Share Your Story: Expecting the Unexpected

Share Your Story: Expecting the Unexpected

Becoming a first-time parent is such a wild ride of emotions. When I found out I was expecting a baby, my reactions ranged from “HOORAY!” to “Oh my!” in a matter of seconds. Right away I felt an intense responsibility for this tiny little baby that I couldn’t wait to hold one day. Besides having gestational diabetes, I had a normal pregnancy. As the days to my due date started to quickly approach, I had this gut feeling that something about this baby was going to be different. Because of gestational diabetes, I had more than the normal amount of

sonograms. During each one, we were told by the technician that, “Things look great!”. Yet for some reason, I couldn’t shake the feeling that something felt off. My husband tried to reassure me, but I felt like my mother’s intuition was already kicking in. I remember after a particularly difficult evening in which I had been craving carbs and a cinnamon roll the size of my face, my husband and I went to dinner at an all you can eat salad bar instead. Previously, we had been saying things like, “As long as he has all of his fingers and toes, we will be happy.” Then in a moment of inspiration, I’m sure as an attempt to cheer me up, my husband said, “Honestly, even without all the fingers and toes, we will be happy.” Then the time came for us to deliver. It was finally time to meet this little baby boy who was about to blow away all our expectations about being parents – in the best way possible.

March 15, 2013, our sweet Miles was born! He came in at a whopping 9 pounds, 15 ounces and was 22 inches long! The first thing I remember hearing was his precious little cry. The second thing I heard was the doctor say, “Hold on Mom, we need to check something real fast.” As she took Miles back to the warmer, I looked at my husband’s face. He was pale white and visibly shaken. His next words, with tears in his eyes, would throw all our expectations out the window. “Miles doesn’t have his left hand,” he whispered to me. I remember looking at him with tears in my own eyes saying, “That was it. I knew something was different, and that was it.”

People talk a lot about “what to expect when you’re expecting,” but not a lot about “what to expect when you hear the unexpected.” Those first few days were such a blur between extreme love and excitement for our beautiful baby boy, mixed with fear about sending our son out into a broken and sometimes harsh world. The initial diagnosis left me feeling immense guilt. As though my body, which was supposed to protect our baby during development, had permanently harmed him. Oh, I wish I could tell that emotional new mom what was in store for her in the months and years to come. If you are new to your parenthood journey, buckle up, it is a wild and beautiful ride!

When Miles was just a few months old, we went to Scottish Rite for Children for his first appointment and diagnosis. He was diagnosed with symbrachydactyly. This diagnosis meant a few things:

1. There was no one to blame. Sometimes it just happens, and doctors don’t really know why.

2. Hearing his diagnosis assured our hearts that he was “fearfully and wonderfully made,” and Miles’s arm is not a weakness, it is proof of how strong he is, that even as a tiny embryo, he kept on fighting to keep growing.

I knew that it was our job as parents to remind him of those things. He is not broken or incomplete in our eyes. The staff at Scottish Rite was so generous with their time and gave us so many book recommendations and encouragement. I remember leaving Scottish Rite feeling as if I had received a big breath of fresh air. We were now part of a community that I never knew existed before, and I was so thankful for it. Getting to attend things like Hand Camp in 2022 was such a beautiful thing because, for one of the first times in his life, he walked into a room and wasn’t seen as different. He was able to connect to those kids in a way I never will be able to, and I am forever grateful for that community.

One of the earliest things we noticed about Miles is that he is an extrovert.

I could give countless examples of how he would try to befriend every single person on the playground or anywhere he found himself. For an entire year in preschool, he was determined to invite the classroom “tough kid” to play with him. It took Miles an entire year of trying, but the next year when that little boy found out Miles was in his new class, too, he told his mom that Miles was the first kid he wanted to invite to his birthday party. You see, Miles started to teach us something from the beginning. He didn’t understand the concept of “I can’t.” He didn’t give himself excuses, and neither did we. He just worked hard and would find a way to do it his way, even if it was unconventional or looked different. Instead of seeing a world full of strangers, he sees future friends. He continues to teach us how we all should love others.

As a parent, I worried about Miles starting school. It is an emotional day for many parents, but I remember how nervous I was to share my boy with the world. Don’t get me wrong, Miles always loved preschool, sports and group activities, but for some reason, this step seemed so big and scary to me. However, I quickly realized that I may be nervous to share Miles with the world, but maybe Miles is just what the world needs more of. I got confirmation of this after Miles had been in school for a few weeks and I asked if he was getting a lot of questions about his arm, and this was his response: “This boy on the playground said we couldn’t play because of my arm. So, I told him, ‘You can’t help how you are born, but you can help if you are kind.’” One of our family mottos is, “Be silly. Be honest. Be kind.” His response made me tear up with pride because at that moment he was living that out.

