The Wellness Conversation

Prepping for School: Physicals, Vaccines & Sleep Rhythms

July 2023 | Episode 1

Producer’s Note: The following is an AI-generated transcript of The Wellness Conversation, an OhioHealth Podcast

SPEAKERS: Missy Gleason, Ashley Cremona-Simmons, DO, Marcus Thorpe

 

Missy Gleason  00:14

Welcome to the wellness conversation and OhioHealth podcast, a show dedicated to exploring health and wellness topics to inform and educate. I'm your host Missy Gleason and I'm joined by my co-host, Marcus Thorpe.

 

Marcus Thorpe  00:26

Thanks, Missy. We are so excited to be here and to start this new podcast. And just to catch you up a little bit on who we are Missy and I are teammates on OhioHealth marketing communications team. I'm currently the Media Relations Manager at OhioHealth. I've been in that role since 2016. And prior to that worked nearly 20 years in television as an anchor or reporter, and a producer most recently with NBC four in Columbus. I certainly love the art of the interview. And I hope that you enjoy this podcast as much as we will enjoy bringing it to you.

 

Missy Gleason  00:56

And similar to Marcus, I started my professional career in television news as well. I spent 13 years producing newscasts at Columbus CBS affiliate WBNS 10. TV. Today I'm the brand journalism lead for OhioHealth which involves working on the OhioHealth wellness blog and our social media channels. I've been here since 2009. Today we're talking about back-to-school physicals, vaccines and getting back on a sleep schedule. We're narrowing down our focus though to kids in kindergarten through eighth grade. And because let's face it, high schoolers, they need their own whole podcast.

 

Marcus Thorpe  01:29

Joining us today is Dr. Ashley Cremona-Simmons, a family medicine physician, Dr. Cremona Simmons, it is so great to have you here. We're so glad that you're with us. Tell us about your journey. First at OhioHealth kind of how you got to where you are, and specifically what you do for our health organization here.

 

Ashley Cremona-Simmons, DO  01:45

Thank you. Thank you, Marcus and Missy for having me. I'm so excited to be here. So in terms of a little bit about my journey, I'm originally from Maryland. I obtained my BA in public health as well as my master's in biotechnology both from the Johns Hopkins University. After graduate school, I came to Columbus kind of by chance, I worked at a clinical as a clinical research coordinator, also with OhioHealth and orthopedic surgeons office, and I applied to medical school, and I got accepted into the Ohio University heritage College of Osteopathic Medicine. I was really intrigued kind of by osteopathic philosophy, the history of AT still, and this idea of being able to treat individuals with my hands on top of all of the other things that you learn in medical school was really intriguing to me. Actually, when I started my journey out to be a physician, I was so sure that I was going to be an OBGYN. I knew that I loved women's health, I knew that I was going to be delivering babies, it was just what I was going to do. Then third year hit and a reality hit me there was no way. I didn't like surgery. I didn't like delivering babies, but I liked women's health. I loved working with children, and I loved making these longitudinal relationships. And when I went on my family medicine rotation, I knew that's where my place was. So I trained here also within OhioHealth residency program, Riverside family practice, and it's a great one. Yes, it absolutely is. And I would say that the practice that I'm with now is that is also equally as great. I'm an Assistant Program Director for Doctors Hospital family medicine. So in my role there, I teach residents, I see my own patients, I'm actively involved in curricular development, as well as recruitment. And I also work with all of our third and fourth year students. So doing a little bit of everything, which is True Family Medicine,

 

Marcus Thorpe  03:29

What a journey and you're right family medicine is just an amazing space. Because you again, you see them from all different ages. So we're so glad that you're on our team, and certainly a part of our podcast today. So we're looking forward to our conversation.

 

Ashley Cremona-Simmons, DO  03:42

Absolutely. I'm looking forward to it too.

 

Missy Gleason  03:44

So we're going to start out today with the basics the foundation before our kids even get into the school year physicals. So what should parents expect from their child's back to school physical and why are these exams so important for their health?

