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Patient Education: Hand Cast Care Guidelines for Small Children

How to keep the cast dry:

  • The cast must stay dry. No water! No exceptions! This includes:
    • Indoor and outdoor faucets
    • Dog and cat bowls
    • Water toys
    • Lakes and pools
  • Do not bathe or clean the child in the sink or tub. Casts get wet with less than one inch of water in the sink or tub.
  • Put towels on the bed and give your child a sponge bath with a tightly wrung out washcloth.

How to keep the cast clean:

  • Parents play a vital role in the healing process by providing good cast care.
  • After the sponge bath put a long white tube sock over the cast to help keep it clean and dry.
  • Use sippy cups to prevent juice or milk from spilling on the case.
  • Do not give sweet or sticky liquids to your child to drink (soda, surgary drinks).
  • Keeping the cast clean can help prevent wound infection. Your child may need to be hospitalized and have additional surgery if there is an infection.

How to keep the cast cool:

  • Remember: moisture + heat = germs.
  • Avoid activities that might cause sweating.
  • Stay inside when it is hot outside to prevent overheating and sweating.

Scottish Rite Hospital: The Leader in Treating Hand Disorders

From a child’s hands, imagination becomes creation. Through their hands, children explore the world around them. For thousands of children with hand and upper limb disorders, Texas Scottish Rite Hospital for Children has been a source of hope and healing.

The Center for Excellence in Hand delivers a setting for both patient care and clinical research focused on the treatment for pediatric patients with hand and upper limb disorders, says Scott Oishi, M.D., the center’s director. “Our clinical practice [treats] a variety of children who are either born with congenital hand differences or upper extremity differences, or patients who have had trauma or something happen to them after they’re born,” he says. “There are a lot of patients who come through here and get no surgery at all because all they really need is a lot of encouragement and ability to grow and expand their horizons.”

Oishi and staff hand surgeon Christopher M. Stutz, M.D., have the privilege of seeing many of their pediatric patients from the time they’re a few days old until the time they become 18 years old. “We’re able to keep a database of our patients as far as what type of diagnosis they have, what type of surgeries they underwent, and what their outcomes were, based on very good outcome measures,” Oishi says.

The doctors of the Center for Excellence in Hand are able to understand the best form of treatment for each child through their dedication to research. One of the research studies in the center focuses on the impact of participating in Hand Camp has on school-aged children with a congenital hand difference. Our doctors and researchers evaluate a child’s self-esteem, function and participation in activities, as well as their relationship with peers before and after attending Hand Camp. From treating children with congenital hand abnormalities, such as webbed fingers, reconstructing children’s hands with extra digits, or changing the position of fingers on hands, the center strives to give children back their childhood through the hospital’s world-renowned patient care and groundbreaking research. The Center for Excellence in Hand is committed to helping children with congenital hand anomalies become active, happy, productive, and independent adults.


Future North Campus Construction is Underway

The groundbreaking celebration for Scottish Rite Hospital’s future North Campus in Frisco took place last fall. The event marked the start of construction on the hospital’s first-ever satellite campus since the institution’s founding in 1921.

Since then, excavation and clearing of the 40-acre parcel, located at the northeast corner of Lebanon Road and the Dallas North Tollway, has commenced. The hospital’s ambulatory surgery center is scheduled to open in the fall of 2018.

In the meantime, the hospital’s Plano location at 7000 West Plano Parkway is offering world-renowned sports medicine care to young athletes. In addition, the interim facility offers a fracture clinic, sports therapy, sports-related concussion treatment, a hand clinic and general orthopedic services to patients throughout North Texas.

Paying it FORE-ward

Patient Lauren, age 17, of Dallas, is a natural on the fairway. She was introduced to golf in the third grade when she attended Learn to Golf, an instructional golf program that Scottish Rite Hospital offers its patients. She’s been making tee times and swinging her clubs ever since. Lauren became a hospital patient when she received a diagnosis of psoriatic arthritis at age 2.