There was only one time that Miles ever asked for help with something due to his lucky fin. My husband has a 3D printer and Miles had just received his “big kid bike.” He was having a tough time balancing with the training wheels, so he asked my husband to print him an arm to help him adjust. He did. When Miles’ school found out about it, they asked my husband to come and speak to all the kindergarten class about how he was able to identify a problem and fix it. When my husband addressed this room full of 125+ kindergarteners, he started off by saying, “What is something that you notice about Miles?” He was using this as a segue to talk about his arm. But in a room full of kids, they mentioned: “He is funny!”, “He teaches us things sometimes!”, “He plays with us on the playground.”, etc. Not a single kid mentioned his arm. I’m not naive enough to think that will always be the case, but in those sweet kids, I saw Miles was teaching them how not to fear difference but embrace it. We ended up taking off his training wheels, and without the arm, he took off riding on this first try!

We have never treated Miles differently. We have encouraged him and his younger siblings to go out in this world and do great things. You are never too young to make a difference. We remind Miles often that when he walks into a room, people are going to notice him, and we hope he uses that attention for good. Initially, he may be noticed for his limb difference, but I hope he leaves them remembering him as a leader, as a kind friend and as an includer of others. Often, people are going to point out the things that may make life harder. Instead, we hope we teach our kids to use those things to change people’s minds. Showing the world that it is beautifully different, and it needs each one of us.

Miles is now finishing up his 4th grade year! Ten years have passed since we held that tiny little newborn, not knowing the lessons he would teach us. He has taught us how to see the world differently and how to love others better. He now spends his days loving school, doing robotics with friends, surfing, doing Ninja Warrior, rock climbing, drawing and cooking!

For the past six years, Miles has done a birthday fundraiser. This year, he helped write a family cookbook (look up Inclusive Kitchen on Barnes & Noble’s website!), along with designing a “Love Your Neighbor” shirt in his handwriting, and he sold custom drawings to raise money for inclusive playground equipment at his elementary school! He wanted to make sure that every kid in the school felt loved, like they belong and had the chance to play! He, along with his brother and sister, have raised $5,539.25 (and counting) so far!

There are going to be many people that will doubt you in life, but when I told Miles I was doing this story he said, “People are going to doubt you. They are going to try to tell you how you can’t do something. Don’t believe them. Believe in yourself. I like to tell those people, ‘Oh yeah, watch me!’ You can and will do great things in this life. Whether you have glasses, are a wheelchair user, or in my case, have a limb difference, that is what makes the world so beautifully unique!”

DO YOU HAVE A STORY? WE WANT TO HEAR IT! SHARE YOUR STORY WITH US.

Pediatric Musculoskeletal Ultrasound at Scottish Rite for Children

Pediatric Musculoskeletal Ultrasound at Scottish Rite for Children

Pediatric musculoskeletal (MSK) ultrasound is a safe, effective, and painless approach to observing bones, ligaments, tendons, and other tissues in and around joints. At Scottish Rite for Children, ultrasound has been used for many years by our radiologists and ultrasound technologists when diagnosing infantile hip dysplasia and other conditions; however, the possibilities and indications to use ultrasound for other musculoskeletal conditions are increasing. This includes using it with young athletes to better visualize the structure and function of these different tissues.

Many soft tissue conditions and concerns on the surfaces of bones can be diagnosed with ultrasound. Because children have immature bones with areas of soft cartilage, they have unique conditions around the bones and joints that can also be evaluated with ultrasound. Additionally, providing treatments with needles, such as joint aspirations and injections, can be enhanced when ultrasound is available.

In two specific areas of our organization, ultrasound is used by providers at the bedside during an evaluation or procedure. This is called point-of-care ultrasound (POCUS) and is a way to combine the clinical history and exam with the findings of the ultrasound. For a provider to use this tool, extensive training and many hours of experience are necessary. Pediatric rheumatology nurse practitioner Heather Benham, D.N.P., APRN, CPNP-PC, and sports medicine physician Jacob C. Jones, M.D., RMSK, have met and exceeded those qualifications.

With their extensive experience, they are also equipped to teach others how to use this tool with a younger population. Many programs available are focused on the assessment of soft tissues in a population that is older. Benham and Jones worked together to create the Scottish Rite for Children Pediatric Musculoskeletal Ultrasound Fundamentals Course (PMSKUS). Along with course co-director Vivek Kalia, M.D., M.P.H., M.S., they hosted the inaugural event in November 2022. The next opportunity to take this one-day course will be in May 2023 at the Scottish Rite for Children Orthopedic & Sports Medicine Center in Frisco.

Learn more.

