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Services & Specialties

Quinn’s Scoliosis Journey

“We are so happy with Dr. Khoury and what he’s been able to do for our son. He is an amazing doctor. He always treats everyone with respect. We are excited to continue our scoliosis journey with Dr. Khoury and Nemours.” –Mom to Quinn (age 4) Quinn’s mom first noticed something was wrong with his back when he was just 2 months old. “I could feel a bump on one side of his back,” she explains. “I thought it was lack of muscle tone…I didn’t know that what I was feeling was the rib hump.” When she mentioned this to Quinn’s pediatrician, she diagnosed him with torticollis and Quinn began doing physical therapy. His torticollis eventually got better, but mom knew there was still something wrong with his back. That was because Quinn didn’t sit on his own until around 8 months, and he didn’t crawl until after 9 months. […]

Apifix: A Unique New Scoliosis Treatment Option

Contributed by Kevin Neal, MD, orthopedic surgeon What is the Apifix device that is used to treat scoliosis? The Apifix device has a few different names. It can also be called minimally invasive deformity correction (MID-C) or an “internal brace.” The Apifix device is a rod that is used to straighten scoliosis curves without a major spine fusion. Why do some patients want to avoid spine fusion? A spine fusion is where the vertebral bodies are stabilized so they can’t move, typically with rods and screws. The joints between the vertebrae bones are removed and bone graft is placed to help the vertebral bodies grow together and become solid. Preventing movement of the spine keeps scoliosis curves from getting worse and keeps the spine straight after it has been corrected. Spine fusion is a great operation for many patients with scoliosis. But some patients want to treat their scoliosis without […]

teenage girl refusing sandwich

Is Gluten to Blame for Your Teen’s Gastrointestinal Problems?

Diarrhea. Abdominal pain. Bloating. Ugh!!! These annoying symptoms can occur in many gastrointestinal problems that teenagers experience. On social media, on the bleachers a school sports events, at doctors’ appointments, it seems like everywhere people are talking about gluten. What is gluten? Gluten is a group of proteins commonly found in wheat, barley, oats, and rye. It affects the dough quality of breads and is added to processed foods to improve texture, moisture, and flavor. When should a teenager go gluten-free?   When they are diagnosed with a problem caused by gluten. Celiac disease, wheat allergy, and gluten intolerance involve gluten, but are not one and the same. Celiac Disease Celiac disease is an autoimmune disease where gluten triggers the body’s immune system, which normally makes antibodies to fight off harmful invaders like viruses or bacteria, to make antibodies against itself. These “autoantibodies” damage villi, finger-like projections lining the small […]

The Star Wars Cardiac Jedi- Vincent’s Story

Contributed by Vincent’s mom Tamara. When my father died of a heart attack at the age of 39, I was only 4 years old. It was very hard on me and I always feared that I would have a heart problem or my kids would have one. Our pediatrician recommended that both my son and daughter be seen by a cardiologist to be sure that their hearts were healthy. She asked that I get my children cleared by the cardiologist, so of course; I called Nemours Children’s Health, since we’ve had previous appointments there. My daughter and son both had an EKG;  Dr. Steven Ritz, our Nemours pediatric cardiologist, said that something showed up on Vincent’s EKG and that he would need to have an ultrasound. Dr. Ritz went over his findings in detail with us. Vincent was diagnosed with Wolff-Parkinson-White (WPW) Syndrome, a condition in which he has an extra electrical […]

Patient surrounded by her care team

The Beat Goes On: Grace, a Heart Patient, Shares Her Story

Back in February of 2016, I started experiencing horrible palpitations, and decided one day to go get it to check out. I was immediately diagnosed with (WPW) -Wolff-Parkinson-White syndrome. After my first heart ablation, everything went smoothly. I was back to doing all the sports I loved like track and cheer! I was living life to the fullest. However, a couple of months later, I started to have the same palpitations, along with being super tired and getting dizzy. The doctor I originally went to had moved away, so my mom who is a nurse, did her research, and we decided to switch over to Nemours Children’s Health.  Seeing a cardiologist there, I had my second heart ablation in December 2016. I was 14 years old and have had two heart ablations! The surgery was quick, and I was told that everything looked good, they said. I recovered perfectly and […]

Dancing Perfection- Samantha’s Spine Story

During a routine scoliosis check in school, Samantha received some alarming news. She was diagnosed with scoliosis and her spine had grown into an S shape. After meeting with multiple doctors and specialists, Samantha’s family decided to come to Nemours Children’s Hospital, Delaware to meet with Dr. Suken Shah, pediatric orthopedic surgeon. Due to the severity of the curve, Dr. Shah determined that a posterior spinal fusion was needed to correct her spine and prevent pain and disability in later life. Samantha was nervous but determined. She continued dancing, her passion, up until the day of her surgery. Her determination continued as she was able to stand within hours of her surgery, and walked the hospital halls the next day thanks to excellent pain management and the Nemours rapid recovery pathway.  She was also thrilled to learn she had grown a couple of Inches! Not sure she would ever dance again, Samantha […]

