It's About Children - Spring 2003 Issue by East Tennessee Children's Hospital
Board of Directors
James S. Bush
Robert Madigan, M.D.
Robert M. Goodfriend
Jeffory Jennings, M.D.
Donald E. Larmee, M.D.
Chris Miller, M.D.
J. Finbarr Saunders, Jr.
William F. Searle III
Bill Terry, M.D.
Chris Miller, M.D.
Chief of Staff
Lewis Harris, M.D.
Vice Chief of Staff
David Nickels, M.D.
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
Vice President for Human Resources
Joe Childs, M.D.
Vice President for Medical Services
Vice President for Operations
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 which 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.
Director of Community Relations
Director of Development
“Because Children are Special…”
…they deserve the best possible health
care given in a positive 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 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 staff whose
only interests and concerns are with the total
health and well-being of infants, children
Statement of Philosophy
East Tennessee Children’s Hospital
Artwork by some of Children’s Hospital’s special patients
On the cover: 15-year-old Elijah Hill.
Read his story on pages 4-6.
– by Emma, age 10
– by Bret, age 8
– by Rachel, age 9
Carmen Tapiador, M.D.
B.S. (biology) — Ateneo de Manila University, Philippines, 1989
M.D. — University of the East, Philippines, 1993
Internship — Iloilo Doctors Hospital, Philippines, 1993-94
Residency — Nassau County Medical Center, New York, 1999
Fellowship — Winthrop University Hospital, Long Island, New York, 2002
Family — Husband, Danny Valderrama; son Matthew, 2 years
Interests — Cross stitch, shopping, dining out, travel
SubspecialistP R O F I L E
Carmen Tapiador, M.D., likes to
confront things that challenge her or
even frighten her. As a medical student,
pediatrics, and particularly pediatric
endocrinology, fell into that category.
“Pediatrics was not easy,” she said.
“Endocrinology was challenging, too.”
But she liked the challenge, and also
knew that from a personal standpoint,
a practice as a pediatric endocrinologist
would allow her to better balance her own
family life as a wife and mother.
“I was married in 1998 while in
residency,” she said. “I looked at the way
different specialties would work with a
family and with raising children, and I
found that scheduling would be more
flexible with pediatric endocrinology.”
Now the parents of a 2-year-old son,
Matthew, Dr. Tapiador and her husband,
Danny Valderrama, found East Tennessee
to be a good place for Matthew to grow up.
“It’s not a big city, but it is not so far
removed from larger cities,” she said. “It
reminds me of the small city where we
grew up in the Philippines. Everyone we
meet here is so pleasant, not just at the
hospital, but everywhere we go in the area.”
Dr. Tapiador recently joined David
Nickels, M.D., and Bruce Keenan, M.D.,
in their busy and growing pediatric endo-
crinology practice at Children’s Hospital.
Working with Drs. Nickels and Keenan,
Dr. Tapiador will help provide care
to the area’s children with diabetes,
growth disorders, thyroid problems and
other medical conditions. Diabetic children
comprise about 50 percent of the practice’s
patients and children with growth
disorders, another 45 percent.
Dr. Tapiador is especially interested
in diabetes and is pleased with the
improvements in care and technology
that recently have become available. New
insulins are an improvement over previous
versions, and new insulin pumps are
user friendly, making them the most
ideal treatment for children at this
time. Information recorded by the insulin
pumps can be downloaded, enabling the
endocrinologist to review the child’s rate of
insulin delivery and therefore learn a great
deal about how the child is responding
Adolescents and teens with diabetes
provide a special challenge for pediatric
endocrinologists such as Dr. Tapiador.
Meeting their needs requires extra effort,
patience, support and information.
“It’s already a challenge to be an adoles-
cent,” she said. “So to add diabetes into the
mix is more difficult for the patients.
“Teens don’t want to be different from
their peers, and syringes with insulin set
them apart from the group,” she added.
Working in concert with Drs. Nickels
and Keenan, Dr. Tapiador will help to
meet the increasing medical needs of this
balances medicine, family
The symptoms from both of these
conditions are what brought Elijah to
Children’s Hospital in the winter of 1996
when he was 8 years old. Elijah had already
experienced several strokes as a result of
his Moyamoya disease, and his sickle cell
condition was continuing to weaken
That year Elijah developed pneumonia
and was admitted to Children’s Hospital.
At the time, Elijah was still in the custody
of his biological parents. Six months after
recovering from his pneumonia, Elijah was
back at Children’s Hospital, and it was at
this time that he was introduced to foster
parents Deb and Mike Hill. The Hills
spent time with him, became his foster
parents, and officially adopted Elijah on
June 14, 2001.
Elijah is the oldest of the Hills’ five
adopted children, which also include Mark,
14; Isaac, 7; Brijah, 6; and Allie, 4. Mark and
Isaac are Elijah’s biological brothers. Deb
and Mike also have two biological children,
Jami, 29, and Erin, 26.
When Elijah was younger, his illnesses
caused him a great deal of discomfort,
but with the Hills and Children’s Hospital,
Elijah has been able to live a better life.
