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

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

  1. 1. In each issue of It’s About Children, we highlight some of our former patients who have overcome medical challenges. To submit your story for future use, write to: Wendy Hames, Children’s Hospital, P.O. Box 15010, Knoxville, TN 37901-5010. On May 23,1995, Brittany Rogers’ life changed forever. Then two years old, Brittany was playing in the yard of her family home in Kingsport, while her father was mowing the lawn in another part of the yard. Unaware that Brittany was approaching, her father backed up the riding mower to mow a spot that he had missed, and the mower hit Brittany. Her right foot and leg were extensively damaged, including partial amputation of her foot and soft tissue damage to the rest of her leg. Brittany was rushed to a local hospital by ambulance and then was flown by helicopter to Children’s Hospital. She spent 18 days in the Pediatric Intensive Care Unit on a ventilator, experiencing several surgeries and life- threatening infections; the open wound had been exposed to an incredible amount of dirt and germs found outdoors. Brittany RogersBrittany Rogers Robert Madigan, M.D., pediatric orthopedic surgeon, and Steven J. Smith, M.D., pediatric plastic surgeon, performed the surgeries on Brittany’s foot. Dr. Smith took muscle from her back and skin grafts from her other leg to reshape her damaged leg and create a “platform” large enough for her to walk on where her toes had been. In 1996, in recognition of her recovery from such a serious injury, Brittany was selected as the first Children’s Miracle Network Champion for the State of Tennessee, representing East Tennessee Children’s Hospital. Although Brittany experienced a traumatic injury and a partial amputation, this has not stopped her from doing anything. Now 14 years old, she wears a prosthetic on her right foot. Active in her church, she has gone on several mission trips. An excellent student in high school, she is ranked in the top five in her class and is a member of the National Science Honor Society. Brittany participated in cheerleading in middle school but found her niche – golf – when she reached high school. She was nominated for Homecoming Queen and served on the Homecoming Court during the basketball and football seasons this school year. by Jessica Chambers, Guest Relations Representative & B o a r d o f D i r e c t o r s Dennis Ragsdale Chairman Jeffory Jennings, M.D. Vice Chairman Michael Crabtree Secretary/Treasurer Bruce Anderson Debbie Christiansen, M.D. Dawn Ford Keith D. Goodwin Steven Harb Lewis Harris, M.D. Dee Haslam Bob Koppel A. David Martin Dugan McLaughlin Christopher Miller, M.D. Steve South Bill Terry, M.D. Laurens Tullock Danni Varlan M e d i c a l S t a f f David Nickels, M.D. Chief of Staff John Buchheit, M.D. Vice Chief of Staff John Little, M.D. Secretary C h i e f s o f S e r v i c e s Jeanann Pardue, M.D. Chief of Medicine Mark Cramolini, M.D. Chief of Surgery A d m i n i s t r a t i o n Keith D. Goodwin President/CEO Bob Koppel President/CEO Emeritus 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: Children’s Hospital’s new President/CEO, Keith D. Goodwin, is pictured with the Van Tol quintuplets - from left, Meghan, Ashley, Sean (in front), Willem and Isabella. The three-and-a-half-year-old Van Tols are Tennessee’s first surviving quintuplets and “graduates” of the Children's Hospital Neonatal Intensive Care Unit. Read more about Children’s Hospital’s new president on pages 6-7. NOWthen Brittany today Brittany on the cover of It’s About Children with WBIR-TV’s Bill Williams in 1996 Brittany on the golf course
  2. 2. 3 Children’s Hospital’s Social WorkDepartment has expanded the SpanishInterpretation Service to include a secondfull-time in-house interpreter. ElenaSimpkins and Kerri Fox provideinterpretative services on the Children’sHospital campus Monday throughSaturday during most business hours,including early morning surgeriesbeginning at 5:30 a.m. and most eveningsuntil 9:30 p.m. Additionally, Children’s Hospital is inthe process of developing a Spanishsection on its Web site, www.etch.com,which will include health informationalong with other hospital informationcurrently available on the main hospitalWeb site. For more information aboutinterpretation services for patients atChildren’s Hospital whose primarylanguage is not English, visit theChildren’s Hospital Web siteat www.etch.com/interserv.cfm. by Leslie Street, student intern SS ee rr vv iicc iioo ss EE nn EE sspp aa ññoo ll AAmm pp llii aadd oo ss((SS pp aann ii ss hh SS ee rrvv ii cc eess EE xx pp aa nn dd eedd )) CarePages service helps families stay in touch Children’s Hospital continues to offer an innovative service for the families it serves who have children with chronic or serious illnesses and injuries. Called CarePages, the 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. CarePages also makes it possible for families to help the hospital in return. Through CarePages, patients and families can recognize staff members who have provided superior levels of care. 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. VVVA life preserver, knowledge of CPR, a first-aid kit and constant adult supervision — all are at the top of the checklist for East Tennessee parents as they set out to enjoy area pools and lakes with their children this summer. Parents learned about these much-needed safety items and skills during a month-long water safety campaign from mid-May to mid- June sponsored by Children’s Hospital, Campbell’s Pool and Spa, Dollywood’s Splash Country and Kohl’s Department Stores. Beginning Memorial Day weekend, Children’s Hospital staff and representatives from the campaign sponsors took to the airwaves using area television and radio station interviews to remind parents that adult supervision is the key to keeping children safe around water this summer. According to Dr. Lise Christensen, Pediatric Emergency Medicine Specialist at Children’s Hospital, most accidents could actually be prevented with increased supervision. “Nothing, not even swimming lessons or life preservers, takes the place of good parental supervision around the water. In my career, I have never seen a drowning or near-drowning that could not have been prevented with better supervision.” As part of the campaign, two events gave parents and children first-hand knowledge of water safety. The events, hosted by Campbell’s Pool and Spa on June 7 and by Dollywood’s Splash Country on June 13, included CPR demonstrations, safety tips for child-proofing a pool, a checklist for essential safety items to take to the pool or lake, information on chemical safety and storage, and re-enactments by the Splash Country safety team to show parents how dramatic and frightening a rescue can be. “We hope that parents never have to use this information, but in an emergency, these skills are truly lifesavers,” said Tony Campbell of Campbell’s Pool and Spa. Studies show an average of 1,000 children nationwide die annually due to drowning, and nine out of 10 of these drownings happened when a child was “reportedly” being supervised. It was the goal of the campaign to teach parents to be vigilant water watchers. “Accidents occur in seconds. If you need to leave the water, even just to answer the phone or get a towel, take your child with you,” Christensen said. For more information about this year’s water safety campaign and tips for keeping safe around water this summer, visit the Children’s Hospital Web site at www.etch.com. by Seth Linkous Associate Director for Public Relations B u l l e t i n B o a r d Water safety campaign educates East Tennessee’s parents V V
