Posted in drugs, Education, Health, news, sex, Social Media, teens

Is Your Teen in Trouble? Your Guide to Their Code Words and Phrases

This generation of teens communicates differently from any others as smartphone technology has outpaced the normal evolution of day-and-age vernacular. As a result, adolescents use short phrases, hashtags, abbreviations and emojis to convey their thoughts while parents and society scramble to catch up.

What Are They Saying? Your Guide to Teen Slang

However, within these bite-size “codes” or phrases could be volumes of meaning, some delineating at risk behavior, some foreboding suicide. 

While many parents are on the lookout for terms used such as “depressed”, “sad”, “wasting my life”, and “I’m a nobody”, Daily Mail reports Tik Tok users have been using cryptic phrases, such as those below, as “cries for help”. These include:

  • I had pasta tonight
  • I want to tell my mom my favorite pasta recipe
  • I’m living in Spain right now but the “s” is silent
  • My shampoo and conditioner are almost empty
  • I finished my shampoo and conditioner at the same time
Reaching out: TikTok users who are in desperate need of support have been posting variations of the codes in their captions and hashtags

The pandemic, and isolation from which, has left many adolescents feeling alone, sad, and despondent about the future. Many teens, as a result, will isolate further and not reach out to others. However, some might, as a last resort, look to social media for acceptance and love.

Some may use hashtags such as:

  • #mentalhealth
  • #nofuture
  • #sadness
  • #sad
  • #badday
  • #lifesucks
  • #worthless
  • #sadeits
  • #love
  • #alone
  • #broken
  • #remorse
  • #atmyend
  • #finished
  • #mood
  • #breakdown

Although some of these terms such as “love” appear harmless, they may indicate that the child may need help from a counselor, physician, or National Suicide Prevention Hotline.

Breaking the code

Generation Y’s (Millennials) and Z’s (those born after 1995) have learned to be concise, descriptive, and to the point as technology and social media encourage less characters/keys being used to get one’s point across.

Teens and young adults, therefore, may use codes that often come from the letters that correspond to the key pad on a phone. 

So here’s a guide to some of the unfamiliar terminology the young ‘uns are using:


text night.jpg
  • NIFOC – nude in front of computer
  • CU46 – see you for sex
  • 8 – “ate” used in discussions on oral sex
  • 831 – I love you – “eight letters, three words, one you/meaning”
  • 143 – I love you (denotes letters on keypads, or #’s of letters in each word (love has 4 letters)
  • 2N8, 2NTE – tonight
  • 4AO – four adults only
  • 2B@ – to be at
  • 4EAE – for ever and ever
  • 53X – sex
  • 775 – kiss me
  • ?^ – hook up?
  • BAE – before anyone else
  • IWSN – I want sex now
  • ITX – intense text sex
  • NP4NP – naked pic for naked pic
  • 1174 – strip club


  • < 3 – broken heart or heart
  • 182 – I hate you (1 stands for “I”, 8 stands for “hate”, 2 stands for “you”)
  • 2G2BT – Too good to be true
  • 2M2H – Too much to handle
  • Blarg, Blargh – similar to “darn” but deeper
  • Butthurt – receiving a personal insult
  • Salty – being bitter about something or someone
  • Watered – feeling sad, hurt
  • Wrecked – messed up
  • 4FS – For F***’s Sake
  • Poof – disappearing
  • ::poof:: – I’m gone
  • Ghost – disappear
  • 555555 – sobbing, crying one’s eyes out
  • ADIH – another day in Hell
  • KMN – kill me now
  • VSF – very sad face
  • KMS – kill myself
  • KYS – kill yourself
  • 187 – homicide

Drugs/Risky Behavior

  • 420 – marijuana
  • 420 – let’s get high
  • A/S/L/P – age/sex/location/picture
  • A3 – anytime, anyplace, anywhere
  • LMIRL – lets meet in real life
  • WYRN – what is your real name?
  • Chrismas tree – marijuana
  • Catnip – marijuana
  • Gold – drugs
  • Gummy Bears – drugs
  • Blues/Bananas – narcotics
  • Bars – benzodiazepines
  • Smarties/Skittles – Adderall/Ritalin
  • Ski Equipment/Yayo– cocaine
  • Cola – cocaine
  • Candy/Chocolate Chips/Sweets/Smarties/E – ecstasy
  • Crystal Skull/Wizard – synthetic marijuana
  • Hazel – heroin
  • Gat – gun/firearm
  • Lit – getting high/drunk
  • Smash(ed) – getting drunk, stoned, or having sex