 

Ashley Cremona-Simmons, DO  03:58

I'm really glad that you're asking that question for a variety of reasons. I think first, when we associate going to the doctor's, it's usually when we have an issue when we're sick, right? And that doesn't necessarily change with the kiddos. I see a lot of kiddos coming in, oh, I have an earache, I have a tummy ache. But these wellness exams or physicals, as we call them are just as equally as important. This is an ability for you to longitudinally get to know your physician and for your physician to get to know your child. So you asked what can you expect? So during these visits, you know they're going to listen to their heart, they're going to listen to their lungs will take their measurements, making sure that they're growing appropriately, making sure their vital signs on track. You also depending on their age will be asked specific questions regarding their development. So in their younger years, you guys mentioned you were parents, you might you might remember around 18 to 24 months that we do our autism screenings or, you know, has he been able to kick a ball yet. You know, in the in the previous developmental stages. It's the same thing with school aged children. It's also a time for parents. So as a family medicine physician, we say we're cradle to the grave. So I treat babies I treat older individuals, I treat the entire family, this is also an opportunity for you as a parent to connect with the physician. So if you have concerns, if you know you're having trouble with finances, food insecurity, those are things that you can bring up to your physician and get resources for it.

 

Marcus Thorpe  05:19

I think about my boys, I have a 13 and a 10 year old and they're great. But they also, you know, they have this, I wouldn't say phobia of going to the doctor, but like, what's going to happen? And my kids ask a lot of questions. And so I guess how do we prepare our kids for back to school physicals to make it more productive? What are key steps that we can take as parents but also that we can communicate to our kids to make sure that they're going in there with the right mindset too?

 

Ashley Cremona-Simmons, DO  05:47

That's an excellent question. I think the first thing is, the key word that you mentioned is preparation. So don't surprise the physical, don't surprise the wellness on the child, let them know in advance that they're coming. Also make sure that you're using neutral language, because I think when a scary for most children when they go to the doctor is this idea of getting a shot. So actually using the word immunization is neutral, it's not associated with pain. And if that's something that you know that your child has a phobia or fear around, you can address that, when they're actually getting the immunizations, you can hold your child you can distract them. Distraction is great, actually, while the nurse is giving the shot, or the MA is giving them a shot, having them watch something singing a song, all of those things work. As your children get older, you can start to have actual conversations with them. Well, why are you scared to go to the doctor? What is it that you think is going to happen? You know, stress, the importance of why it should be part of their development, and all of those things can help reduce that tension both for the parent and the child and that fear.

 

Marcus Thorpe  06:45

Yeah, I think about it, I have, my boys are completely different animals to like one, when you're giving a shot looks the other way and wants nothing to do with it. My 10 year old who wants to be a physician is staring at it. He's asking questions like what are you doing? And how's that working? So you're right. I mean, you can't handle each child the same way everything needs to be specific to what they're comfortable with and what conversations they want to have to. So that's great advice.

 

Ashley Cremona-Simmons, DO  07:10

And that goes also back to the concept of what I mentioned before that longitudinal relationship, because if you are doing your physicals annually, you're going to your yearly wellness exams, your doctor is going to get to know your child. I remember my pediatrician finely. Dr. Darden, he's actually YouTube famous, he had an amazing trick he would do when he would give immunizations, but he also knew my personality. So I'd come in, Ashley, what are you learning in school? Are you still getting straight A's, he knew things that were important to me. And it was a joy for me to go see my doctor. And I think if you're going regularly, your child will be able to develop that relationship with their physician as well.

 

Missy Gleason  07:47

As a parent, I know I love that relationship with our children's doctor that she, when we come in, I don't feel like we're just another patient. Like she remembers things from the last time we talked and as is how How's the track season going? Or how's cross country conditioning going, and she knows these things about my kids. And it just makes me feel so much better to know that she's kind of keeping tabs on them. Absolutely. Speaking of sports, I know a lot of times we combined sports physicals, with the wellness physical? Why is that recommended to have a sports physical in conjunction with the wellness physical or do you really need to do it like together?

