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Female Athlete Triad – What you need to know

The name, female athlete triad, suggests that there are three separate components to this condition. However, further research and studies have led experts at the Female Athlete Triad Coalition* to change their approach in making this diagnosis. Now, the three components are each considered on a spectrum and are thought to be interrelated.

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All of these concerning signs are a result of some imbalance in energy intake and expenditure, affecting the energy availability. This is particularly apparent in athletes competing:

  • In endurance sports.
  • At elite levels.
  • In sports where figure or weight is emphasized.
  • Under performance pressure from coaches/parents.

What Jane S. Chung, M.D. wants parents of young athletes to know is that athletes 11-17 years old are in an important phase of growth and optimizing bone health. It is during this window that bones will achieve more than 90% of their peak bone mass, and a well-balanced diet including sufficient calcium and vitamin D intake is important. Athletes with high energy expenditure are at the greatest risk of developing the signs and symptoms of the female athlete triad because they may unintentionally fail to meet their bodies’ energy needs.

To this point, research has focused mainly on female athletes and cannot be applied directly to male athletes, however, males may present similar signs and symptoms. The Female Athlete Triad Coalition has agreed upon a list of concerning signs and symptoms in female athletes. If you notice these in your young athlete or her teammates, please speak up.

  • Extreme weight loss or excessive worry about weight
  • Absent, delayed or irregular menses
  • Recurrent stress injuries such as stress reaction or stress fractures
  • Restrictive or unusual eating behaviors

For information about Dr. Jane Chung and pediatric sports medicine, please visit our website at scottishritehospital.org/sports.

*Dr. Chung is an active member of the Female Athlete Triad Coalition, an international multi-disciplinary organization aimed to promote healthy behaviors in female athletes through collaboration, education, research, and policy change. Read more about the coalition on their website femaleathletetriad.org.



Protecting Little Elbows – Tips from our Fracture Clinic

Gloria loves to be outdoors, play in the water and look for airplanes. She has been known to sneak out the dog door to get into the backyard to play with her dogs. Her parents are focused on keeping her safe in all of her adventures.

DSC06905 (1)In a loving and playful moment at the park, Gloria’s arm was stretched out quickly with mom holding only her wrist. Immediately, Gloria was unwilling to move her arm. It was obvious that something was wrong. In hindsight, it’s easy to see what not to do, and Gloria’s mom wished she knew more about this condition before this moment.

For Gloria and all children between the ages of 1 and 5 years, a sudden forceful stretch of the arm can cause a bone in the forearm to come out of the looped ligament in the elbow that holds it in place. This condition is referred to as nursemaid’s elbow and it is treatable in a medical office, and in the right hands, it is very easily resolved.

Gloria arrived in our Fracture Clinic after three days and seven attempts to correct the problem. She was still holding her arm close to her, refusing to use it to play. Our Pediatric Nurse Practitioner, Ray Kleposki, confirmed her diagnosis, and on the first attempt, repositioned the bone back into its ligament correctly. Within hours, Gloria realized she could play again, and she went back to being the adventurer she has always been.Fig_33-105-01 (1)

Gloria’s mom now warns other parents “don’t swing your kids by the wrists.” Like her, we believe this injury is preventable. Here are some photos right out of Tachdjian’s Pediatric Orthopaedics: From the Texas Scottish Rite Hospital for Children, the textbook we have been publishing for many years. These show the “risky” behaviors that can put a toddler’s elbow in danger.

  1. Don’t pull or lift your child by the hand.
  2. Don’t swing your child by the arms.
  3. Don’t pull your child away if he or she is holding tightly to a stable object.

Read more about common injuries in toddlers in this previous article.

To learn more about our pediatric Fracture Clinic on our North Campus, visit scottishritehospital.org/fracture.


Summer Colors Art Auction: Meet the 2016 Artists, Part II

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


Desmond Blair- Audrey1964Desmond is a Dallas based 2D artist that specializes in oil painting. Desmond experiments with various types of composition but most of his work centers around the human figure. He attempts to capture the emotion of specific moments and is heavily influenced by 2D animation. Desmond also channels the creativity from his art work into his work as a Project Manager for TSRHC. He believes creativity is just as much about solving problems as it is exploring possibilities.


Family, mentors, friends and he also finds inspiration from people he meet. He feels that people are passion because people carry stories with them that can have so much wisdom and opportunities to learn more about life.


