Beating Scleroderma and Actualizing Invention With Grit

Beating Scleroderma and Actualizing Invention With Grit

Previously published in Rite Up, 2024 – Issue 1.

Lino is an inventor who is set on changing the world. “Problems without solutions inspire me to invent,” he says. “I’ve been tinkering with stuff since I was little, but I didn’t realize all this problemsolving was called inventing until I was in the fourth grade.” That was when Lino, of Frisco, invented the String Ring, an adjustable band worn as a ring that protects your finger while playing a stringed instrument. Lino played the cello and wanted to find a way to keep his fingers from blistering without changing the sound. “When you finally solve a problem that is personal to you and that affects a lot of other people, it’s the best feeling in the world,” he says.
 
His mother, Sharon, says that Lino has never met a challenge he does not want to conquer. “Lino is kind, smart and positive, but ‘grit’ is the perfect word for him in everything he does — at school, in sports and through his journey at Scottish Rite,” she says. “How he handled his diagnosis is how he handles his inventions.”

When Lino was 12, his hands began swelling. He could not make a fist, and when it got cold, his hands changed colors, turning red, even purple. His pediatrician referred him to Scottish Rite for Children where he was evaluated by orthopedic hand surgeon Chris Stutz, M.D. Dr. Stutz found nothing wrong with the bones in his hands but suspected a rheumatic condition and referred him to rheumatologist Lorien A. Nassi, M.D.

Dr. Nassi diagnosed Lino with juvenile systemic scleroderma, a rare, chronic autoimmune disease in which the immune system causes inflammation and tissue changes that lead to a tightening and thickening of the skin. The condition affects approximately 3 per 1 million children. There is no cure, and it can progress, affecting the internal organs, such as the heart, lungs and kidneys.

“It felt like an out-of-body experience,” Sharon says. “We walked in with a healthy child, and all of a sudden, we got a diagnosis of something we didn’t understand.” Dr. Nassi and her team, including a psychologist and a child life specialist, consulted with the family, explaining that Lino would need to take a weekly injection. “They told him not to search it on Google,” Sharon says, “that he could take the day off from school, but he was like, ‘No, I have to go to school. I have to give a presentation.’”
 
Lino began taking injections as well as receiving physical and occupational therapy to increase manual dexterity, flexibility and range of motion. “The hardest part was getting the injections and then learning how to administer them myself,” Lino says. “I didn’t like needles, but I got over that, and I feel better now that I’m doing it myself because I feel more in control.”
 
After four years, Dr. Nassi is tapering off the medication. “Lino has had a remarkable trajectory,” she says. “Unfortunately, so often rheumatology diagnoses are only seen as severe, lifelong conditions with significant limitations. I love that Lino shows us that even some of the more serious rheumatologic diagnoses can have great outcomes.”
 
Lino hopes to finish treatment this summer. “I’m lucky they caught it so early, and now it’s better,” he says. “I’m really thankful for that.”
 
“We will be forever grateful to Scottish Rite, Dr. Nassi and Dr. Stutz for diagnosing Lino right away,” Sharon says. “Thanks to them, against many odds, Lino has no moresymptoms and will be medicine-free, an outcome that is as rare as the disease itself.”

But, Lino does not want his success story to be a rarity. He is pursuing becoming a scleroderma advocate who shares his story, creating awareness to raise funds for research, and one day, a cure. He aims to ensure that other kids find the right doctors, get diagnosed early and know that there is hope.

Scleroderma has not stifled Lino’s creativity. By the time he was in eighth grade, he had masterminded four inventions. His most recent — Kinetic Kickz 2.0 — has a patent pending. An improvement on his original Kinetic Kickz, 2.0 is a shoe with a generator built into the sole that collects energy from walking, allowing the wearer to power a device with their shoe. The idea came to him one day after school on the soccer field. He needed to call his mom to come pick him up, but his phone was dead, and he did not have a charger. “I spent months trying to light an LED bulb to prove that I could create enough energy to charge something,” he says.

Invention Convention Worldwide recognized Lino’s genius, awarding him first place in his age group for Kinetic Kickz 2.0 at the 2021 Globals competition presented by Raytheon® Technologies, now RTX. TIME magazine noticed and selected him as a 2021 Kid of the Year finalist.

The 17-year-old continues to improve his inventions as he conceives of new ones. His Scottish Rite journey has inspired him to consider medical-based inventions, and he is debating whether he wants to be a doctor or an engineer. “I’m not sure yet,” Lino says, “but I am sure of one thing. I want to be a world-changer — someone who helps make the world a better place through their actions, or for me, through my inventions.”

Read the full issue.

Get to Know our Staff: Davoud Babahaji, Pharmacy

Get to Know our Staff: Davoud Babahaji, Pharmacy

What is your job title/your role at Scottish Rite for Children?
I am the pharmacy manager.
 
