Get to Know our Staff: Steven Sparagana, M.D.

Get to Know our Staff: Steven Sparagana, M.D.

Where did you go to college? Medical school? 
I spent two years at Georgetown University in Washington, DC prior to trekking to Texas to attend Texas A&M University. For medical school, I trained at UT Health San Antonio. Given that I attended both A&M (thumb up sign) and UT (hook ‘em horns sign), I have comfortably joined them, and now use the hang loose sign!  One could also easily argue that I also have the right to use the “I love you sign”!

What role does the Neurology and Rehabilitation Medicine department play at Scottish Rite for Children?  
Many of the children with orthopedic problems have underlying neurological causes or complications. Our team is involved in diagnosing and treating these neurological and neuromuscular conditions.  

What are your specialties?
I serve as the director of neurophysiology, director of the Tuberous Sclerosis Complex Clinic and medical director of neurology and rehabilitation medicine. Some of my specialties include child neurology with subspecialty certification in clinical neurophysiology and in neurodevelopmental disabilities. I have a special interest in epilepsy, neurogenetic disorders (for example, tuberous sclerosis complex) and in clinical neurophysiology (EEG, nerve conduction studies with electromyography, and intraoperative neurophysiologic monitoring).

Why did you want to become a doctor? Have you always wanted to work in pediatrics?  
As a youth, I was intrigued by the brain and human behavior, and this interest persisted in college where I managed to study a lot of philosophy before becoming interested in neuroscience. Prior to medical school, I also took an interest in developmental biology (think metamorphosis of insects), which ultimately led me to pediatric neurology—merging development, the brain and kids.

What led you to Scottish Rite? How long have you been here?  
I first came to Scottish Rite as a child neurology resident during my training at Children’s Health (then known as Children’s Medical Center) and UT Southwestern. I have been employed here 26 year(s), 8 month(s), 0 day(s) —but who is counting when you’re having so much fun!

Is there a special referral process for patients to be seen by our experts in the Neurology and Rehabilitation Medicine department?
The vast majority of our patients are referred from the numerous orthopedists, and a few are referred from our colleagues in Pediatric Developmental Disabilities and Rheumatology. There are a couple of diagnoses where children come in by direct referral (for example, tuberous sclerosis complex, holoprosencephaly and hereditary spastic paraparesis).

How do you help your patients feel comfortable and confident?
Smiles, humor, being NICE to them and setting the parents/caregivers at ease.

What do you enjoy most about Scottish Rite?  
The culture of kid and family-centered care, and the “can do/will do” attitude of everyone from the medical teams, to all the support teams, to Mr. Bob Walker and his super team! 

What was your first job?
Slinging ice cream at Friendly’s in Webster, NY (Where Life is Worth Living!). 

What’s your favorite place to eat around here? 
In the Dallas area, my favorite restaurant is Chamberlain’s Fish Market Grill along with sister restaurant, Chamberlain’s Steak and Chop House—both in Addison. Wonderful food and service (for example, Copper River Salmon—when in season)! My family often celebrates major life events there.
FOX 4: Here’s to You – Kindness Matters

FOX 4: Here’s to You – Kindness Matters

Patient Miles and his little brother, Ryder, are bringing awareness and hosting an online fundraiser on behalf of  Scottish Rite for Children for their birthdays! “Scottish Rite is not just a hospital. It is a community,” the boys’ mother, Angela, writes on their fundraising website. Miles was born missing his left hand. After their first visit to Scottish Rite when Miles was 3 months old, they learned Miles condition was called symbrachydactyly. “From day one, Scottish Rite welcomed us into their family,” Angela writes. Turning 8 this March, Miles has raised funds for organizations he cares about for half of his life. This year, Angela, Miles and Ryder came up with ideas and created items they would like to sell that encourage others to celebrate each others’ differences and spread kindness along the way. Books about differences and inclusion are featured on their site, as well as beautiful tie-dye T-shirts because their family says, “Much like people, no two shirts will be alike!” 

A facebook post from clarice tinsley shows a boy reading a book | Clarice Tinsley March 15 at 3:16 PM. ••• HERE'S TO YOU: It's Miles' 8th birthday today! Instead of getting presents, he's giving presents to Scottish Rite for Children in Dallas. Miles is a patient there, he was born without his left hand. For his birthday this active boy donated 30 books about acceptance and inclusion as well as $5,000 He, his mom Angela and his 5 y.o. brother Ryder made & sold these tie-dyed t-shirts to benefit kids in Scottish Rite. Happy Birthday Miles! You're a leader! Show me difference makers Clarice.Tinsley@FOX.com DIFFERENT 12. All Are Welcom RE ALL WONDERS ONDERS by Ryan Hack NCLUDED A

Keeping Up with the Count: When Has She Rehearsed Enough?

