Mary Chatman, Executive Vice President of Acute Care Operations for Wellstar Health System, Elected Chair of the Georgia Hospital Association Board of Trustees

Dr. Joanna Dolgoff, Wellstar Children’s of Georgia pediatrician and author of the bestselling book “Red Light, Green Light, Eat Right,” uses her “no time, some time, never all the time” philosophy to provide families with guidance around screen time.

At nearly every wellness visit, Dr. Dolgoff talks with parents about how to set healthy limits with screen time. “We’re seeing language delays in children from too much screen time,” she explained.

Some signs that children may be spending too much time on social media, gaming or watching videos can include:

• Aggression
• Difficulty handling boredom without a screen
• Trouble connecting with peers
• Sleep disruption
• Poor focus in school
• Withdrawing from hobbies or activities they once enjoyed

Dr. Dolgoff’s advice? Parents should follow expert recommendations and know the difference between learning-focused content and pure entertainment. “You want to know what your kids are doing on their screens, and you want to know how long they’re doing it for,” she said.

Troubling trends in children’s media habits

Common Sense Media is a nonprofit organization that advocates for children’s health in the digital age. Its most recent survey of the digital habits of children 8 and younger showed that by age 2, 40% of children have their own tablet. By age 4, that number climbs to 58%.

The survey also found that 1 in 5 children use mobile devices during meals, at bedtime or to cope with emotions.

Dr. Dolgoff stresses that parents must monitor and regulate their children’s digital use across all platforms. Yet the same survey shows gaps in how families co-view content: 62% of parents occasionally watched YouTube with their children, compared to only 17% on TikTok.

The survey also found that screen use varies by income. Children in lower-income households spend twice as much time on screens (3 hours, 48 minutes) as those in higher-income households (1 hour, 52 minutes).

Guidelines for screen time by age

As a spokesperson for the American Academy of Pediatrics, Dr. Dolgoff suggests that parents know and follow the organization’s screen time guidelines for children:

• Under 18 months: No screen time
• 18 to 24 months: Only educational content with parents
• 2 to 5 years: No more than one hour per day
• 6 years and older: Balanced screen time that doesn’t interfere with family, friends and schoolwork

These guidelines are based on the science of children’s and adolescents’ brain development. abies’ brains begin developing before birth, and the early years of life have remarkably rapid brain development.

What do screen time limits look like?

According to Dr. Dolgoff, parents don’t need to worry if little ones under 18 months use screens for video chats with loved ones like grandparents. But she adds an important distinction: “Content matters. Mindlessly scrolling through TikTok videos is not what we want children doing for hours each day.”

Fortunately, children’s programming has expanded considerably since the parents of today were kids. YouTube Kids, PBS Kids, Netflix, Apple TV and other streaming services serve a variety of programs.

Here are some healthy screen time choices, along with suggested time limits:

• Toddler (2 to 3 years): Video call with grandparents and 30 minutes of educational programming such as Daniel Tiger’s Neighborhood or Sesame Street with parents watching
• Elementary school (6 to 10 years): Homework on Chromebook or other platform and 30 minutes of YouTube Kids, unstructured outside play and bedtime stories
• Teens (13 years and older): Homework time and no more than two hours of other screen use for gaming or socializing with friends

While watching shows or movies with children, parents can spark curiosity and critical thinking by asking open-ended questions such as:

• “What do you think will happen next?”
• “How would you feel if that happened to you?”
• “Could this happen in real life?”
• “How would you have made this better?”

Most importantly, parents should help children see screens as just one part of life—not a substitute for family time, active play or friendships.

Sound screen habits begin with parents

Young children develop social and communication skills by observing, listening, talking (babbling counts!), reading, singing and playing with parents, siblings and others. The American Academy of Pediatrics advocates that parents put down their phones so they can focus on those activities and interactions.

For help, parents can turn to apps designed to monitor their smartphone and tablet use. They can also examine their habits by asking themselves questions such as:

• “Am I scrolling at the dinner table?”
• “Am I texting while driving?”
• “How much are my children watching me use my phone for entertainment?”
• “Am I setting a good example by having hobbies and interests that don’t involve screens?”

Experts advise ways to set and enforce limits

The American Academy of Child & Adolescent Psychiatry and the American Academy of Pediatrics understand the temptations of screens and parents’ difficulty setting limits. Some of their advice for parents:

• Avoid using screens as pacifiers, babysitters or to stop tantrums.
• Create tech-free times, with extended breaks and tech-free zones, including the meal table.
• Learn about and use parental controls on devices, including phones, tablets, laptops and televisions.
• Make family outings technology-free—and that includes cameras.
• Remove screens from bedrooms 30 minutes to an hour before bedtime.
• Set a timer when using a device as a reminder to turn it off or put it away.

