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It's About Children - Summer 2004 Issue by East Tennessee Children's Hospital
It's About Children - Summer 2004 Issue by East Tennessee Children's Hospital
It's About Children - Summer 2004 Issue by East Tennessee Children's Hospital
It's About Children - Summer 2004 Issue by East Tennessee Children's Hospital
It's About Children - Summer 2004 Issue by East Tennessee Children's Hospital
It's About Children - Summer 2004 Issue by East Tennessee Children's Hospital
It's About Children - Summer 2004 Issue by East Tennessee Children's Hospital
It's About Children - Summer 2004 Issue by East Tennessee Children's Hospital
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It's About Children - Summer 2004 Issue by East Tennessee Children's Hospital

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See more at: http://www.etch.com/about_us/its_about_children.aspx

See more at: http://www.etch.com/about_us/its_about_children.aspx

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  • 1. ChildrenÕs 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 Invest In The Future2004 ChildrenÕs Miracle Network Telethon is June 5-6 The three-year, $47.5 million expansion is well under way and scheduled to be completed in mid-2005. This expansion was designed to better meet the needs of the increasing number of children receiving care at ChildrenÕs Hospital. In addition to segments live from ChildrenÕs Hospital, the telethon will also feature great entertainment from the national telethon at Walt Disney World, including a concert by the talented multi- award winning singer Lee Ann Rimes. The success of this yearÕs ChildrenÕs Miracle Network Telethon is crucial in helping ChildrenÕs Hospital grow to better serve the children of East Tennessee. Funds raised at the telethon will be used to purchase new and sophisticated medical equipment for various hospital departments, including the NICU, the Outpatient Clinics, Respiratory Care, Endocrinology, the Emergency Department In 1983, ChildrenÕs Hospital became a charter member of the ChildrenÕs Miracle Network and participated in the first ChildrenÕs Miracle Network Telethon. That year, the local telethon raised $95,487, all of which remained at ChildrenÕs Hospital for the direct benefit of its patients. Last year, the 21st annual CMN broadcast continued to be a testimony of the progress ChildrenÕs Hospital has made over the years by raising more than $1.9 million. Of course the telethon is not the only thing that has grown at ChildrenÕs Hospital over the years. During the 1983- 84 fiscal year, the number of visits children made to ChildrenÕs Hospital for injuries and illnesses was less than 40,000. That number has grown to more than 130,000 patient visits in the 2002-03 fiscal year. To accommodate this continued growth and better serve our patients, ChildrenÕs HospitalÕs facilities are also growing. and the Laboratory. For complete details of what the telethon funds will purchase, visit our Web site at www.etch.com. Children are the future, so please invest in the future of thousands of children by supporting the 2004 ChildrenÕs Miracle Network broadcast on WBIR-TV Channel 10 on Saturday, June 5, and Sunday, June 6, live from ChildrenÕs Hospital. Your support helps ensure each child who comes to ChildrenÕs Hospital, now and in the future, is able to receive the care he or she needs. For more information about the ChildrenÕs Miracle Network or the ChildrenÕs Miracle Network Broadcast, or if you would like to volunteer at the telethon, please call (865) 541-8441. by Casey LaMarr, student intern
  • 2. Board of Directors James S. Bush Chairman Robert Madigan, M.D. Vice Chairman Robert M. Goodfriend Secretary/Treasurer Michael Crabtree Dawn Ford Peyton Hairston Jeffory Jennings, M.D. Bob Koppel Donald E. Larmee, M.D. Dugan McLaughlin Chris Miller, M.D. Alvin Nance Dennis Ragsdale J. Finbarr Saunders, Jr. William F. Searle III Bill Terry, M.D. Laurens Tullock Danni Varlan Medical Staff Chris Miller, M.D. Chief of Staff Lewis Harris, M.D. Vice Chief of Staff David Nickels, M.D. Secretary Chiefs of Services Lise Christensen, M.D. Chief of Medicine Cameron Sears, M.D. Chief of Surgery David Birdwell, M.D. Chief of Pathology Clifford J. Meservy, M.D. Chief of Radiology Mike Mysinger, D.D.S. Chief of Dentistry Mark Cramolini, M.D. Chief of Anesthesiology Administration Bob Koppel President 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 Beckie Thomas, R.N. Vice President for Patient Care 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 more than 65 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 The Bottom LineArtwork by some of Children’s Hospital’s special patients 2 by Destiny age 4 by Angel age 2 1/2 by Kattie age 10 3 In late February, ChildrenÕs Hospital opened a new 22,500-square-foot facility designed for the unique needs of special children. The East Tennessee ChildrenÕs Hospital Rehabilitation Center, located at Pellissippi Parkway and Westland Drive off I-140, serves children ages birth through 21 with a variety of special needs. The new facility provides a family- focused and child-family centered setting. The Rehab CenterÕs day treatment program for medically fragile children, ChildrenÕs Corner, has increased its patient capacity from 15 to 27 children daily at the new location. ChildrenÕs Corner is designed to help these children transition to a less intensive care setting. Other additions to the center include individual treatment areas; a parent conference room with an extensive video library; a computer lab to help children use technology for greater independence; state-of-the-art computer technology for rehab staff to use in working with patients; and a therapeutic playground to provide handicapped-accessible opportunities for children to play with others and build skills in independent movement with wheelchairs, crutches and walkers. The Rehabilitation Center is a department of East Tennessee ChildrenÕs Hospital and provides physician-directed rehabilitation services to nearly 1,500 area children each year. The center has served the East Tennessee region since 1947, and its programs help children and their families develop their potential and improve quality of life. While work on the new Rehab Center has been completed, major construction on the main campus of ChildrenÕs Hospital continues. Unpredictable weather is always a factor in major construction, but good progress is being made toward the completion of the 115,000-square foot, seven-story patient tower at the corner of Clinch Avenue and 20th Street. Due to heavy rains during the past few months, major milestones have been pushed back about a month. The following is an update on what has been completed and what is planned for the next few months: ¥ Work is continuing on the lower level of the tower to create patient rooms. ¥ The towerÕs steel structure is now under roof. ¥ The setting of new heating and air conditioning units on the south side of the hospital has been completed for the renovation of the Second, Third and Fourth floors. ¥ Utility work on the lowest level has been completed, and work on the new cafeteria will soon be underway. ¥ Renovation of about 90,000 square feet of existing hospital space is scheduled to begin in the latter part of 2004. Included in this work will be the upgrading of all semi-private impatient rooms with half baths to private rooms with full baths. This $31.8 million expansion and renovation of ChildrenÕs Hospital will ultimately allow for more space and comfort for patients and families. Features will include 95 private patient rooms with full baths, an expanded 13-bed Pediatric Intensive Care Unit and an expanded 44-bed Neonatal Intensive Care Unit. The hospitalÕs licensed beds will increase from 122 to 152, and a larger Emergency Department will increase from 18 to 34 beds. In addition, the Surgery and Radiology Departments will be expanded. by Matt Rongey, student intern New Rehab Center offers expanded services On the cover: Bill Williams, anchor emeritus of WBIR-TV Channel 10, with Kate (left) and Hannah Felton
