What We’re Thankful for this Year

In celebration of Thanksgiving, members of the CHOC Children’s pediatric health care system express what they’re most grateful for this year.

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Chloe Krikac, child life specialist

“I am so grateful to work for an organization that I love, and am truly honored and humbled that I get to walk into these halls every day. I am grateful to the parents of our little ones at CHOC for their trust and for giving us the opportunity to serve them. This year, I am especially thankful for my amazing team of child life specialists. I could not imagine this journey without their loyalty, laughter and unconditional support. Happy Thanksgiving CHOC and thank you for giving me the opportunity to do what I love.” – Chloe Krikac, child life specialist

“I am so very thankful to be a nurse here at CHOC, one of the leaders in children’s healthcare. The hard work, dedication and compassion that I see in the NICU makes me proud to be a part of such a wonderful organization. I am humbled and thankful to the parents and families that allow me to care for their most precious gifts each, and every day.” – Bridgette Glass, RN, neonatal intensive care unit

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Dr. Angela Dangvu, CHOC Children’s pediatrician

“As we at Pediatric & Adult Medicine reach the first anniversary of having joined CHOC Children’s Primary Care Network, I am grateful to be part of a health care system that is dedicated to providing the best care for children. When I came to CHOC Children’s 20 years ago as a resident, I knew it was a special place for patients, their families and the people that worked there. Though the hospital and the services that we are able to provide have expanded beyond what I could have imagined, it remains a special place for children and the people who care for them.” – Dr. Angela Dangvu, CHOC Children’s pediatrician

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Dani Miliken, RN, clinical director of CHOC’s mental health inpatient center

“There are so many things to be thankful for this year! I am incredibly thankful that I was able to become a part of the amazing CHOC Children’s health care system this year. I am thankful to get to work with the extremely dedicated care providers here who have such a passion for helping children and families. I am also immensely thankful for the community involvement in developing the new Mental Health Inpatient Center. With such strong community support and CHOC leadership commitment around the Mental Health initiative I get to be a part of something very special and for that I am truly thankful!” –Dani Miliken, RN, clinical director of CHOC’s mental health inpatient center

“I am so thankful that CHOC Children’s help to provide me the opportunity to earn my BSN this past year. I look forward to applying this knowledge to be able to better care for my patients for many years to come.” –Barbara Mazurek, RN, hematology/oncology unit

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David Dukes- Chair, CHOC Children’s Board of Directors

“I am thankful, honored and humbled to serve as Chairman of the Board of Directors of CHOC Children’s Hospital. Our Board of Directors is passionately committed to see CHOC Children’s continue its rapid ascent as one of the premier children’s hospitals in the United States.  Driven by a highly talented, dedicated and passionate team of doctors, nurses and staff, CHOC provides exceptional and innovative care for every child we serve.” –David Dukes- Chair, CHOC Children’s Board of Directors

chris-larry-laulhere-2“We’re thankful to CHOC for helping to create The Cherese Mari Laulhere Child Life Department. After we met the child life specialists and saw the way they help patients navigate changes in their young lives, and the way patients interact with child life’s specialty services such as pet therapy dogs and Red Nose Docs, we knew this was the perfect gift from Cherese. If she can see what a difference she is making we think she is smiling. We have since become closer with The CHOC Foundation staff and the Child Life Department staff. Our hearts overflow with gratitude and thankfulness every time someone thanks us for Cherese’s gift.” –Chris and Larry Laulhere, who on behalf of The Cherese Mari Laulhere Foundation, generously donated $5 million to CHOC’s child life department

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Brianna Miller

“This year I am thankful for CHOC for so many reasons- this has been one of the hardest years of my life, being diagnosed with and treated for Hodgkin’s Lymphoma. My care team at CHOC has been nothing short of amazing. My oncologist, Dr. Kirov, has done a great job treating my stubborn cancer and working with things often not going the way he expects. My social worker and case coordinator have done everything they possibly can to connect me to scholarships, foundations, etc. so that I can take advantage of all the resources available to me. And I’m especially thankful for Kara and the rest of the child life department for putting on fun events and always brightening my day by coming to visit me!” –Brianna Miller, patient

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Dr. Jessica McMichael, pediatric orthopaedic surgeon

“Working at CHOC has been a dream I didn’t even know I had. I’m unspeakably grateful for my family, our health, and the abundance of opportunity in our lives. I try to remind myself of this every day in little ways…like if there a pile of dirty laundry on the floor that is actually awesome because it means we all have clothes on our backs. I’m grateful for my patients who show me grace, kindness, patience and humor everyday…even when they have their own struggles and frustrations. I’m grateful for the colleagues in my practice for providing me with an opportunity to grow a medical practice and serve the community. I’m also grateful for the heart work and diligence of our orthopedic residents, who I get to teach every day.” –Dr. Jessica McMichael, pediatric orthopaedic surgeon

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Dr. Yigit Guner, pediatric general and thoracic surgeon

“I am thankful for the trust of our patients and families. With the strong support of many highly trained pediatric specialists, our newly-opened all private room neonatal intensive care unit (NICU) is proud to offer, among other services, lifesaving surgeries for premature infants in Orange County.” –Dr. Yigit Guner, pediatric general and thoracic surgeon

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Dr. Kenneth Kwon, a pediatric emergency medicine specialist

“I am grateful to be part of an integrated pediatric and general hospital where child-specific and family-centered care is so greatly emphasized. I am especially thankful to those CHOC staff members working where both children and adults are seen (emergency department, radiology department, and operating rooms), and for making quality care for children in these shared service areas such a high priority.” –Dr. Kenneth Kwon, director of pediatric emergency services at Mission Hospital, and chief of staff at CHOC Children’s at Mission Hospital 

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Nursemaid’s Elbow in Kids Caused by Common Activities

Nursemaid’s elbow is one of the most common injuries in small children, and it can happen during the most innocent activities, like swinging a child by the arms or playing tug-of-war.