  3. 3. A simple call home from the school office that Macie Hatmaker was not feeling well turned into a major medical crisis for the 11- year-old in September 2006. Then in sixth grade, Macie had been dealing with a mild cough over the weekend. A typical preteen, she had experienced some allergies and asthma problems throughout childhood but was generally a very healthy girl. On Monday, September 26, Macie headed off to school in a new outfit that she was excited to show her friends. She had been there only about 30 minutes when she felt so ill that the school called her mother, Leslie Hatmaker, to come pick her up to go home. Macie was in pain and even was having trouble walking to the school office to wait for her mother. Leslie was home with their younger daughter, Abby, who was also sick. They picked Macie up and took her to the pediatrician’s office, and Leslie called her husband, Chad, to come get Abby. Their regular doctor at Knoxville Pediatric Associates, Bob Barnes, M.D., was not available so Macie was seen by one of his partners, Joseph Peeden, M.D. Dr. Peeden examined Macie, ordered X-rays and put her on oxygen. He also called an ambulance to pick her up at the office and transport her to Children’s Hospital. Dr. Peeden, who called the hospital Emergency Department to alert them about Macie’s pending arrival, told Leslie that Macie needed to go to the ED immediately. In the rush to get Macie to the hospital, Leslie didn’t ask questions and Dr. Peeden didn’t have time to give a thorough explanation of what was wrong. “I was scared. I was not sure what was happening,” Leslie said. “Macie was trying to reassure me!” Even at her young age, Macie handled the crisis well. “I was stunned and didn’t know what was happening, but I stayed calm,” she said. “It was kind of weird and scary.” When the ambulance arrived at Children’s, pediatric emergency medicine specialist Heather Edgley, M.D., was waiting in the ambulance bay. “I asked the doctor to explain everything to me. I said I didn’t really know what was going on,” Leslie said. Dr. Edgley explained what Dr. Peeden’s office had told the ED – Macie had experienced a spontaneous pneumothorax, commonly referred to as a collapsed lung. Pediatric pulmonologist John Rogers, M.D., was waiting inside the ED to examine Macie. “When I arrived, I was sent to the critical side of the ER,” Chad said. There, he discovered Dr. Rogers and Dr. Edgley already preparing to insert a chest tube – right in the Emergency Department. Dr. Rogers felt the urgency of Macie’s situation demanded the surgery take place immediately in the ED, rather than taking time to move her to the Surgery Department. Chad described the surgery, which he was allowed to watch, as “fascinating and scary at the same time.” Dr. Rogers performed the surgery while Dr. Edgley managed anesthesia for Macie. The lung had to be “reinflated.” The chest tube removed the excess oxygen in Macie’s chest that was keeping the lung collapsed, allowing the lung to expand. A small perforation in Macie’s lung had caused the collapse – but it is unknown what caused the perforation. 4 M a c i eM a c i e
  4. 4. 5 “I didn’t expect surgery,” Macie said. “After the surgery, I was sore and tired but otherwise felt fine. I’m glad I’d gone to the hospital – I don’t know if I’d be here now.” “Everyone was very reassuring, very calming,” Leslie said. “They walked us through it step by step.” The Hatmakers were highly impressed with Dr. Rogers, calling their relationship with the physician “exceptional.” He came to see Macie every morning after she had daily X-rays. He even walked Leslie down to Radiology several times to show her the X- rays and explain everything in detail. The chest tube was in for several days, and later, it appeared necessary to reinsert the chest tube. Macie was being prepped for surgery, this time in an operating room. Shortly before the surgery was to begin, Dr. Rogers determined it was unnecessary and literally ran the halls to stop the procedure before it began. “We were already big fans of Dr. Rogers, but we were sold when he came running down the hall, out of breath, to stop the second surgery,” Chad said. “Tears were shed, we were very happy – it was a big relief.” After a week spent on the hospital’s Second Floor general medical unit, Macie was able to go home. A dancer for many years, she was not allowed to dance, participate in physical education classes with her fellow sixth graders at West Valley Middle School or do anything else active for about a month. But after that time, she was able to resume all her regular activities. Although the cause of the collapsed lung remains unknown, Macie has no long- term limitations. Chad, an attorney, felt compelled to formally thank Drs. Rogers and Peeden in writing for their “absolutely outstanding response” to Macie’s medical crisis. He praised Dr. Peeden’s quick reaction to the seriousness of Macie’s condition in the pediatrician’s office and said Dr. Rogers “really cares about Macie’s welfare.” The Hatmakers had never seen one of their children hospitalized overnight before, so it was a new experience. “Seven or eight days in the hospital was a long time for us to build a new family or circle of friends,” Leslie said. “Our other kids visited Macie, and the staff was great to them, too. Children’s is just a first class facility, and it was a lifesaving experience for Macie.” Chad added, “You hope you never need it, but as we learned, you have no control over that. It’s reassuring that we have that kind of facility in Knoxville … Before this, I didn’t donate to the hospital. I thought they had plenty of support. Now, I’m on the other side of the fence. It takes support from EVERYONE to provide first class care with state-of-the-art equipment.” Macie describes Dr. Rogers as “a great doctor. Everything was great, and it was great care. Everyone was really nice; people came to ask if I needed games, a snack or a drink.” Now if her friends need to go to Children’s, Macie said, “I tell them not to worry – it’s a great place. They’ll take care of you, and you’ll get better.” Macie and her family, including parents Chad and Leslie and younger siblings Abby and Davis, appeared on both the Children's Miracle Network Telethon (top) and the Star 102.1 Radiothon (bottom) for the benefit of Children's Hospital. On the CMN telethon, the Hatmakers were interviewed by Mike Witcher from WBIR-TV Channel 10, and they shared Macie's story with Star 102.1 morning personalities Marc and Kim at the Radiothon.
