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PEDIATRIC Emergency Medicine

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PEDIATRIC Emergency Medicine Newton-Wellesley Hospital’s HeaHealthSolthSoururcece Summer 2016 Family-centered Care Shark Bite on Spring Break Pediatric Emergency Medicine Programs & Classes “We were standing in the water getting ready to head back to the “I decided not to have surgery in Florida because it wasn’t urgent. beach when it felt like a bear trap grabbed the back of my foot. I was leaving the next day and decided I wanted to wait until I re- Right in the muscle,” says Dan. “I screamed and then took a couple turned to Boston to determine the best place to have the procedure.” steps to run when I felt something bite me again. With the second bite, the shark got my Achilles tendon so my leg gave out from When Dan returned to Massachusetts, he and his mom visited under me and I shouted, ‘I'm bit! I'm bit!’” Newton-Wellesley Hospital’s Emergency Department to determine his next steps. His care team in the ED recommended that he con- Dan managed to crawl out of the water and look at his ankle. sult an orthopaedic surgeon about the tear in his Achilles tendon There was a big gash across his Achilles down to the bone and his and the possibility of some of the shark tooth still being in his foot was limp. His friends carried him off the beach to get help. ankle, which they were able to see in an X-ray and MRI. “I almost fainted at that moment but didn't,” he says. “It started “After my trip to the Emergency Room my mom and I went to a to bleed like crazy but there was no pain; I guess I was in shock. local restaurant for dinner. While we were there we started chatting When we got to the house, they wrapped my ankle in a beach with a guy who asked about my injury and explained he was in towel and we waited for the paramedics to come. They came fact an orthopaedic surgeon... talk about being in the right place quickly (within 10 minutes) and we were off to the hospital.” at the right time.” Dan can’t believe that after spending most of his vacation sick in Robert Nascimento, MD, MS, Assistant Chief of Sports Medicine bed, he was bitten by a shark on his last day! at Newton-Wellesley and Medical Director of Sports Medicine at Boston College also happened to be in the restaurant that night. “We had 20 kids down there the whole week and not one issue and then I'm the lucky one who got snagged by a shark. I never “I happened to be in a local restaurant with a colleague, Dr. Andrew saw the shark because I was facing the beach, but we assume it Rogers, after we covered a Boston College Hockey game when we was a blacktip shark since there are literally tens of thousands saw Dan come in on crutches. We started talking and that’s when of them in the waters off Palm Beach County right now.” I first learned about his injury,” says Dr. Nascimento. “Through conversation it came out that I was an orthopaedic surgeon and When Dan arrived at the hospital in Florida, they disinfected the affiliated with Boston College Athletics. I offered to help in any way wound, stopped the bleeding and stitched him up. that I could. Later that night he emailed me and within a few days, Shark Bite he was set up to come in and see me.” on Spring Break When Boston College student, Dan Kenny arrived for his spring break in Vero Beach, Florida, he never imagined the way his vacation would go. After starting his trip off with the flu, he thought things would begin looking up... but he was wrong. During his last day at the beach, Dan got the surprise of his life. “There were 20 of us down on a private beach - no lifeguards and no people literally for miles,” explains Dan. “The majority of my friends had already gone home so it was just a small group of us left. I was really looking forward to enjoying my last day so I was in the water and on the beach pretty much the whole day.” Later that afternoon, Dan’s friend suggested they find another area of the water to swim since they had drifted in a current. Family HealthSource page 2 Family HealthSource page 3 Introducing Robert Nascimento, MD, MS Assistant Chief of Sports Medicine In Good Hands... Sports Medicine Robert Nascimento, MD, MS, recently joined Newton- Wellesley Hospital as our new Assistant Chief of Sports Medicine. He is also the Medical Director of Sports Medicine When Dan came for his evaluation, Dr. Nascimento explained that surgery at Boston College. Dr. Nascimento received his master’s would be necessary to repair his tendon. of science degree in chemistry and biochemistry at the “Ninety percent of Dan’s tendon had been torn by the