It's About Children - Summer 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: 5-year-old Chance Shular and WBIR-TV Channel 10
anchor emeritus Bill Williams prepare for the 2003 Children’s Miracle
Network Telethon. Read Chance’s story on pages 4-5.
– by Katie, age 9
– by Lauren, age 6
– by Blake, age 9
Sent: March 31, 2003 6:16 PM
Subject: Thank You!
I was at Children’s Hospital for surgery in January.
I had Amanda Brown (as my nurse). I had brain
surgery; I had Dr. Harris
(Lewis W. Harris, M.D.).
He was a great doctor. If I
ever have to have surgery
again, I will go to Dr.Harris.
Thank you all; you saved
my life. Thank you all, and
God bless you all.
April 3, 2003
I would also like to thank Kristy Riggins(Child Life Specialist). She answered all ofNathan’s questions and came through withgetting the movie “Hoosiers” that he hadrequested. I appreciated your time and concernfor Nathan and our family. Thanks to everyoneat Children’s Hospital. You are all GREAT!
I would like to thank
the entire second floor
nursing staff. They were very
thoughtful and considerate. I
am grateful that God gave us
this wonderful place to come
to in a time of need.
The staff worked very hard
to keep Chase happy and to
keep me comfortable. I am
privileged to have this staff
working to help my son.
Thank you for your hard
work and consideration!
The entire 2nd floor
Chance Shular, 5, has a name that is
very indicative of his personality. He is
adventurous and carefree, and he isn’t
afraid to take chances. He and his brother,
Storm, 10, love the outdoors and have plenty
to keep them occupied at their house in
Seymour, including 4-wheelers, a large yard,
a trampoline and a creek. It is the perfect
place for boys to be boys, but without careful
supervision and safety precautions, it is also
the perfect place for accidents to occur.
Being the parents of two young and active
boys, Barry and Kim Shular must constantly
be alert of where their children are and
what they are doing. On Saturday, June 1,
2002, the boys were under the supervision
of a baby sitter, and nobody could have
predicted what was going to happen that
day. It was the day Chance’s fearless nature
led to an accident that gave his parents the
scare of their lives.
That day, Kim was at a merchandise
show in Gatlinburg, and Barry had left the
house for a short while to go work out in
Sevierville. Barry had been gone about 45
minutes when he got a call from the baby
sitter saying that Chance had an accident on
“I talked to Chance on the phone,” Barry
said, “and when I asked if he was OK, he
said, ‘Yeah, Daddy. I’m just sleepy.’ So I
stopped what I was doing and came home
When Barry arrived home, he found
Chance asleep on his bed. He could not see
any serious effects from the accident, but
just to be safe, he decided to take Chance
to Children’s Hospital. Once, when Chance
needed stitches after hitting his head on
a paint can, they took him to St. Mary’s
Medical Center, where Kim is a registered
nurse. In this case, though, Barry said he
For more than 20 years, the Children’s Miracle Network Telethon has been raising money for
Children’s Hospital. During last year’s 22-hour live broadcast, the hospital was engulfed in excitement
caused by the television cameras and people scattered everywhere. But for the Shular family of
Seymour, it was a traumatic time due to the hospitalization of their youngest son. Their story illustrates
that even during this large event, the focus of Children’s Hospital’s staff is always on its patients. It also
is a testament that money raised by the telethon is being used for its purpose — to enable
Children’s Hospital to provide the best pediatric health care for the children of this region.
didn’t consider anywhere but Children’s
“It was more serious,” he said. “And if it’s
serious, you go to Children’s.”
About three or four miles down the road,
Chance started throwing up.
“That absolutely scared me to death,”
Barry’s fears were calmed a little, though,
when the first person he saw when he
entered the Children’s Hospital Emergency
Department was a woman he had gone
to high school with — Becky
Dougherty, R.N. She was the triage
nurse on duty that day, and she got
Chance into a room immediately.
This was the first of many fortunate
experiences the Shulars had at
Children’s Hospital during their
“We were so fortunate to have
a place like Children’s during all
of this,” Kim said. “Everyone came
away from this bad experience with
Barry had called his wife on the
way to the hospital, but it took her
awhile to get there from Gatlinburg.
In the meantime, Chance had a CT
scan, and when Kim arrived, the
results had already come back. Barry
knew his wife would be concerned
about the situation since, as a nurse,
she works with neurological patients, and
especially since she had not been there to
know what was happening. But Barry was
extremely impressed with the way the staff
at Children’s Hospital interacted
“All of her questions were answered and
information was given to her in a timely
manner with respect to her profession,”
Barry and Kim were also very pleased to
hear that the CT showed no sign of damage.
“When I arrived, I was immediately put
at ease,” Kim said. “They said the CT scan
looked really good, and we should be going
home that afternoon.”
The Shulars did not get to go home that
afternoon, though. In fact, they stayed at
Children’s Hospital until Tuesday due to a
complication that was not discovered until
Pediatric Hospitalist Charlotte Sutton,
M.D., admitted Chance to Children’s
Hospital on Saturday night, because several
hours after the accident, he still was not
“Dr. Sutton said that Chance wasn’t
waking up the way he should, but that this
was pretty normal with head trauma,” Kim
said. “They wanted to watch him overnight
to make sure he started waking up more,
but that there was still nothing significant
to worry about.”
Sunday morning, Chance was acting
more awake, which aroused hope in his
parents that they would be going home that
day. Kim went home that morning to collect
some things the family needed after the
unplanned stay in the hospital.
When she returned a short time later,
Kim found Barry, three nurses and a doctor
around Chance’s bed, and she could tell that
her husband was upset.