  5. 5. Mopping floors and picking up trash in patient rooms as a part-time housekeeper seems to be an inauspicious way to begin a career in hospital management. But for new Children’s Hospital President/CEO Keith D. Goodwin, it provided a variety of life lessons as well as a ladder to management success. His housekeeping experience offered “a tremendous amount of interaction with patients and families, who were hungry for ‘normal’ conversation,” Goodwin said. “They saw me as a ‘safe’ person. Unlike the clinical staff, I was not assessing, evaluating or treating. We just talked, and for me it was fun. I enjoyed that.” The biggest lesson Goodwin says he learned from his experience as a housekeeper is that “everybody needs to be valued for the work they do. If you treat everybody with respect and make them a part of the team, they will perform better and have better outcomes,” Goodwin said. Interviewed on just his second day on the job, Goodwin said he was “incredibly impressed” with the staff of Children’s Hospital. “The staff are clearly committed to the children they care for and to [retired President] Bob Koppel. He has created a wonderful team. “My challenge will be to build on his legacy,” Goodwin continued. “It only takes a minute and a half to realize he is a wonderful human being and is very committed. This is not always present in leadership.” Goodwin found the hospital’s principles, philosophy and commitment to care to mirror his own views, making the move here a very easy transition. VISION Goodwin said his vision for Children’s Hospital in the coming days and years is to continue to be the major resource for the care of children in our service area – both to meet our primary purpose of helping children who are sick or injured, as well as to be advocates for the prevention of sickness and injury. Those areas of interest are what this community has come to expect from Children’s Hospital over the past 70 years. The specific services will continue to change as they have throughout the hospital’s history – beginning as a polio hospital and evolving into the comprehensive medical center it is today. The challenge will be to anticipate and prepare for the future needs of our community and to adapt over time to those needs. CHALLENGES Goodwin identifies a variety of challenges he expects to encounter as President of Children’s Hospital: How to continue to be true to the mission of providing care to children regardless of their families’ ability to pay – the Open Door Policy – despite the financial challenges we face. How to recruit and retain talent. Without outstanding physicians and hospital staff, we cannot continue to achieve our mission. Building on the success of the past – “This is a fun challenge, and one of the things that attracted me” to the job. WHY EAST TENNESSEE CHILDREN’S HOSPITAL? Columbus Children’s Hospital, where Goodwin spent most of his career, is a 375-bed pediatric medical center with about 6,000 employees. That is substantially larger than East Tennessee Children’s Hospital, with its 152 beds and 1,800 employees. CCH also offers a few specialized services – such as organ transplants – that are not offered here and has made a major commitment to both clinical and bench related research. But otherwise, “the clinical care is very similar and commitment to our patients and families is exactly alike,” Goodwin said. “It’s a high-quality institution. I was attracted by the quality of care and by the synergy among the medical staff, the hospital staff, the Board of Directors and Administration. “During my first interview, I was given an unannounced tour of the hospital,” he continued. “People looked so happy to be here, happy in their work – you sensed that. I just left a place where that wasn’t always the case.” Goodwin notes that he also liked the idea of working in a freestanding hospital rather than a part of a larger hospital system, and he also liked Knoxville, noting that it’s not TOO far away from his 2-year-old granddaughter in central Ohio. INTEREST IN PEDIATRIC HEALTH CARE Goodwin didn’t seek a career in pediatric health care management as much as it sought him, but he quickly developed a passion for the work. A friend referred him to Columbus 6 NEW PRESIDENT READY FOR OPPORTUNITIES,
  6. 6. Children’s Hospital for a temporary housekeeping job during his college years. Through the years he received various promotions and had the opportunity to work with clinical teams from all aspects of the hospital: from the NICU to the operating rooms to the outpatient clinics. “I can’t do what a clinician does. I get too emotionally involved,” Goodwin said. “But if I do my job well, the clinical staff will have the people and resources they need to be successful in their work. We have the opportunity to impact a child’s life for 80-plus years. I am excited about our impact on children and this long-term commitment we can have to them.” PERSONAL EXPERIENCES WITH PEDIATRIC HEALTH CARE Goodwin had an early experience with pediatric health care when, as a child, his older brother was treated at Columbus Children’s for polio. Later, he experienced the hospital as a parent. Goodwin said his own children were “so accident-prone” when they were growing up, especially his son, who once grabbed a curling iron and sustained second degree burns. Another time Goodwin’s son fell 15 feet out of a tree, and Goodwin remembers sitting in the Emergency Department waiting to learn if the boy would be paralyzed. Seeing his feet move was the happiest moment of Goodwin’s life, after the birth of his children. Goodwin’s son did sustain injuries from the fall and required 100 stitches, but the injuries were non-life- threatening. “Having been a parent and having gone through that is terribly helpful,” Goodwin said. “To see through the eyes of a parent – it’s not just the next patient, but it’s someone you love more than life itself.” Goodwin says he has seen that same passion reflected in the staff at Children’s and knows that is what “makes this a special place.” COMMUNITY INVOLVEMENT Beyond his dedication to pediatric health care, Goodwin has a history of supporting the community in which he lives and works. He has been actively involved with organizations including Big Brothers and Big Sisters, Ronald McDonald House, Juvenile Diabetes Board of Central Texas, American Heart Association of Central Ohio, and his two alma maters, Ohio State and Capital University. He also is a long-time proponent of the United Way. At this time, Goodwin has no specific community involvement plans for Knoxville but said he hopes to look for any opportunities that tie in to Children’s Hospital and especially to the welfare of children. That will mesh well with his desire to maintain Children’s Hospital’s status as a community asset and a major local employer. LEGACY When Goodwin left Columbus Children’s, he told the staff, “I think leadership’s legacy should be to leave the place better than they found it.” Goodwin is not interested in personal accolades, because “it’s not about me – it’s about the work and the team.” He likes the term “servant leader,” which he feels is a good description of his philosophy of management. He was pleased to know that the term was already part of the management culture at Children’s. PERSONAL Goodwin moved to Knoxville in late May, followed a few weeks later by his wife of 30 years, Dianne Goodwin. She was a middle school health and physical education teacher in Ohio who remained there a few extra weeks to complete her teaching obligations. The Goodwins have three adult children, son Ryan and daughters Regann and Rylie, as well as one grandchild, 2-year-old Grace Elizabeth, about whom Goodwin says, “She’s fun and a joy in our life. We love her unconditionally and spoil her continuously!” Goodwin said he enjoys golf, working around the house and reading. He perhaps has “adult ADD” in that he is usually reading up to five different books concurrently. The Goodwins are looking forward to exploring Knoxville and all of Tennessee, including visits to Dollywood, Nashville, Memphis and whatever other areas they learn about. “I like to play, to have fun in everything I do. Laughter is therapeutic,” he said. “I have to enjoy what I do. I think we all should. Life’s too short to do otherwise.” The Goodwin File New Children’s Hospital President Keith Goodwin spent most of his professional career at Columbus Children’s Hospital (CCH), a 375-bed pediatric medical center. During his 26 years in management at CCH (1977- 96 and 1999-2006), he served in the positions of Assistant Executive Director, President and Chief Operating Officer and Interim CEO. At Columbus Children’s, Goodwin focused many of his efforts on program/service development, strategic planning, physician recruitment, children’s advocacy, fundraising, health care access for the region’s children, facility expansion and a successful capital funds campaign. Goodwin also served as administrator of Children’s Hospital in Austin, Texas, from 1996-98 and most recently was president of Doctors Hospital in Columbus, Ohio, a 222-bed hospital that is part of the OhioHealth hospital system. A graduate of The Ohio State University with a Bachelor of Science as well as a certificate from its Executive Program in Health Care Financial Management, Goodwin also holds a Master of Business Administration from Capital University in Columbus. “Although we had four very strong candidates from which to choose, we believe Keith is the perfect fit for both our hospital and the community,” said Jim Bush, Chairman of the Board of Directors at the time of Goodwin’s selection. “Throughout his career, he has demonstrated a passion and commitment to building an organizational culture of service and support for sick and injured children and their families. His positive relationships with medical and hospital staff, trustees and volunteers have been a hallmark of his leadership. Keith’s understanding of children’s health care, coupled with his management style and relationship-building skills, will allow for a smooth CEO transition and ensure East Tennessee Children’s Hospital will continue on a road toward a very bright future.” 7 CHALLENGES
