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Advocating for your child's health

Jessica Lewis, mom of UTMB Health pediatric nephrology patient Olin Lewis, and Ashley Lewis, UTMB Health nurse practitioner with pediatric Nephrology recently joined Houston Moms for an interview discussing how parents can work with health care teams to advocate for their children.

To learn more, watch the full discussion.

There’s nothing benign about a brain injury

 

On the heels of brain injury awareness month, which is observed each year in March, a University of Texas Medical Branch Neurologist wants everyone to know how serious even seemingly mild injuries are to the brain.  

Often called “the silent injury,” brain injuries have left approximately five million Americans disabled.  

“I think the take-home message is, there’s nothing benign about a brain injury,” said Dr. Brent Masel, neurologist and professor of Neurology at the UTMB, “Be it just a mild concussion or be it something more severe.”  

Masel said that the most common symptoms of brain injury are cognitive loss, lack of concentration and fatigue. If someone is symptomatic, he suggests that they see a neurologist for a closer look. 

“The key is prevention,” he said, citing such common practices as using safety belts when in a moving vehicle. He says that falling is the most common cause of brain injuries in older people.  
 
Contact sports and risky behavior are main causes with younger people. Protective headgear should always be used when participating in possibly injurious activities like cycling, football and others.  

To learn more or to find a neurologist, visit the Neurology web page.  

 

View Dr. Brent Masel's profile

Dr. Brent Masel has conducted research and has approximately 50 publications in the areas of brain injury rehabilitation including virtual reality, hyperbaric oxygen treatment, sleep abnormalities, metabolic abnormalities, hormonal dysfunction, and the long-term medical issues from chronic brain injury.

UTMB Health Neurology Services

Advances in pediatric robotic surgery

UTMB Health's newest pediatric surgeon, Dr. Maria Carmen Mora, sat down with our partners with Houston Moms to talk about all things pediatric robotic surgery. Learn about why she's so passionate about the practice, how it benefits patients and what she and her colleagues are doing to champion the initiative here at UTMB. 

To learn more, watch the full discussion.  

View Maria Carmen Mora's profile

Dr. Maria Carmen Mora uses her extensive training, multicultural proficiency and compassionate nature to provide top-tier care that makes a lasting impact on the lives of young patients.

UTMB Health Pediatric Surgical Services

Cervical cancer 101 with Houston Moms

In honor of cervical cancer awareness month, which is recognized every January, OBGYN Dr. Marisol Carpio-Solis took some time out of her schedule to talk through the disease with our partners at Houston Moms about the disease.

Impacting the lower part of the uterus known as the cervix, cervical cancer is screened through a pap smear. The routine test, which is carried out on a sample of cells from the cervix, checks for abnormalities that may be indicative of cervical cancer.  

If a reading comes back abnormal or showing signs of cancer, a colposcopy is done to make a formal diagnosis.

Early stages of the disease often have no telling signs or symptoms, but individuals with advanced cases may experience abnormal bleeding or pelvic pain. 

Over 97% of cervical cancer cases stem from the human papilloma virus (HPV), so vaccination against the disease is urged in both male and female individuals ages 9 to 45.  

Health care providers follow the recommended number of vaccine doses, based on the individual's age:  

  • Individuals between the ages of 9-14: two shots  
  • Individuals who are 15 years of age or older: three shots 

Should someone be diagnosed with cervical cancer, treatment options will vary. Sometimes it’s curable with a hysterectomy; other times chemotherapy and radiation are required. 

To learn more, watch the full discussion.  

RSV immunizations - a chat with Houston Moms

Pediatrician Dr. Manuela Murray joined Meagan Clanahan, co-owner of Houston Moms, to discuss the recently approved RSV immunizations for babies. 

During the conversation, the women discussed: 

  • Who is eligible for the immunizations
  • Why this development is so important for families with babies
  • How this injection differs from the maternal RSV vaccine

    To learn more, watch the full video interview. 

Student athletes and sports injuries

Regardless of the season or sport, injuries are bound to happen to student-athletes as they play and practice. To help parents, athletes and teams better know how to react during these situations, Dr. Stacy Leung, a primary care sports medicine physician, took time to chat with our partners at Houston Moms and covered a variety of questions, including:

  • When should you head to the ER vs Urgent Care vs Family Doctor/Primary Care Provider?
  • How can the trainers/team support staff help?
    • what conversations should you have with them?
  • What conversations should you have with your primary care doctor if you are playing sports?
  • What about concussions? What are the warning signs/symptoms?
  • What is the path to get back on the field if surgery is warranted?

