It's About Children - Summer 2005 Issue by East Tennessee Children's Hospital

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It's About Children - Summer 2005 Issue by East Tennessee Children's Hospital

  1. 1. Board of Directors James S. Bush Chairman Robert Madigan, M.D. Vice Chairman Robert M. Goodfriend Secretary/Treasurer Michael Crabtree Dawn Ford Peyton Hairston Lewis Harris, M.D. Jeffory Jennings, M.D. Bob Koppel Donald E. Larmee, M.D. Dugan McLaughlin Alvin Nance Dennis Ragsdale J. Finbarr Saunders, Jr. William F. Searle III Bill Terry, M.D. Laurens Tullock Danni Varlan Medical Staff Lewis Harris, M.D. Chief of Staff David Nickels, M.D. Vice Chief of Staff Lise Christensen, M.D. Secretary Chiefs of Services John Buchheit, M.D. Chief of Medicine Alan Anderson, M.D. Chief of Surgery Administration Bob Koppel President Paul Bates Vice President for Human Resources Joe Childs, M.D. Vice President for Medical Services Rudy McKinley Vice President for Operations Jim Pruitt Vice President for Finance Laura Barnes, R.N., M.S.N., C.N.A.A.,B.C. Vice President for Patient Care A quarterly publication of East Tennessee Children’s Hospital, It’s About Children is designed to inform the East Tennessee community about the hospital and the patients we serve. Children’s Hospital is a private, independent, not-for-profit pediatric medical center that has served the East Tennessee region for more than 65 years and is certified by the state of Tennessee as a Comprehensive Regional Pediatric Center. Ellen Liston Director of Community Relations David Rule Director of Development Wendy Hames Editor Neil Crosby Cover/Contributing Photographer “Because Children are Special…” ...they deserve the best possible health care given in a positive, child/family-centered atmosphere of friendliness, cooperation, and support - regardless of race, religion, or ability to pay.” ...their medical needs are closely related to their emotional and informational needs; therefore, the total child must be considered in treating any illness or injury.” ...their health care requires family involvement, special understanding, special equipment, and specially trained personnel who recognize that children are not miniature adults.” ...their health care can best be provided by a facility with a well-trained medical and hospital staff whose only interests and concerns are with the total health and well-being of infants, children, and adolescents.” Statement of Philosophy East Tennessee Children’s Hospital w w w. e t c h . c o m 2 Dear East Tennessee Children’s Hospital, We took our six-day-old daughter, Gracie, to your hospital in October 2004 not knowing what was wrong with her. The emergency room staff immediately began doing lots of things to her to ultimately save her life. She was soon moved to the Pediatric Intensive Care Unit in critical condition. At first, they didn’t know what was wrong with her, but they soon had a diagnosis: a rare disorder called citrullinemia. Everyone who worked with Gracie was wonderful. We especially would like to thank Dr. Joe Childs; Dr. Kevin Brinkmann; Dr. David Nickels; dietitian Linda Hankins; social worker Cathy Fowler; and nurse Mary Copp. Mary went above and beyond her duties as a nurse. She treated Gracie as if she were her own. Gracie quickly became referred to as “Mary’s baby.” Although at first, things did not look good for our baby, the doctors treated her with every procedure possible. And we’re so thankful they did because Gracie is here with us by the grace of God, and God gave the doctors the knowledge to treat her. Gracie was in the hospital for three weeks, and she has since been hospitalized another three days due to complications with her disorder. Gracie will get a liver transplant, we imagine sometime this year. She will have more hospital visits, and thankfully, we will have Children’s Hospital and its great and caring staff to take her to. Thanks ever so much, Paul and Julie Schommer Loudon December 29, 2004 Dear Children’s Hospital, We had the unfortunate circumstance of spending Christmas Eve day and night at Children’s Hospital with our 18-month-old little girl. We were released about noon on Christmas Day. I want to express my gratitude and appreciation for the staff members who were involved in my daughter’s care. The most touching thing of all was, during the night, one of the nurses brought in about 4 or 5 toys. I asked her what they were for, and she said, “Santa.” It brought tears to my eyes. My daughter was excited in the morning when she saw the presents. One present was a Pooh doll, and he helped me to get her to actually eat some breakfast. We would feed “Pooh,” and then we would feed her. One of the other toys was a piano that occupied and entertained her while they were taking her IV out. So not only was it very thoughtful and provided our daughter with some sort of Christmas, but the gifts also helped us with her care in the morning. We are very grateful to Children’s Hospital and all its supporters. You always hope that you won’t need it, but it’s good to know that it is there when you do, and that there is such a high quality of care provided. Thank you. Lisa Knott Knoxville “DearChildren’s”“DearChildren’s” ON THE COVER Bill Williams, anchor emeritus for WBIR-TV channel 10, with Children’s Hospital patient Danielle Gonzales-Garcia. Read Danielle’s story on pages 4-5. 1
  2. 2. 3 PHOTO CREDITWe would like to give creditto a photo of Dr. Leonard Brownthat appeared in the Spring 2005edition of It’s About Children. Thephoto was taken by Different LightSolutions. • New patient stories have been posted on the Web site. These stories feature teens and children who have faced illness or injury, and the stories tell about their experiences at Children’s Hospital. These interesting stories can be found under “A Visit to the Hospital” on the main page of the Web site. • Virtual visits help parents and kids learn about different departments and experiences in the hospital. Each “visit” explains in simple terms what may happen during a real visit to the hospital. You can find the visits in the “A Visit to the Hospital” section of the Web site. • “Coming Attractions” showcases upcoming events and fund-raisers that benefit Children’s Hospital. It also features calendars of classes for the hospital’s Healthy Kids Community Education Initiative and the Professional Education Calendar. • Children’s Hospital’s Web site offers the opportunity to make donations online to benefit the children of this region. This safe, convenient way to make donations is available through a link on the home page, “Make A Donation.” Donors can choose the area or program at Children’s Hospital which will benefit from their donation. All donations are processed through a secure server and can be made by MasterCard or Visa. The receipt for the donation will appear on the computer screen after the transaction has been processed, and another receipt will be sent to the donor’s e-mail address. • The Children’s Hospital Web site also offers a searchable Physician Directory to help families find a pediatrician near their home. The directory allows parents to find a pediatrician by the county in East Tennessee or by the physician’s name. It also includes the name of the doctor’s pediatric practice; other physicians associated with the practice; brief biographies of the physicians; the practice’s address, phone number and fax number; and driving directions to the office location(s). by Rupal Mehta, publications specialist V Children’s Hospital’s Web site, www.etch.com, offers health information, games for kids, “tours” of hospital departments, newsletters for families and much more. Here are a few updated features for parents, children and teenagers: • Children’s E-News is a free newsletter sent monthly to subscribers’ e-mail. The newsletter includes pediatric health articles and information about upcoming Children’s Hospital events and fund-raisers. To subscribe to Children’s E-News, visitors to Children’s Hospital’s Web site should scroll to the bottom of the home page, fill out the Comment Form, include an e-mail address and check the box to be added to the e-mail list. • New Parent eNews is another free newsletter targeted toward expectant mothers and new parents of children up to two years old. Each e-newsletter contains information about health, nutrition, learning and development from the beginning of pregnancy to the toddler stage. The newsletter addresses pregnancy myths, how