  • 3. & Hannah, Lily Kate Medical Center. During her 25th week of pregnancy, she began to experience some contractions and was put on bed rest. On the Sunday of her 26th week, her doctors had her admitted to Fort Sanders Regional for monitoring. Medication to stop the contractions was unsuccessful, and Dr. Roussis delivered the three little girls by Caesarean section that Thursday, January 25, 2001. Their due date was April 25. In addition to Labor and Delivery staff from Fort Sanders Regional, physicians, nurses and respiratory therapists from the Neonatal Intensive Care Unit at ChildrenÕs Hospital attended the birth to immediately provide care to the girls and then transport them to the NICU at ChildrenÕs. Premature infants typically are hospitalized until close to their actual due date, which for the Felton girls would mean up to three months. "We were really nervous," Johnna said. "Whatever Dr. Roussis said was what we were going to do. I was just praying, almost na•ve to think everything was going to be fine. "They were screaming little babies, so tiny, and they showed them to us and then they wheeled them away to the NICU at ChildrenÕs," she continued. "I knew they were in good hands É we just knew everything was going to be fine." "Baby A," as she had been known during the pregnancy, was named Hannah, and she weighed 2 pounds, 1.5 ounces. "Baby B," Lily, was 1 pound, 15 ounces; and "Baby C," Kate, was 2 pounds, 4 ounces. Johnna needed to be mobile after her C-section, so as soon as it was allowed, John wheeled her to ChildrenÕs Hospital to visit the babies. (ChildrenÕs Hospital is connected to Fort Sanders Regional by an underground tunnel, allowing for the safe, quick transport of newborns to the NICU, as well as offering new moms who are still hospitalized at Fort Sanders an easy way to visit their babies.) "I remember John wheeling me over there for the first time and, of course, I just broke down because they were so tiny," Johnna said. "I just wanted to hold them, but I knew I couldnÕt. It was OK because they were in good hands." The girls required oxygen only for a brief time, less than many preemies. They were doing very well and were gaining weight, sometimes just a half an ounce, but for John and Johnna, every little bit was important. "Of course we would be there every day," Johnna said. "It was the biggest thing to find out how much they had gained that day." John said the nurses were more than happy to answer their many questions, such as how to read the monitors and how to push the right buttons to quiet a beeping monitor. "The monitors will drive you crazy," he added. "ItÕs all a learning process, and itÕs not one you want to do more than once." On Friday night, February 9, John and Johnna visited the girls in the evening. They were doing well, so the couple decided to take a break and go to a movie. The next morning, Johnna visited the girls by herself and called John to tell him Lily had an infection. John came straight to ChildrenÕs, and they talked with Dr. Stephen Prinz, neonatologist, who said Lily had necrotizing enterocolitis (NEC). A gastrointestinal disease that mostly affects premature infants, NEC involves infection and inflammation that causes destruction of the bowel (intestine) or part of the bowel. The Feltons stayed until late Saturday night, and then went home. About 6:30 Sunday morning, Dr. Prinz called and said they needed to come back to the hospital to give the OK for a procedure to drain the infection. Throughout that day, they remained by LilyÕs side. "We could see she wasnÕt doing any better," John said, and for the first time the couple realized Lily might not get well. Johnna and her mother stayed through the night. "I couldnÕt leave her," Johnna said. "I had that feeling that this could be the last night with her." John came back to the hospital the next morning, February 12: "When I saw her on Monday morning, I knew there was no turning back, sheÕs not getting any better." Dr. John Howick, a neonatologist who had attended the Felton girlsÕ birth, spoke to John and Johnna about LilyÕs condition. "Dr. Howick said, ÔSheÕs not 5 going to make it,Õ" John said, and he and Johnna made the difficult decision to have Lily removed from the machines that were keeping her alive. They were with Lily when she died, as were some of the nurses. "It has to be the hardest job in the world to be a nurse, because you could see the emotion in their eyes," John said. "It was killing them too, It was tough. But they were just as kind to us as they could be in that situation." SURVIVING TRIPLETS "The next day, we were back up there again. We had the receiving of friends at our house, and we did all that, and we had the burial," John said. "But we still had two girls, and we had to be there for them. We never missed a day." At one point there was concern that Kate also might have NEC, but fortunately she didnÕt. "From that point on, as far as I can remember, it was smooth sailing," John said. The NICU staff does not tell families when a baby will be discharged until shortly before the discharge, perhaps a day before. Sometimes things can happen suddenly, and it is difficult for parents to expect to bring a baby home on a certain date and then not be able to for some reason. So on March 27, when John and Johnna arrived for their daily visit, they were surprised and excited to learn that Hannah and Kate would go home that day. They weighed a little over 4 pounds each and were two months old. "Of course to us they were huge," Johnna said, because theyÕd already doubled 4 The loss of a child can be overwhelming. But when 19-day-old Lily Claire Felton died at Children's Hospital, her parents couldnÕt go home to grieve Ð they had two more tiny baby girls still in the hospital who needed them. Lily and her sisters, Hannah Gayle and Kate Lauren, were conceived through fertility treatments. Their parents, John and Johnna Felton of Knoxville, were looking forward to their arrival, and Johnna was experiencing a very healthy triplet pregnancy. She was working in pharmaceutical sales and was active and on her feet. "I was the ideal patient expecting triplets," Johnna said. Because she was expecting triplets, Johnna was a patient of Drs. Perry Roussis and Gary Stephens, perinatologists (specialists in high-risk pregnancies) at Fort Sanders Regional & Hannah, Lily Kate Hannah (left) and Kate Kate (left) and Hannah Lily Felton