 

Ashley Cremona-Simmons, DO  08:26

So you don't necessarily have to do it together, the American Academy of Pediatrics recommends that you schedule them in conjunction in order to take it's essentially taking a little bit of load off the parent, right, so you don't have these two separate visits. And part of what happens during the sports physical is some of the same things that we cover during the actual wellness or physical exam. So your doctor will still check developmental milestones, they'll still go through height, weight, all of those things that we do, if your child is due for immunizations, they'll get up to date on those. But what is as important or different about the sports physical is the pre participation form. So before you go in as a parent, you're going to fill out these history questions. Those history questions are really important, because the purpose of this is to make sure that your child is safe to play. So these questions will ask about symptoms that might be related to a heart condition. So you know, do you have a history of sudden cardiac death, young cardiac death in your family? How are you have any issues with shortness of breath, chest pain, things like that. And if we were able to pick up on those things on a sports physical, we can refer you to the necessary specialists to make sure that your child is safe to play. Often most children are cleared without a problem, even children that are referred to specialists. But the idea here is safety and just making sure that there isn't anything else that needs workup.

 

Marcus Thorpe  09:46

So during a sports, physical, unique concerns might come up, you know, depending on the athletes gender, maybe disability, something that they may have. Could you talk about the importance of addressing some of those specific conditions and how health care providers ensure safety and inclusivity when it comes to all the athletes

 

Ashley Cremona-Simmons, DO  10:02

Absolutely, I think you're what you're alluding to is two kind of populations, in particular, one female athletes and then also children that may have disabilities. Focusing on the female athlete, there's this concept or idea of the female athlete triad, and which they could have menstrual irregularities, issues with their bones. And those are things that we look out for. In terms of children with disabilities, there isn't necessarily anything outside of the box that we do with the sports physical, it's the same stance, the same format, making sure that they are able to participate safely. But let's say you have a child that is deaf or cannot see, we might recommend certain activities or sports that are safe for them to participate. So that's why it's really important to complete both your wellness portion, as well as a sports portion just to making sure your child is safe to engage.

 

Missy Gleason  10:57

So timing is important, I guess. And if you've got a child starting a sport, how early would you recommend they get their sports physical,

 

Ashley Cremona-Simmons, DO  11:05

I would recommend you do it at least six to eight weeks before the start of the season. And the reason I say that is because as I mentioned, that will give you time, if you need to do more workup or refer to a specialist, for that to happen, it takes time to see specialists, it takes time for whatever issue you may have found to kind of get worked up. And that allows you the time to do so.

 

Marcus Thorpe  11:24

Let's transition to immunizations. We talked a little bit about it and maybe how to talk your child into a it's everything is going to be okay, this is what we're going to do. So there aren't any surprises. But when it comes to knowing what you need and what you don't need at what age and stage of life, it can be confusing for a parent. I know when you start getting that child home for the first time and you're looking at everything you need to do I mean, it can be a little overwhelming. And then when they go to school, there's a whole other list of things that you need to do and check those boxes. So when it comes to vaccines, what are recommended for K through eight? And why are they also critically important when it comes to overall health and overall well being.

 

