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Hospital Pioneer – Brandon Carrell, M.D. – 1910 – 1981

Born in Dallas in 1910, Brandon Carrell was the son of Beulah and W. B. Carrell, M.D., Scottish Rite Hospital’s first chief of staff. He attended Washington and Lee University and went on to earn his medical degree at Northwestern Medical School. He performed postgraduate work at both Northwestern Medical School and Johns Hopkins University and Hospital.

1944Carrell followed in his father’s footsteps and returned to dallas to specialize in orthopedics. He participated in the nation’s first orthopedic program that rotated residents through three major centers – Texas Scottish Rite Hospital for Children, Parkland Hospital and Baylor University Hospital. Following his training in 1939, he joined the Carrell Clinic, named after his father.

Shortly after W. B.’s death in 1944, the young orthopedist followed in his father’s footsteps again as the hospital’s second chief of staff, from 1945 – 78. He served as chief of staff emeritus until his death in 1981.

In addition to his hallmark patient care, Carrell’s legacy lives on through the hospital’s annual Brandon Carrell Visiting Professorship, annual Carrell-Krusen Neuromuscular Symposium and Brandon Carrell, M.D., Medical Library.

Carrell and his wife, Nancy, were married 50 years. Their daughter, Helen, and her husband, Don Mann, and the Carrell’s son Stewart, and his wife, Jacqueline, carry on the family legacy through their dedicated support of Scottish Rite Hospital.

View more historical milestones on our website timeline.

Planning for a Safe Season – What Parents and Coaches can do to be Prepared

The to-do lists for coaches and sports administrators are very long in the fall. It’s time to meet new players, evaluate the condition and skills of each player, inform the parents of rules and schedules, and get the playbook finalized. What may get overlooked is the emergency plan and training. Shane Miller, M.D., our sports medicine physician with a background as a firefighter and EMT, has some tips for parents and coaches. These suggestions are compiled from his years of experience as well as the evidence that continues to develop in the fields of trauma and sports medicine.

Parents

  • Take the preseason physical process seriously. With an accurate and thorough history and exam, the family doctor can identify conditions that may need special attention during the season.
  • Get to know the athletic trainer and emergency protocols. Not all leagues and schools have athletic trainers, but they should all have emergency protocols.
  • Ensure your child’s equipment fits correctly and is worn properly. Poorly fitting equipment misses the mark for protecting the child in the way it is designed. In some cases, this can even cause an injury.
  • Learn signs and symptoms of problems that put young athletes at risk. No one knows your child better than you do. Learn the signs and symptoms of a concussion, heat illness, and overuse injuries. Taking the right steps when you recognize these can make all the difference for your athlete.
  • Check the condition of the field and access to emergency personnel. When arriving at practice or a competition, assess the conditions. Is the field in good condition? Is there an automatic external defibrillator (AED) present and accessible? Is there an ambulance or athletic trainer onsite or will 911 be used for emergencies?

Coaches and Athletic Trainers

  • Know your athletes’ major medical conditions and injuries. Because each athlete is unique, it has become more important to recognize individual needs. For example: An athlete with exercise-induced asthma, an extra lap may cause serious problems. For someone with an overuse injury, ignoring activity restrictions can shorten his or her season rather than improve performance.
  • Review and practice critical decisions and emergency procedures. Establish a plan for making and communicating decisions about weather conditions from heat and humidity to lightning. Identify what resources are available for first aid at each event and how to respond in various emergencies. In many organizations, this is documented in a comprehensive Emergency Action Plan (EAP).

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

Scottish Rite Hospital Announces New Patents

Our Center for Excellence in Limb Lengthening and Reconstruction has recently received two new patents. The patents are related to critical components of the TL-HEX external fixation device (pictured at Screen Shot 2016-08-18 at 12.11.22 PMright), which is used for patients undergoing limb lengthening and reconstruction treatment. The device has the capability to perform multiple corrections to the bone simultaneously, including lengthening, rotation and compression.

With these recent innovations to the device, the hospital now has more than 25 patents. That number is expected to grow with the hospital’s ongoing research initiatives. These advancements reflect how Scottish Rite Hospital’s research efforts continually improve treatment methods for children with orthopedic conditions here and around the world.

