Your support provides rehabilitation services to children from all over the United States.

World Birth Conditions Day

We know that this date’s official name is World Birth Defects Day. To avoid the stigmatization the word “defects” carries, at TeletonUSA Foundation, we have decided to use the term “conditions” to commemorate this day.

What are birth conditions?

Birth conditions are health factors present at birth that alter the shape or function of one or more body parts. These conditions can be diagnosed before, during, or after birth. On average, birth conditions affect 1 in every 33 babies born in the United States, which translates to 120,000 babies each year.

Some birth conditions are easy to see, but others are diagnosed with x-rays and hearing tests. Its causes may be genetic, disorders that occur during pregnancy, or things such as smoking or drinking alcohol during pregnancy, obesity, or being an older mother.

The most common birth conditions are:

  • Cleft lip and palate
  • Spina bifida, also called myelomeningocele
  • Down Syndrome

Why do we have World Birth Conditions Day?

This day is important for three reasons:

First, to expand the prevention, care, and research of birth conditions. 

Second, to raise awareness about the importance of giving all women access to health services during pregnancy.

Third, it makes society aware of the need to guarantee access to rehabilitation services for children born with a congenital condition that causes disability.

TeletonUSA Foundation and congenital conditions

At CRIT, we have early stimulation therapy, which cares for children with risk factors at birth. These factors include being underweight, short-height, or any minor challenge.

Early intervention represents the possibility of adequate development according to each patient’s expectations. This clinic aims to give all children with congenital disabilities the tools they need to enjoy the best possible quality of life.

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From Your CRIT Counselor: Masterpiece in Progress

You are allowed to be both a masterpiece and a work in progress simultaneously.

A masterpiece is a work of outstanding artistry, skill, or workmanship. Each one of us is unique, truly a masterpiece. No one looks exactly like us or has experienced the same things. Even when looking at biological twins, their experiences and how they are perceived will differ. This masterpiece of ourselves does not remain the same. We continuously change because of what we see, feel, and do. 

For some, it may be challenging to distinguish that fine line between confidence and arrogance. We should be proud and confident of who we are, where we come from, and all our accomplishments. At the same time, it is essential to recognize that we have room for improvement and that no person is better than another. Each person is different, but different doesn’t mean less.

We are a masterpiece that changes each time internal or external factors impact us. We are a work in progress. Each day provides us with an opportunity to make different choices. How we respond or react to the events in our life will contribute to our masterpieces. Change is inevitable. How will you respond to the work your masterpiece encounters?

The Wheelchair and Independence

Since 2008, International Wheelchair Day has been commemorated every March 1st. One of its goals is to recognize the achievements in the progress of people with mobility disabilities when they have access to a wheelchair. Therefore, this day is an opportunity to celebrate the positive impact of wheelchairs on the lives of the people who use them. Plus, it’s a great reminder to celebrate caregivers of people with significant mobility challenges.

The wheelchairs 

Wheelchairs are assistive devices for people with motor impairments. To choose the correct wheelchair, the guidance of a professional is necessary so a person with a disability can achieve a higher level of independence.

There are different types of wheelchairs. Standard wheelchairs are the most common; these do not have much functionality and are difficult to use. There are also specific wheelchairs for people with neurological challenges; wheelchairs with posture support that help maintain a sitting position; electric wheelchairs; and dynamic wheelchairs for people with mobility challenges from the waist down but with mobility of the upper limbs. In addition, there are wheelchairs for sports use, which vary from discipline to discipline.

The availability of many wheelchairs is why each person must receive specific guidance when selecting and using their wheelchair.

Three things you can do to support

Wheelchair users face spatial barriers when getting around. But beyond that, there are social barriers that can be changed. Today, we share three of them:

  1. Do not obstruct wheelchair access on sidewalks or parking lots.
  2. Do not use exclusive access for wheelchairs when you do not need them.
  3. Be aware that the achievement of rehabilitation is not for a person with a disability to walk but for them to reach their maximum degree of independence (this includes using a wheelchair).