  7. 7. 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 are profiling some of our staff and highlighting all our clinical areas. We hope it will give you a glimpse into life at Children’s Hospital. CLINICAL NUTRITION Children with medical conditions often have related nutritional issues. Perhaps the child’s illness or injury prevents him or her from eating enough. Or perhaps the physician consults clinical nutrition for assistance with a specialized tube feeding. Whatever the reason for the nutritional issues patients may have, Children’s Hospital’s clinical dietitians and clinical nutrition specialists work to individualize a plan of care and provide education for the child and family. At Children’s Hospital, dietitians provide medical nutrition therapy for general pediatrics as well as specialty areas such as oncology, weight management, cystic fibrosis, celiac disease, failure to thrive, intensive care, renal nutrition, metabolic disorders and diabetes. The 10 members of the clinical nutrition staff provide physician-ordered services for inpatient units, outpatient clinics, the Children’s Hospital Rehabilitation Center and Children’s Hospital Home Health Care. It is the goal of the staff that, through appropriate medical nutrition therapy, patients should be able to recover more quickly and with fewer complications. All of the staff are registered dietitians and are licensed by the state of Tennessee. SSaarraahh MMaatthhiiss,, RR..DD..,, LL..DD..NN..,, CC..DD..EE.. Sarah Mathis, a clinical nutrition specialist, entered the field of dietetics because she loves working with people. In nutritional counseling, there is a unique blend of science, psychology, counseling and teaching. It was this blend that made her interested in pursuing a career in dietetics. Every day Mathis helps families improve nutrition and understand that other aspects of their lives affect their overall health and happiness. “Food and nutrition affect and are affected by every aspect of our lives: our families, our work, our emotions and the things we do for fun,” she said. Mathis received her undergraduate education in Nutrition and Food Science at Middle Tennessee State University with a minor in Science and Psychology. She then attended the University of Alabama at Birmingham, where she completed a nine- month internship in dietetics. After passing the exam to become a registered dietitian, Mathis developed interests in diabetes and pediatrics. Since then, she has chosen continuing education programs in these particular areas that help her grow as a dietitian and learn how to best help the patients she serves with diabetes. A certified diabetes educator, Mathis says her favorite part of this job is teaching children who are newly diagnosed with type 1 diabetes and their families and watching them accomplish the goals they set for themselves. “I love to teach parents and children skills to cope with a new diagnosis and to help make the transition to a new lifestyle easier,” she said. “There is nothing more rewarding that teaching a child and family a new concept and then watching them learn and apply it with confidence.” One of Mathis’ favorite stories of working in food and nutrition is of a baby she began seeing early in her career at Children’s. “It was a joy to work with his mom and dad on feeding him and coming up with nutritional recommendations that would help him grow,” Mathis said. “It was rewarding to see the baby’s weight increase with each new day in the hospital and that my recommendations could help put his parents more at ease.” Mathis continued to hear from the family about the baby’s growth and development and was able to answer follow-up questions after they went home from the hospital. Mathis says she chooses to work at Children’s Hospital because she loves the opportunity to work with children and families in an ongoing capacity. “It’s great to have regular follow-up with children over the years who may be toddlers at their diagnosis with diabetes and grow to teenagers who gradually have assumed more responsibility in taking care of their own health,” Mathis said. After four years at Children’s Hospital, Mathis said she loves working with a team of providers who desire the best health and quality of life for their patients and who strive to make the patient and family a central part of the team. MMyykkeell MMooooddyy,, RR..DD..,, LL..DD..NN.. As an athlete in high school, Mykel Moody learned a lot about diet and how it influenced her physical abilities. She became interested in nutrition and continued to learn about the subject by enrolling in nutrition classes at Eastern Kentucky University in Richmond. After a few entry-level nutrition classes, Moody knew she wanted to be a dietitian. “I wanted to share my passion and knowledge of nutrition with others,” Moody said. “As a dietitian, that is exactly what I get to do.” Moody received her bachelor’s degree in dietetics from Eastern Kentucky University and later completed a nine-month dietetics internship at the University of Alabama at Birmingham (UAB). During the internship, Moody worked with dietitians in various settings and also took some graduate classes. Currently, Moody is in the process of completing a master’s degree in human nutrition from the University of Alabama at Tuscaloosa. Most of her classes are focused in science (chemistry and food science), math and food/nutrition (clinical, community, food prep/purchasing). “Dietitians are required to have a good understanding of food and the human body and how the two interact with each other,” Moody said. “Dietitians must also have good communication skills to counsel patients and families.” Moody has fond memories of her internship at UAB. “Attending UAB allowed me to be exposed to a wide variety of people and places which has made me a much more open-minded individual,” she said. “I was able to work with people from different cultures and with individuals from low-income areas.” Moody believes that working with various groups of people has helped her to learn the importance of providing individualized care. Moody has been a clinical dietitian at Children’s Hospital for nearly a year. “The work environment at Children’s is the best,” she said. “Everyone here is so friendly and enthusiastic.” According to Moody, the employees at Children’s Hospital are genuinely concerned about providing the best possible care to the patients, and she is proud to a part of that group. by Bethany Swann, student intern A day in the of Children’s Hospital 8 Sarah Mathis Mykel Moody
  8. 8. him in 2001 to consider a seat on the Board, “I already had a love for Children’s Hospital at that time because I saw the wonderful work they did,” Nance said. Through his work as Executive Director/CEO of Knoxville’s Community Development Council (KCDC), Nance had a unique opportunity to help the region’s families in two different ways. Through KCDC, he works for better housing opportunities for lower income Knoxvillians, and through Children’s Hospital, he has the chance to help improve the health of those families. Nance describes the hospital as “a well-oiled machine.” He was particularly impressed with the substantial amount of time the Board dedicated to service delivery and the practice of medicine. “They are always looking at these things and at how to improve. It’s a strong customer-service oriented organization,” Nance added. He did not realize before joining the Board just how extensive the hospital’s reach was; he viewed it as a Knoxville asset but now realizes many families travel two to three hours to reach the hospital for the services their children need. “A local hospital may not be the best for children, and the need for pediatric health care is critical,” he said. Nance said he has many good memories of his six years on the Board but notes he will especially miss retired President Bob Koppel (now President and CEO Emeritus). “Although I have known Bob only six years, he is a great individual, and it feels like I’ve known him much longer. He can genuinely connect to people.” James S. Bush James S. Bush joined the Children’s Hospital Board of Dierctors in 1985 and has served as Board Chairman for the past eight years. See page 16 for more about Bush, his years on the Board, and the hospital area which will soon bear his name. by Bethany Swann, student intern, and Wendy Hames, Associate Director for Publications The face of the Children’s Hospital Board of Directors has changed this summer, as the Board has added two new members and said goodbye to two others. New Board members are Bruce Anderson and Dee Haslam, while departing Board members are James S. Bush and Alvin Nance. With these Board changes also comes a change in the Board officers. Bush has been succeeded as Board Chairman by Dennis Ragsdale, who most recently was Vice Chairman. Jeffory Jennings, M.D., is the new