When Deb first met Elijah at the hospital,
she was amazed at the atmosphere the
nursing staff had created around him. She
could tell the staff cared greatly for Elijah
because of their tender and loving approach
“The nurses and doctors were extremely
protective of Elijah and were determined to
give him the best care possible,” she said.
Once Elijah’s family and the medical
staff at Children’s Hospital learned more
about his condition, they had to weigh their
options. Although surgery can correct some
of the damage Moyamoya does to blood flow
in the brain, it is an incurable disease, and
the surgery is not for everyone. The Hills,
however, were determined to do anything
they could to help Elijah, and working with
Doris Wortham, M.D., at Children’s Primary
Care Center, they were able to find and
convince one of the few Moyamoya experts
in the United States that Elijah was an
excellent candidate for brain surgery. He
eventually underwent two brain surgeries at
Vanderbilt Children’s Hospital in Nashville.
The type of surgery Elijah had was
called “pial synangosis.” It involved taking
a vein from his scalp, and, while keeping
blood flowing through the vein, opening a
window of bone beneath the vein, carefully
opening the coverings of the brain, and
grafting the vein directly on to the brain.
Deb said the surgeon, Scott Standard,
M.D., explained that what this did was
comparable to a how a lizard grows a new
tail. New pathways of veins were able to
grow around where this vein was placed,
allowing full blood flow to the brain.
The procedure was performed on the
right side of Elijah’s brain first. Two weeks
later, the left side, which was more severely
damaged by the strokes, was operated on.
Elijah hasn’t had a stroke since his second
brain surgery and is now able to have his
follow-up care at Children’s Hospital.
Elijah’s sickle-cell treatment includes red
blood cell transfusions every four weeks
to help prevent additional strokes, followed
by a five-day chelation hookup after each
transfusion to remove the iron that has built
up in his body. This procedure involves the
administration of IV medications through
a port in his side 24 hours a day for
five consecutive days. With assistance from
Children’s Hospital’s Home Health Care,
Elijah is able to undergo the chelation
hookup at home, which keeps him close to
his family and friends in a more comfortable
and familiar environment.
“Without Home Health, Elijah would
have to be admitted to the hospital five
days every month,” said Pam Wilson,
clinical coordinator for Children’s Hospital’s
Home Health Care. “This is much more
convenient and comfortable for both Elijah
and his family.”
The Hills couldn’t agree more. They have
a special relationship with the staff at
Home Health, and they are extremely
appreciative of the services they provide.
Home Health even helped the Hills have
a better Christmas, thanks in part to
Home Health employee DeAndré Jones, who
delivers medical equipment to their house.
“Home Health is wonderful,” Deb said. “I
definitely think one heals better at home,
and I think we’d be in serious trouble
Elijah also visits Ray Pais, M.D., pediatric
hematologist/oncologist and director of
the Hematology/Oncology Clinic at
Elijah and his father, Mike Hill, are interviewed by Mary Loos of WBIR-TV Channel 10
during the 2002 Children’s Miracle Network Broadcast at Children’s Hospital.
Children’s, for some components of his
sickle cell treatments, including the
monthly transfusions to help prevent
“Dr. Pais has done everything for Elijah,”
Deb said. “He fights tooth and nail for him.”
For the most part, Elijah enjoys his
visits to the clinic. Deb says it’s like
a second home for the
entire family. When his
brothers and sisters go
with him, they each
know exactly what toy or
game they want to play
with before they arrive.
Elijah is also a patient
of the Children’s Hospital
Nadine Trainer, M.D.,
pediatric physiatrist at
Rehabilitation Center, has
helped Elijah obtain an
which has given him
more mobility and independence, according
to his mother.
“It has really opened his world,” she said.
“Now when his brothers and sisters go
outside to play, he’s right out there
The Children’s Hospital Rehabilitation
Center has also helped Elijah to get a
“stander,” a device that enables Elijah to
stand and be more comfortable, especially
Despite his health condition and all the
adversity he has faced, Elijah approaches
life with a smile.
“Eli is amazing,” Deb said. “He is always
Pam Wilson expressed the same
sentiment. “He has a beaming smile,”
Elijah likes the same things any 15-year-
old boy does: music, computer games and
hanging out with friends. He also loves
to play cards, a hobby that has proven
educational — he learned his numbers by
playing with them.
Elijah is full of enthusiasm and is
a determined young man who has an
unbridled love for life. With his parents’
help and support from the staff at
Children’s Hospital, he has been able to
fight through a great deal of adversity.
by Jarrett Ellis, Guest Relations Representative,
and Katie Harvey, Publications Specialist
Elijah with his pediatric hematologist/oncologist, Ray Pais, M.D.
Sent: Thursday, December 26, 2002 9:16 PM
Subject: Thank You From The Bottom Of Our Hearts!
Hi, my name is Rinda Tolliver, and my daughter’s name is
Nichole Tolliver. Nichole had been sick most of this year with
tonsillitis, and I took her to a specialist who said her tonsils
had to come out and then sent it through to the insurance
company, and the insurance denied it because it was “with
them pre-existing.” I needed help because the other hospital
turned us away because we could not pay for the surgery
up front! I was looking through our phone book and just
happened to find Children’s Hospital. I made a call, got my
daughter a new doctor, and at Children’s Hospital the surgery
was done. They didn’t turn me away for any reason, and
I would just like to say a great big thank you to Children’s
Hospital for all you do! Kids really do matter to you. This is
one story that doesn’t get too old to tell all my friends and to
anyone with sick kids. Thank you sincerely from the bottom of
our hearts. God bless you all and everyone there.
