboard enthusiast needs to know

   If you read my last blog post or recent social media posts on Facebook, LinkedIn, or Twitter, you will likely remember that my son recently suffered a major displaced fracture of his left clavicle (collarbone) as a result of a nasty fall from his skateboard. Thank God it was not his head for he was not wearing a helmet!

I had no idea what he was attempting to do on his board as he usually used it just for transportation around the neighborhood. Apparently this time he was trying to do “tricks.” Had I known that, I would have not allowed it sans the helmet.

The result was a 2-hour surgery with a titanium plate/strap screwed into place across the bone, a 3-day stay in the hospital, side affects from medication, 3 weeks out of school, considerable depression, and 6 weeks of physical therapy, not to mention other ancillary effects on the family as a whole.

Thus, as my son went through this trauma I vowed I would do whatever I could to save other kids and their parents this same ordeal. So I did some research (which I found startling to say the least), and am pleased that I am able to share it here today.   

First, have you ever really thought rationally about just what skateboarding involves? It involves moving very fast at times over (and very close to) a hard and unforgiving surface. 

Now moving at high speed over a hard surface is one thing when you are enclosed in a steel vehicle likely following a patterned route with countless safety precautions in place, and with little chance of falling off or out of the vehicle and hitting the ground at that speed.  

 

Moving relatively fast over and close to a very hard surface in or on an unenclosed vehicle is the deadly combination, and I do not mean “deadly” as an exaggeration to sensationalize the danger. The fact is skateboard accidents have been the cause of death to young people many times in the past.

On average 2006 had nearly one person killed per week while skateboarding; a total of 42 skateboarding youth died while recreating. Of these 42 deaths, 40 occurred outside of skate parks.

These are admittedly not very recent figures, but still very sad, nonetheless. Also, keep in mind these are the fatalities. The severe injuries, some involving permanent brain damage and paralysis, are much more common. You’ll read about these startling statistics below.

I would not ordinarily take the complete transcript of another source (even while referencing it) to use in this blog.

However, upon finding the information below from the American Academy of Orthopaedic Surgeons, I felt it so important and from the best source possible, that it deserved reprinting in its entirety with credits to the Academy.  It follows below:

Each year in the United States, skateboarding injuries cause about 50,000 visits to emergency departments and 1500 children and adolescents to be hospitalized. (Source: American Academy of Pediatrics (AAP), March 2002.)

Most hospitalizations involve head injury. Even injuries that heal quickly can cause pain and anxiety, cost time, and money and may lead to disabilities. This can include loss of vision, hearing and speech; inability to walk, bathe, toilet, dress or feed yourself; and changes in thinking and behavior.

Skateboarding is not recommended for young children. That's because they are still growing and do not yet have the physical skills and thinking ability a person needs to control a skateboard and ride it safely.

According to the American Academy of Pediatrics (AAP):

• Children under age 5 years old should never ride a skateboard.
• Children aged 6 to 10 years old need close supervision from an adult or trustworthy adolescent whenever they ride a skateboard.

When young children are involved in skateboarding accidents, they are often injured severely. Skateboarding is a special risk for young children because they have:

• A higher center of gravity, less development and poor balance. These factors make children more likely to fall and hurt their heads.
• Slower reactions and less coordination than adults. Children are less able to break their falls.
• Less skill and ability than they think. Children overestimate their skills and abilities and are inexperienced in judging speed, traffic and other risks.

Serious skateboarding injuries happen when you lose control and fall or run into a motor vehicle, road hazard, pedestrian, another skateboarder or bicyclist. You are at risk for injuries:

• If you don't use protective equipment.
• If you don't keep your skateboard in good condition.
• If you skateboard on irregular surfaces.
• If you attempt "tricks" beyond your skill level.

Sixty percent of skateboard injuries involve children under age 15; most of those injured are boys. At highest risk are:

• Inexperienced skateboarders. Those who have been skating for less than one week suffer one-third of injuries, usually caused by falls.
• Skateboarders who do not wear protective equipment. Every skateboarder should wear standard safety gear. This includes a helmet, wrist guards, elbow and knee pads and appropriate shoes. Skateboarders who perform tricks should use heavy duty gear.
• Skateboarders who go near traffic or use homemade skateboard ramps. Both activities are particularly dangerous.
• Experienced skateboarders who encounter unexpected surfaces or try risky stunts. Irregular riding surfaces, rocks or other debris can cause you to fall. You can stumble over twigs or fall down slopes. Wet pavements and rough or uneven surfaces can cause a wipeout. Avoid risky behavior. Don't skateboard too fast or in dangerous or crowded locations.

Types of Injury

Skateboarding injuries often involve the wrist, ankle or face. Many injuries happen when you lose your balance, fall off the skateboard and land on an outstretched arm.