Pediatric Hospitalist Heather Edgely,
M.D., had arrived on the Sunday afternoon
shift and was checking the same things
that had been checked the night before.
However, Dr. Edgely noticed something
different about Chance’s eye movement. He
could look forward, left and right, but he
could not make his eye move up and down.
Dr. Edgely ordered a stat CT scan, and the
whole frightening process started over for
the Shulars, except this time they knew
something was wrong.
“The concern in Dr. Edgely’s eyes got us
concerned,” Barry said. “I thought, ‘this is
worse than we’ve imagined.’”
The CT scan came back clear once
again, but Dr. Edgely was still concerned.
She consulted with Lewis Harris, Jr.,
M.D., a neurosurgeon, on the phone about
possibly ordering an MRI, but he felt
comfortable with the CT scan. He arranged
for Gary Gitschlag, M.D., a pediatric
ophthalmologist, to examine Chance the
Dr. Gitschlag discovered that one of
Chance’s eye muscles was entrapped in an
orbital fracture caused by the impact of
the accident. This explained why Chance’s
eye was not moving up and down, and the
impairment of vision was probably why he
had been nauseated.
“Progressively Chance woke up, but he
wouldn’t eat,” Kim said. “The staff was
willing to bring him anything he wanted,
but he still wouldn’t eat. He would feel sick
and have to lie down.”
Chance finally awoke and ate something
on Tuesday. He even got to enjoy the
hospital playroom with his brother
and watch a video he selected from the
video cart before he was discharged that
On Friday of that week, Tim McConnell,
M.D., a maxillofacial surgeon
recommended by Dr. Gitschlag,
performed surgery on Chance’s
eye. He removed the muscle from
the fracture and built a platform
to prevent the muscle from falling
down and getting entrapped again.
When Chance recovered from
surgery, all the energy that had built
up inside him was unleashed.
“Once he woke up, he was going
90 miles an hour again,” Kim said.
“And he hasn’t slowed down since.”
The Shulars took a vacation to
the beach the following week. It
was a special trip after such an
unfortunate situation. Despite the
circumstances, though, the Shulars
say their experience at Children’s
Hospital was equivalent to any
“We are just so impressed with the care
and treatment by everyone we met during
Chance’s hospitalization,” Barry said. “The
only other place we have received such good
care was at Disney World.”
Chance still has difficulty looking up, but
Dr. Gitschlag continues to work with him.
“The only thing different is when he
wants to look up, instead of glancing with
his eyes, he will move his whole head,”
Kim said. “And he’s more cautious about
bumping his head on things now.”
His parents are more cautious now, too.
They are making even more of an effort to
explain and enforce safety rules to prevent
other accidents from occurring. Chance
and Storm were never allowed to ride the
4-wheelers unsupervised, but now this rule
is even more seriously stressed. Also, the
boys are required to wear their helmets with
protective face shields whenever they ride,
even if it is just around the yard. Barry and
Kim do not want to take any chances when
it comes to the safety of their children.
“You realize that something tragic
can happen, and they can be gone in a
heartbeat,” Barry said. “We were just so
fortunate that it wasn’t worse.”
By Katie Harvey, Publications Specialist
Chance (at right), his brother, Storm, and their dog, Max.
Clarisa E. Cuevas, M.D.
B.A. — Manhattanville College, Purchase, New York, 1975
M.D. — University of Puerto Rico Medical School, San Juan, Puerto Rico, 1980
Internship/Residency — Beth Israel Medical Center, New York, 1980-81;
University Children’s Hospital, San Juan, Puerto Rico, 1981-83
Fellowship (Pediatric Gastroenterology) — Baylor College of Medicine,
Experience — Private practice in pediatric gastroenterology, nutrition and
hepatology, Memphis, 1991-97; private practice in pediatric gastroenterology,
nutrition and hepatology at the Nemours Children’s Clinic, Fort Myers, Florida,
1997-98; Pediatric Gastroenterology and Nutrition, Ochsner Clinic and Hospital,
New Orleans, 1999-2002
Board Certifications — Pediatrics, Pediatric Gastroenterology
Societies — American Academy of Pediatrics, North American Society for Pediatric
Gastroenterology, Hepatology and Nutrition
Interests — reading, sewing, weight training, music and travel
SubspecialistP R O F I L E
Clarisa Cuevas, M.D., is pleased to be joining
an old friend, Youhanna Al-Tawil, M.D., in
his pediatric gastroenterology practice at East
Tennessee Children’s Hospital.
Drs. Cuevas and Al-Tawil both did
fellowships in pediatric gastroenterology at
Baylor School of Medicine. They also credit
the same person as their greatest influence
in the field of pediatric gastroenterology
— William Klish, M.D., who was the Chief
of Pediatric Gastroenterology at Baylor
School of Medicine. Dr. Cuevas, who
was a pediatrician for three years before
completing her fellowship, says Dr. Klish was
a major influence on her decision to become
Dr. Cuevas’ decision to study medicine
seemed ordained, with her mother being a
nurse and her father a physician. In medical
school, pursuing pediatrics also was as clear
to her as blue skies.
Pediatric gastroenterologist to join
friend’s practice at Children’s Hospital
“I love children,” she said. “I knew this is
what I wanted to do.”
The study of gastrointestinal disease
was what first interested her in the field of
gastroenterology. In addition to treating this
and other rare and life-threatening diseases
such as liver disease, Dr. Cuevas also works
with common symptoms such as vomiting,
diarrhea, constipation and abdominal pain.
She says her field still fascinates her because
it is rapidly changing.
“We still cannot cure a lot of diseases,”
she said. “But we can definitely improve the
lifestyles of children who have them. With
help, the illness won’t prevent them from
achieving anything they desire to do.”