Tips for enforcing screen-time limits

It’s in children’s nature to resist when they don’t want to stop doing something pleasant or fun. It’s the parents’ job to stick to the limits they’ve set. Some more ideas for managing children’s reactions to screen-time limits include:

• Have a designated “quiet spot” for younger children to calm down if they rage after time on a device is up.
• Offer alternatives after a device is turned off. Those could include playing a board game, reading a book together, playing with a favorite toy or creating an art project.
• Warn children before their time limit is up.

Resources for parents

• The American Academy of Child & Adolescent Psychiatry on screen time limits, music and music videos, video games, movie and video choice, and screen violence
• Common Sense Media
• Google and Apple content about online safety and parental controls
• Healthychildren.org, a website of the American Academy of Pediatrics
• know2protect, guidelines for protecting children online from the U.S. Department of Homeland Security

HIRAM, Ga. — With shovels in hand and plans in motion, leaders of Wellstar Paulding Medical Center officially broke ground Thursday, September 4, on a $300 million expansion project that will double the hospital’s inpatient capacity and bring new resources to one of Georgia’s fastest-growing regions.

The hospital, which currently operates 112 beds and a busy emergency department with 40 adult and pediatric bays, is nearing full capacity. As Paulding County continues to grow, so does the need for accessible, high-quality healthcare. Wellstar’s expansion aims to meet that demand head-on.

“This is a big moment for Paulding County,” said Wellstar Paulding President Todd Kennedy. “We’re responding to the needs of a growing community and laying the foundation for a healthier future.”

The new hospital tower will be constructed in two phases, with the first phase—opening in November 2027—adding 56 beds, expanding heart and vascular services, and increasing imaging testing capacity. An additional 56 beds will be added by 2029 as part of the second phase.

“We’re building more than just a new tower,” said Robert S. Owens, chair of the Wellstar Paulding Tower Campaign Cabinet and vice chair of the Wellstar Paulding Regional Health Board. “We’re building the future of healthcare in Paulding County.” 

A $20 million parking deck, featuring more than 460 new spaces, is also set to open this November, improving access for patients and visitors.

In recent years, Wellstar has expanded its footprint across Paulding County, adding 69 exam rooms at seven practices across the county to help ease pressure on the hospital and provide more convenient care. Locations in Hiram and Dallas now offer services ranging from primary care and pediatrics to behavioral health and specialty care. Another 46 exam rooms are planned over the next three years.

Wellstar Paulding’s Emergency Department remains one of the busiest in the region, rarely diverting patients despite high volumes. To help manage demand during construction, the hospital has added EMS drop-off spaces, opened a new waiting area for people with less urgent medical needs and created a discharge lounge to free up beds more quickly.

“The newest expansion at Wellstar Paulding is part of our system strategy to expand care across our markets,” said Mary Chatman, executive vice president of acute care operations at Wellstar Health System. “Not only will this provide additional capacity for our Paulding campus, but it will also support our efforts to manage capacity across our footprint.”

Wellstar Paulding has received numerous awards for quality and safety, including the Malcolm Baldridge National Quality Award, Magnet Nursing Facility designation, Leapfrog “A” rating and a CMS 4-star rating for quality.

With approximately 1,900 employees, Wellstar Paulding is also one of the county’s largest employers, playing a key role in both healthcare and the local economy.

Xander Garanzuay, a long-distance runner, never imagined his high school track meet would end with him being airlifted to the hospital. But when a discus struck him in the head, he suffered a depressed skull fracture and needed emergency surgery.

Thanks to the quick action and collaboration of Wellstar Kennestone Regional Medical Center's trauma and neurosurgery teams, Xander is now back to running. His story highlights the resilience of the human body, the strength of family and the impact of expert care.

A sudden accident

After finishing the 2-mile race at a track meet in Cartersville, Xander stayed to support his Woodstock High School teammates. When he was ready to go home, he texted his parents.

A few moments later, everything changed. While tossing a ball with his friend, Xander ran to retrieve it—just as a discus struck him in the head.

The discus hit Xander on the left side of his head with such force that he fell unconscious. Xander began seizing—his condition was critical. While his friend raced to notify their coaches, Kelly, Xander’s mom, had arrived to pick him up.

“I’m sitting out front texting Xander, ‘I’m here,’ when emergency vehicles start pulling up,” Kelly said. “Then my husband called—‘Xander’s been hit.’”

