During his residency at the Children's Hospital of New Orleans, Dr. Roberts stood at the head of a young patient's bed, rolling him down the hospital corridor. The patient had just come out of brain surgery when he looked up at Dr. Roberts and asked, "Can I go home tomorrow?" It was at that moment he knew he had to work in pediatrics.

"For children, it's all about getting out of the hospital," said Dr. Roberts. "Everything they do is to get back to their mom's cooking, their friends and their toys. Everything that they do is to get better. It is an amazing thing to see that kind of spirit in a patient. And, as it turns out, those patients are children."

Dr. Roberts didn't always know he wanted to be a neurosurgon. In fact, he wasn't originally even interested in the field of medicine.

Richard Roberts was born and raised in New Orleans. He declared three majors before earning a degree in Philosophy. Unsure of what he wanted to do, he worked for five years as a mechanic, a contractor and a roofer. 

One day a friend, who happened to be a medical student, told him that he "couldn't be a roofer forever," and encouraged him to try medical school. Roberts agreed to try it. 

While working days as a roofer, Roberts took his prerequisite courses at night and began medical school at Louisiana State University at the age of 28. He intended to be a small-town, family practice doctor. 

During his first year of medical school, he attended a lecture given by the school's renowned Chair of Neurosurgery that included a video of a basilar tip brain aneurysm surgery.

"The aneurysm was in the deepest part of the brain, impossible to get to," Roberts said. "When he finished his lecture, the physician giving the lecture pointed across the screen and said, 'this entire area is the size of a centimeter.'" Dr. Roberts hooked.

Dr. Roberts went on to do additional training with an orthopedic surgeon to gain a unique perspective on how other specialists look at the spine and how they approach repairing it. It was the physical and mechanical aspects of repairing spines that intrigued him - putting in screws and rods to straighten the spine, in addition to operating on tumors of the brain and spine. 

When Dr. Roberts came to Cook Children's in 2007, he joined two other top pediatric neurosurgeons, David Donahue, M.D., and John Honeycutt, M.D., and a team of professionals that he describes as invaluable. He regularly consults directly with physicians and specialists across the medical center. He says this open, easy collaboration is one of the greatest benefits of working for Cook Children's Health Care System.

Since being at Cook Children's, both of Dr. Robert's own daughters have been patients. When one daughter had ear tubes put in, it was knowing the anesthesiologists and how careful they are, that eased his mind the most. 

His other daughter had tethered spine surgery, a surgery that Dr. Roberts performs on a regular basis. Just as he trusts his partners to care for his patients when he is away from the medical center, he wholeheartedly trusted them to perform surgery on his own daughter. 

"Like any other parent, I went to pre-op. When it was time for her to go back, I gave her a hug and a kiss. She was taken to the operating room and I went to the waiting room," Dr. Roberts described. 

"I knew how long the surgery takes because I do it all the time. And I made it all of seven minutes before looking at the clock. I know how safe the surgery is, but having that parent experience is very different."

Just as Dr. Roberts respects his coworkers, their admiration for him also runs deep.

"Dr. Roberts is often thanked by families for performing a life-saving procedure on their child," said Grace Crotzer, physician assistant to Dr. Roberts. "He will always bring the spotlight back to the patients and tells families that he only worked a few hours, whereas their child had the actual hard work during the recovery process. I admire Dr. Roberts in so many ways and consider myself lucky to learn from him every day."

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“When I saw the scans, I thought that he had not survived.” Dr. Roberts told Dr. Mehmet Oz. “I couldn’t imagine that someone with that picture had survived that accident.”

Dr. Oz invited Dr. Roberts to appear on the show following the release of a book called "Miracles We Have Seen - America's Leading Physicians Share Stories They Can't Forget, by Harley A. Rotbart, M.D. For the book, Dr. Roberts wrote an essay about Jordan’s injury and unbelievable recovery.