For more information on our Center for Excellence in Limb Lengthening and Reconstruction, please visit scottishritehospital.org/cellr.

Patient Embraces the Chance to Help Others


It’s not every day you see a 10-year-old in a scoliosis brace organizing a crawfish boil, but that’s exactly what Scottish Rite Hospital patient Rowan, of Dallas, does each year at her annual Crawfish for the Curve event. Since 2012, Rowan and her family have been serving up a Cajun feast as a way to raise awareness and money for the hospital where Rowan receives treatment for scoliosis. Motivated by a desire to help patients like her, Rowan has grown this event from a backyard family gathering to a full-blown neighborhood block party.

“Through this event, we have been able to tell others about the hospital and all the kids they help,” says Rowan. Crawfish for the Curve has not only successfully raised awareness, the event has raised more than $40,000 for the treatment of scoliosis.

Screen Shot 2016-08-11 at 1.04.13 PMOne of Rowan’s most vivid memories from the hospital is visiting the Child Life playroom. “I felt really happy there,” she recalls. “It was the first time I smiled after getting my body cast.”

Rowan wants to give other patients the same positive experience, so a special part of her donation includes iPads specifically for the playroom. She hopes the devices will make other patients smile just like she did.

Rowan is a shining example of overcoming challenges and putting others first. Her advice to kids newly diagnosed with scoliosis is to embrace the condition. “What makes you different also makes you unique and special,” she explains, “and that’s a really good thing.”

Are Your Young Athletes Asking about Cupping and Other Non-Traditional Treatments?

Athletes on the international stage frequently bring light to alternatives to common medical treatments. For instance, in the 2012 games, beach volleyball players and many others raised awareness of using special taping to help with injuries and muscle activation. In the early days of the 2016 games, a new technique has come to the surface and we’re betting your young athletes may want to know more about it.

Our Sports Medicine team knows there are numerous tools in the toolbox for treating sports injuries, improving recovery and in some cases naturally improving performance. Consistently, their advice to young athletes is to learn the risks and benefits associated with a treatment before trying something new. Here are some thoughts on the latest trend, cupping therapy.

Cupping Therapy

Originally requiring an incision in the skin, this ancient Chinese therapy used to increase blood flow is now practiced as “dry cupping.” Cups, typically made of silicone, are placed on areas of pain or soreness before or after an event. A small pump on the cup is used to separate the layers of skin and underlying fascia and muscle. The separation allows blood vessels in sore areas to fill with blood for healing. The increased blood flow shows up as redness in the area inside the cup, leaving purple circular spots for several days after the treatment.

Risks for this treatment are low, but the process can be painful. The treatment should not be used during early stages after an injury.

Read our recent article to help you evaluate supplements and how to educate your young athlete on this topic.

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

Patients Rock the Runway in JCPenney Fashion Show

The ninth annual JCPenney Successful Bridges Fashion Show recently gave some of our spina bifida patients an opportunity to shine in the spotlight. The event took place Friday, August 5, at the JCPenney Home Office, in Plano, Texas. Learn more about this event and discover how the Successful Bridges Teen program at Scottish Rite Hospital gives patients confidence, self-esteem, and the courage to empower themselves and inspire others like them.

Scottish Rite Patients Rock the Runway

Thanks to a friendship with JCPenney, the Successful Bridges Fashion Show gives teens being treated for spina bifida a setting to showcase their individuality amid community support. This friend-raising, rather than fundraising, event boosts teens’ self-confidence.

Created in May 2003, our Successful Bridges Teen Program aims to help teen patients with spina bifida build bridges of self-sufficiency. In addition, this program also supports the family members of these patients, giving moms, dads, siblings, and caregivers the knowledge and the help to guide their loved ones through important teenage developmental milestones. Community collaborations, like the friendship between Scottish Rite Hospital and JCPenney, further enhance the Successful Bridges Teen program.

Defining Developmental Disabilities

Scottish Rite Hospital treats many pediatric patients with developmental disabilities. These disabilities are generally associated with orthopedic conditions, including cerebral palsy (limited to related orthopedic conditions), specific genetic conditions with orthopedic complications, and spina bifida.

