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Emily’s Story – Dr. Kathryn M. Peck

Kathryn Peck patient photoEmily was playing the offensive position of jammer for her roller derby team when one of her opponents swept in for a big hit. Emily’s finger was pulled away from her hand resulting in the fifth metacarpal bone being fractured. Emily practiced through the pain not thinking anything was seriously wrong.  She posted a picture on Facebook of the injured finger and her friend, Dr Bree Simmons, who is also a sports medicine doctor at St. Vincent Sports Performance, suggested that maybe her injury was serious and needed a professional evaluation.

Emily visited Dr. Simmons, and she first splinted the injury to try to get the bone to reset on its own. She continued to play roller derby in a hard, protective splint. After several weeks, though, it became clear via X-ray that the bone was healing out of position. Since Emily is a writer by profession, her hand is a commodity, Dr. Simmons referred her to Dr. Kathryn Peck of the Indiana Hand to Shoulder Center for an complete evaluation. Dr. Peck said surgery would be needed to repair the fracture and put it in a better position. Dr. Peck would implant a small plate and screws to support the bone.

“Emily had an impending mal-union where her bone was displaced and causing her fingers to cross over whenever she made a fist. It affected her grip strength as well as the function of her hand”, said Dr Peck. Dr.Peck would basically scrape off the part of the bone that was regenerating, restore the pieces to alignment and attach them with hardware. Emily had surgery just days after she met with Dr. Peck.

After surgery Emily visited the therapy department to start regaining her range of motion. The therapist used ultrasound treatment and exercises to restore the movement and range of flexibility in her hand. Emily also had exercises she had to do multiple times daily at home. “The staff was always very friendly and gave me different exercises to keep my hand on a steady arc of improvement. They also gave me different splints to maximize the range of movement my hand could have. This made my life easier at home and I’m sure encouraged the restoration of full function to my hand.” said Emily

Kathryn Peck patient

Emily was unable to participate in roller derby for around six weeks. Dr. Peck worked with Dr. Simmons (who is a former roller derby player who works to ensure all athletes keep as active as possible while healing from injury) to track her progress. “I think I was off skates for about four weeks, then I was allowed to skate with no contact for about two weeks, then finally I was allowed to fully participate with a protective splint. When they determined the bone was healed and not in danger of easily breaking in the same spot, I stopped using the splint.“ Emily said.

“Emily worked incredibly hard to get back to roller derby as quickly as possible. Her dedication and commitment to the rehabilitation process was amazing” said Dr Peck.

Kathryn Peck patient photo“My experience with the Indiana Hand to Shoulder Center was the best you could expect from the situation of having a broken bone. I was reassured by the fact that I was going to a center with expertise in hands. Dr. Simmons had strongly recommended the practice and Dr. Peck in particular. Dr. Peck explained everything to me in terms I could understand and was open to helping me get back into full participation in my sport as soon as possible. I don’t know if she was familiar with roller derby before I walked into her office, but some medical professionals are freaked out by and overly cautious about the fact that I would choose to spend my free time playing a full-contact sport on wheels. However, Dr. Peck seemed to understand its importance and open to helping me reach my goals of getting back on skates as soon as possible. I felt she combined the best qualities in a health care provider in that she was both straightforward and honest, but also projected the kind of caring and concern you want in a medical experience. I also enjoyed working with the various therapists at the center. I like that the surgery center was attached to the same place where I met with Dr. Peck and got my x-rays. It felt like a comprehensive and cohesive practice in a way that’s kind of rare these days in health care.” said Emily.

“Any time I hear anyone has a hand or shoulder injury, I recommend the Indiana Hand to Shoulder and Dr. Peck. Her down-to-earth approach, combined with her expertise, make her an excellent physician, from this patient’s perspective. I only have a small scar and my hand works great. “

Sawyers’ Story

fb_sawyer_story_peckI want to take a minute to share our story and give recognition to not only a wonderful Doctor but an outstanding individual that I owe so many thanks to! Back in October a fall off of our kitchen bar stool, left my 3-year-old with a nasty fracture of both the ulna and radius bones in his left wrist. It was reduced in our local emergency room and casted for 4 weeks. Five days after getting that cast off, a slip in the kitchen proved to be too much for the just broken wrist and we found ourselves yet again in the ER with yet another break, this time of only the radius bone. A few days following that break my son was complaining of pain so I took him into our local Ortho doctor to get checked out, only to find that the bone had shifted the opposite way and would need a pin placed as soon as possible. This was the day prior to Thanksgiving of course and our local Ortho was wanting to do surgery that day at 4:00 in our local hospital. After so many dealings between the breaks and our local hospital having not seen many of these cases I was not interested in him having surgery and wanted a second opinion. Due to his pain I was unsure of what to do.

