New Bones, New Problems

A newborn child with bilateral clubfoot.
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Orthopedic surgery: It’s usually something we think older people go through as the body ages. But there are plenty of children who need this kind of support as well, which is why hospitals like New York’s Hospital for Special Surgery (HSS) are so important.

Alex Crisses is an HSS Pediatric Council Member, and his own daughter was treated at HSS soon after birth.

Crisses and his wife found out while she was pregnant that their daughter had clubfoot, an inward twisting of the foot. Through their research, they learned that Dr. David Scher, a pediatric orthopedic surgeon at HSS, was the best doctor to treat her condition.

“When my daughter was born, the first stop we made was at the Hospital for Special Surgery,” Crisses said.

Dr. Scher carefully explained the process of correcting their daughter’s clubfoot and some of the innovations in orthopedics that would be used during her treatment.

After their experience at HSS, Crisses and his wife decided to become members of the hospital’s Pediatric Council, on which they have served since then.

Innovations in pediatric orthopedic surgery have been helping children across the nation. This subspecialty involves correcting limb and spine deformities such as clubfoot, scoliosis (a sideways curvature of the spine), and limb length differences, as well as broken bones and bone infections, in from birth through adolescence.

Pediatric orthopedic surgeons specialize in working with children and helping them to be relaxed and cooperative during examination and treatment. They have the widest range of treatment options, the most extensive and comprehensive training, and the greatest expertise in working with youth.

They also know about the latest technical developments in the field. 3D modeling, for example, helps surgeons to visualize deformed bone and shape special equipment such as plates and rods prior to surgery.

All the members of the Crisses family, including daughter Blake, are grateful to Dr. Scher and the Hospital for Special Surgery for the great care they received while they were there.

Picky Eating Can Lead to Problems for Children

Having trouble getting kids to eat their greens? You're not alone!
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Conventional wisdom tells us that children are picky eaters. They don’t like vegetables, or they hate specific green foods or things that look or sound "gross." This conventional wisdom also states that this is a phase, and that it will end. It’s just how kids are. 

I know this to be largely true; I was one of those picky eaters as a child, as was my brother (to a much larger degree than me). I mostly liked fruit, so much so that I told my mom I wanted to become a "fruititarian." She said no. My brother liked only plain things, like hamburgers with only meat and bun or "spaghetti" with no sauce--just noodles.

Here's a sample list of what I didn't like as a child:

• Tomatoes
• Carrots (these were on-again off-again)
• Mushrooms
• Pork
• Apple juice
• Grape juice
• Milk
• Fish (of any kind)
• Corn off the cob (but on the cob was fine, apparently)
• Onions
• Chunky bits of salsa or spaghetti sauce (but the juice part was fine)

Today, the only item solidly on that list still is mushrooms. I'm still not a huge fan of apple juice, pork, or fish, but I'll eat them in moderation.

Picky eating is hardly a rare problem, according to researchers at Duke University Medical Center. It's actually quite common among kids aged 2 to 6, but it can have some severe consequences. Twenty percent of children in this range qualified as selective eaters, while 18% were moderately picky, and 3% were severely selective. The differences between these categories can be hard to explain, but at the most severe end, children were such selective eaters that they couldn’t eat with others. 

Everyone knows somebody who would only eat hot dogs or something as a child; those kids were like severely selective. I'd say at least for a few years, my brother fit into this category (and maybe still does - today he is a vegan, but at least he's now selecting foods that give him nutritional value!).

Moderate or severely picky eaters showed symptoms of anxiety and other mental conditions, including a stronger predisposition towards depression and social anxiety. This is not to mention the obvious physical health problems that can be caused by too selective of a diet. On top of all of this, selective eating can strain the parent-child relationship, which can potentially damage the relationship later in life as well.

The problem is figuring out how to intervene and get kids to eat a wider variety of foods. Kids can have a number of reasons for being picky eaters, such as being hypersensitive to taste, or having had a negative experience with a specific type of food that makes them afraid to try new things. In any case, expressing this can be difficult or even impossible for children, so many are treated as if they’re just misbehaving, and begin to associate certain foods with punishment,.

On the plus side, being a picky eater can be a sign that something is wrong, which allows parents to seek help from their doctors before things get out of hand.