Parents nearby

  • 9 – parent is watching
  • 99 – parent is not watching anymore
  • P911 – parent alert (parent 911)
  • PAL – parents are listening
  • PAW – parents are watching
  • POS – parents over shoulder
  • AITR – adult in the room
  • CD9 – code 9 – parents in the room
  • KPC – keep parents clueless
  • RU/18 – are you over 18

And the above is just a small sample of some of the terms used these days.  This list continues to grow by the day so parents need to always be aware.  Kids want to KPC and avoid POS so be ready for the next group of codes being created as we speak……

Great Gift!!

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in news, Politics, Social Media

New Social Media App, Parler, Offers “Free Speech” Platform

New social media platform, “Parler”, is turning heads and users from Facebook and Twitter who are looking for a site that promises to be “unbiased.”

Founders John Matze and Jared Thomson from Henderson, Nevada created Parler in 2018 in response to Twitter and Facebook users being censored if their posts were considered “extreme”. Both founders have computer science degrees from the University of Denver.

They began the #Twexit campaign calling for followers to “reject censorship and exit Twitter.”

On their website, Parler states:

Our goal is to offer the world a platform that protects user’s rights, supports publishers and builds online communities.

Parler aims to empower users to control their social experience. Users can be responsible to engage content as they see fit.

We are not regulators. We are not governors. We are a community.

Parler accepts your right to express your thoughts, opinions and ideals online.

Just like in society, Parler interactions are subject to guidelines; and when you respect them, you are free to participate wholly.

Parler attracts many including those conservatives who feel their criticism of left wing policies are being hampered by other platforms.

It is estimated they have already amassed over 1 million users.

This is a developing story….

Great Gift!!

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is a Board Certified Family Physician

Posted in news, sex, Social Media

How I Stopped a Creep on Instagram

After countless messages on Instagram from random people asking me how I am and if I want to be a “sugar baby”, I decided to investigate and take matters into my hands. Fortunately the whole experience was over in a matter of minutes.

It started with this instagram message I received:

Now I’ve received many of these messages before but none with financial incentives. So I figured I needed to get more details on the job description…..

A “sugar baby” is one who accepts cash or gifts in exchange for sexual favors and/or companionship. True I was nervous as I didn’t want to hear a long list of sexual acts, but I was curious to see if this was a “bot” or a human.

He responds…..

So he was vague, and I as a journalist was not going to take that as his final answer so I, of course, probed.

He within a minute responded with..

I almost felt sorry for him and then questioned for a brief second if he was really sincere. But my initial instincts were right….

So while I was trying to form an answer such as “my friends (and husband) will surely be jealous that I have a sugar daddy”, he kept hammering out replies, one after the other……

Now it’s getting late and I want to go to sleep, so I thought I’d start having some fun…..

He became quiet for a minute…..then another minute….and then he responded with…..

And now I finish him……

And it ended. Haven’t heard from him since……Whew!!!

Now true, many women in their 80’s can be very sexy and qualified “sugar babies” and he didn’t specify he wanted sex, but if all he wanted was someone for communication and companionship, wouldn’t an octogenarian be a fascinating person to discuss life experiences with????

Next time I’m going to do what the rest of you should do and just block them when they first reach out, but it was interesting to learn that many of these are humans and not bots….and yes, I identified someone who was biased against “hairy legs” and a “urinary catheter”….

Great Gift!!

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is a Board Certified Family Physician

Posted in children, Health, news, Social Media, vaccinations

Over 2/3 of Online Vaccine Information Videos May Contain Misinformation

The number of children who are unvaccinated in the US is rising, and health experts believe misinformation obtained online could be to blame.

A study published in Clinical Pediatrics this month found over 2/3 of online videos to be incorrect when discussing vaccine health risks.

Dr. Daliah Wachs with students and faculty from Touro University Nevada reviewed 200 videos on YouTube that resulted when searching the terms “vaccines,” “vaccine risk,” “vaccine side effects,” and “vaccines and autism,” and found 68% of the videos to contain misinformation.   They additionally found that most of the misinformation occurred within the first 2 minutes of the video.