Helen Green’s work was described by a local Dallas store as “simplistic beauty with light and airy colors that will add a touch of summer to any room”. Raised in Boerne, Texas under her mom’s easel, Helen has developed her graceful style, which has caught the attention of area stores, cafes and followers on Facebook site called GraceFilledNestTumblr.com

Helen Green -tumblr_n1ubvwz9TX1rj38qzo1_540Her education began at the University of Texas but chose to graduate at the Art Institute of Dallas. She left the stressful corporate world environment after beginning her career in a high-end specialty store in the visual communications department and ending as a senior art director for a national retailer. Now she finds true joy and peace as a stay at home mom with her precious 6-year-old daughter where she takes time to paint in her studio.

She also has mini art camps from home to encourage children to find joy in painting during a 2 hour sessions. Each with devotion, inspiration and snacks. They leave with their painted canvases and a smile! Facebook site called “Grace Filled Nest Mini Art Camps”

Sweetly rooted in her faith, Helen is moved daily by the beauty that she sees in the world through the eyes of the LORD. It’s amazing the following that she is blessed with in like-minded people and others that recognize a still small voice in her work.



Erika Krivda- 997026_10152550584786065_474948108921284908_nIn her own words: I believe that there is no one “thing” that inspires me. My inspiration comes from an accumulation of three things: my past, present, and future. Coming from a family of artists, I have been painting and creating since I was a child. I’ve watched my artwork evolve over the years and I love finding new ways to create. Painting is my way of understanding myself and everything around me.


artwork 1- rachel nash_resizedRachel Nash is an oil painter inspired by stories and human nature. Nash believes the act of creating is part of our make-up as humans. Nash is a native of Oklahoma City and came to Dallas to study at Southern Methodist University. Nash moved away to Chicago for three years to receive her Masters from the School of The Art Institute of Chicago before heading back to Texas. Nash is also an Art Therapist and Licensed Professional Counselor.




Doan1In her own words: I am a self-taught landscape artist, primarily using oils and sometimes watercolors.

Inspiration: My inspirations are the colors of the sky. My grandparents live on a farm in rural New Mexico, and I love being there because the sky is so wide and huge that it is possible to see everything, the stars, the clouds, the sunrises, and the sunsets. I especially love the vibrant oranges and reds of sunset, and these are the colors that you can see most in my paintings.



Brittney Wells -red_white_resized

In her own words: I have been painting and drawing since I was 5 years old. I am a former patient of TSRH. I received my BFA in graphic design from Texas A&M University-Commerce in 2010. I will paint or draw on anything that will hold paint. The world is my canvas, from walls (murals) to shoes to printing t-shirts to paint on making my own canvases; I’m blessed to say I do it all!

Inspiration: I get my inspiration from everyday life and sometimes even my dreams. Most times I’ll let my imagination run wild on a canvas.

Sports Drinks: Know When and How Much

In most situations, water is the best choice for hydrating young athletes.

http---prod.cdata.app.sprinklr.com-DAM-756-Nutrition_for_SMC_043-924ffe49-9cee-41a4-a0a2-cb291784e39e-712459891-2016-06-02 21-13-17Sports drinks are only recommended when participating in activities:

  • In very hot or humid environments.
  • With high intensity for longer than 60 minutes.
  • Sports camps, tournaments and double-headers.

When water isn’t enough, reach for a sports drink with a good mix of water, electrolytes and carbohydrates. For many young athletes, 30-60 grams of carbohydrates in an hour is all they need. You can find this information on any standard nutrition label. Otherwise, stick with water, start early and drink often.

Download a PDF with more tips for hydration for young athletes.

To learn more about pediatric sports medicine at Texas Scottish Rite Hospital visit our website scottishritehospital.org/sports.

Donor Spotlight: Having a Ball Supporting TSRHC

The Delta Companies puts the “fun” in fundraising — all year long.

Teamwork and family are important values of the workplace culture of The Delta Companies, a health care staffing agency based in Dallas. The sparkling disco balls decorating the entryway on every floor of the organization’s building signifies those unifying values – one entity made of 100 pieces. In that familial spirit, The Delta Companies focuses its year-round philanthropic efforts on TSRHC, in support of a coworker whose child is a patient.

Donor SpotlightThroughout the year, the company hosts casual days, which allow employees to make a donation for the opportunity to wear casual clothing to work. Each spring, The Delta Companies hosts The Disco Cup, a golf tournament that benefits TSRHC. They also host a silent auction in the fall, and employees finish up their year with a visit to the hospital during the holidays for their annual year-end check presentation and toy donation. In 2015, The Delta Companies presented a donation of more than $139,000 for TSRHC patients, which included its annual toy donation.

