The report, released today, analyzed data from 108 children’s hospitals and surveyed thousands of pediatric specialists.

The following Cook Children’s specialties were named among the top programs:

·         Pediatric Behavioral Health – Top 50

·         Pediatric Cancer - #37 in the nation

·         Pediatric Cardiology - #37 in the nation 

·         Pediatric Endocrinology - #44 in the nation

·         Pediatric Neurology and Neurosurgery - #45 in the nation

·         Pediatric Orthopedics - #24 in the nation

·         Pediatric Pulmonology - #48 in the nation

This is the first year for U.S. News & World Report to include Pediatric Behavioral Health as “Top 50” programs and Cook Children’s was named to the inaugural list. Other highlights include Cook Children’s Cardiology jumping to #37 and Cook Children’s Orthopedics moving an impressive 16 spots in the rankings, from #40 last year to #24.

“We’re thrilled to see our Pediatric Behavioral Health services recognized on a national level,” said Kia Carter, M.D., co-medical director of Inpatient and Consultation Liaison Psychiatric Services. “Our team's expertise in child and adolescent mental health is unparalleled. These rankings reflect our commitment to providing evidence-based care that empowers young people to thrive.”

U.S. News & World Report evaluated children’s hospitals based on a variety of factors, including quality of care, clinical research programs, services and surgeries performed, patient and family involvement and access to resources, staff dedication, recognition as a Nurse Magnet Hospital, and more.

For Cook Children’s Health Care System as a whole, the rankings highlight longstanding excellence in a variety of areas. 

"It's a tremendous honor to be recognized by U.S. News & World Report once again," said Rick W. Merrill, President and CEO of Cook Children's. "This recognition is a testament to the exceptional work of our doctors, nurses, and staff, who consistently strive to provide the best possible care for every child, every day. Our dedication to our promise and values, combined with our strong culture, sets us apart, and we're proud to be named a top children's hospital."

Best Children’s Hospitals list for 2023-2024.

The report, which was released today, uses clinical data to measure patient safety, infection prevention and adequacy of nurse staffing. Out of 284 children’s hospitals in the U.S., only 90 ranked in at least one of the 10 pediatric specialties evaluated. The following Cook Children’s specialties were named among the top programs:

• Pediatric Cancer - #30 in the nation
• Pediatric Diabetes and Endocrinology - #31 in the nation
• Pediatric Neurology and Neurosurgery - #36 in the nation
• Pediatric Orthopedics - #40 in the nation
• Pediatric Pulmonology and Lung Surgery - #48 in the nation

Cook Children's Hematology and Oncology program jumped an impressive 20 spots in the rankings, from #50 in 2022-2023 to #30 in 2023-2024.

 “We are focused every day to improve the lives of the patients we serve and enrich the care of children all over the world. We do this by providing innovative care and contributing to the science of future cancer therapies,” said Donald Beam, M.D., medical director of Hematology and Oncology. “We will continue to strive to improve every day, growing beyond what we are and stepping to the future.”

For Cook Children's Health Care System as a whole, the rankings demonstrate a longstanding commitment to excellence in pediatric care.  

"For more than 105 years, Cook Children's has been committed to improving the well-being of every child in our care. We are honored to see our mission validated yet again by U.S. News and World Report,” said Rick W. Merrill, President and CEO of Cook Children’s Health Care System. “With our newest medical center in Prosper now open, we look forward to making an impact in the lives of even more children and families.” 

Cook Children’s also ranked #3 in Texas and #4 in the Southwest on the U.S. News and World Report “Best Regional Hospitals” list. 

About Cook Children’s Health Care System 
Cook Children’s is more than a health care system: we strive to be an extension of your family, growing with your child from their first steps to adulthood. By collaborating to deliver on our Promise—to improve the well-being of every child in our care and our communities, we connect the dots for our patients. Between primary and specialty. Between home and medical home. Between short-term care and long-term health. 

Based in Fort Worth, Texas, we’re 8,000+ dedicated team members strong, passionately caring for over 1.5 million patient encounters each year. Our integrated, not-for-profit organization spans two medical centers (including our new, state-of-the-art location in Prosper), two surgery centers, a physician network, home health services and a health plan. It also includes Child Study Center at Cook Children's, Cook Children's Health Services Inc., and Cook Children's Health Foundation. 

And our impact extends beyond the borders of Texas. We proudly treat children from virtually every state in the nation and 32 countries. By seeing the world through the eyes of children and their families from all backgrounds, we’re able to shape health care suited to them: connected by kindness, imagination and respect—with an extra dose of magical wonder. 

Discover more at cookchildrens.org. 

About JPS Health Network 
The Tarrant County Hospital District, known as JPS Health Network, is a tax-supported organization serving the healthcare needs of families in Tarrant County. JPS provides adult inpatient care at John Peter Smith Hospital in Fort Worth, Texas and offers comprehensive services including primary care, behavioral health, and pharmacy at more than 25 community locations. JPS has served as a Level I Trauma Center in Tarrant County for more than a decade. JPS is governed by an 11-member Board of Managers, whose members are appointed by the Tarrant County Commissioners Court. 

JPS was named the Best Hospital for America by Washington Monthly magazine and the Lown Institute in 2020, and Outstanding Healthcare System by D CEO Magazine. 

About City of Fort Worth 
The City of Fort Worth began as a tiny outpost and today, thrives as the 13th largest city with more than 900,000 people. The City blends its cattle and oil heritage seamlessly with an ever-growing, diverse city of new businesses and industries. Fort Worth is one of the fastest growing large cities in the nation, focused on economic development growth, innovative transportation and mobility solutions, quality education opportunities, and building safer, more prosperous communities. 

About LVTRise 
LVT began as a mobile community center providing social services and access to resources for area residents after a series of Town Hall meetings uncovered significant deficiencies and a lack of resources in this part of the community. In 2018, the Las Vegas Trail Revitalization Project became the registered nonprofit currently known as LVTRise, Inc. 

In October 2020, Rise Community Center opened to the public providing a permanent home for the organization. In January 2021, the city of Fort Worth opened a branch of the public library system in the community center furthering the resources available. 

In May 2022, the Fort Worth City Council approved a land lease agreement that paved the way for a Las Vegas Trail Child Development Campus to become a reality for the high need community. Child Care Associates will build and operate the new facility that will be built adjacent to the existing Rise Community Center. Construction is estimated to start in fall of 2022 and is projected to take 18 months to build and finish out an eight classroom, approximately 8,600 SF child development facility. An estimated 100 children and their families will be served through Head Start and Early Head Start. 

Since its inception, LVTRise has dedicated its work to collaborating with community partners, empowering community members through training and case management and impacting the Las Vegas Trail community addressing education, improved quality housing and reducing neighborhood crime.
 
For more information, visit LVTRise.org.

Event leaders will be collecting unused and expired medications in a drive-thru in the building’s parking lot, and distributing free medication lockboxes.

Stacey Vanvliet, M.D., an inpatient pediatric hospitalist at Cook Children’s, stresses the importance of locking medications up, even if they seem harmless. She said suicide attempts “have become part of my daily practice” and most are overdoses on a substance that’s “convenient for the children and teens to grab.” While most patients are in their teens, children as young as 8 or 9 are routinely admitted to Cook Children’s for attempting suicide with medication.