Ashley Cremona-Simmons, DO  12:05

I'm so glad that you asked this question. Immunizations are kind of one of my passion topics. So it's hard to say. So from the time a child is born from birth to the age of 18, there's going to be a recommended immunization schedule. So instead of kind of going through each immunization or vaccine that is needed at each stage, what I would like to do is kind of highlight the importance and I'm going to take a couple that I would like to highlight that are really important for your child to have. So we're talking about kindergarten through the eighth grade, right? So by the time your child is old enough to start school, so around six years old, their immune system if you vaccinated them, will be equipped to resist almost 15 diseases, okay? So infants and children's get vaccines so that when they come into contact with these viruses and bacteria, their immune systems will be equipped to deal with them. Things like rotavirus, tetanus, haemophilus influenza, pneumococcal, measles, mumps, rubella, and the chickenpox. So, we are probably of the generation where we remember having chickenpox this younger generation because of the vaccine, they never had it or had to worry about it. That's the beauty of medicine and beauty of science. There is one that I would particularly like to highlight, and that's the measles, mumps and rubella vaccine. So as you know, we're currently experiencing a measles outbreak. The United States for 20 years had elimination status from measles. But if this outbreak continues to happen, we will lose our elimination status. Some people may say, oh, whatever. So what it's a childhood disease, there'll be fine. That's not the case. Measles can be deadly. The symptoms start with cough, watery, runny eyes, and it's usually followed by a rash over the entire body. This can lead to seizures, and eventually death, mumps, this is also one that isn't benign. This is the one you might remember being swollen neck, you know, not feeling that great. It can also swell the testes and the ovaries cause infertility, later in life, And Rubella, if a pregnant woman was to contract rubella, it could cause miscarriage and even serious birth defects in the unborn child. So that is the beauty of science, we have been able to eradicate these diseases that have severe morbidity and mortality implications with a simple vaccine.

 

Marcus Thorpe  14:13

It's amazing to think how long we went without having to even think about the word, measles or any of those things. And now to see it in so many headlines, it is alarming, it is scary. And I always think of things like, if I didn't do this, the thing I would fear the most is that my child is making somebody else's family completely sick and vulnerable. Because I didn't take those steps and I couldn't live with myself if that was the case. It's one of the reasons why, you know, when we were going through COVID, I just, I didn't want to expose my mom or my family or my friends to anything. So I was careful about masking up in those things. And I hope people think about that when they're maybe on the fence should I do this or do I not want to do this because you're impacting everybody else

 

Ashley Cremona-Simmons, DO  14:59

I do too. And, and not even just when you think about it from the community perspective, because what immunizations does is it helps us to protect our most vulnerable populations. So people older or people that might be immunocompromised, being able to get that concept of herd immunity when you have a certain number of persons vaccinated that, it protects the rest of the community, it truly does help protect. But even beyond just looking at a community perspective, as I mentioned before, these these viruses, these bacteria, they're not benign things they truly can lead to death, and if not death, serious consequences. Another one that I think about is polio. My great aunt actually had polio, she was one of the lucky ones, she can walk, she can talk she's had no serious consequences afterwards. But I have seen patients that have severe consequences. We have people that are on the iron lung, we don't even have those a lot of the technote technical ability to service the iron lung. So can you imagine you could get a vaccine that could prevent you from having to be on to this huge machine that is helping you to breathe for the rest of your life or peril or paralysis. These are the things that vaccines do.

 

Missy Gleason  16:08

So speaking about that, I think obviously coming out of COVID There's much more heightened awareness around vaccines, there's a lot more skepticism around it, hence the rise in measles. So vaccine safety has been a concern or a topic of conversation for years, but now it's even more so. Could you shed some light on the safety and effectiveness of vaccines and particularly, when it comes to the common side effects that can occur

 

Ashley Cremona-Simmons, DO  16:35

I would love to so the most common side effects that we see with these vaccines is pain at the irritation site, redness at the irritation site and fever. Those are the most common side effects that we get. So with your children, you might remember after they get vaccines, they might be a little bit bit irritable, they might get feverish that is our body mounting an immune response. Vaccines do not make you sick, they do not give you the virus or the bacteria or whatever disease it is that we're trying to prevent. COVID specifically has been found or proven to be both efficacious as well as safe. The side effects with the COVID vaccine are similar to those that we see with our common vaccines.

 

Marcus Thorpe  17:14

I will say that my kids, obviously they're connected to their devices or television, but the the amount of commercials or targeted things when it comes to flu shots, or HPV. They see those things on TV on some commercials. And so I feel really proud when my sons come up to me and they start asking me well, what's HPV and do I need to get that vaccine? So like? I do want to talk about that. But I do say that there's there's such encouragement from my end as a parent that they're seeing these things, and they're hearing about these things. So it's not foreign when they go into a physician's office. So let's talk about HPV. Let's talk about flu shots for specific age groups who needs them. At what age do we need to start thinking about those things?

