Growing up, Matt Schiff was just like any other kid.
However, when he entered his early teenage years, he noticed a difference between him and his friends: he had a deep indentation at the center of his chest. And as he grew, the indentation did too.
鈥淚 had this huge hole in my chest, I could even eat cereal out of it,鈥 said Schiff. 鈥淚 was scared to go to the pool because people told me I looked like an alien.鈥
Schiff had a condition called pectus excavatum. Pectus excavatum occurs when the cartilage connecting the sternum to the ribcage doesn鈥檛 grow normally, causing a sunken appearance or indentation in the chest.
As time went on, Schiff鈥檚 concave chest made it harder and harder to breathe.
鈥淚 couldn鈥檛 run very far, I couldn鈥檛 play sports, and I didn鈥檛 know what to do,鈥 said Schiff. 鈥淪o, we started doing some research and found Dr. Russell.鈥
Katie W. Russell, MD, is a pediatric surgeon at Primary Children鈥檚 Hospital. She is the trauma medical director and the surgical director of the ECMO program. As a pediatric surgeon, one of her many areas of interest and expertise is repairing chest wall deformities.
Schiff first met with Russell in 2018 to discuss how to fix his chest indentation.
鈥淎fter talking with Dr. Russell, we decided the best option to fix my chest was the Nuss procedure,鈥 said Schiff.
The Nuss procedure is the most common fix for pectus excavatum. In this procedure, a metal bar is placed behind the ribcage to raise the sternum and correct the depression in the chest wall. In most cases, the bar is removed after three years.
On December 21, 2018, Schiff had the Nuss procedure done at Primary Children鈥檚 Hospital. After a brief hospital stay, he went home to recover. The benefits of the surgery were almost immediate.
鈥淎fter surgery, everything was completely different for me,鈥 said Schiff. 鈥淢y abs had been kind of hidden, but after the surgery it popped my chest out and I had abs. I enjoyed going to the pool and I enjoyed working out a lot more because I could see my results.鈥
More importantly, Schiff could breathe.
鈥淚 didn鈥檛 have shortness of breath anymore,鈥 he said. 鈥淚 could also hold my breath under water for way longer. Before surgery, it was like 30 seconds and after surgery it was three minutes. My buddies were like 鈥榶ou鈥檙e a fish鈥 and I was like 鈥榥o, I just have full lung capacity鈥.鈥
Because of a two-year church mission in Cape Coast, Ghana, Schiff had the bar in his chest for nearly five years. On his 23rd birthday 鈥 August 14, 2023 鈥 he had the bar removed at Primary Children鈥檚 Hospital. Two weeks later, he was surfing in Cancun, Mexico.
The quick recovery was a win for Schiff, and more importantly, the long-term positive outcome from both surgeries changed his entire life.
鈥淭his has completely altered my comfort levels of being around pools or working out,鈥 said Schiff. 鈥淚t has really made a big difference in my confidence in general.鈥
It has also opened doors to some new opportunities.
鈥淲hen I was working in New York doing door to door sales, I was offered a modeling job for some pretty big companies,鈥 said Schiff. 鈥淓ven though I didn鈥檛 end up taking the job, it was a confidence boost and reconfirmed to me how amazing it is that I was able to get this fixed.鈥
For any patients who are nervous to have their pectus excavatum, Schiff has some advice.
鈥淒on鈥檛 overthink it, just do it,鈥 he said. 鈥淏ecause it will change your life.鈥
The Nuss Program
麻豆学生精品版 providers have been performing the Nuss procedure since the mid-nineties. In 2019, the Nuss program was established at U of U Health. The program provides a collaborative, interdisciplinary care team for patients with chest deformities. This collaborative approach provides these patients with the best possible care and health outcomes.
鈥淲e started putting together the comprehensive Nuss program in 2019, and it鈥檚 continued to grow,鈥 said Russell. 鈥淲e are doing more and more procedures each year and are hoping to improve the program even more."