“Commonly, we see Tylenol, Motrin, aspirin, Benadryl—things that people just stock in their cabinets to have on hand,” she said. “We see teenagers take huge handfuls of them.”

Each year, Cook Children’s treats hundreds of children and teens for medication poisonings and overdoses. Sadly, the number of these patients continues to reach record levels year after year.

"It is a huge problem right now. We’re seeing more kids in the hospital for opioid overdoses than ever before," said Artee Gandhi, M.D., medical director of Pain Management at Cook Children’s. 

Dr. Gandhi also points out that a recent letter published in the American Medical Association reported a 20% increase in drug overdose deaths among 14 to 18 year olds from 2020. The 1,150 deaths is double the number reported in 2019.

“While teen drug use has remained relatively stable, the biggest problem is kids trying to get their hands on prescription opioids such as oxycodone or other medications such as Xanax and Adderall,” Dr. Gandhi said. “So often, counterfeit versions of these drugs are laced with deadly amounts of fentanyl. Therefore, it is paramount that parents, educators and health care providers argue against medication misuse or drug experimentation at all.”

**Dr. Artee Gandhi and DEA agents will be available for interviews at this event.

Dr. Zelime Elibol, director of the Children's Tourette Syndrome Clinic at Cook Children's Medical Center in Fort Worth, said she's seen an increase in young teenage girls with no history of a tic disorder coming to her clinic with uncontrollable physical and verbal tics.

It's a real functional tic disorder, but it's not Tourette Syndrome, which is a neurological movement disorder that typically affects more boys than girls and starts at a young age.

"Teenage girls that we're seeing are having really severe tic attacks that involve the entire body," said Elibol.

They're symptoms that could be triggered by repeatedly watching social media videos of others displaying tics and while the exact cause is unknown Elibol said it could affect young people already living with anxiety and depression, which afflicts more young girls than young boys.

One study that dove into the trend found pandemic stress and social media could be fueling the trend.

"So if we're developing more functional neurologic symptoms or physical symptoms, and you're watching social media, what you're seeing on social media are tics, it makes sense that that is, perhaps, going to be the most common physical manifestation of the stress that's coming out right now," said Elibol.

The problem, she said, isn't related to a neurological structure abnormality, or "hardware problem" with the brain.

There's no quick fix, but therapy can help.

"I do think it's important for doctors, and schools, to realize that these children aren't faking it and they're not crazy," said Elibol. "There is something going on, we just have to get to the bottom of it."

Read the full story on NBC 5's website.

You may also be interested in our original story "TikTok & Tics: Rise in Movement Disorder Documented on Social Media."

This current tic phenomenon is primarily impacting teen girls, many of whom have no previous history of tics. That’s not typical for most tic disorders, such as Tourette syndrome. Tourette’s is a neurological movement disorder that is more common among boys and typically starts between ages 5 and 7 years.

Zelime Elibol, M.D., a pediatric neurologist with a special interest in cognitive and neurobehavioral disorders and director of Cook Children’s Tourette Syndrome Clinic, says the majority of tics observed in this current surge are called functional tics. Functional neurologic symptoms are not associated with any known neurologic cause. There is no structural damage to the brain or a lesion causing them, like in the case of a stroke or multiple sclerosis. Something is wrong, but it’s difficult to identify a physical cause, and it’s not likely to respond to typical medical treatments for tics.

An article published in the British journal “Archives of Disease in Childhood” in March, shed light on the issue. It detailed both an increase in tic symptoms during the pandemic among adolescents already diagnosed with tic disorders, as well as a sharp rise in the sudden and new onset of tic-like attacks among teenage girls. Pandemic stress and social media may be to blame, according to the article’s authors.

The piece highlights a recurring factor at play with this new set of functional tic disorders—the viral TikTok trend of showing one’s tic attacks. Views of #tourettes videos doubled between January and February 2021, and some teen girls report an increased consumption of these videos prior to onset of symptoms. Some also said they post videos of their own tic attacks and gain a level of support and attention from them, according to the article.

We sat down with Dr. Elibol to learn more about functional tic disorders and what parents and caregivers need to know about the recent rise in cases.

How common are tics in general?

About 25% of children will develop tics during early childhood, known as developmental tic disorders. The most common are called transient tics. They get them for a period of time, but they’re gone within a year. A much smaller percentage, about 1%, go on to have what we call chronic tics that last more than a year, often many years. Aside from developmental tic disorders, there are medical and metabolic disorders that cause tics. There are also medications that may cause tics as a side effect.

What are you seeing in your own practice right now related to functional tics?

We see functional neurologic disorder symptoms at times, meaning we see neurologic symptoms that contradict known patterns of disease and are often thought to have a psychological underpinning. They’ve always been around, but there is a notable increase right now. Specifically, what I’m seeing in my practice is a significant increase in explosive tics in otherwise healthy adolescents with a normal neurologic exam. So far, all of my functional tic patients are adolescent girls with symptom onset well after 11 years old and, by this age, 95% of Tourette patients will have already developed tics.

This is outside of the norm for typical tic disorders, like Tourette syndrome, which more often occur in boys between ages 5 and 7, and wax and wane over time. Some of the children I see with Tourette’s do have severe tics, but that’s a little less common. The tics in the girls I’m seeing right now are all very severe. I would describe them as tic attacks, where they have these sudden attacks of various and complicated vocalizations, curse words, body movements, sometimes hitting themselves and hitting others. They often are not waxing and waning, but sustained and so severe that they can’t go to school. There is a typical course, evolution and appearance for most developmental tic disorders. This current wave of functional tics I’m seeing does not follow that typical course and does not improve with tic medication.

What do you think has caused this increase in tic attacks?

Kids with functional neurologic disorders will sometimes deny that they are experiencing any type of psychological stress, but over time, they often recognize that something was, in fact, going on. They’ll return and say they were actually super anxious or even suicidal, and it started coming out in this physical way. There is an evolving theory behind functional neurologic disorders that a predisposing factor is an impairment in emotional processing and difficulty identifying one’s own internal emotional states.

I think the pandemic is playing a significant role in the increase. I’ve never seen it to this degree or had this many functional patients present to my clinic. We’ve seen an increase in mental health struggles like anxiety and depression, and I think it’s triggered an increase in functional neurologic disorders.

Have your patients referenced pandemic stress and restrictions as a trigger for their tics?

My patients don’t necessarily say that they’re stressed because of the pandemic, but when I ask them when things got worse, almost all of them say it’s all been within the past year. Most of them look back and give a history of some anxiety or depression in the past with significant worsening within the last year, including the onset of tic attacks. A lot of them will say they don’t want to go to school for whatever reason or that school is stressful for them and, when they go back to school, they’ll have tic attacks and end up back at home.

Do the patients you see for tic attacks report watching more TikTok videos of someone with tics prior to the onset of their symptoms?

The TikTok factor is new to me. More recently, I’ve been asking my patients if they’ve seen it and they say yes. They’ll also show me videos they’ve recorded of themselves having tic attacks. They’re not necessarily posting their attack on TikTok, but a number of them do say they have seen the videos.

How do you counsel these patients and their parents? What course of treatment do you advise?