  • 4. their birth weight and were now bigger than many of the babies in the NICU. The girls were on heart monitors at home for several months but otherwise required no special care at home. They also were followed by Nadine Trainer, M.D., pediatric physiatrist at the ChildrenÕs Hospital Rehabilitation Center, and the family pediatrician, Joe Peeden, M.D. They monitored the girlsÕ development periodically, but they developed normally according to their "adjusted age." Preemies are given an "adjusted age" based on how many weeks premature they were at birth. This age is important when evaluating development, because preemies develop more slowly than full- term infants for the first year or two. For example, a premature infant who was born six months ago but was three months premature has an adjusted age of three months; so the baby should be at the developmental level of a typical three-month-old, even though he or she is actually six months old. Hannah walked at 17 months (when her adjusted age would have been 14 months), and Kate walked at 18 months (when her adjusted age would have been 15 months). "So they were a little bit behind, but theyÕre three years old now, and theyÕre caught up," John said. "They are thriving," Johnna said. "TheyÕre like every little three-year-old girl would be." More than three years since LilyÕs death, the Feltons find it difficult to explain the fact their two girls are triplets. Although they are not identical, Hannah and Kate do look somewhat alike with similar hairstyles and often the same clothes. "I think the biggest hurdle to overcome with having surviving triplets is to explain that to a stranger," Johnna said. "I donÕt want to forget Lily; I never will. And thatÕs why I always include her when I say they are surviving triplets when someone asks if they are twins. They are triplets, and they always will be." They know that is something Hannah and Kate will have to deal with as they get older, as well. "We talk about Lily to them now, and we always will," Johnna said. "We hope theyÕll remember her as much as we do." MIRACLES "With them being the miracles that they are, I donÕt take them for granted ever," Johnna said. "I just appreciate their life, and I feel so lucky to have them in our life." In January 2004, the Feltons talked about another miracle they were expecting. When Johnna passed her 27th week of pregnancy that month, "I was holding my breath the whole day É please donÕt let me go into labor all of the sudden." John added, "We love the people at ChildrenÕs, but we hope we donÕt see them this time." Johnna made it past the 27th week mark and through the rest of the pregnancy. Due on April 11, Sadie Jane Felton was delivered in a scheduled C-section at Fort Sanders Regional on April 2. She weighed 7 pounds, 5 ounces. IN THE NICU "If any of our friends were to have a child at ChildrenÕs, I can tell them with confidence they are going to be in good hands, and not to worry," Johnna said. John added, "ItÕs a great group of people up there. ItÕs a great experience working with these people. ItÕs not a great experience being there, but they make it a whole lot easier." GRIEF RESOURCES ChildrenÕs Hospital makes every effort to provide the best care to our patients, but sometimes, children are just too sick or injured too seriously to recover. In these cases, best efforts and the best in medical technology sometimes simply arenÕt enough. Such was the case with Lily Felton. Grief, the normal response of sorrow, emotion and confusion that comes from losing something or someone important, is a natural part of life. If a parent loses a child, grief is the natural response. But another important response is finding an outlet for the grief. When a child dies at ChildrenÕs Hospital, grief-counseling resources are provided to the family. ChildrenÕs Hospital chaplains and social workers work with the family throughout the loss. "We provide grief literature, invite them to local grief counseling groups, and celebrate their children through our annual Memorial service and a Christmas ornament in remembrance of the children," said Pastoral Care Director Rick Callaway. "We also remain in contact with the family through personal phone calls, memos and letters." Grief lasts as long as it takes the parent to accept and learn to live with the loss. For many parents, grieving may take many years, and the length of grieving is different for each person. There is no normal timeline for grief, emotion or acceptance. The following organizations and Web sites provide information and support for coping with grief: ¥ The Compassionate Friend: A national self-help support organization for those grieving for the loss of a child or a sibling. The local support telephone number is (865) 687-2117, or the organization can be reached on the web at www.compassionatefriends.org ¥ Healing Hands Haven: An East Tennessee support group for parents who have lost a child during, before or after birth. The local telephone number is (865) 675-8000. ¥ Mothers In Sympathy Support (M.I.S.S.): A nonprofit international organization that provides immediate and ongoing support to grieving families, empowerment through community volunteerism, public policy and legislative education and programs to reduce infant and toddler death through research and education. www.misschildren.org ¥ Empty Arms, Heavy Hearts: A support site for anyone who has lost a child -- from conception to adulthood. www.childloss.com. ¥ Brief Encounters: A non-profit nonsectarian support group for parents whose babies died before, during or after birth. www.briefencounters.org by Tanya Marshall, Associate Director for Public Relations 7 Why Pediatrics? Children are the “fun” of medicine and are rewarding to treat. The pediatrician can shape and influence the future health of each generation. Greatest Influence – My father. He modeled and taught “slow to anger and quick to help others.” He also always looks for the good in people and in life situations. Philosophy – To provide complete, compassionate health care to children and their families. Proudest Moment as a Pediatrician – When the mother of a patient stated, “He is not really sick; he is just acting like it so he can see Dr. Ward.” Ward Phillips, M.D. Age – 39 Wife – Regina Phillips, M.D. Children – Hannah, 15; Ben, 11; Luke, 4; and Daniel, 3 Name of Pediatric Practice – Phillips Medical Group, P.C., Talbott Personal Interests – Exercise, gardening, sports medicine, music Academic Background/Prior Experience – B.A. – Carson-Newman College, Jefferson City, 1987 M.D. – University of Tennessee, Memphis, 1991 Internship – UT Memphis, 1992 Residency (internal medicine and pediatrics) – UT Memphis, 1992-95 Pediatrician Profiles unlimited potential. By encouraging a healthy lifestyle and preventive health care early, many adult diseases may be avoided. In pediatrics, the goal is to instill these values and show kids how to stay healthy. Greatest Influence – My parents, who taught me to pursue my dreams; my grandfather, who used his life to share his faith; and Jesus Christ, the Great Physician. Philosophy – Treat each patient with the same care, diligence and respect I’d give my family. Listen to parents’ and patients’ concerns. Don’t assume anything, and explain everything thoroughly. Proudest Moment as a Pediatrician – Attending the birth of my first daughter, as the pediatrician, on my first day as an attending physician. Russel Rhea III, M.D. Age – 39 Wife – Jean Children – Rachel, 10; Rebekah, 8; Mark, 5; Jacob, 2; Tyler, 1 Name of Pediatric Practice – Children’s Faith Pediatrics, Knoxville Personal Interests – Hiking, swimming, boating, historic sightseeing with the family Academic Background/Prior Experience – B.S. – Geneva College, Beaver Falls, Pa., 1986 M.D. – Meharry Medical College, Nashville, 1990 Internship and Residency – Children’s Hospital, Dayton, Ohio, 1990-93 Why Pediatrics? Children have a remarkable resilience and “Children are the ‘fun’ of medicine and are rewarding to treat.” “Treat each patient with the same care I’d give my family.” 6 Kate (left) and Hannah Tw0-week-old Sadie Felton with her big sisters Kate (center) and Hannah.