Screen Shot 2017-04-10 at 12.47.18 PM“She was treated for about a year and a half and then her arthritis went into remission for 13 years,” her mom, Kammie Campagna says. “Strangely enough, about two years ago, she felt her knees aching, and we came for an MRI and learned that the arthritis had returned.”

Lauren hasn’t let her diagnosis keep her off the course. One of her proudest golf achievements is her participation in KidSwing, an annual golf tournament for kids benefiting Scottish Rite Hospital patients. A participant since 2011 and junior committee member since 2014, Lauren has used her love of golf as a way to give back to Scottish Rite Hospital. She has raised more than $3,000 — and had fun doing it.

“KidSwing’s mission of kids helping kids is awesome and the tournaments are a blast,” Lauren says. “It’s so important to me to give back to the hospital after everything they have done for me.”

This spring, Lauren will lead the Lady Friars of the Bishop Lynch High School golf team in their pursuit to return to the state championship tournament. On National Signing Day 2017, Lauren committed to play golf at the University of Texas at Dallas this fall, where she will pursue a major in speech-language pathology and audiology.

Recent Updates to our Clinics

Scottish Rite Hospital recently completed the renovation of a new clinic space, which features a design theme based upon the seasons of the year. The area that once housed three clinics now hosts four, aptly named Spring, Summer, Autumn and Winter.

Orthotics and Prosthetics Front Desk

Orthotics and Prosthetics Front Desk

The new space features updated colors and architectural elements throughout. In addition, each of the 22 exam rooms is equipped with new interior furnishings and advanced electronic medical record technology to better serve hospital patients.

The hospital’s Orthotics and Prosthetics department also recently underwent a redesign of its check-in and waiting areas.

The “Under the Sea theme remains the same but with a fresh interpretation. Further renovations are ongoing, including new art in the exam rooms and waiting areas.

Scottish Rite Hospital’s Movement Science Lab: Experts in Analyzing How Children Move

The Movement Science Laboratory at Scottish Rite Hospital is an integrated part to the treatment of our patients. The team uses leading-edge technology to evaluate and identify movement to help our doctors make decisions about the best treatment options for the child.

The Movement Science Lab (MSL), also known as the gait lab, has two main focuses: clinical evaluations and research. Clinically, our MSL team works directly with our orthopedic doctors to help provide options to determine the best course of treatment for each child. Doctors are provided with a detailed analysis of their patient’s walking ability including how the joints move, when the muscles are firing, and the power generated through their legs.

Scottish Rite Hospital is one of the few institutions in the area to have a premier movement science lab. During a Movement Science appointment, small reflective markers are placed on the child’s body and special high speed motion capture cameras record the child’s movement in three dimensions while performing certain tasks (walking, running, squatting, etc.). This equipment is the same technology used to make animations, video games, and movie special effects. MSL staff processes and summaries the data so doctors can analyze and help create their treatment plan.

Other tools utilized in the lab include a special plate that is in the floor, which allows the team to measure and evaluate the patient’s footprint as they walk. It shows exactly where and how high the pressure is under different areas of the foot. This device helps with the assessment of children with specific foot problems. Other equipment in the lab measures muscle strength or how efficiently the body uses oxygen with every breath.

The other focus of the Movement Science Lab is research. As an integrated part of the hospital’s mission, the research conducted allows the team to better understand and measure how well the treatment plans our doctors provide to our patients improve their function. The lab will see patients before and after treatment in order to measure the effectiveness of the care. The purpose of the research is to compare patient outcomes following different surgical procedures, assess a specific treatment across varying types of patients, define the improvements of the child’s conditions following physical and occupational therapy, and evaluate the effectiveness of various orthoses and prosthetic limb components. The research continues to educate our staff and allows the team to provide the best possible care to each patient.

Overall, our Movement Science Lab gives our doctors a more in-depth analysis of how a patient’s body moves. Whether it is the child’s hips, knees or ankles, the equipment our lab uses guides our doctors in providing the best treatment plan. It is through the clinical evaluations and dedication to research that our movement science lab is world-renowned.

