Three Things to Check During Back to School

Three Things to Check During Back to School

It’s that time of year that we all know can be exciting and a little bit scary for students – back to school! As you’re getting ready to send your kids and teens off to start the new school year, it’s important to pay attention to some health and safety concerns that are easy to overlook during the hustle and bustle of getting back to school.

Backpacks:

  • It’s better for your child to carry their school supplies in a properly fitted backpack rather than a shoulder bag or messenger bag because the weight of the load is evenly distributed across the upper body.
  • Backpacks should not be too heavy. The American Academy of Pediatrics recommends that children do not carry more than 10 to 15 percent of their body weight. For example, if a child weighs 80 pounds, the backpack should not weigh more than 8 to 12 pounds.
  • Heavy backpacks do not cause scoliosis but can lead to poor posture.
  • An incorrectly worn backpack can cause shoulder, neck and back pain. When a heavy backpack is placed incorrectly on the shoulders, the force of the weight can pull a child backward or to one side, causing them to compensate in ways that can lead to pain.

Outdoor Heat:

It’s important for children and teens to know the signs and symptoms of heat illness, so they can monitor themselves.

 

Talk about the following symptoms of heat illness with your child:

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

    With a little bit of education, students and their families can enjoy a safe and happy school year!
     

    Calming Cuddles with Harry the Therapy Cat

    Calming Cuddles with Harry the Therapy Cat

    Story featured on WFAA.
    Society is often divided into two groups: dog people and cat people.

    Sometimes, people fall into both categories.

    But it can take a lot to win someone over from the other side.

    Sarah Dutton has seen it happen time after time.

    Every couple of weeks, she straps a clear, hardshell backpack with mesh sides and several air vents into Scottish Rite for Children in Dallas.

    Once inside, the precious cargo is removed, leashed, and together, they begin delivery of a dose of medicine that is as effective as it is cute and cuddly.

    “You can do anything with Harry,” Dutton said. “ You can touch his ears, you can touch his tail, you can touch his paws, even his whiskers.”

    Harry is her cat.
    She and her husband found him run over in the middle of a Denton County road.

    They nursed him back to health, and now he’s a therapy cat.
    During his twice monthly visits, Harry might sit in the lap of a child in a wheelchair or curl up in a bed beside a patient at Scottish Rite.

    Sometimes nurses or parents hold him.

    Often, they gush over him.

    “He’s the calmest cat I’ve ever seen,” laughed Sam Bryant, a certified pediatric nurse, as she held him.

    Scottish Rite is world-renowned for treating complex orthopedic conditions, especially limb differences.

    And that’s one reason Harry connects so well with this hospital’s patients.

    When Dutton’s husband found Harry, more than one veterinarian clinic said he probably needed to be euthanized.

    But the couple wasn’t convinced.

    He ended up losing a leg and shoulder to amputation. But Harry fully recovered. And as he healed, Dutton saw the potential for him to help heal others.

    “The fact that he had three legs. I felt like he could touch some people — show that you can get hurt and be disabled and be totally fine and live a normal life,” Dutton said.

    She and Harry trained through Pet Partners, completing hours of training online and in person.

    Harry’s twice a month visits to Scottish Rite are now highly anticipated by patients and staff.

    “I have a cat at home and sometimes I go home to my cat and I’m like, why can’t you be like Harry?” Bryant said. “He just stares at you with his big old eyes, and kids just love that. Even kids who aren’t cat people. He really kind of changes people’s perspectives on cats.”

    Kaliyah Brownlee got nervous the moment Harry was within view.

    “So, this is my biggest fear,” the 9-year-old said under her breath, as she was getting an infusion for Lupus treatment at Scottish Rite’s rheumatology clinic.

    Brownlee’s mother, Montranece Randall, said her daughter would normally take off running when she saw a cat.

    “She runs. We both run!” Randall said.

    In the clinic next to Brownlee was 8-year-old Virginia Chappelle.

    While Chappelle got her infusion, she was petting Harry.

    “He’s so cute,” Chappelle said. “I love his little nose.”