Vice Chairman, while Michael Crabtree continues as Secretary/Treasurer. “Children’s Hospital expresses its appreciation to Jim Bush and Alvin Nance for their service to the Board and their dedication to the children of this region. We are grateful for all they have done to help Children’s Hospital grow into the pediatric medical center that it is today,” said President Keith Goodwin. “At the same time, we look forward to working with new Board members Bruce Anderson and Dee Haslam, who both already had longstanding relationships with the hospital,” Goodwin said. “They bring valuable knowledge to our Board and will undoubtedly contribute much to the hospital’s ongoing success and growth.” Bruce Anderson Bruce Anderson, an attorney with Anderson, Reeves and Herbert, has been sharing his legal expertise with Children’s Hospital for a decade and will now continue to be a part of the hospital’s future as a new member of the hospital Board of Directors. Anderson has acted as one of Children’s Hospital’s lawyers for the past 10-12 years and is excited to serve the hospital from a director’s side on the Board. Anderson and his wife, Monique, have brought their two children — James, 21, and John, 16 — to Children’s Hospital for minor issues over the years and recognize how many families benefit from the hospital. “I am very honored and excited to have this position on the Board because of what Children’s means not only to my family but also to the entire community,” Anderson said. One of Anderson’s goals for his time on the board involves the hospital’s quality management program. Anderson is interested in being involved with the board’s responsibility in quality management. “To me, the quality of service to our patients is, and should be, our highest priority. Hopefully, my legal background will add an additional perspective to quality management,” Anderson said. Other goals for Anderson involve the Board’s strategic planning. “I have always had a strong interest in this area of business management. Long range planning is critical to the viability of the hospital, and I hope my experience in this area will be a valuable asset to the Board and to the hospital,” Anderson said. “My representation of Children’s Hospital has enabled me to experience many of the day-to-day activities of the hospital. I am coming to the Board with experience in health care from both a practical side as well as a business point of view,” Anderson said. “I’ve always been very proud of the job that Children’s Hospital has done in this community and am excited about the opportunity to be involved in the future of the hospital.” Dee Haslam The Haslams have always been strong supporters and benefactors for Children’s Hospital, and now Dee Haslam, CEO of RIVR Media, will support the hospital from a new position: as a member of the Board of Directors. Dee Haslam and her husband, Jimmy Haslam III, have three children: James, Whitney and Cynthia. The Haslams have a great respect and appreciation for Children’s Hospital because of personal experience: daughter Cynthia was hospitalized in the Children’s Hospital Neonatal Intensive Care Unit as a newborn. She was treated there for several weeks before being discharged home, and she is now a healthy young adult. The Haslam family name is synonymous with philanthropy in East Tennessee. In 2006 the expanded Neonatal Intensive Care Unit was named the Haslam Family NICU after the extended family’s joint $1 million pledge to the hospital’s capital funds campaign. The family’s history of support for Children’s Hospital encouraged Dee Haslam to use her expertise in media and marketing to help further the hospital’s community reach on the Board. “I have always appreciated the organization, staff and wisdom of the hospital. I hope to contribute to the best of my ability, to learn from the experience and to enjoy the fellowship of working with the rest of the Board,” she said. Alvin Nance Personal experiences with his children instigated Alvin Nance’s relationship with Children’s Hospital. Both his son, A.J. (age 19), and daughter, Jessica (age 23), had surgery at the hospital when they were younger. When former Board member Julia Tucker invited 9 Hospital adds Board members, says goodbye to retirees Bruce Anderson Dee Haslam Alvin Nance James S. Bush
  9. 9. SubspecialistProfiles 10 SubspecialistProfiles B.S. – University of California, Davis, 1995 M.D. – St. Georges University School of Medicine, Grenada, West Indies, 1999 Internship and Residency – University of Medicine and Dentistry of New Jersey, Newark, 1999-2002 Fellowship (Pediatric Cardiology) – Children’s Hospital of Pittsburgh, 2002-2005 Fellowship (Pediatric Interventional Cardiology) – University of Texas, 2005-06 Family – Wife, Dimple; daughter Asha (age 5) and son Rohin (age 2) Personal interests – family, basketball, traveling, cooking and eating “Your priorities change as you get older,” he explained. “The practice here offered a good balance between work and personal life.” As a pediatric cardiologist, Dr. Sharma treats conditions such as heart murmurs, chest pain, heart rhythm issues, children who pass out, “blue babies,” and infants with heart defects or lesions. He also increasingly provides sports physicals for student- athletes; there is a great deal of media attention when young athletes die, and parents often seek reassurance that their children are healthy enough for competitive sports. Dr. Sharma’s skills are a good complement to the pediatric cardiologists he joined, Drs. Jeffory Jennings and Yvonne Bremer, at Knoxville Pediatric Cardiology, P.C. Dr. Bremer has expertise in diagnosing prenatal heart defects, and Dr. Jennings also is an interventional cardiologist. The three together can diagnose and treat a variety of cardiac conditions. A significant challenge of pediatric cardiology, according to Dr. Sharma, is “the unexpected. No matter how much science we have, there is always the art of medicine. No two patients or cases are alike,” he explained. “We never take anything for granted because we don’t know what might happen. Most cases follow an expected course, but there are always cases that don’t.” Another challenge is giving bad news to a family. “How to give it is the hardest thing,” he said. “The family will remember HOW they are told and how it is handled. They appreciate you being open and honest, and it is important to remember as the doctor that it is normal for the family to be mad at the person giving the news. How you express the news is part of the family’s closure. “Sometimes we can tell parents not to worry and put their mind at ease,” he said. “Parents want to know if their child’s problem is the heart or not. “My philosophy is that treating the patient is first and foremost. A close second is the family of the patient — I do not forget them, ever,” he said. Working in conjunction with Drs. Jennings and Bremer, Dr. Sharma will continue to provide the best in pediatric cardiac care to the children of East Tennessee and neighboring states. Pediatric cardiologist wants to promote healthy habits Teaching young patients healthy habits, when they are impressionable and more easily influenced, can help them to be healthy adults. New Children’s Hospital pediatric cardiologist Sumeet Sharma, M.D., maintains that goal as one of his focuses in caring for his patients. “As a pediatrician, I interact with children who are both well and sick,” Dr. Sharma said. “Children do not have a choice with their diseases. Their pathology is usually due to something they are born with, not a manifestation of their lifestyle choices. One of our goals is to give a child who has congenital heart disease as normal a lifestyle as possible.” Pediatric cardiology is interesting because it is “hands-on and visual,” according to Dr. Sharma, requiring the physician to see and think in three dimensions when viewing a two-dimensional image. Pediatric cardiologists routinely use multiple types of imagery to recreate a model of the heart. Dr. Sharma also specializes in and is fellowship trained in pediatric interventional cardiology. Using the Cardiac Catheterization Lab at UT Medical Center, Dr. Sharma is able to repair some heart defects in a less invasive manner. “It is fun and technically demanding,” he said. “A heart is very small [in a pediatric patient], and it is challenging maneuvering catheters in the heart.” Interventional cardiology includes closing holes in the heart, stenting arteries, opening or relieving valve obstructions and closing abnormal blood vessel connections. Dr. Sharma visited Knoxville in early 2006 while looking for a practice in need of an additional pediatric cardiologist, and he was impressed with the staff of Knoxville Pediatric Cardiology, P.C., and the working environment at the hospital. (Interestingly, his first visit to the city had been as a young boy in 1982 for the World’s Fair.) Dr. Sharma and his wife, Dimple, a Kentucky native, thought Knoxville seemed a good place to raise their two young children, daughter Asha (age 5) and son Rohin (age 2). Sumeet Sharma, M.D. Cardiology offices have moved Knoxville Pediatric Cardiology, P.C., has moved to a new office location. Drs. Jennings, Bremer and Sharma are now seeing patients at the Children's Hospital Koppel Plaza, Fourth Floor. Koppel Plaza is located at the corner of Clinch Avenue and 21st Street, next door to the Medical Office Building where the practice's office formerly was located. For information or directions, call Knoxville Pediatric Cardiology at (865) 522-0420.
