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Sharing Research — Improving Care

While the internationally recognized research conducted at TSRHC benefits children around the world, many people may not realize how our research makes the leap from a local platform to a global stage. Whether publishing journal articles, educating fellows or hosting visiting physicians, our hospital is constantly engaged in sharing discoveries that improve treatment outcomes for children everywhere.Sucato Update_CELLR

To that end, our hospital also actively participates in medical conferences and symposiums nationally and internationally, many of which influence the direction of orthopedic care.

Recently, our Center for Excellence in Limb Lengthening and Reconstruction had a prominent presence at an international conference that brought together three notable limb-lengthening societies for the first time.

In addition to our team’s conference presentations, physicians from other institutions repeatedly featured TSRHC’s external fixations systems, the TRUE/LOK™ and the TL-HEX, in their lectures. This reflects our team’s positive influence in the international practice of limb lengthening and reconstruction.

This April, TSRHC’s medical team will have a highly visible role at the prestigious Pediatric Orthopaedic Society of North America’s annual meeting. Presentations submitted for this meeting are rigorously judged. This year, we have been invited to give 24 presentations. It will be one of the strongest representations of any pediatric orthopedic program in the country.

To have the work of our expert team of researchers and physicians recognized on a global scale is tremendously gratifying, but to know that the information and resources we share benefit children throughout the world is by far the greatest reward.

Summer Colors Art Auction: Meet the 2016 Artists

Summer Colors, now in its eighth year, was an idea born out of passion for both art and the patients of Texas Scottish Rite Hospital for Children. Founded in 2009 by Jenny and Loren Koziol and Jill and Dupree Scovell, this silent art auction raises awareness about the hospital, while also exposing the Dallas community to up and coming local artists. To date, Summer Colors has raised more than $66,000 for the hospital.

Each year, local artists donate original pieces of art to be featured in the auction, with all the proceeds benefiting Scottish Rite Hospital. Over the next few weeks, we will be introducing you to all of the artists.

This year’s event will be held on Thursday, July 21, 2016 at Scottish Rite Hospital. Additional information can be found at community.tsrhc.org/summer-colors.

Meet our first round of artists below! Please note: all photos of the art are shown as examples of their work. 

LYDIA ABIGAIL

Lydia Abigail has been heavily involved in the art industry for nearly 7 years. She has participated art shows with the North East Art Association, Texas Woman’s University, the 101 Gallery, and many Lydia Abigail Williams-DSC_0351local shops. Lydia loves to connect with other artists and has completed many art shows, pop-up galleries or craft markets with other artists in her area. Not only does Lydia show her work locally, but she also has completed live art drawings for coffee shop events and lead therapeutic art workshops. She has completed commissioned jobs with work in oil paint, pencil, charcoal, ink and chalk. Lydia has been trained in oil, acrylic, watercolor, charcoal, pencil, woodwork and clay and is always continuing her study of these mediums. Lydia Abigail is currently involved in many local creative organizations which give her inspiration and encouragement!

Inspiration:

Lydia Abigail is inspired by this magnificently beautiful world around her. Many of her works of art are based off of or are impressions of nature. Natural sources and images are often incorporated into each of her pieces, whether by pictures, scientific studies, or the simple observation of earthly-details. Overall, she finds the outdoors to be her main source of inspiration for her creative journey.

NICOLE MORROW DAVIS

Nicole Morrow Davis is an abstract portrait artist from Dallas, Texas. Her gestural pieces have been described as ethereal, young, fresh and mysterious. Nicole works primarily with acrylic paint, but also employs the use of thread, veneer, and lacquers to achieve the desired look. Her work can be found at Curated as well as the NYLO hotels and the June 2008 issue of TIME magazine. Ms. Morrow studied under the direction of Dr. Joseph Pomara and graduated Summa Cum Laude from the University of Texas – Dallas. She is currently, represented by Caldwell Arte Exposicion. When Nicole isn’t painting she is usually contributing to the Dallas Art community through various creative projects or conducting private art lessons with her young students.