“We are honored to be able to support such a deserving organization as Scottish Rite Hospital,” says The Delta Companies CEO Jeff Bowling. “Our team is humbled by the work of such an incredible group of people.”

The company’s commitment to the hospital has made a difference in the lives of countless patients. “We’re so grateful to have the support of an organization like The Delta Companies,” says TSRHC Vice President of Development Stephanie Brigger. “They keep the hospital top of mind all year long with their creative fundraising activities and generous spirit.”

If you or your organization would like to make a gift to the hospital, please contact the hospital’s Development department at 214-559-8374 or visit scottishritehospital.org/give.

No Mountain Too High – TSRHC’s Amputee Ski Trip

Celebrating 35 years of building confidence, camaraderie and courage on the Amputee Ski Trip

One crisp, clear Colorado morning in 1985, young Daniel Massey was enjoying a ski run on the freshly powdered slopes of Winter Park, Colo. Conquering moguls on only his second day of learning to ski, he was not your average skier. Performing this feat as a quad-amputee, born with no arms or legs, Daniel was clearly not average at all.

Cover story_DanielIn the early ’80s, Herring attended an orthopedic conference where he became inspired after seeing a presentation about the benefits of skiing for the physically challenged. J. C. Montgomery, Jr., the hospital’s president at that time and now executive chairman of the TSRHC Foundation, rallied donors, the community and corporate sponsors to help make the trip a reality. This year, the weeklong event marked a milestone 35th anniversary, and there has been much cause for celebration.

“I’m really celebrating what this trip has meant to the kids,” Herring says. “The kids come back and tell me, even as 40-year-olds, that it was a turning point in their life.”

These amputee patients are faced with peaks and valleys every day, but finding the courage to take on the Rocky Mountains can be transformative. “A child may be the only one in their school with a disability,” Herring explains. “Some have never come out in the open with their prosthesis, flown on a plane or spent a night away from home. So it’s a huge step for them.”

But it’s not a step they take alone. They are accompanied by nurses, orthopedists and prosthetists, who act as chaperones, coordinators and a support unit for the young skiers. The travel coordination, meal planning and activity arrangements are a team effort.

Cover story_groupThe highly recognized staff at the National Sports Center for the Disabled (NSCD) is also a key part of that team. They carefully evaluate each skier and fit them with adaptive gear best suited to their level of physical ability and interest, from snowboards to ski bikes. Each patient is then paired with an instructor who shows them the best techniques to experience the thrill and freedom of speeding down the mountain.

“They have the same attitude we do,” Herring says of the NSCD staff. “We want to enable these kids to do anything they could possibly do and make it fun for them.”

“It’s not an easy event to pull off, but it’s certainly worth the effort,” explains TSRHC’s Director of Prosthetics Don Cummings, who has double, below-the-knee-amputations and has been on the trip 25 times.

Some might consider such a mission truly impossible, but clearly this one has been a success.

“It’s amazing how many lives have been touched through this incredible experience — including mine,” says Cummings, who skied for the first time on his inaugural trip in 1988. “These kids have taught me to accept my disability and myself.”

Herring points out that another benefit of the trip is learning the challenges these patients face in daily life.

“Watching them navigate ice, climb up snowy stairs and carry their luggage, you see what they are dealing with outside of a clinic setting,” he explains. “We can take that knowledge and find ways to help them function better out in the world. This trip really represents our philosophy of treating the whole child.”

The many benefits this trip provides are made possible by organizations like American Airlines, which provides air transportation through its “Kids in Need” program, the Stephen M. Seay Foundation and Dallas retailer Saint Bernard. The trip also relies on help from individuals like longtime TSRHC friend and volunteer Bob Ayers, who has served as a ski trip chaperone for many years and is now a hospital trustee.

Herring believes the biggest benefit of the trip is the unique and life-changing camaraderie created between kids who share the same challenges. Teens find a safe place to shed their inhibitions, their worries and sometimes even their legs.

“Some of these kids have never hopped around in front of other people without their prosthetic leg on and all of a sudden, they feel free to do that because this is just who they are,” Herring explains. “This trip is much more than skiing. It’s an avenue for that self-acceptance to happen.”