An International Search of Hope- Maria’s Story

Contributed by Maria’s dad Shahid. When Maria was 10 months old, we noticed some abnormalities in her chest and back, but we weren’t able to find a hospital or doctor who understood her situation.  She was frequently ill with pneumonia and breathing was painful. Her condition eventually worsened.   When she was 18 months old, we met a doctor in Peshawar, Pakistan who diagnosed Maria with MPS. It was our first time hearing the word MPS (Mucopolysaccharidosis), so we did online research and reached out to other families. Unfortunately, there is no treatment for rare diseases in Pakistan and there was no family to guide us for diagnosis and treatment. I sent Maria’s bio-samples to India, and Germany where they confirmed that she had MPS, but they were unable to determine her type of MPS. So, I sent her samples to the US and a diagnosis with MPS IV was […]

Achieving Milestones with a Disability- Emily’s Cerebral Palsy Journey

Contributed by Emily’s mom Elizabeth. Emily is an AMAZING little girl! At 5-years-old, she is comfortable telling people she has a disability and that her muscles work differently than theirs do. Emily was born three months early and diagnosed with cerebral palsy when she was about a year and a half old. Both Emily and her identical twin sister, Sarah, were delayed in reaching their milestones, but Emily’s delays were more pronounced.  Emily is super determined and does everything she can to keep up with her peers. This requires A LOT of hard work! Emily does about 6-7 hours of therapy a week, a combination of PT, OT, and aqua therapy. Since she was about 3, Emily has received intermittent Botox injections to loosen her muscles and give her some additional flexibility and mobility. For example, she learned to walk with lofstrand crutches within 6 months, a task they rarely teach children her age given […]

Let's Rethink How We Talk to Teens about Their Weight

Let’s Rethink How We Talk to Teens about Their Weight

Perhaps we need to rethink how we talk to our teenagers who have a weight issue. At the Nemours Eating Disorders Evaluation and Management Program, we see teenagers who pinpoint the onset of their eating disorder to comments made by well-intentioned doctors, coaches, or health teachers.

Depression Screening in Primary Care, Powered by Nemours Children's Health System

Depression Screening in Primary Care – Why It’s Essential

Rates of mental health concerns among adolescents, including depression and suicidal thoughts, have risen substantially in recent years. Studies have also shown that the COVID-19 pandemic in the U.S. has disproportionately affected people with low socioeconomic status, as well as Black, Indigenous, and Latino people, all of whom have experienced higher rates of cases, hospitalizations, and deaths. According to suicide.org, about 20 percent of all teens experience depression before they reach adulthood, but only about 30 percent of teens are being treated for their symptoms. Pediatric primary care is an important setting for routine mental health screening among adolescents. The American Academy of Pediatrics (AAP) recommends universal screening by primary care providers for all patients 12 years of age and older at their annual well visits. Depression screenings are important because signs can often be missed if they are not obvious to untrained individuals.  Kids who are in distress often […]

Nathan's Story

Nathan’s Story of Determination

This post was written by Nathan’s mom Kim Silpath “It’s not about me anymore, it’s about the other kids”- Nathan Every day, 43 parents have to hear the same words we heard a few years ago, “your child has cancer.” I still remember that moment, and the reaction from my son, Nathan. He was ready to fight it. Not just for himself, but fight and help other children with cancer too. I could not have been more proud. Nathan was an incredible child that had a passion for school, sports, and most importantly helping others.  He loved meteorology, biology, hiking, soccer, sled hockey, and football! Nathan’s cancer battle started in 2010 when he was at soccer practice and started mentioning how his leg was bothering him. Nathan noticed a bump on his leg, but like most kids, didn’t think much of it and continued playing soccer. As his pain increased, […]

A Local Partnership With Global Impact

How did two children’s healthcare organizations in Jacksonville, Florida care for kids 7,000 miles away? Jonathan Soud was a 12-year-old patient at Wolfson Children’s Hospital and Nemours Children’s Health, Jacksonville, being treated for leukemia. During his treatments, his doctors and family spent a lot of time talking to him about his interests in travel and other cultures, especially the country of Mongolia. Eric Sandler, MD, is a pediatric hematologist/oncologist at Wolfson Children’s Hospital and chair of the department of pediatrics at Nemours Children’s Health, Jacksonville. He developed a special bond with Jonathan during treatments, sharing his own fascination with distant lands. Dr. Sandler also discovered that Jonathan had an interest in serving others. “After he passed away, his parents came to me and said they wanted to figure out a way to honor Jonathan’s memory,” said Dr. Sandler. “Since we had had all those conversations regarding Mongolia, his family decided to […]

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