For someone who has traveled all over the
world, Dr. Cuevas is excited about moving
“It is a large city with a small town
mentality,” she said. “And I love the fall here.”
She also considers Children’s Hospital
very progressive and is looking forward to
“I think I will be very happy personally
and professionally,” she said.
While Dr. Cuevas’ personal interests
include reading, weight training and playing
with her miniature schnauzer, Scottie, her
latest professional interest is obesity in
children. About one in five children in the
United States is overweight, and that number
continues to rise.
“It has yet to be defined what can be
done about this problem,” she said. “But like
with all pediatric medicine, we know that
children are not ‘little’ adults, and we always
need to approach things according to their
By Katie Harvey, Publications Specialist
Child-family centered care is an
approach to pediatric health care that
focuses on the family as a child’s primary
source of strength and support. It is
visible in large and small ways throughout
hospitals that adopt the approach.
Children’s Hospital has begun an
initiative to formally adopt a child-family
centered care approach at a vital time of
growth in our history. Last year the hospital
established a Child-Family Centered Care
Steering Committee, which has since
developed a plan to improve the good work
already being done at Children’s. Many
elements of child-family centered care are
already emphasized through the Service
Excellence program at Children’s Hospital.
The committee’s membership includes staff
from Administration, Community Relations,
Child Life, Nursing, Radiology, Respiratory
Care, Service Excellence, Medical Staff and
patient family members.
As part of that plan, Children’s Hospital
invited Beverly Johnson, executive director
of the Institute For Family-Centered Care,
to visit our medical center late last summer
to discuss ways Children’s could enhance
• The core concepts of child-family
centered care are respect, strengths,
choice, information, support, flexibility,
collaboration and empowerment.
• People are treated with dignity and
• The “Platinum Rule,” which is more
important than the “Golden Rule,” is to
“Treat others as they would like to be
• Child-family centered care is relevant
both in adult care and pediatrics, but the
concept is more advanced in pediatrics.
Children’s Hospital initiative seeks to
strengthen child-family centered care
its provision of child-family centered care.
She conducted focus groups to learn about
the hospital and how care is provided here.
She also presented a series of inservice
sessions for more than 250 Children’s
Hospital employees on the topic of child-
family centered care.
After her visit, Johnson provided a
written report of her findings to the
hospital. The steering committee thoroughly
reviewed the report and used it as a
springboard to develop goals and a timeline
for the next year. Among the projects:
• All units were asked to self-assess their
child-family centered care efforts, and
these are being reviewed by the Steering
• The hospital’s core documents — the
Mission Statement and Goals Statement
— are being revised to include the
concept of child-family centered care.
• Parental involvement in the hospital will
be increased. Parents will be invited to
sit on the Steering Committee, review
“Sharing Information” patient education
brochures, speak at courses offered to
health care workers at Children’s and be
involved in the hospital in many other
• Subcommittees have been established to
evaluate a variety of areas, including “first
impressions” (such as signage calling
parents “visitors”) and unit/departmental
• A plan is being created to inform staff
and physicians of the plans and progress.
• A new video of parents talking about
what is important to them will be
developed for staff orientation purposes.
• Policies, procedures and job descriptions
will be reviewed and updated as needed.
“We’ve been doing many of the
components of child-family centered care
for many years at Children’s Hospital,”
said Laura Barnes, Nursing Director for
Critical Care Services and coordinator of
the hospital’s child-family centered care
initiative. “This initiative allows us to find
ways we can improve on what we already
do well, especially focusing on parents as
our partners in the care of their children.”
Doesn’t it seem that when the people we love
are near us, we feel that all is well?
Child-family centered care highlights
• Family-FOCUSED care is doing things
FOR the family, which assumes the
family is dependent on the health care
system. Family-CENTERED care is doing
things WITH the family, which assumes
the family is part of the health care
• In pediatrics, health care tends to be
child-centered, which is good, but it
needs instead to be child-family centered
because the family is most important to
• Hospitals have a long tradition of
labeling families as “visitors,” but they
are NOT visitors to their loved ones who
are the patients. Pediatric health care
workers need to remember that the social
connection to family is an important part
of the patient’s recovery.
• Child-family centered care is not an
“extra” thing for staff to learn and adjust
to. It is woven into what pediatric health
care workers already do.
• Families must be allowed to define who
their “family” is. It might not just be
parents or grandparents; it might also
include a neighbor or close friends.
The continuing construction and
expansion of Children’s Hospital is making
great progress to provide additional services
and a new location to better serve children
throughout the East Tennessee region.
Perhaps the most exciting construction
news is the completion of Children’s West
Surgery Center. The facility, which is located
at Pellissippi Parkway and Westland Drive,
became operational in early April. The
center is a joint effort between Children’s
Hospital and 14 area surgeons and dentists
and provides full pediatric outpatient
Some construction complete,
In addition to the completion
of the Children’s West Surgery
Center, the hospital has also
completed the Koppel Plaza
addition. The expanded building
is now home to the majority
of Children’s administrative
departments, enabling the Medical Office
Building to house only physician offices.
Although the Knoxville area received large
amounts of rainfall in February, the Koppel
Plaza construction was not slowed by the
inclement weather, according to Rudy
McKinley, Vice President of Operations.
However, the same cannot be
said for the hospital expansion.
According to McKinley,
construction on the hospital
has been delayed several
weeks because of rain. To
date, construction crews have
completed the foundation walls for
the new seven-story patient tower,
which will be located on Clinch
Avenue and 20th Street, and for
the additional floor above the
existing Emergency Department
and Outpatient Clinic area. The
patient tower should be enclosed and under
roof by early 2004.
