It's About Children - Spring 2007 Issue by East Tennessee Children's Hospital

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It's About Children - Spring 2007 Issue by East Tennessee Children's Hospital

  1. 1. & Board of Directors James S. Bush Chairman Dennis Ragsdale Vice Chairman Michael Crabtree Secretary/Treasurer Debbie Christiansen, M.D. Dawn Ford Steven Harb Lewis Harris, M.D. Jeffory Jennings, M.D. Bob Koppel A. David Martin Dugan McLaughlin Christopher Miller, M.D. Alvin Nance Steve South Bill Terry, M.D. Laurens Tullock Danni Varlan Medical Staff David Nickels, M.D. Chief of Staff John Buchheit, M.D. Vice Chief of Staff John Little, M.D. Secretary Chiefs of Services Jeanann Pardue, M.D. Chief of Medicine Mark Cramolini, M.D. Chief of Surgery Administration Bob Koppel President Laura Barnes, R.N., M.S.N., C.N.A.A.,B.C. Vice President for Patient Care Paul Bates Vice President for Human Resources Joe Childs, M.D. Vice President for Medical Services Rudy McKinley Vice President for Operations Jim Pruitt Vice President for Finance A quarterly publication of East Tennessee Children’s Hospital, It’s About Children is designed to inform the East Tennessee community about the hospital and the patients we serve. Children’s Hospital is a private, independent, not-for-profit pediatric medical center that has served the East Tennessee region for 70 years and is certified by the state of Tennessee as a Comprehensive Regional Pediatric Center. Ellen Liston Director of Community Relations David Rule Director of Development Wendy Hames Editor Neil Crosby Cover/Contributing Photographer “Because Children are Special…” ...they deserve the best possible health care given in a positive, child/family-centered atmosphere of friendliness, cooperation, and support - regardless of race, religion, or ability to pay.” ...their medical needs are closely related to their emotional and informational needs; therefore, the total child must be considered in treating any illness or injury.” ...their health care requires family involvement, special understanding, special equipment, and specially trained personnel who recognize that children are not miniature adults.” ...their health care can best be provided by a facility with a well-trained medical and hospital staff whose only interests and concerns are with the total health and well-being of infants, children, and adolescents.” Statement of Philosophy East Tennessee Children’s Hospital www.etch.com 2 On the cover: Claire Milner. Read her story on pages 4-5. Lane Bryson Wilson On October 4, 1997, the lives of former Lenoir City residents Mike and Missy Wilson changed forever. Their second son, Lane Bryson Wilson, was born at 24 weeks gestation (16 weeks premature). It is difficult, though not impossible, for a baby this premature to survive. Lane was extremely underdeveloped; weighing just 1 pound, 4 ounces, he fit comfortably in the palm of his daddy’s hand. Lane experienced many of the complications common to premature infants during his stay in the Children’s Hospital Neonatal Intensive Care Unit. At some point, he experienced a hemorrhage in his brain that caused a severe case of cerebral palsy; this meant he most likely would never be able to learn how to move, hold his head up or even eat. Two weeks after birth, he suffered from a bowel perforation (a hole that developed in the bowel). He also battled severe infections and a second bowel perforation that prevented him from receiving IV fluids. At one point, the only way to get vital fluids into Lane was for one of the neonatologists to insert an IV into the bone marrow. This procedure had never been done on such a small baby at Children’s before, but it was Lane’s only hope. The procedure was successful, but then Lane faced another challenge: he suffered from a bronchospasm, which is when the passageway that air travels through to the lungs closes. The Wilson family also learned during his time in the NICU that Lane was permanently blind due to a condition called retinopathy of prematurity. This news would be a blow to many parents of otherwise healthy children. But after so much difficult news, the Wilsons took this news in stride; at that time, it was the only problem Lane had that was not life threatening. Finally, after months of antibiotics, challenging procedures and continuous nursing care in the Children’s Hospital NICU, Lane was able to go home to be with his family. Today Lane leads an extraordinary life in Franklin, Tenn., with his parents and brothers (10-year-old Dyllan and six-year-old Eli). He has defied the predictions of the type of life he would be able to lead. He began attending the Tennessee School for the Blind when he was three years old; there he learned how to communicate with sign language and to use a walker. Lane is now in third grade at Trinity Elementary School, the same public school his brothers attend, and he participates actively in music and physical education classes. He has developed a small spoken vocabulary and taught himself to play the piano by ear (he knows 10-15 songs). In addition, he participates in horseback riding therapy at the SaddleUp in Franklin; he placed second and third in the 2006 Spring SaddleUp Super Show in his age division. by Jessica Chambers, Guest Relations Representative NOWthen Lane at home Lane (center) with his brothers, Dyllan and Eli Lane in the NICU Lane with WBIR-TV Channel 10’s Bill Williams on the Summer 1998 cover of It’s About Children
  2. 2. 3 A visit to any hospital can be scary, especially when the patient is a child. There are so many details to understand in such a short period, and families staying at Children’s Hospital often wonder what to read or inquire about first. A newly developed Family Resource Guide assists patients and their families with a variety of this information, thanks to a generous donation from the Children’s Hospital Volunteers. A guide will soon be located in each inpatient room, as well as at key locations throughout the hospital and in hospital departments providing outpatient services. Information about hospital services and programs is detailed in the guides. Details for families about their child’s hospital stay, as well as information about who is on a child’s health care team, pain management information, and a list of patients’ rights are included. Families can also learn about the services Children’s Hospital offers “just for kids” and hospital policies on visitation, parking and more. The Family Resource Guide also explains important information families should know and understand when their child is released from Children’s and is able to go home. Hospital Web site features enhanced offerings As part of Children’s Hospital’s ongoing commitment to this region, the hospital provides a wealth of free information on our Web site, www.etch.com. We most recently added the CarePages service to help families stay in touch throughout the difficulty of a child’s illness. CarePages, an Internet-based communications system, offers an opportunity for families to create simple web pages about a sick or injured relative who is a patient at Children’s Hospital. CarePages offers patient web pages that deliver emotional support to Children’s Hospital patients and families by making it easy for them to stay in touch during a hospital stay or any time the child is receiving medical care. The service provides patient families with an easier way to update relatives and friends without the need for repeated phone calls or e-mails. CarePages also makes it possible for relatives and friends to send messages of encouragement, giving the patient and family much needed emotional support. A patient’s CarePage can be updated as often as the family chooses, and guests to the page can see the updates about the patient any time they access the family’s web page. Children’s Hospital’s CarePages can be accessed through computers in the hospital’s Family Resource Center, in a patient family’s home or from any computer by visiting www.etch.com. CarePages are password-protected, secure and comply with all patient privacy regulations. The service is offered free to Children’s Hospital patient families, thanks to funds raised by the annual Star 102.1 Radiothon. Other site enhancements: • Visit our Web site to subscribe to our new E-Kids News, an updated e-mailed newsletter that recently replaced Children’s E-News, a text-based e-mail. In addition to news about Children’s Hospital and health news from KidsHealth, E-Kids News features color, graphics and links to many topics. Subscribers can also partially customize the newsletter, according to their children’s ages and medical conditions. • Now available is an enhanced version of New Parent E-News, an emailed newsletter geared to expectant parents as well as parents of newborns. • KidsHealth, the provider of pediatric health information on the Children’s Hospital Web site, has begun adding video segments to its library of articles, games and interactive tools. Two new videos currently are available, with more coming in 2007. Current live segments include “Helping Sam Hear” (which follows a boy and his family through cochlear implant surgery and beyond) and “Kids Ask Cal” (children ask baseball Hall of Famer Cal Ripken Jr. about sportsmanship). Both videos can be viewed by going to www.etch.com and clicking on Health Library. To subscribe to either newsletter, visit our Web site at www.etch.com and look for “Newsletters” on the right side of the page. BulletinBoardV Family Resource Guide to help patient families navigate Children’s Hospital experience V Each year, the Great Smoky Mountain Chapter of the Association of Fundraising Professionals presents the Philanthropy Day awards. At the annual event in November, Children’s Hospital honored Kohl’s at its Community Table. The hospital’s recognition of Kohl’s Department Stores stated: “Kohl’s Department Stores are an important member of Knoxville’s Philanthropic Community. Kohl’s commitment to children’s hospitals and education is made possible through the Kohl’s Cares for Kids program, which raises funds through the sale of special merchandise. One hundred percent of the net profits from the sale of these items benefit health and educational opportunities in the communities Kohl’s serves. Kohl’s community outreach also includes Kohl’s Kids Who Care, an annual youth volunteer recognition program; fundraising gift cards for local schools and non- profit youth groups; and an associate program to encourage volunteerism. Locally since 1998, Kohl’s has provided East Tennessee Children's Hospital with over $392,000. Based in Menomonee Falls, Wis., Kohl’s is a family-focused, value-oriented specialty department store. Kohl’s operates 674 stores in 40 states and supports more than 127 children’s hospitals.” By Amandalynn Thomas, student intern Children’s Hospital honors Kohl’s Department Stores V
