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Heat Illness in Young Athletes – TSRHC Sports Medicine

Recognizing and responding to the signs and symptoms of heat illness is critically important. Though body temperature may not be elevated, heat illness may still be present.

Signs and Symptoms of Heat Illness

  • Weakness
  • Vomiting
  • Excessive Thirst
  • Headache
  • Fatigue
  • Sweating
  • Nausea
  • Light-headedness

Keeping Cool When Exercising in the Heat

  • Take rest and water breaks, every 15 – 20 minutes
  • Avoid the hottest hours from 10 a.m. – 5 p.m.
  • Drink a sports drink with electrolytes and 6-8% carbohydrates when training lasts over 60 minutes
  • Avoid training in direct sunlight
  • Take breaks in the shade
  • Encourage removal of equipment during breaks, e.g. helmet
  • Wear loose-fitting, light-colored and moisture-wicking clothing

Be prepared

  • Prepare ice and water before training sessions
  • Limit consumption of caffeinated and sugary beverages
  • Gradually increase physical activity in the heat
  • Continue conditioning in the off-season
  • Don’t train in the heat while you are sick or have a fever

Ways to respond quickly to signs and symptoms of heat illness

  • Full body immersion in an ice bath
  • Iced down towels applied all over the body

Read this PDF about proper hydration in young athletes. Learn more about our pediatric sports medicine at scottishritehospital.org/sports.

2016 LLRS Annual Meeting: Dr. Karl E. Rathjen Appointed President of the Organization

The Limb Lengthening and Reconstruction Society (LLRS), an association for the study and application of the methods of Ilizarov-North America, is holding its 25th Annual Scientific Meeting in Charleston, South Carolina on July 22 and 23. The LLRS is an organization dedicated to researching new treatment for limb reconstruction, limb lengthening, extremity deformity correction, and complex fracture treatment. Texas Scottish Rite Hospital for Children is represented at the meeting by Karl E. Rathjen, M.D., David A. Podeszwa, M.D., John Birch, M.D., Alexander Cherkashin, M.D., Mikhail Samchukov, M.D., and current fellow, Connor Green.

Dr-Karl-RathjenAssistant Chief of Staff, Dr. Karl E. Rathjen, has served as the Vice President of LLRS for the past calendar year and was recently appointed President of the organization for the year 2016-2017. At the 2016 annual meeting, Rathjen will be co-leading the two-day meeting, while several of the hospital’s doctors and fellows will be presenting their work.

Drs. David Podeszwa, Alexander Cherkashin, and fellow, Connor Green, have the opportunity to discuss several topics to the LLRS group, which encompass some of the cutting edge research happening within the hospital’s Center for Excellence in Limb Lengthening and Reconstruction (CELLR). CELLR focuses on improving the lives of patients with different leg length discrepancies and limb deformities. Co-directed by Dr. David A. Podeszwa and Dr. Mikhail Samchukov, the center has more than 20 United States and International patents and continues to be recognized as one of the top centers in this field. The Limb Lengthening and Reconstruction Society Annual Scientific Meeting is another opportunity for our doctors and researchers to showcase the work of Scottish Rite Hospital to other institutions from across the country.

Russian Medical Leaders to Visit Scottish Rite Hospital, Advance Partnership

Dr. Alexander Gubin, director of the Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, and his wife, Dr. Elizabeth Gubin, a neurologist, will visit Texas Scottish Rite Hospital for Children from July 24-27, part of a growing relationship between the center and Scottish Rite Hospital.

The hospital co-hosted the center’s International Scientific and Practical Conference in June, the first time that the center has collaborated with an outside institution to organize the annual meeting. It was attended by 500 medical professionals from 31 countries and marked the 45th anniversary of the center, the 65th anniversary of the development of the Ilizarov technique and the 95th birthday of the late Professor Ilizarov.