October 2, 2002
My son had surgery at
your hospital Sept. 25,
2002. Dr. Preston Smith
performed the surgery in
your outpatient surgery
department. I work in the
health care profession, so
I know all about good
and bad customer service.
Our service was great
from Admitting to when
we were discharged.
There were four or five
different people who came in
our room, and they all carried a smile on their faces. If we
needed something or just asked a question, your staff was right
on top of it. My husband and I would like to say thank you,
especially to Curtis; she took very good care of Nathanael.
Dr. Smith and your staff at Children’s Hospital are great. Keep
up the good work.
To whom it may concern:
When my daughter became ill recently, we were advised to take herto the emergency room. Because of her age (16), I didn’t immediatelyconsider Children’s. While driving to Knoxville, however, I thoughtof your hospital and decided to take her there. I am extremely gladthat I did.
Your staff was absolutely wonderful from beginning to end. Thenurses, doctors, volunteers, even the folks who transported her fromplace to place could not have done more to make both of us feelat ease. I have been in the emergencyrooms of several hospitals with variousadult members of my family and havenever been treated so well.
In spite of her age, when my daughterexpressed a wish for a “dollie” to sleepwith, the nurse found her a teddy bearthat had been donated from one of theschools. It was constantly by her sidewhile she was a patient and has a placeof honor in her bedroom now that she’sback home.
The customer friendly attitude of yourstaff goes a long way to making adifficult experience less troublesome. Ican’t thank you enough for the kindnessshown to us. Keep up the good work.
The finishing touches are being made
on a major aspect of Children’s Hospital’s
three-year expansion project — the
42,000-square-foot addition to the Koppel
Plaza at the corner of Clinch Avenue and
21st Street (pictured at right).
Several hospital departments currently
located in the Children’s Hospital Medical
Office Building and the main hospital
building are relocating to the new space.
Nursing Administration and Community
Relations have already moved to the first
floor of the building, and other departments
are scheduled to move between now
These include: the Byrd Board Room,
Child Life, Development,
Oncology, Infectious Disease,
Marketing and Physician
Pastoral Care, the Print Shop,
Service Excellence and Social
Work. Spaces vacated in the
Medical Office Building by
some of these departments
will then be made available
for additional or expanded
On the other side of
the hospital campus, work
began in October 2002 on excavation of
the former Emergency Department and
physician parking lots at the corner
of Clinch Avenue and 20th Street for
a new 115,000-square-foot, seven-story
patient tower. Foundation work has begun
on the tower and will continue into April.
Then the structure of the building can
begin to “come out of the ground,” and it
Building for the future
should be enclosed
and under roof by
This project also
includes a third-
floor addition over
area and extensive
renovation of all
rooms with half baths in the existing patient
tower into private rooms with full baths. To
ensure that the new rooms are patient- and
staff-friendly, the hospital has set up two
mock patient rooms on the third floor of the
Koppel Plaza (pictured above). The rooms
have been evaluated by hospital staff who
offered suggestions on renovation.
Once construction is complete, Children’s
Hospital will have 95 private patient
rooms with full baths; a larger Emergency
Department; an expanded 13-bed Pediatric
Intensive Care Unit; an expanded 44-bed
Neonatal Intensive Care
Unit; an expanded
Surgery Department; more
space for support services,
families, staff and storage;
additional elevators; and a
larger cafeteria and Food
and Nutrition Services
department. The hospital’s
licensed beds will increase
from 122 to 152. The cost
for the hospital addition,
including construction and furnishings, is
In addition to the major main campus
project, two projects are well on their way
at the Children’s West outpatient services
campus at Pellissippi Parkway and Westland
• The Children’s West Surgery Center
(pictured below) is expected to open
for patient visits in April, after receiving
certification. The pediatric outpatient
surgery center, a joint venture between
Children’s Hospital and 14 area surgeons
and dentists, includes two operating rooms
with capacity to expand to three ORs.
• Bidding on the construction of the
Children’s Hospital Rehabilitation Center
took place in January, and work on
the facility could begin some time in
February. The new center, which will be
relocated from its present site on Gleason
Road, will have approximately 21,500
square feet all on one level in an updated
The total cost for all the projects on
Children’s Hospital’s two campuses is $47.5
by Katie Harvey, Publications Specialist
New officers of the Children’s Hospital
Medical/Dental Staff took office on
January 1, following elections last fall.
Officers are elected for a two-year term,
continuing through the end of 2004.
Chris Miller, M.D., who most recently
served as Vice Chief of Staff, is the new
Chief of Staff. Miller, a pediatric neurologist
in practice with Child Neurology Services,
joined the hospital’s medical staff in 1986.