Here’s an excerpt from that essay:

As soon as I evaluated him, I knew how severe his injuries were. His MRI test (a special type of imaging study) showed that all of the soft tissues under the skin of the neck were destroyed. Survival from this type of injury is less than 1 percent, and among those very few who survive, paralysis and brain damage are the rule.

Despite his devastating injury, Jordan’s spinal cord was not severed.

“I think the biggest shock was that he made it to us at all,” said Dr. Roberts. “His neck was completely unstable. His head was essentially not attached, except for the very little soft tissue that was left.”

Dr. Roberts put Jordan in a halo vest, which is a carbon-fiber ring attached to the skull with pins and secured to a vest on the body by rods. This allowed Jordan’s head to be held in a stable position. Then, in the operating room, Dr. Roberts used a titanium plate and rods to reattach Jordan’s skull to his spinal column.

Three short months after the accident, Jordan walked out of Cook Children’s.

“It was a sense of, not exactly relief, but that he (Jordan) had accomplished so much to get through this ordeal,” said Dr. Roberts.

This was the first time Dr. Roberts had seen someone with an internal decapitation survive. Not only did he survive, Jordan went on to make a nearly full recovery.

About the Source
Richard Roberts, M.D., is a neurosurgeon at Cook Children's. When a child with a neurological disorder requires surgery, the experts at Cook Children's Medical Center offer comprehensive care and state-of-the-art technology. With the help of such state-of-the-art equipment as the revolutionary intraoperative MRI (iMRI), our neurosurgeons are able to determine effectiveness of surgical procedures for cranial and spinal nerve disorders and tailor the treatment to each child's unique needs.

An early advocate for distraction osteogenesis in the facial skeleton, he helped to develop one of the first multi-planner devices used for lengthening the mandible in children. After a brief surgery, the device is used to slowly lengthen bones that are congenitally too small. Over the course of two weeks, daily adjustments actively stretch the native structures so that new bone and soft tissue can be created as the surgeon works to restore facial balance and harmony.

Dr. Hubli has crisscrossed the globe in the name of craniofacial and cleft care, operating and educating from Brazil to Romania and from Finland to Saudi Arabia. He has been asked to speak on the topics of quality in medicine, craniofacial and cleft care and enhancing patient satisfaction at sites, including Harvard University and the Mayo Clinic. His work has been featured on the Oprah Winfrey Show and in Parade Magazine.

But Dr. Hubli is known for more than his skill as a surgeon. It’s the approach to the way he cares for “his kids” that makes him special.

“When I meet new families I like to joke with the moms and dads and tell them, ‘Now, these are my kids too,’” Dr. Hubli said. “I have two wonderful kids of my own. These are my extra kids, my extended family if you will. When I offer advice to parents or make medical or surgical decisions for my patients, I make the same decisions based on what I would do for my own child and trust me … I love my children dearly.”

Dr. Hubli has two children – Alexander, 17, and Sidney, 12, -- and has been married to Joni for 26 years.

It was Dr. Hubli’s brain that Joni says first attracted her to him. No so much his intelligence that would make him a world-class craniofacial surgeon, but his sense of humor.

“He likes to make everybody laugh,” she said. “He’s always been that way. I liked him the first time I met him. He had a great sense of humor. It helps him as a doctor, especially treating children and talking to parents. He has a way of lightening up a situation and that helps them to feel good.”

Dr. Hubli has a unique reason as to why he relates well to his patients – he was once in their shoes. As a child, Dr. Hubli spent many hours in a hospital while he was a youngster in Connecticut. He suffered from complications due to allergy induced asthma.

Things were different back then. Parents were only allowed to visit for a couple of hours a day and there were no parental overnight stays. A week-long stay in a cold-multi-bed pediatric hospital ward left a lasting impression on a 5-year old mind. The facilities were grim, but Dr. Hubli found that the caregivers, the doctor and staff could be rays of sunshine when times were trying. Joni believes that’s what led him into a career as a physician.