  10. 10. 11 B.S. – University of Buffalo, Buffalo, N.Y., 1995 M.S. (Exercise Physiology) – Syracuse University, 1997 M.D. – Upstate Medical University, Syracuse, N.Y., 2001 Internship and Residency – Winthrop University Hospital, SUNY Stonybrook, Mineola, N.Y. – 2001-03 Fellowship (Pediatric Pulmonology) – Childrens Hospital Los Angeles, 2003-07 Family – Wife, Michelle N. Simpson; daughter Sierra Noelle (age 2 months) Personal interests – global traveling, hiking, camping, cooking, fighting childhood obesity Pulmonologist seeks to improve children’s lung health Children’s Hospital’s newest pediatric pulmonologist, Sterling W. Simpson, M.D., M.S., has an interest in childhood obesity. That typically is a problem for a pediatric endocrinologist and not really in the realm of a pulmonologist. However, Dr. Simpson is concerned about the many negative effects of obesity on a child’s lung health. “Childhood obesity encompasses a lot of psychosocial issues, and it’s both an endocrine issue and a pulmonary issue,” Simpson explained. “Although many people are aware of the risks and dangers of diabetes because of obesity, many people don’t realize that a primary health problem related to obesity is obstructive sleep apnea. Obesity can cause an array of other subtle pulmonary symptoms that parents may miss, such as pulmonary first child, daughter Sierra, was born just two months ago. Dr. Simpson, in his search for a practice to join, learned of the opportunity at Children’s Hospital and found himself drawn to the hospital and its staff. “A main reason for choosing Knoxville during my nationwide job search was how impressed I was with the hospital, its staff, the Administration’s reputation, and finally, the first class pulmonary department,” he explained. Having grown up in upstate New York, with its lakes, rolling hills and great camping and hiking, Dr. Simpson was also drawn to this area’s mountains. As a pediatric pulmonologist, Dr. Simpson treats a variety of conditions. One example is chronic lung disease in infants: “graduates” of the Neonatal Intensive Care Unit are usually followed by a pediatric pulmonologist for their first few years of life. Dr. Simpson said this is a rewarding component of his specialty — his care of these patients offers him the opportunity to affect their development in their early years and, he believes, throughout their lifetime. Other common diagnoses he treats are cystic fibrosis, sleep apnea (as mentioned earlier, often secondary to obesity), other sleep disorders, congenital malformations of the airway, uncontrolled asthma, recurring pneumonia, chronic respiratory failure, chronic cough and exercise intolerance. Cystic fibrosis is one of the more serious conditions for a pediatric pulmonologist to treat, but “CF care has greatly improved in even just the last five years, and it has extended life spans into the late 30s,” Dr. Simpson said. New therapies and medications are greatly benefiting children with this disease, for which there remains no cure. Other advances in medicine are enabling physicians to better control asthma through inhaled steroid treatment; diagnose conditions more easily with better MRI and CT scans; help children with various sleep disorders through the newer field of pediatric sleep medicine; and improve the quality of life for children requiring chronic ventilation assistance. “Home mechanical ventilation is a big advance,” he said. “These kids would essentially live in a hospital before this became available. Now these children are taken care of at home” in a more comfortable setting. Children’s Hospital welcomes Dr. Simpson to our medical staff and looks forward to working with him and his colleagues in pediatric pulmonology in providing care to this region’s children. hypertension” (increased blood pressure to the lungs that makes it difficult for the lungs and heart to provide enough oxygen to the body). Although he is quick to point out that he is not an expert on childhood obesity, Dr. Simpson does have significant knowledge and training in the pulmonary complications that can arise in an obese child. “If I can do anything to raise awareness of the problem of childhood obesity, I will,” he continued. “I have seen children reverse severe symptoms of apnea by losing weight.” Dr. Simpson jokes that his wife, Michelle, calls him the “anti-juice doctor,” because he believes children drink far too much juice, resulting in too many calories — which ultimately contributes to obesity. “Children with weight problems are typically drinking four to five glasses of juice a day. There is nothing in juice that they cannot get from a healthy diet,” he said. He suggests a good replacement is a low- calorie beverage such as Crystal Light, which comes in a variety of flavors, tastes good (so it appeals to children) and has almost no calories. By making this simple switch, some overweight children could begin to lose as much as a pound a week — ultimately leading to an overall improvement in health, including a reduced risk of diabetes and a reduced risk of lung complications. Dr. Simpson’s concern about the childhood obesity issue stems from his interest in helping children. He discovered early in his medical career that he was able to connect with children on a personal level. “There is no greater gift than to be able to help a child become healthy or to help a child cope with a chronic illness,” he said. Later he found he enjoyed caring for children with more complex problems and felt he had a skill in dealing with children in life or death situations: “Dealing with chronically ill children can be challenging. You’re dealing with the family unit as a whole, and it’s very important. “I also really like pulmonary physiology, so these things all steered me to my specialty,” Dr. Simpson said. “I believe that when a patient and his or her family truly understand the child’s specific disease process, anxiety is reduced and compliancy [with recommendations and treatment] is elevated,” Dr. Simpson said. “Children are smarter than most understand.” In July, Dr. Simpson joined the Children’s Hospital-based pediatric pulmonology practice of Drs. John Rogers and Eduardo Riff. Dr. Simpson’s family lives in the neighboring state of North Carolina, and he and his wife were interested in the southeast region of the country as a good place to raise a family. The couple’s S t e r l i n g W. S i m p s o n , M . D . , M . S .