Furthermore, the Children’s Hospital
Rehabilitation Center, which is scheduled
to open in March 2004, is in the beginning
stages of construction. Rouse Construction,
the contracted builder for the project,
should soon begin digging footers for the
21,500-square-foot structure, which will
be relocating beside the Children’s West
Surgery Center from its present site on
For the latest details about the expansion
projects at Children’s Hospital, please visit
our Web site at www.etch.com/projects.cfm.
By Eric Barnes, student intern
“Fa La La La La … Let the Holidays
Begin!” is the theme for the 19th annual
Fantasy of Trees. Co-chairs Belinda Ford
and Karen Waldbauer and assistant co-
chair Becky Vanzant are busy planning the
events that will take place Nov. 26-30 at the
Knoxville Convention Center.
With the help of thousands of volunteers
who will contribute more than 100,000
hours of their time throughout 2003,
this year’s event will feature hundreds of
designer-decorated holiday trees, festive
and colorful decoarations, gingerbread
houses, non-stop live entertainment and
assorted holiday shops. This year there will
be five new children’s activities including
decorating stockings, jingle bell buddies
and itsy bitsy trees.
Also new is a children’s
musical play area
featuring a SantaCam,
karaoke, and “Santa’s
Jazzy Band,” which
will involve children
as band members with
instruments like bells and tambourines.
Last year’s Fantasy of Trees was the most
successful in the event’s 18-year history,
raising $312,463 to benefit Children’s
Hospital. Since its inception, the Fantasy
of Trees has raised more than $3 million
to purchase new and replacement pediatric
Fantasy of Trees names
new co-chairs, sets theme
For more information about being
involved in the 2003 Fantasy of Trees,
contact the Children’s Hospital Volunteer
Services and Resource Department at
(865) 541-8385, send an e-mail to
firstname.lastname@example.org or visit the event’s section on
our Web site at www.etch.com/fantasy.cfm.
by Leslie Mauldin, student intern
The new Children’s West Surgery Center at
Pellissippi Parkway and Westland Drive is
Summer Camp. These words conjure up
fond memories of childhood summers for
many adults and mean eager anticipation for
children everywhere as they look forward to
upcoming adventures from swimming and
cookouts to walks by a creek and hiking
through the woods. However, for children
with physical limitations and disabilities or
those with serious illnesses like cancer or
blood disorders, summer camp might be a
far away dream. But, thanks to Children’s
Hospital and the monetary assistance of
people throughout East Tennessee, this
popular summertime experience is a reality
for dozens of children with special needs at
three unique camps.
CAMP EAGLE’S NEST
For one week in late June, patients from
Children’s Hospital Hematology/Oncology
Clinic will participate in a summer camp
of their very own called Camp Eagle’s Nest.
Located at Wesley Woods in Townsend,
Tenn., Camp Eagle’s Nest offers plenty of
outdoor activities for campers including
archery, caving, tubing, canoeing, crafts,
photography, rock climbing, horseback
riding, hiking, and orienteering (where the
campers will learn ways to navigate through
the outdoors). Campers will also participate
in a karaoke talent show and many other
activities as each night falls.
The fact that each child attending
Camp Eagle’s Nest is affected either by
cancer or a blood disorder might only be
apparent if you know the identity of their
counselors: all are doctors, nurses and
other medical staff from East Tennessee
Children’s Hospital. This interaction outside
of the Hematology/Oncology Clinic allows
the hospital staff a unique opportunity
to form relationships and the children
an opportunity to see their medical staff
outside of the hospital environment.
More than 80 campers from ages 10
through 18 will attend the weeklong camp
Children’s Hospital patients enjoy
summer camp experience
June 29 –July 3, and campers ages 6-10 will
join them July 1-3.
Camp Eagle’s Nest is free of charge to all
patients, thanks to financial and in-kind
donations to the camp and funding from
Children’s Hospital. For more information,
call Children’s Hospital at (865) 541-8476.
DONALD M. GALLY
Parents of children with special needs or
disabilities can sometimes have challenges
finding fun summer experiences and
opportunities that meet their child’s unique
needs. But thanks to Children’s Hospital
Rehabilitation Center and the Kiwanis Club’s
Fresh Air Camp in Knoxville, children with
special needs have the chance to enjoy all of
the fun of going to summer camp.
The Donald M. Gally Summer Camp,
organized by the Children’s Hospital
Rehabilitation Center, offers a unique
summer camp experience for children
and young people with special needs and
disabilities the weeks of July 7-11 and
July 14-18. The camp is coordinated by
physical and occupational therapists, who
develop a curriculum which includes
swimming, stories, singing, arts and crafts,
field trips, nature hikes, games and much
more. Each activity is designed not only to
provide fun and excitement but also offers a
therapeutic experience for each child.
Campers ages 5 through 11 attend camp
July 7-11, and teens ages 12 to 18 attend
camp the week of July 14-18. The Donald
M. Gally Summer Camp is held at the
Kiwanis Club Fresh Air Camp on Prosser
Road in Knoxville from 8:30 a.m. to 3 p.m.
each day during the weeklong camp.
Fees for this special camp are based
on each individual’s family income.
Scholarships are available for those who
may need financial assistance.
For more information on registering
your child for the Donald M. Gally
Summer Camp, call the Children’s Hospital
Rehabilitation Center at (865) 690-8961
or visit the center at 8042 Gleason Road in
Knoxville. The deadline for registration is
Monday, July 1.
DIABETES DAY CAMP
Children’s Hospital Diabetes Clinic
is hosting a Diabetes Day Camp for
children with diabetes July 7-11 at Karns
Community Youth Center. This special
camp will offer children with diabetes a fun
and safe learning experience for living and
coping with diabetes. Campers age 5 to 12
years of age will have the opportunity to
gain knowledge and develop confidence and
independence in caring for their diabetes.