I quickly called my friend who is a hand specialist for a referral on who was the best and she advised we see Dr. Kathryn Peck. After a quick look over her bio while sitting in the office waiting for his previous Doctor to return, I was fortunate enough to have her call and speak with Dr. Peck’s nurse who then immediately called me and started gathering information, she even had me text a picture of our x-rays to present Dr. Peck. On Thanksgiving night I received a phone call from Dr. Peck herself with news that she had an opening for surgery the following morning. I was a ball of mess and literally crying on the phone as we went over the details and arrival times. Not once did she make me feel as though I was overreacting or out of control even though looking back it’s clear I was.

The following morning we arrived at Peyton Manning Children’s Hospital. Meeting Dr. Peck for the first time it was clear she was referred to us as the best because she was indeed the best. Immediately after speaking with her my husband and I were at ease with putting our child’s health in her hands. I felt as though I was sending Sawyer with a lifetime friend who would treat him as though he were her own. I can’t begin to explain how thankful we are for her compassion. I had 5 million questions which were probably dumb and barely made sense as I tried to speak with nerves that made it hard to even breath. She hugged me before taking our little guy back and assured us everything would be fine.

We are now 8 weeks out from having his cast on and he is better than ever. There aren’t enough words in the dictionary to explain our thanks and gratitude for such an amazing woman but thank you from the bottom of our hearts. We are forever grateful!

God Bless, Daniel & Ashley B.

Kathryn M. Peck, MD: Brayden’s Story

Brayden’s Story

fb_brayden_kathryn_peckOur family came to Dr. Peck in hopes that we had finally found someone with the kind of pediatric expertise we needed, and the kind of compassion shown by a mother that we desired. Her bedside manner was amazing & genuine with every single encounter! Not once did I ever feel like a bother to her with my many questions. She even helped me make sure every question on my list had an answer written down before I left each visit. She looked at my son as a kid, as our future, not just as an experiment or a paycheck. She took an interest in him as a person.  She made sure he was comfortable during our visits and felt included. She got his opinion on things and asked what questions he had.

Brayden had lost his left thumb due to a lawnmower accident just days after his 5th birthday.  Several doctors on different panels across the U.S. called Brayden’s case a head-scratcher because of the CMC joint now missing after the accident. With minimal options,  we were originally preparing to wrap a very active toddler like a mummy for 4 weeks to be able to allow the skin to grow so that they could do the pollicization – moving the index finger down to the thumb area.  Dr. Peck reached out to one of her fellow surgeons that had done 1000’s of these surgeries to see if there was any way to keep us from going through more stress.  We gave the situation to God, and waited.  The day before the skin flap surgery, I got an exciting call from Dr. Peck from her personal cell phone on a Sunday afternoon saying she had spoken with her colleague and they both had faith that she could make this work without the flap.  We went forward with the pollicization.  The day of surgery, I felt like things were in the hands of a lifelong friend, not just some surgeon. The kind of trust that had built up, and the compassion that came from Dr. Peck, took every worry I had ever had and threw it out the window.

After 28 days in a cast, and a few months of therapy, Brayden was able to master just about anything you put in front of him!  April 1, 2017, a year after the surgery, I am ecstatic to report that there is nothing that this happy boy can’t do!  He can even push buttons through holes, which we didn’t think he would be able to do.  He has more movement & mobility than they thought possible with the missing CMC joint; and we have God & Dr. Kathryn Peck to thank for such an amazing outcome and bright future!

Crystal Clairday

A Patients Story: Jon A.

James J. Creighton, Jr.

Jon’s x-ray shows the nail polish glass still in his arm.

On March 6, 2015, 7-year-old Jon A. had decided it would be fun to set up an obstacle course in his house around 10 p.m., which basically meant he was jumping from one piece of furniture to the next.  He was on the recliner jumping to the inn table where there was a fingernail polish bottle sitting. He missed the table with his body falling to the floor between the table and the chair but his arm came down on the fingernail polish bottle, busting the bottle into pieces. A large piece of the bottle severed the FDP, FDS, FCU tendons; the palmaris, the median, ulnar, ulnar sensory nerve; and ulnar artery. A piece of the broken bottle was still in his arm.

“When we heard the screams we knew something was really wrong and we found Jon with our oldest daughter trying to get him to us, blood everywhere and pumping out fast.  My husband who is a PA got him to the sink so he could try to see what was going on and yelled at me to call 911 and I knew then if he was panicked then it wasn’t good.  Brandon was able to get the bleeding stopped before the medics arrived thankfully.” said Jon’s mother Amber.