Pediatric Neurology at Scottish Rite for Children

Pediatric Neurology at Scottish Rite for Children

As an institution dedicated to giving children back their childhood, our experts provide a full spectrum of care to make sure all aspects of a condition are treated. Whether common or complex, many of the orthopedic diagnoses seen by our team have other associated conditions which require treatment.

Experts from our Neurology and Rehabilitation Medicine department see children who have various neurological disorders and neuromuscular diseases. Although each condition varies when it comes to its severity, every child seen by this team receives world-renowned care with the ultimate goal of helping them live a more independent life. Learn more about pediatric neurology below.

What is pediatric neurology? 
Pediatric neurology is the treatment of conditions that affect the nervous system including the brain, spinal cord, peripheral nerves and muscles. This can include disorders such as migraines, epilepsy, developmental delay and neuromuscular conditions.

Meet the Experts
Michelle R. Christie, M.D.
Child and Adolescent Neurologist and Clinical Neurophysiologist  
Christie sees all neurologic conditions with a focus on Charcot Marie Tooth, holoprosencephaly and hereditary spastic paraplegia.

Fabiola I. Reyes, M.D.
Pediatric Physical Medicine & Rehabilitation Physician
Reyes provides care to patients who have trouble with motor control.

Common Conditions Treated by the Team

  • Cerebral palsy
  • Epilepsy
  • Migraines
  • Developmental delay
  • Congenital birth defects of the nervous system
  • Genetic diseases of the nervous system
  • Neuromuscular disorders including myopathies, Charcot Marie tooth, brachial plexopathies and traumatic nerve injury
  • Tuberous sclerosis
  • Holoprosencephaly
  • Hereditary spastic paraplegia

Multidisciplinary Approach to Care
The Neurology and Rehabilitation Medicine department includes staff from various areas of specialty. This helps to ensure that no matter what a child may need, we have an expert to provide the best treatment options for any aspect of the condition. Patients seen by our Neurology experts may also interact with advanced practice providers (APP), nurses, pediatric psychologists, recreational therapists, orthotics, and physical and occupational therapy.

Cerebral Palsy Clinic: Your Child’s Care and What To Expect

Cerebral Palsy Clinic: Your Child’s Care and What To Expect

At Scottish Rite for Children, our experts provide care to the whole child – body, mind and spirit. The Neurology and Rehabilitation Medicine department sees children with orthopedic issues who also have related neurological disorders and neuromuscular diseases. One of the most common conditions seen by this team is cerebral palsy (CP).

Like all conditions, the severity of cerebral palsy can vary depending on the child and requires a multidisciplinary team to determine the best treatment options. With several factors that play into this diagnosis, we understand that as a parent or caregiver it can be challenging to navigate through the care plan for a child with cerebral palsy. Below is what you need to know about our specialized cerebral palsy clinic at Scottish Rite.

Who is part of the CP team?

  • Orthopedic Surgery
    • A pediatric orthopedic surgeon focuses on evaluating and monitoring for operative interventions to address function and pain.
  • Pediatric Rehabilitation Medicine (PRM)
    • PRM focuses on evaluating and monitoring the child for nonoperative interventions, including bracing, casting, tone medications, botulinum injections, equipment and therapies with the goal of optimizing function and reducing pain.
  • Neurology
    • This team treats the active neurological conditions such as seizures.
  • Advanced practice providers (APP)
    • The APPs work with both the neurologists and pediatric rehabilitation specialists to provide holistic care.
  • Nursing
    • This team coordinates and organizes each of the multidisciplinary teams and ensures that education is tailored to the needs of each patient.
  • Orthotics
    • A team of orthotists work with the teams to evaluate, fit and fabricate braces used to help your child’s mobility.
  • Physical Therapy (PT)
    • PT works with the child to improve functional mobility, with or without their needed equipment.
  • Occupational Therapy (OT)
    • OT focuses on activities of daily living, upper extremity function and the use of equipment needed to help your child function.
  • Therapeutic Recreation (TR)
    • TR works with the patient to promote activities and participation through peer interactions and relationships, such as adaptive sports, games and more.
  • Psychology
    • Our team of pediatric psychologists manage the psychological well-being of the child and helps them with strategies to overcome barriers to the treatment plan.
  • Developmental and Behavioral Pediatrics
    • This team optimizes nutrition, feeding and medical comorbidities and manages behavioral differences.

What can a parent/child expect when come to the CP clinic?

  • The child will first be seen by our motor control nurse who will go over medications and safety questions.
  • One of the neurology/rehabilitation medicine APPs will continue the visit.
  • A video recording will be conducted of the child for their gait to be analyzed so the team can compare changes that occur throughout time.
  • The pediatric rehabilitation medicine specialist and the APPs will then complete the visit and explain the plan to the patient and parent/caregiver.
  • Depending on the clinic and specific needs, the patient may also be seen by a pediatric orthopedic surgeon, orthotist, physical and/or occupational therapist, pediatric psychologist or a recreational therapist. When appropriate, referrals are also made to the other cerebral palsy experts.