The children will also be able to participate
in swimming, arts and crafts, sports and
games, singing, and participation in “talk
times” with other campers who are living
Children’s Hospital Diabetes Day
Camp will be from 8:30 a.m. until 3 p.m.
each day. Camp is $40 per child with
scholarships available for campers with
the need for financial assistance. There
are a limited number of spaces available,
and there is no walk up registration. The
deadline for registration is June 20.
Special thanks to the many sponsors
whose support helps make the Children’s
Hospital Diabetes Day Camp a success. For
more information, call Cathy Van Ostrand
at (865) 541-8281 or contact her by e-mail
by Genny Kirchner, student intern
and Janya Marshall, Associate Director
for Public Relations
Recreational activities such as basketball
score points with campers at the Donald M.
Gally Summer Camp.
Children with special needs enjoy
swimming and other summer activities
with the help of counselors at the Donald
M. Gally Summer Camp.
Campers show off their dance moves during
an evening social at Camp Eagle’s Nest.
Every year, there seem to be more
instances of missing children than the
previous year. Thanks to programs like
the Amber Alert, which is a system
used to mass broadcast an abducted or
missing child’s information, most of these
children can be found quickly. Luckily,
the Knoxville area hasn’t had a high
profile missing child case, but we are not
immune to it.
As part of a national campaign to
increase awareness about missing
children, Shoney’s of Knoxville, Inc. will
again host a series of Shoney’s KidCare
events at area malls in conjunction with
the National Center for Missing and
Exploited Children. Parents will receive
personal identification for their children
KidCare ID program
offers security to parents
to keep in a safe place, which can assist
local authorities should their child ever
At KidCare, participants will receive
FREE KidCare identification cards with
the child’s photo included; having these
documents ready and available greatly
expedites the recovery effort should a
child become missing. Police Department
officials will be on-site for fingerprinting,
and representatives from Children’s
Hospital and Safety City will provide
additional child safety information.
KidCare ID dates are as follows:
• Saturday, August 16, West Town Mall
• Saturday, August 23, Knoxville Center
• Foothills Mall — August date still to be
Children’s Hospital is proud to partner
with Shoney’s in taking a proactive
approach to keeping children safe. This
is just one more way that Children’s
Hospital is dedicated to providing the
best possible care for the children of East
By Seth Linkous, Public Relations Specialist
Imagine your family, including your
three-year-old daughter, has just escaped
from a fire inside your house. The fire
department is already on the scene, expertly
handling the situation and extinguishing
the flames. The damage to your house is
minimal, but your greatest fear remains —
your daughter is having trouble breathing.
One of the firemen is specially trained in
caring for children and begins to stabilize
and treat your daughter while preparations
are made for an ambulance to take your
daughter to Children’s Hospital.
As frightening as this scenario is, it could
be worse. The person caring for your child
could have little or no pediatric training,
and the result could be devastating. In
an effort to ensure more prehospital
professionals, those individuals who provide
care before a person can get to a hospital,
in this area can assess and treat ill or
injured children, Children’s Hospital offers
a special course called PEPP. PEPP stands
for Pediatric Education for Prehospital
Professionals, and a recent course was
offered to paramedics from the Knoxville
Twenty out of 48 paramedics from the
Knoxville Fire Department participated in
the PEPP course, held at Children’s Hospital
on March 31. The course was offered in
conjunction with the Pediatric Advanced
Life Support (PALS) renewal course, which
Children’s Hospital has offered to the
Knoxville Fire Department for many years.
The remaining paramedics will attend the
PEPP course in 2004 when their PALS
There are two versions of the PEPP
course: a one-day basic life support (BLS)
version and a two-day advanced life support
(ALS) version. Both versions use case-
based lectures, live action videos, hands-on
skill stations and small group scenarios to
teach life-saving techniques that should
be used on children in various prehospital
“Only about 10 percent of emergency
calls are pediatric related, and only about
one percent of those are critical,” Bowen
said. “However, if they ever find themselves
answering that critical pediatric call, this
course really helps prepare EMTs and
paramedics to treat and care for children.”
Bowen also coordinates and instructs
PEPP “outreach courses” at various
Emergency Medical Service (EMS) agencies
with the help of EMS members who have
pediatric experience and local community
college instructors. Children’s Hospital
employees Bob Lembersky, M.D. and
Christy Cooper, RN, EMT-P, also have been
active in the outreach program.
These “outreaches” are an extension of
Children’s Hospital’s responsibilities as a
Comprehensive Regional Pediatric Center
“As a Comprehensive Regional Pediatric
Center, we are to serve as an example of
excellence in pediatric care,” Bowen said.
“Our responsibility is to educate others
so children in East Tennessee can receive
special care any time or anywhere they need
it. Once a child is at Children’s Hospital, he
or she will be given the highest quality of
pediatric care, but through this effort we are
trying to ensure better pediatric care before
the child arrives here.”
Special training helps prepare
local emergency personnel for
Garth Ogle, EMT-P, inserts a nasopharyngeal
airway during skills training at the March 31
After practicing pediatric general surgery
at East Tennessee Children’s Hospital for
nearly four decades, John R. Maddox, Jr.,
M.D., has been performing operations
longer than any of his current patients and
many of their parents have been alive.
When he began his career at Children’s
Hospital in October 1964, he was the only
pediatric subspecialist on staff, and the
hospital was a 50-bed facility on Laurel
Avenue. This year — thousands of
surgeries, dozens of subspecialists, and
many hospital expansions later — Dr.