L to R: Drs. Birch, Gubin and Podeszwa in Kurgan

Gubin’s vision is to open up the center to the world, starting with this ongoing exchange with Scottish Rite Hospital. Since the 1990s, the hospital has developed a number of patented modifications to the original Ilizarov technique resulting in a series of devices known as the TRUE/LOKTM External Fixation System. Gubin is interested in integrating these advances into the treatment of limb differences at the center, located in Kurgan, Russia.

Elizabeth Gubin, who practices at Kurgan Children’s Hospital, will be studying Scottish Rite Hospital’s treatment of patients with cerebral palsy. She is setting up a cerebral palsy center in Kurgan and will meet with hospital neurologists and observe clinical visits and procedures.

Alexander Gubin visited Scottish Rite Hospital and other Western institutions that employ the Ilizarov technique before deciding to collaborate with the Dallas hospital. Hospital researchers Mikhail Samchukov, Alex Cherkashin and Marina Makarov are former leaders of the Ilizarov center and worked directly with Ilizarov himself. Though the relationship goes back many years, a formal exchange of physicians was established in 2014. Two Russian orthopedic surgeons from the center have already visited Scottish Rite Hospital. Dr. David Podeszwa, the newly appointed co-director of the hospital’s Center for Excellence in Limb Lengthening and Reconstruction, went to Russia in 2015.

The collaboration also includes two limb lengthening/reconstruction studies, with plans to expand cooperative research. The center will continue to send its physicians to Scottish Rite Hospital for training, and hospital orthopedists, researchers and fellows will have the opportunity to visit the center in Russia.

DSC00096Drs. Samchukov, Cherkashin, Podeszwa, Makarov and John Birch lectured and moderated panels at the Russian conference, and Samchukov, Birch and Cherkashin (pictured left) were awarded honorary professorships for their contributions to the Ilizarov technique, the only three North Americans to receive the prestigious distinction at the meeting.

While in Kurgan, Cherkashin and Samchukov also met with an international group of surgeons at the annual TRUE/LOKTM Hex Summit to get their feedback on the Hex device developed at Scottish Rite Hospital. Dr. Podeszwa participated in a press conference on state television.

On the morning of Tuesday, July 26, Dr. Gubin will talk about the Ilizarov center in the 21st century in the Scottish Rite Hospital auditorium. Also on the program are presentations by Dr. Birch on the evolution of the Ilizarov technique at the hospital, and Dr. Podeszwa on the development of collaborations between the Ilizarov center and Scottish Rite Hospital.

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. Learn how the Charles E. Seay Jr. Hand Center positions Scottish Rite Hospital as a leader in treating pediatric hand disorders.

Focus on Clinical Patient Treatment and Research

The Hand Center delivers a setting for both clinical patient treatment and clinical research focused on the treatment and care for pediatric patients with hand and upper limb disorders, says Dr. Scott Oishi, 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.”

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 Hand Center strives to give children back their childhoods.

Care for Patients Across the Age Continuum

Dr. Oishi and Staff Hand Surgeon Dr. Christopher M. Stutz 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,” Dr. Oishi says.

“I think one of the benefits of being a patient here [at Scottish Rite Hospital] is that in our clinic, if we feel you need to have therapy, we have a therapist who is literally steps away from us,” Dr. Oishi adds.

Building Confidence Through Hand Camp

Scottish Rite Hospital patient Mason was born unable to move his left hand. Mason’s father, Randy, says initially no one was able to name the source of the problem. “In the first seven days of his life, we ended up visiting six doctors, a lot of specialists, and we got referred to [Scottish Rite Hospital],” he says. “As soon as we walked in, they were able to identify the issue.”

Dr. Oishi notes that Mason underwent a free functional gracilis muscle transfer, transferring muscle from his leg to his arm.

“He has roughly 40 to 45 percent usage of his left hand already at the age of 7. We could tell that he’s growing and getting more use all the time,” Randy says. “[Scottish Rite Hospital], with the usage of Hand Camp, has given him the confidence to be able to talk about his arm. He’s not embarrassed by his arm; he doesn’t hide his arm from his friends.”