As Chief of Staff, Dr. Miller is responsible
for a variety of tasks, including serving as a
standing member of the Children’s Hospital
Board of Directors; enforcing Medical Staff
Bylaws, Rules and Regulations; reporting to
the hospital’s Board of Directors on the
performance and maintenance of quality
of the Medical Staff’s provision of medical
care; receiving and interpreting the policies
of the board to the Medical Staff; and
representing the views, policies and needs of
the Medical Staff to the board.
The new Vice Chief of Staff is Lewis
Harris, M.D., pediatric neurosurgeon in
practice with Neurosurgical Associates. He
joined the hospital’s medical staff in 1995.
The Vice Chief of Staff is responsible for
assuming the Chief of Staff’s duties in his
absence and also attends meetings of the
Board of Directors in preparation of assuming
the responsibilities of Chief of Staff in 2005.
The other 2003-04 Medical/Dental Staff
officers are: Secretary, David Nickels, M.D.;
Chief of Medicine, Lise Christensen, M.D.;
Chief of Surgery, Cameron Sears, M.D.; Chief
of Anesthesiology, Mark Cramolini, M.D.;
Chief of Dentistry, Mike Mysinger, D.D.S.;
Chief of Pathology, David Birdwell, M.D.;
Chief of Radiology, Cliff Meservy, M.D.;
and Members-at-large to the Executive
Committee of the Medical Staff, from the
Department of Medicine, John Buchheit,
M.D., and from the Department of Surgery,
John Little, M.D.
In addition to the new Medical Staff
officers, Children’s Hospital is pleased to
welcome the expertise of the following new
medical staff members who have joined
our staff in recent months: Jeffrey T.
Abrams, M.D., pediatrics; Mohammed
Ahmed, M.D., nephrology; Salwa Alkhoury,
M.D., pediatrics; Cameron Blevins, M.D.,
pediatrics; Jason Troy Cheney, M.D.,
pediatrics; Mariano de la Mata, M.D.,
pediatrics; Stephen Franklin, M.D.,
ophthalmology; Tom T. Gallaher, M.D.,
plastic surgery; Marcin Gornisiewicz, M.D.,
rheumatology; Kimberly Hicks, M.D.,
pediatrics; Robert Q. Ingraham, M.D.,
neurosurgery; Sangeetha Kodoth, M.D.,
allergy and immunology; Jay Lucas, M.D.,
pediatric plastic surgery; Larry G. Maden,
M.D., neonatology; Drew Osborn, D.D.S.,
pediatric dentistry; Stephen L. Perkins,
M.D., ophthalmology; M. Taite Seals, M.D.,
otolaryngology; Andrew L. Smith, M.D.,
family practice; Edwin Spencer, M.D.,
orthopedics; and Barbara Summers, M.D.,
by Katie Harvey, Publications Specialist, and
Genny Kirchner, student intern
New Medical/Dental Staff officers
installed, new physicians added to staff
Through its Web site, Children’s Hospital
is offering a series of free e-newsletters
called New Parent eNews for expectant
and new parents. Each e-newsletter contains
stage-specific information on health,
nutrition, learning and development. The
New Parent eNews newsletter offers
information throughout the pregnancy and
as new parents take the newborn home for
the first time.
The New Parent eNews newsletters
include information on pregnancy myths,
staying healthy during pregnancy, multiple
births, caring for a newborn,
immunizations, communicating with and
nurturing a new baby, preparing siblings for
Web site offers New Parent eNews
a new family member, medical conditions
and problems that can affect newborns,
how becoming a parent affects the parents’
relationship and more. The New Parent
eNews newsletter is written for parents of
children up to two years of age.
New parents may sign up to receive
stage-appropriate e-mails by supplying their
e-mail address and expected due date or
date of their baby’s birth. The subscriber
will receive e-mail newsletters periodically
until the child reaches age two. Users can
enroll in New Parent eNews by clicking on
the New Parent eNews icon on the home
page of the Children’s Hospital Web site,
New Parent eNews is offered on the
Children’s Hospital Web site through
KidsHealth, a leading provider of licensed
pediatric health care content.
The Children’s Hospital Web site,
www.etch.com, recently added a major
new feature. The Physician Directory
is a searchable feature accessible from
the home page to help families find a
pediatrician near their home.
The directory is searchable by East
Tennessee county, by area of Knox
County or by pediatrician name.
Information provided in the search
includes the name of the pediatric
practice; the physicians associated
with the practice; brief biographies of
the physicians; the practice’s address,
phone number and fax number;
driving instructions to the office
location(s); and links to related
A searchable Pediatric Subspecialist
Directory will be added soon.
Web site launches
Children’s Hospital will once again
sponsor the Pediatric & Neonatal
Conference April 3-4 at the Knoxville
Airport Hilton. As a continuation of last
year’s “Grow For It” theme, this 23rd
annual conference — themed “Here We
Grow Again” — will host two nationally
known keynote speakers, include displays
from area medical vendors and provide
breakout sessions on a variety of topics.
Keynote speaker Steve Sobel, M.D.,
is one of the country’s most popular
motivational speakers and author of the
best seller, “The Good Times Handbook
— Your Guide to Positive Living and
Exciting Life.” Dr. Sobel is a major
keynote speaker for nurses and health care
professionals throughout the United States.