  3. 3. Claire Milner looks like most children her age and has lots of interests. She is the reigning spelling bee champion for three years at her middle school, has had her art published in a national magazine and plays soulful blues on her clarinet. But Claire says that she feels kind of different sometimes. Claire Milner was born after a normal pregnancy and delivery but her mom, Sally Bishop, soon noticed something was not right. Claire got sick more than normal, and since Claire was a second child, Sally had already experienced what a healthy child’s behavior was like. Claire was initially diagnosed with asthma. Following her “mother’s intuition,” Sally sought more medical advice and went to doctor after doctor in her New Jersey town. Claire continued to suffer from frequent bouts with pneumonia and digestive problems. At times she would be so congested that her mom would hold her upright throughout the night so she could breathe. Despite this, Claire began developing into a very smart, funny toddler with a huge imagination and a flair for the dramatic. “I think that imagination helped her get through the bad times when she felt so sick,” Sally said. After three successive bouts of pneumonia when she was three years old, Claire was tested for and diagnosed with cystic fibrosis. Cystic fibrosis (CF) is an inherited disease that causes the body to produce mucus that is extremely thick and sticky. The two organs that are most affected are the lungs and pancreas, where the thick mucus causes breathing and digestive problems. The test often used to test a person for CF is called a sweat test. In this test, the doctor looks for heightened levels of chloride (a chemical in salt), as this indicates a possibility the patient has CF. In some states in the United States, all newborns are checked for this disease with a blood test. Claire was born in New Jersey, one of the states that did not have CF testing included in newborn screenings. Upon learning of her daughter’s diagnosis, Sally experienced a variety of feelings, including guilt. “I felt that I should have done something more,” she said. One of Claire’s physicians pointed to a seven-foot long sheet of paper listing Sally’s repeated inquiries and requests concerning Claire to illustrate that Sally had done everything right. “They told me I had done all I could do and now it was time to look realistically and positively at the future,” Sally said. Claire began her treatment at Robert Wood Johnson Hospital in New Brunswick, N.J., before moving with her family to her mom’s hometown, Oak Ridge, about six years ago. Claire’s mom and stepdad are both teachers in the Knoxville area, while her father and stepmom are scientists in New Jersey. Once in Oak Ridge, Claire began seeing Dr. John Rogers and Dr. Eduardo Riff at Pediatric Pulmonology at Children’s Hospital. “Dr. Riff has this larger-than-life personality that is magnificent,” says the extremely articulate, now 13-year-old Claire. “And Dr. Rogers keeps us all balanced and is very encouraging.” Pediatric Pulmonology has been dedicated to treating Claire as a whole person, realizing the psychological aspects of dealing with a chronic illness as a young person. By staying up-to-date on the latest studies and treatments available for CF patients, Pediatric Pulmonology has been applauded by the Cystic Fibrosis Foundation for showing some of the most impressive results for the treatment of CF in the country. While Claire’s case has been deemed “moderate,” she has a strict daily regimen that she follows to stay functional and healthy. Her treatment begins the minute she wakes up each day. It’s a good thing Claire is a morning person because she has a lot to take care of before she can even think about getting ready for her school day at Jefferson Middle School. Claire spends 20 minutes twice a day breathing in two inhalers; using a hyper tonic saline nasal rinse; swallowing oral drugs; digestive enzymes, vitamins and probiotics to help with digestion; all while wearing a vest that rapidly shakes her torso to loosen the mucus build-up in her lungs. Throughout the month, additional medicines are used including Zithromax as an anti-inflammatory and Singulair and Pulmicort to aid in respiratory health. In addition to these “standard” treatments, Claire also eats a diet high in active bacteria like yogurt. Her favorite food is sushi, which Sally has brought into Children’s Hospital for Claire during one of her “tune-ups.” Tune-ups are necessary at times for children with CF and generally consist of more intensive breathing treatments, inserting PICC lines for IV antibiotics and sometimes a bronchoscopy. Depending on the child’s health and severity of CF, these tune-ups can last two weeks. Claire has never had a stay at Children’s Hospital longer than four days completing her “tune ups” 4 ClaireClaire
  4. 4. 5 at home, a statistic for which her family and doctors are quite proud. With the help of the Children’s Home Health Care program, Sally and her husband are able to conduct Claire’s follow-up care confidently and in the comfort of their own home. “We have never received care like we have at Children’s Hospital- we are so spoiled,” Sally said. “Every single doctor, nurse, lab tech, radiologist, anesthetist, child life specialist, chaplain and person we have come in contact with has been wonderful.” It seems the feelings are mutual. Children’s Hospital chaplain Shirley Bunting said, “Claire is a remarkable young lady, and everyone knows it. She is one of those people who just can’t be pigeon-holed because she is so unique and special.” Children’s Hospital staff respect Claire’s maturity and knowledge and speak to her in an appropriate manner. It is this same kind of maturity and respect that radiates from Claire herself. “I recognize the importance of things now. Everybody at Pediatric Pulmonology and Children’s Hospital has helped me develop a sense of responsibility, and I have found that my endurance and patience are precious gifts,” said Claire. It is this kind of perseverance and attitude that allows Claire to take life by the reigns and not be inhibited by CF. She recently wowed her parents and physicians by going on an eighth grade class trip to Williamsburg, Va., where she took full responsibility for administering all of her medications. The trip was a great success in more ways than one. Not only did Claire prove to be totally independent with her medical needs, but she is now considering becoming an historical reinactor. Whatever she chooses, the future is looking very bright for Claire. By Joanna Simeone, Public Relations Specialist What is cystic fibrosis? Cystic fibrosis occurs because of mutations in the gene that makes a protein called CFTR (cystic fibrosis transmembrane regulator). A person with CF produces abnormal CFTR protein. People who are born with CF have two copies of the CF gene. In almost all people born with CF, one gene is received from each parent. This means that the parents of children with CF are usually both CF carriers (that is, they have one normal and one defective gene) but the parents do not have CF themselves because their normal gene is able to “take over” and make the necessary CFTR protein. Each child born to parents who are both CF carriers has a one in four chance of having the disease. Cystic fibrosis occurs most frequently in Caucasians of northern European descent, in whom the CF gene is most common, although people of other heritages can have the disease, too. People who have a close relative with CF are also more likely to carry the CF gene; approximately 12 million Americans, or one in every 20 people living in this country, is a CF carrier. And most of them don’t know it. About 30,000 people in the United States have a diagnosis of CF. It affects both males and females. While there is currently no cure for CF, there is hope. In the last fifteen years, the life expectancy for those living with CF has doubled, with more than half living into their 30s. Statistics now show that nearly 40 percent of the people living with CF in the United States are 18 years or older, and new research is leading to the possibility of a cure. Common symptoms of cystic fibrosis • Frequent lung infections or pneumonia • Persistent wheezing • Persistent cough with thick mucus • Failure to gain weight, even though the child eats normal amounts • Very salty sweat • Poor height growth • Nasal polyps (small growths of tissue inside the nose) • Frequent sinus infections • Fatigue • Rounded or enlarged toes and fingers Did You Know…. Cystic fibrosis is sometimes called “65 roses.” The nickname came from a little boy who overheard his mom talking about the condition on the phone. He thought that each time his mom said “cystic fibrosis,” she was talking about 65 roses. This term has now become a widely used tool when teaching children about the disease and how to pronounce the name of the disease. Safe Sitter Dates: March 10 (at the Knoxville Convention Center as part of the Women Today Expo), March 24, April 14 and 28, May 5 and 19, and June 2 Time: 9 a.m. to 3 p.m. (lunch is provided) Safe Sitter is a national organization that teaches young adolescents safe and nurturing babysitting techniques and the rescue skills needed to respond appropriately to medical emergencies. Instructors are certified through Safe Sitter nationally. Participants must be ages 11-14. This course is $18 per person. I Can! Date: March 28, April 18, May 16 and June 7 Time: 6 p.m. I Can! is a new Healthy Kids class series for families about making healthy choices. Children’s Hospital’s Healthy Kids program is introducing this class focusing on food and fitness choices for families. Beginning in late March, the first class will focus on making healthy food choices and the next three months’ classes will highlight fun and fitness, cooking choices and shopping ideas. Families can join the series of classes at any time. CPR Dates: March 26, April 16, May 14 and June 4 Time: 6-9 p.m. This class will teach caregivers cardiopulmonary resuscitation and choking maneuvers for children and adults. This class also gives general home safety advice and tips, and participants must be at least 14 years old. This course is $18 per person. Class size is limited, so preregistration is required. All classes are offered in the Koppel Plaza at Children’s Hospital, unless otherwise noted. For more information or to register for any of these classes or to receive our free Healthy Kids parenting newsletter, call (865) 541-8262. Announcements about upcoming classes can be seen on WBIR-TV 10 and heard on area radio stations. Or visit our Web site at www.etch.com and click on “Healthy Kids Education and News.” Children’s Hospital’s Healthy Kids Campaign, sponsored by WBIR-TV Channel 10 and Chick-Fil-A, is a community education initiative of the hospital’s Community Relations Department to help parents keep their children healthy. Upcoming Community Education ClassesUpcoming Community Education Classes