In addition to health-related support, Scottish Rite Hospital maintains two clinics for children with developmental disabilities. These clinics give children the knowledge and confidence to care for themselves, maximize their health, and remain independent as possible.

**View Media Coverage from this year’s event featured on Dallas’ local NBC and CW.

Texas Scottish Rite Hospital for Children: Patient Care, Education, & Research

Texas Scottish Rite Hospital for Children opened its doors in 1921 and over the last 95 years it has become one of the top pediatric orthopedic hospitals in the country. Ortho Group Photo 2016_FinalAt the core of our mission are three main pillars: patient care, research, and education. The outstanding patient care provided at the hospital is shown each and everyday through the interactions our medical staff has with all of our patients and families. The research conducted is designed to treat the entire child and his/her specific needs. The hospital is the training ground for the next generation of world-class pediatric orthopedic physicians through the fellowship program. It is the superior patient care, the groundbreaking research, and education of physicians that makes Scottish Rite Hospital such a special place.

Scottish Rite Hospital is a unique institution because of its many resources when it comes to innovation and research. The success of the hospital and its top of the line patient care is closely tied to the collaborative relationship with UT Southwestern Medical Center (UTSW). Monday Night Conference_26All of our medical staff hold faculty appointments in various departments at UTSW, including Orthopedic Surgery and Pediatrics. It is a strong, working relationship in which Scottish Rite Hospital has become one of the top research institutions in pediatric orthopedics. The research at Scottish Rite Hospital is regulated by the Institutional Review Board (IRB) at UTSW, which serves as the governing body for over 100 of our clinical research studies. Additionally, Scottish Rite Hospital welcomes several UTSW orthopedic residents to complete pediatric rotations throughout the year. These residents work closely with our medical staff and research department to gain experience both hands on in clinic and surgery, as well as with various research studies.

Scottish Rite Hospital is internationally known as a premier research and teaching hospital. Since research is at the forefront of providing the best patient care, it is necessary to have an environment where learning is ongoing and teaching is an everyday practice. The hospital provides several areas for medical staff, fellows, residents and all other staff to continue their education through weekly/monthly conferences, symposiums, visiting professorships and much more. An extraordinary aspect of Scottish Rite Hospital is the Dorothy & Bryant Edwards Fellowship in Pediatric Orthopedics and Scoliosis.

 

This program provides the fellows an opportunity to work with some of the most experienced pediatric orthopedic staff in the country. The yearlong fellowship includes becoming a member of the patient care team, high-level surgical experience, and the opportunity to work closely with the research team on a topic of their choice. Even through the fellowship, research is at the core of the curriculum. The fellows are required to complete at least one scientific manuscript at Scottish Rite Hospital and will have the opportunity to present their work at the annual Brandon Carrell Visiting Professorship. This conference, hosted by the hospital, is an annual course designed for pediatric orthopedic surgeons and others with an interest in pediatric orthopedic practices to keep up-to-date on the latest in groundbreaking research. The hospital welcomes a visiting professor each year, along with other medical professionals, who will present on their current research projects. It is another opportunity for our medical staff to discuss and debate various techniques, which facilitates ongoing education for all.

Fellowship Programs:

It is through our strong relationship with UT Southwestern Medical Center, accompanied by the continuous learning environment, which has established Scottish Rite Hospital as a leading research institution for pediatric orthopedics. Research continues to be the engine that drives important clinical decision making to improve the care by finding new and better techniques to treat our patients.

Get to Know Our SRH Staff – Psychology Department

There are many reasons why Scottish Rite Hospital is a unique and special place, and giving our patients access to a renowned Psychology department is one of the ways we set ourselves apart.

Rooted in our mission of treating the whole child, our Psychology department helps kids with everything from mentally preparing for surgery to coping with a sports injury to overcoming the long recovery process associated with many of the procedures done at our hospital.

Psychology with Ashley Imoh_01According to department director Sandy Roland, Ph.D., “What giving children back their childhood means to me is that even when we are treating a child for a specific orthopedic condition, we never lose sight of the whole child during that process.” In 2015, they saw an average of 190 patients a month, with a range of conditions from all services at Scottish Rite Hospital: neurology, orthopedics, rheumatology and hand, among others. They also work with patients on non-orthopedic matters including individual and family therapy as well as behavior and pain management.