Kelly stayed with Xander as EMS evaluated him. “He was awake but not coherent,” she noted. They determined he would need to be airlifted to Wellstar Kennestone, a Level I Trauma Center.

Life-saving surgery

Xander was swiftly transported to Wellstar Kennestone, where the trauma team was ready to act. Upon arrival, Wellstar Neurosurgeon Dr. Phillip Parry assessed the severity of Xander’s injury: a depressed skull fracture causing seizures.

“The discus is a large weight—picture a five-pound Frisbee—that is flung through the air,” said Dr. Parry. “Thankfully, Xander’s skull protected his brain, but he essentially sustained a ballistic injury to the skull.”

The impact to the left side of Xander’s skull left him with a fixed-focus neurologic deficit. His right arm—his dominant arm—had no muscle strength, and his right leg was weak.

Dr. Parry performed an emergency craniotomy to remove the bone pressing on Xander’s brain. The surgery was successful, but the road ahead was uncertain.

“The biggest challenge wasn’t the surgery itself—this is something we do every day,” he said. “It was telling a 16-year-old and his mother that we didn’t know whether he would regain function in his dominant arm.”

Kelly had to trust in the care Xander was receiving. “You don’t know what you’re going to do in that situation. Nothing prepares you,” she said. “I had to have faith that he was in the right hands—and he truly was.”

Steady progress

The day after Xander’s surgery, Wellstar Kennestone’s physical and occupational therapy teams began working at his bedside to restore movement in his non-functioning arm and leg.

“You want to do everything you can to optimize the body’s ability to heal,” said Dr. Parry. “It was important that we provided that environment for him.”

Xander’s positive attitude and determination played a crucial role in regaining function. His dad, Xavier, was amazed by his son’s resilience.

“He was so proactive and driven to get better,” Xavier said. “It was inspiring to watch.”

Still, sometimes the reality of what happened sank in. “He woke up one night and said, ‘I could have died,’” his mom remembered. “I told him, ‘Yes, but you didn’t.’ He said, ‘God must have something really special planned for me.’”

Xander applied the same fortitude from running to each step of his healing. “Sometimes you can be your own worst enemy, but you can also be your biggest supporter,” he said. “If you don’t believe in yourself, how can anyone else believe in you?”

Care that made a difference

Xander spent six days at Wellstar Kennestone before being transferred to inpatient rehabilitation. The support from Wellstar’s care team made a lasting impact.

They were there for whatever we needed—compassionate and always listening to Xander’s needs,” Kelly said.

One night during his stay, Xander woke needing help to get to the restroom. When a nurse arrived, he suddenly began seizing. “I’ve never seen eight nurses in a room so quickly,” his mom recalled. “Everyone knew exactly what to do.”

One poignant moment came when Xander’s family had the discus—now a symbol of victory over his injury—signed by his care team.

“It’s rewarding as a physician to know that I played a small part in restoring his ability to use his arm again,” Dr. Parry reflected. “As a parent, I know the anxiety that comes with the uncertainty of neurologic recovery. To see Xander move his arms and legs again, as if nothing happened, is a relief that’s indescribable.”

The power of community

Xander’s recovery was supported not only by his family and Wellstar care team, but also by his school and community. After the accident, his track team dedicated the next meet to him, with “Run for Xander” wristbands and signs. A teammate also started a GoFundMe campaign, which raised nearly $13,000 to help with the family’s medical expenses.

“People from all over came together for Xander,” Xavier said. “Posts on his team’s Facebook page were shared with running clubs from Canada to Miami. We were blown away.”

Xander was especially touched by the support. “This whole experience showed me how much my family loves me,” he said. “Seeing my friends, teachers and even family from Texas come to help—it meant so much.”

A bright future

After two and a half weeks of inpatient rehabilitation, Xander transitioned to outpatient rehab and continued regular follow-ups with Dr. Parry at the Wellstar Neurosurgery clinic. “At each phase, he received the best possible care,” explained Dr. Parry. “That’s why he had such a great outcome.”

Today, Xander is almost fully recovered and back doing what he loves most—running. “Physically and mentally, he’s doing phenomenal,” Kelly said. “He has his own training program. I am so proud of him.”

Xander’s progress wouldn’t have been possible without the trauma care network that supported him every step of the way. “The benefit of the trauma network can’t be overstated,” Dr. Parry said. “It ensures people get the best possible outcome even on their worst day.”

With expert care and determination, Xander is ready for whatever comes next.

Learn more about Trauma Services and Neuro Care at Wellstar.