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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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    Heat Wave News

    Dallas pet owners should take these steps with oncoming heat wave

    Teresa Gubbins
    May 13, 2025 | 10:31 am
    Dog drinking water
    SPCA
    Keep your pets hydrated. Consider putting out a kiddie pool.

    Dallas weather is about to take a serious turn, and the SPCA has valuable advice on what steps pet owners should take. It's easy to forget that animals get hit hard by the heat, and especially in Texas: A report by Veterinarians.org found that Texas was No. 1 on the list of states with heat-related pet deaths. Based on data they compiled from 2018-2022, Texa had 40 reported heat-related pet deaths — more than six times the national five-year average.

    In a statement, SPCA of Texas Interim Chief Veterinarian Valarie Tynes, DVM, DACVB, DACAW reminds pet owners that their pets have very few ways to cool themselves down.

    “As a veterinarian, I’ve seen far too many cases of dogs and cats suffering from heatstroke, often brought into the emergency room when it’s already too late," Tynes says. "Our pets have very limited ways to cool themselves down. They can sweat a small amount through their paw pads, but their main way to release excess heat is by panting. Panting helps pets cool off through the evaporation of moisture, but it only provides limited relief, especially during extreme temperatures."

    Tynes says that, when the body can’t shed heat fast enough, serious internal damage begins to occur.

    "The proteins and chemicals that keep the body functioning start to break down," she says. "I’ve seen heat affect the kidneys and brain—organs and processes that are incredibly sensitive to high temperatures."

    Breed, overall health and environment all can influence how at-risk a pet is, but one thing is always true: prevention is critical. Please don’t underestimate how dangerous heat can be.

    Tynes advises pet owners to keep pets in cool, shaded areas, provide plenty of fresh water, and avoid walks or outdoor activity during the hottest parts of the day.

    Here are some proactive measures to keep pets safe and comfortable during these sweltering days:

    Keep your pets hydrated
    Make sure your furry friends have access to fresh, cool water at all times. Consider placing multiple water bowls around your home and refill them regularly. If your pets must be outside during the day, make sure there are plenty of shady spaces throughout the day and several shaded, nontippable water bowls filled with ice water. Do not use metal bowls outside.

    If possible, a small wading pool filled with cold ice water and placed in a shaded area outside is preferred. This not only allows pets to drink but also to cool off in the water when overheating.

    Schedule exercise with your pets wisely on warm days
    Give your pet plenty of water before and after walks or playtime. Be sure to avoid strenuous activities during the hottest parts of the day. Early mornings (before 10 a.m.) or late evenings (after 5 p.m.)—when temperatures are lower—are ideal for walks or playtime.

    Hot pavement can burn paw pads, so opt for walking on grassy areas. Consider using paw wax or booties to shield sensitive paws from hot pavement, rocks or sand that can cause burns and blisters. If you cannot hold the back of your hand on the pavement for five to 10 seconds, the pavement is too hot for your pet.

    Make sure your pets have plenty of shade
    If your pet spends any time outside, be sure it has plenty of shade so he or she can get out of the sun. This is where the ground or grass will be coolest—under a tree, an umbrella, or a simple, open structure. Do not tie or restrain the pet so that it cannot move between shady spots as needed.

    If it is really hot and humid, bring your pet indoors and into air-conditioned areas.

    Never leave your pet in a locked car
    No matter what, even if you think you will be away from the car for just a few minutes, do not leave your pet unattended in a parked car. The car can absorb enough energy within minutes to become a death mobile. A cracked window or two is not enough to prevent heatstroke when it’s hot, or even warm. It is also not enough to park in the shade on a hot day and leave all the windows and even sunroof open.

    While weather in the 70s may seem harmless, a Stanford study showed that in just an hour, a car’s temperature rose to 116 degrees internally when left out in 72-degree heat. It is not recommended to leave the air conditioner running in a car for your pet. Oftentimes the air conditioner malfunctions, leading to overheating inside the vehicle.

    Heatstroke is a serious and potentially life-threatening condition that can affect pets when they are exposed to high temperatures and excessive heat. Dogs and cats cannot regulate their body temperature as efficiently as humans, making them more susceptible to heatstroke. It can occur in as little as 10-15 minutes, especially in hot and humid environments or when an animal is left in a parked car.

    Symptoms of heatstroke in pets include excessive panting, drooling, rapid breathing, lethargy, vomiting, diarrhea and collapse. It is crucial to act quickly if you suspect your pet is suffering from heatstroke. Move them to a cool and shaded area, offer fresh water, and use cool (not cold) water or damp towels to gradually lower their body temperature.

    Then take the pet directly to an emergency veterinary clinic. Heat stroke can be fatal and can come on very quickly, so it’s best not to take any chances.

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