  5. 5. Cindy Hoffman, M.D. Age – 37 Family – Fiancé, Marty Hoover Name of Pediatric Practice – Maryville Pediatric Group Personal Interests – Running, biking, horseback riding, spending time with family and friends Academic Background/Prior Experience B.S. – David Lipscomb University, Nashville, 1991 M.D. – University of Tennessee, Memphis, 1997 Internship and Residency – Indiana University School of Medicine, Riley Children’s Hospital, Indianapolis, 1997-2000 Other: Board certified in pediatrics, 2000 Why Pediatrics? I love to see kids healthy, happy and smiling. They are so resilient and inspiring. Greatest Influence: My mother, Gay Fitzgerald, who was always a hard worker and who encouraged and supported me in my educational endeavors. Also, my family physician, Dilip Joshi, M.D., who still practices in my hometown of Jamestown, Tenn. Philosophy: To treat each family with respect and each child as an individual, and to set a good example of a healthy lifestyle. Proudest Moment as a Pediatrician: No one particular moment stands out, but I truly enjoy getting to know the children and their families and watching them grow and develop. Jeff Lin, M.D. Age – 38 Family – Wife, Mary Combs Lin; children, Katie (6), Abby (4), Emily (4) and Nicholas (3 months) Name of Pediatric Practice – Knoxville Pediatric Associates, Farragut office Personal Interests – fly fishing, deep sea fishing, golf, skiing, activities with my church (First Farragut United Methodist Church) Academic Background/ Prior Experience B.S. – University of Alabama, Tuscaloosa, 1990 M.D. – University of Alabama School of Medicine, Birmingham, 1995 Internship – University of Florida, Pediatric Residency at Sacred Heart, Pensacola, 1995-96 Residence – University of Florida, Pediatric Residency at Sacred Heart, Pensacola, 1996-98 Other – Co-chief resident, 1997-98; won the Reed Bell Intern of the Year Award in 1996 and the Reed Bell Resident of the Year Award in 1998. Board certified in Pediatrics in 1998. Why Pediatrics? During medical school, I had decided to do primary care and considered family practice but found it enjoyable only when seeing a pediatric patient. I found this true with all the other rotations during medical school, as well. Greatest Influence: Personally, my father, the late Yung-lo Lin, would be my greatest influence. He grew up as a farmer’s son in Taiwan and came to the U.S. to study at Princeton University. He always stressed the importance of working hard and being humble. Professionally, Robert Wilson, M.D., FAAP (also known as “Dr. Bob”) would be my greatest influence. Dr. Bob was my residency program director in Pensacola. He taught and practiced medicine with great humility and faith in God. He taught me as much about life as he taught me about pediatrics. Philosophy: My basic philosophy is that being a physician and taking care of children is a blessing and a privilege. Proudest Moment as a Pediatrician: Three and a half years ago, while in practice in Florida, I was called to the ER to tend to 24-week twins. One was born at home in a toilet and the other was born in the ambulance. They were in respiratory distress, hypoxic [lacking adequate oxygen] and hypothermic, and for much of the time I had one ventilator to my access. I was fortunately able to stabilize them and get them transported to the Children’s Hospital. They eventually became patients of my practice, doing well with minor developmental issues. The parents were grateful, and I was proud and blessed to have been a part of their lives. Pediatrician Profiles 6
  6. 6. 7 We’ve all seen the pictures many times on TV, in magazines, in Children’s Hospital’s own publications and on Web sites – a doctor or nurse practitioner viewing an X-ray on a light box or even holding the X-ray up to a ceiling light. The image is so common that it is almost a cliché in health care photography. And in 2007 at Children’s Hospital, it is also obsolete. Radiology has gone filmless! Last fall Children’s Hospital stepped into a new era of technology with the installation of PACS – a Picture Archiving and Communications System. PACS is a computer network designed for the transmission, display, storage and retrieval of digital medical images. In simple terms, PACS can be compared to a digital camera that you use for personal photographs, according to Clifford Meservy, M.D., pediatric radiologist with Vista Radiology and Medical Director of Radiology at Children’s Hospital. With a film camera, you take the pictures, take the roll to a store to be developed, wait a while, go back, pick up the pictures and finally get to look through them. With a digital camera, you can see the picture on the camera instantly or you can plug the camera into a computer and view the images in a larger size – you eliminate a step or two and save significant time. PACS presents an innovative change for physicians, hospitals and patients. With PACS, Children’s Hospital can distribute radiology images (X-rays, MRI and CT scans and other forms of imaging) digitally by computer to any location in Children’s Hospital or to many of the pediatric subspecialists’ offices without the need for manually handling or storing film. The arrival of PACS took place in November in the Radiology Department, the Emergency Department and the patient floors. In December it was placed in the Surgery Department. It will be added this spring in Cardiology for echocardiograms. Meservy said the new system offers some significant benefits for radiology at Children’s Hospital. PACS will increase productivity and streamline workflow for the Radiology Department staff, as well as for Children’s Hospital’s radiologists, surgeons, cardiologists and other physicians, who have access to the scans via computer network. Having a new digital network also eliminates the risk of misplaced films. Under the old system, a single copy of a patient’s X-ray, for example, could be filed in Radiology but needed by a physician in another office. So at any given time, a film might be removed from the files and carried between locations. Although care was always used with films, they were occasionally misplaced or misfiled. However, with PACS, all films are digitally stored and backed up on a computer network, so a copy is always available online. Meservy said that a significant benefit to the system is the ability to compare old and new films side-by-side on dual computer screens. It is often necessary to compare scans to look for changes in a patient’s condition, and PACS enables the radiologist to immediately call up any old studies stored in the system. With old film, someone would have to go to the file room to retrieve the patient’s file, then the radiologist would compare it with the new film, and finally it would have to be refiled. With this new software, Children’s Hospital physicians have the ability to easily view their patients’ films themselves from sites other than the hospital’s Radiology Department. The new system allows immediate access to diagnostic images, provides improved interpretation time and ultimately improves patient care. Emergency Department physicians also can leave detailed voice messages on the system to enhance communication with the radiologist and compare information about a particular patient’s films. PACS also allows radiologists to do much more than just view and store images. For example, the sophisticated system enables physicians to easily measure angles and sizes of tumors and bones seen on the films. In addition, some images can be viewed in three dimensions. All images can be reduced or enlarged for better viewing; one feature replicates the action of a magnifying glass to enable very close examination of a section of scan. For CT and MRI studies, physicians can even double-click on a particular spot on one scan to see the same location on other pictures (“planes”) of the patient’s study. Speed of scanning at Children’s Hospital also improves with PACS. After the PACS installation, the hospital is purchasing a new CT scanner. The technology of this new multi-slice CT scanner will allow more data to be acquired in a much shorter amount of time. According to Meservy, the hospital’s current 10-year-old CT is a single-slice scanner, which essentially takes one picture (or “slice”) every second. The new scanners being considered are 64-slice scanners, which means they take 64 pictures each second. The result is a much faster, more detailed scan. The new CT generates so many images that it would use a significant amount of film; however, PACS will be able to easily store the data, Meservy said. The new CT scanner will offer some additional benefits to patients. First, while both the current CT and the new technology scan on a single plane, the new scanners do an excellent job of reconstructing images in other planes, unlike the hospital’s current CT. Depending on the type of test, current patients sometimes have to lie in a rather uncomfortable position (such as on the stomach) for their scan to be in the correct plane. Because the new CT can reconstruct the image in other planes, patients can be tested while in a more comfortable position lying on their back. Second, another key benefit for patients is the reduced need for sedation. CT scanning requires a patient to remain still for the duration of the scan. For a younger child, this can be difficult, if not impossible. So sometimes it is necessary to sedate a patient for a good scan. When the hospital purchased its current CT scanner 10 years ago, the need for sedation dropped by about 50 percent from what was