“There is a natural looseness in the ligaments of little kids’ elbows,” according to CHOC Children’s pediatric orthopaedic surgeon Dr. Jessica McMichael. “Nursemaid’s elbow happens when the arm gets tugged or pulled, which can partially dislocate the radial head portion of the elbow.”

The injury can happen when a baby or small child is lifted by the hands, or when a child tugs their arm while holding someone’s hand. It can also happen when an object is pulled from their hand, when a baby rolls over or because of a fall.

What are Symptoms of Nursemaid’s Elbow?

Parents can look for these characteristic signs of nursemaid’s elbow in their child:

  • The child stops using their arm normally or treats their arm gingerly
  • The elbow appears straight and the child doesn’t want to bend it
  • The child holds their arm limply and away from the body, “like a paralyzed arm”
  • The palm is rotated inward, rather than facing out toward the front of the body
  • The child complains of pain in the elbow, forearm or wrist
  • Someone holding the child’s hand may feel a pop in the child’s wrist when the injury happens

Nursemaid’s elbow is a very common orthopaedic condition treated at CHOC, according to Dr. McMichael. It is likely to happen multiple times after a child has it once.

“Nursemaid’s elbow is not threatening to the limb, but it does need to be treated,” Dr. McMichael says. “It’s okay to wait until the next morning if your child is acting okay. If your child is not acting like themselves, get it checked out.”

How to Fix Nursemaid’s Elbow

To fix nursemaid’s elbow, a medical professional will gently and quickly pop the elbow back in place. A child might feel pain for a brief moment during the procedure but should start using their arm normally within a few minutes.

If a child’s elbow pops out of place three or more times in a month, a cast may be put on to immobilize the arm and promote stiffness.

Nursemaid’s elbow can be treated by a pediatrician, a pediatric orthopaedic specialist or at a pediatric emergency department. Parents should not correct the elbow themselves unless instructed by a doctor.

Dr. McMichael encourages parents to educate people who are around their child, like grandparents, daycare staff and preschool teachers, about the safest ways to lift a child, hold their hands and play with them.

Nursemaid’s elbow is less likely to occur after age four, when the elbow ligament starts to tighten up and improves with age and growth.

To make an appointment with a CHOC orthopaedic specialist, call 888-770-2462.

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New Orthopaedic Surgeon Places Patient- and Family-Centered Care First

A new orthopaedic surgeon with special training in orthopaedic trauma has joined the CHOC Children’s Orthopaedic Institute team. Dr. Jessica McMichael specializes in the care and treatment of fractures and a variety of pediatric musculoskeletal disorders, including limb and foot deformities, and cerebral palsy.

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A fierce advocate for families, Dr. McMichael strongly believes in treating patients and parents how she would want her own family to be treated.

“I like to take the time to listen to my patients and their families’ questions,” she explains. “I also know that if they’re at the clinic or hospital, they have probably taken time from work, school or other duties, and I want to show them that their time is valuable to me.”

Dr. McMichael approaches every parent interaction with her “mom hat” on.

“Being a mother changed me 100 percent. I always reinforce to parents that they know their child better than I do. I encourage them to listen to their intuition,” says Dr. McMichael, a mom to a toddler. “It’s about building a relationship with them.”

Dr. McMichael’s interest in orthopaedics started as a young girl. She remembers the exact moment. She idolized a friend’s older cooler sister, who shared that she was studying to be an orthopaedic surgeon. When Dr. McMichael learned what an orthopaedic surgeon did, she knew that’s what she wanted to do, especially if it meant being just like her idol.

Dr. McMichael earned her medical degree from Saint Louis University School of Medicine where she also completed her residency. She then served as an orthopaedic surgeon in the U.S. Air Force in Korea. Later, she provided trauma care training to military personnel as an adjunct faculty at the Center for Sustainment of Trauma and Readiness Skills in St. Louis, Missouri. Dr. McMichael completed her pediatric orthopaedic surgery fellowship at Shriners Hospitals for Children Northern California/UC Davis Medical Center.

It was during her fellowship at Shriners when Dr. McMichael became captivated by her young patients’ resilience.

“It was so invigorating to take care of someone who just wanted to play and get better,” she says. “It’s like kids are programmed to do well. That helps in their care and recovery.”

Dr. McMichael is working with the CHOC team to develop a multidisciplinary comprehensive bone health program, which would include conditions like osteogenesis imperfecta, a disorder characterized by brittle bones.

Dr. McMichael is a board-certified orthopaedic surgeon with the American Board of Orthopaedic Surgeons. She is a member of the Pediatric Orthopaedic Society of North America, the Orthopaedic Trauma Association, and the American Academy of Orthopaedic Surgeons.

In her spare time, Dr. McMichael enjoys spending time with her husband and daughter, reading, camping, and participating in any Disney-related activities.

Learn more about the CHOC Children’s Orthopaedic Institute.  

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