The most common types of misleading information were:

  • Factually contradicting the CDC or UpToDate, a widely used clinical resource for clinicians and patients
  • Offering anecdotal evidence (based on personal accounts or hearsay)
  • Utilizing unreliable resources or not citing resources

The study authors write: “It is important to recognize that most of the population does not possess a background in medicine or research. The majority of people are susceptible to taking information at face value, and lack the time and energy to delve into the credibility of a video on vaccines as we have in this study.”

The failure by the viewer to fact check the information or sources provided may also come from a misled perception that the online health video was produced by a renowned clinical resource.

If the video is an opinion piece, it many times does not specify.

Wachs states, “when a parent has a child who is unvaccinated, the reasoning can span over a wide range… anywhere from religious preference, to inability to take off work, to fearing a side effect, to distrust of the medical community.

“Parents on the fence about vaccination may feel apprehensive about bringing this up to their medical provider and turn to online education instead.  So this study gives insight to the types and quality of information to which some parents may be exposed.”

Although the majority of children in the US are routinely vaccinated, in 2018 the CDC found the proportion of children “who received no vaccine doses by age 24 months” to be gradually increasing.


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Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is Board Certified Family Physician





Posted in children, Entertainment, Health, news, smart devices, Social Media, video games

Most Parents Are Concerned With Their Child’s Gaming Habits

A poll from C.S. Mott Children’s Hospital found 86% of parents feel kids spend too much time gaming.

They report the following:

Among parents who say their teen plays video games every day, 54% reported extended gaming of 3 or more hours each day, compared to only 13% of teens that do not play every day; 13% of these parents believe their teen spends more time gaming than other teens, while 78% believe their teen’s gaming is less than or about the same as other teens. One in five parents (21%) say their teen does not play video games at all.
Most parents agree or strongly agree (86%) that teens spend too much time playing video games. Parents try a variety of strategies to limit the amount of time their teen spends gaming including sometimes or frequently encouraging other activities (75%), setting time limits (54%), providing incentives to limit gaming (23%) and hiding gaming equipment (14%).
Overall, parents say gaming sometimes or frequently gets in the way of other aspects of their teen’s life such as family activities/interactions (46%), sleep (44%), homework (34%), friendship with non-gaming peers (33%) and extracurricular activities (31%). Parents whose teen plays every day are more likely to report that gaming has a negative effect on their teen’s mood compared to those who play less frequently (42% vs. 23%).
Although many parents (71%) believe video games can be good for teens, some (44%) try to restrict the type/content of the games they play. Parents of teens 13-15 years, compared to teens 16-18 years, are more likely to use rating systems to make sure games are appropriate (43% vs. 18%), encourage their teen to play with friends in person and not online (25% vs. 18%) and not allow gaming in their teen’s bedroom (28% vs. 14%).

The Helicopter Theory

Many parents may have inadvertently fueled their child’s gaming habits as if their child is in their home playing a video game, they are not away and getting into mischief….a “helicoptering” if you will…..

Parents fear drug use, unsafe sex practices, DUIs, abductions with their teens and so gaming at home while socializing online seems safer and may not be discouraged in a household.

But it’s not “safe” as predators lurk online and hours of gaming can lead to obesity, blood clots, sleep disorders, and depression.


Gaming Disorder Now Considered “Mental Illness”

Those who find themselves playing video games for hours on end may end up with a mental health diagnosis.  The World Health Organization suggested adding “gaming disorder” to its list of disease classifications.

But do those World of Warcraft, Call of Duty, Fortnite, and Candy Crush fans need to seek professional help immediately?  Well to qualify as having a “gaming disorder”, the WHO suggests the following guidelines:

  • The compulsive pattern of behavior has to exist for at least 12 months.
  • The behavior affects one’s personal life, occupation or health negatively.
  • Once the behavior negatively affects one’s life, the behavior continues or escalates.

They write: impaired control over gaming, increasing priority given to gaming over other activities to the extent that gaming takes precedence over other interests and daily activities, and continuation or escalation of gaming despite the occurrence of negative consequences.

They continue:  The inclusion of gaming disorder in ICD-11 follows the development of treatment programs for people with health conditions identical to those characteristic of gaming disorder in many parts of the world, and will result in the increased attention of health professionals to the risks of development of this disorder and, accordingly, to relevant prevention and treatment measures.

Why are we getting addicted?