Amy Lake, therapist and co-director of the Scottish Rite Hospital Hand Camp, says the program started in 1995 to bring families together. “A child with a hand difference can go to school, be involved in activities, and never come in contact with another kid with a hand difference,” she says.

Andrea Brown, Hand Camp co-director, says the Hand Camp instills invaluable confidence in the children who attend. Moreover, parents also benefit from interacting with one another, as they receive valuable information to help their children as well.

Trained Fellows Who Deliver Hand Treatment Excellence

Dr. Oishi emphasizes that one of the most important aspects of the Hand Center is the training this team devotes to their clinicians. “We train fellows and trainees that then go out and practice pediatric hand surgery,” he says. “Our Center’s message is really one that Peter Carter, one of our retired hand surgeons here, taught us all — the to-for rule.”

“Either do something to them or you can do something for them,” explains Scottish Rite Hospital Staff Hand Surgeon Dr. Marybeth Ezaki. “We practice that rule every single day.”

Support Those Who Support TSRHC Patients

As a world leader in treating pediatric orthopedic conditions, Scottish Rite Hospital provides the highest level of care for children from birth to age 18, regardless of a family’s ability to pay. To learn more about Scottish Rite Hospital, its mission, and ways you can support continuing research for treatment of pediatric hand disorders, call 214-559-5000 or visit scottishritehospital.org.

Little Fingers, Big Problems: Tips from our Fracture Clinic

Did you know that some of the more common injuries we see in young children occur inside the home from normal everyday objects like doors, cabinets and drawers? Young children don’t recognize the dangers associated with these and love to play with them. Since children have naturally slow reactions, fingers or toes often get caught when they slam closed.

FractureWe call these crush injuries, and they can range from minor to severe. Gerad Montgomery, Lead Clinical Provider for our Fracture Clinic says, “Many people don’t realize that crush injuries of the fingers and toes can result in cuts in the skin, nail bed injuries, broken bones, and in severe cases, partial amputation.”

Prompt evaluation by a pediatric specialist is important if any of the following signs are present:

  • Swelling or deformity
  • Skin that is split open around the nail
  • Bleeding from around or under the nail
  • Persistent pain or inability to move
  • Concern for a serious injury or the feeling that your young child just needs to be seen

Accidents happen and we can’t protect our young and curious children from everything, but we have some suggestions to help avoid injuries:

  • Teach young children early that doors and cabinets are not toys.
  • Child-proof cabinet doors and drawers with latches.
  • Be aware of doors and drawers in your child’s environment.

Bumps and bruises are a normal part of kids being kids! However, if your child has a crush injury or breaks a bone, you may call our fracture clinic directly at 469-515-7200. To learn more about our Fracture Clinic, please visit scottishritehospital.org/fracture.

23rd Annual International Meeting on Advanced Spine Techniques (IMAST)

July 13 – 16, 2016
Washington, D.C., USA

The International Meeting on Advanced Spine Techniques (IMAST), an annual conference sponsored by the Scoliosis Research Society, includes spine surgeons, allied health professionals and researchers from across the globe to discuss new and innovative spine techniques. Texas Scottish Rite Hospital for Children is being represented at IMAST 2016 by orthopedists Dr. Dan Sucato and Dr. Steve Richards, researcher Dr. Hong Zhang, and research coordinator Dong Tran. Among hundreds of submissions from institutions across the country, the work of our doctors and researchers has been selected for two podium presentations.

Sucato 2012 - 2x3“IMAST is a slightly different meeting than some of the other spine meetings we participate in because innovative and newer techniques are the focus of the meeting with ‘outside the box’ presentations and discussions”, says Sucato. Scottish Rite Hospital continues to be seen on the national stage. The opportunity to showcase our work is tremendously fulfilling, however, knowing that it can directly affect the care of a child makes it that much more rewarding.