The conference’s other keynote speaker,
Terry S. Johnson, ARNP, RNC, MN,
is a neonatal nurse clinician-practitioner
and founder of Lodestar Enterprises, Inc.,
a professional service firm providing
education and consulting services to health
care systems and providers. Her creative,
insightful presentations range from
neonatal and patient management topics to
interpersonal and organizational issues in
In addition to the main keynote sessions,
participants also will be able to choose
from four tracts of general pediatrics,
neonatology, critical care and professional
development, which is new this year.
During breaks between sessions,
participants will have the opportunity
to visit vendor booths from medical
supply companies, Children’s Hospital
departments and other health care
This conference is designed for nurses,
physicians, respiratory therapists, nurse
practitioners, physician assistants, medical
assistants, students and all other health
care professionals interested in current
issues and advances in the care of infants
For more information or to register,
contact the Children’s Hospital’s Education
Department at (865) 541-8618 or visit
by Seth Linkous, Public Relations Specialist
Children’s plans Pediatric and Neonatal Conference
The Children’s Hospital
Auxiliary installed new officers in
January. The officers elected were
President Nancy Mason, Vice
President Kathy Payne, Treasurer
Wilma Floyd, Recording
Secretary Barbara Nixon and
The Auxiliary also gave a
$50,000 gift from net Gift Shop
proceeds, which is earmarked
for the following needs: $21,467
for six electric beds on the
Third Floor; $13,500 to purchase
Fantasy of Trees 2002 proved that
fantasies really do come true for visitors,
volunteers and organizers alike. This year’s
move to the new Knoxville Convention
Center provided organizers and designers
with more space and allowed even more
holiday splendor to be enjoyed by all.
More than 54,300 guests — an all-time
attendance record — experienced “A
Storybook Christmas” amidst beautiful
holiday decorations in the spectacular
More space, more people at
New Children’s Hospital Auxiliary officers are, left
to right: Nancy Mason, president; Kathy Payne, vice
president; Nellie Thomas, corresponding secretary;
and Barbara Nixon, recording secretary. Not pictured
is Wilma Floyd, treasurer.
Auxiliary elects officers,
gives gift to hospital
The proceeds from this
year’s show — estimated
at more than $290,000,
which is an increase over
last year’s record net of
$278, 296 — will fund
the purchase of state-of-
equipment for the Pediatric and Neonatal
Intensive Care Units.
The real stars of this year’s Fantasy
of Trees were the 8,922 volunteers who
donated in excess of 110,500 hours to
make this year’s event such a success in its
new home. Children’s Hospital extends its
thanks to all volunteers and visitors to the
syringe pumps for the NICU; $7,500 for the
Star 102.1 Radiothon in March to benefit
Home Health and Hematology/Oncology;
$3,250 to purchase a prisma blood warmer
for the Continuous Renal Replacement
Therapy (CRRT) machine in the PICU;
$2,288 for the Meal Fund; $1,400 to
purchase a Lindholm Child Laryngoscope
for the Surgery Department; and $595
to purchase a tracheotomy doll for the
By Katie Harvey, Publications Specialist
and Genny Kirchner, student intern
Imagine you are expecting a baby
and have prepared for labor and delivery
at a hospital near your home. When labor
begins, you head to
the hospital, where
you deliver your baby.
goes smoothly and
your baby is healthy.
labor and delivery
and need specialized
care. If you deliver
your baby at Fort
Sanders Park West
Hospital in West Knoxville, or at the new
Baptist Hospital for Women in Farragut
(scheduled to open in July), your newborn
will have access to special care provided by
Children’s Hospital neonatal nurses.
The program is called Children’s Neonatal
Services, and it is an extension of the
services provided by the Neonatal Intensive
Care Unit and the Neonatal Transport
Team at Children’s Hospital. Area hospitals
contract with Children’s Hospital to provide
an experienced neonatal nurse clinician (a
registered nurse with specialized training)
in the labor and delivery unit to provide
neonatal expertise at deliveries and provide
care both to critically ill newborns and
well babies. The nurses staff these facilities
24 hours a day, seven
days a week.
provides the referral
facility with skilled
nurses who can
who can readily
identify the need for
Children’s Hospital for
more intensive care
or, at the least, can arrange for further
consultation with a neonatologist at
The Children’s nurses attend all high-risk
vaginal deliveries and all C-sections. They
work alongside the labor and delivery staff,
providing true multidisciplinary care, and
are often involved in the parent education
process. In addition, the neonatal nurse
clinicians serve as an educational liaison
for the referral hospitals, providing
monthly in-services on a wide range of
neonatal health care topics for the staff at
Nurses selected for this program have
at least two years of high-risk neonatal
nursing experience and certification as
instructors in Basic Life Support and the
Neonatal Resuscitation Program. They must
attend and pass a 40-hour comprehensive
program and complete a clinical practicum
under the direction of a neonatologist.
They are credentialed at the referral
facilities as Allied Health Providers and
operate under approved medical protocols
adopted by the neonatologists at Children’s
Hospital and approved by the medical staff
at the referral facilities.