to stay healthy during pregnancy, multiple births, caring for a newborn, immunizations, communicating with and caring for a new baby, preparing siblings for a new family member, medical conditions and problems that can affect newborns and more. To subscribe to New Parent eNews, go to the “Health Library” option on the hospital’s home page and scroll down to the New Parent eNews icon. • KidsHealth offers physician-reviewed health and safety articles for parents, kids and teens. This site offers searchable, kid-focused topics, such as “Why Do Feet Stink?” and “The Facts About Broken Bones.” Written in simple terms, these articles explain to children almost any health topic they might have questions about. KidsHealth also offers interactive games and activities that teach them how their bodies work. The articles and games can be found under the “Health Library” section. CHILDREN’S HOSPITAL WEB SITE OFFERS NEW INFORMATION, FEATURES FFaannttaassyy ooff TTrreeeess nnaammeess ccoo--cchhaaiirrss,, sseettss tthheemmee V “We Know Where Santa Lives” will be the festive holiday theme for this fall’s 21st annual Fantasy of Trees. Co-chairs Becky Vanzant and Linda Redmond and assistant co-chair Stephanie Jeffreys are busy planning this year’s event, set for November 23-27 at the Knoxville Convention Center. Thousands of volunteers will contribute more than 140,000 hours of their time throughout 2005 to make this year’s Fantasy of Trees a reality for families from throughout East Tennessee. This year’s event will celebrate the arrival of St. Nick and the holiday season with whimsical decorations, sparkling designer-decorated holiday trees, a village of gingerbread houses, continuous live entertainment in the Fantasy Theater, holiday gift shops, and dozens of children’s activities, including visits with Santa and hands-on holiday crafts. Special events include the Babes in Toyland parade, a nightly tree lighting and an activity just for seniors: Santa’s Senior Stroll. Proceeds from the 2004 Fantasy of Trees totaled more than $302,000, and the event hosted 53,238 visitors. The funds raised from the event were used to benefit Children’s Hospital’s Open Door Endowment Fund, which ensures medical care can be provided to any child in need, regardless of their parents’ ability to pay for services. In 20 years, the Fantasy of Trees has raised more than $3.6 million for Children’s Hospital. For more information about the 2005 Fantasy of Trees, contact the Children’s Hospital Volunteer Services and Resources Department at (865) 541-8385 or send an e-mail to fot@etch.com. by Haylee Reynolds, student intern Pictured at right are the 2005 Fantasy of Trees chairs, (left to right), co-chair Becky Vanzant, co-chair Linda Redmond and assistant co-chair Stephanie Jeffreys. V V
  3. 3. 4 Once at home, Danielle began to lose weight, and at two months of age, her parents brought her to the Emergency Department at Children’s Hospital. Again, an upcoming visit to the hospital was frightening for Danielle’s parents due to the language barrier. They were afraid they would once again encounter a situation like when she was born. They were worried they would not be able to understand what was wrong with their sick child. “I was very nervous going into the ER,” Maria said. “But everyone was very nice and helpful. It was a big boost to our morale that, through interpretation services at Children’s Hospital, we were in control and knew what was happening to our child.” After a nine-day stay at Children’s Hospital due to an infection and because she wasn’t gaining weight properly, Danielle was discharged and began to gain weight normally. She was given a high calorie formula to assist with weight gain and was referred to the Children’s Hospital Rehabilitation Center for speech, occupational and physical therapies. Through therapy, Danielle is learning various developmental skills, such as crawling, and is increasing muscle strength. She completed three months of speech therapy to assist with her ability to drink from a bottle. Physical and occupational therapy are still ongoing through Children’s Hospital’s Home Health Care to continue working on gross motor and fine motor skills. Danielle’s physical therapy focuses on walking and crawling, while her occupational therapy works with her fine motor skills such as gripping, holding items and following objects with her eyes. According to her parents, Danielle is catching up with her motor skills, but there are still concerns as to what degree of brain injury she may have received due to the lack of oxygen at birth. It is known that Danielle has cerebral palsy, a condition that can cause mild to moderate developmental delays. She will require ongoing therapy to assist with motor and development skills. Long-term effects are not known, although it is expected that she will always have some development problems. Danielle continues to visit Children’s Hospital and various Children’s Hospital subspecialists. These specialists follow her speech and language development, motor development, seizures and possible feeding problems. Each hospital or physician visit requires an interpreter to be present or available on the phone. “Children’s Hospital was the place where we received all kinds of help,” Maria said. Having a sick child is stressful enough, but not being able to understand what is happening to that child can multiply that stress level significantly. Maria added, “Children’s Hospital has made me feel comfortable with my child’s care.” by Seth Linkous, Associate Director for Public Relations DANIELLEDANIELLE The birth of a child is a joyous occasion. Even when a newborn has unique health needs and concern becomes mixed with that initial joy, the arrival of a baby is a time of celebration. But imagine that complications with a birth or health problems for the newborn are unexplained. Imagine a baby being separated from her mother immediately after birth with no explanation to the parents. What if repeated questions about the baby's health are met with silence, which leads to fear and isolation and many more questions? This may sound like a scene from a movie or a situation that happened to a family decades ago. It actually happened in East Tennessee in 2004 because of two words: language barrier. The family in this situation speaks Spanish as their primary language, but few of the health care professionals at the institution where their baby was born spoke Spanish and little translation service was available. Now ten months old, Danielle Gonzalez-Garcia was born at a local hospital via an emergency Cesarean section (C-section) after her parents, Maria and Guillermo, went to the emergency room suspecting something was wrong with their baby. “I did not feel my baby moving. I knew something was wrong,” said Maria speaking through interpreter Jose Nazario. “Once we got to the hospital, all I understood was a nurse saying, ‘We are going to open you up and save your baby.’” Maria’s baby had abrupted, which means the placenta had torn away from the lining of her uterus. This usually happens at the time of birth, but not before. Maria’s baby was in distress, deprived of oxygen and much needed life support from the umbilical cord, which had also torn away. After an emergency C-section, the baby, whom the couple named Danielle, had to be resuscitated. She was severely oxygen deprived and was immediately taken to an intensive care unit, where she stayed for nearly two weeks. After the birth, Maria had a hard time recovering from the anesthesia that she received during the C-section and did not see her daughter for three days. During these three days, the parents’ anxiety level and worries increased. They often wondered what was wrong with their baby, and their questions often went unanswered or with little explanation due to the language barrier. “I didn’t understand what was going on with my baby. I just wanted to take her home,” Maria said. “I knew that I could take care of her there.” During Danielle’s days in the intensive care unit, she developed seizures and was initially unresponsive to stimulations. These problems can be linked to the lack of oxygen that her brain received prior to her birth. The baby’s condition improved a great deal, and Maria eventually was taught how to care for and feed her newborn. After two weeks in the hospital, the family went home to Lenoir City. Danielle’s brain activity was slow but improving, and her seizures were kept in check with medication.