Maddox is retiring. His legacy will
remain through many more changes at
the hospital, because his professional
dedication and expertise are unequaled
even by his 39 years of experience.
While discussing his career, Dr. Maddox
propped his feet on his desk, which was
bought by his grandfather in 1903, and
reflected on the growth of the hospital,
the advancements in medicine, and
how “fun” medicine was when he began
Dr. Maddox was first introduced to the
field of pediatric surgery when he was
working at LeBonheur Children’s Medical
Center in Memphis while he was in medical
school at the University of Tennessee. His job
was to do medical histories and physicals on
surgery patients, but he said he would often
stay late to observe operations.
“I think it was more the air-conditioned
room — a rare treasure in Memphis in the
‘50s — than a passion for pediatric surgery
that captured my attention,” Dr. Maddox
said with a reminiscent grin.
But after doing a general surgery
fellowship at Alton Ochsner Medical
Foundation in New Orleans from 1959
to 1963, he knew he wanted to pursue
pediatrics. He went on to do a pediatric
surgery fellowship in 1963-64 at the
University of Louisville Children’s Hospital
in Louisville, Ky.
Pediatric Surgeon Dr. Maddox to retire after 39 years of service
Dr. Maddox chose to come to Knoxville
after his fellowship, because he realized
what many people did not at the time
— that children receive better care at a
children’s hospital than at a general hospital
with a pediatric unit. He was drawn to East
Tennessee Children’s Hospital because he
was impressed with the staff and service,
although the facilities were not as inviting.
“Children’s always had great people, but
the building was terrible when I came here,”
When the new hospital was built on
Clinch Avenue in 1970, Dr. Maddox’s
perspective changed. There were only two
patient floors, but he said he remembers
thinking they would never be filled.
Obviously, the patient population did surpass
the hospital size, and Children’s Hospital has
expanded several times since then.
Many other things have changed at
Children’s Hospital and in the medical field
over the last 30 years. Dr. Maddox believes
general pediatric surgery, which is one of
the oldest pediatric subspecialties at about
55-60 years old, has been improved by the
emergence of other subspecialties.
“Neonatology didn’t even exist when
I was growing up,” he said. “But it has
dramatically impacted surgeons’ ability
to treat premature babies. Things like
intravenous feeding have saved more lives
than anything since I’ve been in practice.”
Neonatology stands out to Dr. Maddox
professionally and personally. The father
of four boys, his only daughter was born
premature, weighing only three pounds. The
technology needed to help her grow and
develop did not exist at the time, and she
did not survive. “There is no reason why
she wouldn’t survive today, even with
complications,” Dr. Maddox said.
The addition of subspecialties at
Children’s Hospital over the years
has also impacted pediatric surgery
in that the increase of patients from
other areas of the hospital — such as
gastroenterology and endocrinology
— has required the recruitment of more
pediatric surgeons. In fact, Dr. Maddox
had a solo practice until July 2002. Now
he is leaving behind four partners at the
East Tennessee Surgery Group, PLLC —
Alan E. Anderson, M.D.; Patrick V. Bailey,
M.D.; Konstantinos “Gus” Papadakis,
M.D.; and David T. Schindel, M.D.
Although the availability of pediatric
surgical services at Children’s Hospital will
not suffer, the loss of Dr. Maddox will be
felt around the hospital.
“His handprints are all over many of the
things we do at Children’s Hospital,” Bob
Koppel, president of Children’s Hospital
said. “He has truly made a difference in
the hospital and in the lives of tens of
thousands of children.”
Dr. Maddox served on the Children’s
Hospital Board of Directors from 1972-1999
and he was Chief of Staff in 1971-72. Most
importantly, though, he has committed
his career — and his life — to caring for
children. Children’s Hospital could not
accomplish its mission of providing the best
pediatric health care possible without people
like John Maddox. He will be sorely missed.
John R. Maddox, Jr., M.D.
Children’s Hospital and all other hospitals
across the nation have been working hard to
meet the April 14 deadline for compliance
with the Health Insurance Portability and
Accountability Act of 1996, often referred to
Children’s Hospital has long been
dedicated to patient privacy. The HIPAA
privacy regulations provide hospitals and
patients with an additional means to help
guarantee that patient privacy will continue
to be a top priority in the United States.
HIPAA includes regulations that govern
the use and release of a patient’s personal
health information and limits the kinds of
information hospitals can disclose regarding
patients. Besides privacy standards, HIPAA
creates new standards for administrative
transactions and the security of individual
The new rules are beneficial for patients
because they strengthen and set national
standards for the privacy of medical
information. They guarantee strong privacy
rights to patients and families in a common-
sense manner, and the rules give patients
more control over who can see their private
Implementation of HIPAA at Children’s
Hospital has required a variety of
operational changes throughout the
hospital and in our relationship with many
HIPAA brings changes to hospitals
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
“I don’t have expensive possessions,
so why bother?”
You probably want the people closest
to you to receive items that are special
to them, even items that are largely of
sentimental value. Perhaps you have
grandfather Jones’ handmade bassinet that
has been used by every child in the family
for three generations, or your “Papaw’s”
pocket watch. Perhaps there is a Bible that
belonged to great uncle Caleb, the circuit
riding preacher, or a bedroom suite that
your mother bought with “her money.”
Perhaps there is an antique automobile or
great grandmother’s old sewing machine.
These items may not have great monetary
value, but within your family there may be
a very strong emotional attachment to them.
This creates the potential for long-lasting
disagreements among family members if
you fail to make your wishes known in a
legal and binding way in the form of a will.
“I’m not wealthy, so why bother?”