Video games act on the pleasure centers of the brain, just as alcohol, opiates and chocolate do.  We get “rewarded” by certain behaviors, giving us confidence and ego boots that we don’t get in the real world.  We begin to prefer to be alone with our controller than outside being written up by a supervisor, or turned down by a potential date.  Colors, sounds, awards, level advancement is psychologically addicting.

How to treat a gaming disorder

Many times gaming disorders are accompanied by other internet addictions such as porn and online shopping.  The following are treatment options used to curb one’s compulsive gaming behavior:

  • Limit screen time to one hour a day
  • Screen time holidays, or only use screen time for academic, work purposes
  • Play old school games with the kids such as Chess, Monopoly, or Dungeons and Dragons
  • Encourage family and friend outings such as camping, hiking, and cool projects
  • Visits to the library to use encyclopedias rather than going to Google (avoiding online ads that could tempt one to continue playing/shopping)
  • Cognitive/behavioral therapy
  • Medications, such as Zoloft, that treat OCD.
  • Treatment of the underlying disorder…depression, anxiety, loneliness, etc.


Some play but some blay….

Blaying is when one continues to play a level of a game despite being bored and disliking it.

Researchers estimate over 420 million people are addicted to the internet.  Smartphone addiction is rising exponentially as well.  These addictions many times involve gaming.  Hours are spent playing online games and levels within these games many times require multiple attempts.  If the level is not mastered, one is “stuck” on the level, but continues to play it in hopes the next level will be “better”.  This is all too time consuming.

Those of you who play Candy Crush know exactly what “blaying is”.  For example, you get stuck on level 2124 and can’t advance until you master that level.  But you hate it.  You keep losing and are really bored with the level.  But everyday you return to blayin the hopes that your luck will change and you can advance to a new level.  Eventually that level gets tiresome and you must blay your way through that one.


Another example:  Advancing to a new World of Warcraft level can be so tempting that one blays for weeks until they finally complete all the quests necessary to advance.

Remember “Around the World” in basketball.  One shoots from  different markers on the court and can’t advance until they make a basket.  But some of us get stuck forever on level 3, and cringe everytime we miss.  But we continue to blay until someone wins or has the chutzpah to say “This is boring!”.

But the psychology behind it is fascinating in that rather than having a quitting mentality, the gamer drudges on.  But why go through such boredom and anguish?  If we can get to the psychological root of blaying, maybe we could be a step closer to fighting internet addiction.




Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is a Board Certified Family Physician

Posted in Health, news, Social Media

Social Media Posts Can Indicate Medical Conditions

For years we’ve been hearing stories of children being diagnosed with brain tumors or liver disorders based on followers viewing their picture on social media and alerting parents to suspicious findings.  Now a study, published in PLOS One, finds 21 different medical conditions to be revealed based on the vocabulary people use when posting on their timeline.


Penn State and Stony Brook medical researchers reviewed thousands of Facebook status updates and found certain key words surface more often with those having specific conditions.



image from:


For Diabetes, for examples, key words included: pray, family, blessed, very, thank, thankful, doctor, blood, hospital

For Sexually Transmitted Illnesses, there were many expletives as well as the terms cry, scream, away, guess, wow and babe

For Drug Abuse, there were many expletives as well as well as the terms nobody, everybody, stop, call, text and bored

For High Blood Pressure, terms that commonly surfaced included doctor, blood, hospital, mother, good, peace, rip. 

MedicalXpress reports:

Some of the Facebook data that was found to be more predictive than demographic data seemed intuitive. For example, “drink” and “bottle” were shown to be more predictive of alcohol abuse. However, others weren’t as easy. For example, the people that most often mentioned religious language like “God” or “pray” in their posts were 15 times more likely to have diabetes than those who used these terms the least. Additionally, words expressing hostility—like “dumb” and some expletives— served as indicators of drug abuse and psychoses.
“Our digital language captures powerful aspects of our lives that are likely quite different from what is captured through traditional medical data,” said the study’s senior author Andrew Schwartz, Ph.D., a visiting assistant professor at Penn in Computer and Information Science, and an assistant professor of Computer Science at Stony Brook University. “Many studies have now shown a link between language patterns and specific disease, such as language predictive of depression or  that gives insights into whether someone is living with cancer. However, by looking across many medical conditions, we get a view of how conditions relate to each other, which can enable new applications of AI for medicine.”

The concept of using a “digital language” to help identify certain risk factors is nothing new when it comes to mental illness but is virgin territory when we discuss endocrinology conditions such as diabetes.