The nurses must be skilled in intubation,
chest tube insertion, line placement for
administration of emergent medications,
and the initiation of emergent care when a
neonatologist is not immediately available.
Children’s Neonatal Services currently
has nine nurses serving in this role, and a
new training program with 12 participants
began late last fall. The program has been
active in area referral facilities since 1995.
Please send the free brochure titled “Personal Records”
Name_________________________________ Address _________________________________________
City ____________________ State _____ Zip ____________Phone #___________________________
Please call me at the above phone number 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
In Your Estate Plans.
Join The ABC Club.
For More Information,
Call (865) 541-8441
by David Rule,
Director of Development
“If something happened to both of us,
your Mom would get the kids, so why
Here’s why: Your state’s plan for taking
care of your children (and for distributing
all that you have accumulated during your
lifetime) may not match up well with what
you would prefer to do.
As hard as our lawmakers work and as
well intentioned as they may be, have you
ever disagreed with laws that they pass? As
much as we respect our judges, have you
ever questioned their decisions?
If you fail to prepare a will, you are
allowing the legislature (via the laws they
have written) and the courts (via their
interpretation of those laws) to determine
the custody of your minor children, should
such a need arise.
If you were choosing the person to care
for your children, you would probably look
at many different factors:
• Who raises their children the way you are
• Who has religious beliefs that are closest
• Who has a large enough home?
• Who is in good health?
• Who would treat them the way you would?
• Who would take them to baseball games
or ballet lessons or soccer practice or
swim meets or school plays, and who
would take pictures at these activities?
Perhaps your parents or your spouse’s
parents, a brother or sister or a close
friend would be best suited to raise your
children. Would you really want them in
court fighting over custody of your children
because you failed to plan?
Do you have enough life insurance and
other assets to support your children until
they are grown, educated and on their own?
Perhaps you would want the people who are
raising your children to also be in charge of
the funds you would leave for their support.
But you might prefer to have a separate
individual or a trust company manage the
money for them.
Whatever your answers to the questions
above, a properly prepared will is the only
way to assure that your wishes are
For more information on wills and estate
planning including a copy of our booklet,
“Personal Records,” please send your name
and address to the Children’s Hospital
Development Department via the reply
form below. Or you may contact David
Rule, Director of Development, at
firstname.lastname@example.org, or Teresa Goddard,
CFRE, Senior Development Officer, at
email@example.com. Both may be reached
by phone at (865) 541-8162.
Editor’s note: Because restoring the health
of sick and injured children is Children’s
Hospital’s mission, this first installment in
our “Why Bother” series on wills and estate
planning focuses on the need to plan for
custody of minor children. Our next issue
will discuss some of the special needs and
circumstances within a family that make a
will especially important.
ecause (your) Children
are Special... a will is vital!
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 wonderful 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. For more
information about any of these events, contact the Children’s Hospital Development Department at (865) 541-8441
or visit the calendar of events on the Children’s Hospital Web site at http://www.etch.com/attractions.cfm.
Gladys Knight to take ‘Center Stage’
Grammy Award winning singer Gladys
Knight will perform “Center Stage” at the
11th annual benefit for Children’s Hospital
April 5 at the Knoxville Marriott.
Gladys Knight and the Pips, a vocal
group comprised of several of Knight’s
relatives, made their chart debut in 1961
with “Every Beat of My Heart” when
Gladys was just 16 years old. Four decades
of hits followed on several record labels,
including Motown, Buddah, Columbia and
MCA. Ten of their songs reached No. 1 on
the R&B chart, five became Top 20 hits
and three were awarded Grammys. Some
of their hits include “I Heard it Through
the Grapevine,” “Neither One of Us
(Wants to Be the First to Say Goodbye)”
and “Midnight Train to Georgia.” Knight
released her first solo album, A Good
Woman, in 1991. In February 1998,
Gladys Knight and the Pips were inducted
into the Rhythm and Blues Hall of Fame.
The Center Stage benefit will begin
at 6:30 p.m. with cocktails and hors
d’oeuvres in the Main Lobby of the
Knoxville Marriott, followed by dinner
and Gladys Knight’s performance. A dance
band will perform following the concert.
Underwriting support is provided by
Goody’s, Clayton Homes, Pilot Corporation
and LandAir. A special thanks goes to Bob
and Wendy Goodfriend, who will serve as
co-chairs for the eleventh year.
Center Stage has raised more than
$1.2 million for Children’s Hospital since
Star 102.1 Radiothon
Be sure to listen to the second annual
Radiothon, sponsored by longtime Children’s
Hospital supporters Star 102.1 radio and the
Journal Broadcast Group from 6 a.m. to
6 p.m. on March 6 and 7. Star 102.1
morning personalities Marc and Kim will
broadcast live from West Town Mall,
encouraging listeners to “tune in for
children” and make a personal pledge
to help Children’s Hospital. The money
raised during the event will be used to
buy new medical equipment for Children’s
Hospital and equipment and supplies for
Children’s Home Health Care. Last year,
Radiothon raised more than $137,000 for
One great way for your family, business or
church group to be involved in Radiothon is
to be a “Cash Cop for Kids.” A “Cash Cop” is
an individual who agrees to solicit donations
for Children’s Hospital from coworkers,
friends and families in the month prior to
Radiothon. Just let us know when you want
to be “on patrol” to help the kids, and we’ll
get you “deputized” and ready to go.