The first presentation was authored by Eray Kilinc M.D., Dong-Phuong Tran, M.S., and Charles Johnston, M.D., analyzes 120 AIS (Adolescent Idiopathic Scoliosis) patients with specific types of curve patterns of the spine. The objective of the study is to understand whether there is a significant difference between using more vs. using less implants to correct the curve. By using less implants, the research has shown that although the results show that fewer screws achieve slightly less overall curve correction, overall satisfaction scores for both patients with more screws and less screws were similar.

Charles Johnston, M.D., Kelly Jeans, M.S., Dong-Phuong Tran, M.S., and Anna McClung, R.N.,B.S.N., authored the second selected presentation. This study evaluated EOS (Early Onset Scoliosis) patients who have undergone growing rod treatment. The objective was to assess whether children with EOS were able to keep up with their peers based on a graded exercise test. The study builds on earlier research, which has shown that children who have undergone extensive treatment are thought to have limited capacity regarding physical activity. The study included 12 patients who were tested while walking at a self-selected speed over-ground and then during a graded exercise test. In conclusion, our researchers discovered that patients with EOS are not only able to keep up with their peers while walking around their communities, but they also have the capacity to exercise.

For more information on our research initiatives, please visit scottishritehospital.org/research.

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

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. 

You can also view the rest of the artists in other posts:


They’re Home!Background/Bio: In 2002, Lori decided to follow her life’s passion and recommitted herself to painting. At this time, she first engaged in plein air painting. “The challenges presented by painting nature while being part of that nature have taught me a tremendous amount about studying light and manipulating paint.” The one constant through her paintings: her energetic spontaneous brushstroke, applying paint with a confident contemporary approach.

Lori resides in Dallas, a long way from the mountains of New York where she was born and raised. She attended Pratt Institute in Brooklyn, earning a bachelor’s degree in Fine Art. Over the following years, Lori successfully pursued a career as a commercial artist designing for advertising agencies and running her own design studio. She is currently Design Director for the award-winning Private Clubs magazine. You see the influence of her commercial career in her exciting compositions … silhouettes of the world.

Inspiration: Nature and the ever changing light.


Micah San Juan ArtA graduate of Harding University School of Art and Design, Micah San Juan works as a production artist by day for Fossil Group, but immerses himself in his passion for painting when it comes to raising awareness on community issues. He is a 5 year member of Resounding Harmony (a philanthropic choral group) and has also used his love of charity to do works for Big Thought, The American Heart Association of North Texas, The Down Syndrome Guild of Dallas as well as Scottish Rite Hospital for Children.

I find inspiration from classic commercial artists like sign painters, illustrators and printmakers and well as the street artists from round the world.


While many artists take their craft from traditional to digital, CJ Miller’s artistic journey has been quite the opposite.  CJ Miller, the nom de guerre of Christopher J. Miller, founded the marketing communications firm Rainmaker Advertising more than 20 years ago.  His initial artistic training is rooted in computer graphics, marketing and visual communication but in 2000 he decided to explore traditional fine arts.

Christopher Miller -cjmiller_ontherocksThis journey began with several years tutoring/training with Mary Kathryn Collins, a Dallas artist and instructor who supported Mr. Miller in uncovering his unique artistic identity – sort of like uncovering your artistic thumbprint.  For the last six years, he’s taken annual sabbaticals to train with Virginia Cobb in her Santa Fe, New Mexico, artist workshop.  Ms. Cobb is known for her unique technique, detailed in her book, “Uncovering the Hidden Eye: Experiments in Water Media,” which is a result of years of teaching experimental workshops.  She believes that every painting is an experiment, a philosophy Mr. Miller has embraced as a way to gain a deeper, more personal perception of the physical world.

Mr. Miller continues to explore methods of utilizing different tools and materials.  He has experimented with mixed-media, graphite, chalk and crayon, and matte finished acrylics on canvas, wood and Strathmore 500 Bristol Board.  He believes that painting is a spiritual expression which reflects his current vibration and belief systems.