  4. 4. 5 Nazario, “These face-to-face interpretations are done with Spanish-speaking families who may require special attention to details in health care situations such as surgeries, health care classes, prescription instructions, rehabilitation therapies, use of health care equipment, diagnostics and laboratory and test results.” To fill this demand for precise communication between Hispanic families and its medical staff, Children’s Hospital currently contracts with LightHouse Interpreters, Inc. The interpretation service provides face-to-face and telephone interpretations for specific situations with Spanish-speaking patients in all areas of the hospital, Home Health Care and the Rehabilitation Center. With the interpretation service provided, the growing population of Hispanic families in the area (like the family featured here) can have a better understanding of their children’s medical treatment. “Interpretation services are critical. The need has increased significantly, and without it, we would not be providing the quality of care that Children’s Hospital strives to give to every patient,” Schneider said. Telephone interpretations are primarily used to pass on information to families. Information in these calls includes pre-surgery instructions, general information for patients, laboratory results and appointments. In the 2003-2004 fiscal year, language interpreters provided 538 telephone interpretations, compared to only 21 such calls at the hospital in the 1998-1999 fiscal year. Parents of non-English speaking patients often come to their doctors not knowing if they will be able to fully understand what is happening to their child. “Even though they may try to understand, 50 percent of all the health care information not provided in their native language is not fully understood. But people should see the satisfied faces of these families when an interpreter lets them know in their native language that all of their needs while visiting the hospital will be met,” Nazario said. Understanding their child’s diagnosis and treatment puts a family in a position to provide the best health care when the child is discharged from the hospital and has to be cared for at home. Being given information allows families to understand the details of their child’s treatment and be more comfortable providing care. Nazario said, “These families usually leave Children’s Hospital with satisfaction on their faces, appreciating all the time, patience and services received from the medical staff and interpretation services.” Children’s Hospital has also arranged for Spanish translation of many of the hospital’s written documents. Sharing Information brochures are educational brochures that instruct patient families about a variety of health related topics. There are currently 39 Spanish brochures available, with seven more in the process of being translated. Other translated documents include admitting forms, the parking policy, consent forms requiring parental signatures, cafeteria menus and information sheets about the hospital. Other areas of the hospital with direct patient contact such as Social Work, Child Life and Pastoral Care also have many of their commonly used documents translated into Spanish. For languages other than Spanish, Children’s Hospital uses Language Line, Inc., a 24-hour telephone interpretation service with interpreters available in 148 languages. For the deaf and hearing-impaired, the hospital contracts with the Knox Area Communication Center for the Deaf to provide on-site sign language interpretation at all times. by Rupal Mehta, publications specialist When a child is ill and in the hospital, parents need to understand what is happening at all times - not only for themselves but also to help their child. But sometimes, a parent cannot understand a child’s diagnosis because of a language barrier. In this situation, Children’s Hospital’s staff turns to its interpretation services to ensure parents understand everything they need to know about the child’s medical condition. Children’s Hospital’s philosophy provides all patients and families with an equal opportunity for communication when medical services are provided. Since Spanish is the most common non-English language spoken in East Tennessee, Children’s Hospital accommodates that growing section of the patient population with Spanish-speaking interpreters like Jose Nazario, CEO of LightHouse Interpreters and Translators, Inc., who has been working with Children’s Hospital for more than two years. “The quality and access to health care provided to a minority group by any hospital or clinic cannot be inferior to service given to a non-minority, English- speaking group,” Nazario says. “To access vital, life- saving health care services, non-English-speaking individuals need to be able to communicate with doctors and nurses, and Children’s Hospital provides these translation services free of charge to all families noted with Limited English Proficiency.” Children’s Hospital’s interpretation services are coordinated through the Social Work Department. According to Beverly Schneider, Director of Social Work, “In 1997, Children’s Hospital realized that eight percent of our patient population spoke Spanish, and with research, we discovered nearly 13 percent of East Tennessee residents identified Spanish as their primary language. Since that time, the number of Spanish-speaking patients and families at Children’s Hospital has steadily increased.” In 1998, Children’s Hospital established a contract for on-site Spanish interpretation and had 24 patient visits requiring the service that year. The number jumped to 221 patients needing 510 interpretation sessions for the 2003-2004 fiscal year. According to INTERPRETATION SERVICES AT CHILDREN’S HOSPITAL Danielle Gonzalez-Garcia with her parents, Maria and Guillermo, and interpreter Jose Nazario.
  5. 5. ALEXANDRA P. EIDELWEIN, M.D. M.D. — Federal University of Santa Maria School of Medicine, Rio Grande do Sul, Brazil, 1988-1993 Residency (Pediatrics) — The University of Sao Paulo School of Medicine, Sao Paulo, Brazil, 1994-1996 Fellowship (Pediatric Gastroenterology) — The University of Sao Paulo School of Medicine, Sao Paulo, Brazil, 1996 Transitional year internship, Michigan State University, Lansing, Mich., 1998 Residency (Pediatrics) — Loma Linda University School of Medicine, Loma Linda, Calif., 1999-2002 Fellowship (Pediatric Gastroenterology) — Johns Hopkins School of Medicine, Baltimore, Md., 2002-2005 Family — Husband, Marcelo Fiszman, M.D., Ph.D.; daughter, Gabrielle (4) Interests — sports, going to movies and out to dinner When she was in her early teens, Alexandra P. Eidelwein, M.D., decided she wanted to go to medical school. Her mind was set after her sister gave birth to a premature infant who spent a long time in the hospital. Dr. Eidelwein and her family visited the baby daily, and it was through that personal experience that she was closely exposed to the medical profession. “I became really interested in medicine at that time. And I have always loved kids, so there was never any doubt that I would work with children,” she said. Dr. Eidelwein began her medical training in her native Brazil. While in Sao Paulo, she worked with some excellent gastroenterologists who were her professors and became her mentors. “This is the time when you are drawn to a specialty,” she said, explaining that her experience with those physicians guided her toward her pursuit of a specialty in pediatric gastroenterology. “There are so many nutrition problems in Brazil, so I was especially interested in that aspect of the specialty,” she added. She also likes the fact that pediatric gastroenterology deals with many common diseases that can affect children, such as constipation, gastroesophageal reflux, nutrition problems and chronic abdominal pain, but also includes some of the more interesting and complicated aspects of a specialty, including more serious health issues, such as chronic liver disease and inflammatory bowel disease. Besides the clinical aspects of the specialty, becoming a pediatric gastroenterologist allows the physician to perform interesting procedures such as upper endoscopies, colonoscopies, esophageal dilations and endoscopic gastrostomies. “A lot of children experience chronic abdominal pain, which can affect school life. To care for these children with ongoing problems, we need to get very involved with the family as well as with the child, and this can be very rewarding,” she said. While many tests can be run to find the cause of chronic abdominal pain, sometimes the cause is elusive. In these more complicated cases, a multidisciplinary approach with the family and other specialists is often required. Dr. Eidelwein’s major area of interest within her specialty is inflammatory bowel disease (IBD). She did her research at Johns Hopkins on this subject and is especially interested in treating children with this chronic condition. In addition to the diseases and problems already mentioned, pediatric gastroenterologists also treat children with celiac disease. Symptoms may include chronic abdominal pain, diarrhea and constipation, as well as problems such as malnutrition, nausea and vomiting. Children with celiac disease are restricted to a gluten-free diet, which improves their symptoms and nutritional status. The field of pediatric gastroenterology is benefiting from a great deal of current research in several areas, such as IBD. Newer medications and testing methods are aiding in diagnosis and treatment of these problems. Dr. Eidelwein finds the research interesting and makes an effort to stay up-to-date on the latest information to best help her patients. For Dr. Eidelwein, the greatest challenge of pediatric gastroenterology is dealing with children with chronic liver disease. She explains, “Occasionally, a liver transplant is necessary to save the child. Children who have transplants need careful and close monitoring to prevent infections and other complications. Part of being a good physician is not only treating a disease, but also caring for the patients and their families.” Dr. Eidelwein and her family will move from Baltimore to Knoxville this summer, and she will join the pediatric gastroenterology practice of Youhanna Al-Tawil, M.D., and Clarissa Cuevas, M.D., at Children’s Hospital. Dr. Eidelwein was introduced to Dr. Al-Tawil through one of her professors at Johns Hopkins and was pleased to learn of the opening in his practice. “We were looking for a smaller city with good schools,” she said in explaining the family’s interest in moving to Knoxville. “Johns Hopkins is an excellent place for medical training, but because it’s located in a larger city, we have long commutes to work, which are difficult with a small child.” She added that after several busy years of medical training, she and her husband are looking forward to being able to enjoy Knoxville’s movie theaters, restaurants and sports opportunities, favorite activities for which they have had limited time in recent years. Working in concert with Drs. Al-Tawil and Cuevas, Dr. Eidelwein will help provide care for an ever-increasing number of East Tennessee’s children seeking care at Children’s Hospital. Physician sets career goal in early teens Subspecialist Profiles 6