 

Sense of community comforted new mom

Nervous first-time mom Audrey Solomon found out her OB-GYN doctor was leaving—something that did not help her concerns in the moment.

Audrey, an organized human resource manager, processed the news then asked for a random pick of another OB-GYN at UTMB Health, figuring she could make it work.

The random doctor turned out to be perfect for Audrey and her concerns.

“She made me feel right at home,” Audrey said. “She heard everything I said.”

Audrey has a rare genetic condition, something she needed this new doctor to understand from the beginning. Her doctor researched the condition—nail patella syndrome— to know what to look out for, then set Audrey up with numerous precautions to follow. The doctor monitored the baby a little bit more regularly than normal.

“She made sure that I was comfortable and had exactly the care that I needed to make sure that my baby and I were both safe at all times,” Audrey said.

Nail patella syndrome is an uncommon genetic condition that affects joints and can cause bone deformity. Later, it can cause possible kidney problems or eye problems.

close up of Audrey Solomon's hands placing braces on Maisie Solomon's feet to help with her club foot condition. Maisie has on gray socks & the braces are light blue with brass buckles. They are connected by a metal rod across the bottom of Maisie's feet

It can also be inherited.

“My daughter did inherit it,” Audrey said. “I was the first in my family to have it. It was just kind of a random mutation.”

It wasn’t just this OB-GYN who reassured and cared for Audrey. Many UTMB providers have brought the same level of kindness and attentiveness to Audrey, who describes herself as someone who will be forever grateful to UTMB.

“We've had nothing but great experiences with all of our doctors, and I couldn't be more thankful for it.”

Maisie Solomon was born in 2021 at UTMB Health Clear Lake Campus. Her mom Audrey was born at John Sealy Hospital 30 years ago on the UTMB Health Galveston Campus.

“My daughter and I were both born with bilateral clubfoot,” Audrey said. “I am very familiar with the genetics team and the orthopedics team at UTMB, and we love everybody—all the teams. They're awesome.”

As a child, Audrey spent time in the hospital because of a club foot and other bone-related issues. She saw Dr. David Yngve, a UTMB Health pediatric orthopedic specialist, throughout her childhood.

“My daughter sees him now,” she said. “He doesn't accept new patients that I'm aware of for a case like hers, but he did because she was like a legacy patient. I really couldn't have been more grateful. We love it.”

Dr. Yngve is now chief of Pediatric Orthopedics and Scoliosis Surgery at John Sealy Hospital.

“Mom was my patient as a baby and now her baby is my patient,” Dr. Yngve said. “That is pretty special for a doctor.”

At 16 months old, Maisie started to stand a little bit with support and then took her first unassisted steps.

“She's a little bit more behind with the mobility stuff because of her feet,” Audrey said. “But she's getting there and getting stronger, and she's starting to cruise holding on to coffee table and couches.”

Cory Solomon, Audrey’s husband and Maisie’s dad, kept a close eye on his daughter’s movements around their living room.

“Growing up, I never had a family of doctors that I could always rely on, but as soon as I married Audrey and we started this journey with UTMB, I did,” Cory said. “I never knew that you could have a sense of community with your medical professionals.”

Both Maisie and Audrey have slightly crooked fingers and fingernails as well as bilateral club foot. “She is a carbon copy of me,” Audrey said.

Audrey knows Maisie will face challenges throughout her life. Maisie has already had to wear casts on her feet and a brace for part of the day. Her kneecaps might not develop.

“I've always felt like I could do anything I wanted to do,” Audrey said. “And I hope that Maisie feels the same way. With our care team at UTMB, we are confident that we will have the support we need every step of the way in any challenge she might face.” 

During Audrey’s final performance as a drum major when she was at Texas City High School, the pain in her elbow grew so intense, she told her parents she needed to see Dr. Ygnve right away. A month later, she had surgery on her elbow.

“UTMB is definitely part of my story,” Audrey said. “For me, it's all I've ever known.”

Even in college, when she was away from home, she didn't go to a doctor where she lived at that time. Instead, she made trips home to see family and also to take care of medical appointments.

When she got pregnant with Maisie, Audrey thought she already knew and had done her own research about her condition.

“When Maisie was born, I kickstarted my own self-care that I should have truly been doing all along for nail patella syndrome, and we both started seeing the genetics team,” Audrey said.