Food City Family Race Night
NASCAR fans will want to race to
Knoxville’s Civic Coliseum March 19 from
5-9 p.m. for a unique night of family
fun. Activities at the Food City Family
Race Night include autograph signings by
NASCAR drivers, free food sampling, show
cars, simulators and shopping for souvenirs.
Tickets are $4 in advance or $5 at the
door, and children ages 12 and under are
admitted free. Tickets can be purchased
at any Knoxville area Food City. A
special thanks to Food City, WATE-TV 6
and the Knoxville News-Sentinel for their
sponsorship to ensure the Food City Family
Race Night continues to be a success.
“Cutest Little Baby Face” Contest
On March 29 and 30, photographs will be
taken for the 13th Annual “Cutest Little Baby
Face” contest at Belz Factory Outlet World
in Pigeon Forge. The contest is open to
children ages 5 and younger. Participants
may pre-register for the event by completing
a registration form in the Center Court area
inside the outlet mall. Pre-registration is also
available by calling the Children’s Hospital
Development Department at (865) 541-8437.
The entry fee for pre-registration is $5,
and registration at the event is $7. The fee
includes a choice of 5x7 portrait of the
participant. After all entry photographs are
taken, voting will take place at the outlet
mall on April 11 from 9 a.m. to 6 p.m. and
on April 12 from 9 a.m. to 3 p.m. A $1
donation to Children’s Hospital will count
as 100 votes for a favorite baby photo. The
child with the most votes wins and will
be announced at the “Baby Face Parade,”
which will begin at 3:30 p.m. on April 12
B97.5 morning radio personality TK
Townshend will host the Eighth Annual TK’s
Breakfast for Children’s Hospital May 3 at the
Knoxville Marriott from 9-11 a.m. Families
can enjoy music and entertainment during
the breakfast, and live and silent auctions
will be held as well. The performers for this
year’s event have not been confirmed yet,
but local and national celebrities who have
participated in the past include
All-4-One, Jim Brickman, Lee Greenwood
and Jordan Hill.
Last year, more than 1,000 guests
attended the breakfast, which raised more
than $44,000 for Children’s Hospital.
The breakfast is sponsored by B97.5,
Comcast, BI-LO, Charter Media, local
O’Charley’s restaurants, American Airlines
and the Knoxville Marriott. Tickets for
guests ages 7 and up are $6 in advance or
$7 at the door. Children ages 6 and under
are admitted free.
Invitational Golf Tournament
The 20th annual Children’s Hospital
Invitational Golf Tournament to benefit the
Oliver William Hill, Jr., M.D., Pediatric
Neurology Laboratory will take place
Monday, May 12 at Fox Den Country Club.
The event, whose signature sponsor is Ruby
Tuesday, raised more than $47,000 last year.
Special thanks to the following 20-year
sponsors: Goody’s Family Clothing; Barber
& McMurray Architects; Engert Plumbing
and Heating; First Tennessee Bank; Home
Federal Bank; Knoxville Pediatric Associates;
Knoxville Coca-Cola; Vreeland Engineers;
and Pershing Yoakley & Associates.
by Katie Harvey, Publications Specialist
While most guests sit at the table and not on
it, everyone enjoys the food at TK’s Breakfast.
if SIDS may result from more than one
problem, or that several events must
happen together for SIDS to occur. One
theory is that an anatomical defect, most
likely in the brain, leads to a problem
in the way the baby breathes or the
way blood flows throughout the body.
Another possibility is that affected infants
have developmental delay that slows the
development of proper breathing or
Q. How can I reduce the risk of SIDS?
A. One of the most important things you
can do to help reduce the risk of SIDS is to
put your healthy baby on its back to sleep.
Do this when your baby is being put down
for a nap or at bedtime.
When babies are newborns, keep them
happily positioned on their backs by
swaddling them snugly with hands up
near their mouths so they can comfort
themselves. As they get older, they will
start to move around a bit at night, so do
not wrap them in blankets. By the time
they are 5 or 6 months old, they will be
able to roll over in both directions, making
it more difficult for parents to keep them
on their backs at night. Try not to worry.
At that age the risk for SIDS has begun to
drop. Parents should do their best to help
the baby get settled on the back or propped
on one side.
Q. Are there exceptions to the rule about
putting babies on their back to sleep?
A. Of course. There are infants with
specific breathing or health conditions who
should sleep on their stomachs or sides. If
a baby was born with a birth defect, often
spits up after eating, or has a breathing,
lung or heart problem, be sure to talk with
the child’s pediatrician about which sleep
position to use.
Sudden Infant Death Syndrome (SIDS)
New parents often come home from the hospital with many questions about the safety,
health and wellness of their new infant. They have questions about eating, illness,
baby-proofing their home, and the sleep patterns of new babies.
A circumstance that many new parents fear is Sudden Infant Death Syndrome (SIDS),
which is the sudden and unexplained death of an infant under one year of age.
