November 17, 2015

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The Department of Surgery is pleased to announce the appointment of Dr. Amy Huynh-Tran to the Division of Dental Surgery. Huynh-Tran also has been appointed as an assistant professor in the Dental Department at Baylor College of Medicine. Huynh-Tran will see patients in the Dental Clinic at the main campus of Texas Children’s.

“Dr. Huynh-Tran has received excellent training and is committed to the highest standards of care for children. She will be an asset to our patients. We are very pleased that she is now part of our team at Texas Children’s,” said Dr. Bruce Carter, chief of the Division of Dental Surgery.

She most recently completed a pediatric dentist residency at the University of Rochester/Eastman Institute for Oral Health. She also performed a general practice residency in 2007 at the Harvard School of Dental Medicine, Brigham and Women’s Hospital.

November 10, 2015

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The results of research Texas Children’s Hospital participated in were recently published in the New England Journal of Medicine and show teen weight-loss surgery demonstrates the reversal of type 2 diabetes and significant weight loss. Texas Children’s Hospital, along with lead investigators at Cincinnati Children’s Hospital Medical Center and three other sites around the country, conducted the largest study on teen weight-loss surgery to date through a grant from the National Institutes of Health.

The study enrolled 242 adolescents, ages 13 to 19, all of whom were severely obese with an average weight of 325 pounds before surgery. The participants had an average body mass index (BMI) of 53 kg/m2. Three years after surgery, average weight had decreased by more than 90 pounds, or 27 percent. More importantly, the majority of participants showed reversal of a number of key obesity-related health problems. Reversal of type 2 diabetes was seen in 95 percent and normalization of kidney function was seen in 86 percent. Hypertension corrected in 74 percent and lipid abnormalities reversed in 66 percent.

“Obesity is a serious health threat to millions of children and adolescents around the world, especially those who are considered severely obese,” said Dr. Mary Brandt, director of the Adolescent Bariatric Surgery Program at Texas Children’s. “Many of the patients we see in our program suffer from diseases usually seen only in adults. The findings of our study demonstrate that potentially life-threatening diseases, like diabetes, can be reversed in adolescents with severe morbid obesity.”

As with any surgery, bariatric surgery is not without risks. The study found fewer than 5 percent of study participants had iron deficiency before surgery, but more than half had low iron stores three years after surgery, supporting the recommendation for monitoring of vitamin and iron supplementation in these patients. In addition, 13 percent of patients required additional abdominal surgery, most commonly gallbladder removal, during the three-years following their weight-loss surgery.

“Through this data we now know surgical intervention can have a drastic impact on the serious health-related complications and comorbidities many of these children face due to their obesity,” Brandt said. “While further research is needed, intervening early could potentially have more substantial and longer-lasting implications than doing so later in life.”

Click here to learn more about the Adolescent Bariatric Surgery Program at Texas Children’s.

October 6, 2015

Return to Connect

10715AndrewJea175Dr. Andrew Jea, Fellowship Program Director, Director of Educational Programs for the Division of Pediatric Neurosurgery, and Associate Professor of Neurological Surgery at Baylor College of Medicine, was recently appointed to the college’s Medical School Curriculum Committee.

The committee oversees the medical education program as a whole and has responsibility for the overall design, management, integration, evaluation and enhancement of a coherent and coordinated medical curriculum.

“I am honored to have been selected to serve on such a prestigious committee,” Jea said. “I look forward to playing a role in shaping the medical curriculum at Baylor College of Medicine.”

Jea earned his medical degree from the University of Miami School of Medicine. He completed an internship at the school, and completed his residency and spine fellowship there. Before joining Texas Children’s, he finished a second fellowship in pediatric neurosurgery at the University of Toronto and the Hospital for Sick Children.

Jea’s awards in the field of medical education include three Fulbright & Jaworski Faculty Excellence Awards in Teaching, and Evaluation, Educational Leadership, and Development of Enduring Educational Materials, respectively. He is the recipient of successive annual Baylor College of Medicine Department of Neurosurgery teaching awards since 2010, including Teach of the Year honors in 2012. Jea was also named the Texas Children’s Hospital Department of Surgery Faculty Research Mentor Award in 2012. Moreover, he was recently elected a Senator to the inaugural Baylor College of Medicine Faculty Senate.