HEATHER GALLAGHER

Heather is a mom of three beautiful children, a wife, a sister, a daughter, and a friend to many. She has lived FullSizeRender (2)in Texas her whole life and North Texas for most of that. She works for locally based non-profit ambulance service Careflite. She is a paramedic and enjoys taking care of her patients and their families. She paints as a hobby and has never really considered herself an artist, but she truly enjoys creating art.

Inspiration:

Heather loves seeing what colors work together, and never really knows what is going to end up on the canvas. She loves abstract art, as it can mean many different things to many different people. She also love blues and greens, and fluid movement, and takes inspiration from her children’s drawings and paintings that they make because they are truly random and beautiful.

JENNY GRUMBLES KOZIOL

Dallas entrepreneur, Jenny Grumbles, obtained her degree in journalism and studio art from Southern Methodist University in 2002. Her work-life is threefold; artist, shop-owner, and buyer for A&E’s hit series, Storage Wars Texas. Jenny’s paintings have been sold in galleries and shops throughout Georgia, Texas, and California. She is the proprietor to her very own vintage home furnishings shop, Uptown Country Home.

Since realizing her passion in painting in 1994, she has created an impressionist style with loose brush strokes and an emphasis on light and color. There is never black on her palette. Her subject matter includes everything from children on the beach, home interiors, florals, and commissioned work. Jenny attributes much of her success to her mentor, the renowned Claudia Hartley of Arizona, and to gallery owner, Anne Irwin, of Atlanta.

Jenny also spends much of her time searching for treasures to recycle, repurpose, and repaint for sale in her shop.

In addition to her shop and artwork, Jenny has a passion for politics and major league baseball.

Jenny’s main aspiration is to make the world a better place through political advocacy, creative art and home decor, because she truly believes, whether it’s the whole world, or a little cottage in Dallas, home is where the heart is.

CHRISTINA MITCHELLA

Dallas native, Christina Mitchella, is an accomplished and award-winning artist specializing in impressionistic drawings and abstract oil paintings. Her life-long zeal for the arts transitioned from Christina Mitchella- C.Mitchella Style 1passion to career, leading her to pursue an education in art at Dallas Baptist University. After graduating with a Bachelors in Fine Arts, Christina began actively showing her works in galleries throughout the DFW area and across the state, competing in art shows and completing commissioned pieces for her growing base of followers and supporters.

Christina’s art is remarkably inspired and contemplative, spanning many different artistic mediums. She often uses the synergistic relationship between music, color and light as a muse to gain insight into her works. Whether she is creating a portrait, painting in still life, or transforming a canvas with abstract expressionism, her impeccable attention to detail and vibrant use of color breathes life into every stroke and sketch.

Christina is affiliated with a number of local arts organizations, including Art House Dallas, Irving Arts Center and the Creative Arts Center of Dallas. She also maintains membership with the Plano Arts Association, the Associated Creative Artists of Dallas and the Texas Artists Coalition of Fort Worth. It is Christina’s hope that her works will emit joy, stir inspiration and spread enthusiasm for the arts in all who view them. Her works can be viewed in galleries throughout Texas, and she is currently available for commissioned work.

 

JENN THATCHER

FullSizeRender3Jenn Thatcher has always has a love for color and design. After moving to Texas from Chicago 10 years ago, she was working for a Wall Street firm with a demanding travel schedule and long hours. Being a wife and mother of three, with two of the children being Scottish Rite Hospital patients, she finally decided to leave her corporate career to pursue painting full time. Jenn believes that creating art is a gift from God, and a blank canvas is a metaphor for life. It can be anything you want it to be. And if you don’t like the direction it’s going, it’s never too late to start over or change direction. It’s so important to remember that everyone and everything can be beautiful at some point in time, it’s all a matter of how you look at it. Jenn’s work is featured in stores through the US and works directly with designers and clients in the Dallas area. Some of her work can be viewed on Instagram @Jenn_Thatcher_Art or on her website at www.jennthatcher.com.