What do you do on a daily basis, or what sort of duties do you have at work?
I am responsible for scheduling pharmacists and technicians for the Dallas and Frisco campuses and making changes if someone calls in sick to make sure there is adequate help. My job also includes completing payroll, doing orientation for new residents and fellows, and making sure competencies and daily duties are completed by pharmacy staff. I moderate the Antibiotic Stewardship Committee meetings and am part of the RN/RX and P&T committees. Most importantly, I staff the Frisco campus and do whatever else is needed to help the pharmacy director, Stacie Bukowsky.

What was your first job? What path did you take to get here, or what led you to Scottish Rite?
My very first job was working as a busboy at an Italian restaurant my family owned in Arlington! It was a fun job and helped me pay for pharmacy school, of course with the financial help of my family, too. I graduated from the University of Houston College of Pharmacy in 1994 and worked for a couple of retail pharmacies for 20 years. I came across a job opening at Scottish Rite for Children and was given the opportunity to work as a pharmacy team member in 2014. In 2016, when the pharmacy manager position opened, I was promoted to the pharmacy manager. In the meantime, I received my M.B.A. with a concentration in health care administration from Texas A&M University Corpus Christi. I can honestly say that the last 10 years working at Scottish Rite has been the greatest part of my career.

What do you enjoy most about Scottish Rite?
The staff. Everyone is so nice and professional. I enjoy interacting with nurses, Supply Chain, Engineering, Child Life and staff from other departments. The pharmacy team is awesome — we are more like a family.
 
Tell us something about your job that others might not already know?
Pharmacy involves a lot of reporting. Sometimes, running reports and making sure we are ready for state audits takes a lot of time.

 Where is the most interesting place you’ve been?
This was the hardest question to answer, and I changed my answer a couple of times. The most interesting place for me has always been the Persian Gulf. I lived there for about 10 years, and we would go fishing, swimming and walking by the water. I miss its salty humid air and the friendliest people I have ever met.
 
What is your favorite game or sport to watch and play?
Soccer is my favorite sport, and I love watching the World Cup. We were so happy when Morocco played in the semifinals during World Cup 2022. I am so excited that a few games of the World Cup 2026 will be played in Arlington. We will definitely be there!

Even though I do not understand football that well, I like the Kansas City Chiefs and was so happy they won the Super Bowl again. Go Chiefs!
 
If you could go back in time, what year would you travel to?
Probably 2019! It was a terrible year for me. If I could return to that year, I would do things differently.
 
What’s one fun fact about yourself?
I like to sing! I do that all the time at home or in the car — even though some people in my family may not find my voice desirable.

Comprehensive Care With Every Step

Comprehensive Care With Every Step

Previously published in Rite Up, 2024 – Issue 1.

Three-year-old Marley, of Palmer, pulls up to her physical therapy appointment at Scottish Rite for Children in her self-propelled wheelchair, lovingly named Marley’s Moo. “Marley has never met a stranger,” says her mother, Christina. “Everyone becomes her friend, and her presence fills the room.”
 
When the family got the wheelchair, Christina decorated it like a cow to encourage Marley to use it. Now, she maneuvers easily, wherever she wants to go. When she is not in her wheelchair, she gets around by crawling, but in physical therapy, she is learning how to walk using a gait trainer — an assistive device similar to a walker.

Marley was born with myelomeningocele, a form of spina bifida in which a fluid-filled sac containing neural tissue protruded from her back because the neural tube in her spine did not close completely. When she was 2 days old, a surgeon closed her back, and at 2 months old, a specialist referred her to Scottish Rite for Children where she receives comprehensive care through the Spina Bifida clinic.
 
While spina bifida primarily affects the nervous system, it can also impact related body systems, such as bowel, bladder and mobility. Marley’s multidisciplinary team includes experts from Pediatric Developmental Disabilities, Orthopedics, Urology, and Physical and Occupational Therapy. “They see her from head to toe,” Christina says. “Scottish Rite has become our hub, and it’s convenient because they line up all of our appointments on one day.”

Spina bifida affects Marley’s mobility, causing developmental delay. She started crawling at age 2. Then, the family built parallel bars to help her learn to stand and walk. “She was doing great on that, but for some reason she did not want to be in her walker,” Christina says.

At Scottish Rite, physical therapist Meredith Porteous found creative ways to motivate Marley to use her gait trainer. She also recommended adjustments, providing armrest attachments to help keep Marley upright and more comfortable. “Meredith has been great with Marley,” Christina says. “She’s on her hands and knees right along with her, helping her. Marley has really come around and asks to be in her walker. It’s been a game changer.”

After moving forward in her gait trainer, Marley is learning how to turn. “Scottish Rite has been a guidepost for us every step of the way,” Christina says. “We’re really hopeful for Marley’s mobility journey. We’re ready to see her conquer the world.”

Read the full issue.

Clubfoot Treatment: What Are Your Child’s Options?

Clubfoot Treatment: What Are Your Child’s Options?

If your baby is diagnosed with clubfoot, your first question may be, “What can we do?” Fortunately, effective nonsurgical clubfoot treatment options are available, and most children don’t need an operation. A pediatric orthopedic surgeon can help you decide what treatment makes the most sense for your child.