• Injuries to the arms, legs, neck and trunk range from bruises and abrasions to sprains and strains, fractures and dislocations. Wrist fractures are quite common. Wearing wrist guards can reduce their frequency and severity.
• Facial injuries include breaking your nose and jawbone
• Severe injuries include concussion, closed head injury and blunt head trauma.
• You can suffer permanent impairment or even death if you fall off the skateboard and strike your head without a helmet. Most brain injuries happen when your head hits pavement. You are most at risk if you skateboard near traffic and collide with motor vehicles, bikes, pedestrians or other obstacles.

So; there above is some credible wisdom for skateboard enthusiasts and especially parents of kids who already ride or want to take up this dangerous activity, from an unchallengeable source; the American Academy of Orthopaedic Surgeons. This is not just “food for thought” and something to think about, but a cause célèbre to really take to heart and act upon.  I am.

Have You Ever Been a Care-giver?

Being a caregiver is tough! I learned that the hard way recently when my son suffered a major fracture of his clavicle, severe enough to warrant a 2-hour surgery and 3 days in the hospital on complete bed rest.

Though I can’t say enough about how wonderful the hospital, nurses and staff were to us during our entire time there, the nurses are assigned 6-8 patients each, per shift, and thus cannot be at each patients beck and call whenever the patient wants a pillow adjustment, help eating, getting in and out of bed, getting to the bathroom etc. 

The nurses are certainly willing to do these things, but the fact is they are just not able to be there that often for each and every patient. Thus, the patient often needs a caregiver; even in a well-staffed and well-run hospital such as the one my son was in.

This job of caregiver invariably falls upon family members as they adjust their daily routines to accommodate the needs of the patient. This is no doubt done in a gesture of love, thanks for all the care the caregiver may have once received from the patient (as in a parent being cared for by a son or daughter), compassion or a combination of all three.

This family-member-as-caregiver situation works well for a while. How long depends upon the individuals involved; both the patient and his/her needs and the caregiver and his/her needs. They both have needs to be met, just very different needs, and herein lies the problem.

It is difficult for these diverse needs of both individuals to be met through the actions of one individual (the caregiver) alone, no matter how righteous and dignified the caregiver’s  intentions to do good may be and how physically capable the caregiver may be.

The solution. Professional care. It’s that simple. Whether the care be custodial care, the most common form of care-giving, or skilled care, and whether at home or in a facility, caring for a loved one is something most families will face at some point in their lives.

So first we must know the limits of our personal ability to provide care to a loved one and what kind of care our abilities allow. Once a personal caregiver’s plan of action is complete, the next important issue is that of the cost of the care.

How will the cost of the patient’s needed care be met? Will the patient’s resources be enough without impoverishment? Will the caregiver/family member/s be able to provide funds for the patient’s care?

Lets’ address the possibilities of funding this care one at a time:

1) the patient can pay for care “out-of-pocket” from personal financial resources at a current rate of up to $100,000 per year.

2) the patient can spend down their assets to impoverishment in the hopes of then qualifying for Medicaid (a horrible option as the quality of care and the provider pool is so poor in the Medicaid system/network).

3) the patient could receive funds from family members to cover the cost of care.

4) or, the patient could transfer the risk of not being able to pay for this care to an insurance company in exchange for periodic premium payments.

Now, it’s no secret to anyone not living in a cave that the future of health care in this country is changing dramatically as you read this. Obamacare will change the Medicaid and Medicare landscape in ways that the programs’ creators could never have imagined.

With these entitlement programs being the largest source of our nations egregiously, unsustainable, debt burden, cuts in these programs will continue to be made; there is just no other way.

Thus self-funding or transferring the risk to an insurance company are the only two ways to really be absolutely sure you will receive the care you or a family member need and deserve when the time comes; and if you are honest with yourself, you know that time will likely come.

If you then look at the statistical chances of needing such care, crunch some variables and analyze the costs, you will often see that freeing your family and loved ones (of the financial risk alone), of a family member needing care that could easily cost $100,000 per year for an indefinite period of time, just makes good common sense.

This is done through insurance; specifically, long-term care insurance, and it is one of the types of family protection I specialize in and have been protecting clients’ assets with for nearly 20 years.

If you or your spouse, or both, are over 50, call my office today at 561-337-8000 to find out whether protecting your hard-earned assets with long-term care insurance makes sense for you too.

Remember, the need for long-term care can happen at any age, (I will be happy to provide numerous real-life stories to prove that), and the longer you wait to address your possible need for protection, the more expensive that protection becomes, if you can even get it at all. So call me personally at 561-337-8000 today to learn more.