And what made him work with kids? More than anything else, Dr. Hubli simply wants to repair a child’s face so he or she can smile. After all, smiles and laughs are so important to the self-professed clown.

Watch him walk down the halls of the medical center and you’ll see him stop and joke with almost anyone he sees, especially the children. Maybe, it’s because he identifies with their sense of humor.

“Pediatrics is a perfect fit for Eric because he can still see the lighter side of life,” Joni said. “Like a kid, he looks to have fun in everything he does and that makes him fun to be around. He has a saying, ‘I have to grow old, but I don’t have to grow up.’ He’s a great doctor and very skilled, but he is not afraid to let his silly side out. We were talking at lunch the other day and he said, ‘Our 12-year old daughter is more grown up than I am.’”

But make no mistake; Dr. Hubli takes his career and the kids he cares for seriously. For him craniofacial and cleft surgery is not just a job, it’s a vocation. Joni will tell you that “he takes his work home. He still studies, he still reviews, he challenges himself to be better every case and we see the distracted dad at home sometimes because he’s thinking about a patient.”

His dedication is energized by the strength of his patients and their families whom he calls “an essay in courage.” Dr. Hubli thought of becoming a priest as a teenager, but felt a stronger calling to becoming a physician. Either way, healing was the goal.

“Would that all of us have the same grace as these kids do! I don’t know if I would,” Dr. Hubli said. “But wow, these kids are cool. If you don’t believe in God, take a look at the kid next to you. It’s a miracle. It’s beyond my comprehension. You can talk to me about DNA and all the wonders of science, but how did these little strands make all of that? I have the degrees. I’ve taken genetics. I’m an educated person. But I say, ‘That it’s still a miracle.’”

Dr. Hubli’s surgical work on children varies. At times, he may be preventing a speech impediment that will stop a lifetime of being made fun or getting bullied. At other times, it’s a matter of performing a surgery that saves a child’s life by giving him or her opportunity to eat or breathe properly.

“Each case is unique because each child is unique. It’s not because of what they look like or why I’m seeing them, but because of who they are,” Dr. Hubli said. “Regardless of the child, the surgical goal is always the same. If I’m successful, their life truly becomes their own to mold and make. Their potential and their future are in their own hands.”

And many times, he’s performing that surgery with Richard Roberts, M.D., a neurosurgeon at Cook Children’s.

“I love working with Eric. We have a great friendship and work well together,” Dr. Roberts said. “The days that we have surgery together are among my most enjoyable. He is a funny guy and great entertainment, but when we step in the operating room it becomes all business. We share a common goal of trying to do the best for the children and we both carry that attitude through surgery until we’re finished.”

So you have two sides of Eric Hubli. The funny guy with hyperactivity issues (his word) … and the other guy, who happens to be a brilliant surgeon.

“I love having fun. In general, I think we all take ourselves too seriously,” Dr. Hubli said. “Don’t get me wrong. This work is not a game and I’m wholly committed to what I do. I work hard and I take my job very seriously. That said, there is healing in humor. I want what’s best for the children I care for, but that’s the thing, they are children and we are a children’s hospital. We should have fun so that our kids, our patients, can have fun even when what we do is some of the most serious and important work that you will ever find.”

Richard Roberts, M.D., a neurosurgeon at Cook Children’s, wonders what it’s worth for your child to play sports with a reputation for head trauma.

“I think the fact that when the NFL players sued the league initially and won, the judge said the settlement (more than $700 million) wasn’t big enough,” Dr. Roberts said. “That says a lot about this growing issue more so than anything else.”

The issue discussed in the NFL cases has been CTE (chronic traumatic encephalopathy), a progressive, degenerative brain disease that has been found in some athletes with repetitive brain trauma.

Research is currently being done to study just how playing contact sports such as football mainly, but also soccer, can cause damage to an athlete’s head. But is it worth it for parents to wait for the results of this work.