Jea’s clinical interests center around the surgical treatment of spine and spinal cord disorders, including scoliosis, kyphosis, spondylolisthesis, trauma, and tumors, in the pediatric and young adult age groups. His laboratory interests involve the use of nanotechnology to effect neuronal regeneration in the setting of spinal cord injury. These interests have led to numerous grants, presentations, and publications, as well as a lasting collaborative relationship with nanotechnology scientists at Rice University.

Return to Connect

bench-and-beside-Header2Bench and Bedside is a digest of the previous month’s stories about the clinical and academic activities of our physicians and scientists. We welcome your submissions and feedback.

10615PaintingGroup300September 2

Pulmonary hypertension team hosts the painting party, proceeds benefit PHA

Physicians and staff with Texas Children’s Pulmonary Hypertension Program hosted a tile painting party on August 22 where patients transformed ceramic tiles into colorful pieces of art. The event benefited the Pulmonary Hypertension Association. Read more

September 9

Texas Children’s Hospital West Campus expands urology services

Urology services at Texas Children’s Hospital West Campus have been extended to meet the needs of patients in Houston and its surrounding area. Read more

September 9

Dormans sets sights high for future of Orthopedics Department

Chief of Orthopedics Dr. John Dormans joined Texas Children’s three months ago and has already developed a plan to make the Texas Children’s Orthopedics Department one of the top programs in the world. His plan focuses on three main areas – recruitment, operations and facilities, and reputation and expertise. Read more

10615drhairaward300September 9

Hair receives 2015 Clinical Faculty of the Year Award

Dr. Amy Hair, a neonatologist and director of neonatal nutrition at Texas Children’s, recently received the Baylor College of Medicine’s 2015 Clinical Faculty of the Year Award for demonstrating “exemplary performance of activities that are above and beyond the scope of assigned responsibilities.” Read more

September 9

New program offers emotional healing for parents of special-needs children

Texas Children’s Geneticist Dr. Christian Schaaf and his colleagues developed a support program that helps parents cope with the emotional challenges of caring for children with developmental disabilities by learning to let go of things they cannot control. Read more

September 15

Clinical Research Center/Research Resources Office presents research award to Dr. Wenderfer

The Clinical Research Center/Research Resources Office presented the Clinical Research Award for Third Quarter 2015 to Dr. Scott Wenderfer, Department of Pediatrics-Renal, Baylor College of Medicine. Wenderfer’s research activities focus on Inflammatory Kidney Diseases and Lupus Nephritis. Read more

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Texas Children’s patients, staff create shared memories at Camp Spike N Wave, Camp Periwinkle

Every summer, Texas Children’s staff and their patients make the 90-mile trek to Camp for All, a 100-acre, barrier-free recreational facility where children with complex medical conditions experience the thrill of camping just like other kids their age. More than 185 children with epilepsy attend Camp Spike N Wave and roughly 185 patients from Texas Children’s Cancer Center go to Camp Periwinkle. Read more

September 29

Dormans presides over 50th annual meeting of SRS

Dr. John Dormans, chief of Orthopedics at Texas Children’s Hospital, completed his year as president of the Scoliosis Research Society (SRS) at the 50th anniversary meeting in Minneapolis September 30 to October 3 and presented one of six special lectures titled, “Neural Complications in Spinal Deformity: Detection and Avoidance.” Read more

September 29

Dr. Swathi Bataji joins Pediatric Surgery

Dr. Swathi Balaji has joined the Pediatric Surgery Research Laboratory at Texas Children’s Hospital. Balaji also has been appointed assistant professor in the Department of Surgery at Baylor College of Medicine. Read more

September 29

ICD-10 debut: New coding system launchess at Texas Children’s October 1

On October 1, Texas Children’s and other hospitals around the world switched to the ICD-10 coding system that will allow greater detail and precision in reporting patients’ diagnoses and procedures. For more than a year, Texas Children’s ICD-10 preparedness teams worked diligently to ensure all employees were prepared for the mandatory October 1 conversion. Read more