The most important thing I tell parents is that I don’t think their child is faking it or that they are crazy. There is something going on, we just have to get to the bottom of it. I have a very long discussion with them about functional neurologic disorders—how the brain is not functioning correctly but there is nothing structurally wrong with it, like a lesion. We talk about why I have diagnosed their child with functional tics versus another developmental tic disorder, like Tourette Syndrome, based on their medical history and the evolution of their symptoms. It’s worth noting that you can have both Tourette’s and functional tics, so that can be difficult to tease apart, but the majority of the increase I’m seeing right now are kids that have no past history of tics.

Then, we talk about what we can do to help their child. Tic medications do not help children with functional tics. We need to address their child’s anxiety and underlying mental health issues, whether it’s with depression and anxiety medication, or therapy, or a combination of both. I will refer them to a psychiatrist or counselor, if they don’t already have one. I have also recommended a type of cognitive behavioral therapy for tics, called CBIT (Cognitive Behavioral Intervention for Tics), where they learn how to identify the things that trigger their tics and coping strategies such as relaxation and breathing techniques to help lessen their severity or stop them all together.

We’ll often work with schools to put a plan in place where the student can take a break or go to another room if they need to. But, we emphasize with the patient that this is not going to allow them to get out of their school work. They can take a break, but they need to return to class and complete their work. This is not a reason to go home for the day. It’s important that we have empathy and understanding for these patients and help them work their way through it, but also not allow the tics to keep them out of school.

I would also recommend to children and families to stop watching tic videos on social media. I don’t have a study where I can prove that watching these videos incites tics in others, but if you’re anxious and depressed and not processing your emotions, it’s going to come out in some way. If you are watching a lot of other teens showing their tics on social media and talking about their tic attacks, it makes sense that you might be influenced to release your stress in that way, too. Step away from social media for a while and focus on developing coping strategies for your stress and for managing your tics.

“She was always so happy. Everybody was her friend,” said Mary, Julia’s adoptive mother. “She did not know a stranger.”

Julia was the kind of person who trusted people easily. So years later, when a young woman reached out to her on social media, she didn’t think much about the individual wanting to be her friend. She began to correspond and eventually started meeting her at a local park where Julia liked to skateboard.

“We were so protective of her, and only started letting her go to the park by herself when she was 17,” said Mary. “Still, I would drive around to check on her. She would always say, ‘Mom, why are you always worrying?’ I would tell her, ‘That’s my job.’”

Mary was worried about the new friend in Julia’s life. Something seemed off. But, like most teenagers, Julia didn’t want to listen to her parents. After all, she had finished high school early and was working toward her dream job as a nursing assistant. Julia completed school in December, but hadn’t graduated yet. It was the week of prom when Mary last heard her daughter’s voice.

“She called me after her job interview and told me how it went, and then she said, ‘I’m going to stay with my friend for a couple of days, but I’ll be back in time to do prom stuff later this week,’” said Mary.

At the time, Julia was 18 and Mary knew she couldn’t tell her daughter what to do. Still, she didn’t like the plan.

“I said, ‘Okay, I can’t tell you not to, but I don’t want you to go,” she explained.

At 7:30 the next morning, two state troopers arrived at Mary’s home. They told her and her husband that Julia’s body had been found on a tollway in Dallas. From there, the truth about Julia’s friend unraveled. She was what law enforcement officials call a “bottom girl,” someone who manipulates and baits vulnerable victims into human trafficking. It turned out that Julia’s ‘friend’ had been paid by a human trafficking ringleader to deliver the teen for commercial sex trade. Mary believes Julia was thrown out of the vehicle when she would not comply.

Julia died on May 2, 2018, just 20 days before her graduation.

“Two hours later, my phone rang. It was the person who interviewed Julia calling to let her know she got the job,” said Mary. “That broke my heart all over again.”

This month, a grand jury in Collin County is expected to hear the case against the ringleader charged in Julia’s death. If the grand jury decides to indict, Mary says it will be the first ‘Death by Human Trafficking’ trial in Texas.

Mary and Chris are hoping their daughter’s death can save the lives of others. Working with Rep. DeWayne Burns, R-Cleburne, they’ve created a bill that, if signed into law, will require driver’s education students across Texas to be educated about human trafficking. It’s called ‘Julia’s Act.’

On April 7, Julia’s family testified in favor of the act in front of the House Committee on Licensing and Administrative Procedures. In an uncommon move, the act was voted out of the committee the same day, setting forth a high probability it will move to the full Texas House for a vote.

“People need education. They have to know that this happens. I wasn’t educated, and now I’m looking every day to see what else I can learn,” said Mary. “I felt like, if we could get it into the schools, then maybe kids would listen since it’s coming from someone else besides their parents.”

What is Human Trafficking?

A lot of confusion exists about human trafficking. It is not the same as human smuggling, and it rarely involves victims being kidnapped at random. Human trafficking is the process of “trapping people through the use of violence, deception or coercion and exploiting them for financial or personal gain.” Trafficking victims can be exploited for sex and/or labor. It occurs anytime anything of value is exchanged for sex, such as money, food, shelter or gifts.

At Cook Children’s Medical Center, the Child Advocacy Resources and Evaluation (CARE) Team treats human trafficking victims under the age of 17.

“Usually, these are kids who have already been abused. They may have a history of sexual abuse, or are runaways because they don’t have a stable home or are in foster care,” explained Stacey Henley, RN, nurse manager of the CARE Team. “We also see a lot of LGBTQ kids whose parents kicked them out because of their sexual orientation.”

Henley describes human traffickers as ‘master manipulators’ who prey on the vulnerable.

“They are really, really good at understanding human needs and behaviors,” said Henley. “I know that sounds crazy to say, but they are looking at what the person needs, whether it’s love, food or a place to live and they’re fulfilling that need.”

She says knowing how many human trafficking victims are out there is nearly impossible because it’s heavily underreported. Part of the issue is that those being exploited often don’t see themselves as victims.

“A lot of times, the victim will say the trafficker is their boyfriend. They’re being manipulated, which is part of the problem because often teachers and medical professionals are looking for someone who’s wide-eyed and mouthing, ‘Help me,’ but that’s not what happens,” Henley said. “They’re not going to say, ‘I need help, get me out of this,’ so we have to look for other clues.”

To aid with this, Henley is leading the implementation of a child sex trafficking screening tool currently in use at Cook Children’s. Her hope is that a few questions asked by clinical therapists may uncover victims hiding in plain sight.

She also points out that human trafficking is a form of child abuse and should be treated as such. Sadly, the CARE Team has seen many cases of parents trafficking their own children, usually for drugs.

“It’s really sad. The best thing we can do is get them into a stable environment and help them get the resources they need for counseling,” said Henley.

Taking Down Predators

The Human Trafficking Unit at the Tarrant County Sheriff’s Department is dedicated to taking as many predators off the streets as possible. With three investigators and a lieutenant, the unit carries out operations each month focused on helping victims and arresting human traffickers and their clients.

“When we find people who are being trafficked, we look at them as victims and set them up with an organization called Unbound Fort Worth that will help them get out of that situation,” said Detective Chris Jarvis, an investigator on the Human Trafficking Unit.

The unit also performs operations focused on the online solicitation of minors, in which they go undercover online posing as children. Detective Jarvis says they regularly catch adults who are trying to solicit sex from kids on the internet.