How often are clinic appointments?

  • Children younger than 5 are typically seen every three to four months. Since this is a period of rapid growth and development, our team of experts want to make sure that they are monitoring the patient’s growth closely and intervening in any way needed to promote healthy and happy development.
  • Children between ages 6 to 12 are seen about every six months but may require visits more often if they are in the middle of a growth spurt.
  • After a child has completed their growth spurt, the team typically sees them between every six months to a year.

Pediatric rehabilitation medicine physician Fabiola I. Reyes, M.D., works closely with this patient population. “I am honored to have the opportunity to provide care to these kids,” Reyes says. “In the CP clinic, we pride ourselves in making sure that both the child and parent/guardian understand and feel comfortable with every step of the treatment plan. Although your child may have several specialists caring for them, which can be overwhelming, our team is here to walk you through the process – making sure the patient remains our priority.”

Learn more about the Neurology and Rehabilitation Medicine department.

Share Your Story: Jumping for Happiness

Share Your Story: Jumping for Happiness

Meet Mikayla, a patient who was seen by our team of scoliosis and spine experts. Learn more about her journey below.

Blog written by Mikayla.

When I was in the sixth grade, my mom noticed something weird on my back. She had my dad also look at what she was seeing, and he thought we needed to get a doctor to check this out. I went to my pediatrician, and he said it looked like I had a “mild” case of scoliosis. He then sent us to an orthopedic doctor, who took X-rays to look at my spine. As it turns out, I’m someone who hides their curve well.

My forward bend test did not show much of a visual deformity, but the X-rays really showed what was going on. I had an upper curve of 45 degrees and a lower curve of 50 degrees. This meant I would need to wear a brace for 20 hours a day, for several years. I was fitted for a scoliosis brace and started wearing it as soon as I could.

My parents decided to reach out to Scottish Rite for Children for a second opinion, and January 2017 was the first time I visited my new family at Scottish Rite. Everyone was nice and amazing. At our first visit with Dr. Richards, we explained my medical history leading up to that point, and the Orthotics department looked over my brace. As soon as the orthotist looked at my brace, he suggested that I have a new one made at Scottish Rite. The first step in that process was for me to have a new X-ray in the fancy EOS machine. We were told to go have these images taken, grab a bite to eat, and then we would hear from Orthotics. No sooner had we sat down with our food in the cafeteria, we were called back to the clinic. 

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Dr. Richards and a few other people were already in the clinic room, and I could tell something was wrong. He told me that my curve had progressed, and my measurements were at the point of needing surgery. At this point in time, I thought my life was over! All that was important to me was gymnastics. My first doctor told me that if I had surgery, I would not be able to participate in gymnastics. But this was not the case at Scottish Rite. Dr. Richards explained to me everything he would do to save the motion in my spine. He said that following surgery and recovery, I could still do gymnastics, but it might feel a little different. I had my spinal fusion surgery in February 2017 and that is when my new life started. 

Following my surgery, my stay in the hospital was nothing but amazing. All the nurses and doctors were excellent. Of course, the healing process was a long time, but I got right back to everything as soon as I could. Being out of school for six weeks was also pretty fun. 

I was so excited when I was able to go back to gymnastics. Dr. Richards was right, things did feel a little different, but I was able to do everything I could before. It was around that time that I decided to try some other sports and started to play volleyball and basketball and run track. As soon as I found track, I felt like I had found my happiness again! I competed in the 100m hurdles, 300m hurdles, long jump and the triple jump. I felt wonderful and was able to do it all. 

It was around that same time I had my one-year post-op appointment with Dr. Richards. I told him all about the track events I was participating in, and he was amazed at everything I was doing! It felt great to hear that I was medically cleared to continue jumping, throwing my body around, and I was able to keep doing what I loved. 

Prior to my surgery, I thought that athletics was something I would never get to experience. Now, I’m the record holder at my high school for the 100m hurdles, and I’ve found something that makes me happy!

I have committed to Tarleton State University and plan to compete on the Track & Field Team while studying accounting.

Scottish Rite allowed my dreams to come true. When I first learned about my scoliosis diagnosis, I thought gymnastics was gone, and I never even thought track was something I would do. With the treatment I received at Scottish Rite, I am now healthy and able to do everything other kids can do. My favorite activities are going to the gym or running at the track. I love to do crafts, crochet, read my Bible and I aspire to become a high school accounting teacher and coach track and field. See ya’ around on the track!

DO YOU HAVE A STORY? WE WANT TO HEAR IT! SHARE YOUR STORY WITH US.