Colombia is a beautiful country. On my first impression from the airplane, I was struck by how lush and green everything looks. People are warm and friendly, and quickly make you feel at home. For the past three years, I have had the opportunity to work at University Hospital in Neiva, Colombia with Healing the Children and the Boston Children’s Hospital Orthopedics Department as part of a surgical outreach program. My nursing work is also sponsored by Boston Children’s Global Nursing Fellowship. …
Barrel racing isn’t for the faint-hearted, that’s for sure.
In this rodeo event, horses and riders whip around barrels at lightning speeds. Tails flourish in the air and muscles ripple. Powerful horses are coaxed by their riders to spin around each barrel as quickly as possible.
One such duo, 16-year-old Chloe Neff and her horse, Raise a Glass Dancer, will soon be on their way to barrel racing’s world championships.
“If you keep trying and working at it, you can do anything you want to,” says Chloe. Her record for completing a barrel course is 16.6 seconds. “Right now, Glass and I are working toward a 15.”
In the Perry, Georgia, stadium where barrel racing world championships will be held later this year, Chloe’s parents may be the only people to notice anything seemingly different about Chloe, as she and Glass flash past the stands. That’s because Chloe, who has received care from the Brachial Plexus Program at Boston Children’s Hospital since she was 5 months old, sustained damage to her left brachial plexus nerve when she was born. The injury jeopardized Chloe’s use of her left shoulder, elbow, wrist and hand. …
For more than 50 years, orthopedic surgeons at Boston Children’s Hospital and elsewhere have prescribed rigid back braces for some kids with scoliosis. In theory, bracing prevents worsening of the curvature and might allow the child to avoid surgery to correct the curve. But the treatment can be challenging. Subjecting a child to a bulky back brace during the emotionally vulnerable teen years is not high on any parent’s or physician’s wish list. Plus, until last week’s study published in New England Journal of Medicine, some physicians weren’t sure if bracing was effective.
“Although Boston Children’s Orthopedic Center always believed bracing worked and recommended it for appropriate patients, we wanted to have robust controlled data that prove or disprove that bracing is worth the efforts of the family and adolescent, as well as being cost efficient to the health care system,” says Daniel Hedequist, MD, orthopedic surgeon. In 2007, Hedequist and the Boston Children’s orthopedic center team joined the Bracing in Adolescent Idiopathic Scoliosis Trial (BrAIST) to help answer questions about the effectiveness of bracing.
Four-year-old Aiden Quinn is looking forward to his birthday celebration on Nov. 22. There will be plenty of cake, treats and friends. One friend sure to be right by his side is Aiden’s sidekick, namesake, best friend and travelling companion — his Aiden doll.
Aiden the boy was born with a radial longitudinal deficiency of his forearm and hand. He had no radial bone — one of the forearm bones in his left arm. The ulna — his other forearm bone — didn’t grow properly either, and his left thumb had no muscles or bones.
Aiden the doll is a hand-crocheted toy that sprung to life on April 18. The boy and doll share a name and a mission: raising awareness about limb differences.
“I wanted to find a way to connect kids with limb differences,” explains Aiden’s mother Jennifer.
Aiden the baby
A prenatal ultrasound showed the deformity in Aiden’s left arm. “I was scared and helpless and alone, and I needed answers,” recalls Jennifer.
The Long Island, New York mom started looking for specialty care for her unborn son. “The deformity is rare enough that doctors didn’t know about it, or they were intimidated by babies,” she says.
“It gave us peace of mind. He answered our questions, and we felt more secure,” Jennifer says.
Aiden the boy
In the last five years, Aiden has undergone six surgeries with Waters. The surgical goal for kids with radial ray deficiencies, says Waters, is to improve both function and appearance.
Those surgeries have not only repaired Aiden’s left arm and hand, they also have strengthened his character and inspired Jennifer to raise awareness about limb differences and provide support for families like hers. She created the Aiden doll to help her achieve that goal.
“Our son Aiden is happy, creative and goofy. He wears his heart on his sleeve and loves to sing and dance. He might be a bit headstrong, but that determination gets him through,” says Jennifer.
Jennifer hopes that Aiden the doll can help infuse a similar spirit of determination, strength and pride in other children with limb differences.
“I’m astonished by how Aiden manages to do things,” Jennifer continues. Aiden has found a way to peel a banana using his pinky and can even out-peel his 3-year-old brother.
Aiden the escape artist
Jennifer may not be the only one astonished by her son.
“Dr. Waters calls him his most trying patient,” jokes Jennifer.
Aiden managed to wriggle out of two casts placed after wrist centralization (correcting the significant deviation of the wrist) and thumb pollicization (making a thumb out of his index finger).
“One or two out of every 500 kids can figure out how to get out of a cast. Aiden is one of those kids,” says Waters. “It can be quite a burden for families like the Quinns, who aren’t close to Boston.”
Waters works a local orthopedic surgeon closer to the Quinn’s home in Long Island. The local physician manages some aspects of Aiden’s care, which helps the family minimize the number of trips to Boston for Aiden’s treatment.
Aiden the doll
As the Quinn family brainstormed ways to raise awareness about limb differences, Jennifer reached out to Tani Correia, a crochet artist who designed and donated two dolls to Limbtastic, the limb-differences awareness, support and advocacy organization Jennifer founded.
Tani mailed the dolls to the Quinn family, and Aiden promptly named the dolls after himself.
One doll hangs out with Aiden. They go to the playground and preschool together, and the doll even traveled with Aiden and his parents to his most recent appointment with Waters.
The other Aiden doll is a jet setter and travels across the U.S., visiting children with limb differences, spending a week with each family, who then record the visit in a notebook that travels with the doll.
“It’s amazing to see how many lives the doll has touched,” says Jennifer. In the summer of 2015, Aiden the doll traveled to Camp Joy, which is sponsored by Amputee Coalition, and met 115 campers and 33 counselors with a limb loss or limb difference.
“These kind of organizations and networks, with families supporting each other and working together to raise awareness, can really help children reach their potential and families realize they aren’t alone,” says Waters.
Learn more about the Boston Children’s Hand and Orthopedic Upper Extremity Program.