    And as Brownlee watched Harry work his magic on Chappelle, she gained courage.

    She wanted Dutton to bring him closer. Touching Harry soon turned into petting him. Then petting him turned into holding him.

    “I thought I was going to be scared, but I’m not scared of cats anymore!” she said. 

    “I think we should get one,” she told her mom – who also pet Harry.

    Harry might not be the kind of medicine doctors prescribe, but the special connection he makes with patients is its own kind of cure.

    I feel like he understands a lot of people’s emotions and what they need,” said Dutton.

    Read the entire article.

    15th Year Scottish Rite for Children Ranked No. 1 in the Region and Among the Best in the Nation by U.S. News & World Report

    15th Year Scottish Rite for Children Ranked No. 1 in the Region and Among the Best in the Nation by U.S. News & World Report

    For more than a century, Scottish Rite for Children has defined greatness in pediatric orthopedic research, education and patient care. U.S. News and World Report has once again ranked Scottish Rite No. 1 in the Southwest Region, which includes Oklahoma, New Mexico, Arizona and Texas, rounding out at No. 4 in the specialty in the country.
     
    We are privileged to help our patients, and for the past 15 years, this exceptional ranking continues to reflect our commitment to excellence and to providing world-renowned care to our patients and their families. Our multidisciplinary team of doctors, nurses, therapists and specialists collaborate to create a customized continuum of care for each patient and family. Our staff has cared for more than 360,000 patients, but not one is treated like a number.
     
    Scottish Rite researchers have not only discovered and mapped genes associated with adolescent idiopathic scoliosis and other conditions but also have invented and advanced revolutionary medical devices resulting in more than 50 patents secured across the pediatric orthopedic discipline. These experts uncover the root causes of pediatric orthopedic conditions and translate their findings into groundbreaking treatments that defeat them.
     
    Our physicians wrote the textbook that educates aspiring pediatric orthopedic surgeons and is used as the standard reference guide by practitioners worldwide. Scottish Rite’s fellowship program is one of the oldest and largest in the country, and the fellows have gone on to implement the knowledge they acquired and transform the lives of patients around the world. Our experts developed the consensus medical definition of dyslexia and authored the curricula that has trained therapists and given children with dyslexia the ability to read nationwide.
     
    We meet every child where they are in body, mind and spirit. We restore muscles, joints and bones, allay fears and replace despair with hope.
     
    About U.S. News Rankings
    Introduced in 2007 to help families of children with rare or life-threatening illnesses find the best medical care available, U.S. News & World Report Best Children’s Hospitals rankings are the most comprehensive source of quality-related information on U.S. pediatric hospitals.
     
    U.S. News, alongside a research and consulting firm, collected and analyzed data from 119 children’s hospitals and surveyed thousands of pediatric specialists. Children’s hospitals awarded a “Best” designation excelled at factors such as clinical outcomes, level and quality of hospital resources directly related to patient care and expert opinion among pediatric specialists.

    With Thanks for a Happy Place

    With Thanks for a Happy Place

    Published in Rite Up, 2023 – Issue 1. 

    Troy Ratliff has supported Scottish Rite for Children for more than 20 years. He connected with the organization through his participation in the San Angelo Sporting Clay Shoot, an event that was established in 1998 to raise funds for patient care. “I just wanted to win a shotgun,” Troy says. “When Keegan was born, I realized what the shoot was all about.”

    Troy and his wife, Wendy, live in Mason, Texas, and have three children — Jonnah, age 21; Keegan, age 15; and Cooper, age 13. Wendy was a teacher and a coach for 25 years and now owns Hilltop Tennis, where she gives private lessons to children. Troy is an entrepreneur in the electrical field and owns three companies, including Ratliff Electric, TW Compressor Company and Dynamo Rentals, a generator rental business.

    When Wendy was pregnant with Keegan, they discovered at her 4D ultrasound appointment that something was wrong with his leg. An orthopedic surgeon in Midland diagnosed Keegan with fibular hemimelia, a condition in which the fibular bone had stopped growing in his left leg. “Keegan didn’t have a foot,” Wendy says. “It was like a sack. You could feel where the toes had tried to develop, but they never did.”