Rocket scientist turned self-taught abstract artist utilizing a blend of the analytical mind and artistic passion to create harmonious balance of color on canvas with compassion and diligence. Artwork is created for the individual collector, clients of leading interior design and non-profit organizations. JoJo was honored to be named a Fashion Group Internal of Dallas 2016Rising Star Nominee in Art.

Inspiration: Artwork inspiration is drawn from life experiences, 80’s flare, and the color found in everyday objects.


Ferro. READ. jpgNancy began her studies of art at Hockaday, continued them at The University of Dallas. There, her MA and MFA were in printmaking and drawing. Later she learned the art of painting with beeswax, encaustic painting, from The Encaustic Center in Richardson and Truro Center for the Arts in Provincetown, MA. And was recently accepted to The Vermont Studio Residency.

She is a long life resident of Dallas and has lived and worked there over the years, both in Deep Elm, at The Continental Gin Building, and now in her studio near White Rock Lake. She has exhibited in galleries, competitions and museums, throughout the states: Chicago, Dallas, Ft. Worth, Morro Bay, Provincetown, and St. Louis.

Her work has always been about including some concept, or part of the past, while dealing with the present. She enjoys mixed media as well as incorporating various processes.


Constantly in need of a “creative outlet”, I would often find new project and hobbies to test drive. The day I was introduced to jewelry, jewelry design, and a paintbrush was the day I realized I could put my biggest passions of creative design, the arts, and crafting into a tangible product to give back to the world.

Caroline Quisenberry- IMG_1772My personal relationship with design has evolved into a love and passion I incorporate into every aspect of my life, both personally and professionally. Throughout my professional life, I have broadened my creative abilities through even planning, jewelry designs, painting, branding, business development, client relations, and marketing. Alongside my professional life, I have grown my design skills through my jewelry and painting business, CLQ Designs.

CLQ Designs offers custom jewelry design, jewelry redesign, and abstract acrylic paintings, while catering to the client’s style, need and budget! CLQ Designs offers the best of both worlds – unique handcrafted jewelry and art sure to make you and your home the statement piece at your next event and a price point that won’t send you running for the hills! I want my clients to be able to call me on a random Tuesday and ask if I can design them something new because they need to “spoil” themselves.

Since childhood, my creativity and passion for design has fueled my drive to explore new experiences, learn new skill sets, and cultivate meaningful relationships. For me, the most exciting and rewarding part of CLQ Designs is knowing that I am not limited to what I can learn, design and create. I love getting together with my clients to get our creative wheels turning together in order to design their one of a kind piece from CLQ Designs. I love the challenge of design and thrive off creativity (I can’t get enough of it!).


Isabelle PierceI graduated from Wake Forest this past May with a minor in studio art and major in non-profit business. I had not been an art student since I was in the 5th grade, but I fell in love with the studio while taking a divisional. I took several oil classes and sculpture classes. I was hooked on using my hands and the tangible experience of creating something new.

I recently moved back to Dallas and have continued to paint, doing several commissions and projects. I started exploring mixed media by integrating acrylic and mod podge into my pieces. I paint in my backyard with my two dogs.

Inspiration: I am influenced by the places I interact with. Nature is a broad term, but I like to focus on places I am and have been and the experience of being in that place. People, sounds, textures, and emotional responses are just some of the things that make up a place.

“Walk it off, it’s just an ankle sprain.”…. Or is it? – Fracture Clinic Tips

The ankle is one of the most commonly injured body parts in children of all ages. An ankle sprain usually occurs when the ligaments, which support the three ankle bones, are stretched beyond their normal limits. This often occurs when the ankle is twisted or rolled inwards. When this happens, the ligaments can stretch or even tear, and oftentimes a “pop” is reported to be heard or felt at the time of the injury. When a child or adolescent with open growth plates twists or rolls their ankle, it can actually result in a fracture of the growth plate rather than a sprain to the ligament.