needed with the previous scanner. Meservy said the new scanner will hopefully lead to another 50-percent reduction in sedation. This will be possible because of the change in scanning speed: a typical scan of an abdomen of a five-year-old child currently takes about 45 seconds, while the same scan with the new CT scanner will take only about 6 seconds, which is a much more realistic length of time for a child to be still. And third, Meservy said that sometimes the hospital staff settle for a bit of motion in a scan instead of sedating some patients. Because of the faster speed of scanning, scans should be relatively free of motion even without sedation. A new digital radiography (X-ray) machine also will be installed soon to take advantage of the PACS technology. Digital radiography is much faster and more efficient than the hospital’s current radiography equipment because it eliminates a step or two in the process of taking a patient’s X-ray. Currently, a tech takes an X-ray, removes the cassette with the image and takes it to a reader, which “reads” the image and sends it to the PACS system. With digital radiography, there is no cassette or reader required to see the image – instead, the reader is built into the machine itself. As soon as an X-ray is taken, the image is available on a computer monitor. The new technology also produces a higher quality image for the radiologist to view as well as provides a reduction in the radiation exposure to the patient. PACS will also be a space-saver for Radiology, Meservy said. The traditional light boxes used to view film eventually will be removed and replaced by computer workstations. And the large file room in Radiology, which houses literally thousands of films, and the dark room used for developing film will be converted into more functional space. The cost of the new PACS system for Radiology and Cardiology is $1.8 million, and the CT scanner is another $1.5 million. After the initial investment, the PACS system is expected to save the hospital annually on the costs of film, processing and file folders. Although Children’s Hospital Radiology has gone filmless, old hard-copy films will be kept on file for five years. For the most part, these old films will not be scanned into the digital system. The major exception will be films of children who visit the hospital frequently for serious or chronic conditions, such as cancer. Physicians caring for children with these types of conditions often must compare old and new films, so eventually most hard-copy films of these chronic patients will be scanned into the PACS system for easy and quick physician access at any time. By Amandalynn Thomas, student intern, and Wendy Hames, Associate Director for Publications New radiologist practices from his Hawaiian home The clichéd image of a physician looking at a hard copy X-ray at Children’s Hospital is even more inaccurate these days because the physician looking at our patients’ films might not even be in Tennessee. Children’s Hospital’s radiologists are associated with Knoxville-based Vista Radiology, which provides radiologists to various hospitals in the area. Last year Vista hired a new radiologist to provide overnight coverage at several hospitals, including Children’s. George Ainge, M.D., is an innovative addition to Vista’s team because he works and lives in Hawaii. He is on call five nights a week from 10 p.m. to 6:30 a.m. Eastern standard time to read images for all the hospitals Vista serves, including Children’s. He works out of his home office using multiple computers and high speed Internet to view images online. Because of the six- hour time difference between Knoxville and Hawaii, Dr. Ainge’s schedule is essentially an evening job – 4 p.m. to 12:30 a.m. his time. This allows him to enjoy the benefits of living in Hawaii, while providing a valuable service to the people of East Tennessee.George Ainge, M.D. Clifford Meservy, M.D. A new era of technology: Radiology has gone filmless
  7. 7. 8 There is no such thing as a “typical” day in a hospital. Day in and day out, patients enter our doors for care, but each child is unique, and each experience is different. However, within each day at Children’s Hospital, there are some common threads. One common thread is the training and experience of the hospital’s staff — no matter what situation arises, our staff is skilled and prepared to meet the challenge. For the next several issues of It’s About Children, we will profile some of our staff and highlight all our clinical areas. We hope it will give you a glimpse into life at Children’s Hospital. LABORATORY Medical testing is a vital component of the health care process. Test results help physicians diagnose medical conditions or monitor treatment; results also serve as health screenings during routine checkups. The Clinical Laboratory at Children’s Hospital is responsible for diagnostic testing, which includes the following areas: hematology, chemistry, microbiology, immunology, serology and blood bank. To put it simply, the lab performs testing on all body fluids, tissues and waste products, as well as maintains the hospital’s in-house blood bank. The lab is open 24 hours a day, seven days a week, and staff include techs, phlebotomists, secretaries and management/supervisory staff. Cheriya Scott A phlebotomist at Children’s Hospital, Cheriya Scott always knew she would work in health care. Many of her family members worked in health care, and she wanted to follow their footsteps into what she knew would be a rewarding field. Scott chose phlebotomy for several reasons. As a child, she remembered her fears of having blood drawn and how the technician relieved her fears by being very gentle. “Needles are something nobody desires to experience, but if it is necessary, we all hope for a skilled and gentle phlebotomist,” she said. Scott’s ability to do her job and perform it well eases children’s and parents’ fears and helps to provide them with an easier experience. Phlebotomy training prepared her for the field by teaching simple anatomy in understanding blood vessels and their locations. The training also helped her to be more proficient in obtaining blood samples and to keep patients safe and comfortable by preventing painful sticks. After working as a phlebotomist for six years, she developed the courage to work with children and a year later found herself working at Children’s Hospital. “I was a little fearful, as children can be a challenge with smaller veins, squirming arms and anxious parents, but I love children, so I put my fears aside,” Scott said. She finds inspiration every day in her patients’ strength and laughter through each tough diagnosis. The children at Children’s Hospital continue to teach Scott that life is precious and to cherish each moment. One of Scott’s favorite memories working in phlebotomy was a three-year-old boy who began kicking and crying as soon as he entered the drawing room. Mother and child were both visibly upset, so Scott had a talk with the child to explain what would happen. She explained every step of the process from the tightening of the tourniquet to the “pinch” he would experience. After letting the child stretch out the tourniquet and pick his favorite color of bandage, he was much more calm, as was his mother. “What made me feel good is when the child returned about a month later for more labs with no fighting or crying. His mom was so grateful for a facility that caters to children,” Scott said. John Ritter Since grade school, John Ritter has been fascinated by the sciences, especially laboratory sciences. In college, Ritter was a microbiology major, but one day the director of the university’s Medical Technology program talked to his class about clinical laboratory science. From that moment on, he was hooked. Ritter graduated with a Bachelor of Science degree in Medical Technology after four years of course work including classes such as organic chemistry and immunology, as well as one year of clinical study and lecture at a university hospital laboratory. He also received his license as a Medical Laboratory Technologist/ Supervisor from the state of Tennessee and the American Society of Clinical Pathology. Both agencies require earning 12 hours of continuing education per year in laboratory and management skills to maintain licensure. Ritter has fond memories of the fast-paced workload and coworker camaraderie during his years on night shift. His profession requires the ability to maintain both a high quality and quantity workload under stressful conditions. “It was very satisfying to know that our team served so many patients well without compromising our professional standards, regardless of the obstacles that we faced,” Ritter said. Ritter has worked as a laboratory supervisor in Hematology and Phlebotomy since March 2005 and as a medical technologist/generalist Cheriya Scott John Ritter lifeA day in the of Children’s Hospital