  • 5. Since opening its doors in 1937, ChildrenÕs Hospital has changed and grown tremendously. It had humble beginnings as a small hospital for children with polio. Today, ChildrenÕs is a Comprehensive Regional Pediatric Center offering a wide range of pediatric health care services. Throughout its history, ChildrenÕs Hospital has been the first in the region to offer a number of unique, specialized services. The focus of each of these firsts has been the special needs of infants, children and teens. This emphasis on children is what makes ChildrenÕs Hospital unique among medical centers. Quintuplets Ð ChildrenÕs Hospital provided care in our Neonatal Intensive Care Unit for TennesseeÕs first surviving quintuplets, the van Tols. Willem Scott, Sean Conner, Isabella Marie, Ashley Faith and Meghan Ann were born January 14, 2004, between 12:22 and 12:24 p.m. and weighed between 2 pounds, 8.8 ounces and 4 pounds, 0 ounces. The bigger, stronger boys went home first, on February 6. Isabella went home February 9, and the other two girls went home February 15. The proud parents, Willem and Shannon van Tol of Knoxville, welcomed their five healthy babies during a Cesarean section at Fort Sanders Regional Medical Center, across the street from ChildrenÕs Hospital. The birth took place during ShannonÕs 33rd week of pregnancy, after she had been on bed rest for about 8 weeks. Among the 28 health care professionals attending the delivery were five neonatologists, five neonatal nurses and five respiratory therapists from ChildrenÕs Hospital. They were on hand to immediately provide specialized neonatal care to the quints and transport them to the NICU at ChildrenÕs. TennesseeÕs first set of quintuplets were delivered at Vanderbilt Medical Center in 1997; only one of the five babies survived. Subspecialists Ð ChildrenÕs HospitalÕs first pediatric subspecialist, John Maddox, M.D., pediatric general surgeon, joined the hospital staff in October 1964; he remained the only pediatric subspecialist on staff at ChildrenÕs for more than a dozen years. Dr. Maddox retired in 2003 after nearly 40 years at ChildrenÕs Hospital. Since the late 1970s, a part of ChildrenÕs HospitalÕs mission has been to recruit fellowship-trained pediatric subspecialists in a variety of fields from across the nation. Today, physicians in 27 pediatric subspecialties practice at ChildrenÕs Hospital. Pediatric Emergency Department Ð In 1970, ChildrenÕs became the first hospital in the area to offer emergency medicine services exclusively to pediatric patients. Three years later, the Pediatric Emergency Group was formed, providing physician coverage in the department 24 hours a day. Because of rapid growth in this service, a wing was added to the hospital in 1981 for a new Emergency/Outpatient Department. Last year, children made almost 62,000 visits to the Emergency Department. It continues to be staffed 24 hours a day, seven days a week by the ChildrenÕs Pediatric Group Ð physicians specially trained in pediatric emergency medicine. The Pediatric Emergency Department is being expanded as part of ChildrenÕs HospitalÕs three-year expansion plan. The ED will increase from 18 to 34 beds; the larger, more comfortable space will be completed by December 2004. Child Life Ð The first Child Life Department in the state was established at ChildrenÕs Hospital in February 1978 because of the hospitalÕs concern for the total child. Child Life staff focus on the emotional, social, creative and educational needs of patients at the hospital. They use group and one-on-one play and interaction to help children cope with the hospital experience. They believe strongly in the philosophy that a child should not have to stop being a child just because of a hospitalization. Neurology Ð The Oliver William Hill Jr., M.D., Pediatric Neurology Laboratory opened in September 1983. In addition to being the first pediatric neurology lab in Tennessee, it is one of only about 10 accredited pediatric labs nationwide. The Neurology Lab performs tests on children with seizure disorders, migraines, learning disabilities, sleep disorders and other diagnoses. The Neurology Laboratory is funded in part by the annual ChildrenÕs Hospital Invitational Golf Tournament, which takes place each May at Fox Den Country Club. Home Health Care Ð When ChildrenÕs Hospital began a home health care service in 1984, it was the only pediatric home health program in Tennessee. Today, the Home Health Care department has grown so much that it has its own offices in Farragut, Tenn. The Home Health Care Department offers nursing, respiratory care, rehabilitation, infusion therapy and other services to children in the comfort of their own homes. Home Health also offers an enteral feeding program for almost 200 patients; it is a unique program that many other home health agencies are just beginning to offer. The number of home visits made by Home Health Care staff has doubled just since the early 1990s to more than 12,400 in the 2002/03 fiscal year. The goal of ChildrenÕs Home Health Care is the same as that of the hospital Ñ to provide children with needed care in the least restrictive and most comfortable setting possible. Pet Therapy Ð In 1987, members of ÒHABITÓ (Human Animal Bond in Tennessee) began a pilot program to volunteer with their pets in CHIPS, the ChildrenÕs Hospital Inpatient Psychiatric Unit, now closed. The pet owners and their pets made regular visits to CHIPS to spend time playing with the patients in that unit. The program, which eventually became permanent, was the first such hospital pet therapy program in the state. In 1995, ÒHABITÓ expanded to the Hematology/Oncology Outpatient Clinic. The opportunity to interact with friendly dogs helps pediatric patients forget about their treatment for a while and focus on something else. Pediatric Transport Service Ð In 1993, ChildrenÕs Hospital initiated a pediatric critical care transport service to transport critically ill infants, children and teens to the hospital from hospitals throughout the region. The service, which was the first of its kind in East Tennessee, uses specially equipped hospital-to-hospital ambulances, each of which is essentially an intensive care unit on wheels. The Pediatric Transport Service shares the ambulances with ChildrenÕs HospitalÕs Neonatal Transport Service, which began in 1980 to transport premature and sick newborns to the hospitalÕs Neonatal Intensive Care Unit. Partners in Pediatrics Ð In 1996, ChildrenÕs Hospital established Partners in Pediatrics, a pediatric physician- hospital organization that works with third-party payors to ensure the areaÕs pediatricians and family-practice physicians can provide children with the most appropriate health care. During this time of rapid change in insurance and the growth of managed care, Partners also helps to ensure physicians are appropriately represented with the third- party payors. Partners in Pediatrics is the only physician-hospital organization in East Tennessee and one of only a handful in the country dedicated solely to the delivery of pediatric health care. ChildrenÕs Hospital is proud of these ÒfirstsÓ in our history. But the ones who benefit from these ongoing efforts are the children of East Tennessee, who deserve the best health care possible in an environment that caters to their unique pediatric needs. “Firsts” highlight Children’s Hospital’s history Co-chairs Becky Vanzant and Karen Waldbauer and assistant co-chair Linda Redmond Willem and Shannon van Tol with their five infants (left to right), Willem, Sean, Isabella, Ashley and Meghan. 