TeletonUSA Foundation and wheelchairs

At TeletonUSA Foundation, we know how important it is for our patients to find the most suitable wheelchair. When needed, our medical team assists families in searching the adequate device based on the patient’s condition, necessities, and physical abilities.

At CRIT, physical and occupational therapists assess the patient’s wheelchair for proper use, fit, and any need for repairs. If there is a need for any modifications or size adjustments, therapists refer the patient to the Assistive Technology (AT) specialist. Here, the specialist will evaluate the patient and the need for change or a new chair. The evaluation includes the measurement and the patient’s overall motor control and mobility needs.

Once the measurement and wheelchair type are complete, the application to insurance or funding source begins. When the wheelchair arrives, the AT specialist ensures the proper fit and educates the caregiver on the appropriate use, storage, and maintenance of the wheelchair. The rest of the therapy team continues to follow up with the patient and will relay any information to the AT specialist regarding future modifications to the device.

Our daily goal is for our patients to achieve the most significant independence possible. That is why we provide orientation, rehabilitation, training, and maintenance to wheelchairs at CRIT so that the lives of our patients go smoothly!

What are Rare Diseases?

In the United States, a rare disease is considered to be one that affects fewer than 200,000 people. There are about 7,000 rare diseases, and an estimated 25 million to 30 million Americans are living with a rare disease.

About 80% of rare diseases are genetic, of which 65% are severe and cause disability. Some rare diseases include cystic fibrosis, muscular dystrophy, spina bifida, and hemophilia.

Why is it important to raise awareness about rare diseases?

Rare diseases are difficult to diagnose for three reasons. The first is due to a lack of knowledge of the general public; the second is due to a lack of scientific research; and the third is because they have such diverse symptoms that they can be confused with other diseases.

It can take over ten years to get an accurate diagnosis (after the first symptom) for one in five people affected by a rare disease. The consequences of this extended timeframe are:

  • Lack of access to early treatment.
  • Damage to the patient’s health.

Knowing there are rare or low-prevalence diseases is essential, as it can save lives. Talk to your physician to learn more about rare diseases.

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Moody Foundation Awards CRIT $100,000 Grant 

In December 2022, the Moody Foundation awarded the Children’s Rehabilitation Institute TeletonUSA (CRIT) a grant for $100,000. The grant aims to help provide long-term rehabilitation services to children with muscular, skeletal, or neurological disabilities underinsured and uninsured for 2023. 

“The Moody Foundation is a valuable partner in our efforts to provide state-of-the-art rehabilitation services to uninsured and underinsured families,” said Federica Soriano, CRIT CEO. “We will not turn a family away due to their inability to pay.”  

About the Moody Foundation  

The Moody Foundation was established by W.L. Moody, Jr. and Libbie Shearn Moody in 1942 to share their good fortune and make a difference in the lives of the people of Texas. Since then, the Foundation has pledged and awarded more than $1.8 billion in grants throughout the state to organizations that have educated, healed, nurtured, and inspired generations of Texans. 

Retinal Cancer

The retina is an inner layer of nerves inside our eye. It perceives light and images and sends them to the brain. Retinoblastoma is a type of cancer that occurs when the retina’s nerve cells have genetic mutations. This disease primarily affects children under six, being detected more frequently between the first and second year of life.

Retinal cancer symptoms

In most cases, cancer is curable if caught early. Therefore, it is essential to know the symptoms of childhood cancer. The most common sign of retinoblastoma is a white tint in the pupil that increases when light is shone into the eye. The light may be from a flash photograph.

Other symptoms and signs of retinoblastoma include:

  • Eyes that seem to look in opposite directions.
  • Eye inflammation.
  • Red eyes.
  • Vision challenges.

Vision problems from retinal cancer can cause your child to fall often, bump into things, or have trouble moving around the house. Early detection of retinoblastoma is essential to prevent significant problems, such as blindness and the spreading of cancer outside the eye.

If you have some concerns or your child presents one or more symptoms, seek medical advice.

The Beat of Life

The heart is one of the most active muscles in the human body and is considered one of, if not the most vital organ. The heart’s job is to pump blood throughout the body, sending oxygen and nutrients to other organs. Additionally, the heart gets rid of carbon dioxide and waste products not needed by the body. However, sometimes the heart does not work correctly, and this can be due to congenital heart defects.

