Neurology/Neurosurgery

Predicting whether children with ADHD will get better over time

ADHD is a controversial condition for several reasons: It is widespread and costly, so it attracts interest. It is treated with stimulant medication, and medication use has skyrocketed, raising questions about how diagnosis is conducted. Most crucially, over time, some children naturally get better while others have very poor outcomes, and we cannot yet predict which are which. A major scientific focus is to identify biologically sound subtypes that will add to clinical prediction. In … Read More

Resilience

In my work as a pediatric brain and spine surgeon at OHSU Doernbecher Children’s Hospital and OHSU Hospital, I get to meet some pretty amazing children. Alex Shepherd most certainly counts among them. Alex came to Doernbecher after a seizure led to diagnosis of a brain tumor. Despite the presence of an 11 cm long ‘C’-shaped mass in the depths of Alex’s brain, he remained a charismatic and enthusiastic 10-year-old. Except for the moments of … Read More

Defining the best practices

Doernbecher Children’s Hospital has the largest program in Oregon for the repair of skull birth defects called cranial synostosis. In synostosis, one or more of the skull growth plates is missing, which can cause a severely misshapen head, pressure on the brain, developmental delay and even blindness. Surgery to repair synostosis requires an accredited specialty team comprising a pediatric neurosurgeon and a pediatric craniofacial plastic surgeon. At Doernbecher, I am privileged to do this work … Read More

A beautifully illustrated concept

For surgeons trying to explain a new concept, surgical technique, or anatomical insight, a picture may truly be worth a thousand words. That is why I am always excited to work with my colleague Andy Rekito, an award-winning medical illustrator and artist, and assistant professor of neurosurgery at OHSU. Whether I am representing Doernbecher’s neurosurgical work to the public, teaching neurosurgical young faculty and residents safe and proven techniques, or presenting an important new finding … Read More

Parents try alternative medicine to ease their child’s headache pain

More than 1 in 10 young people in the United States experiences recurrent headaches, and parents are eager to find ways to ease their pain and help their children get back to normal life and school. To that end, nearly 1 in 3 youth aged 10 to 17 who regularly experience headaches are turning to some type of complementary or alternative medicine (CAM), in addition to conventional medical care. CAM includes things like herbal therapies, acupuncture … Read More

Introducing Nike Doernbecher Freestyle designers for 2013 — Jake Dering

Here’s the thing about 8-year-old Jake Dering: the kid’s got swagger. After enduring 19 surgeries to treat an extremely rare genetic condition called otopalatodigital syndrome type II, he’s earned the right to strut a little. Jake’s charm is not lost on the ladies. He’s been known to liberally dose himself with Calvin Klein cologne (he calls it smelly sauce) when the occasion calls for it. He’s also a smooth operator on the dance floor, making … Read More

OHSU Doernbecher publishes landmark brain repair trial in Journal of Neurosurgery: Pediatrics.

I was proud to see the publication of a landmark brain repair trial carried out at OHSU and Doernbecher Children’s Hospital. Our large team of researchers reported the results of this first-ever use of brain-specific stem cells in human patients. The trial, begun in 2006, involved surgical transplantation of purified neural stem cells into six pediatric patients with the rare and uniformly fatal form of the brain degenerative disorder, Batten disease, plus extensive medical and … Read More

Educating the educators

No matter what we do in life, having our students follow in our footsteps is a sweet reward. One of the important missions carried out at OHSU Doernbecher Children’s Hospital is the education of the next generation of innovative, high-quality and safe medical and surgical practitioners. Indeed, the university has some of the leading training programs in the country in many fields. At a recent medical meeting, I spoke with the chairman of neurosurgery at … Read More

The lasting impact of a life in medicine

I received a copy of a letter recently that reminded me of the lasting positive impact that a life in medicine and surgery can have. I asked the author of the letter and her family if we could share their story, and they generously told us to go ahead. I hope it inspires you as much as it did me. In 1970 my mentor and Doernbecher benefactor, Dr. Mario Campagna, operated on Peggy Baker to … Read More

Enjoying a colleague’s success

In January I was invited to a very special dinner celebration to acknowledge my friend and colleague Dr. Jeff Koh, head of pediatric anesthesiology at Doernbecher Children’s Hospital. Dr. Koh was being honored as the first holder of the Fred Fax Professorship of Pediatric Anesthesia. This endowed position, a gift from the estate of Alice and Fred Fax, will support the important work of Jeff and his colleagues at Doernbecher now and in perpetuity. At the … Read More

Doernbecher Children's Hospital

Doernbecher Children’s Hospital

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