98 ÒWhere Your Heart Finds ChristmasÓ is the theme for the 20th annual Fantasy of Trees. Co-chairs Karen Waldbauer and Becky Vanzant and assistant co- chair Linda Redmond are busy planning this yearÕs event, set for November 24-28 at the Knoxville Convention Center. Thousands of volunteers will contribute more than 110,000 hours of their time throughout 2004 for the event, which will feature designer-decorated holiday trees, festive and colorful decorations, gingerbread houses, childrenÕs activities, non-stop live entertainment and assorted holiday shops. This yearÕs event will feature eight new childrenÕs activities including ÒMy Holiday Apron,Ó where children can decorate their own apron for helping prepare holiday goodies, and ÒSoftie Snowman,Ó which allows children to design their own snowman made of felt. For the 20th anniversary, several new activities and events are planned. Children will help create a large, unique Holiday Mosaic featuring a festive holiday scene. Also, a festive preview brunch will allow area businesses, organizations, groups and individuals to enjoy a holiday meal before the Thanksgiving weekend and catch a glimpse of the Fantasy of Trees before the show opens to the public. Fantasy visitors will also have even more items to enjoy this year as three new designer categories have been added to the event. Proceeds from the 2003 Fantasy of Trees totaled $288,068, and the event hosted 51,462 visitors. The funds raised from the event were used to purchase new and replacement equipment for the new Rehab Center and the services it provides. The Rehab Center, a 22,500 square-foot facility located off Pellissippi Parkway and Westland Drive, opened in February. For more information about the 2004 Fantasy of Trees, contact the ChildrenÕs Hospital Volunteer Services and Resources Department at (865) 541-8385. by Matt Rongey, student intern Fantasy of Trees names new co-chairs, sets theme
  • 6. modeled after an event they had attended in Chattanooga. They began chairing the event in 1993, and it has sold out every year since then. Over $200,000 in net proceeds were raised in 2003, bringing the eventÕs 10-year total to over $1.6 million. Another member of GoodyÕs team also received a Philanthropy Day award. The late Pam Williams, former Corporate Communications Manager for GoodyÕs, received the Outstanding Volunteer Fundraiser Award. Williams, who lost a battle with cancer in November 2003, spent much of her professional career in service to charities, which benefited from her marketing skills and her passion for children. One of WilliamsÕ responsibilities was to allocate GoodyÕs annual charitable budget. After discussions with Goodfriend, Williams developed a philanthropic contributions policy and philosophy that reflects the companyÕs commitment to the needs of children and families. Under WilliamsÕ leadership, GoodyÕs became a philanthropic leader in all the communities where their 332 stores are located. Williams first became involved with ChildrenÕs Hospital through the Fantasy of Trees. She was a Committee Chair in 1989 before moving into a Vice-Chair role in 1991. Williams recruited volunteers and worked at the show for 14 years. In recent years, Williams coordinated the Fantasy of TreesÕ Celebrity Corner; she worked year- round to collect celebrity merchandise to be auctioned or purchased in this shop. Under WilliamsÕ leadership, Celebrity Corner has raised over $50,000 for the Fantasy of Trees. After joining GoodyÕs Family Clothing in 1995, Williams also became an instrumental part of the team Every year, the Great Smoky Mountain Chapter of the Association of Fundraising Professionals presents the Philanthropy Day awards. This year, three of the winners were nominated by and are supporters of East Tennessee Children’s Hospital. Bob and Wendy Goodfriend received the Outstanding Philanthropist Award because of their tireless work for the benefit of the community. Mr. Goodfriend, who serves as the Chairman and Chief Executive Officer of GoodyÕs Family Clothing, Inc., not only has a strong commitment to achieving business success but also a commitment to support the community. Among his community involvements is the United Way; he has previously served as a United Way Chairman for the local campaign. The Goodfriends have supported ChildrenÕs Hospital for the past 20 years through the annual ChildrenÕs Miracle Network Telethon. They began their support in 1983 with a gift of $10,000 at Telethon after their son Jeff was treated in the Pediatric Intensive Care Unit at ChildrenÕs Hospital. Since that time, Mr. Goodfriend has added a program to match gifts made by his employees and has matched pledges called in by viewers to the Telethon. The GoodfriendsÕ continued support has inspired GoodyÕs employees to increase fund-raising efforts in their stores, ranging from bass tournaments to the sale of ÒMiracle Balloons.Ó Telethon gifts in 2003 from the Goodfriends, GoodyÕs employees and GoodyÕs corporate gifts totaled over $448,000. The Goodfriends approached the ChildrenÕs Hospital administration in 1992 about a celebrity gala, Center Stage, planning for Center Stage, bringing creativity and leadership to the committee. The 2003 Outstanding Foundation Award went to The William B. Stokely, Jr. Foundation. The foundation gives more than $500,000 per year. The gifts stretch across a broad area and include charities in Kansas, Missouri, New York, Virginia, Florida, Kentucky and Tennessee. In the local community, the foundation has supported the ÒNine Counties, One VisionÓ program and has funded local schools, the University of Tennessee, law enforcement, the Knoxville Museum of Art, the Knoxville Symphony and Friends of the Great Smoky Mountains. The foundation also contributes to ChildrenÕs Hospital and other organizations that deal with childrenÕs issues such as the Boys and Girls Club, Project Grad, Mission of Hope, Juvenile Diabetes Research Foundation, Junior Achievement, Tennessee Baptist ChildrenÕs Homes and many others. These contributions have touched the lives of thousands of children. The Stokely Foundation is also a major sponsor of the Fantasy of Trees. Through contributions to the Fantasy of Trees, the foundation helps fund the purchase of much needed medical equipment for various departments at ChildrenÕs Hospital. ChildrenÕs Hospital nominated or co- nominated all three winners. ÒWe are extremely grateful for the efforts of the Goodfriends, Pam Williams and the William B. Stokely, Jr. Foundation,Ó said Bob Koppel, President of ChildrenÕs Hospital. ÒEach has helped ChildrenÕs Hospital tremendously and is very deserving of the recognition and honor bestowed upon them by the Association of Fundraising Professionals.