It’s been 31 years since Daniel Massey, with his quad-amputation, first strapped on his ski boots and helped the two-armed person beside him do the same. He says that the ski trip put him with amputee teenagers who were not just coping but excelling.

“On my first trip, I was having a lot of concerns about what high school would be like. I didn’t know if I could drive a car, if girls would find me attractive or if my friends would leave me behind,” Massey reflects. “I left the mountain knowing that I could do anything I wanted in life.”

Since then, Massey has graduated from college, is enjoying a successful marketing career with one of the largest computer companies in the country and is a happily married father of twin boys.

It appears that from the top of that mountain he could see — his loftiest goals were within reach.


**This article was featured as the cover story in our Rite Up Magazine. View more of the magazine in our e-mag version. 

Heart Health tips for Young Athletes from our Sports Medicine Team

As a nation, we celebrate our loved ones and cardiac health in February. In pediatric sports medicine, we are passionate about heart health. A well-rounded view of heart health means being aware of the signs and symptoms of sudden cardiac death.

The sudden death of a young athlete is rare, but when it happens, it is a devastating event for a family, team and community to experience. For this reason, the topic continues to be the center of discussions in sports medicine.

Experts agree on these key steps to protect young athletes:


Signs, symptoms and any history of cardiac problems in young athletes should be reported at each pre-participation evaluation and when new problems develop. Some examples are chest pain, shortness of breath, and passing out.


Knowing your family’s medical history is a critical step to prevent sudden cardiac death in healthy young athletes. Ask your family members about a history of cardiac problems or sudden death in the family.


Learn the emergency plan for adults or youth who become unconscious at schools and sports venues. Know where to find the closest AED (automatic external defibrillator) and be sure it is accessible to all event participants, every time.

TexaHearts Scottish Rite Hospital pediatricians and sports medicine experts, Shane Miller M.D. and Jane Chung, M.D., advise parents to take athletes to their pediatrician for pre-participation evaluations. Though some schools and organizations may not require a release, seasonal check-ups and discussions with the doctor can help to prevent many problems and to address injuries before they become more serious.Learn more about pediatric orthopedics and sports medicine at Texas Scottish Rite Hospital at scottishritehospital.org/sports.

TSRHC Patient Delaney Named 94.9 KLTY Student Athlete of the Month

We are excited to announce that Texas Scottish Rite Hospital for Children (TSRHC) patient Delaney is 94.9 KLTY’s Student Athlete of the Month.


Delaney pictured with her parents.

About Delaney

Age / Grade: 18 / Senior

School: Dallas Christian School

Sport: Soccer

Why She Was Nominated: Delaney is a great example of faith and perseverance. She has been a leg amputee since she was just 10 days old. She pursues every goal with passion and determination.

She has been playing soccer since she was four, and she has cheered since the sixth grade. Last year, she had an additional surgery on her leg and spent two months without her prosthesis. During this time, she performed and danced in her school musical, Annie.

Delaney has spent her summers volunteering at TSRHC, and she plans to study early childhood development at Texas Tech University, with the goal of becoming a Child Life Specialist to help children in the same way she received help.

Congratulations Delaney!

**TSRHC is a sponsor of the KLTY Student Athlete of the Month Program. Listen to the on-air call with Delaney, where they let her know about the honor and shared her story with KLTY listeners.


It’s Beginning To Look A Lot Like Christmas

It’s beginning to look a lot like Christmas here at TSRHC. In addition, to the 55 decorated trees scattered throughout the hospital, we have another treat to help patients and guests get into the holiday spirit.

Located on the first floor, across from our iconic mobile, sits a miniature winter wonderland. Filled with hundreds of little houses, this Christmas Village boasts a carousel, Ferris wheel, ice skating rink and rotating Christmas tree. Not to mention a train that circles around the village.

Because of all the intricate details it takes two and a half weeks to bring this village to life. Each year, our engineering team spends countless hours putting together this tiny town and making sure every item is placed with care.

Take a sneak peek at this Christmas Village and then stop by our hospital and see it for yourself. If you come with a little one, make it a game of “I Spy” and have them spot Santa or Frosty the Snowman within the village.

This Christmas Village was donated to the hospital Ross Williams and his family. Williams is a long-time volunteer and friend of the hospital who wanted to showcase his Department 56 house collection for patients and staff to enjoy year after year. If you are interested in learning about ways to back to TSRHC this holiday season, please visit scottishritehospital.org/give or call 214-559-7650.