LISA PROVOST

Lisa first picked up a paintbrush ten years ago and hasn’t put one down since. Originally, she focused on capturing her family pets and favorite moments. Since then, she has moved to experimenting with more abstract painting techniques, mostly oil but occasionally water color and acrylic. This is the first time her art has been on display due to the fact that she is constantly proclaiming to her family that her pieces are “not quite done yet.” Lisa loves Scottish Rite Hospital and all it does and is honored to be included!

Pediatricians and Specialists Working Together with Young Athletes

Even in an individual sport, a young athlete needs a team. Their team includes parents, pediatricians, coaches, athletic trainers, physical therapists and sports medicine specialists. Each of these individuals has a unique role on the team.

Sports Medicine Conference 5-2016_072The primary care provider, most often a pediatrician, knows the child best. This is a relationship that has developed over years before the child begins participating in sports. This results in familiarity with a child’s medical history, developmental history and family history. Therefore, the pediatrician is an expert at recognizing red flags for sports participation during pre-season physicals. And when an injury occurs, a visit to the pediatrician is often the most convenient, most comfortable, and an appropriate place to start for an evaluation.

When the condition or injury is complex, or requires an expert in a particular area, a pediatrician may consult with specialist. At Texas Scottish Rite Hospital for Children, we have many pediatric orthopedic specialists on our team. Our Sports Medicine Center is no different; we have specialists that only care for young athletes. Whether the problem requires surgery or not, we are ready to support the pediatrician in caring for young athletes.

Sports Medicine Conference 5-2016_014This past weekend, more than 75 local pediatricians learned the latest on sports injury evaluation and management from our specialists at a Scottish Rite Hospital-sponsored conference titled Sports Medicine for Young Athletes: An Update for Pediatric Providers in Frisco. With Shane M. Miller, M.D. as the lead, the goal of this program was to help young athletes get the right care, at the right time, in the right place.

The goal of this program was to help young athletes get the right care, at the right time, in the right place. We’re already talking about our program for next year. For information about injury prevention and pediatric sports medicine, please visit our website at scottishritehospital.org/sports.

Does your child complain of heel pain during or after activity? – TSRHC Sports Medicine

Growth plates in children’s bones are at risk of injuries because they are relatively weak and, in many cases, have ligaments or tendons attached nearby. Though some growth plates make bones grow longer, others give the bones unique shapes allowing them to do their jobs.

SAR_1032In the heel, the big tendon from the calf muscle, called the Achilles tendon, attaches to the back of the heel onto the calcaneus bone. In very young children, the bone is not yet grown, so the tendon is actually held onto the foot by the cartilage in the growth plate. Eventually, the bone grows, the growth plate closes, and there is a solid connection for the tendon.

Many children naturally become more involved in sports around 8-12 years old. When a young athlete runs or jumps, the Achilles tendon pulls repeatedly on the cartilage in the heel, causing it to become sore. For patients like Amelia, this can be painful. The impact on the ground with running and jumping can also cause this area to be irritated. Pain and inflammation in the growth plate of the heel is known as Sever’s Disease or calcaneal apophysitis. Symptoms may come and go for 1-2 years while a young athlete is growing quickly in the heel bone.

Shane M. Miller, M.D., tells us that it is safe to play sports as long as the athlete is not limping or complaining of significant pain, and that symptoms should improve with rest and ice, which allows these tissues to recover from the injury. Changing shoes or adding cushioned heel cups may be recommended. Other treatments are available and should be considered on an individual basis.

Here are some situations that increase a child’s risk of Sever’s Disease:

  • Year-round sports participation
  • Sudden increase in training intensity
  • Tournaments and summer camps
  • Running and jumping excessively
  • Sports that involve wearing cleats (such as baseball or soccer)
  • Going barefoot, or participating in barefoot sports (such as gymnastics)

For information about overuse injuries and pediatric sports medicine, please visit our website at scottishritehospital.org/sports.

May: Stephen’s Moment to Shine

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Meet Analia, age 6, of Carrollton, and Volunteer Executive Committee President Stephen Apple. In his words below:

My Defining Moment:

As a Scottish Rite Mason, I knew about TSRHC. I took a tour – that did it/ I wanted to be a volunteer.