  11. 11. Donors throughout U.S. make IRA gifts to Children’s and other charities Include Children’s Hospital in your estate plans. Join the ABC Club. For more information, call (865) 541-8441. Please send the FREE planning booklet, “Personal Financial Affairs Record.” 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 Special tax provision expires December 31 In a previous issue of It’s About Children, we highlighted the new Individual Retirement Account giving option available to donors ages 70 years and older. This Charitable Rollover Provision was enacted to allow individuals to donate funds from their IRA to the charity of their choice, and it has been very effective. Recent statistics from the National Committee on Planned Giving indicate that from August 2006 through early June 2007, over $75 million has been given to charities across the nation via this method. There have been over 4,100 IRA gifts averaging nearly $18,000 each. The special tax provision was temporary and expires on December 31. However, there is still time for you to help Children’s Hospital by making a gift from your IRA. Time is short, and planning is important. Here are the key details: • The donor must be at least age 70 at the time of transfer. • The transfer must pass directly from the IRA custodian to the qualifying charity. • The transfer is limited to no more than $100,000 per tax year. • The transfer is not limited to 50 percent of adjusted gross income (AGI) like other cash gifts. Bob Koppel, who retired June 30 after 31 years as President/CEO of Children’s Hospital, was honored recently by gifts made to the hospital in his honor. Many hospital physicians, employees, members of the Board of Directors and other hospital supporters chose to recognize Koppel’s dedication to Children’s Hospital by making a financial donation to the hospital in his name. To date, 116 donors have given more than $18,570 in Koppel’s honor. From those funds, a bronze “Butterfly Bridge” sculpture was purchased for placement in a flower garden outside of the Koppel Plaza hospital office building. The remaining funds have been placed into a new restricted fund, “The Koppel Fund,” which will be used to benefit our patients. Koppel expressed his thanks to the many donors. “I have been honored to be a part of Children’s Hospital for 31 years, and I am grateful to the many individuals who have so generously honored me through their donations to help the patients of Children’s Hospital,” Koppel said. Koppel will continue to serve Children’s Hospital for the next two years as President/ CEO Emeritus, focusing on strategic planning, physician recruitment, fund-raising strategies, donor relationships and advocacy of Children’s Hospital’s interests to promote quality children’s health care. Estate Planning... continued on page 15 Donations honor retiring presidentDonations honor retiring president Bob and Ianne Koppel with the Butterfly Bridge Sculpture
  12. 12. UUPPCCOOMMIINNGG EEVVEENNTTSS ttoo BBEENNEEFFIITT CCHHIILLDDRREENN’’SS calendar of events 13 ETPMI Golf Tournament The East Tennessee Chapter PMI Golf Tournament is scheduled for Friday, September 14, at Willow Creek Golf Club in Knoxville. The entry fee of $100 includes breakfast, lunch, green and cart fees, range balls, golf shirt, golf balls and eligibility for contest prizes. Teams will be composed of four people who will play in a scramble format with a shotgun start at 8:30 a.m. Prizes will be awarded for the top three teams, hole-in-one, closest to the hole and longest drive. All proceeds from the tournament will benefit the Celiac Disease Support Group at Children’s Hospital. For more information about the ETPMI Golf Tournament, contact the Children’s Hospital Development Office at (865) 541-8608. Tino Holiday Print Sale With the holiday season just around the corner, many people’s thoughts are turning to their shopping lists. Children’s Hospital is offering a great place to find unique gifts for friends and family at the 11th Annual Tino Holiday Art Sale. On November 1-2, nationally known artist Robert Tino of Sevierville will host a sale of his work at Children’s Hospital in the Meschendorf conference room. The sale will feature items for all price ranges including note cards, matted 8x10 prints, art tiles, framed limited edition prints and many more items featuring his artwork. Tino and his wife, Mary John, will donate a portion of the proceeds from the sale to Children’s Hospital. For more information, contact the Children’s Hospital Development Office at (865) 541-8441. RM Technologies Golf Tournament The Rodefer Moss Technologies Golf Tournament will be September 20 at River Islands Golf Club in Kodak, Tenn. Teams will be composed of four players. The entry fee of $150 per person (or $500 for a team of 4) includes 18 holes of golf, cart and greens fees, practice range, lunch, a goody bag, polo shirt and eligibility for prizes. All proceeds from the tournament will benefit the Pediatric Intensive Care Unit at Children’s Hospital. For more information about the RM Technologies Golf Tournament, please contact the Development Office at (865) 541-8745. 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. Fantasy of Trees The 23rd annual Fantasy of Trees will take a trip through the country to highlight many different holiday traditions of the Southern states. Held at the Knoxville Convention Center on November 21-25, this event will feature the theme of “Holiday Cheer Down South” and will showcase traditions ranging from an East Tennessee Big Orange “Vol-iday” to the Jingle Bells and Jazz of New Orleans. New children’s activities and shops will also reflect this year’s warm theme. The Fantasy of Trees features more than 300 beautifully decorated holiday trees and other designer items; a variety of festive and colorful decorations including an entire village made of gingerbread houses; holiday gift shops with items for all ages; daily live entertainment at the “Fantast Theater”; special events including the Babes in Toyland Parade, Santa’s Senior Stroll and Kris Kringle’s Children’s Party; and dozens of children’s activities and crafts such as Gingerbread Kids Ornaments, Tennessee Angel Deely-Bobbers and visits with Santa. For more information on Fantasy of Trees, visit www.etch.com/Fantasy.cfm or call (865) 541-8385. by Leslie Street and Bethany Swann, student interns
  13. 13. 14 With young people spending more time on the Internet, a new form of bullying has emerged that can be just as hurtful and damaging as physical aggression. This “cyberbullying” goes easily unnoticed by onlookers and makes it simple for the bully to hide his or her identity. Parents need to be vigilant observers of their children’s computer use to make sure they do not fall victim to online harassment. In this issue of It’s About Children, Dr. Nicole Swain, pediatric psychologist at Children’s Hospital discusses ways to protect your children from various Internet dangers. Q: What are some of the methods cyberbullies use to pick on others? Is it limited to Instant Messaging? A: While anonymous instant messages are one of the main avenues of cyberbullying and online predators, they can also use e-mail, cell phones, photos, videos and social sites like Facebook, MySpace and YouTube to humiliate or threaten others. To help your children keep safe from online bullies and predators, encourage them to never share their password with anyone nor give out personal or contact information on public Web sites. Many online networking sites like Facebook have privacy settings to keep users safe from unwanted share of information. Every user has the ability to set their level of privacy depending on who they want to be allowed to view personal information like their interests or pictures and who will be allowed to communicate with them. Q: Even though I try to monitor my pre-teen daughter’s instant messaging on our computer, I can’t understand any of the acronyms she uses! How can I decode this new “net lingo,” and are there any terms I should be particularly worried about? A: You are not the only parent who has been baffled by their child’s secret computer language. All of those acronyms are called cyberslang, and understanding it can help you protect your child from potential online bullies and sexual predators. Netlingo.com has a dictionary of online jargon that is updated daily. Some important cyberslang terms every parent should know include: 9 ASL: age/sex/location 9 POS: parent over shoulder 9 LMIRL: let’s meet in real life 9 PAL: parents are listening 9 MorF: male or female 9 SorG: straight or gay 9 KPC: keeping parents clueless 9 ADR: address 9 P911: parent alert Q: I’ve heard stories recently about children getting in trouble for staging online fights. Can you tell me more about this? A: A trend that