“Amateur sports are different than professional sports because no one is feeding their family with the activity that they are doing,” Dr. Roberts said. We need to look beyond the short term and really understand what could happen in the long term. That potential for long term problems should be the primary thought, not the secondary thought.

“What is the actual incidence? We don’t know. But if it was your kid, how much would you be willing to risk? Even if it was 1 in 10, would you roll the dice on your own kid?”

Dr. Roberts has previously worked at Children’s Hospital in Philadelphia and Charity Hospital in New Orleans. While he saw concussions at the other hospitals, he’s never seen parents argue with him about concussions as he has seen at Cook Children’s.

“Part of what I’ve seen which is different here than other places is that I do get push back from parents who I think underestimate the severity of some of these injuries,” Dr. Roberts said. “Some of it is that they want their kids to play and I think some of it is the short term nature of some concussions.”

Children get concussions and they do well relatively quick, so opposed to having a broken arm which is in a cast or needing surgery and having stitches for three weeks, kids hurt their heads, they are knocked unconscious for five minutes, but then feel essentially better soon after. This apparent sign of improvement makes it difficult for some parents to grasp that their child may have a fairly significant brain injury.

“The more we understand concussions and the more we see people who have hurt their heads for various reasons, soldiers, professional athletes, anyone who has suffered a head injury, I think that we are seeing that in adulthood they are starting to have more cognitive issues,” Dr. Roberts said. “Now the science is not perfect yet. We can’t say to a football player you had three concussions and that’s why you have dementia. We can’t say to the soldier you were exposed to be a bomb blast and that’s why you have dementia because it could be multifactorial. It could be that you have the right genes to make you this way later on. But the percentage seems higher in people who have had traumatic brain injuries.”

Dr. Roberts says parents should be concerned after head injury one. He knows you have to let kids live their lives and be kids, but the brain wasn’t made to get beat up like happens sometimes in sports.

It’s not known for sure that after one concussion, people are more likely to get more, but Dr. Roberts’ suspicion is that it is likely the case.

And when does he have a serious heart-to-heart with the parents and the athlete?

“After two. We discuss no longer participating in the activities which could cause further injury because the likelihood of you having a head injury in your lifetime is still pretty high,” Dr. Robert said. “You are going to hit your head on a tree branch or you are going to fall off your bicycle or someone is going to run into you. You are going to be stepping out of the car and slip or walking across ice and fall down. My opinion after behavior has shown us that you are going to get injuries in a particular sport, you should probably not be playing in that sport because you are not able to protect your head.”

Dr. Roberts has seen strong reactions from both the parents and the kids after being told he or she should quit playing their respective sport. And it’s not just football as most people expect. It’s with the gymnast who has fallen off the bars and knocked herself out or the soccer player who has headed the ball and gotten knocked unconscious.

But football still remains king in Texas – in popularity and in concussions.

So what can be done about it?

Dr. Roberts is not sure there’s a good answer to that question. Building better equipment helps, but then armoring players probably makes them feel invincible and they hit harder. If you take away the facemasks or hard shell football helmets, he expects you will return to the old days – less concussions, but more skull fractures and in the process, immediate deaths on the playing field.

For now, Dr. Roberts wants parents to monitor their kids closely and to take the recommendations from their doctor closely. If they say it’s time to stop – stop!

“All the steps that sports are taking to make it safer are positive,” he said. “I think that everybody involved has to think less about return to play and more about long term health.”

About the source

Richard Roberts, M.D., is a neurosurgeon at Cook Children's. When a child with a neurological disorder requires surgery, the experts at Cook Children's Medical Center offer comprehensive care and state-of-the-art technology. With the help of such state-of-the-art equipment as the revolutionary intraoperative MRI (iMRI), our neurosurgeons are able to determine effectiveness of surgical procedures for cranial and spinal nerve disorders and tailor the treatment to each child's unique needs.

Photo credit: Kelly Gavin, Texas Rangers.