    “We were pretty much devastated,” Troy says. They were referred to Scottish Rite for Children, and when Keegan was 2 months old, they traveled to Dallas for his first appointment. “We took Keegan to the waiting room and saw wagons with kids with no arms and no legs,” Troy says. “When we got into the room, we broke down crying.”

    “Scottish Rite is very touching,” Wendy says. “They cater to the kids, and no matter what their disability, they all seem happy. It was eye-opening, a wake-up call.”

    The Ratliffs met J. A. “Tony” Herring, M.D., now chief of staff emeritus, who evaluated Keegan and explained the treatment options. They could reconstruct his leg, but that would require many surgeries throughout his childhood with no guarantee of how functional his leg would be. The other option was to amputate.

    Through Scottish Rite’s Peer Support Program, the Ratliffs met a patient from El Paso who had a prosthetic leg. “Looking back, the kid explaining how normal of a life he had was the turning point for me,” Wendy says. “It was a breath of fresh air, like everything was going to be okay.” The Ratliffs went home and made the decision to amputate. “I felt like amputating would allow Keegan to be a kid,” Wendy says.

    When Keegan was 10 months old, Dr. Herring performed the amputation. On Keegan’s first birthday, he got his first prosthetic leg complete with his favorite superhero. “He got his Batman® leg,” Wendy says, “and within 30 minutes, he was walking on it.”

    Keegan still likes Batman® today. “I was Bruce Lee for my eighth grade graduation,” he says. Keegan is an all-around athlete. He plays football, tennis and basketball, but his favorite sport is tennis. He plays for his high school team and in tournaments through Universal Tennis, an organization that connects tennis and pickleball players through level-based play. At an adaptive tournament in Dallas, he won the junior level and the consolation in doubles.

    Throughout his life, Keegan has received care from Dr. Herring and prosthetist Don Cummings, director of prosthetics. “For the first two years of Keegan’s life, I didn’t know Don had two prosthetic legs,” Wendy says.

    Cummings lost his legs below the knees to bacterial meningitis when he was a freshman in college. “One day, we were building Keegan’s leg, and Don was trying to explain legs to us,” Wendy says. “He goes, ‘let me show you this one,’ and he throws up one of his legs. Then he says, ‘or my other one.’ It’s so cool that he has prosthetic legs because he knows how it feels. He can truly relate to Keegan.”

    Keegan recalls having had 16 or 17 prosthetic legs as he has grown. Depending on the activity, he has worn different types. When he ran track and cross country, he wore a running blade designed primarily for sprinting. Now, he mostly wears a hybrid blade that has similar properties but includes a foot plate and foot shell, which allows him to wear various shoes. “With the foot shell, he was able to quarterback better,” Wendy says, “and he can cut better in football and tennis.” On his next leg, Keegan will display his school logo. “Anything you need, they’ll do it for you,” Keegan says.

    “The people at Scottish Rite are pretty special,” Wendy says. “Dr. Herring is always smiling. You can’t help but be happy around him. He always wants to see Keegan run. Every time he sees him, he says, ‘get out there and run for me.’”

    “Seeing what Scottish Rite has done for Keegan,” Troy says, “I’m just fortunate enough to have the opportunity to give, and my favorite thing is to donate to Scottish Rite.” Not only does Troy continue to participate in the San Angelo Sporting Clay Shoot, but he also supports the event, as well as supporting the West Texas Golf Classic in Lubbock and Emi’s Color Shoot in Amarillo. All three events raise funds for patient care at Scottish Rite. Whether giving individually or through Troy’s companies, the Ratliff family has contributed more than $550,000.

    We are grateful for the Ratliffs’ generosity and the many ways that they have supported and promoted Scottish Rite for Children over the years,” says Stephanie Brigger, Vice President of Development. “It is wonderful to witness Keegan’s success and to know that the Ratliffs’ kindness will help other children succeed as well.”

    Scottish Rite has been life-changing,” Wendy says.