“Parents need to be involved with what their child is doing online,” he said. “Check their phones, make sure you’re reading their messages and know who they are talking to.”

He says some of the apps that predators use most often include:

• Facebook
• Kik
• Instagram
• Whisper
• Grindr
• Skout
• Meet me

“These are some of the biggest sites that children get on. People can go on there and talk to your child. The more experienced ones can actually find locations, even without asking,” said Detective Jarvis.

This situation is not unusual to the CARE Team at Cook Children’s. Though not always through human trafficking, young patients are frequently seen after being sexually assaulted by an adult they met online.

“I recently saw a victim who met a man on Whisper. It happens, and parents need to be looking for these apps on their kids’ phones,” said Henley.

If lured into human trafficking, Detective Jarvis says it can be extremely difficult to escape. He says traffickers isolate victims from friends and family members, take them to places that are unfamiliar and watch everything they do. They also tattoo victims as a way to brand them. Common human trafficking tattoos include bar codes, lips, cartoon characters, initials and crowns.

Life expectancy for human trafficking victims is much lower than the average person. They’re often murdered or suffer the detriments of drug use and sexually transmitted diseases. That’s why it’s so important to get victims the help they need to overcome the manipulation, which often involves long-term counseling.

A Problem Everywhere

Christi Thornhill, APRN, director of the Trauma Program at Cook Children’s travels all over Texas speaking to medical professionals about human trafficking. She says there’s not a place she’s been that hasn’t seen this problem.

“Before I speak to a group, I always Google ‘human trafficking’ and the name of the town and it never fails,” said Thornhill. “I was in Mineola, Texas, with a population of 5,000 and found an article about a bust.”

She’s also seen victims from upper-class communities like Southlake and agrees that the hardest part about this crime is the manipulation piece.

“We’ve had people from all walks of life arrested for paying for sex with young victims. Police officers, judges, coaches, doctors, clergy members, teachers. Do you really think these kids are going to tell anyone?” she said.

Thornhill points out that believing claims of sexual abuse is one of the key things that people can do to prevent a child from falling into human trafficking. She says children who are sexually abused, but not believed by their adult caretaker, stand to suffer mentally, including loss of self-esteem and self-worth, making them easy prey for traffickers.

In addition to monitoring what children and teens are doing online, parents need to know who their kids are hanging out with.

“We’ve seen cases where kids are being recruited in schools, so it’s really important to be aware of what your child is doing and who they are friends with,” said Detective Jarvis.

It’s also important to note that not all trafficking victims are runaways or missing. The CARE Team at Cook Children’s has seen cases where kids are being trafficked while still living at home with their parents.

“I’ve seen kids who have been trafficked after school, but still make it home and sleep in their own bed at night,” said Henley. “When someone is profiting from someone else having sex with a child, that’s trafficking.”

Fighting Back

You can help deter human trafficking by keeping an eye on your neighborhood. Watch for suspicious activity such as multiple cars coming and going from homes, as well as different people at all times. If you see something strange, call the police.

Red flags to watch out for in kids include:

• Missing school
• Changes in demeanor and attitude
• Odd tattoos
• Seeming like they can’t make a decision or are being controlled

“It takes a community to keep an eye out and be aware of this,” said Detective Jarvis. “We can’t do it alone.”

As for Julia’s parents, they are continuing their push for human trafficking education and hoping to extend the requirement for all state license holders. They’re also hoping to enact stiffer penalties for those convicted of human trafficking.

“The thing that really got me is that we are in a small town,” said Mary. “But going through the process and learning what I’ve learned, it doesn’t matter where you live. These people are looking for anyone willing to talk to them, and they prey on the brokenhearted.”

“I make sure my patients are served breakfast, lunch, and dinner. When they get their trays, I love to see that smile so that’s what I’m there for,” Sandra told the show’s producers for a taped segment that aired during the episode.

Sandra is the lead ambassador in Food and Nutrition Services and logs 30,000 steps a day delivering meals throughout the medical center.

Live on the show, Tamron asked Sandra why she does what she does, especially in the midst of the COVID-19 pandemic.

“It’s just natural. I just love to do it. And joy is always in my heart, so I just love it,” Sandra said with a big smile.

Corey was also featured in a segment on the show. He said he finds joy in uplifting Cook Children’s patients and families and shared the story of a little boy who was unable to walk.

“I walked past him one time, and said ‘Hey buddy, how are you doing?’ and he smiled with a big smile and he showed me his muscles, and I said ‘I’m going to show you my muscles,’ and I showed him my muscles and said ‘You stay strong and you keep on getting strong,” Corey explained. “This kid wound up walking three months later in this hospital. That’s what drives me to keep on coming to work.”

All four Cook Children’s employees were part of the virtual audience received gifts from the show as appreciation for their commitment to serving throughout the pandemic.

Hospitalist nurse practitioner Amber Jewison and psychiatrist Kia Carter, M.D. were featured on the nationally-syndicated show “The Doctors” on Thursday, Nov. 5. The show highlighted a recent trend of TikTok videos that encourage viewers to take excessive amounts of the common allergy medicine diphenhydramine, aka Benadryl.

Cook Children’s first reported on these videos on Checkup Newsroom over the summer after three teens were admitted to the hospital for overdoses.

“We had three patients in a week who specifically told me they saw a video on TikTok that told them they could take Benadryl to get high, and it gave them a specific number (to take),” Amber said in an interview on "The Doctors." “When I viewed that video, I was pretty shocked.”

Patients who overdose on Benadryl can have abnormal electrocardiograms (EKGs) and may not be able to urinate. It’s even possible to suffer seizures. Amber has treated such patients and says parents are usually shocked to find out their child has overdosed.

“I try to tell parents that it’s really good to know what’s out there on social media and to be aware of what your kids may be doing,” she said.

And it’s not just shocking for parents. Medical professionals are also surprised to see healthy adolescents and teens taking part in these dangerous challenges.

“I was alarmed, I was extremely shocked that children are participating in something so lethal,” said Dr. Carter, who is also the medical director of Psychiatry at Cook Children’s. “Being a parent myself, it’s petrifying to think about the idea of my pre-adolescent daughter participating in this.”

So why do teens participate in dangerous viral challenges like the one involving Benadryl?

“I think people have to realize that children’s brains are not fully developed like an adult and judgement and executive function are a huge part in making decisions. When we see kids participating in these high-risk behaviors, we have to remember that their brains are not fully developed,” said Dr. Carter. “There’s some research also to show that social media and participating in these challenges is activating the reward center in the brain, which can cause kids to become further attached to participating in these challenges.”

Dr. Carter says it’s also important to realize the difference between a child participating in an online challenge, and one who is actively trying to harm themselves. She says kids who are taking part in challenges because they want to fit in are usually active and part of a social group. Kids who are taking medicines or over-the-counter substances to harm themselves are often excluded or bullied on social media.

Her advice for parents - be aware.

“Know what your children are doing on social media, participate and ask questions,” Dr. Carter said.

Due to current COVID-19 restrictions, only one parent or caregiver can attend appointments with patients. So each Tuesday, Aiden and his mother, Lori, attend appointments at Cook Children's where he receives chemotherapy. During his treatments, Aiden's father, Chuck, waits patiently outside of the building until Aiden is taken into a room with a window.