Ray Kleposki, a Texas Scottish Rite Hospital Fracture Clinic Nurse Practitioner, tells us, “An evaluation by a pediatric orthopedic specialist can help to prevent potential complications. Usually X-rays are required to make a diagnosis and treatment will depend on multiple factors, including the specific type of injury and age of the patient.”

Not all ankle injuries are preventable; however, there are some steps you can take to decrease the risk. Be sure your child:

  1. wears appropriate shoes for each activity, e.g. do not run in sandals or flip flops.
  2. has properly fitting shoes that are tied or fastened correctly.
  3. warms up and stretches prior to sporting events, including practices.
  4. plays on well-maintained fields without divots or large holes.

Bumps and bruises are a normal part of kids being kids! However, if your child has an ankle injury or broken bone, you may call our fracture clinic directly at 469-515-7200. To learn more about our Fracture Clinic, visit scottishritehospital.org/fracture.

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

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. 

You can also view the rest of the artists in other posts:

Avery Hall - IMG_8988AVERY HALL

Background: I am a sophomore at Highland Park High School interested in art and animation. I want to pursue a career in animation.

Inspiration: I am inspired by music and animate works.



Christi Meril has been creating mixed media art filled with simple and connectable images since 2006.  She has devoted herself as an artist to create images that speak to the eye and heart of the beholder.  Her artwork is filled with modern yet timeless pieces full of life, self-reflection and love.  Over the years, her work has appeared in ArtHouse Dallas, The Thrift Studio, Dallas, The Dallas Flea, The Jewish Art Fest of Dallas, Arts and Tarts, open shows at the 500X Gallery and sold locally.  She is also found in personal collections from California to New York and abroad. Christi resides in Dallas, Texas with her husband, two daughters, two standard poodles and English bulldog.

To see her art, please visit cmerilart.com.


When it comes to art and design, I truly just paint what makes me happy. I really donʼt have any set rules which allows me to experiment with abstracts but also try my hand at a portrait or landscape too. Trying new techniques and playing with different color combinations is my favorite part about this process. I just keep painting and tweaking until the piece feels balanced to me. My inspiration comes from my everyday life… it might be colors from an amazing interior design, a fun fashion layout, or even a sporting event. I work primarily with acrylics and mixed mediums to create layers of depth and texture. I still paint almost all of my work with a big blank wall in my own home in mind! My husband and I both grew up in Montgomery, Alabama. After moving around from Chicago to Virginia, we have settled in Dallas with our three boys(lots of sports to inspire me!) I canʼt imagine a day in my life without a little paint in it!


In her own words: I was born and raised in Houston, Texas, and as far back as I can remember, I have been interested in art. As a child, I loved to draw and color, and I was always told by others that I was artistic. It wasn’t until the late nineties when I was teaching ESL to pre-kindergarten children, that I rekindled my true passion for art. When teaching, I often created my own props to go with my lessons, and it occurred to me that this part of my job was extremely rewarding and it was then that I decided to go back to school to pursue an art degree. After some investigation, I discovered the perfect field….art education! I already had the education background, and that would sustain me through the art study.

Catherine FeehanI started back to night school the next fall and I learned so much about the various aspects of art, that during the Thanksgiving holiday, I visited Italy to see some of the Renaissance masterpieces by Michelangelo, DaVinci, and others. I knew immediately that I would somehow find a way to return to Europe to study more art. The following spring, my ESL job was reduced to a half-day, but there was also a position opening for a half-day art teacher, as well. I took the ESL/ART position and began my career as an art teacher. I learned many practical things such as how to use a kiln, how to order art supplies, etc.

I also managed to return to Europe for the next two summers to complete my twelve elective courses in study abroad programs. The first summer I studied in Venice where I learned about techniques and materials of Venetian art, as well as paintings by the great masters such as Titian, Tintoretto, Bellini, and Veronese. The next summer was spent in the south of France where I studied impressionism and Post Impressionism and traced the paths of Renoir, Cezanne, Picasso, Signac, and others.