The medics tried to assess Jon but if pressure was removed the bleeding resumed. They had no idea the glass was still in his arm until he got to St. Johns Hospital in Anderson where they did an x-ray. So while the pressure applied to the arm had to happen to keep Jon from loosing too much blood it may have also contributed to the extent of the laceration to the internal structures. The physician at Johns Hospital assessed him and decided he needed to go on to Peyton Manning Children’s Hospital in Indianapolis for surgery.

They drove Jon to the Peyton Manning Children’s Hospital and the intake nurse from the Indiana Hand to Shoulder Center was there waiting to assess Jon when we arrived to see if they needed to go straight to surgery or wait until the morning. With the extent of the injury they decided they needed to operate as soon as possible.

“The staff in the emergency room at Peyton Manning Children’s Hospital as well as the surgical staff were great with Jon and two very nervous parents. Dr. James J. Creighton, Jr.  took Jon into surgery around 3:30a.m., Brandon and I set in the surgical waiting room for what seemed like FOREVER.” said Amber

Jon after surgery with James J. Creighton, Jr.

Jon after surgery with James J. Creighton, Jr.

Dr. Creighton came out around 6:30 to tell the parents the extent of Jon’s injuries, which was much worse than they originally anticipated. The broken glass had to be removed as well as the fingernail polish before Dr. Creighton could even begin to repair all the arteries, nerves and ligaments.

“Dr. Creighton was very frank with us when he came to talk to us. Not making any promises on what kind of recovery Jon would have. We didn’t know if he would have recurring infections after surgery due to the fingernail polish, we didn’t know if he would have ever have normal function in his hand or any at all. Because he not only severed the ulnar nerve, he also partially severed the median nerve which controls your intrinsic muscles and the intrinsic muscles control the individual movement of the fingers. In the grand scheme of things this injury could have cost Jon his life, we knew we had already been given that blessing. But we did grieve for the things we knew Jon, who loves baseball, basketball, football, and all things little boys love may have to give up.” said Amber.

After recovery they spent two nights at Peyton Manning Children’s Hospital for them to administer pain medication and antibiotics. Jon went home with a huge cast and orders to come back in 10 days to remove his sutures and to get recast. Jon’s family had planned a spring break trip and left the day after Jon’s sutures came out. He was placed in a removable cast which was okay to get wet on vacation.

James J. Creighton, Jr

Jon getting his stitches out and enjoying Spring Break vacation

Jon started therapy with Barb in Anderson as soon as the family got back from spring break and continued therapy twice a week from April-August, then went to once a week in August-September where he was released after meeting all his therapy goals.

“Barb was so good with Jon, and he loved her.  She made him work hard but was very encouraging to him.”

Throughout the therapy sessions Jon had lots of different casts and splints to target one area of rehab or another. When Jon started his therapy with Barb his grip strength in his Left hand was 4lbs, 5 months later in September his grip strength was 20lbs. His progress was impressive.

“Jon saw Dr. Creighton monthly and He is so good with Jon, making sure he knew the importance of continuing to work to regain his strength and movement. Dr. Creighton was also impressed by the progress Jon was making.” said Amber

Jon was very guarded with his Left arm for a very long time and wouldn’t use it. Dr. Creighton assured the family that when he got the feeling back in his hand he would use it like he used to, and now he does.

“There are now times where I forget the accident happened because He is a normal boy, doing normal things, who just happens to have a really cool scar.  We can never give enough thanks to everyone who played a role in Jon’s treatment and recovery.  Dr. Creighton had a BIG challenge that night and he rose up like a superstar.  We are so thankful for him and his staff at the Indiana Hand to Shoulder Center. Plus the nurses and staff on the recovery floor after surgery, who were also wonderful and the multiple prayers that were said for our boy not only that night but all through his recovery.” said Amber

“While Jon will always have to be mindful to keep the scar tissue stretched as long as he continues to grow to make sure he doesn’t have retraction of his muscles and hand he is one blessed little boy who is back to enjoying all the things he could do before his injury.  He is just wrapping up his first season of tackle football, where he plays maybe a little more guarded, and his Dad and I are a little more nervous than we would have been prior to his injury.  But he plays center where he guards the biggest opponents and snaps the ball to the quarterback, and no one would ever know that just 6 months ago we weren’t sure Jon would ever have use of that hand.  We will continue to see Dr. Creighton once a year until Jon stops growing to be sure he is progressing as he should.  And we look forward to those visits to thank Dr. Creighton and remind him of the difference he has made in our lives.”

James J. Creighton, Jr. with Jon.

James J. Creighton, Jr. with Jon.

Jon's note to Dr. James J. Creighton, Jr.

Jon’s note to Dr. James J. Creighton, Jr.

James J. Creighton, Jr, the indiana hand to shoulder center

Jon is now back playing all the sports he loves so much.