Ó by Matt Rongey, student intern Local Children’s Hospital supporters honored Last year, Children’s Hospital and WBIR-TV Channel 10 created a program to recognize children from throughout East Tennessee who have done something out of the ordinary. ÒWe were looking for outstanding youngsters who had done something amazing: overcome an incredible physical or emotional situation, demonstrated outstanding talent and achievement through their art, or exhibited a passion for helping to make life better for others,Ó said Jeff Lee, WBIRÕs General Manager. The program, 10 Amazing Kids, was launched in December with announcements on WBIR-TV asking viewers to nominate a child they knew who had done something exceptional. Dozens of entries recognized outstanding East Tennessee children, and the selection process was extremely difficult. Each of the 10 Amazing KidsÕ stories was featured on ÒLive at 5Ó on WBIR-TV in April. The 2004 10 Amazing Kids are: Trevor Bayne, age 13, Gresham Middle School Ð TrevorÕs teachers said he Òexemplifies the attributes of leadership to his home, school and community. He is a champion in every aspect of his life. This 4.0 student has made many sacrifices since age 5 to achieve his dream of becoming a NASCAR driver, while being a positive role model for children and adults. Another of his recommendations said, ÒHe is humble, considerate of others and kind- hearted. He shows good sportsmanship at the race track and is respectful in school to his teachers and peers.Ó Jared Brentz, age 15, South-Doyle High School Ð Born with a severe physical condition, this freshman has faced more adversity in his short life than most will see in a lifetime. An amazing student, great golfer and gutsy wrestler, he is also a double amputee. His college and career counselor said Jared Òwears a smile instead of a cloud of self pity. Amazing is a word that personifies him perfectly. He is beloved by the South-Doyle faculty and staff but, more importantly, by his peers. The lesson learned (from Jared) is that disability does not equal defeat.Ó Carissa Cash, age 12, Whittle Springs Middle School Ð This energetic and inquisitive sixth grader has made a difference as a classroom volunteer. ÒShe has proven to be a determined, capable and skillful assistant, and as part of the Project GRAD system in the classroom, Carissa has been a dedicated leader/manager. She has kept the room quiet and her classmates focused on their work. In the future, I believe that she will become a genuine talk show host, an honest politician or a truthful teacher. She will inspire others to achieve their goals.Ó Nolan Crone, age 10, Farragut Intermediate School Ð NolanÕs teacher says there are few days in her classroom that the word ÒamazingÓ doesnÕt come to mind. Although Nolan has spina bifida and is paralyzed from the waist down, he doesnÕt use the word ÒcanÕt.Ó ÒHe is anxious to do all our activities. His tenacity and positive attitude are amazing to observe each day.Ó His fellow students see on a daily basis how difficult situations are for Nolan, but he shows them how hardships can be overcome. His classmates enjoy being NolanÕs helper in school each week. Caitlin Hairrell, age 9, Karns Intermediate School Ð To learn why Caitlin is an amazing kid, ask Sam, a special needs dog with cancer who has benefited from CaitlinÕs fund-raising efforts. Sam needed a heated bed to help with his condition, so Caitlin sold lemonade, dog biscuits and bookmarks to raise money. The board of directors at the Tennessee Valley Golden Retriever Rescue said, ÒCaitlin is a role model for all children. She exemplifies a humane, caring attitude towards pets and children, a trait to be desired in our sometimes violent and cruel world.Ó Matheu Harrill, age 13, Vonore Elementary School Ð Monroe CountyÕs mayor calls this eighth grader a bright spot who exemplifies why Tennessee is known as the Volunteer State. His teachers say MatheuÕs sense of volunteerism is much needed in todayÕs society. ÒMatheu does not always gravitate toward what is most popular but is firm to grasp his individuality based on the family values that have been instilled in him. His parents encourage him in all endeavors, but it is MatheuÕs choice to accept nothing but his personal best.Ó Chelsea LaPrade, age 7, TNT Primary School (New Tazewell) Ð Chelsea went to check on an elderly neighbor last fall and heard the woman calling for help, so she found someone to assist her. The lady had suffered a heart attack, and ChelseaÕs help was an important factor in saving her life. ÒWithout ChelseaÕs persistence, who knows what might have happened to this elderly lady,Ó said one of her teachers. In addition, ÒChelsea is always polite and generous. I have never heard her utter a mean word to other children, and that is pretty rare for a seven-year-old.Ó Madison Lyleroehr, age 16, South-Doyle High School Ð This teenager turned her experience with scoliosis surgery into a booklet to help others. She also used her singing talents to raise over $5,000 for KnoxvilleÕs Volunteer Ministry Center through a benefit concert and CD sale. The person nominating her added: ÒMore than any child I know, Madison leads by example. She is a loyal friend, a delight to be around and also a great student. Smart, compassionate, giving, brave, mature and self-effacing Ð what better qualities for a role model at any age?Ó Treven Treece, age 9, Hillcrest Elementary (Morristown) Ð Born three months premature, Treven is now a healthy nine-year-old who loves life. He is active in community theater, is a straight-A student, excels at sports and participates in church activities. His mom said he works hard for what he earns, knows the importance of a good education and always strives to do his best. He recently said to her, ÒMom, I just want to help people,Ó and he does that daily. His teacher said he is always cheering up his classmates and encouraging them to be their best. Summer Simmons, age 6, Lenoir City Elementary School Ð Profoundly affected by the events of September 11, 2001, Summer began a ÒRandom Acts of KindnessÓ program in her community: she swept porches, delivered doughnuts to a fire station, picked up trash and delivered bones to police dogs. Her first grade teacher said she thrives on helping others. ÒShe has an outstanding work ethic and sets an example for the rest of my class to follow. Summer loves to help her classmates and has the patience and understanding of a child twice her age.Ó 10 Amazing Kids recognized by WBIR-TV 10, Children’s Hospital 1110 The family of Pam Williams (left to right): Gene Lawson, Cherie Lawson, Kayli Sinnamon and Gary Williams Chelsea LaPradeCarissa CashTrevor Bayne Nolan Crone Treven TreeceMatheu HarrillJared Brentz Summer SimmonsMadison LyleroehrCaitlin Hairrell Bob and Wendy Goodfriend with their daughter-in-law, Kaye Goodfriend (left), and son, Jeff Goodfriend (right) Kay and Bill Stokley (center) with their daughter, Shelley Stokley (left), and son, Clay Stokley (right)