Christopher & Stacie Martin will be the Honorary Chairs for this year’s Accessible Luxury

Screen Shot 2017-04-11 at 1.38.59 PMChristopher and Stacie Martin will be the honorary chairs for this year’s Accessible Luxury. Scottish Rite Hospital is thrilled to have this wonderful couple be a part of the event.

Many have seen Christopher Martin’s gorgeous paintings. In addition to his expert artistic skill, Christopher is a generous philanthropist. He has worked with our hospital patients for more than 15 years to create paintings that are auctioned off at Treasure Street, the hospital’s signature event. This selfless donation of his time and talents has raised more than $160,000 for Scottish Rite Hospital. A self-taught artist whose career spans nearly 25 years, Christopher’s works can be found in private and corporate collections in the U.S. and abroad.

Stacie Martin was one of the founders of Accessible Luxury, along with Harriet Kelly and Model Citizen, an organization focused on the fashion industry coordinating efforts to help worthy causes.

“It is gratifying to see the wonderful partners we enlisted for the first Accessible Luxury event 8 years ago; Campbell-Wagner Runway, Beretta Gallery and the fabulous Salon Pompeo that continue to be loyally committed to helping the kids of Scottish Rite Hospital. It’s phenomenal to see the new community partners stepping up to sponsor what has become a highly anticipated event. Zac and Emily-Ray Porter, and Cullen Potts and Harriet Kelly’s amazing team have done an exquisite job with this year’s Accessible Luxury ~ it is full of luxurious surprises.”

Chris and Stacie are avid supporters of the hospital and its work – in the last six years two family members have received life-changing care from Scottish Rite Hospital.

Both Chris and Stacie find the hospital to be a wonderful example of greatness in a pediatric hospital. Christopher says, “It is a fine addition to the city of Dallas, and we are honored to be involved in any way in aiding Scottish Rite’s success.”

John Michael’s Story: A Sign of Hope

Rainbows served as beacons, guiding the way on a family’s journey to hope, healing and Texas Scottish Rite Hospital for Children. 

He has been described as light, love and joy.

His zest for life is magnetic. People call him a miracle. Meet JohnMichael. And when you do, don’t underestimate him. He has endured more trials and storms in his 17 years than most people do in
a lifetime. Fortunately, after a storm in 2015 the first of many rainbows appeared, divinely timed and affirming that JohnMichael and his family would soon be on the right road to a place of hope and the journey for Houston-area couple Johnnie and Mike Morman began abruptly on August 23, 1999,
when Johnnie was 26 weeks pregnant.

“We knew it was a complicated pregnancy,” Mike explains. “Our doctor told us, ‘We need to deliver the baby,’ and we were thinking in a couple of weeks, and she said, ‘No, today.’ ”

JohnMichael would not survive if he was not delivered but would only have a 10 percent chance
of surviving if he was.

“JohnMichael is the embodiment of miracles,” says Shawna, Mike’s sister. She and her husband, Tim, and their children, Jason and Melissa, have been by JohnMichael’s side since he came into the world that day kicking and screaming at an astonishing 11 ounces.

JJM_LEE_6753AohnMichael has endured numerous physical challenges in his young life but it was the severe and rapid onset of scoliosis at age 15 that led his family to Scottish Rite Hospital.

In 2014, his parents began to notice a subtle change in JohnMichael’s normally sunny disposition and a physical change in his back. Fueled by an adolescent growth spurt and a neuromuscular imbalance, related to his pre-existing cerebral palsy, he had a curvature in his spine that was progressing at an alarming rate.

The couple immediately sought medical opinions in Houston and had not yet learned about Scottish Rite Hospital.

“They were told they should go home and enjoy the time they had left with him,” his aunt, Shawna, recalls. “They gave them no hope.”

That’s when the rainbows began to appear.

“We were experiencing some difficult times,” Johnnie says. A family friend encouraged them to seek another opinion from a local orthopedist who was a longtime friend and advocate for Scottish Rite Hospital. From that meeting, the family learned more about the hospital and its expertise in treating scoliosis. “After that visit, we were sitting outside praying for guidance when we saw a double rainbow. We both felt it was an affirmation.”