You certainly want to ensure that the
assets accumulated during your lifetime are
divided among your heirs according to your
wishes rather than to the state’s inheritance
laws. Perhaps there is one heir to whom you
would like to leave your home while giving
securities or cash to others. Perhaps you
have an heir with special health problems
such as a Down’s syndrome child for whom
you would like to create a trust to assure a
lifetime free of financial worries. Perhaps
you have supported Children’s Hospital
during your lifetime, and you would like
to include gifts to us and other charities
in your plans. Perhaps you have recently
remarried and would like your new spouse
to be able to live in your home for his or
her lifetime, and then ultimately leave it to
the children from your first marriage. Or
perhaps there is an individual whom you
specifically wish to exclude from receiving
anything under your will. State inheritance
laws will divide your belongings in equal
shares among your living heirs if you do not
have a will. They do not accommodate any
of these special circumstances.
A properly prepared will is the only
way to assure that wishes are carried
out. For more information on wills and
estate planning, including a copy of our
free booklet “Personal Records,” please
send your name and address to us via the
reply form below. Or you may contact
David Rule, Director of Development,
at email@example.com, Teresa Goddard,
CFRE, Senior Development Officer, at
firstname.lastname@example.org, or call (865) 541-8162.
Editor’s Note: Because restoring the
health of sick and injured children is our
mission, the first installment in our
“Why Bother” series on wills and estate
planning focused on the need to plan for
custody of minor children. Copies of this
article are available if this topic is of interest
to you. We hope this installment is useful
and informative to our readers. In the next
issue of It’s About Children, we’ll discuss
some of the information your attorney needs
to prepare your will.
ecause (your) children
are special, a will is vital.
by David Rule,
Director of Development
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
If you are looking for something new to do this summer, or if you are interested in helping Children’s Hospital, there
are several upcoming events that accomplish both. Through the support of sponsors and participants, these events
help Children’s Hospital provide the best pediatric health care for East Tennessee’s children. 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.
Children’s Champions Day
As part of Children’s Miracle Network
Telethon weekend, Children’s Hospital is
inviting members of the East Tennessee
community to participate in Champions
for Children’s Day on Friday, May 30.
Individuals are encouraged to show support
for the telethon and Children’s Hospital by
purchasing this year’s specially-designed
telethon T-shirt and wearing it to work,
school or around the town.
This year’s shirts are white with the
design (pictured below) printed on the
front and are available through Children’s
Hospital Development Department for
$6 each. The deadline for ordering is
Friday, May 16.
Specialty License Plates
The drive to receive commitments for
the new East Tennessee Children’s Hospital
plate is now
in high gear
with just over
a month left
to reach the
goal of 1,000
a number of
more are needed
to reach the goal and have the plate issued.
An initial payment of $35 will secure
a specialty plate, with
nearly half of the proceeds
The Knoxville Track
Club will be hosting the
26th annual TN Sports
Medicine EXPO 10K/5K
Run on Saturday, May 24
beginning at 8 a.m. The
event will start at the Civic
Participants may register
by signing up at Runner’s
Market in the Shops at
Western Plaza in Knoxville
or mail in entries. The
entry fee for early
registration is $15; the
entry fee for late
registration, which will be
available Sunday, May 18
through Friday, May 23, is
$20. Limited registration will also be
available on race day for an entry fee of $20.
This will be the second year that partici-
pants can collect pledge donations or make
contributions to benefit Children’s Hospital.
More than 1,500 individuals of all ages
are expected to participate in this year’s
event. Once again, schools and churches
will have an opportunity to compete for
$500 in cash prize awards by having the
greatest number of participants in the
run/walk. In addition, prize money will be
awarded to the top finishers in several age
categories participating in the 10K race.
A celebration with food, music and grand
prize drawings will take place following
completion of the race.
Tennessee River 600
Participants in this water enthusiast
event will take a weeklong, 600-mile
trip down the Tennessee River on their
personal watercrafts, starting from
Knoxville’s Volunteer Landing on Sunday,
July 27 and ending at Pickwick Landing
near Memphis on August 2. Participants
also collect donations to benefit the four
Children’s Miracle Network Hospitals
along the route, including East Tennessee
Children’s Hospital, and the Tennessee
Wildlife Resources Agency. Last year’s event
raised a net total of $16,682 for the five
by Eric Barnes, student intern
A: Parents should review and teach their
children basic rules of the road such as
riding with traffic, proper hand signals
and where the child should and should
not ride. They also should ensure that
the bike is the appropriate size, has good
working brakes and properly inflated tires,
and undergoes regular maintenance work.
Some other bicycle safety tips parents
should teach their children are:
• Stop and look both directions before
entering a street.
• Yield the right-of-way to pedestrians.
• When riding at night, put reflective tape
on clothing or wear reflective vests or
• Avoid riding in wet weather and walk
bikes across intersections.
• Never ride double.
Q: Are trampolines safe for children to
play on at home?
A: In my opinion, trampolines and safety
do not go together. The American Academy
of Pediatrics (AAP) recommends that
trampolines should not be used at home
at all, because they pose such a safety
Q: If we already own a trampoline, what
are some ways to prevent our child from
getting injured on it?
A: If you choose to have a trampoline at
home, there are several safety precautions
you must practice.
• Allow only one person on the trampoline
at a time.
• Do not attempt or allow somersaults.
• Completely cover the springs, hooks
and frame of the trampoline with
shock-absorbing pads. Also, use shock-
absorbent material on the ground
around the perimeter of the trampoline.
• Place the trampoline away from
structures and other play areas.