Once Aiden can see outside, Chuck hosts a one-man, music-free dance party for Aiden (and anyone else who happens to see him). The two are usually on the phone, talking to each other at the time. Aiden will call out dance moves for Chuck to do, and he even does a little dancing himself. Chuck says he does it to lift Aiden's spirits.

"The restrictions during the pandemic made me feel helpless. And the only way I knew to cope was to somehow be there during his treatments," said Chuck. "When he was able to come to the window, it just came natural to me to wave and carry on, which turned into me dancing!  I love knowing that it makes him giggle and smile, and let’s him know that his struggle is my struggle. I would never want him to think that he is going through this without his dad."

"I think it’s tough to break up a close knit family of four in these days, only allowing one parent to be present during Aiden’s clinic treatments and equally hard to not have his big brother Camden by his side too!" said Lori. "The population of kids present are all immunocompromised, so it makes sense, just a tough pill to swallow! I absolutely love listening to his giggles & watching him belly laugh at Chuck’s fancy dance moves. He can be having a terrible day, which transfers towards us some times too, and it’s instantly better once he sees his dad shake his booty. Aiden’s smile is contagious and can light up a room, even behind his mask."

The Yielding family is hosting a blood drive on Saturday, Oct. 3 in Fort Worth, Texas. Click here to sign up.

Surgery teams from the two hospitals joined together in Lubbock on Monday to perform two cardiothoracic procedures on pediatric patients. The partnership is part of an initiative to make treatment more convenient for patients and families in Lubbock and surrounding areas.

“Cook Children’s and Covenant Children’s developed a partnership, which allowed Cook Children’s to come to Covenant and perform procedures on a recurring basis,” said David Gray, D.O., chief medical officer of Covenant Children’s.

Vincent Tam, M.D., medical director of cardiothoracic surgery at Cook Children’s, performed both surgeries at Covenant Children’s. He traveled to Lubbock this week, along with seven other members of the Cook Children’s team. With the help of the surgical team from Covenant Children’s, Dr. Tam repaired the hearts of two children, including that of four-year-old Adrian Rosalez. Adrian was born with a vascular ring, a malformation of the aortic arch in the main blood vessel leading from the heart that partly or completely encircle the trachea or esophagus. Thanks to the collaboration between Cook Children’s and Covenant Children’s, Adrian is now recovering at home in Lubbock.

“Heart surgery is not a simple thing, I can’t take my suitcase of instruments, come to West Texas and do surgery," Dr. Tam said at a press conference at Covenant Children’s on Tuesday. "Heart surgery requires a large team of people, it requires a significant collaborative effort.”

Without this partnership, Adrian and his family would have had to travel to Dallas/Fort Worth, or another major medical hub to receive his surgery.

Covenant Children’s and Cook Children’s formed the joint partnership between the two hospitals in 2018. The plan allows Cook Children’s surgery team to perform cardiothoracic procedures on pediatric patients at Covenant Children’s once every quarter.

“All of these children presented to the hospital with symptoms that resembled a severe case of Kawasaki disease,” said Nicholas Rister, M.D., an infectious diseases physician at Cook Children’s.

Kawasaki disease is an illness that creates inflammation in blood vessels with no proven cause, but is generally thought to follow various infections after they have otherwise resolved. Dr. Rister said the patients with MIS-C arrived at Cook Children’s following exposure to COVID-19 and had symptoms including fever, abdominal pain and outward evidence of inflammation including diffuse rashes, conjunctivitis and swelling. In the more severe cases, evidence of multi-organ dysfunction including respiratory distress, low blood pressures, liver and kidney damage and altered mental status were also seen.

“Of particular concern to us is inflammation of the heart and surrounding major blood vessels which is also seen in Kawasaki’s disease. We have seen this same thing in several of these COVID inflammatory disease patients,” explained Dr. Rister. “Minimizing the degree of inflammation in these children, while providing supportive care for any organ damage, has been a key component of treatment.”

All four patients were tested for COVID-19. Three tests came back negative and one was positive.

“We believe all of these cases are related to COVID-19,” said Dr. Rister. “The three negative results are evidence of how far the infection had progressed, resulting in the inflammatory syndrome.”

Three of the patients have been released from the hospital. One remains in the pediatric intensive care unit.

In addition to the recent appearance of MIS-C cases, the infectious diseases team at Cook Children’s is also looking closely at increased reports of unexplained fevers in our area.

“We want parents to be aware of these cases as COVID-19 continues to spread in our community,” said Dr. Rister. “Unexplained fevers for several days and evidence of generalized inflammation may be signs of this illness.”

Symptoms of more severe MIS-C cases include severe abdominal pain, shock from low blood pressure, respiratory distress and lethargy. If your child exhibits any of these symptoms, seek emergency medical care immediately.

Less severe symptoms include fever, abdominal pain and rash. Caregivers should call their pediatrician if these symptoms appear, as they overlap with many other common infections and medical conditions. It is important for these children to be fully evaluated.

Gabriel was diagnosed with Acute myeloid leukemia (AML) and admitted to Cook Children's in November. Over the past six months, he has spent Thanksgiving, Christmas, New Year's and his birthday in the hospital. Now that he's accomplished his goal of walking an ULTRA marathon, Gabriel has set his sights on going home, which could happen at the end of the month. 

Miles in Motion is an incentivized walking program at Cook Children's, which rewards patients with gift cards for miles walked during treatment. The program is part of a larger initiative called Exercise is Medicine, which encourages patients throughout the hospital to stay active. 

Lauren, who was diagnosed with leukemia in 2017, said Poehler was funny, encouraging and relatable. For about 40 minutes, the two talked about their families, favorite TikTok videos and staying at home during quarantine.

Since being diagnosed with cancer, avoiding germs and public places has become a part of life for Lauren. Poehler asked the teen if she had any advice for those of us who are struggling with the new changes in the world.

“You find the things that calm you down and relax you,” explained Lauren. “Spend time with your family, that’s what I do and it’s got me through some bad times.”

The teen also told Poehler about her dreams of becoming an anesthesiologist, which she attributes to her experience as a surgery patient at Cook Children’s.

“Medicine is so cool,” Poehler told Lauren during the chat. “I’ve talked to a lot of kids who have to go through a lot of procedures and they get interested in medicine because they have experience with it that a lot of young people don't, and they see how they could make a difference. It's really cool.”

Lauren asked Poehler questions about everything from her career path to what it’s like being an actress and comedian. She also asked Poehler what inspires her. Her answer: working mothers.

“Moms who have to work and raise kids, especially during these times. There’s a lot of mothers who are working hard,” Poehler said. “I’m also very inspired by health care workers who are in the trenches and can’t see their own families because they have to be safe. I’m very inspired by people who put their lives on the line, risk their lives for people.”

Last month, Children’s Miracle Network Hospitals named Poehler a CHANGEMAKER, which is an exclusive list of celebrities, influencers, corporate leaders and advocates who have positively impacted children’s health. According to the organization, the individuals and groups named have made a difference in the health and well-being of children, specifically sick and injured children treated at children’s hospitals across North America. 

“We’ve really had to change the way we do things,” said Jill Koss, director of Family Support Services and Child Life at Cook Children’s. “The goal of Child Life is to help patients and their families work through any fears and anxieties they have about being in the hospital, and giving them tools to cope with that fear. For patients that may find themselves in isolation due to Covid-19 testing, we are meeting many of those needs virtually.”