  • 7. 13 CHAMPIONS DAY To help kick off Telethon 2004, ChildrenÕs Hospital invites members of the East Tennessee community to participate in Champions for ChildrenÕs Day. This year on June 4, individuals are asked to show their support for the hospital by purchasing a Champions Day T-shirt and wearing it to work, school or anywhere that day to show their support for the hospital. The shirts have the same design as those worn by volunteers on the telethon set and are available for Champions Day participants prior to the telethon. If you wish to purchase a shirt, call the Development Office at (865) 541-8441. TENNESSEE RIVER 600 Looking for a way to enjoy the beauty of the Tennessee River and help the community at the same time? The Tennessee River 600 is the event for you. On July 25, personal watercraft enthusiasts will begin at KnoxvilleÕs Volunteer Landing and take a weeklong journey down the river. The voyage will end at Pickwick Landing near Memphis on July 31. Check in and registration begin July 24. This 600-mile trip will help raise funds for the Tennessee Wildlife Resources Agency and the four childrenÕs hospitals along the route: East Tennessee ChildrenÕs Hospital; T.C. Thompson ChildrenÕs Hospital in Chattanooga; ChildrenÕs Hospital of Birmingham, Ala.; and LeBonheur ChildrenÕs Medical Center in Memphis. Participants must be at least 18 with a valid driverÕs license. Registration is $250 and includes dock fees, T-shirt and a safety vest. The deadline to register is June 25. For more information, call the ChildrenÕs Hospital Development Office at (865) 541-8441 or visit the eventÕs Web site at www.tennesseeriver600.com. BOOMSDAY On Sunday, September 5, the city of Knoxville will say good-bye to the summer of 2004 with the largest Labor Day weekend celebration in the Southeast. Boomsday annually draws around 250,000 guests to Neyland Drive on the banks of the Tennessee River for a day of food, entertainment and fun. After the sun sets, a spectacular fireworks show will be presented from the Henley Street Bridge. The celebration, which has traditionally taken place on Labor Day (Monday), has been moved to the Sunday prior to Labor Day this year to allow even more people to enjoy the event and fireworks display. Again this year, volunteers from ChildrenÕs Hospital will be at the event to sell soft drinks to the thirsty crowd. Beverage sales at Boomsday benefit ChildrenÕs Hospital; last yearÕs event raised more than $10,000 for the hospital. Call (865) 541-8567 to volunteer. TUNNEL THUNDER RIDE The sixth Annual Tunnel Thunder Ride will take begin at Jaycee Park in Clinton September 11. The first bike out will start at 11 a.m. and the last out will be at 12 noon. The event is a poker run to the Cumberland Gap, and the grand prize for the day is $250. The cost for the event is $10 per person with lunch and a T-shirt included for all participants. There will also be a silent auction, door prizes and a live band. This yearÕs ride, which benefits ChildrenÕs Hospital, is presented by the Volunteer Road Riders. For more information, visit www.volrr.com or call Beverly Michaels in the ChildrenÕs Hospital Development Office at (865) 541-8745. by Suzann Hollingsworth, student intern 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 designed 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 for all the children of this region. DatestoRememberUpcoming events to benefit Children’s Hospital June Champions Day June 4 Telethon June 5-6 July Kingsdown Miracle Mile July 17 Tennessee River 600 July 25-31 August Karaoke in the Park August 28 September Boomsday September 5 Tunnel Thunder Ride September 11 For more information about any of these events, call (865) 541-8441 or visit our Web site at www.etch.com and click on “Coming Attractions.” 12 Many times we hear from generous friends who want to do more to help the children entrusted to our care. They may be Radiothon or Telethon donors. They may be making gifts in honor or in memory of someone special. They may be designers for or donors to the Fantasy of Trees. Perhaps they participate in one of the many golf tournaments that benefit our medical facility or work as a volunteer in the hospital. There seems to be a common theme. These individuals see what is being done for area children by the medical and hospital staff, and they also see what the community is doing to ensure that the finest pediatric care continues to be available to every child. They become interested and want to do more to help. There are so many different ways to help ChildrenÕs Hospital, as we often discuss in this publication. If you are a landowner who wishes to help the hospital, you have some specific options if you wish to make a gift of land: I. A direct donation of land. You may have some acreage or some building lots in a subdivision, or perhaps you inherited your auntÕs home and donÕt really have a need for the property. You can help area children and possibly receive an income tax deduction by donating the property to ChildrenÕs Hospital. If you have had the land more than a year, it has Estate Planning... ÒYour land can help sick and injured childrenÓ Include Children’s Hospital in your estate plans. Join the ABC Club. For more information, call (865) 541-8441. Please send the free brochure titled ÒReflecting on TomorrowÓ Name______________________________ Address__________________________________________ City___________________________ State_______ Zip_____________ Phone#(______)___________ r Please call me at the above phone number for a free confidential consultation concerning planned giving. r Please send me more information about deferred giving. r I have already included ChildrenÕs Hospital in my estate plan in the following way: __________________________________________________________________________ r Please send me information about the ABC Club. ChildrenÕs Hospital Development Office (865) 541-8441 probably increased in value. If you sell the land, you will likely have capital gains tax to pay; but by donating the land to ChildrenÕs, you can avoid some or all of that tax. II. A life estate gift of your personal residence. You can make a life estate gift that offers you and your spouse the right to live in your home the rest of your lives and ensures that the property will come to ChildrenÕs Hospital after you have both passed away. You are responsible for the normal expenses of utilities, repairs and property insurance on the home as long as you live there. It is possible to receive an income tax deduction for this type of gift, as well. III. A gift of land that returns an income to you. Perhaps you have some property you can part with but need the income it could produce. You can donate this land to a trust that will sell it, invest the proceeds and pay you and your spouse an income for a specified period of years or for the rest of your lives. The principle comes to ChildrenÕs Hospital at the end of the trust. It is also possible for you to receive an income tax deduction for this type of gift. We encourage you to consult your tax advisors to determine how a gift of land to ChildrenÕs Hospital might affect your tax situation. We would be pleased to work with you and your advisors on such a gift. Please call, David Rule, Director of Development, or Teresa Goddard, Senior Development Officer, at (865) 541-8441 if you are considering such a gift to help ChildrenÕs Hospital.