Dr. Stephen Prinz, neonatologist and director of the Neonatal Intensive Care Unit at
East Tennessee Children’s Hospital, offers the following information on SIDS.
Q. What is Sudden Infant Death Syndrome?
A. Sudden Infant Death Syndrome (SIDS),
sometimes known as crib death, is the
major cause of death in babies from
1 month to 1 year of age. Most SIDS deaths
occur when a baby is between 1 month
and 4 months old. More boys than girls are
victims, and most deaths occur during the
fall, winter and early spring months.
The death is sudden and unpredictable;
in most cases, the baby seems healthy.
Death occurs quickly, usually during a
sleep time. There is no way to predict or
Q. What causes SIDS?
A. After 30 years of research, scientists
still cannot find one definite cause or
causes for SIDS. No one knows for sure,
but researchers around the world are
searching for an answer. It appears as
For more information or to register for any of these 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.”
Children’s Hospital’s Healthy Kids Campaign is a community education
initiative of the hospital’s Community Relations Department to help
parents keep their children healthy.
Parents worry that babies may choke
on spit-up or vomit during their sleep if
sleeping on their backs. However, there
is no evidence that sleeping on the back
causes choking. Parents may also worry
about plagiocephaly, a flat spot on the
back of the head. Babies can and should
be placed on their stomachs when awake.
Some “tummy time” during the hours that
babies are awake can be good for babies.
Q. Can sharing a bed with my baby help
reduce the risk of SIDS?
A. No research conclusively proves that
sleep sharing (having the baby sleep in the
bed with the parents) reduces the risk of
SIDS. However, parents who sleep share
should take these precautions:
• Make sure the mattress fits tightly
against the headboard and has no space
around it where a baby’s head could get
• Make sure there are no cords or plastic
bags anywhere near the bed.
• Parents who smoke should not co-sleep.
• The best advice is to talk with your
pediatrician about sleep sharing.
Q. What is recommended about the
A. Make sure the baby sleeps on a firm
mattress or other firm surface. Don’t use
fluffy blankets or comforters under or over
the baby. Don’t let the baby sleep on a
waterbed, sheepskin, pillow or other soft
materials. When your baby is very young,
don’t place stuffed toys or pillows in
Q. What are other specific
recommendations to reduce the risk
A. Babies should be kept warm, but they
should not be allowed to get too warm.
Keep the temperature in the baby’s room
so that it feels comfortable. Create a smoke-
free zone around the baby. No one should
smoke around the baby; babies and young
children exposed to smoke have more colds
and other diseases, as well as an increased
risk of SIDS. If the baby seems sick, call the
family pediatrician right away. Make sure
all babies and young children receive their
immunizations (shots) on schedule.
Significant gastroesophageal reflux
disease in the infant can also be associated
with an increased risk of SIDS. If the child
is having choking episodes, frequent
spitting or episodes of perioral cyanosis,
this should be brought to the pediatrician’s
attention. The pediatrician can then
determine whether or not the infant needs
to be examined for possible gastroesophageal
Q. Are there recommendations to consider
before the child is born?
A. Early and regular prenatal care can
also reduce the risk of SIDS. The risk of
SIDS is higher for babies whose mother
smoked regularly during pregnancy. For
the baby’s health, mothers should not use
alcohol or drugs during the pregnancy
unless the medications are prescribed by
If possible, women should consider
breastfeeding new babies. Breast milk
helps keep babies more healthy. If
breastfeeding is not possible, the mother
should not feel guilty and should use a
formula, which provides excellent nutrition
Compiled by Janya Marshall,
Associate Director for Public Relations
Stephen Prinz, M.D.
Infant & Child CPR
Monday, February 24, and Monday, March 17, 6:30-9 p.m.
Children’s Hospital Koppel Plaza — Cost: $18
This class will teach caregivers cardio pulmonary resuscitation and
choking maneuvers for children ages eight and younger. This class
also teaches home safety. Participants must be at least 14 years old
to attend. Class size is limited, so preregistration is required.
Saturday, March 22, 9 a.m.-3 p.m.
Children’s Hospital Koppel Plaza — Cost: $15
Safe Sitter is a national organization that teaches young adolescents
safe and nurturing baby-sitting 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 and must provide their own lunch.
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.
2018 Clinch Ave. • P.O. Box 15010
Knoxville, Tennessee 37901-5010
RETURN SERVICE REQUESTED
If you’re looking for an easy way
to support East Tennessee Children’s
Hospital, why not buy a specialty
Tennessee license plate?
The Tennessee General Assembly has
passed a bill approving a specialty plate
to benefit the hospital. Pictured here is the
design, created by Morris Creative Group
(and pending approval by the state).
Before the plate can be issued,
Children’s Hospital must receive at least
1,000 commitments (including an initial
payment of $35) from people interested
in purchasing the plate. The $35 is in
addition to each county’s renewal fee,
so the average total cost per plate
will be about $60. About 50 percent
of the revenue generated from the
specialty plate will directly benefit
We need your help to reach the
1,000-plate goal! For more information
or to purchase a specialty Children’s
Hospital license plate, contact the
hospital’s Development Department
at (865) 541-8441.