After teaching prekindergarten for several years, I transferred to a middle school and began teaching a half day of ESL and a half day of art. After two years, I became a full-time art teacher and remained in this position until I retired. I spent the next fe years completing my dissertation, which involved a study of three contemporary art museums in Texas, and the correlation between their exhibits and societal change. It was during this time that I developed a love and appreciation for contemporary and abstract art, an area that had previously been somewhat of a mystery to me.

Last summer I took a course on art and its markets at Sotheby’s Art Institute in London, England. It helped me to further understand how art is simply and expression of oneself, and how one views the world. There is no right or wrong, no good or bad, just one’s own artistic interpretation of life. That brings me to today, where I currently reside in Dallas, Texas. I have a small art studio where I spend most days painting and experiencing the joy and freedom that comes through self-expression.

Kristin O'Keefe- image3KRISTIN O’KEEFE

B.A. in art from Hastings College in Hastings, NE. I’m a jack of all trades and a master of none.

Inspired by ordinary moments, rainy days, and quietness.


In her own words: The gentle flame of my creativity has always been kindled through imagination and storytelling. As a child I would often sketch out half written stories inspired by my surroundings, which continued as I grew into a young adult.Christina Sanchez -Illustration Sample 02 I graduated from the Maryland Institute College of Art in 2012 with a BFA degree in animation in hopes to pursue a career that would kindle my passion. I moved back to my home town in Texas and became a motion graphics artist at a small company. After creating many corporate-type videos, I realized that my creative fire was going out. I had been stuck in my comfort zone for a year and a half, and I felt like God was telling me it was finally time to step out. So, I left my job without any clue as to what to do next. I believed that God would not leave me in the desert to wander aimlessly with no manna to eat. He knows what he is doing! Many doors of opportunity began to open, and I discovered that my love for art and storytelling as a child was something I wanted to pursue. I realized that my vibrantly colorful and whimsical artwork brings joy to both children and adults, and is a reflection of God’s light, laughter and child-like delight. I am now a freelance children’s book illustrator and I am continuing to follow the path God continues to light for me.

Inspiration: I am first inspired by God and all of his wonders, whether it is through the vibrant colors of the galaxy or through the messages of beautifully orchestrated music. I also draw inspiration from many concept/development artists who work on animated films that tell a story and from children’s book illustrators as well.

What is Baseline Testing for Sports Concussions? – Scottish Rite Hospital Sports Medicine

Many studies suggest that access to baseline information when monitoring post-injury symptoms and deciding when a student athlete is ready to return to school or sports is helpful. Though this concept is useful with all diagnoses, it is most frequently utilized to manage return to learn and return to play after sports concussions.

Baseline testing is a common term used to describe objective information that is gathered before the season begins. This may include tests of skills we can see like balance, speed or coordination. However, many use the term “baseline testing” to reference neurocognitive testing, specifically. These tests are typically done on a computer or one-on-one with a psychologist and they evaluate how the brain performs skills we can’t see such as remembering, solving problems, reacting quickly and paying attention. All of these skills are particularly important to student athletes, both in school and on the field. After a concussion, performance on these tasks is worse than at baseline.

With this information, a physician can compare the athlete’s pre-injury performance with results from the same tests performed after a head injury. Therefore, decisions for care can be customized rather than comparing the athlete to others in his or her age group. Though baseline computerized neurocognitive testing is helpful, it is not the only tool used to determine when a student is ready for class or when an athlete is ready to return to the field.

Some schools have programs that require athletes to participate in preseason testing, but some do not. For young athletes in settings that do not provide baseline testing, The Center for Excellence in Sports Medicine at Texas Scottish Rite Hospital for Children offers this service in our clinic for athletes ages 10 and up. Please call 469-515-7100 for more information, or request an appointment online.

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