Cook Children’s Child Life Zone (CLZ) is now using its closed TV station, CLZ-TV Channel 2, to connect with patients. They’ve ramped up their broadcasting schedule, now hosting several game shows a day which allow patients to call in from their rooms to play along. CLZ is also teaming up with Hear Fort Worth, a division of Visit Fort Worth, to bring the magic of music straight to patient rooms.

“Through Hear Fort Worth, we’ve started collaborating with the local music community to bring free, virtual concerts to patients and families,” said Rayne Delgado, program coordinator for the Child Life Zone at Cook Children’s. “The response from our patients has been great. They especially enjoy being able to interact with the artists.”

Concerts are streamed via Zoom with the artist performing from their home while answering questions from the patients via Instagram or a special phone line.

“We are honored to work with the tremendous staff at Cook Children’s Medical Center,” said Mitch Whitten, executive vice president of marketing and strategy at Visit Fort Worth. “Music can inspire and bring hope during trying times and we are grateful to our local musicians for donating their time and talents. Music is an integral part of our city’s culture.”

Three concerts have occurred thus far featuring artists Jack Barksdale, Jessi England and Grady Spencer with more being planned.

“The COVID-19 pandemic has created many unique challenges for Cook Children’s, including how to help kids feel like kids while social distancing in a hospital room,” said Koss. “This partnership with Hear Fort Worth gives our patients and families a chance to momentarily set aside the medical challenges they’re facing, and feel a little more connected through music.”

Musicians interested in performing may contact Child Life Zone Program Coordinator Rayne Delgado or Hear Fort Worth leads Tom Martens and Hillary Dupriest for more information. Visit www.FortWorth.com/Music to learn more about the local music community and how you can support.

“That’s when Dr. Slappy lets one rip,” Monday jokes, as they head to the fourth floor at Cook Children’s Hospital in Fort Worth.

The short ride gives them a moment to warm up before they make the rounds.

“I don’t know what you’re talking about,” Riley says, as one long, fart sound goes off from somewhere in her pocket.

“Yeah, it’s just the worst place to do that,” he says.

Full story here. 

They’re now making face shields to be used by clinical staff at Cook Children’s who are caring for patients with COVID-19 symptoms.

“We looked at the situation we’re facing, in the community and internally, and thought this is a great opportunity for us to get engaged,” said Brady Gendke, Vice President of Operations at Cook Children’s Home Health. “Right now, we’re producing about 20 face shields a day, which will help with some of the more intense COVID-19 isolation procedures that our doctors and nurses will be doing.”

With the help of a high-powered 3-D printer, the team is assembling the shields by hand. They hope to produce up to 200, which will be distributed to doctors and nurses at Cook Children’s Medical Center. Since the shields are made entirely of plastic, they can be properly cleaned and re-used, eliminating the risk of running out.

“It’s very important (to produce these shields) because you can help people survive and protect their health,” said Kirill Kirieiev, manager of the orthotics and prosthetics lab at Cook Children’s Home Health. “Then they can continue serving our patients and feel more protected. If we can accomplish this goal and make their life a little bit safer, that’s most important.”

The Home Health team is also creating cloth masks for Cook Children’s staff and visitors. Working in an assembly line, employees are stitching about 200 face masks a day. Earlier this week, Cook Children’s announced a new policy requiring staff, patients and visitors to wear masks at the medical center and other Cook Children’s locations. The masks produced by the Home Health department are being distributed for this purpose.

“It’s a great opportunity for us to give back in a different way,” said Gendke. “Home Health is often on the end of the spectrum as kids go home from the medical center. This is an opportunity for us to help kids going into the medical center, as well as other staff that are engaged in patient care.”

“I really appreciate that I can help people,” said Kirieiev. “That’s very important. We can improve our community and help our patients, and now doctors too. I’m really proud to be part of the system.”

“Our Joey likes to move at his own pace,” said his mother Denise Belles.

Joey arrived at Cook Children’s in June of 2019. What his family thought were headaches from recent growth spurts and allergies turned out to be a rare form of cancer called pineoblastoma. A tumor was growing in his head and spinal fluid was building up in his brain.

“At the time, he was going to football camp and loved it. Then we did the CT scan and within days, we got the diagnosis that changed our lives forever,” said Denise.

On July 3, Cook Children’s neurosurgeon Daniel Hansen, M.D. removed Joey’s tumor. Luckily, Dr. Hansen was able to get the entire mass at once. From there, Joey began a strict regimen of proton radiation therapy. In November, he was admitted to Cook Children’s Bone Marrow Transplant Unit to begin stem cell chemotherapy.

“It was really hard on his body,” Denise said. “You deplete them (patients) of everything and start from scratch. But the doctor said to Joey ‘You don’t have a shot if you don’t have the right attitude.’ So we came up with a plan and no matter what, we were going to be positive about it.”

Part of the plan came together after a visit with a physical therapist. She asked Joey to start walking and told him that if he kept track of his progress, he could win a gift card once he hit 10 miles. The incentive is part of a new program at Cook Children’s called ‘Miles in Motion’ which encourages hematology/oncology patients to get moving.

“When I first got here, I was sick and I was moving pretty slow,” said Joey. “We started walking the first day, but I could only do two laps.”

Joey would log his walks on a piece of paper in his room. Soon, the papers began piling up as he started making multiple laps around the unit.

Physical therapist Lydia Robey was part of the team that came up with the idea for ‘Miles in Motion’ as part of a quality and safety initiative to get patients out of their beds and exercising.

“We were brainstorming how to increase activity for this particular group of patients and one of our dieticians pointed out that these kids were losing muscle mass at a far greater rate than they should,” said Robey. “Some of that was due to inactivity, as well as steroids and medications that cause muscle atrophy. We started reviewing the literature and the evidence just became overwhelming of how important exercise is.”

Robey said due to varying blood counts, patients are not always able to do resistance exercise. However, she says walking is always good.

“Everyone agrees that walking is safe, so we wanted to find a way to motivate and empower families and patients to start walking as part of their daily routine,” explained Robey.

Joey and his parents did just that. They committed to walking each day during his four separate hospital stays, which spanned between two and four weeks each.

“For about a week, I did two to four laps a day and then I started getting to 10 and I thought ‘Wow, this is good!’ and then I started doing 20,” Joey exclaimed.

Before he knew it, Joey was walking more than 30 laps at a time, a feat that seemed impossible when he first started.

“There really is a noticeable difference between the first time I saw him and how he is now,” said Haleigh Schreck, one of Joey’s physical therapists. “He walks every single day on his own, no matter what he’s going through treatment-wise. His drive and motivation are very impressive.”

Last week, Joey hit a milestone that not even his physical therapists thought was possible. Joey marked off his 26^th mile in the ‘Miles in Motion’ program, which is equivalent to walking an entire marathon. Walking a marathon was never even a goal for Joey or for the ‘Miles in Motion’ program, but as he got closer to mile 26, he knew he had to go for it.

“We were just like, we’re this close to getting a marathon and I decided ‘I’m gonna do this,’” said Joey.