Photo Apr 12, 6 38 56 PMUpon entering Scottish Rite Hospital on November 20, 2015, for their first visit, the family was immediately put at ease. Volunteers extended a warm greeting and guided them to their appointment with staff orthopedist Amy L. McIntosh, M.D., who evaluated JohnMichael’s curvature.

“I told them I could fix it but it would be a long journey, and they said, ‘That’s hope,’ ” McIntosh recalls.

“When she told us that she could help our son, it was like a weight had been lifted off of us,” Mike says. “We were looking for hope and we found it at Scottish Rite Hospital.”
The next step was for JohnMichael to be evaluated by a multidisciplinary group of medical specialists, which just happened to be called the Rainbow Team. The group represents Scottish Rite Hospital’s collaborative approach to patient care. Experts from departments throughout the hospital combine forces to develop an individualized treatment plan for the unique needs of each child.

“Scottish Rite Hospital takes an approach that is so patient-centered,” Mike says, “from nutrition, to surgical, to emotional and physical.”

Later, when the family was escorted to see the surgery unit, elevator doors opened to reveal a rainbow painted on the wall. “OK, this is where we are supposed to be,” Johnnie recalls saying.

LEE_6486ATwo months later, JohnMichael underwent halo gravity traction, in which a metal ring is surgically affixed to the skull and attached to a cable that suspends the body vertically from a metal frame. While it may look painful, this procedure actually provides the patient comfort and relief almost immediately, by removing pressure on the spine and gently stretching it.

“He could breathe better,” recalls his cousin, Melissa. “Physically, mentally, he literally opened up.”

After five months of traction, JohnMichael underwent a second surgery to remove the halo and address surgical adjustments to his spine. As a result of his successful scoliosis treatment, he gained 17 pounds, five inches in height and so much more.

“Scottish Rite Hospital gave JohnMichael his life back,” Shawna says, “and gave Mike and Johnnie their life back, too.”

When asked what they tell others about the hospital, the couple bursts into joyous laughter. “We tell everyone about Scottish Rite Hospital!” Johnnie exclaims.

Betty“This hospital is phenomenal and the staff is incredible, in every area,” Mike adds. “They become your family.”

From Security to Dietary and everywhere in between, JohnMichael makes the rounds to visit members of his extended hospital family during each visit. Shouts for his pal “Super Dave!,” patient care tech David Calles, echo in the halls.

“The care is so genuine. His experience at the hospital has changed him,” Mike says. “We’ve been through our share of medical facilities and there’s nowhere like this.”

Family, friends, church and their faith have been tremendous sources of support for JohnMichael and his parents throughout their journey.

“In the storms of life, God gives us a rainbow of hope,” Johnnie says, “and for us, that was Scottish
Rite Hospital.”


Crayon Club to Host Character Breakfast

Scottish Rite Hospital’s Crayon Club is hosting their annual magical meet-and-greet experience complete with more than 20 favorite children’s characters (ie: super heroes, team mascots and princesses) on Saturday, June 17 from 9 a.m. – 11 a.m. The event will feature breakfast, an autograph session, silent auction, face painting and other activities.

Set Up

Tickets are:
Child Ticket: $15
Adult Ticket: $25
Table (for 8): $150
Note: Admission is free for children under two. 

Crayon Club was established to unite individuals dedicated to improving the lives of children. Together, through volunteerism, education and philanthropy, Crayon Club supports the mission of Texas Scottish Rite Hospital for Children.


Join Crayon Club on Facebook to read more about upcoming fundraising and volunteer opportunities and see photos from recent events!

Super heros; Coen Carpenter as Capt. America; Nickolas Garcia; Kingston Edwards

Reese Pritchett, Ellie Pritchett, Lexie Pritchett, Snow White

Get to Know our SRH Staff: Taylor Fisher, Staff Wellness Director

Taylor Fisher is the director of our Staff Wellness Department and has been working at the hospital for about six years.