 

Ashley Cremona-Simmons, DO  18:01

Absolutely so let's start with the flu, because that's probably the easiest one to talk about. So the flu is something that comes around yearly and you get it during flu season. It's recommended that the flu shot, everyone obtains a flu shot six months and older, including teens every year. Flu is unpredictable. There's no way to know if you're going to have a mild case of the flu or if you're going to end up in the hospital from the flu. So that's why I recommend the flu vaccine during flu season. HPV is a little bit different. So in terms of what HPV stands for Human Papilloma Virus, human papilloma virus is the same virus that causes warts on your skin. So you know you go to the pool, you get a wart on your toe, it's the same virus. However, there are different strains of this virus, and different strains can also cause cancer. So what is amazing about this vaccine is that we have a vaccine that can prevent cancer. So it can cause cervical cancer in women, and it can cause penile cancer, in men. So when do we start thinking about this vaccine? Okay, so if you start the vaccine at the age of nine, in between nine to 12, it's a two dose series. If you start the vaccine at the age of 15 or older, it's a three dose series. And like I said, in terms of side effects, the ones that we talked about for pain at the injection site, maybe a little redness, your body can amount a fever, fever response, but again, it is pretty safe and well tolerated.

 

Missy Gleason  19:27

So we have series of vaccinations. And life can get a little crazy and scheduling appointments can be difficult. What do you suggest for parents if they miss a dose or they fall behind on vaccinations?

 

Ashley Cremona-Simmons, DO  19:40

The first thing I always say is don't worry. Don't worry, you do not have to start the whole series over. Okay, you don't have your kid doesn't have to go through all those pokes and prods. There are what we call catch up immunization schedules. So what your doctor will do is look at what your child has received when they received them and figure out when we can give the next dose They'll put you on a schedule to get your kiddo caught up. So if you miss a dose, it's okay just schedule with your doctor to get back on track.

 

Marcus Thorpe  20:09

Ashley Cremona- Simmons is our guest here talking about back to school as everybody kind of transitions out of that summer haze that we love so much. But it is time to get back to business. And, and that means trying to get back on a sleep schedule to as a family physician, I'm sure it's one of those things where, you know, it's a hard sell to get people to get the right amount of sleep depending on where they are in their life and stages with their children. How much the magic question is how much do children really need when it comes to sleep each night? And how does that impact overall well being and overall school performance, which we're all so worried about these days?

 

Ashley Cremona-Simmons, DO  20:46

Absolutely. So it kind of depends on the age of the child, as you go into your more adolescent preteen, teen years, at least 8 to 10 hours would be a good amount of sleep. Younger children 10 to 12. What was the second part of your question? Yeah.

 

Marcus Thorpe  20:57

So I mean, how does that sleep or lack of sleep impact well being and how does it impact your school performance? If you can't get enough sleep? I'm guessing you're really going to struggle sometimes either earlier in the day, or a little later in your school day, too?

 

Ashley Cremona-Simmons, DO  21:11

Absolutely. So if you think about it, like if you don't get restful, restorative sleep, how do you feel during the day, it's the same thing for our kiddos. So having them have a good bedtime routine, making sure that they're getting the either the 10 to 12, or 8 to 10 hours, depending on their age is really important. Their ability to have restorative sleep enables them to focus in school, which enables better performance. And it's also crucial to the development. So though, so that sleep period is is necessary for kids to grow and to learn.

 

Missy Gleason  21:39

Do you have any tips for parents to help like develop a nighttime routine?