has recently surfaced involves children videotaping their fights and posting the footage online. Besides the obvious danger that comes from being in a fight, the person behind the camera can get in serious trouble as well. Anyone discovered filming a fight can be charged with aiding and abetting. If your child participates physically, the charges increase to assault. If you ever see your child watching an online fight, turn off the computer and explain the consequences of online brawls. Q: My nine-year-old son spends a lot of time on the computer surfing the Internet and instant messaging his friends. But I worry about him getting into trouble with strangers online. What can I do to protect him? A: Simple surfing and instant messaging with friends are common activities for kids—and generally safe, if you have discussed some rules of use with them. Chatting with strangers, however, may be a different story. Keep the computer in a common room (such as a family room) rather than a bedroom so that you can monitor Internet activity. Although there’s no way to know the actual risk, the FBI cautions that children whose Internet activity isn’t monitored are most at risk for being exploited. Take an interest in the sites your child is visiting and the people with whom he is chatting (sometimes adults pose as kids or teens in chat rooms to seem less threatening). Warn him NEVER to give out his personal information (phone number, name, address, school name, etc.), agree to meet in-person anyone he meets in a chat room, or share any photographs. Cyberbullying & other Internet Dangers
  14. 14. Urge your son to introduce you to any new “friends” he meets online and to tell you if he ever feels uncomfortable about conversations that take place. Keep constant open communication with your child so that he feels comfortable coming to you with this type of information. It is just as important to discuss Internet safety as it is to discuss the dangers of drugs, alcohol, sex and smoking. Most important, talk to him about the dangers of interacting with strangers online and remind him that people online often do not tell the truth. Finally, blocking and filtering software is available if you want to make the financial investment for this added safety. Q: Are there any federal laws in place to help keep my child safe while on the Internet? A: Yes. A federal law has been created to help protect children while they are using the Internet. It is designed to keep anyone from obtaining children’s personal information without you knowing about it and agreeing to it first. The Children’s Online Privacy Protection Act (COPPA) requires Web sites to explain their privacy policies on the site and get parents’ consent before collecting or using a child’s personal information, such as a name, address, phone number or Social Security number. The law also prohibits a site from requiring a child to provide more personal information than necessary to play a game or contest. But even with this law, your child’s best online protection is you. By talking to your child about potential online dangers and monitoring his or her computer use, you will be helping your child to surf the Internet safely. compiled by Leslie Street and Bethany Swann, student interns 15 Nicole Falvo Swain, Psy.D. CCPPRR Dates: August 20, September 17, October 15, November 12 and December 3 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 $20 per person. II CCaann!! Dates: September 19, October 25, November 3 and 19, December 12 Time: 6 p.m. I-Can! is a Healthy Kids class series for families about making healthy choices. Four different classes focus on making healthy food choices, fun and fitness, cooking choices and shopping ideas. Families can join the series of classes at any time. This course is $10 per session per family. SSaaffee SSiitttteerr Dates: August 25, September 15 and 29, October 13 and 20, November 3 and December 15 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 $20 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.” Upcoming Community Education ClassesUpcoming Community Education Classes • The Act applies only to traditional, rollover and Roth IRAs, not to other types of plans like 401(k), 457, 403(b), etc. However, it is possible to roll funds over from one of the other types of retirement plans into a traditional IRA to make the gift. • The transfer cannot be made to a donor advised fund or a supporting organization. • The transfer cannot be used to fund a charitable gift annuity or a charitable remainder trust. If you or someone you know would like to help the children entrusted to our care by making a gift from an IRA, we encourage you to act now. The window of opportunity for these gifts will close on December 31. Please call David Rule, Children’s Hospital Director of Development, at (865) 541-8172, or Teresa Goddard, Senior Development Officer, at (865) 541-8466 if you have questions or would like additional information. The hospital’s Development staff will work with you and your advisors on an IRA gift. Estate Planning... c o n t i n u e d f r o m p a g e 1 3
  15. 15. 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 Bush honored upon board retirementBush honored upon board retirement Jim Bush, retiring Chairman of the Children’s Hospital Board of Directors, has dedicated himself to the hospital for more than two decades and is now being honored for his service. The new Third Floor outpatient clinic, set to open this fall, will be named the James S. Bush Outpatient Care Center, and a plaque will be installed there in his honor. The plaque reads, “For his tireless commitment and dedication to our hospital, mission and the children entrusted to our care, we dedicate this healing facility in honor of James S. Bush. ‘Jim’ faithfully served on Children’s Hospital’s Board of Directors from May 1985 to June 2007 and held the office of Board Chairman from December 1999 to June 2007.” New Board Chairman Dennis Ragsdale presented Bush with this honor during a board meeting on June 19. “I am fortunate to have had the opportunity to work with Jim throughout the years and can think of no one who is more deserving of this honor,” Ragsdale said. Bob Koppel, President/CEO Emeritus of Children’s Hospital, said, “Jim Bush and I have worked together during his entire tenure on the Board of Directors, and I have continually been impressed with his dedication to our medical center. He has been a great asset to the Children’s Hospital Board of Directors and has served with distinction in the position of Chairman for the past eight years. Children’s Hospital is fortunate to have Jim continue in his service to our medical center as he joins Dr. Bill Byrd and Don Parnell in the capacity of Board Chairman Emeritus.” Bush expressed his appreciation for the honor, noting that it has been a pleasure to work for so many years with the Administration, the other members of the Board of Directors, the medical staff and the hospital staff. “I want to commit my time where it can be most effective, and it’s been a joy and an honor to be involved with Children’s Hospital. It’s a valuable asset to the community,” Bush said. “Children’s Hospital has and will continue to do much for this community.” The continual process of working to make Children’s Hospital a better place is what is most significant to Bush during his 22 years of service to the Board. “I have enjoyed the Board,” he said. “It’s a great group of people who are all there for the right purpose, which makes it very gratifying.” Bush said he is constantly impressed with the hospital’s culture: “What it’s there for is serving kids. It doesn’t matter who they are or where they came from. “Succeeding in the hospital business is not easy,” Bush continued, noting that Children’s has managed to grow, add specialties, purchase the latest equipment and maintain a solid financial status. “A wonderful staff helps to make it all happen.” As a non-voting Board Chairman Emeritus, Bush will continue to attend Board meetings, where he will no doubt enjoy visits with Koppel. “It’s been a treat working with Bob,” he said. “But I’ve been there long enough, so I am excited about Dennis” [Ragsdale, the new Board Chairman]. Beyond Children’s Hospital, Bush has had significant community involvement in other programs that benefit children, including his current interests: the Boys and Girls Clubs and the Wee Course golf course and its character development program for inner city children, First Tee. Bush and his wife, Mary, have three daughters (Ellen Fowler, Susan Bacon and Jamie Litton) and six grandchildren. by Bethany Swann, student intern, and Wendy Hames, Associate Director for Publications President Keith Goodwin and Jim Bush, Board Chairman Emeritus

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