  6. 6. 7 MIHAIL M. SUBTIRELU, M.D. M.D. (combined undergraduate and graduate program) – Faculty of General Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, 1980-86 Internship (rotating internship) – Colentina Clinical Hospital, “Carol Davila” University of Medicine and Pharmacy, Bucharest, 1986-89 Residency (pediatrics) – Bronx-Lebanon Hospital Center, affiliated with Albert Einstein College of Medicine of Yeshiva University, Bronx, N.Y., 1999-2002 Fellowship (pediatric nephrology) – The Children’s Hospital at Montefiore, Albert Einstein College of Medicine of Yeshiva University, 2002-05 Other – served as a research assistant at Bronx-Lebanon Hospital Center, Bronx, N.Y., 1998-99 Family – wife, Marielisa Rincon, M.D.; daughters Maria Andrea (3) and Ana Maria (1) Personal interests – sports, outdoor activities (walking and fishing), reading, classical music Mihail M. Subtirelu, M.D., had an interest in caring for children early in his medical career. “Children are wonderful. They always manage to smile,” he said. “It is a tremendous challenge and responsibility to treat children. They have their whole lives in front of them, and the way they are treated will impact them in so many ways. You can make a remarkable difference in a child’s life.” A native of Romania, Dr. Subtirelu completed his early medical education and first practiced there. He obtained a general medical degree and practiced as a primary care physician in Minzalesti, Romania, for several years, treating patients of all ages. For physicians in Romania, there were not options available at that time for specialty training. In the late 1990s he decided to pursue his interest in pediatrics and completed a pediatrics residency at the Bronx-Lebanon Hospital Center in Bronx, N.Y. During a nephrology rotation, while completing his pediatric residency, he found his calling in what he describes as “a very logical specialty.” Nephrology is a medical specialty, not a surgical one, and it deals primarily with the kidneys. Patients who need kidney surgery would generally see a urologist, while a nephrologist provides non-surgical care to patients with kidney problems. The kidneys perform important functions in the body, such as the management of fluids and electrolyte balance. Common reasons for a nephrologist to be consulted include proteinuria (the presence of protein in the urine) and hematuria (the presence of blood in the urine). To diagnose kidney disease, the nephrologist needs to perform a kidney biopsy. Kidney diseases may cause loss of kidney function, resulting in the need for dialysis or a kidney transplant. Children who need a kidney transplant will receive pre- and post-operative care from a nephrologist. Young patients may have hypertension (high blood pressure); commonly in children, the hypertension is “secondary” to a kidney problem. Sometimes patients of any age have “white coat hypertension,” or blood pressure that is elevated in the doctor’s office but normal at other times. It can be difficult to determine if a patient is simply experiencing white coat hypertension or if he or she actually has elevated blood pressure on an ongoing basis. Advances in the diagnosis and treatment of high blood pressure have greatly improved care. Ambulatory blood pressure monitoring is a relatively new technology that is helping physicians such as nephrologists make the distinction more easily. With ambulatory monitoring, a patient wears a blood pressure cuff for 24 hours; the cuff inflates and deflates automatically at specific intervals (usually every 15 or 30 minutes) and is attached to a small electronic monitoring device that records each blood pressure measurement. This gives physicians a much more accurate view of the patient’s blood pressure. “It’s an excellent tool,” he said. “It’s very simple, yet it yields beneficial results.” According to Dr. Subtirelu, another improvement in care comes from genetic testing. For example, focal segmental glomerulosclerosis is a serious kidney disease found more frequently in children over the last decade; recently genetic mutations associated with this disease have been discovered, and some of these mutations can now be tested for in patients. “Knowing if a disease has a genetic basis is of great help in management and prognosis,” he said. Yet another improvement in care is related to clinical research. “More medications are being tested in children, and this is resulting in more clear guidelines for their use,” Dr. Subtirelu said. One of the most important clinical trials in the treatment of focal segmental glomerulosclerosis is just starting for children and young adults. This trial will help determine the effect of different therapies on kidney function and side effects associated with these treatments. Challenges of his profession relate to the care of both acutely and chronically ill children, Dr. Subtirelu said: “The management of an acutely ill child with kidney failure is challenging because the child cannot survive without kidney function. It is important to quickly find the problem and treat it correctly.” For the patient with chronic kidney disease, the challenge is to provide ongoing care over many years, offering the patient the best chance at a healthy, fruitful life. Understandably, the biggest challenge comes when a child cannot be treated. “Sometimes, with today’s medical knowledge, we just cannot win over the disease,” he said. “That’s more of a challenge for me, to live with the fact that we just can’t save some kids.” Dr. Subtirelu and his family will move to East Tennessee this summer, and he will begin his practice here at that time. “East Tennessee is a great place to live and work and to make a home for your family,” he said. “We really like it. We’re ready for life in a smaller city.” He is looking forward to beginning his work at Children’s Hospital, because it is an established facility serving an entire region, not just the city. Dr. Subtirelu says, “It will be a great challenge, and I am looking forward to it.” Pediatric nephrologist to join hospital staff
  7. 7. 8 Child Life. If you’ve never been a patient or a staff member at a children’s hospital, you may not find any special significance in these two simple words put together. But if you have ever had an experience at East Tennessee Children’s Hospital, you know how valuable and necessary those two words are to our patients, their families and the staff at the hospital. For example, a visitor in the hospital might walk by a patient room and hear a child’s laughter or go past the playrooms on the inpatient floors and see a group of children painting pictures together. These scenes may cause the visitor some confusion, because they are in a hospital, after all. But at a children’s hospital with a Child Life staff, these situations are completely normal. The members of the Child Life Department at Children’s Hospital connect with patients every day. By spending quality time with patients, Child Life specialists allow children to be children, letting them play and learn throughout their stay at the hospital. These interactions with patients also help the Certified Child Life Specialists, assistants, interns and volunteers learn about each child’s fears and allow them to help with each child’s concerns. Child Life staff and volunteers help children be children while they are patients in the Second and Third Floor inpatient medical units, the Pediatric Intensive Care Unit, the Outpatient Clinics or the Emergency Department. The Child Life staff treats the “total child” by finding a way to relate to each individual patient at his or her age level and by making the hospital experience as positive as possible for the entire family. Here’s a look at a few “typical” interactions the staff of Child Life has with the patients at Children’s Hospital every day: 1. Michael and Jarod Strunk and German Rodriguez leave their patient rooms to go to the third floor playroom to paint pictures with Child Life Specialists Kristin Wells and Julie Head. Child Life Specialists use this painting time to let patients be creative and express themselves through artwork. During craft time, Child Life specialists can get a better idea of what children’s fears and concerns are about being in the hospital. 2. Wells engages in “medical play” with patients Pamela Venkova and Peyton Newman. She shows the children how IVs are put in and how to clean the dolls’ skin with alcohol wipes beforehand, similar to what a nurse does before placing a patient IV. Wells shows the children when you “wash, wash, wash” the doll’s skin, it gets clean! This medical play helps Pamela and Peyton understand the process of getting an IV. 3. Now that Peyton knows what an IV is, he has much less fear about having one put in by his nurse, Julie Leonard. To help him cope with the procedure, Wells distracts Peyton with fun toys and conversation during the placement of the IV. 4. Summer Dean is on her way to radiology, and Kristin Wells is telling the child details about her upcoming test. Wells explains the test will not hurt and promises that afterward the two of them will get to paint together in the playroom. Wells calms any fears that Summer may have and helps her feel more comfortable about the procedure she will have. 5. Child Life provides children with a variety of opportunities to play and learn during their hospitalizations. In her room, Heather Woodby plays a board game with Wells. They laugh together about how Heather wins the game every time. This time together having fun and laughing gets Heather’s mind off being in a hospital room and makes her feel more comfortable. 6. Claire Aikens, a Child Life student intern, makes four-month-old A’Blessin Ramsey smile by laughing, talking and playing with her. Child Life’s services are not just for older patients; the hospital’s youngest patients often need cheering up, too. Child Life interns are given a hands-on learning experience in the hospital setting, helping to prepare them for a career in Child Life. 7. Older patients sometimes have more difficulty passing the time during their hospitalization. Julie Head keeps Noah Griffin company in his room, and they engage in a very competitive game of chess. It is important for the Child Life staff to talk to older patients, not just about their illness or injury but also about things that are important to them. Child Life’s main goal with adolescents is to help them feel more comfortable in the hospital and let them know they have someone to talk to if needed. A DAY IN THE LIFE OF CHILDREN’S HOSPITAL CHILD LIFE CHILD LIFE 2 3 4 1