The Basics of Clubfoot Treatment

One of the most common foot-related deformities that may be present at birth, clubfoot occurs when your child has an inward-turned, high-arched foot. It isn’t painful for your baby, but if left untreated, the condition can lead to foot pain in the future. In addition, untreated clubfoot can cause an abnormal gait and restrict activities later in childhood.

Usually beginning soon after birth, clubfoot treatment can provide correction to the condition, so your child’s foot will have normal function, and your child will be able to walk without pain. With a pediatric orthopedic surgeon’s help and your commitment to following the treatment plan, clubfoot doesn’t have to be a permanent deformity. Treatment can help prepare your baby to walk, run, jump and skip through childhood.

The Ponseti Method: The Gold Standard of Nonsurgical Clubfoot Treatment

For many babies, correcting clubfoot involves a multi-step treatment called the Ponseti method, which is named after the orthopedic surgeon who pioneered it. This treatment starts with stretching and casting.

Over four to five weeks, your child will see a pediatric orthopedic surgeon for weekly manipulations. This gentle stretching gradually moves the foot into the correct position. After each session, the surgeon will apply a full-leg Ponseti cast to help the foot maintain its position.

A tight Achilles tendon contributes to clubfoot, and most patients receiving the Ponseti method have an Achilles tenotomy procedure. This procedure is quick and simple, is done in the clinic and is not major surgery.

With local anesthesia numbing the back of your child’s ankle, his or her orthopedic surgeon will cut the Achilles tendon to loosen it. The cut is so small and precise that it won’t require stitches. Afterward, your baby will wear a cast for three weeks while the tendon heals to the correct length.

Clubfoot can return, even with treatment. Your child will have to wear a brace with a metal bar attached to special shoes for four years. He or she will start out wearing the brace 23 hours a day. Once your baby begins pulling to stand the brace is used during nighttime hours only until it’s time to stop bracing.

The French Method of Clubfoot Correction

The Ponseti method isn’t right for every child. In some cases, another nonsurgical clubfoot treatment, the French method, may be a better fit. For this treatment, you’ll work closely with your child’s orthopedic surgeon and a physical therapist.

  • The physical therapist will teach you how to gently manipulate, tape and splint your child’s foot, which, over time, moves it back into the correct position. You’ll repeat this routine daily for three months.
  • After three months, your baby will likely need to have an Achilles tenotomy to release the tendon.
  • Following the tenotomy, you’ll resume manipulating, taping and splinting the foot each day until your child reaches age 2 or 3. Your pediatric orthopedic surgeon will monitor your child’s progress and let you know when you can stop the daily regimen.

Treating clubfoot takes dedication, but the payoff is worth it. Your effort can set your child up for a lifetime of activity without foot pain.

Wondering what’s next for your baby after a clubfoot diagnosis? Schedule an appointment with a foot and ankle specialist who can recommend a treatment plan.

Get to Know our Staff: Marlon Brown, Security

Get to Know our Staff: Marlon Brown, Security

What is your job title/your role at Scottish Rite for Children?
As a security officer, my job is to ensure the safety of the staff, patients, parents and visitors that come daily to Scottish Rite for Children.

What do you do on a daily basis, or what sort of duties do you have at work?
On a daily basis, in some compacity, I’m always visible to our visitors, whether that means my post is at the Main Entrance, Clinic Level desk or out in front of the hospital. Every day, I’m either greeting people or monitoring cameras throughout the day.

What was your first job? What path did you take to get here, or what led you to Scottish Rite?
My first job was delivering newspapers on foot throughout the neighborhood I lived in, during the summer and as I entered high school. That job gave me constant exposure to people and taught me to pay attention to detail. As I moved on in high school, I went to school half of the day and worked a part-time job the other half of the day — part of the job program I was enrolled in. I worked in a warehouse, shipping and receiving as well as pulling parts for customers who came in locally. I worked there the entire time while in high school and even after graduating, and then, going full time. I eventually had home delivery jobs and worked a long stint at Coca-Cola Bottling Company. These jobs put me in close, consistent interactions with people, allowing me to become the people person I am today.

What do you enjoy most about Scottish Rite?
I enjoy the fact that I get the opportunity to come to a place where I can use my gifts and talents to be a help to others in its simplest form of providing customer service. In any shape, form or fashion, I love just being helpful, assisting and friendly with a smile — in a word, a servant. I thoroughly love coming to Scottish Rite, fulfilling the needs of others who come here always and to those who come for the first time.

Tell us something about your job that others might not already know?
What I do every day, once I pull up on property and eventually walk inside Scottish Rite, I would do for free because that’s how much I enjoy what I do at the hospital. And, I’ve learned what you’ll do for free is your calling, and no one has to pay you. One thing others might not know about me, as it pertains to my job in the Security Command Center along with my coworkers, is I answer every incoming call into the hospital from outside. 

Where is the most interesting place you’ve been?
New Orleans, Louisiana 

What is your favorite game or sport to watch and play?
Basketball and football

If you could go back in time, what year would you travel to?
1986 

What’s one fun fact about yourself?
I’m a good listener.