More research obviously needs to be done, however, this study demonstrates that not only can our physical actions tune a medical provider into our pathology but so can our social media behavior.


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Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.




Posted in children, Entertainment, Health, Millennials, news, smart devices, Social Media

What Are They Saying? Your Guide to Teen Slang

Once we became accustomed to words like “dope,” “word,” and “sick”, a new generation introduced their vernacular.

Social media has changed the way we talk.  Words need to be abbreviated, and many times one word must assume a whole phrase.

Generation Y’s (Millennials) and Z’s (those born after 1995) have learned to be concise, descriptive, and to the point as technology and social media encourage less characters/keys being used to get one’s point across.

So here’s a guide to what the young ‘uns are saying:

  • GOAT: Greatest Of All Time (you may see pics of goats in Tom Brady jerseys…..”
  • BAE: one’s love, or babe.  Stands for “Before Anyone Else”
  • Lit:  Cool or Awesome!
  • Woke: aware of social issues
  • Gucci:  Good or cool
  • Hundo P – Short for “I’m 100% positive/certain”
  • Squad/Fam: Group of close friends
  • Throw Shade:  Make fun of/criticize, give a nasty look at someone
  • Curve: To reject someone romantically
  • Salty: Bitter about something or someone
  • Ghost: To ignore someone
  • Skurt: to leave, tell someone to go away
  • Sip Tea: mind your own business
  • Ship: relationship
  • Troll:  Those who say nasty things online

Netsanity provides this breakdown:


And for those of you who need some help translating your kids’ texts:


And we can’t forget the emoji’s. These allow a visual, pictoral way to get one’s message across:


With building and maintaining strong relationships, communication is key.  For us old dogs, we might need to learn some new tricks.

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Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in Health, news, Social Media

Selfitis – Obsessive Selfie Disorder Defined

The average person performs more selfies in one day than going to the bathroom.  We witness people take pictures of themselves on trains, in lines at the DMV and while shopping at Wal-Mart, only to re-expose us to their obsession on social media.  We can’t escape people’s faces with peering eyes and face contortions no matter what we do as we are forced to feign care and interest in what their expression is telling us while they are ordering a Big Mac.

We’ve all predicted a “mental disorder” would eventually be named for this obsessive and narcissistic behavior that haunts us every screen shot and follows us with every scroll……and now it has.  Two psychiatrists, Janarthanan Balakrishnan from Thiagarajar School of Management in Madurai and Mark D Griffiths of UK’s Nottingham Trent University surveyed 400 students who attended management courses at two colleges in India and classified them as the following


One who takes selfies 3 times a day but DOES NOT post on social media.  34% fell into this category.


One who takes selfies 3 times a day but DOES post on social media.  40.5% fell into this category.


One who takes selfies more than 6 times a day while posting on social media, suffered by 25.5% of respondents.

In fact, after the respondents were asked about their selfie habits, many took selfies.

India is a hotbed of selfitis and tragically boasts the highest selfie death rate in the world (76 cases out of 127 world-wide).

Selfies offer numerous incentives in our current social culture.  These include:

  • Cementing the memory in time
  • Being included in social media feeds
  • Preventing the “out of sight, out of mind” concept when it comes to relationships
  • Competition
  • Attention seeking, by hundreds of people at once
  • Manipulation of facial features and weight depending on lighting, filters and poses.

Think about it, if we want to look attractive, and show the world, we have unlimited picture and editing power.

Indian Medical Association President, Dr. KK  Aggarwal, issued the following warning:

A lot of us have become slaves to devised that were really meant to free us and give us more time to experience life and be with people. Unless precautionary measures are taken at the earliest, this addiction can prove detrimental to one’s health in the longer term.

What precautionary measures can be taken?

When any obsession starts setting in, will power must be utilized and boundaries set. However, when this fails, friends and family members need to be recruited. Assign one person to be your “selfie police” who only allows you one selfie a day.  You and he/she can pick the selfie, dress it up, crop it, spending as much time as you need on this one selfie.  Posting will only be allowed once a day.  After exhaustively creating your one selfie, hopefully you realize the futility of your efforts, and maybe you’ll skip a day, and then two.

Remember, “less is more” and your friends will be more excited to see you or your pic if they weren’t supersaturated with you all day long on their social media feed.

Let me know how it works for you, since I’m not ready to detox yet…..




Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, iHeart Radio and Board Certified Family Physician