My Moment to Remember:

I saw a little girl with prosthetic legs running around in the hospital’s atrium and it reminded me…we help kids be kids.

My Moment to Shine:

At TSRHC, I’m never bored. I’m engaged. I truly feel my contributions can make a difference.

Volunteer and Give a Patient like Analia a Moment to Shine – Share a shining moment with TSRHC patients, families and supporters as a hospital volunteer. To learn more about becoming a volunteer, please visit scottishritehospital.org/volunteer.

Exploring Innovations in Imaging

TSRHC is only the fourth hospital in Texas to employ an advanced imaging technology called EOS®, to be used in specific patient cases. The system produces long length images of the spine and lower extremities with significantly less radiation than is normally required using other imaging tools. There is also the additional capability of creating 3-D images of the bony skeleton that can provide our surgeons a more complete review of a patient’s anatomy for treatment planning.

Medical Update_EOSEOS has the unique ability to simultaneously generate two views of the entire spine or lower extremities in approximately 10 to 15 seconds. Today, the most common alternative method of digital X-ray requires at least 30 minutes. This added efficiency provides a better experience to patients and their families.

The system captures weight-bearing 3-D images in the upright or squatting positions that are 1:1, meaning there are no areas of the scan that are distorted or magnified. By using these images, Scottish Rite Hospital surgeons can more accurately understand the unique aspects of a patient’s skeletal deformity and better prepare for surgery.

In addition, unique EOS software created specifically for pediatric patients, called MicroDose, exposes the patient to six to eight times less radiation than traditional X-ray equipment.

EOS imaging is based in Paris, with a U.S. subsidiary in Cambridge, Mass. The hospital’s radiology team is working closely with medical physicists to examine and maximize the potential capabilities and efficiencies of this groundbreaking technology.

 

**This article was featured in the 2016 Volume 1 Rite Up Magazine, view the e-mag version online.

Scottish Rite Hospital Physicians Leaders at Orthopaedic Society Annual Meeting

Physicians and other medical staff from Texas Scottish Rite Hospital for Children are major participants in this week’s 32nd annual meeting of the Pediatric Orthopaedic Society of North America, including 19 podium presentations.

The meeting in Indianapolis, Ind., is being presided over by Dr. Lori Karol, assistant chief of staff at Scottish Rite Hospital and president of the Orthopaedic Society. Dr. Karol is the first female president of the organization.

Dr. John Birch, assistant chief of staff emeritus, delivered the opening keynote speech Wednesday, a historical review of lower extremity deformity correction. On Thursday, the hospital’s Dr. Lawson A. Copley delivered the results of research made possible by his 2014 Arthur Huene Memorial Research Award.

The meeting gathers orthopedic surgeons and other medical personnel for four days of advanced training. The scientific program includes 171 paper presentations, 20 posters and 110 e-posters.

On Friday, six subspecialty sessions will cover medical issues in the areas of spine, sports, hip, neuromuscular/lower extremity, trauma and hand/upper extremity.

Other Scottish Rite Hospital orthopedic surgeons giving talks at the meeting include Dr. Karol, who is also medical director of the hospital’s Movement Science Laboratory and Performance Improvement; Chief of Staff Dr. Daniel J. Sucato; Chief Medical Officer Dr. B. Stephens Richards; Assistant Chief of Staff Emeritus Dr. Charles E. Johnston; Assistant Chief of Staff Dr. Karl E. Rathjen; Assistant Chief of Staff Dr. Philip L. Wilson, a sports medicine specialist; Director of Research Dr. Harry Kim; Medical Director of Ambulatory Care Dr. Brandon Ramo; and staff orthopedic surgeons Dr. Anthony I. Riccio and Dr. Lane Wimberly.

The presentations cover topics such as angular deformity corrections in athletes; treatment of early onset scoliosis; compartment syndrome; and electronic medical record applications in pediatric orthopedics.

Several former Scottish Rite Hospital fellows also are making presentations at the meeting.

