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    Beyond Bandages

    Top Texas pediatric hospital on why pain management for kids matters

    CultureMap Create
    Jun 11, 2019 | 12:23 pm
    Dr. Teresa Collins-Jones with 13-year-old Emily
    Dr. Collins-Jones with 13-year-old patient Emily.
    Photo courtesy of Texas Scottish Rite Hospital for Children

    As world-renowned experts in healing muscles, joints, and bones, Texas Scottish Rite Hospital for Children is known for treating the whole child — mind, body, and spirit.

    Psychological care is a critical part of treatment for children and adolescents, and studies have shown that considering mental and emotional factors before, during, and after procedures often results in quicker healing and shorter rehabilitation periods.

    Why is it so important? Staff pediatric psychologist Dr. Teresa Collins-Jones explains.

    "Incorporating psychology enables us to look at the whole child and identify contextual factors that may impede the flow of a treatment plan and its outcome," she says. "When we can intervene with patients that have high anxiety, a history of depression, or previous negative experiences with hospitalization, we can modify their views of how they receive treatment, as well as lessen their fear of pain, which improves their mindset and leads to a more positive outcome."

    Consulting with a child before surgery is ideal, as the conversations clarifying the surgery and recovery can be held without the added stress of an upcoming operation.

    This may seem obvious, but Dr. Collins-Jones says that it's only starting to become well known in several pediatric fields.

    "Research shows that incorporating psychological care into treatment of orthopedic conditions is very effective," she says. "We at Scottish Rite Hospital understand the importance of working closely with the child and his/her caregivers throughout treatment. We are unique because our pediatric psychologists are members of the treatment team and provide integrated care. Not a lot of places do, which gives us the chance to be a part of the entire process, from the first visit to post-rehab."

    A vital part of what Dr. Collins-Jones and her staff do is assess not just the child, but their social support network. From their caregivers at home to after-school activities, it's crucial to understand how long and in what way the pain has impacted his or her life, and what is expected upon recovery.

    "Pain is multidimensional," she says. "It's not just a fleeting feeling, but something that affects a child's ability to function and enjoy life. Letting them voice their thoughts and fears about pain, as well as beliefs about their treatment and recovery, gives them an outlet to identify and address what they are feeling. We know this can help reduce pain intensity, reduce pain-specific disability, and improve health-related quality of life."

    The team of experts at Scottish Rite Hospital’s six Centers for Excellence treat a wide range of orthopedic conditions, including scoliosis, hip disorders, clubfoot and other pediatric foot conditions, sports injuries, hand differences, and limb length discrepancies.

    They recently opened a second location in Frisco, Scottish Rite for Children Orthopedic and Sports Medicine Center, in addition to the original Dallas facility. In both locations, specialists provide accessible, top-quality care for all families.

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    Pestilence News

    New invasive pest in Texas is destroying grasses and pasture

    Teresa Gubbins
    Dec 12, 2025 | 10:14 am
    Mealyworm
    TAMU
    Mealyworm is small but damaging.

    Texas Agriculture Commissioner Sid Miller has issued an urgent alert to farmers to inspect their pastures for a newly detected and highly damaging pest: the pasture mealybug (Helicococcus summervillei).

    According to a release from the Department of Agriculture (TDA), this invasive species, never before reported in North America, has been confirmed in multiple Texas counties and is already causing significant damage to pasture acreage across the southeast portion of the state.

    The pasture mealybug causes “pasture dieback,” leaving expanding patches of yellowing, weakened, and ultimately dead turf.

    This pest was first detected in Australia in 1928; its first detection in the Western Hemisphere occurred in the Caribbean between 2019 and 2020.

    The TDA is working with Texas A&M AgriLife Extension and USDA’s Animal and Plant Health Inspection Service (APHIS) to coordinate a rapid response and protect Texas producers.

    Mealybug history
    Although the mealybug is just now being spotted, researchers suspect it may have been introduced before 2022.

    Since mid-April 2025, southern Texas pasture and hay producers have been reporting problems in their fields. These fields show grass patches becoming brown or necrotic, or patches that are completely dead. Originally, it was presumed that symptoms were caused by another mealybug called the Rhodes grass mealybug, which has been reported in the U.S. since 1942. However, further investigations confirm that it's this new pasture mealybug (Heliococcus summervillei).

    It has devastated millions of acres of grazing land in Australia and has since spread globally. Its rapid reproduction, hidden soil-level feeding, and broad host range make it a significant threat to pasture health and livestock operations.

    Mealybug MealybugTAMU

    Adult females are approximately 2-5 mm long, covered in a white, waxy coating. They are capable of producing nearly 100 offspring within 24 hours, resulting in several generations per season. While adult females can live for up to 100 days, most damage is inflicted by the youngest nymphs, which feed on plant sap and inject toxic saliva that causes grass to yellow, weaken, and die.

    “This is a completely new pest to our continent, and Texas is once again on the front lines,” Commissioner Miller says. “If the pasture mealybug spreads across Texas grazing lands like it has in eastern Australia, it could cost Texas agriculture dearly in lost productivity and reduced livestock capacity. TDA is working hand-in-hand with federal and university partners to respond swiftly and protect our producers from this unprecedented threat.”

    Houston has a problem
    The estimated impact area currently covers 20 counties, primarily in the Houston area, including: Cameron, Hidalgo, Willacy, Refugio, Calhoun, Victoria, Goliad, Dewitt, Lavaca, Fayette, Jackson, Matagorda, Brazoria, Galveston, Wharton, Colorado, Austin, Washington, Burleson, Brazos, and Robertson. AgriLife entomologists have submitted a formal Pest Incident Worksheet documenting significant damage to pastures and hayfields in Victoria County.

    Research trials are underway to determine the best integrated pest management options. Currently, there is no known effective labeled insecticide for pasture mealybug.

    Affected plants include: Bermudagrass, Bahia grass, Johnsongrass, hay grazer (sorghum–sudangrass), St. Augustine grass, various bluestem species, and other tropical or subtropical grasses. Damage can occur in leaves, stems, and roots.

    Symptoms:


    • Yellowing and discoloration of leaves within a week of infestation
    • Purpling or reddening of foliage
    • Stunted growth and drought stress despite rainfall
    • Poorly developed root systems
    • Dieback starting at leaf tips and progressing downward
    • Premature aging, making plants more vulnerable to pathogens
    How to spot it
    • Scout regularly for mealybugs on grass leaves, stems, soil surface, leaf litter, and under cow patties
    • Focus on unmanaged areas such as fence lines, ungrazed patches, and roadsides
    • Look for fluffy, white, waxy, or “fuzzy” insects on blades and stems
    • If plants appear unhealthy and insects match this description, investigate further

    “Early identification is critical, and we need every producer’s eyes on the ground,” Commissioner Miller added. “We are working diligently with our federal and state partners to determine how to best combat this novel threat and stop it in its tracks.”

    If you observe suspicious symptoms or insects matching the descriptions above, contact TDA at 1-800-TELL-TDA immediately.

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