Keeping Up with the Count: When Has She Rehearsed Enough?

In youth sports, this message is clear – excessive training puts an athlete at risk for injury. Young dancers may or may not be comfortable comparing their training to that of other “athletes,” but the concern for their safety is similar. Scottish Rite for Children physical therapist, Julia Buckelew, P.T., D.P.T., O.C.S., works with many dancers in our sports medicine practice and hopes to reach others with this message.

Overtraining occurs when there is a high intensity or a high volume of training and performance declines. Overtraining is often associated with overuse injuries and burnout when the dancer no longer enjoys the activity. The year-round nature of dancing creates a culture and environment that, without deliberate efforts to avoid, lead to these conditions. Company auditions, numerous classes, rigorous pre-show rehearsals and summer intensives can run-down a dancer.

What are signs of overtraining?

  • General fatigue felt throughout the day despite amount of sleep.
  • Extended time needed to recover from post-exercise soreness.
  • Reduced performance/technical skill despite normal or increased training hours.
  • Difficulty concentrating.
  • Increased risk of injury.

How can a dancer avoid overtraining?

  • Shift attention to the quality of training over the quantity of training.
  • Apply common time management techniques to plan rest and cross training.
  • Implement training periodization by recognizing performance cycles.
  • Learn about sleep hygiene to improve sleep quality.
  • Learn the value of mental imagery for rehearsal to allow the body to rest.
  • Increase self-awareness about beliefs and behaviors that motivate.

Thoughts on Perfectionistic Dancers
Scottish Rite pediatric psychologist Emily Stapleton, Psy.D., says, “Perfectionistic dancers tend to be ambitious, determined and driven for success in their performance. Unfortunately, these traits that make them successful also increase their likelihood of overtraining.”

These athletes tend to focus on results and have potentially harmful motivations including:

  • Desire to avoid making mistakes.
  • Fear of failure.
  • Fear of negative evaluation by others.
  • Meeting parent or coach’s expectations.

These tendencies can cause significant frustration, low self-esteem and self-doubt when they are not meeting their expectations or the expectations of others (e.g., parent, coach). This leads to the drive to learn new moves, perfect a routine and difficulty taking a break from training. Since they feel training is never complete, they self-select into an inappropriately high-training load. The cumulative effects of endless run-throughs, long hours of rehearsal and impact and stresses from repetitive movements may lead to injuries, exhaustion and reduced quality in performance. 

Stapleton says, “Research has shown that when these athletes direct their perfectionistic behaviors toward progress-oriented goals, rather than focusing solely on results or performance, some of the risks of overtraining are mitigated.” Athletes can do this by implementing cognitive-behavioral strategies including:

  • Appropriate goal setting.
  • Redefining their definition of success in sport.
  • Using positive self-talk.

Emily Stapleton, Psy.D., and Julia Buckelew, P.T., D.P.T., O.C.S., contribute to the article series, Keeping Up with the Count. A collection of tips and information for dancers from a multidisciplinary dance medicine team. They recognize the needs for these highly specialized athletes and aim to help reduce the risk of injuries in this population.

FOX 4: Here’s to You – The Sewing Ladies

FOX 4: Here’s to You – The Sewing Ladies

The Sewing Ladies, a group of volunteers at Scottish Rite for Children, have been a staple at the hospital since its earliest years. Originally, the group consisted mostly of wives of the hospital’s doctors. Now, the volunteers come from all different backgrounds but have one thing in common – they love to sew.
 
Between them, The Sewing Ladies have more than 800 years of sewing experience, and they put that experience to good use. Prior to the pandemic, during an average year, they would sew more than 400 bed sheets and more than 500 hospital gowns for the hospital’s young patients. Once the pandemic started, their efforts shifted to sewing masks for our patients in Dallas and Frisco. Since May, they have made over 9,000 masks! 

Clarice tinsley posted a photo of the sewing ladies at scottish rite for children taken before the pandemic | Clarice Tinsley March 1 at 3:52 PM · ••• HERE'S TO YOU: A photo of The Sewing Ladies at Scottish Rite for Children taken before the pandemic. In the past year they've made 9,000+ masks. Pre-pandemic they'd sew 400 bed sheets & 500 hospital gowns. Show me great volunteers send social distance photos to Clarice.Tinsley@FOX.com SCOTTISH RITE HOSPITAL CHOCHEID) TE TTISH R SPITAL FOR C Vike Air MY MOM KS