  8. 8. 9 Shannon McBride plays with Kimberly West and her sister, Abigail, while they wait for Kimberly to be treated. The interaction with McBride helps distract the girls while they are in the Emergency Department, helping the children and the family to cope during their visit. 11. Tiffany Reid is in good spirits during her stay in the Pediatric Intensive Care Unit. She is making a beaded necklace with Child Life intern Jessica Burkhart. The Child Life staff knows how a hospitalization can have a negative emotional effect on a child and his or her family, and they do whatever they can to relieve the stress that can be associated with being in an intensive care situation. by Rupal Mehta, publications specialist 8. In the clinic’s waiting room, Child Life intern Angela Collins creates a craft project with Jaime Johnson, who is waiting for her sister’s treatment to be completed. Not only does Child Life staff help patients, but they also help their families. Child Life’s work is an integral part of the hospital’s focus on child-family centered care, which is a philosophy that focuses on treating families and helps them be a part of the patient’s recovery by being a source of strength, support and comfort for the patient. Collins helps ease Jaime’s fears and concerns by explaining what procedures are going to happen to her sister. 9. Eight-year-old Madison Craddok is getting her blood drawn at the rheumatology clinic by nurse Lindsay Wheeler. Child Life Specialist Amanda Wilson talks to Madison about her pets to keep her mind off of the procedure. After the blood is drawn, Wilson stays with Madison to work on arts and crafts while she waits for her doctor. 10. In the Emergency Department, Child Life has developed various pain management techniques for patients while they wait to be seen by a doctor. Child Life specialists know there are ways to relieve a child’s pain in addition to medication. Certified Child Life Specialist 9 8 10 6 7 5 9 11
  9. 9. Dermatologist Sophia J. Hendrick, M.D., was successful in completing the 2004 examination for certification as a Pediatric Dermatologist. She was among 88 dermatologists nationwide and the only one in East Tennessee to pass the first-ever certification examination offered by the American Board of Dermatology. Two dermatologists in Nashville also were certified, for a total of only three physicians in the Tennessee who are board certified in pediatric dermatology. Dr. Hendrick is in private practice with Dermatology Specialists, P.L.L.C., in Knoxville. She also consults on dermatology cases with inpatients at Children’s Hospital and directs the Children’s Hospital Dermatology Clinic, which meets monthly in the Outpatient Clinics department. Although she just recently received the subspecialty certification, Dr. Hendrick has had an interest in pediatric dermatology since her final year of medical school, when she completed a rotation in the subspecialty. Her interest in pediatric dermatology continued during residency, and she has been a member of the Society for Pediatric Dermatology since 1986. “There was no fellowship offered anywhere in pediatric dermatology at that time, so I completed a general dermatology residency,” she said. “But I let people know that I liked working with children.” In private practice and on the Medical Staff at Children’s Hospital since 1987, Dr. Hendrick has always treated children and adults and, like most dermatologists, she will continue to treat both age groups. For the past five years, Dr. Hendrick has seen patients in the Children’s Hospital Dermatology Clinic, a specialty outpatient clinic for children with less common skin conditions. About 15-18 patients are scheduled for each monthly clinic session. “All dermatologists see patients with acne and warts,” she explained. “The clinic is for stubborn cases of such conditions as eczema and psoriasis or for rarely seen syndromes.” Dr. Hendrick examines children who come to the clinic, and they can have other related services, such as blood work, provided at the same time. This and other outpatient clinics are provided for patients with specific conditions to streamline the appointment process by offering all the needed services in one place, at one time. These clinics are beneficial for the patients and convenient for their families. Children who are regularly seen in some of Children’s other clinics also occasionally make visits to the Dermatology Clinic. For example, an oncology patient may have a mole that needs to be checked or a rash caused by chemotherapy. A diabetic child with a rash that typically is treated with prednisone (an oral steroid) may be examined by Dr. Hendrick for other treatment options, because diabetics should avoid steroids if possible. In addition, Dr. Hendrick also collaborates with the hospital’s Rheumatology Clinic, which sees children with rheumatoid arthritis. As a member of the Medical Staff at Children’s Hospital, Dr. Hendrick also consults on inpatient cases where a dermatologist is needed. These cases are most often severe eczema complicated by infection in children younger than four years. Other common cases include allergic reactions to medication, and these cases can be challenging. “Sometimes the child has an illness thought to be a bacterial infection, so the child is given an antibiotic,” she said. “Then the child develops a rash, so we have to determine whether the rash was caused by the illness or by the antibiotic.” Newborns in the NICU with birthmarks or other skin conditions also may need a dermatology consult. In the NICU, she might be asked to examine such conditions as hemangiomas, moles, port wine stains or some rare blistering diseases. While Dr. Hendrick’s recent certification as a pediatric dermatologist will not change her practice, it is a great indicator of her knowledge of pediatric dermatology and of her dedication to providing the best care possible to the children of this region. Children’s Hospital’s $31.8 million construction project is in the final stages of completion. What was once a parking lot on the corner of Clinch Avenue and 20th Street has been transformed into a seven-story addition to Children’s Hospital, allowing for the expansion of many areas. The PICU, Surgery/Post Anesthesia Care Unit (recovery room) and new areas on the Second, Third and Fourth floors, including patient rooms and expanded play areas, are now operational. In April several more projects and renovations were finished, with the remaining renovations starting in May. The expansion of the NICU from 36 to 44 beds is scheduled for completion in May. This project also includes the addition of two rooms for parents to stay in with their baby before discharge, called “rooming-in rooms.” The cafeteria became operational again in April, and the kitchen, projected for completion in May, is adding new cooler, freezer and storage areas. The Second and Third floors each are adding 20 renovated private rooms in May. An additional six private rooms on these floors will be completed by early September. The expansion of the Radiology Department begins in May and will be finished in August. Outpatient Surgery will expand from 16 to 27 rooms beginning in May. Four rooms are already finished and in use, with the completion of the additional rooms scheduled for September. The three-year project should be completed on time, and all renovations and construction will be completed in September. When the entire project is complete, the hospital will feature 95 private patient rooms with full baths, and the number of beds in the hospital will increase from 122 to 152. by Haylee Reynolds, student intern Dr. Sophia J. Hendrick examines a rash on the face of one of her patients, Alexander Schafer, at the Dermatology Clinic. 10 Construction on schedule, almost complete Local dermatologist certified in pediatric subspecialty Children’s News... The new surgery waiting room. A new private room in the PICU. SOPHIA J. HENDRICK, M.D. B.A. (Chemistry) – Vanderbilt University, 1976 M.D. – University ofTexas Medical School, Houston, 1982 Internship – St. Joseph’s Hospital, Houston, 1983-84 Residency (Dermatology) – University of Texas Medical Branch, Galveston, 1984-87 Other – Board certified in dermatology, 1987; board certified in pediatric dermatology, 2004 Family – Husband, Lee Hendrick; daughters Robyn (23), Kelly (15) and Julie (13) Interests – singing in her church choir, photography