 

Ashley Cremona-Simmons, DO  21:43

Yes, and I think the first thing is making it manageable both for the child as well as the parent. So it has to be something that's realistic. So if you know that your child is going to throw a tantrum, you know if it's bedtime, strict at this time every night, then maybe not having such a rigid routine, but you want them to have structure. So the younger children especially thrive on structure. So I can give you an example what we do in my household. So 7:30 is my son's bedtime. And whether he's watching a TV show, or he's playing outside, he has this concept of a timer. So about 10 minutes before 7:30, I'll put on a timer. And he knows when that timer goes off. That's a signal that now it's time for me to power now, I think the biggest thing, especially with younger children, is the whole house has to be powering down. So mom and dad may not be going to bed at the same time. But making the home and environment that promotes restorative sleep will help your child with their routine. So making sure that someone's not watching the game blaring downstairs, we have loud music, lots of lights, etc. And then in terms of the routine, having kind of the same steps every night. So for us, as I mentioned, it's the alarm, then we go take our bath, then we read our story. And then you know we're in the bed. And that alarm, though for him is really a signal. So figuring out what works for you and your family.

 

Marcus Thorpe  23:00

I remember when we had just  the one child and it's easy, because it's like, okay, easy is not the right word. But you have this and you know what time things are coming now that I have 2 and they're staggered in age, the 10 year olds going to bed, but he's looking at the 13 year old saying, Wait, how come he gets to stay up an hour hour and a half later than I do? I want to do that too. I think that's the battle that I fight currently is well, I want to stay up, he's getting the stay up. And then when screens have to be powered off, and I want to get into that topic with you too. How do you get them to get off those screens so that their brains have a second to kind of go like this to help make that sleep schedule a little easier.

 

Ashley Cremona-Simmons, DO  23:45

So in terms of screen time, there's a couple of things that you can do just within your home, that can help make that transition easier both for your younger kiddos as well as your older kiddos. One is not having a TV in the room. So if you haven't, have their bedrooms, not having the TV in the room, if your child has personal devices, everyone should be charging those devices outside of the bedroom. So that will inhibit them from hopping on that device when they're supposed to be in bed. And it also takes away that blue light. The whole powering down aspects should be occurring about 30 minutes to an hour before bed. Because what the blue light does that kind of tricks your circadian rhythm in thinking like, oh, I need to be up bright. And so if you're trying to go to sleep, but you just had your phone and your tablet on 10 minutes before, your brain is not going to be in the mode to go to bed. So those are two tricks that I would do with the screen time in terms of having children at staggered ages that might be on different schedules. That's a hard one. And that's probably family dependent family by family. But that goes back to establishing boundaries and making whole house rules. So maybe your 13 year old gets to stay up a little longer. But he knows you know if your 10 year olds bedtime starts at 8 or 7:30 that it's time for him to do quieter activities. It's time for for him to also start powering down so his younger sibling can go to sleep.

 

Marcus Thorpe  25:03

Finally, something I'm doing right, that's exactly how we do. I'm not failing. I love it.

 

Missy Gleason  25:09

I was gonna say too leading by example, which I struggle with, because I am one of those revenge, like scrollers, because I don't have time during the day to look at  Tik-Tok or, you know, catch up on what people are doing. And so I really am that mom, that when everybody starts to power down, I like jump on my phone and like scroll. And my children have called me out on it like, hey, I'm not allowed on my phone. Why are you on your phone? And sometimes I'm like, I'm the mom. Let me do what I want to do. But yeah, like, we actually have those alarms on our phone that like played a little quick lullaby that's like, it's time to shut it down. I always laugh because my husband is so early, it goes off. sometimes when we're eating dinner, it's time to go to bed, he's ready to go to bed. But I'm using that as a as a cue to for us as adults is nice, because then we're like, oh, we should be putting our phones down right now. And again, my 19 year old is 19. So he should be able to self regulate, but my 14 year old phones come in with me when I go to bed so that you doesn't have that temptation, even when he wakes up in the middle of the night to pick it up, because I have that temptation.

 

Marcus Thorpe  26:20

If you're just joining us, we have spent some quality time with Ashley Cremona- Simmons, family physician with OhioHealth do and one of the things we really like about this podcast is getting a chance to get to know you too, even beyond what you do from a professional experience. So we wanted to open up to a couple of just a final question just about you so that our listening audience and even us can have a chance to get to know you. You're so busy. So do you have time even watch TV? Or go to the movies? And if so, what do you dive into? What is it that you do to try to get yourself away from your regular life?