Above and beyond all the positive work they are doing with our patients, our Psychology department is making waves in the medical world as well. They conduct research, publish papers and present at prestigious medical conferences about the correlation between psychological risk factors and effects on postoperative recovery. They have had papers published in non-psychology journals, demonstrating the importance of an interdisciplinary approach in pediatric orthopedic care.

As the only pediatric orthopedic institution with a dedicated psychology department, who understand the medical conditions and how it affects all aspects of a patient, we are blazing a trail of holistic treatment for the medical community to follow.

Join our Team

Do you or someone you know have an interest in pursuing a career in psychology? We’re currently hiring a psychologist. Qualified candidates must hold a Doctorate in Psychology with licensure or licensure eligibility issued by the Texas State Board of Examiners of Psychologists (TSBEP). For more information on the position and to apply, read more on our website.

My Child Has a Buckle Fracture, Now What? – Fracture Clinic Tips

A buckle fracture, also known as a torus fracture, is a very common injury for children. Because pediatric bones are softer and more flexible than adult bones, one side of the bone may buckle (or bend) upon itself without disrupting the other side of the bone. Buckle FractureThese fractures are most commonly seen in the wrist and are often caused by a “FOOSH” (Fall On Outstretched Hand) injury. Buckle fractures can also occur in other bones throughout the body.

These are common injuries that tend to heal quickly with low risk for complications. The typical treatment for a buckle fracture is aimed at keeping the patient comfortable while allowing the bone to heal. Sometimes this may include a cast or splint. Deciding which treatment is best for your child depends on the fracture pattern, the child’s comfort, and the parent’s comfort level with the treatment plan.

Most buckle fractures heal uneventfully with no long term complications. Our fracture clinic staff are experts at managing fractures and other injuries in growing bones. We are here when you need us. Call for an appointment at 469-515-7200 or to learn more about our Fracture Clinic on our North Campus, visit scottishritehospital.org/fracture.

Returning to Play after an Injury – Special Considerations for Young Athletes

Whether your child is the star quarterback ready for college recruiters or just starting a youth sports program, we know safety is important to you. As pediatric sports medicine specialists, we are also dedicated to preventing injuries. Research has shown that overuse injuries, problems from repetitive motions with running, jumping and throwing, are preventable. An evolution of equipment and rules has helped to reduce other injuries in young athletes. Jamie Wightman, Scottish Rite Hospital athletic trainer, reminds us that “young athletes are still growing, so it is important to remember that these injuries often happen at sensitive areas of the bone called growth plates.”

Demiya Warren age 16_22Some injuries are going to happen, and once they do, it’s important to respond appropriately and to return to sports only when the injured area is ready. This is important for a couple of reasons. First, there is no need to play with pain or make pain and symptoms last longer because the area hasn’t healed. Additionally, pain can cause an athlete to compensate or begin to use their body differently to protect the injury. This can lead to new injuries.

We know what it takes to get back on the field after an injury. Depending on the injury, recommendations may include rest and rehabilitation, or in some cases surgery may be considered. We asked our sports medicine experts to tell us a few things they consider when helping families discuss returning a young athlete to sports. Here is what they told us:

  • Level of competition – What was the athlete’s level of competition before the injury, and is he or she planning to return to that level?
  • Sport, position and season timing – What is the sport and position(s) played? How much of the season is left?
  • Years of Growing Left – How long do we think the child will continue to grow and are the treatment options different based on their growth?
  • History of previous similar injuries – Has the athlete had similar injuries before, and if so, how many times?
  • Functional Strength and Stability – How well does the athlete perform standardized tests of stability and strength and will those skills translate to his or her chosen sport?

These are just a few of the questions to consider, and there are no right or wrong answers. That’s why a multi-disciplinary team of pediatricians, pediatric orthopedic surgeons, physical therapists, athletic trainers, psychologists and others can provide the best advice. As a research and teaching hospital, we use evidence to help families make decisions, not our experience alone.

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