  • 8. comes to food, but many fast food meals supply more fat, salt and calories than actual nutrition. Some restaurants offer very nutritious selections such as salad bars, plain baked potatoes, chili, low fat milk, low fat frozen yogurt, fruit juice and grilled chicken sandwiches. Many grocery stores offer prepared foods with nutritional value; fresh fruits and ready- made deli sandwiches make great alternatives to traditional fast foods. How can parents help a child who already has a weight problem? A child who is already battling a weight problem should visit a family pediatrician or a registered dietitian. Good and bad eating habits begin at home. Parents should set an example for their child by following the same healthy habits that they want for their child. Once you have identified your child's sources of fat, sugar and other unhealthy intakes and offered healthier alternatives, the next step is exercise. A growing child needs at least 45-60 minutes of physical activity every day. Encourage your child to develop active habits even if he or she is not used to getting exercise. Find out what they like to do and make efforts to support or participate in the activity. It is important IT ÕS THE LAW!The state of Tennessee has a new child passenger safety law that goes into effect July 1. The new requirement in the law is that children ages 4-8 who are less than 5 feet tall, regardless of weight, are required to ride in a belt-positioning booster seat, located in the rear seat when available. Previously children ages 4 and older were not required to be in a booster seat. Here’s a quick overview of the state law: ¥ All children ages 12 and under should ride in the back seat when available. ¥ Any child under 1 year old (even if he or she weighs more than 20 pounds) or any older child weighing less than 20 pounds must be in a rear-facing car seat. ¥ Any child ages 1-3 and weighing more than 20 pounds should ride in a forward-facing car seat. ¥ Children and teens ages 9-17 must use a seatbelt system. ¥ The driver of the car is responsible for ensuring children under age 16 are properly restrained. If a childÕs parent or guardian is in the car but is not the driver, the parent or guardian is responsible, rather than the driver. Fines are issued for violation of the laws. Watch for a comprehensive overview of child passenger safety in the next issue of It’s About Children. 14 15 exercise are some of the leading causes of obesity. A family history of obesity also increases a child's risk of becoming seriously overweight. Check with the family pediatrician, who can determine if a child is above the ideal weight for his or her height. Family members should encourage healthy eating habits and participation in physical activity. Sitting down together for meals enables you to act as a role model for good eating habits. What should I do when my child visits someone who may not be concerned about healthy eating? One of the most important things is to educate your child about healthy eating habits. Set limits for grandparents or other family members your child may be visiting. As a parent, play an active role in educational eating. Encourage your child to include a salad or vegetables in meals when eating outside the home. Obesity in school-age children in the United States has become an edpidemic. If a childÕs weight is 20 percent or more in excess of the standard weight for height, he or she is considered obese, and excess body fat can alter the normal growth pattern in children. A quarter of schoolage children are overweight or obese, putting them at risk for disease and low self-esteem. "Childhood obesity is a national epidemic that affects both the physical and emotional welfare of our future adult population," said Heather Edgley, M.D., pediatric hospitalist and Emergency Department physician at Children's Hospital. Dr. Edgley offers the following answers to common questions about obesity. What problems may result from obesity in children? Children who are overweight are at a higher risk for developing high blood pressure, diabetes, sleep disorders and other weight-related problems. An obese child's self-esteem also is negatively affected. What are some of the leading causes of obesity, and how can it be prevented? Unhealthy habits such as eating fast food on a regular basis or lack of Obesity to emphasize an active lifestyle and that exercise can be fun. The best way to encourage exercise is by doing it as a family activity. What resources are there for my family for learning to make healthy choices and losing weight in a healthy manner? Children's Hospital offers a "Making Healthy Choices" class. In this class, a registered dietitian discusses with families how to make appropriate healthy food choices, suggests substitutes for foods that promote weight gain and suggests methods for increasing activity into a daily routine. There are also other resources such as books and web sites on nutrition, exercise and recipes for further success. Visit the Children's Hospital web site at www.etch.com and click on the Health Library section. Are there any other tips or things to consider to improve my family's nutrition? Leading a healthy lifestyle can be broken down into a simple three-step process. Step 1 is to get the facts about a healthy family lifestyle such as eating a healthy diet that includes fruits, vegetables and whole grain products in appropriate portions. After you have the facts, step 2 is to apply the facts to the entire family and eat better. Step 3 is to get active. Families do not have to visit a gym several times a week to be healthy. A 45-minute walk at a brisk pace a few times a week can burn the calories needed to lead a healthy lifestyle. For more information about this three-step process, visit the U.S. Department of Health & Human Services at www.smallstep.gov. compiled by Matt Rongey, student intern, and Janya Marshall, Associate Director for Public Relations Are there tips for making better food choices? A registered dietitian who specializes in child or adolescent nutritional needs along with a family pediatrician can provide a source of information for your family. Avoid preparing fried and high-fat convenience foods. Encourage your child to avoid sodas; drink water or 100-percent fruit juice instead (be sure to read juice labels as many brands are not 100-percent juice). Eliminate unhealthy foods from the household rather than having foods in the house that your child is not permitted to eat. Keeping healthy snacks in a place your child can easily get to them will also help promote better choices. Is there a way for busy families to eat healthier? Families want convenience when it A : A : A : Q : A : Q : Q : Q : A : Q : A : Q : A : Q : A : Q : Reminder: Children’s Hospital offers a variety of Healthy Kids Community Education classes every month on such topics as Infant/Child CPR, Making Healthy Choices, Safe Sitter and many others. Heather Edgley, M.D. For more information or to register for any of the classes, to be added to the Healthy Kids mailing list for announcements of upcoming classes or to receive our free Healthy Kids parenting newsletter, please 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." ChildrenÕs HospitalÕs Healthy Kids Campaign, sponsored by WBIR-TV Channel 10 and Chick-Fil-A, is a community education initiative of the hospitalÕs Community Relations Department to help parents keep their children healthy.

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