    It’s a safe zone for kids to be themselves and learn that they’re not alone,” Keegan says.

    When you walk in the door, you don’t have a condition,” Troy says. “It’s just happy.”

    Read the full issue.

    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.

    Why I Run: Family Support

    Why I Run: Family Support

    Meet Preston, a patient who was seen by our team of experts. Learn more about his journey below.BMW Dallas Marathon

    Blog written by Preston’s dad, Preston.

    Our son Preston lives with a condition known as Klippel-Trenaunay-Weber Syndrome (KTWS). In short, it is a

    This image ALT text is: A baby is standing next to a woman on a wooden floor .

     vascular disorder that can cause vascular malformations and affect skin and bone development. The effects vary dramatically between patients. Preston is affected throughout the entire lower half of his body. He has abnormal vein development (an abnormally large number of veins) throughout his abdomen and legs, which can cause internal bleeding, pain, fatigue, etc. As it relates to Scottish Rite for Children, however, is the abnormal development of his right leg. He was born with a significantly small right leg that also has some joint misalignment in the ankle and knee. This leg length discrepancy caused significant issues with walking or climbing stairs, and it virtually eliminated his ability to run or play like other children.  

    A baby is standing next to a woman on a wooden floor .

    Our journey to Scottish Rite was not immediate. After diagnosis, our initial concern from our doctors here in Houston were the immediate vascular issues. Once we addressed this, we were referred to an orthopedist locally who was the “best” per our referrals. This doctor did not, however, prove to be the best for us and left us desperate to find someone to help. We tried several locally, but none were equipped to manage his orthopedic needs and grasp his KTWS. One of his vascular team doctors recommended Scottish Rite. Up to that point, we were unfamiliar with the hospital.  

    As you can imagine, our family has visited many hospitals over the years, and I don’t have to tell you how emotionally challenging it could be for us. I can tell you that the moment we drove into the parking lot at Scottish Rite, we knew it was different. My wife and I were initially confused when we could not locate where to pay for parking, never thinking that we might not have to pay to park. Our whole family was blown away by the difference that can be felt when you are at Scottish Rite. It is the only hospital where we are not anxious or confused. From the moment you walk through the doors, everyone is helpful and happy, also something we rarely see at other hospitals. Preston’s experience with Dr. Podeszwa and his team of doctors at Scottish Rite has been exceptional, and he looks forward to each trip to Dallas for his appointments. We always stop for lunch at his favorite restaurant, Half Shells in Snyder Plaza, while there.  

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    After several years of monitoring his legs and getting by with orthotics and knee braces, he underwent an epiphysiodesis surgical procedure to help even out the length of his legs. Dr. Podeszwa and his team performed the surgery in November of 2020. We have seen a significant decrease in the leg discrepancy over the last year and a half. This has allowed him to participate in sports, with baseball being his favorite. While he may not set any records as the fastest on his team or be the most graceful, he can now run the bases on his own without the need of assistance or a pinch runner. This has had a dramatic effect on his self-confidence and our peace of mind. While he will live with KTWS his entire life, the reduction of his limb discrepancy will help him get closer to a typical lifestyle.  

    Preston and I have discussed, at length, getting further involved with Scottish Rite. We decided this year would be a good time to get involved. I would typically run the NYC Marathon in November or the Houston Marathon in January, but we thought running in Dallas would be a great experience for the whole family and help him give back to Scottish Rite. Preston has been joining me as I train for the marathon – he bikes while I run. While he isn’t ready to run a marathon yet, Preston is excited to serve as one of the Junior Race Directors for the 2022 BMW Dallas Marathon. Our whole family is excited to give back, and we are thankful to have the opportunity to play a small part in helping Scottish Rite continue its ability to help all children.  

    A man is running and a boy is riding a bike

    Since 1997, Scottish Rite for Children has been the primary beneficiary of the BMW Dallas Marathon. This weekend, spectators will line the streets and neighborhoods of Dallas to cheer on participants. Learn more about registering for the BMW Dallas Marathon and how to the support runners.

    Learn more about our Center for Excellence in Limb Lengthening