shark bite and the University of California Los Angeles and his medical degree tooth was sitting next to it. He was very lucky. The injury was centimeters from the University of Massachusetts Medical School. He away from crucial vessels and the outcome would have been much went on to complete his orthopaedic surgery residency different if the bite had affected that area,” explains Dr. Nascimento. “Dan training at University of Massachusetts Medical School did a great job with the surgery. We kept him overnight to treat him with and his fellowship in sports medicine at Boston University. antibiotics because the tooth had been removed from the wound. Our Dr. Nascimento is Assistant Clinical Professor of Infectious Diseases team at the Hospital worked with me to make sure he was receiving the very best care.” Orthopaedic Surgery at Tufts University School of Medicine. He is currently head team physician for Boston The Orthopaedic Surgery Service is one of Newton-Wellesley Hospital’s College Athletics and the Boston Renegades of Women’s largest clinical services. Patients of all ages with disorders of the muscu- Pro Football Alliance. He has also recently served as head loskeletal system are treated by highly skilled orthopaedic surgeons. team physician for the Boston Cannons Professional The team offers a variety of minimally invasive techniques for patients Lacrosse team and the Boston Breakers Professional and procedures where it is warranted. Soccer team. “Newton-Wellesley has an incredible safety record regarding inpatient and outpatient surgery,” adds Dr. Nascimento. “We take great pride in Dr. Nascimento is a member of the New England Shoulder our quality outcomes and safety profile. Our entire team is committed & Elbow Society, the Arthroscopy Association of North to providing superb patient care.” America, the American Orthopaedic Society for Sports Medicine and the American Academy of Orthopaedic For Dr. Nascimento, Dan’s shark bite was definitely a patient care first. Surgery. He is board certified in orthopaedic surgery. “It’s the first shark bite I have treated and I’m glad I met Dan that night His clinical interests include complex knee and shoulder and could help him recover from this injury,” he says. “Dan’s done a arthroscopy, shoulder instability/labral repair and laterjet great job and is taking it all in stride. It will take about 10 to 12 weeks procedure, shoulder replacement surgery, rotator cuff for the tendon to heal. He will continue with rehabilitation for about four repair, meniscus repair and ACL reconstruction. to six months and in the future will be able to take part in all of his normal, everyday activities.” Family-centered Care at Newton-Wellesley Hospital Daniel is also very grateful to have met Dr. Nascimento. During a routine ultrasound when Amber Rauh was five weeks They told Amber that she would need surgery to correct the issue, “He was absolutely fantastic,” says Dan. “He is such a great guy, and every pregnant, doctors found a 9 cm ovarian cyst. which most likely would involve removing her ovary. “Hearing that single person I met in the Hospital from the nurses to physical therapists news, I was very worried since I was pregnant. I opted to travel and occupational therapists were phenomenal. My Boston College family, “I didn’t think much of the diagnosis at first,” says Amber. “The back to Newton-Wellesley to have my OB Dr. Greiger perform the especially my driver Pam, has also been great. I couldn't have had a better decision was to wait until my delivery and have it removed at that laparoscopic operation.” experience at Newton-Wellesley. My parents and I were so impressed and time, while continuing to monitor the cyst during my prenatal care.” grateful for it. I mean everyone, everyone, was fantastic and took great Afarin Greiger, MD, and Christina Salazar, MD, both OB/GYNs at care of me.” However, when Amber was nine weeks pregnant and on vacation, Newton-Wellesley performed the laparoscopic oophorectomy she started experiencing massive cramping in her lower left (removal of the ovary and cyst). abdomen. “The pain was excruciating and I wasn’t sure if it was For more information about Sports Medicine at Newton-Wellesley the cyst or the baby,” says Amber. “We went to the local emergency “An ovarian torsion is a twist in the ovary around its pedicle or stem, Hospital, please call CareFinder at 866-NWH-DOCS (694-3627) or visit www.nwh.org/sportsmedicine. room, where they performed an ultrasound to check what could which usually happens when there is a mass in the ovary, like a cyst,” be causing the pain.
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