  8. 8. 9 since October 1998 at Children’s. He enjoys his work at Children’s Hospital because of this region’s pediatric patients’ need for high quality health care and because Children’s does a superior job in fulfilling that need. RADIOLOGY Like the Children’s Hospital Laboratory, the Radiology Department performs vital tests. The Radiology Department serves as an "imaging" center for children: these images include radiography (X-ray), fluoroscopy, computed tomography (CT), nuclear medicine, magnetic resonance imaging (MRI), echocardiography and ultrasonography. The high-quality images are used by the hospital’s radiologists to interpret for diagnosis and treatment of a variety of medical conditions. X-ray services are available 24 hours a day, while other services are offered during the daytime with staff on call for emergency needs nights and weekends. Technologists, nurses, aides and secretaries staff the department. Maureen Flanagan Maureen Flanagan has always loved the medical profession. She found her interest in health care after spending time with her aunt who was a physical therapist at a pediatric hospital in Richmond, Va. Maureen never forgot the love and care expressed to the patients by her aunt when she visited her at that hospital. Little did she know that her experience would bring her full circle to her career in radiology. Flanagan received two years of training in anatomy, positioning, radiation physics, radiation protection and chemistry at Anne Arundel General Hospital in Annapolis, Md. She also received training in ultrasound at the University of Maryland Hospital and training in CT scanning at Children’s Hospital. As a registered technologist, Flanagan is required to continue her education to maintain her competency level. Every two years, 24 hours of educational credits are required to keep licensure. Flanagan’s favorite memory in her career as a staff technologist is when she came to work at Children’s Hospital 31 years ago. She was inspired by the dedication of retired Director of Radiology Earleene Lyle, the chief technologist at that time, to the patients in the Radiology Department. “Her care and leadership were what made our department exceptional,” Flanagan said. The choice to work for Children’s Hospital was an easy one for Flanagan because of her love for children and the wonderful people she would be working with. “It is so great to see the babies you X-rayed years ago coming back to Children’s with babies of their own. What better reward could you ask for than a smile,” Flanagan said. After spending half of her life working at Children’s Hospital, Flanagan said she cannot imagine being anywhere else. Mark Underwood Mark Underwood chose a career as a registered CT and radiologic technologist because CT scanning is on the cutting edge of technology, and he knew he wanted to be a part of that. “I knew it would be interesting and the fast pace suited me,” Underwood said. He has continued his education over the years by completing challenging educational requirements that bring the latest technological updates to the Radiology Department. Underwood’s favorite memories from working at Children’s center around the multiple miracles he has seen where children have beaten the odds and gone on to lead a happy life. “My memories are of the friendships I build with those youngsters and the personal strength their struggles have imparted to my own life experiences. I am always awed by the courage and faith of the children I meet,” Underwood said. After having children of his own, Underwood realized how far he would go to help someone else’s child. He is reminded every day how blessed he is to have healthy children. “That fact makes me rich beyond imagination,” he said. Underwood said the people he works with at Children’s Hospital feel like family; he respects the leadership and vision of the leaders at Children’s. “I am happy to be a part of a team of wonderful people who make up this hospital. People who make the conscious decision to help children, I have found, are the most loving, giving and dedicated people around,” Underwood said. After 22 years at Children’s Hospital, Underwood feels it is the ultimate charity to give of himself to help children and make them feel secure while in his care in the Radiology Department. “When you connect with these children and they express gratitude to you for caring about them … that can be the best day of your life,” Underwood said. by Bethany Swann, student intern Maureen Flanagan Mark Underwood
  9. 9. Children’sNews... 10 Rounding initiative designed to improve patient, staff satisfaction Children’s Hospital is proud of its long history of quality health care in a child and family- friendly environment. But we recognize that we must always be open to change – because improvements can always be made. A new process – “Rounding for Outcomes” – at Children’s seeks to improve overall satisfaction with our hospital. Children’s Hospital is following the model of several other hospitals that have initiated rounding with great success. A Studor Group survey of hospitals found that the usage of patient room call lights dropped 40 percent within just four weeks of the start of rounding on patients, and patient satisfaction surveys showed greatly increased satisfaction. “Rounding for Outcomes” began for Children’s Hospital staff in December with in-service programs for staff in all nursing departments to educate them about the process. Then in mid- December, Phase 1 began: assistant nurse managers, charge nurses and shift leaders began “rounding” as a way to make Children’s Hospital an even better place to work. All these leaders make rounds with every employee on every shift every day to ensure effective communication and to enhance employee satisfaction; they also round on every patient once daily. In addition, nurse managers round weekly with all staff and patients, and Nursing Directors round to all units monthly. “By implementing this strategy, the nursing departments hope to gain important information necessary for smooth operations and happy employees,” said Sheri Smith, Nursing Director for Critical Care Services. “Research shows that employees all have needs related to their jobs,” Smith continued. “Some of these needs include having a relationship with their supervisor, having access to the tools and equipment they need to do their job, efficient systems, appropriate training and appreciation from their supervisor. Rounding on employees assists leaders in meeting all of these needs and also builds relationships. Used correctly, this strategy strengthens relationships, encourages teamwork and fosters accountability.” Phase 2 of “Rounding for Outcomes” began January 1. Nurses and patient care assistants have begun rounding on patients. These staff round on patients every hour during the day and every two hours at night. “This does not entail disrupting patients’ rest, as we will never wake a sleeping patient or family, but it will better meet the needs of our patients by attending to requests while we are there,” Smith said. While rounding, staff will assess the patient’s pain level and comfort; give medications as needed; change diapers or offer toileting assistance; ensure the call light, telephone, trash can, tissues, remote control and tray table are within reach; ask if there is anything else they can do for the patient or family; and tell the patient and family who will return within the next hour, so they know when to next expect assistance. “By focusing on these items, we address the most common reasons patients call for assistance,” Smith explained. “We also encourage patients to think about their needs while we are there with them, allowing us to provide better care by partnering with our patients.” Hospital adds psychology services Since its founding in 1937, Children’s Hospital has continually sought ways to further enhance the care provided to our patients. As we celebrate our 70th year, we have added a new service staffed by a pediatric psychologist to provide mental health services to our patients and their families. Nicole Falvo Swain, Psy.D., joined the hospital’s staff in January to provide psychological services to medically ill and injured patients. The new service is under the direction of Laura Barnes, R.N., Vice President for Patient Care Services. Because the service is a new one for the hospital, Dr. Swain is starting essentially from scratch. “We’re initially focusing on implementing psychological services within the inpatient setting and determining how psychology can be an effective and valuable service to the treatment team here,” she explained. Dr. Swain will provide consultation services with each patient’s treatment team (physicians and nurses, as well as rehab therapists, social workers, child life specialists and other staff involved in each patient’s care) as well as emotional support and education to patients and their families. Initially Dr. Swain will focus on two patient populations at Children’s Hospital: • Rehabilitation patients – children who have had concussions and more serious brain injury, strokes, near-drownings, neuromuscular disorders (such as spina bifida and Guillain- Barre Syndrome) and burns. • Chronic pain patients – children who have gastrointestinal pain (such as irritable bowel syndrome), juvenile fibromyalgia syndrome, migraines or other severe headaches, pain caused by chronic diseases and other general pain. “One of my primary focuses is to help patients adapt, adjust and increase the quality of their life,” Dr. Swain said. “There may be no cure or no easy answers, and that takes an emotional toll on the child and the family.” As a psychologist, Dr. Swain does not prescribe medications for her patients. Instead, she provides services in addition to the medical procedures and medications the patient already receives through other health care providers. The goal is not to eliminate the other care but to work collaboratively in helping the patient manage his or her condition. Dr. Swain provides emotional support; teaches coping skills; monitors the patient for clinical depression, significant anxiety or other mental health issues; provides focused cognitive-behavioral treatment on a short-term basis; and provides referrals to community psychiatrists or psychologists for patients being discharged. At this time, Dr. Swain will only see inpatients in the hospital setting. As the service develops and adds psychologists, the hope is to expand to include patients in the Outpatient Clinics and even offer outpatient psychological assessment and therapy. “For now, I will focus on tracking patient need,” she said. “It will be a work in progress.” Before Dr. Swain joined Children’s Hospital, psychological and psychosocial services were available through consults with some community mental health professionals and informally through the hospital’s Child Life, Social Work and Pastoral Care departments. “They have been helping with this significant need, but some of what they are asked to do is really not their role and takes time away from their many other responsibilities,” she added. “I am looking forward to working collaboratively with these services to provide the best psychological and psychosocial care to our children and families. “I am very excited to be here and to have this opportunity,” Dr. Swain said. “I am looking forward to starting the work here and meeting my colleagues in the mental health community.” Nicole Falvo Swain, Psy.D. B.S. (psychology) – Otterbein College, Westerville, Ohio, 1993 M.A. – Xavier University, Cincinnati, Ohio, 1997 Predoctoral Internship (child clinical psychology and pediatric psychology) – Children’s Hospital, Columbus, Ohio, 2001 Psy.D. (clinical psychology) – Xavier University, 2001 Postdoctoral Fellowship (pediatric psychology and pain management) – Cincinnati Children’s Hospital Medical Center, 2003 Family – Husband, Scott Swain Personal interests – exercise (especially aerobics and cardio), movies, family Nicole Swain, Psy.D.