Congenital heart defects are diagnosed when abnormal development of the heart or corresponding blood vessels is noted. A congenital heart defect is typically diagnosed at birth or in the first few months of life and occurs in more than one million newborns yearly.

Some of the most common signs and symptoms include:

  • Pale gray or blue lips, tongue, or fingernails (cyanosis)
  • Rapid breathing
  • Swelling in the legs, belly or areas around the eyes.
  • Shortness of breath during feedings
  • Significantly irritable/fussy
  • Lack of energy
  • Poor feeding

A congenital heart defect is a broad term; treatment is determined by the specific type of heart defect and its severity. With individual therapy, children can still live long and productive lives.

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From Your CRIT Counselor: Captured Moments

“Life is like a camera. Just focus on what is important. Capture the good times. Develop from the negatives. If things don’t work out, take another shot.” 

A picture is a moment in time that is captured. It brings back memories and allows us to relive certain life events. Some are taken without notice, and others are posed. When we pose for a picture, we usually try to give our best side, smile, and posture. What if we did that in life? What if we lived each moment as if it were going to be captured? Let us try to present our best selves at work, with our family, and with everyone we encounter. Let us behave as if we believe the moment will be captured forever. The reality is that our behavior is captured. What we do will be remembered by someone. Even if no one is watching, each decision we make comes together to construct our lives and our memories. 

Each day is a new opportunity to show off our best selves. It is an opportunity to “take another shot.” There will always be someone who will remember how you spoke to them, how you treated them and how you made them feel. How do you want to be remembered? What “captured” moments will you leave behind?

Spinal Cord Injuries and Their Impact on Children

Spinal cord injuries are one of the most severe injuries a child can experience. A spinal cord injury can have long-term consequences, including disability and major disruptions to a child’s way of life. The body’s spinal cord is critical to overall health and functionality, and injuries to the spinal cord can impact the child’s entire body.

How common are spinal cord injuries in children?

Approximately 5% of all spinal cord injuries occur in children. Although rare, when they do occur, spinal cord injuries can have severe and irreversible consequences. According to the National Institute of Health (NIH), only 10-25% of pediatric patients recover fully from a spinal cord injury, and around 64% of children recover partially.

What causes spinal cord injuries?

A spinal cord injury can result from any accident that causes trauma to the spinal cord. However, some of the most common accidents that cause spinal cord injuries in children include:

  • Car crashes
  • Being struck by a motor vehicle
  • Falling
  • Accidents related to sports activities
  • Injuries from child abuse or domestic violence

How do spinal cord injuries impact children?

A spinal cord injury can have consequences that change a child’s life forever. The extent of the injury and what part of the spinal cord is impacted are two of the most important factors in how affected the child will be by the injury.

Symptoms

Symptoms vary based on the severity of the injury. Some of the most common symptoms that accompany a spinal cord injury include:

  • Spinal shock (numbness, loss of movement)
  • Difficulty breathing
  • Diminished bowel and bladder function
  • Numbness in arms, legs, or chest

Treatment

The course of treatment for a spinal cord injury depends on the injury’s magnitude and what part of the body is impacted. Treatment generally includes time in the ICU where the patient can be observed, and doctors can create a long-term treatment plan.

While in the hospital, the child will generally work with various medical professionals, including trauma specialists, neurologists, neurosurgeons, and physical and occupational therapists.

Long term impact

Adjusting to life following a spinal cord injury can be a very long and difficult process for a child and their family. Spinal cord injuries often have permanent impacts that can lead to major changes to the child’s way of life, as well as their family’s way of life. Depending on the extent spinal cord injury, the child may need:

  • A wheelchair for increased mobility
  • A feeding tube (if throat and neck muscles were affected by the injury)
  • Medications to help with bladder and bowel function
  • Medications to manage the pain
  • A ventilator, if the child’s breathing is affected

In addition to these treatments, physical therapy is crucial for a child with a spinal cord injury. Physical therapy can help prevent muscle wasting and other complications and help the child have the best long-term outcomes.

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