On Thursday, Feb. 20, Joey made his final laps around the unit were he’d been walking for the past four months. This time, nurses, child life specialists and physical therapists lined the walls. They held up handmade signs and cheered him on. With just five laps to go, Joey took one step at a time, thanking his mom and dad for their support as they finished the journey together.

At the final lap, excitement built as the medical staff cheered his name. “Joey, Joey, Joey!” they chanted until breaking into a loud roar as Joey ran through the finish line, a paper streamer strung across the hallway.

He did it. Joey walked a marathon.

“It was awesome,” he said basking in the wonder of his achievement. “I could have never done it without my family, the whole team we have. Everyone has been so supportive of me. It’s just truly amazing what we have done, me and my parents.”

This wasn’t the first marathon completed by a member of the Belles family. Denise ran the New York marathon in 2010, but she said this one was much better.

“This one is more rewarding,” Denise said. “His training was harder. I definitely feel more fulfilled with his than mine. It means so much more.”

If that wasn’t enough, finishing a marathon wasn’t Joey’s only major accomplishment of the day. It was also his final day of chemo.

“In the beginning, I really thought this was going to be devastating,” said Joey. “But everyone has been helping me and pushing me. With them, I knew I could get through this and do it with power.”

While he did have a supportive family and medical team, Joey also did what his doctor advised and had the right mindset throughout his cancer journey.

“Joey has been an amazing patient to work with,” said Haleigh. “I can’t remember a time when he wasn’t just smiling and having the most positive attitude. He blew all of our expectations out of the water.”

“I’m so proud of him. It shows how if you have the right mindset then you can overcome anything,” his mom said.

With his treatment coming to an end, Joey and his family are making plans for the future. They’re downsizing to a smaller home so they can take more trips together. This summer, they hope to go to Italy.

“We’re a close-knit family. We just love being together, but this has brought us so much closer,” said Denise. “We don’t want to wait to do stuff, like travel, anymore. We enjoy each other and we don’t take anything for granted.”

The new minimum wage, which begins Feb. 2, 2020, will directly impact 200 current employees, who will see their pay immediately increase to $13.25 per hour next month, from the current Cook Children’s minimum wage of $11 per hour.

“Just as we are committed to improving the health of every child, we are as committed to the well-being of our workforce, who help us fulfill our promise to patient families,” said Rick W. Merrill, President and CEO, for Cook Children’s Health Care System.

Read the full press release here.

“I had my chest bone ripped open. It’s going to hurt,” Martin, 21 years old, said. “For a little while, I wasn’t sure if I had done the right thing. But looking back on it, I’d do it again. It may not have been the smartest choice, but it’s the one I made. It’s the one I’m living with, and I’m happy with it.”

The choice Martin made wasn’t based necessarily on health or even convenience. It was to continue to dive. Since he discovered diving at 6 years old, the sport became Martin’s passion. He won the UIL 6A State Diving Championship as a senior at Midland High, became the first full-time diver in school history at Texas – Permian Basin, and qualified for the NCAA Division II Championship in college. Now he wants to achieve one more thing – a national championship.

And all the while he’s competed at the highest level, he’s also been a heart patient at Cook Children’s. Martin has Shone’s Complex, a rare congenital heart condition that involves multiple valve problems. He received his first heart surgery at only 6 days old.

His doctors have balanced his love for his sport with what’s best for Martin’s health.

Last year, Martin received his latest surgery. Prior to the operation, doctors gave him two options. The smart choice for most people is a mechanical valve, meaning he may never need another surgery again. Once he has that surgery, Martin needs blood-thinning medication for the rest of his life. Running, walking or riding a stationary bike would be OK with that medication. Still, more extreme sports, including diving, could place Martin at a high risk of life-threatening bleeding.

Martin chose the second heart valve replacement option: a prosthetic, or tissue, valve. With the tissue valve, Martin will need another surgery someday, maybe even within the next years. Still, he won’t have to take blood thinners.

Most importantly, for him, at this point in his career, the prosthetic tissue valve allows Martin to continue to dive.

“My parents were in the room with me, and I didn’t even talk it over with them. I was like I know what I’m going to do. I’m signing up for a second (surgery),” Martin said. “So I went and got a prosthetic valve, a tissue valve. As soon as I decided that I said, ‘OK, this is my next to last surgery. Hopefully, I will never be getting another open heart surgery … after the next one.’”

Scott Pilgrim, M.D., a cardiologist and medical director of the Cook Children’s Adult Congenital Heart Disease program, began seeing Martin in 2018. Dr. Pilgrim said he wasn’t surprised by Martin’s decision to go with the tissue valve. Dr. Pilgrim knows that the choices they are making center around Martin’s desire to compete at the highest level.

“We’ve had very long conversations concerning Garret’s heart problem. We’ve had some interesting discussion points about what his long-term plans are with regards to diving,” Dr. Pilgrim said. “It’s my understanding that he’s quite good at what he does, and we didn’t want to remove him from what he loves. And so we are trying to make a decision that’s best for him medically, but also allow him to achieve the goals that he wants to go for in his life. I think that’s where we were in deciding to put in a bio-prosthetic valve or a tissue valve.”

As he arrives at Cook Children’s Mansfield Urgent Care and Pediatric Specialties clinic, Martin is the oldest patient on that particular day. With his scruffy beard and sweat pants, he looks like exactly what he is – a college student. Still, his age doesn’t make him feel any less at home at Cook Children’s.

“When I was a kid, this place made me feel safe, and as an adult, I know that this is the best place I could be for whatever I need,” Martin said. “I love it here. Now don’t get me wrong. I don’t want to stay, but if I have to be at a hospital, this is the only hospital I want to be at.”

Martin appreciates everything done for him at Cook Children’s. As he heads toward the end of his diving career, he has only a few goals left to accomplish. One of those is winning a national championship.

Then he can move on with a new life, making decisions based solely on his health. But don’t expect him to slow down. He’ll only be beginning the next chapter of his life, with a major in mechanical engineering.

“You don’t have to let anybody limit you. The only person that can tell you what you can and can’t do is you.” Martin said. “Granted, if you’ve got a condition, you need to be mindful of that. Make sure you take of yourself. But if you know you can do something, don’t let someone tell you, you can’t.”

That’s good advice that he’s seen first-hand from his medical team at Cook Children’s.

This verification means Cook Children’s has the best possible system in place for surgery in children. From our Level IV Neonatal Intensive Care Unit, Level II Trauma Center, state of the art equipment and surgery rooms to advanced training in pediatric subspecialties, Cook Children’s has invested everything it takes to make its medical center in downtown Fort Worth, Texas the preeminent place for pediatric surgery.

“This recognition means families can be assured their children are in the best possible hands when they turn to Cook Children’s for surgical care,” said Eric Hubli, M.D., FACS, medical director of Children’s Surgery at Cook Children’s. “We are proud of the incredible surgical staff who work tirelessly to make Cook Children’s the best possible place to heal, and of our leadership team who continuously invests in us because they know every child’s life is sacred.”

To put this recognition in perspective, there are more than 200 children’s hospitals in the United States. Cook Children’s is one of an elite group of 22 that holds the distinction of being a Level I Children’s Surgery Center.

“Kids are not small adults,” said Dr. Hubli. “They have unique diseases and medical issues that can only be treated by specially-trained professionals.”