  10. 10. Since September 2001, Children’s Hospital has collaborated with Knoxville’s other hospitals in the East Tennessee Healthcare Recruiters Group (ETHRG). The goal of the group, composed of nurses, allied health professionals and human resources specialists, is to recruit qualified nurses and other health care professionals to the East Tennessee region and to promote health care professions to young people as a career choice. With the assistance of Coordinated Healthcare Services (an established outside agency), Baptist Health System of East Tennessee, Blount Memorial Hospital, Covenant Health, Children’s Hospital, St. Mary’s Health System and the University of Tennessee Medical Center have collaborated to showcase the quality of life this region has to offer to health care professionals. Lisa Osterman, R.N., Employment Manager at Children’s Children’s Hospital participates in nationwide nursing recruitment effort 11 10 AMAZING KIDS RECOGNIZED BY WBIR-TV 10, CHILDREN’S HOSPITAL Hospital, said, “The group’s mission is ‘to develop strategies through a collaborative effort with area health care systems to promote the eastern Tennessee region as a desirable working and living environment and to support the development of a strong workforce pipeline.’” ETHRG follows this mission by promoting the benefits of a health care career in East Tennessee to experienced health care professionals, health care profession students and youth. Maynardville - This teenager was instrumental in the establishment of Union County as a Community of Promise for the America’s Promise effort. Lynsey also was chairperson of the Toys for Tots campaign in Union County, raising enough funds to provide Christmas presents for more than 210 disadvantaged children. She is a graduate of the Leadership Union County Youth Program and serves on the board of directors of Keep Union County Beautiful and the Union County Business and Professional Association. 9. Kyle Thornton, age 15, Clinton High School, Clinton - Born with spina bifida, this teenager is an invaluable member of the Hawks Helping Others Service-Learning Academy, is active at Cedar Hill Baptist Church and has been involved with his middle and high school football teams. Projects Kyle has worked on include ridding yards of garbage, reading to local children, helping with organizing the Tsunami Relief Festival in Oak Ridge, feeding the homeless at the Salvation Army, helping kids find Easter eggs at a local hunt and volunteering to sort and distribute food for families this past Thanksgiving. 10.Charissa Vannatter, age 15, homebound student in Russellville - This teenager keeps a giving spirit and a positive attitude despite having had leukemia. Combining her loves of cooking and helping others, Charissa assists in food preparation and meal distribution for MATS in Morristown. She is active with her church youth group, has raised money for the American Cancer Society during the Relay for Life event and has collected and distributed teddy bears for the patients at Children’s Hospital. Each of the 10 Amazing Kids’ stories was featured on “Live at 5” on WBIR-TV in April. Applications for next year’s 10 Amazing Kids will be accepted beginning in December. Watch WBIR-TV for more information on the 2006 selection process. In the fall of 2003, Children’s Hospital and WBIR-TV 10 created the 10 Amazing Kids program to recognize children from throughout East Tennessee who have done something out of the ordinary—whether through extraordinary volunteer work, amazing talent or impressive service to their community. “We were looking for outstanding youngsters who had done something amazing: overcome an incredible physical or emotional situation, demonstrated outstanding talent and achievement through their art, or exhibited a passion for helping to make life better for others,” said Jeff Lee, WBIR’s General Manager. In December 2004, announcements on WBIR-TV asked viewers to nominate a child who had done something exceptional. Dozens of entries were received, and the selection process was extremely difficult. The 2005 10 Amazing Kids are: 1. Jessica Andrews, age 18, West High School, Knoxville - Born premature and diagnosed with cerebral palsy at 13 months, Jessica volunteers at the Elder Day Care Center in Oak Ridge and at the Kiwanis’ Fresh Air Camp, where she encourages younger children with disabilities. This senior is a peer tutor and works with special ed students at her high school, coordinates a newsletter project for a housing authority, and has been the top cookie and nut seller for two years as a Senior Girl Scout. Jessica is also Tennessee’s fastest electric wheelchair racer for the last three years. 2. Madalyn Carpenter, age 9, Eagleton Elementary, Maryville - This third grader donated her hair to Locks of Love and is growing it out again to help other children with cancer. She has participated in the American Cancer Society’s Relay for Life, has raised money for the American Heart Association by jumping rope and currently is selling rubber bracelets to raise money for tsunami victims in Asia. An outstanding student, she is also active in her church and in sports and has played piano at area nursing homes. 3. Noah Farmer, age 7, Christenberry Elementary School, Knoxville - When Noah learned the Salvation Army was in need of bell ringers last holiday season, he asked his mom to let him help and was a bell ringer for several weeks. Noah used his allowance to buy boxes of food for needy families, explaining that no one should be hungry, and helped his mom adopt and then deliver Christmas gifts to a family in crisis. With future plans to be a veterinarian, he is planning to volunteer at a local animal shelter. 4. Taber Gable, age 13, Bearden Middle School, Knoxville - Taber volunteers regularly at the Joy of Music School, which offers music lessons to disadvantaged children. Taber helps promote the program by playing his own compositions and displaying his musical abilities. He is also an excellent student, assists other students with their studies and “helps make this school a better place,” one of his teachers said. His mentor in the Big Brother program calls Taber a source of guidance and influence to him. 5. Miranda Harmon, age 11, Rush Strong School, Strawberry Plains - After reading a story about a girl at a homeless shelter, this fifth-grader made a difference for her community by spearheading a Coats for the Cold drive at her school. Miranda coordinated the effort, with over 400 coats being collected for distribution by the Knox Area Rescue Ministries. She also served as a peer tutor, offering encouragement to fellow students having trouble with schoolwork or personal dilemmas. 6. Nicholas Hyder, age 10, Dogwood Elementary School, Knoxville - His service as a special education peer coach and tutor in school is what sets him apart from other students. Nick serves as a positive role model to the students he coaches, who look up to him and aspire to be more like him, as well as to students in the regular education program, who have become more tolerant of those in the special programs. Nick is part of the Safety Patrol and active in the Manners Club, DARE program, Peace Police and 4-H. 7. Matthew “Joe” LeSage, age 16, Farragut High School, Knoxville - This teenager first learned about the needs of Second Harvest Food Bank when its executive director spoke to his third grade class. Joe started by saving his milk money and each year has added to his efforts to help combat hunger in East Tennessee. Joe started a program called “Hams for the Hungry” several years ago to provide Easter meals to almost 15,000 hungry families. In the first five years of this program, over $58,000 has been raised. Joe is also active in his church and school and is an excellent student. 8. Lynsey Smith, age 18, Union County High School, 1 6 2 7 3 8 4 9 5 10 continued on page 12
  11. 11. 12 Estate Planning... Because your children are special...a will is vital Include Children’s Hospital in your estate plans. Join the ABC Club. For more information, call (865) 541-8441. Please send the free brochure titled “Personal Information Record” 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 “If something happened to both of us, Mom would get the kids, wouldn’t she?” 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 and your spouse would plan 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 make 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 an unfortunate need ever 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 raising yours? • Who has religious beliefs that are closest to yours? • Who has a large enough home? Since the shortage of health care workers is reaching a critical level, the group initially focused on young people to help build a new generation of health care professionals. ETHRG has participated in Knox County’s “Schooled for Success,” Blount County’s 8th grade career fair, Kids U, Amazing Healthcare Career Expo and the Girl Scout Leaders Conference. ETHRG estimates it has reached more than 7,500 eighth graders though its efforts. The group has also developed a packet for adolescents that highlights the top 10 careers in health care, including a description of each career, salary information and a list of schools in the area that offer specific health care programs. Members of the group also visit local high schools as in-class speakers and for career fairs, reaching more than 800 high school students. To collectively recruit health care workers and nursing students, the group attends the National Student Nurses Association Annual Conferences and nearby state student organization efforts. The group also attends monthly meetings for the Tennessee Society of Healthcare Human Resources and Record,” send your name and address to us via the reply form below. Or you may e-mail David Rule, Director of Development, at dsrule@etch.com or Teresa Goddard, CFRE, Senior Development Officer, at tgoddard@etch.com. You may also reach us by phone at (865) 541-8441. health care careers and living and working in East Tennessee. It also provides links to each hospital in the group, which allows each visitor to receive information about the individual facilities. The newest feature of the Web site is an interactive section for youth and students, developed using the Tennessee Department of Education Curriculum Standards. “We partnered with a curriculum specialist from Knox County Schools with the goal of having local teachers use the Web site as a teaching tool for their health, science and wellness classes,” Osterman said. “The group plans to increase its visibility regionally and nationally by attending four major conferences a year, continuing its current youth outreach programs, promoting the group’s Web site to youth and health care professionals and students and expanding our program to