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.

Scottish Rite Is Advancing the Use of Musculoskeletal Ultrasound in Pediatric Orthopedics and Beyond

Scottish Rite Is Advancing the Use of Musculoskeletal Ultrasound in Pediatric Orthopedics and Beyond

In many practices, musculoskeletal ultrasound (MSK US) is housed solely in radiology. At Scottish Rite for Children, we are fortunate to also have two practitioners with advanced training and certification in using this tool in clinic. Sports medicine physician Jacob C. Jones, M.D., RMSK, and rheumatology practitioner Heather Benham, D.N.P., APRN, CPNP-PC, RHMSUS, use ultrasound to diagnose and treat patients for a variety of conditions.

Together, Jones and Benham have developed a comprehensive course to teach health care professionals the fundamentals of MSK US. Their extensive ultrasound backgrounds and genuine interest in teaching have come together to produce an impactful experience for the attendees.

More than 70 participants from professions including orthopedic surgeons, sports medicine physicians, orthopedic and emergency medicine fellows, physical therapists, advanced practice providers and research personnel have completed the program. Traveling from more than 15 states and two countries, the attendees have all indicated they would be interested in returning for an advanced course and many have referred others to the program.

There are several elements that make this program one-of-a-kind.

  • All faculty have expertise in the use of MSK US in pediatrics.
  • Guest faculty are invited from institutions such as Boston Children’s Hospital, Nationwide Children’s Hospital and Texas Children’s Hospital.
  • Pediatric models participate in the scanning sessions.
  • Injection sessions integrate a variety of tools including custom-made joint models.
  • Didactic and scanning sessions alternate throughout the day.

Jones and Benham look forward to developing an advanced course to offer in conjunction with the fundamentals course. Join our wait list to hear about it first!

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.

Share Your Story: Ella Grace’s Extraordinary Journey

Share Your Story: Ella Grace’s Extraordinary Journey

After noticing concerning symptoms like hair loss and skin changes on her forehead, 2½-year-old Ella Grace and her mom Brandi were referred to Scottish Rite for Children for help. When they traveled from their home state of Louisiana to visit us, our team quickly diagnosed Ella Grace with localized scleroderma, an inflammatory condition that causes hard or thickened patches of skin on the body, and Parry-Romberg syndrome, a rare condition that causes a slow breakdown of the skin and soft tissues of the face. Both conditions are rheumatological in origin, so our Rheumatology team was able to begin creating a treatment plan for her right away. 

Now at age 5, Ella Grace has come a long way since first becoming our patient. At first, she was absolutely terrified of doctors, hospitals and nurses. Throughout her treatments including weekly injections, infusions multiple times a month and taking many medications a day, our team has loved and nurtured Ella Grace to help her feel cared for and comforted while at Scottish Rite.

Ella Grace’s condition is not common – Parry-Romberg is estimated to affect 1 in 250,000 people in the general population and does not have a known cure. Brandi says that working with Dr. Elizabeth SloanDr. Lorien Nassi and certified family nurse practitioner Stephanie Armendariz has been nothing short of phenomenal. Not only do they have knowledge about this rare disease, but they also care for Ella Grace like she is their own and are always a phone call away.

Our team is doing whatever it takes to get Ella Grace’s disease into remission while providing Ella Grace with the support she needs to cope with her treatment. Two special caregivers of Ella Grace’s are Jill Black, R.N., who made her comfortable and earned her trust from day one and Hope Wheatcroft, R.N., who has been with her every step of the way and takes the time to play or do arts and crafts with Ella Grace during her infusion appointments. 

According to Brandi, when she and Ella Grace come to Scottish Rite, they are always welcomed with open arms and greeted with a smile. Back at home, Ella Grace stays busy with competitive cheerleading and being the best big sister ever to her two younger brothers. We’re amazed by the progress Ella Grace has made in her treatment journey, and we are proud to be a part of her ongoing care! ❤️

Learn more about our Rheumatology services.

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

One-of-a-Kind Program Teaches Pediatric Fundamentals in Musculoskeletal Ultrasound

One-of-a-Kind Program Teaches Pediatric Fundamentals in Musculoskeletal Ultrasound

The use of musculoskeletal ultrasound (MSK US) is becoming increasingly popular and a point of emphasis in trainee education; however, most training programs focus on conditions in adults. Scottish Rite for Children experts have developed an introductory program to help new users learn about the unique skills and applications in the pediatric setting.

After a successful inaugural course in 2022, Scottish Rite hosted a second MSK US program. The feedback continues to show that we have a unique conference, and we plan to continue offering the program regularly.

This interactive, hands-on program features faculty from a variety of pediatric subspecialities including radiology, rheumatology and sports medicine. Attendees traveled to Frisco, Texas from across the country and internationally with a variety of clinical certifications including physical therapists, sonographers, nurse practitioners, physicians as well as radiology administrators.

Staff were encouraged to hear that all attendees indicated they were “very likely” or “definitely” going to recommend this course to others. Asked about the best part of the program, attendees’ responses are indicative of what future participants should expect:

  • All the hands-on activities intermixed with patient lecture beforehand; the teachers were incredibly kind.
  • Having pediatric patients!! Variety of faculty. Loved having MDS, RMSK, US Sonographer and radiologists. Truly a fantastic course.
  • Short lectures alternating with hands-on
  • Hands-on practice in SMALL groups with EXPERIENCED mentors.
  • It was so helpful having pediatric models – I really learned a lot from the hands-on sessions!
  • Multi-modal approach to learning
  • The dual hands-on and lecture content kept my mind and body awake and elevated the overall learning experience!

Jacob C. Jones, M.D., RMSK, says, “The program is intended to offer an introduction to ultrasound basics including settings, scanning and injection techniques focused on skeletally immature patients.” Throughout the day, more than 20 children and teens ranging from 5 to 19 shared their time with our learners.

After a lecture introducing scanning for rheumatologic conditions, participants observed and practiced scanning patients with active joint inflammation. Nurse practitioner Heather Benham, D.N.P., APRN, CPNP-PC, RhMSUS explains, “We are grateful for these patients and the other children volunteers who make this course so special. It is very difficult to teach these principles when scanning healthy joints.”

During one scanning session, Scottish Rite sonographer Kelly Sherrard, RDMS, demonstrated the techniques of evaluating newborns for developmental dysplasia of the hips. Three-month-old twins served as our models for this exciting addition to the program. The expertise required for this population makes it difficult to include this training in the program, but attendees expressed their appreciation for the demonstration and the complexity of the skill.

Join the email list so you can gain early access to registration for future courses. Our next program is being planned for November 2023.