Cook Children’s has certified physicians and nurses in pediatric surgery and anesthesia available 24 hours a day, seven days a week. In addition, Cook Children’s Teddy Bear Transport team is dedicated to getting the most medically fragile children and neonates, often in need of surgery, to our award-winning medical center quickly and safely. All of this is part of the essential criteria that was observed and evaluated by the American College of Surgeons, leading to the verification as a Level I Children’s Surgery Center.

To read Cook Children's press release on the Level I Children’s Surgery Center verification, click here. 

“They told me I was a match,” Ferrel recalls, “and there was no hesitation. I wanted to be the one who helped her. It’s a blessing for me to be the donor who cures her disease.”

The Ferrel family are active ranchers from Panhandle, Texas, and accustomed to the small-town way of life. In January 2018, 14-year-old Jackie started to look a little puffy, Audrey said, and her behavior was off.

Audrey took Jackie to their local doctor for what they thought would be a routine diagnosis. Instead, they got a call from the physician’s office that would change their lives.

“We had barely arrived home when they called with the results — Jackie was in end-stage renal failure,” Audrey said. “They told me, ‘You need to get back here right now. We’re flying her to Cook Children’s.’”

Audrey and her husband, Ty, packed up the family and drove to Cook Children’s Medical Center in Fort Worth. Cook Children’s urologist and surgical director Blake Palmer, M.D., diagnosed Jackie with IgA Nephropathy, or Berger’s Disease, which has no cure. The disease occurs when an antibody called immunoglobulin A builds up in the kidneys. They become inflamed and lose their ability to filter waste from the blood, which can be fatal if not treated.

Jackie would need a transplant to survive.

Berger’s Disease usually progresses slowly over years, but the course of the illness varies from person to person. Its exact cause is unknown.

Medication can treat some cases, but transplants are often needed. Initially, Jackie was hospitalized at Cook Children’s for a month, but she was eventually able to go home on dialysis. She resumed activity and even began track season.

“She had an awesome track season. She did very well,” Audrey said. “In addition to that, she still participated in cross country, qualified for regionals, and played basketball and tennis.”

Despite her outward progress, Jackie’s internal condition worsened, and a transplant was needed to save her life.

In December 2018 Jackie was placed on the transplant list, and they received a call for a high risk kidney shortly after, however they declined, knowing Audrey would begin testing for a live donor transplant.

“She told us she was feeling great, she didn’t want to take a high risk kidney if she could hold out,” Audrey said. “I was convicted from the beginning that my kidney was going to be the one.”

The process for matching with and receiving a live kidney donation is extensive and requires multiple EKGs, various scans and blood tests to ensure the kidney is a match and the risk is low. Surgeons at Texas Health Harris Methodist Hospital Fort Worth, which has collaborated with Cook Children’s for years on various projects, evaluated Audrey to determine whether she would be a candidate.

“Over time dialysis becomes less and less effective,” Dr. Palmer said. “She [Jackie] was more ill on a day-to-day basis, really just not able to thrive or have a normal life like we’d expect a normal 15 year-old. But after this transplant, she is going to get all those things back.”

Audrey’s tests confirmed she was a match. The final CT scan determines whether a donor is compatible based on the placement of an artery.

“We got the final call while at a basketball tournament,” Audrey said. “I just asked, ‘When can we schedule it?’”

Because Audrey was an adult, the surgery to remove one of her healthy kidneys would have to take place at Texas Health Fort Worth. The kidney would be walked across a sky bridge that connects the two hospitals and implanted in Jackie by a surgical team at Cook Children’s.

“The collaboration between our two hospitals is something I’m really proud of. I know the clinical teams on both sides of that sky bridge are really proud,” said Dr. Tariq N. Khan, transplant surgical director at Texas Health Fort Worth. “It’s about bringing the best resources together, with the single focus being the best possible care to the patients we serve.”

Audrey and Jackie scheduled their transplant for Aug. 27, 2019. The sky bridge cut the time from hours to just minutes for the donor kidney to be delivered. With Jackie feeling fatigued and unable to participate with her teams and work with the family’s ranch animals, the transplant could not have been scheduled at a better time.

“Toward the end I didn’t feel well at all,” she said. “I was ready by the time all the testing was done.”

Jackie checked in at Cook Children’s the night before to begin pre-op preparations and Audrey arrived at Texas Health Fort Worth the next morning, both of them with an entourage of family and friends.

Dr. Khan began Audrey’s surgery at 7 a.m. and by 10 a.m. he was transporting the kidney to Cook Children’s with the Fort Worth Life Gift transplant team.

Dr. Palmer and his team at Cook Children’s were waiting with Jackie prepped in the operating room. They knew as soon as the kidney was connected and producing urine that the transplant was successful.

The mother-daughter pair spent two months recovering Fort Worth, before heading back to ranch life. They have both recovered and Jackie is slowly easing back into her routine as a typical teenager.

“Jackie is feeling awesome. She is able to attend church, youth group, and 4H events. She is also keeping books for the varsity basketball team,” Audrey said. “She has begun to exercise again and has had her first ride [horses] since the surgery. While she’s not cleared to go back to school and regular sports yet, we anticipate that she will be cleared to do so soon. We are blessed beyond measure and are counting them out loud for sure.”

Though Audrey can’t physically donate again, she would make the same decision if she could go back, and encourages others to consider doing the same.

“Being a live donor was the best decision I’ve ever made. It’s a gift, really,” Audrey said. “It’s giving life twice.”

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There were only five juvenile drowning deaths in all of 2017, according to Tarrant County Public Health spokesman Kelly Hanes.

Read the full story here.

Families of drowning victims met together at Cook Children’s in Fort Worth Friday, trying to warn the community about a preventable death that often happens with no warning.

Watch the full story here. 

Despite the prevention efforts, the drowning numbers at Cook Children's remain high. Read full story here.

The first Texas dispensaries are now opening and selling their products to eligible patients across the state. But Texans who are interested in pursuing the so-called CBD oil treatment say there are several obstacles to getting the medicine.

There’s roughly 30 doctors across the state eligible to prescribe the medicine. Also, CBD oil is still federally illegal, so people have to pay out of pocket to secure it. And there are only three Texas dispensaries who can sell the medicine — two in Austin and one in Schulenburg.

In this video documentary, The Texas Tribune followed two families as they began their journey in pursuing medical cannabis treatment.

Full story here.

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Watch the story on WFAA by clicking here. 

Watch the live interview with Dr. Coffman here.

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Compassionate Cultivation will be the first of the three licensed dispensaries to open in the state, but will be followed, in theory, by the other two companies that received licenses last year under the Texas Compassionate Use Act, which was passed in 2015.

Watch the story here. 

Those are deaths that can possibly prevented, and they're fueling the mission of a group of parents and doctors at Cook Children's Medical Center.

See the full story here. 

Click here to read the full story. 

For more information: 

• A Baby With Sepsis
• What is Sepsis?
• Sepsis, Neonatal
• Septic Shock

Click here to see the story. 

Santa Claus made time in his busy schedule to say hello and perhaps listen to some whispered wishes.

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"I would hear that song 'I'll be home for Christmas' in my head, and I'm like, 'I'm not going to be home,'" said mother, Carol Vallecalle.

It was a tough notion for Vallecalle to accept, but not as tough, she says, as what her 6-week-old daughter Ella has been through.

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