  10. 10. 11 New officers of the Children’s Hospital Medical/Dental Staff took office on January 1, following elections last fall. Officers are elected for a two-year term, continuing through the end of 2008. David Nickels, M.D., who most recently served as Vice Chief of Staff, is the new Chief of Staff. Dr. Nickels, a pediatric endocrinologist, is responsible for a variety of tasks, including serving as a standing member of the Children’s Hospital Board of Directors; enforcing Medical Staff bylaws, rules and regulations; reporting to the hospital’s Board of Directors on the performance and maintenance of quality of the Medical Staff’s provision of medical care; receiving and interpreting the policies of the board to the Medical Staff; and representing the views, policies and needs of the Medical Staff to the board. The new Vice Chief of Staff is neonatologist John Buchheit, M.D. The Vice Chief of Staff is responsible for assuming the Chief of Staff ’s duties in his absence and also attends meetings of the Board of Directors in preparation of assuming responsibilities as Chief of Staff in 2009. The other 2007-08 Medical/Dental Staff officers are: Secretary, John Little, M.D.; Chief of Medicine, Jeanann Pardue, M.D.; and Chief of Surgery, Mark Cramolini, M.D. In addition to the new Medical Staff officers, Children’s Hospital is pleased to welcome the expertise of the following new medical staff members who have joined our staff in recent months: Bond Almand, M.D., otolaryngology; George Ainge, M.D., radiology; Carlos Angel, M.D., pediatric surgery; Mary Beaver, M.D., otolaryngology; Scott Brice, M.D., pediatrics; Melissa Chiles, M.D., pathology; Fredrico Dixon, D.D.S., general dentistry; Mohammad Farkhondeh, M.D., pediatrics; Carol Fowler, M.D., pediatric surgery; Claude Frazier, D.O., dermatology; Leo Hamilton, M.D., pediatric hematology/oncology; Aleshia Lunsford, M.D., pediatrics; Mark McColl, M.D., pediatrics and internal medicine; Matthew Meigs, M.D., otolaryngology; Joshua Miller, M.D., neurosurgery; Laurentia Nodit, M.D., pathology; Ellen Pappano, M.D., pediatric emergency medicine; Dante Pappano, M.D., pediatric emergency medicine; Amir Patel, M.D., pediatrics; Darryl Phillips, D.D.S., pediatric dentistry; Christopher Rathfoot, M.D., otolaryngology; Ryan Redman, M.D., pediatric emergency medicine; James Stafford, M.D., radiology; and Bryan Tigner, M.D., otolaryngology. By Amandalynn Thomas, student intern New Medical/Dental Staff officers installed, new physicians added to staff 22nd annual Fantasy of Trees is a sweet treat David Nickels, M.D. On January 1, the Children’s Hospital Auxiliary changed its name to Children’s Hospital Volunteers, and all volunteers are automatically members of the organization. The Volunteers are committed to providing special services for patients and families, such as the Clothing Closet, children’s books for hospital waiting areas and support for the Child Life Department and the Children’s Hospital For the 22nd year, the Fantasy of Trees in November ushered in the holidays in East Tennessee with a festive event that delighted a crowd of over 58,000 guests to the Knoxville Convention Center. Highlighting a theme of “O Christmas Treats,” the show featured a Fantasy Forest of scrumptious-looking trees and designer-decorated holiday items, continuous entertainment, children’s activities, decorating demonstrations, special events and holiday shops. A variety of new children’s activities joined more than a dozen other interactive “fun stations,” including decoration making, face painting and a giant “talking” snowman. The funds raised at the 2006 Fantasy of Trees – estimated at more than $315,000 – will equip two new surgery suites at Children’s Hospital. Plans are already well under way for the 2007 show, which will feature the heartwarming theme “Holiday Cheer Down South.” As always, the real stars of the Fantasy of Trees were the 9,979 volunteers who donated 150,694 hours throughout the last year to make the event such a success. Children’s Hospital extends its many thanks to all the volunteers and visitors to the 2006 show. The Fantasy of Trees has raised more than $4 million for Children’s Hospital since it began in 1985. By Amandalynn Thomas, student intern Rehabilitation Center. Throughout the year the volunteers operate the hospital Gift Shop, host various sales and coordinate an annual holiday greeting card sale, their largest fund-raiser, to raise funds to support their various services for patients and families. The group recently made some adjustments in their by-laws, policies and procedures, including the name change, to strengthen the organization. The Volunteers recently named their new Volunteer Leadership Council. Donna Hoadley is the chair, Verna Bollin is vice-chair, and council members are Chris Eblen, Jennifer Gerbasi, Nancy Mason, Phil Mason, Anne Palmer, Elaine Parkin, Kathy Payne, Ann Tipton and Jane Walker. By Bethany Swann, student intern Auxiliary changes name to Children’s Hospital Volunteers
  11. 11. Three Dog Night to take ‘Center Stage’ The classic sounds of rock and roll will take “Center Stage” as legendary group Three Dog Night highlights the 15th annual benefit for Children’s Hospital April 14 at the Knoxville Convention Center. From 1969-1974, nobody had more Top 10 hits, moved more records or sold more concert tickets than Three Dog Night. During this period, the group was the most popular band in America with 21 consecutive Top 40 hits and 12 straight gold albums. By late 1975, they had sold nearly 50 million records. The group’s hits can be found throughout pop culture today -- on the radio, in TV commercials or in major motion pictures. Their hit songs, including “Joy to the World,” “An Old Fashioned Love Song,” “One” and “Black and White,” continue to be popular with audiences today. In 2006, Three Dog Night released a new disc – “Extended Versions – Live” — giving fans both new and old a chance to experience their live show of instantly familiar tunes with the group’s customary harmonies and signature sound. The Center Stage benefit will begin at 6 p.m. with cocktails and hors d’oeuvres, followed by dinner and Three Dog Night’s performance. A dance band will perform following the concert. Children’s Hospital extends a special thanks to Bob and Wendy Goodfriend, who will serve as co-chairs for the 15th year. The Goodfriends, Pilot Corporation and LandAir will provide underwriting support for Center Stage. Benefactor and Corporate tables are currently being reserved, and individual tickets may be available if space allows for $350 per person. Call the Children's Hospital Development Department at (865) 541-8244 for table and ticket availability. Center Stage has raised more than $2.3 million for Children’s Hospital since its inception in 1993. 12 Estate Planning... Help children by using your IRA Include Children’s Hospital in your estate plans. Join the ABC Club. For more information, call (865) 541-8441. Please send additional information about IRA rollover gifts. Name______________________________ Address__________________________________________ City___________________________ State_______ Zip_____________ Phone#(______)___________ Please call me at the phone number below for a free confidential consultation concerning planned giving. Please send me more information about deferred giving. I have already included Children’s Hospital in my estate plan in the following way: __________________________________________________________________________ Please send me information about the ABC Club. Children’s Hospital Development Office • (865) 541-8441 AA ssppeecciiaall ggiivviinngg ooppppoorrttuunniittyy ffoorr ffrriieennddss 7700 aanndd oollddeerr.. For a number of years, Children’s Hospital and other charities have received questions from certain of our more senior donors about making gifts from their Individual Retirement Accounts (IRAs). They have asked if it was possible to make gifts from an IRA without incurring income tax and, until late 2006, the answer was “no.” But through December 31, 2007, the answer is “yes.” Toward the end of last year, Congress passed and President Bush signed into law the Pension Protection Act of 2006. This bill includes an IRA Charitable Rollover provision. It allows people age 70 or older to donate up to $100,000 during a taxable year for gifts made directly rollover and Roth IRAs, not to other types of plans like 401(k), 457, 403(b), etc. However, funds from the other types of retirement plans may be rolled into a traditional IRA to make the gift. 6. The transfer cannot be made to a donor- advised fund or to a supporting organization. 