include allied health professions that have current or anticipated shortages in the future,” Osterman said. By Rupal Mehta, publications specialist • Who is in good health? • Who would treat them the way you would? • Who would take them to baseball games, ballet lessons, soccer practices or all their other important activities? Perhaps your parents, your spouse’s parents, a married 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. However you answered the questions above, a properly prepared will is the only way to assure that your wishes are carried out. For more information on wills and estate planning, including a copy of our booklet, “Personal Information the Tennessee Organization of Nurse Executives. In the future, the recruitment group plans to increase visibility to regional and national health care professionals by advertising the benefits of life in East Tennessee in professional journals. Through conferences and meetings, the group estimates it has reached 20,000 experienced registered nurses and 17,000 nursing students. To encourage people to consider a career with the hospitals that make up the ETHRG, they emphasize the natural beauty and resources of the East Tennessee region, the lower cost of living compared to cities of comparable size and the lack of a state income tax at this time. “We also allow health care professionals and students to know there are positions available in large, moderate and smaller sized institutions. They have the option of choosing from a variety of hospitals including large, multi-system organizations, regional trauma centers, leading cardiac facilities and not-for-profit hospitals,” Osterman said. The most exciting addition to the group’s efforts is the ETHRG Web site, www.EastTNhealthcareers.com, which went live in October 2004. The Web site includes information on Children’s Hospital nursing recruitment effort (continued)
  12. 12. 13 CHILDREN’S CHAMPIONS DAY Children’s Hospital invites individuals throughout East Tennessee to participate in Children’s Champions Day, June 3, as part of the Children’s Miracle Network Telethon weekend. Anyone can show support for Children’s Hospital by purchasing and wearing the 2005 telethon T-shirt that day. The telethon T-shirts were designed by Karen Swinehart, Janie Lundin-Ledgerwood, C.J. Issac and Charles Hanrote, students from the University of Tennessee’s college of design. The shirts display the artwork shown here on the back. The shirts can be purchased through the Children’s Hospital Development Department. For more information, call (865) 541-8441. TENNESSEE RIVER 600 Water enthusiasts from all over East Tennessee can take their personal watercrafts on a seven-day, 600-mile excursion down the Tennessee River to benefit four Children’s Miracle Network hospitals and the Tennessee Wildlife Resources Agency. The trip will start July 23 at Knoxville’s Volunteer Landing and end July 30 at Pickwick Landing near Memphis. Participants will collect donations for the Children’s Miracle Network hospitals along the route, including East Tennessee Children’s Hospital. Last year’s trek raised more than $22,000 for the five charitable organizations. BOOMSDAY This Labor Day holiday, like many of its predecessors, will again host a Tennessee tradition. The Star 102.1 Boomsday, sponsored by Journal Broadcast Group, bids summer goodbye and welcomes fall with an extravaganza of colorful fireworks and music on Sunday, September 4 at the Knoxville Riverfront. Star 102.1 Boomsday benefits Children’s Hospital, which receives a portion of the proceeds from soft drink and water sales at the event. The free event starts at noon, with the fireworks show as the grand finale at 9 p.m. The finale’s musical soundtrack can be heard on the four Journal Broadcast Group stations: Star 102.1, The Point 93.1, Hot 104.5 and The Ticket 1040 AM, and the show will be broadcast on WBIR-TV Channel 10. Star 102.1 Boomsday draws more than 250,000 people annually and was named one of the Top 20 Events in the Southeast for September by the Southeast Tourism Society. UPCOMING EVENTS TO BENEFIT CHILDREN’S Mark your calendars now for several upcoming events to entertain families and benefit Children’s Hospital. Thanks to the generous people of East Tennessee who host and participate in these events, Children’s Hospital can continue to provide the best pediatric health care to the children of this region. DATES TO REMEMBER Upcoming events to benefit Children’s Hospital June Champions Day June 3 Children’s Miracle Network Telethon June 4-5 July Tennessee River 600 July 23-30 August Sons of Thunder Motorcycle Fun Ride August 13 Karaoke in the Park August 20 September Star 102.1 Boomsday September 4 For more information about any of these events, call (865) 541-8441 or visit our Web site at www.etch.com and click on “Coming Attractions.” CALENDAR of EVENTS
  13. 13. 14 QQ :: What are some safety precautions parents need to be aware of concerning pedestrian safety and their children? AA :: Parents should never let children cross streets until the child demonstrates traffic skills and good judgment. Adult supervision is required until about age 10. Also, parents need to require children to carry flashlights and wear reflective material at night, dawn and dusk. Parents need to use common sense to ensure their children are playing in safe areas clear of traffic dangers. QQ :: When biking in the park or to the pool or lake, what should parents model for their children? AA :: Parents should always keep safety on the brain— this means wear a helmet! Make sure helmets are properly fitted, centered on the top of the head and always strapped and buckled. A helmet should be snug and not rock back and forth or side to side. And, just like a pedestrian, bicyclists should always obey traffic signals and lights. Look back and yield to traffic coming from behind before turning left. Teach and use appropriate hand signals to alert cars as to the cyclist’s intended actions. Many parents think helmets are only for children, but safety doesn’t end when children reach a certain age. Helmets have been proven effective in preventing injuries in adult accidents, too. Wear the right safety gear in addition to a helmet. For skating and skateboarding, children should wear properly fitting kneepads, elbow pads and wrist guards. Parents should also ensure their child’s bicycle is an appropriate size with secure reflectors, working brakes, smoothly shifting gears and tires that are secured tightly and properly inflated. In conjunction with the SAFE KIDS Coalition of the Greater Knox Area, Children’s Hospital reminds all adults caring for children that safety applies to everyone — including themselves. This year’s national SAFE KIDS campaign for SAFE KIDS Week in May is “Follow the Leader, Safety Starts With You,” and it urges parents to take the time to set a positive example for their children when it comes to safety. Children see their parents as role models, and they should be just that — a role model in every aspect of life, including safety. It’s as simple as making sure everyone in a car has a seatbelt on or ensuring that everyone is wearing a life jacket when boating. “Parents need to lead by example — it’s the ‘golden rule’ of safety,” said Frances Craig, M.D., emergency medicine physician at Children’s Hospital. “Not only will this keep the whole family safe, but it also will instill strong safety habits for children.” Safety messages should be continually taught. For instance, if a family is planning a day at the pool or lake, safety begins before the family leaves the driveway. After arriving at the pool or lake, that family may need to walk or bicycle along a busy street or sidewalk to reach the destination. Once there, water safety continues to ensure everyone is kept injury free. And these practices should then repeat until a family safely returns home. Some of the most common injuries occur when the simplest safety precautions could have been made. According to Dr. Craig, in the situation listed above, parents have the opportunity to teach and model many safety messages during a single outing. QQ :: When getting into a car for an outing, what do parents need to teach their children? AA :: It is important that parents set the example in putting on a seatbelt and telling children they should always be properly restrained. Also, teach children not to play around cars and never to ride in the bed of a pickup truck. QQ :: What responsibilities do parents have when it comes to child-passenger safety? AA :: Parents should always make sure their children are properly restrained in an appropriate seat, whether a car seat, a booster seat, or simply using the lap and shoulder belt. Infants should be rear facing until they are one year of age and weigh at least 20 pounds. Any child one year of age to four years of age should ride in a forward facing child safety seat. Be sure to read the manufacturer’s instructions and visit a car seat checkpoint to make sure the seat is properly installed. And any child age four through eight and weighing more than 40 pounds should ride in a belt-positioning booster seat. Make sure to position the lap and shoulder belts safely across the thighs and the collarbone. Belts should not cross the neck or the soft tissue of the stomach; this will lead to injury if a family is involved in a motor vehicle crash. QQ :: When walking along a street, what actions should parents model to keep their children safe? AA :: Parents need to teach their children at a very young age to look left, right and left again before crossing the street. Cross when clear and keep looking both ways while crossing. Parents should also teach and obey traffic signals and signs and always cross at a crosswalk when available. Never enter the street from behind parked cars, bushes or shrubs. Teach children to never run into the street without stopping at the curb, even if chasing a ball, a family pet or for any other reason. FFOOLLLLOOWW TTHHEE LLEEAADDEERR,, SSAAFFEETTYY SSTTAARRTTSS WWIITTHH PPAARREENNTTSS We’ve all seen it — children securely belted in a car seat and the parent driving unrestrained; a child wearing a life jacket and no flotation device on the parent; or a bicycle ride in the park with only the smallest of bikers wearing helmets.