Taking Care of Your Throwing Athlete – TSRHC Sports Medicine

PR14_03_MarchWe know that younger throwers have less problems, and that trouble for pitchers typically begins around the age of 12. At this time, young baseball players are becoming involved in more than one team, they are growing rapidly, and they are trying to throw faster and harder. Chuck Wyatt, R.N., C.P.N.P., says to support your young athlete in these ways:

  • Follow pitch count and rest guidelines.
    • Include fast or “hot” throws from other positions including middle infielders.
  • Consider working with a pitching coach. Some evidence shows that poor form may cause problems.
  • Learn proper shoulder strengthening and flexibility exercises.
  • Encourage him to speak up about symptoms.
  • Teach him not to throw when he is in pain.

For information about elbow injury prevention and elbow problems in the throwing athlete, please visit our website at scottishritehospital.org/sports.

We’re Hosting a Career Fair on Thursday, April 28

Working with a world leader in pediatric orthopedics is like no other job. You’ll be part of an organization consistently ranked among the top 10 pediatric orthopedic hospitals by U.S. News & World Report. You’ll join a team of caring, energetic people dedicated to providing the best possible care. Better yet, your role will contribute to our mission of giving children back their childhood. No wonder our employees stay with us so long. Want to be one of them?

Come to our Career Fair

Date: Thursday, April 28, 4 – 7p.m.
Location: Texas Scottish Rite Hospital for Children (2222 Welborn Street, Dallas, TX 75219)

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Explore PRN and FT positions for:

  • Pediatric R.N.
  • Physical Therapist
  • Occupational Therapist
  • Radiology Tech
  • Med Tech
  • Respiratory Therapist
  • Pharmacist
  • Pharmacy Tech

Not a Nurse or Allied Health Professional?

There a many other opportunities to join our team. We invite you to see all of our current openings on our website.

For questions, please contact our Human Resources department at 214-559-7590.

Getting back to sports after an ACL Reconstruction – TSRHC Sports Medicine

After an anterior cruciate ligament (ACL) tear, many young athletes choose to have surgery to replace the ACL. In very active kids, the knee is often unstable and at risk of injury without this important ligament. Returning to sports after this procedure takes time and a lot of work.

The post-surgery / “new” ACL, called a graft, needs time to be ready for certain activities. The length of time depends on several things including:

TYPE OF GRAFT ♦ AGE ♦ GENDER ♦ SPORT ♦ POSITION ♦ LEVEL OF COMPETITION

Because very young patients need a different surgery, they need more healing time. Read more about ACL reconstruction for athletes with open growth plates.

Early exercises focus on preventing swelling and stiffness. The graft can tolerate more and more stress over time. Throughout recovery an athlete is allowed to progress from simple exercises for the leg to complex movements that challenge the whole body. We refer to the later stage of rehabilitation as functional training.

The goals of this stage are often shaped by the patient’s sport-specific needs. Research has shown there are also some principles that apply to many athletes. The athlete’s ability to perform certain movements has been shown to help identify patients at risk of an ACL injury or re-injury. We use several different tests to help determine when a patient is ready to return to sports after an ACL reconstruction.

Philip Wilson, M.D., tells us that “as a practice, we are passionate about functional retraining as a means to avoid a second injury. Mounting research has shown that athletes in our pediatric and adolescent age groups are at an extremely high risk for injury to the surgical or opposite leg. Additional research has shown that increasing the time prior to return to sports, and demonstrating documented muscle strength and control are the best ways to avoid these new injuries.”

Because many sports require stability on a single leg in activities like running, pivoting, stopping, kicking, and throwing, the tests challenge athlete’s ability to stand on one leg. Additionally, these functional movements challenge the strength and flexibility throughout the body. A comprehensive rehabilitation program incorporates these concepts from the beginning:

FLEXIBILITY ♦ STRENGTH ♦ STABILITY ♦ MUSCLE ACTIVATION ♦ BALANCE ♦ CONTROL ♦ BODY AWARENESS

For this, and many other injuries, surgery is only the first step on the road back to sports. An athlete must also be committed to the rehabilitation and functional training required to return to sports. We encourage athletes to use these concepts in their training programs before they sustain game-changing injuries.

For information about injury prevention and pediatric sports medicine, please visit our website at scottishritehospital.org/sports.