7. The transfer cannot be used to fund a charitable gift annuity or a charitable remainder trust. If you or someone you know - age 70 or older - is interested in assisting our work with children by making a gift from an IRA, please call Teresa Goddard, Senior Development Officer, or David Rule, Director of Development, at (865) 541-8162. We would be delighted to work with you and your advisers. from a traditional or Roth IRA to a qualified charity such as Children’s Hospital. This temporary tax provision for IRA gifts remains in effect only through December 31, 2007, so if you are interested in making such a donation, it is important to act soon. Here are some key details: 1. The donor must be at least 70 at the time of transfer. 2. The transfer must pass directly from the IRA custodian to the qualifying charity. 3. The transfer is limited to no more than $100,000 per tax year. 4. The transfer is not limited to 50 percent of adjusted gross income (AGI) like other cash gifts. 5. The act applies only to traditional, C e n t e r S t a g eC e n t e r S t a g e
  12. 12. CCAALLEENNDDAARR OOFF EEVVEENNTTSS 13 Star 102.1 Radiothon Star 102.1 presents its sixth annual Radiothon to benefit Children’s Hospital March 1-2. The event, hosted by Star 102.1 morning radio personalities Marc, Kim and Frank from 6 a.m. to 6 p.m. each day, will feature inspirational patient stories and local celebrities. The hosts will encourage listeners to visit West Town Mall during the two-day event and make a personal pledge to Children's Hospital. You can also donate to the hospital by making a purchase at the Radiothon silent auction, which will feature a variety of items from local and national companies and retailers. The funds raised during the Star 102.1 Radiothon will benefit Children's Hospital Home Health Care and the CarePages service. “Cutest Little Baby Face” Contest The 17th annual “Cutest Little Baby Face” contest will kick off March 10 at Belz Factory Outlet World in Pigeon Forge. The contest is open to children ages 6 and younger, with Gary Woods Photography in Sevierville taking photos of participating children. Contestants may preregister by completing a registration form at the outlet mall or by calling the Children’s Hospital Development Department at (865) 541-8745. The entry fee for preregistration is $5, and registration at the event is $7. The fee includes a 5x7 portrait of the participating child. Pictures will be taken March 19, 9 a.m.- 6 p.m., and March 11, 12-5 p.m. Voting will take place at Belz on March 23 and 24; each $1 donation to Children’s Hospital will count as 100 votes. The child with the most votes wins and will be announced March 24 during the “Baby Face Parade.” Food City Family Race Night Meet some of your favorite Nextel Cup and Busch series NASCAR drivers at the Knoxville EXPO Center on Clinton Highway on March 21. The drivers will be on hand to sign autographs, pose for pictures and talk with fans. There will also be fun family activities and free food compliments of Food City. Tickets can be purchased in advance for $4 at any Knoxville Food City or for $5 at the door. Children 5 and under are admitted free. Trideltathon Triathletes should make plans to compete at the 22nd Annual Delta Delta Delta “Trideltathon” on April 22. Participants will compete in the mini-triathlon’s 3-mile run, 6-mile bike ride and 400-meter swim while raising money for Children’s Hospital. Registration is limited to the first 400 entries. A registration fee (amount to be announced) for individuals and groups will include registration and a goodie bag. Race packet pick-up and day-of-race registration will take place at the UT Aquatic Center April 21, 3-6 p.m., and race day, 6:30-7:30 a.m. Nancy Hayes Baseball Tournament Knock one out of the park May 3-6 at the fifth annual Nancy Hayes Memorial Baseball Tournament. The Hayes family of New Market sponsors the event in memory of their daughter, Nancy Elizabeth Hayes. Games will be held at Powell field, Caswell field, Fountain City field and Karns Sports Park. Proceeds from the event will benefit Children’s Hospital. For more information, contact Lenny Hayes at (865) 382-1133 or by e-mail at lhayes22@earthlink.net. U P C O M I N G E V E N T S T O B E N E F I T C H I L D R E N ’ S Mark your calendars now for several upcoming events to entertain families and benefit Children's Hospital. Thanks to the generous people of East Tennessee who host and participate in these events, Children's Hospital can continue to provide the best pediatric health care to the children of this region. CCAALLEENNDDAARR OOFF EEVVEENNTTSS Children’s Hospital Invitational Golf Tournament The 24th annual Children’s Hospital Invitational Golf Tournament will take place at Fox Den Country Club in Knoxville on May 14. The tournament will start with a morning round, followed by an afternoon tee time. The entry fee for a two-man team is $225 per player, which includes green and cart fees, breakfast, lunch, refreshments, participation in the 19th hole and an official tournament goodie bag. A portion of the participant entry fee is tax deductible. Ruby Tuesday is the event’s signature sponsor. Helicopter Awareness Day Visitors to Sevier County can enjoy a spring afternoon outdoors and help Children's Hospital at the same time. Scenic Helicopter Tours and Halson’s Helicopter Museum in Sevierville will host the sixth annual Hal Haynes Helicopter Awareness Day to benefit Children's Hospital and the Church of God Home For Children in Sevierville and raise awareness of the importance of helicopters in society. All riders enjoying a trip on April 21 on Scenic Helicopter Tours’ helicopters near the Great Smoky Mountains will be charged normal ride fees ($10 and up per person, depending on ride length), and 100 percent of the day's ride fees will be donated to Children's Hospital and the Church of God Home for Children. Scenic Helicopter Tours will also accept cash donations for Children's Hospital. Over $14,000 was raised at this event in 2006. In addition to rides, Helicopter Awareness Day will feature five to 10 helicopters from throughout East Tennessee that visitors can see. Free food and drinks will also be available at the heliport from 10 a.m. to 4 p.m. During the evening of April 21, a gala rooftop event at Halson’s Helicopter Museum will also raise funds for the hospital and children’s home. The next day, April 22, the museum will host Helicopter Awareness Day from 10 a.m. to 4 p.m., and that day’s revenues will be donated to the hospital and children’s home. For more information, contact Scenic Helicopter Tours at (865) 428-6929. To learn more about any of these events, contact the Children's Hospital Development Office at (865) 541-8441. by Bethany Swann, student intern The 2006 Cutest Little Baby Face, Madelaine Grizzell, appeared on the 2007 Children's Miracle Network telethon. With Madelaine are (left to right), Norm Kallemeyn with the Kiwanis Club of Sevierville; Julya Johnson of WBIR-TV Channel 10; Amy Kingery, president of the Kiwanis Club of Sevierville; and Sarah Grizzell, Madelaine's mother. Marc, Frank and Kim from Star 102.1 will host the upcoming sixth annual Radiothon to benefit Children's Hospital.