 

Ashley Cremona-Simmons, DO  26:56

Mmm hmm. I think my son is a big source of enjoyment for me. So most of my TV watching is probably actually consumed with what he wants to watch, which is okay. But my favorite TV shows which are actually kind of coming back when Netflix and things are like old 90 sitcoms, so family matters. And Sister Sister. Like I finally remember TGIF, it was like a whole lineup of shows. And we were watching, we didn't have cable. And now those things are on Netflix. And for me also was a positive representation because there weren't a lot of people on TV that looked like me. So that kind of gives me that very warm sense of nostalgia. So I  do that. And then you asked me other things that I do to unwind. I'm into like interior design and actually used to work as a makeup artist. I did it for a little bit while I was in grad school. So like beauty industry. Those things are interesting to me. Nice. That's awesome. That's great.

 

Missy Gleason  27:50

What about your go to comfort food? I know we talked a lot about nutrition but comments.

 

Marcus Thorpe  27:57

If you want to say lie like these things were like, well, my kids wouldn't want to eat that. What do you like?

 

Ashley Cremona-Simmons, DO  28:01

Actually, it's a tea. So growing up, I used to spend a lot of time at my grandma's house. And I was one of those ones. I just would not go to sleep and I just remember she would make me sleepy time tea, the celestial sleepytime tea.

 

Missy Gleason  28:16

Aww with the bear on the box.

 

Ashley Cremona-Simmons, DO  28:19

That is my comfort place I will go I'll have a cup at night and just the smell reminds me of my grandma. So that's actually my comfort food is that tea.

 

Missy Gleason  28:26

I love that. Because it's nostalgic, and it's sentimental too it's not just

 

Ashley Cremona-Simmons, DO  28:32

And you probably thought you were so grown up having tea. I vividly when I I have the cup, I just think of my grandma and I can see you know, my little toddler self supposed to be going to bed!

 

Marcus Thorpe  28:34

It's cool, because you have a four year old and the four year old is gonna grow up and probably we have some really neat story about my mom and I remember,

 

Ashley Cremona-Simmons, DO  28:53

 So I look forward to that definitely.

 

Marcus Thorpe  28:56

All those times you had to sit and watch Paw Patrol and all worthwhile.

 

Missy Gleason  29:00

So before we wrap up, we do invite you to follow us on all major social channels and stay up to date on new episodes and other health and wellness topics. And if you're looking for more information on OhioHealth services and locations, be sure to visit OhioHealth.com

 

Marcus Thorpe  29:15

We of course want to thank Ashley Cremona - Simmons for joining us for this really smart discussion that I think is going to open up a lot of eyes and hearts and ears. And so we thank you so much for your expertise. And your time to join us for this podcast. We appreciate it.

 

Ashley Cremona-Simmons, DO  29:28

Thank you so much for having me. I enjoyed it. Thank you.

 

Marcus Thorpe  29:31

And of course, the information in this episode will be available in written form on the OhioHealth wellness blog. And as Missy said, blog.ohiohealth.com and OhioHealth.com are two great places for you to log in and find all the information that you need.

 

Missy Gleason  29:44

And if you have any other suggestions or questions about back to school, you know, you can find us on social media. We're OhioHealth on all major social channels. So feel free to drop us a DM there if you have anything to suggest or any further questions because I'm sure we'll be having you back to talk little bit more.

 

Ashley Cremona-Simmons, DO  30:00

I'd love to come back. Thank you again for having me.

 

Marcus Thorpe  30:02

Before we wrap up, we invite you to join us on all major social channels to stay up to date on new episodes, and other health and wellness topics. And if you're looking for more information on OhioHealth services and locations, be sure to visit ohiohealth.com and the information

 

Missy Gleason  30:17

In this episode will also be available in written form on the OhioHealth wellness blog, you can find that at blog.ohiohealth.com.

 

Marcus Thorpe  30:25

We thank you for tuning in to the wellness conversation. We hope you found this episode informative and valuable. And be sure to join us next time as we continue our exploration of important health and wellness topics with OhioHealth experts.