  14. 14. Upcoming Community Education Classes MAKING HEALTHY CHOICES Location: Children’s Hospital Koppel Plaza Time: 7 p.m. Dates: May 16, June 23, July 19 and August 10 Because food habits often are family-centered, it is important to recognize unhealthy habits and take steps to correct them. A registered dietitian will discuss how to make appropriate healthy food choices, provide substitutes for foods that promote weight gain and suggest methods for increasing daily activity. This course is free. SAFE SITTER Location: Children’s Hospital Koppel Plaza Time: 9 a.m. to 3 p.m. Dates: May 14, August 20, September 10 Location: Fort Sanders Sevier Medical Center, Sevierville Time: 9 a.m. to 3 p.m. Dates: May 21, August 27, September 17 Safe Sitter is a national organization that teaches young adolescents safe and nurturing babysitting techniques and the rescue skills needed to respond appropriately to medical emergencies. Instructors are certified through Safe Sitter nationally. Participants must be ages 11-14. This course is $18 per person. INFANT AND CHILD CPR Location: Children’s Hospital Koppel Plaza Time: 6:30 p.m. Dates: May 23, June 20, July 18, August 22 Location: Fort Sanders Sevier Medical Center, Sevierville Time: 6:30 p.m. Dates: May 16, June 13, July 11, August 1 This class will teach caregivers cardiopulmonary resuscitation and choking maneuvers for children ages eight and younger. This class also gives general home safety advice and tips. This course is $18 per person. Class size is limited, so pre-registration is required. For more information or to register for any of these classes or to receive our free Healthy Kids parenting newsletter, call (865) 541-8262. Announcements about upcoming classes can be seen on WBIR-TV 10 and heard on area radio stations. Or visit our Web site at www.etch.com and click on “Healthy Kids Education and News.” Children’s Hospital’s Healthy Kids Campaign, sponsored by WBIR-TV 10 and Chick-Fil-A, is a community education initiative of the hospital’s Community Relations Department to help parents keep their children healthy. Just like a pedestrian, a cyclist should incorporate reflective material into clothing, especially at dusk and dawn or when the weather is bad. Use both lights and reflectors on bicycles. One other note: A common mistake parents make is to buy bigger bikes for their kids to “grow into.” However, it is important to buy a bike that is appropriate for the child’s size at the time he or she will be riding it. It can be difficult — and therefore unsafe — to ride the wrong size bike. QQ :: Once a family reaches the pool or lake, what should parents teach their children about safety when swimming or around water? AA :: Parents should always set rules around any body of water. For instance, children should only swim in designated safe areas of rivers, lakes and oceans and should always swim with a buddy. Parents should make sure their children can swim and that their children have taken swim lessons through a reputable organization, such as the American Red Cross, local YMCA or the department of parks and recreation. Before anyone jumps into the water, make sure his or her flotation device is properly fitted and fastened and is an approved flotation device (water-wings and inner tubes are not acceptable flotation devices). Never dive into a river or lake; diving should only be practiced in pools where the depth is clearly marked. QQ :: While children are swimming, what should parents be doing? AA :: Parents should always be watching the water. Children drown without a sound, and it only takes a few seconds for a child to go under water. Parents should learn CPR and be prepared for an emergency. Often, parents get too comfortable around water and leave their children unsupervised for a few seconds. In the time it takes a parent to go across a room to get a towel (less than a minute), a child could be submerged. In the time it takes for a parent to answer the phone (2-4 minutes), a child could lose consciousness; and in the time it takes to answer the door and sign for a package (6-8 minutes), a child could have permanent brain damage. While children are in the water, someone needs to be the “water watcher.” Be sure to designate this job to someone and make sure this person is trained and knows how to respond appropriately in an emergency. “We always want children to play and enjoy life, but having the entire family practice safe habits can keep anyone from getting hurt while they are playing,” Dr. Craig said. “Building these safe habits now will allow children to play, have fun and stay safe every day.” For more child safety tips, visit Children’s Hospital’s Web site at www.etch.com or contact the Children’s Hospital Community Relations Department at (865) 541-8165. For more information on National SAFE KIDS Week, visit the National SAFE KIDS Campaign Web site at www.safekids.org. Compiled by Seth Linkous, Associate Director for Public Relations 15 Francis Craig, M.D., emergency medicine physician.
  15. 15. Children’s Hospital 2018 Clinch Ave. • P.O. Box 15010 Knoxville, Tennessee 37901-5010 We always try to stay current with friends of the hospital. If for any reason you should receive a duplicate issue, please notify the hospital at (865) 541-8257. NON-PROFIT ORGANIZATION U.S. POSTAGE PA I D PERMIT 433 KNOXVILLE, TN As the 23rd annual Children’s Miracle Network telethon to benefit Children’s Hospital approaches, exciting additions are in store for viewers. All three area radio groups -- Citadel Communications, Journal Broadcast Group and South Central Radio Group -- and the Dollywood entertainment park are working with telethon organizers to put together entertainment programming that will air along with the inspirational stories of patients who have been helped by Children’s Hospital. In addition, this year’s telethon offers viewers the convenience of donating to Children’s Hospital online during the broadcast. Those watching the broadcast on WBIR-TV can log on to www.etch.com and click on “Make A Donation” on the left side of the home page to make their contribution. Last year, the CMN broadcast raised more than $2.1 million for Children’s Hospital during the 22nd annual telethon. This total represents the tremendous generosity of the people of East Tennessee and their continued commitment to Children’s Hospital as the institution continually works to improve its services and facilities to better serve this area’s children. 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 raised at the telethon will be used to purchase new and sophisticated medical equipment for various hospital departments, including the NICU, Surgery, Emergency Department, Home Health Care and inpatient units. For details of what the telethon funds will purchase, visit our Web site at www.etch.com. Viewers can invest in the future of thousands of East Tennessee’s children by supporting the 2005 Children’s Miracle Network broadcast on WBIR-TV Channel 10 on Saturday, June 4, and Sunday, June 5, live from Children’s Hospital. Support from the community through the telethon helps ensure each child who comes to Children’s Hospital, now and in the future, is able to receive the care he or she needs. Children’s Hospital is a charter member of the Children’s Miracle Network. In 1983, the hospital participated in the first telethon that raised $95,487 in East Tennessee, all of which remained at Children’s Hospital for the direct benefit of its patients. For more information about the Children’s Miracle Network broadcast or if you would like to volunteer at the telethon, please call (865) 541-8441. by Haylee Reynolds, student intern Building a Healthy Tomorrow 2005 CHILDREN’S MIRACLE NETWORK TELETHON IS JUNE 4-5

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