10615PICS300September 29

Heart Center physicians perform two cases broadcasted to live audience

Heart Center physicians performed two pediatric interventional cardiac care cases for the Pediatric and Adult Interventional Cardiac Symposium. The cases, which were performed at the Main Campus, were transmitted live to the conference in Las Vegas, Nevada via satellite. Read more

September 29, 2015

Physicians from around the world attending the Pediatric and Adult Interventional Cardiac Symposium in Las Vegas, Nevada were invited to watch two live cardiac catheterization cases performed by the Texas Children’s Heart Center team. The cases, which were performed at the Main Campus, were transmitted live to the conference via satellite. The purpose of these cases is to showcase the surgical techniques of the different hospitals and encourage greater collaboration. Texas Children’s was among nine hospitals from around the world chosen to participate in these live cases.

The conference, held in Las Vegas, focuses on opportunities for greater integration between congenital heart and adult structural heart disease specialists. Texas Children’s Heart Center is ranked #2 nationally in cardiology and heart surgery by U.S. News & World Report.

Led by interventional cardiologist Dr. Henri Justino, The Charles E. Mullins Cardiac Catheterization Laboratories at Texas Children’s Hospital include three dedicated labs and a team of five dedicated interventional cardiologists. In 2014, the team performed more than 1,150 cardiac catheterization procedures and more than 98 percent of cases occurred without complication.

“We are thrilled to showcase Texas Children’s specialized pediatric interventional cardiac care on an international level,” Justino said. “Our team performed two procedures on patients with extremely complex cardiovascular malformations which will further highlight the depth and breadth of minimally invasive transcatheter treatments we provide to our patients every day.”

Justino was joined by Dr. Athar Qureshi, associate director of the Mullins Catheterization Laboratories at Texas Children’s along with the team. The first case involved a patient with Abernethy malformation with portopulmonary hypertension. The team plans a percutaneous splenic vein puncture, splenoportography and possible placement of an additional device in the large congenital portosystemic shunt. The second case features a patient who has pulmonary vein stenosis due to Cri-du-Chat syndrome, a chromosomal condition that results when a piece of chromosome 5 is missing. The team plans balloon dilation and/or stenting of the right pulmonary vein stents with possible intentional stent fracture.

93015SWATHIBALAJI175The Department of Surgery is pleased to announce that Dr. Swathi Balaji has joined the Pediatric Surgery Research Laboratory at Texas Children’s Hospital. Balaji has also been appointed assistant professor in the Department of Surgery at Baylor College of Medicine.

“We are excited to welcome Dr. Balaji to the Texas Children’s Division of Pediatric Surgery,” said Dr. Jed Nuchtern, chief of the Division of Pediatric Surgery.

“Dr. Balaji’s recruitment represents a further commitment to develop a world-class research effort within the Department of Surgery,” Nuchtern said. “She has had significant scientific success by melding her bioengineering background with her interest in regenerative medicine to push the translational envelope.”

Nuchtern said the goal of her research is to understand the underlying mechanisms of how the fetus heals without scarring to achieve postnatal regenerative tissue repair in various organ systems. Balaji will be joining the Laboratory for Regenerative Tissue Repair, which is directed by surgeon-scientist Dr. Sundeep Keswani.

Balaji was most recently a postdoctoral research associate in the Division of Pediatric, General, Thoracic and Fetal Surgery at Cincinnati Children’s Hospital Medical Center. She received her doctorate degree in biomedical engineering from the University of Cincinnati and did her postdoctoral training at Cincinnati Children’s Hospital Medical Center.

September 9, 2015

91015JohnDormansortho640Chief of Orthopedics Dr. John Dormans is an eternal optimist, skilled orthopedic surgeon and strategic leader, a combination of which are destined to prove great things for Texas Children’s.

Since joining the organization three months ago, Dormans has developed a plan to make Texas Children’s Orthopedics one of the top programs in the world.

“Texas Children’s is the place to be,” Dormans said. “It’s the largest children’s hospital in North America and is located in one of the fastest growing metropolitan areas in the country; the potential here is just immense.”

To harness that potential, Dormans is focusing his efforts on three main areas – recruitment, operations and facilities, and reputation and expertise.

