We were referred by our pediatrician when the “sprain” was something more. We became unlucky when Dr Silver was available to see my daughter. Never seemed terribly concerned that she went through a cast, treatments, surgery, a brace, and physical therapy with little improvement. Didn’t seem concerned about the teasing she received from kids at middle school, nor the fact that she was unable to play her sport or her musical instrument. Then after 9 months she was dismissed from care when nothing more could be done, adding a snarky remark that “At least the elbow isn’t frozen at full extension. She can still eat and brush her own hair.” Yes, that is a perfectly uplifting and positive remark to a young girl whose life changed and who to this day had a crooked arm that will never straighten.