• Do not use a ladder with the trampoline,
because it provides unsupervised access
by small children. No child under 6
This summer, East Tennessee Children’s Hospital will treat hundreds of children and adolescents for
injuries that could have been prevented. Injuries involving bicycles, trampolines, water and all-terrain
vehicles are frequently seen in the Children’s Hospital Emergency Department, and the staff realizes
that most of these injuries are preventable. Mick Connors, M.D., pediatric emergency
medicine specialist at Children’s Hospital, offers the following information, which may keep
children outdoors at play and away from the hospital’s emergency department.
Q. Is there any way to prevent my child
from being injured while playing outdoors?
A: Children should be encouraged to be
active and enjoy playing outdoors. However,
parents and children need to recognize that
many simple things can be done to prevent
injuries. It is no fun to go to the emergency
department with an injury.
Q: What should I do to ensure my child is
safe when riding his or her bicycle?
A: All children should wear helmets
whenever riding a bicycle. The most
common serious injury we see from bike
accidents is head injury. In the event of a
crash, wearing a bicycle helmet reduces the
risk of serious head injury by 85 percent.
Everyone should be aware that most of
these injuries occur very close to a child’s
own house, so helmets should be worn
even for those “short” rides.
Q: Besides always wearing a helmet, what
other advice will help my child be a safer
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.
years of age should use a regular-size
• Always supervise children who use a
These safety tips also apply to newer
trampolines with netting surrounding the
perimeter. These should not be mistaken
as injury-proof. In fact, most trampoline
injuries occur on the trampoline and not as
a result of falling off it.
Q: I have heard a lot about injuries on
personal watercrafts lately. What can I do
to reduce my child’s risk for injury on one
of these vehicles?
A. Make sure all riders of personal
watercrafts are wearing a properly fitted,
U.S. Coast Guard-approved life jacket.
Also, when driving a personal watercraft,
one should constantly look in all
directions for other boaters, skiers, divers
or swimmers; avoid wake jumping and
passing close to other boats; and always
operate at a safe speed and be prepared to
stop or alter the watercraft’s course in an
Q: Is there any age requirement for
operating a personal watercraft?
A: By law, any person operating a
personal watercraft must be at least 12
years old unless supervised by an adult,
but I recommend allowing only licensed
drivers (16 years old) to operate these
Q: How old must my child be to operate
an all-terrain vehicle (ATV)?
A: At the time, there is no minimum age
requirement in Tennessee to drive an ATV.
However, the Consumer Product Safety
Commission and the AAP are working to
try to keep all children under the age of 16
off ATVs because of the high rate of serious
injuries caused by them.
Q: What safety precautions should be
taken for children riding ATVs?
A: If your children will be riding an ATV,
you should first make sure the vehicle is
properly sized for a child. Also, anyone
who owns or rides an ATV should first
take a safety course. There are also several
safety measures that can reduce the risk of
a child being injured on an ATV:
• Children riding an ATV should always
wear a protective helmet that encases the
head and has a protective face shield,
such as those used to protect motorcycle
• Always supervise children when they are
• Never allow your child to operate an
ATV at night or during inclement
weather when obstacles and terrain
aren’t easily visible.
• Prohibit your child from carrying
passengers and riding as a passenger on
These tips may help prevent accidents
while children are playing in the yard or in
the water, but the greatest source of help is
educating yourself and your children about
safety precautions. For more information
on childhood injury prevention, visit
the Children’s Hospital Web site at
www.etch.com or call the Children’s
Hospital Community Relations Department
at (865) 541-8165.
Compiled by Katie Harvey,
Mick Connors, M.D.
Infant & Child CPR
Monday, May 19 • Monday, June 16
Monday, July 14, 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.
Safe Summer Travel
Wednesday, May 28, 10 a.m.
Barnes & Noble, 8029 Kingston Pike — Cost: Free
With vacation season just around the corner, this class will
teach parents safe travel tips and provide ideas for keeping
children happy during long car rides.
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
In 1983, Children’s Hospital became a charter member of the
Children’s Miracle Network and participated in the first Children’s
Miracle Network Telethon. That year, the local telethon raised
$95,487, all of which remained at Children’s Hospital for the direct
benefit of its patients. Last year, the 20th annual CMN broadcast
was a testimony of the progress Children’s Hospital has made
over the years — it was the largest telethon of any kind in East
Of course, the telethon is not the only thing that has grown at
Children’s Hospital in the last 20 years. During the 1983-4 fiscal
year, the number of visits made to Children’s Hospital for injuries
and illnesses was less than 40,000. That number has more than
tripled since then; in 2001-02, there were more than 121,000
patient visits, and even more are expected for the 2002-2003
fiscal year, which ends June 30.
this continued growth
and better serve our
are also growing.
The $47.5 million
expansion plan that is
now well under way
was designed to better
meet the needs of the increasing number of children receiving care
at Children’s Hospital.
The success of this year’s Children’s Miracle Network telethon
is crucial in helping Children’s Hospital grow to better serve the
children of East Tennessee. Funds from the telethon will be used
to purchase new and sophisticated medical equipment for various
hospital departments, including the Laboratory, the Post-Anesthesia
Care Unit, the Radiology Department and the Surgery Department.
For complete details of what the telethon funds will purchase, visit
our Web site at www.etch.com.
Children are the future, so please invest in the futures of
thousands of children by supporting the 2003 Children’s Miracle
Network broadcast on WBIR-TV Channel 10 on Saturday, May 31,
and Sunday, June 1, live from Children’s Hospital. Your support
helps ensure that each child who comes to Children’s Hospital, now
and in the future, is able to receive the care he or she needs.
For more information about the Children’s
Miracle Network or the Children’s Miracle
Network Broadcast, or if you would like
to volunteer at the telethon, please call
May 31 - June 1, 2003