Recruitment

Including Dormans, five new people have joined the Orthopedics Department this summer. Dormans came to Texas Children’s from Children’s Hospital of Philadelphia (CHOP), where he was the hospital’s chief of orthopedic surgery from 1996 to 2014. During his time with CHOP, Dormans focused his clinical work on pediatric spinal deformity and musculoskeletal tumors while providing the leadership to grow the number of specialized and outreach clinics and make CHOP the No. 1 ranked orthopedic program in the country, according to U.S. News & World Report. He also was president of CHOP’s medical staff for three years and presided over five international surgical organizations.

“Dr. Dormans comes to us with an incredible track record of success,” said Surgeon-in-Chief Dr. Charles D. Fraser Jr. “His knowledge, leadership and accomplishments make him an exceptional asset to Texas Children’s and we are confident in his ability to lead our Division of Orthopedics into an exciting new chapter.”

In addition to Dormans, a new pediatric orthopedic surgeon, Dr. Dorothy Harris, has joined the team, as well as two clinical fellows and one research fellow. Harris recently completed her fellowship in pediatric orthopedics and scoliosis at Texas Children’s Hospital and Baylor College of Medicine. Her major areas of interest include orthopedic trauma/fractures, cerebral palsy, and limb deformities.

Next summer, Dormans anticipates hiring up to eight new orthosurgeons at Main Campus and corresponding support for Texas Children’s Hospitals The Woodlands and Texas Children’s Hospital West Campus.

Some of those hires will be “super stars” in the orthopedics field, Dormans said, adding that 20 pediatric orthopedic surgeons have formally expressed interest in working with Texas Children’s Orthopedics, some of whom are among the top orthopedic surgeons in the country.

“I think we’re on the radar,” Dormans said. “We’ve attracted a lot of interest.”

A more robust staff will allow the Orthopedics Department to accommodate the requests it currently gets from patients and families across the region, throughout the United States and across the globe, Dormans said. It also will position the department for tremendous growth in both its general practice and sub specialty areas.

Operations and Facilities

A key ingredient to that growth is gaining more access to existing clinical space and operating rooms on Main Campus.

“We are bursting at the seams on Main Campus,” Dormans said about available clinical and operating room space at Main Campus. “Our only escape valve for surgical cases currently is at West Campus.”

Texas Children’s Hospital The Woodlands and the Care First initiative – which will reinvestment in the programs our most critically ill patients need – will help. In addition, leadership is acutely in tune with Dormans’ needs and is doing everything they can to meet them.

“The leadership at this organization is phenomenal,” Dormans said. “They are all over everything, listening, trying to prioritize and implement and execute to get things done.”

Operationally, Dormans said he is making several changes that will help make the department run more efficiently and become more competitive. The department will have dedicated surgical schedulers, which will free up some of the clinical staff’s time, for example. And, an additional six nurse practitioners, physician assistants and advanced practice providers will make the department’s outpatient visit process run more smoothly.

Another aspect of operations Dormans said he is focusing on is technology and getting the latest and greatest tools to aid his staff in doing the best they can to help the patients who seek expertise from his department. One such piece of equipment is a device called an EOS system that will bring state-of-the-art low X-ray dose imaging for patients with scoliosis and leg length issues. The machine will be in place later this month and is part of a joint capital project between the departments of Radiology and Orthopedics.

“There are a lot of exciting things coming to fruition and many more to come,” Dormans said.

Reputation and Expertise

All orthopedic departments are different in what services they choose to offer and specialize in. Some organizations dedicate all of their time and resources to specialty services while others only offer general services. Dormans said he wants Texas Children’s to offer the best of both.

“It’s like a football team,” he said. “You want a diverse lineup of players.”

Within his department, those players not only include medical and support staff but researchers and educators as well. Recently, the department has started journal clubs, revamped the conference schedule and collaborated with Brenden Lee, the No. 1 funded musculoskeletal researcher in the world, to create a basic science research program in orthopedics.

Ultimately, Dormans said he wants people to identify Texas Children’s as the place to go to find answers to all of their pediatric musculoskeletal problems.

With more than 20 physicians and advanced practice providers treating everything from minor fractures to complex disorders, the department is on the right track, but, “the sky is the limit,” Dormans said.