As part of her role, she is responsible for our annual Spring to Health program each April. Spring to Health is a month-long initiative that encourages staff to get active and healthy while having fun. The program features everything from games like Bocce Ball, to health screenings like eye exams, to Lunch & Learns on various health topics, to cooking demos and healthier options in the cafeteria.

Get to know Taylor in our Staff Spotlight below.

What’s your favorite part of your job?

I love creating programs that give staff the resources & knowledge needed to live a healthier lifestyle both during and outside of work.

What I REALLY love is seeing someone make a commitment to live a healthier lifestyle, observe and help them, as needed, through the process and see their excitement and enthusiasm as they start to feel better and see positive results, realizing that their hard work is paying off. Having someone come up to me in the hall, my office or the cafeteria and seeing the excitement on their face as they tell me everything they have been doing and how good they feel, makes my week. It’s by far the best part of my job.

What’s your favorite thing about the hospital?

The Wellness program! :) Can I say that? I’m a bit biased. But I think it is really cool how the hospital supports Wellness and encourages it to be a part of the culture and the everyday here at work. It is not something you find everywhere.

I also love that [the hospital] feels small, allowing you to get to know others outside of your own department.

Describe a typical day

There is no typical day! My days & weeks are always a mix of…

  • Brainstorming, developing and implementing new programs
  • Finding ways to reach departments and people who Wellness has not been able to touch.
  • Working with the Cafeteria on ways to add, alter and / or improve our Eat Rite options served.
  • Talking with other wellness dietitians in the community about their programs, what works and what doesn’t, sharing ideas, troubleshooting, sharing research and articles.
  • One-on-one nutrition consultations with staff
  • Normal administrative items like answering emails, managing a budget, etc.
  • Reading and staying current on nutrition, health, and wellness topics and research

What made you want to work here?

The feeling that I got when I walked in for my interview along with conversations I had and the greeting I received from everyone I spoke with. Everyone seemed to know everyone even if they were in very different departments. I loved that. And I was excited about the responsibilities I would have if hired.

What skills do you need for your job?

A degree in nutrition or health studies; background in the health and wellness field; organizational skills; writing skills; strategic thinking skills; people skills; flexibility (troubleshoot and think on your feet); creativity; and just a passion for health & wellness (not exactly a “skill” but definitely needed!)

What was your first job? What path did you take to get here?

Do paid internships count? I worked for the Dannon yogurt company   in college, analyzing the nutritionals & ingredients of their yogurts, to get food & nutrition hours and experience for my Dietetic Internship.

After undergrad I got into the dual Masters and Dietetic Internship program at the University of Memphis. After Grad School / Internship I worked at Le Bonheur Children’s Hospital (in Memphis) and also worked as the dietitian for a small community adult Wellness program through Baylor University Medical Center (in Memphis). After about a year and a half I knew I wanted to move back to Texas. I saw a job posted on the Dallas Academy of Nutrition & Dietetics website for a dietitian at Texas Scottish Rite Hospital for Children. I applied, interviewed and about a month later moved to Dallas!

What is your favorite…

  • Hospital event: Clean Fest (again I’m a bit biased) – I love taking time to be outside with coworkers and plant flowers – something that you will see the next day and the next. And then enjoy the cookout afterwards. And I also love Treasure Street!
  • Food in the cafeteria: Can I say the EatRite healthy options? And they make a mean chocolate mousse cake (b/c it’s all about balance, right?)
  • Place in the hospital: The fitness Center!

If you could have a super power, what would it be?

Definitely the ability to fly.

What did you want to be when you grew up?

An Olympic Figure Skater (I competitively figure skated for 12 Years)

What’s the most adventurous thing you’ve ever done?

Last summer I hiked & swam the Arroyo Seco River Gorge – turned out to be much more of an adventure than anticipated!

What’s the last book you read?

Peace Like a River by Leif Enger

But currently I’m finishing Bread & Wine by Shauna Niequist

What is something people don’t know about you?

I know a lot of Rock & Roll oldies. Love ‘em.