  13. 13. 14 There are so many things a parent can do to keep a child healthy and safe. In this issue of It’s About Children, Ryan Redman, M.D., pediatric emergency medicine specialist at Children’s Hospital, discusses some of the best ideas parents can use to help their children stay safe and healthy — and hopefully out of the Emergency Department. QQ:: My child seems to bring home every germ from school. What can we do? AA:: The number one thing parents can do is teach their children the proper way to wash hands and help them understand WHEN to wash – after using the bathroom, before and after eating, after coughing or sneezing, after touching a pet, etc. Children tend to touch their mouths, so germs on the hands have an easy route into the child’s body – and before you know it, he or she is sick. Here, in simple terms that your child will understand, is how to wash properly: • Use soap, and then lather for 10-15 seconds. Make sure to wash between fingers and under nails where germs can hide. • Rinse and dry well with a clean towel, then turn off the water with the towel to keep from getting germs from the faucet onto clean hands. • Sing a favorite song while washing hands. By the time the song is over, those germs should be washed away. Having your child immunized against common diseases is also extremely important for keeping him or her healthy. See your child’s primary care physician to make sure all shots are up to date; if not, the doctor can put your child on a catch-up schedule. If you have concerns about the safety of vaccines, ask your child’s doctor for TToopp ttiippss ffoorr ssaaffee && hheeaalltthhyy kkiiddss advice. The vaccines do come with some risks, but the diseases that these vaccines protect against are far more serious than the risk of side effects. QQ:: My son loves to play outside – especially riding his bike or scooter. What are some safety tips for those activities? AA:: Outdoor activities are great for children — the fresh air and physical activity promote overall health and fitness. But some favorite activities can have a significant risk of injury. For kids on bikes, scooters, roller skates and skateboards, a bike helmet is vital to protect the brain from injury. I also recommend knee, elbow and wrist pads for use with scooters, skates and skateboards to help protect from cuts and scrapes as well as more serious sprains and fractures. Some children may not like this requirement, but parents should make safety equipment non-negotiable: children wear the protective gear or they don’t ride. And remember, bike helmets are required by law, so your children really have no choice in the matter. In addition to using safety equipment, children also need a safe place to ride. If a sidewalk is available, it is the safest place. Many neighborhoods don’t have sidewalks, however, so children naturally head to the street. Even the quietest streets are not safe from a driver going too fast or one who is distracted. And sometimes children just aren’t paying attention and enter the street right in front of a moving vehicle. So make sure your children have the safest possible place to ride, and also teach them safety rules of the road if you decide to let them ride in the street. QQ:: Our neighbors’ children recently received a trampoline for a holiday gift. Now my children have asked for their own trampoline, but I have heard they can be unsafe. What is your advice? AA:: The best way to keep children safe with a trampoline is to not use one. Trampoline injuries such as broken bones and head trauma are common and can be quite serious. Trampolines that have the netting around them may prevent a child from falling off but will not prevent other injuries. If you choose to have a trampoline or to let your children use a friend’s trampoline, here are some basic guidelines: • Only one person should be on the trampoline at a time. • Children should be at least six years old before using a trampoline. • Do not allow somersaults because landing on the head or neck can lead to very serious injury. • Adult supervision is a must at all times. • Make sure the trampoline has protective padding on the springs, hooks and frame, as well as a net enclosure to help prevent falls. QQ:: We are going to the beach during spring break. How often should I apply sunscreen on my children? AA:: Sunscreen is very important to a child’s overall health. A sunburn may just be mildly uncomfortable now, but each sunburn damages the skin, which can mean serious problems, such as skin cancer, later in life. Serious sunburn at any age can land the person in the Emergency Department. And don’t forget that protection from the sun also means wearing the right kind of clothing as well as hats and sunglasses.
  14. 14. Use these tips for sun safety: • Avoid the sun when it is highest overhead (about 10 a.m. to 4 p.m.) as much as possible. • Apply sunscreen for any outdoor activity – not just at the pool or beach but also for backyard play. Apply sunscreen even on cool, cloudy or overcast days. UV rays can travel through the clouds and reflect off surfaces, causing an unexpected sunburn. • Apply sunscreen 30 minutes before going outside and reapply every 2-3 hours. Reapply more frequently if your child is swimming or sweating, and choose a waterproof formula. And apply it generously for good coverage. • Select sunscreen with an SPF (sun protection factor) of at least 15 that also protects against both UVA and UVB rays (often referred to as a “broad-spectrum” sunscreen). • Choose clothing with fabric that is thick enough to screen out harmful UV rays (if you can see your hand through the fabric, the sun’s rays will also be able to get through the fabric). • Do not apply sunscreen to children under six months of age – just keep them out of the sun as much as possible. When that is not possible, dress the baby in a wide-brimmed hat and in clothing that covers the body. You can even use an umbrella to shade the baby. As parents and caregivers, we have a responsibility to take care of our children, and that does take some effort. Hopefully these tips will get you started. For more health and safety information, visit the Children’s Hospital Web site at www.etch.com and click on “Health Library.” 15 Ryan Redman, M.D. New CPR guidelines make learning easier “Push hard, push fast” are words that will be repeated over and over in upcoming Healthy Kids CPR (cardio-pulmonary resuscitation) classes. This is due to the new, easier CPR guidelines from the American Heart Association that put emphasis on chest compressions rather than mouth-to-mouth resuscitation. The new technique calls for 30 chest compressions – rather than 15 – for every two rescue breaths. These updated guidelines should make it easier for “everyday people” to learn CPR. Earlier rules were different for adults and for children and called on untrained rescuers to stop pushing the chest periodically to check for signs of circulation. Now the advice is the same for all ages – 30 compressions for every two rescue breaths. “What is important for anyone giving CPR is to keep the blood flowing,” said Lorisa Williams, Director of Education at Children’s Hospital. “Valuable time is lost when rescuers who are not medical professionals try to check for signs of circulation or try to reposition a victim’s head for each rescue breath.” Studies show that continual chest compressions create more blood flow through the heart and to the rest of the body, buying time until a defibrillator can be used or the heart can pump blood on its own. Studies have also shown that blood circulation increases with each chest compression and must be built back up after an interruption, such as to give rescue breaths. “Every parent should know CPR,” said Joanna Simeone, Healthy Kids program coordinator and public relations specialist for Children’s Hospital. “This skill can save a child’s life by providing breathing and circulation until advanced care can be given.” Other changes in the updated CPR techniques can only be taught in a classroom setting. CPR classes are offered monthly as part of Children’s Hospital’s Healthy Kids program, which serves as an educational resource for parents by offering classes and literature for learning more about a variety of children’s health issues. For more information about learning CPR, call the Healthy Kids Hotline at (865) 541-8262. Class listings are also available on Children’s Hospital’s Web site at www.etch.com. by Seth Linkous, Associate Director for Public Relations It’s time to buy a Children’s Hospital license plate! The Children’s Hospital specialty license plate is in danger of being abolished by the state due to low numbers of purchasers. The minimum number to maintain a specialty plate formerly was 500 license plates, but the state increased the minimum in 2005 to 1,000. At this time, only 800 Children’s Hospital plates are registered. Children’s Hospital must reach and maintain at least 1,000 active registrations (plates) by July 1, 2007, or our plate will be abolished. If this happens, the hospital will have to wait three years before it can pursue another specialty plate through a very lengthy process. If you have purchased one of the plates, we hope you’ll renew the plate when it comes due. This is an easy way to help Children’s Hospital on an ongoing basis. If you have been thinking about purchasing the hospital plate, there has never been a better time! The plate is available continuously through each County Clerk’s office, and the cost of the plate is $35 in addition to each county’s renewal fee. Fifty percent of the revenue generated from the specialty plates directly benefits Children’s Hospital. If you have any questions about the specialty Children’s Hospital license plate, contact your local County Clerk’s office or the Children’s Hospital Development Department at (865) 541-8441.
  15. 15. The 25th annual Children’s Miracle Network Telethon was again a great success for Children’s Hospital. Although it was broadcast earlier in the calendar year and featured a different format, the telethon raised $1.9 million through pledges and corporate donations. Traditionally a two-day event the weekend after Memorial Day, the telethon was moved earlier in the season for the first time in 2006. The 2007 telethon took place Sunday, January 28, and aired live on WBIR-TV 10 from 3:30-11:30 p.m. The telethon’s success reflects the outstanding support of many generous volunteers, individuals and corporate sponsors including Wal-Mart, Sam’s Club, Goody’s, Star 102.1 radio and other community organizations. Children’s Hospital was a charter member of the Children’s Miracle Network in 1983, becoming one of only 22 hospitals nationally to participate in the first telethon, which was broadcast locally on WBIR-TV 10. Since that first telecast, the hospital has raised about $25 million to meet the health care needs of area children who make more than 141,000 visits to Children’s Hospital each year. Proceeds from this year’s telethon will buy new and replacement equipment for many areas of the hospital so that each patient can receive the best care possible. Children’s Hospital extends its sincere gratitude to all who participated in this year’s telethon, including WBIR-TV for its 25 years of dedication to making a difference in the lives of East Tennessee’s children. Children’s Hospital 2018 Clinch Ave. • P.O. Box 15010 Knoxville, Tennessee 37901-5010 We always try to stay current with friends of the hospital. If for any reason you should receive a duplicate issue, please notify the hospital at (865) 541-8257. NON-PROFIT ORGANIZATION U.S. POSTAGE PA I D PERMIT 433 KNOXVILLE, TN 25th Annual CMN Telethon raises $1.9 Million

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