One of the first things her doctor did was set up a bone density scan. 

“I didn’t know that bone density was a concern, and I didn’t think anything would come from it,” Audrey said. “My scan showed that I have very low bone density—osteopenia—that is not very common for my age but more common for nail patella syndrome patients at my age.  Most folks don’t find out about bone density issues until they have broken a bone, but my plan of care allowed me to find out now and start corrective action now.”

Audrey will have a new bone density scan at the one-year mark to see if it has improved. 

“To have my daughter join this community and for it to be a part of her journey is all really special,” Audrey said.

“We have such a great care team and the community behind it. I keep saying community, but it really is just like a family. People I've known my whole life, we are now bringing into her life. And there are new care teams. Everybody's great. There's a very, very high level of comfort with UTMB that makes me not want to go anywhere else.”

 

Student athlete healed by UTMB Sports Medicine team

Priest Simpson jumped high to catch a football during a game, but he fell to the ground fast when his muscles pulled the still-growing part of his tibia away from his leg and turned it upside down. His leg looked crooked.

image of UTMB Health patient Priest Simpson stretching on the sidelines of a football field in his football uniform with a coach assisting him with his leg

“I thought it was dislocated because it was still connected to other part of my knee,” Priest said. His worried parents got him to the emergency room at UTMB League City Hospital.

But his leg wasn’t dislocated. Priest had a displaced avulsion fracture of his tibial tubercle.

“This is a big injury for an athlete but also for anyone who expects normal function of their leg,” said Dr. William Weiss, an orthopedic sports medicine doctor with UTMB Health who treated Priest soon after he arrived at the hospital. “This injury completely disrupts the extensor mechanism of the knee that is the primary mechanism for generating power for running and jumping, which are some of the things Priest does well!”

Priest’s injury was on the more severe end of the scale, requiring an operation with screws to reduce and secure the fragment with patellar tendon tensioning. Dr. Weiss anticipated Priest’s continued growth.

“He recovered well and was discharged from the hospital with the expectation he would return to sports. This injury can end athletic careers for young athletes, but that is not what Priest or his parents – or me – wanted of course.”

The fracture happened in April 2021, and three months later, Dr. Weiss cleared Priest for full training. By September 2021, he cleared him to return to full sport without restrictions. That fall, Priest competed as part of an elite football team representing Texas on the national level.

Then Priest and his family temporarily moved to Africa as part of his family's missionary commitments, Dr. Weiss stayed in touch.

“What stuck out with us, and the reason why we stayed in contact even out of the country, was how Dr. Weiss spent an extreme amount of time with Priest,” said Ariel Simpson, Priest’s mother. “He didn't just rush. We know he's busy. We know he has a lot of patients. But he took his time with Priest. He saw him multiple times before we left the country again. He gave advice beyond the surgery and showed extreme care for Priest.”

Some of Dr. Weiss's advice was to get physical therapy for Priest to strengthen his muscles and tendons around the bones and the ligaments.

“And that really helped with pain,” Ariel Simpson said.

“I started this physical therapy, and then I went to the gym and started working on my legs until I felt strong enough to get back into sports,” Priest said.

He continues working with a trainer on a well-rounded routine that includes running, balancing, band work and weightlifting. He works out with the trainer every other day for 90 minutes in addition to his sports practices and games.

“Bottom line is that this is a great young man who has overcome a significant injury and continues to be very active in various sports with great potential for his future,” Dr. Weiss said. “I expect great things from him in all aspects of his life, not just sports.”

Priest, now 14, and his family visited friends [extended family] in Texas in December. They visited with Dr. Weiss in person before they returned to their missionary work in Africa.

“As a parent, it's difficult to watch your child in any kind of pain at all,” Ariel Simpson said. “We didn't know how he was going to recover or what that was going to look like. But it's incredible if you are surrounded by a medical staff and specifically a surgeon who cares. It made a difference to us very deeply in this stressful, heartbreaking moment.”

“To see how strong he is today really takes your breath away when you think about how he's recovered,” said Sean Simpson, Priest’s father. “Now he's 6 foot. He's healthy. He's 170 pounds. Seeing what he can do and work out his full body— it's just impressive.”

Priest, who plays soccer and basketball too, has a strategic game plan for when he returns to live in the United States.

“I want to come back to play high school football and get a scholarship to play college football,” he said.

And he’s still growing.