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102
Board of Directors
James S. Bush
Chairman
Robert Madigan, M.D.
Vice Chairman
Robert M. Goodfriend
Secretary/Treasurer
Michael Crabtree
Dawn Ford
Peyton Hairston
Jeffory Jennings, M.D.
Bob Koppel
Donald E. Larmee, M.D.
Dugan McLaughlin
Chris Miller, M.D.
Alvin Nance
Dennis Ragsdale
J. Finbarr Saunders, Jr.
William F. Searle III
Bill Terry, M.D.
Laurens Tullock
Danni Varlan
Medical Staff
Chris Miller, M.D.
Chief of Staff
Lewis Harris, M.D.
Vice Chief of Staff
David Nickels, M.D.
Secretary
Chiefs of Services
Lise Christensen, M.D.
Chief of Medicine
Cameron Sears, M.D.
Chief of Surgery
David Birdwell, M.D.
Chief of Pathology
Clifford J. Meservy, M.D.
Chief of Radiology
Mike Mysinger, D.D.S.
Chief of Dentistry
Mark Cramolini, M.D.
Chief of Anesthesiology
Administration
Bob Koppel
President
Paul Bates
Vice President for Human Resources
Joe Childs, M.D.
Vice President for Medical Services
Rudy McKinley
Vice President for Operations
Jim Pruitt
Vice President for Finance
Beckie Thomas, R.N.
Vice President for Patient Care
A quarterly publication of East Tennessee
Children’s Hospital, It’s About Children is
designed to inform the East Tennessee
community about the hospital and the
patients we serve. Children’s Hospital is a
private, independent, not-for-profit pediatric
medical center that has served the East
Tennessee region for more than 65 years
and is certified by the state of Tennessee as
a Comprehensive Regional Pediatric Center.
Ellen Liston
Director of Community Relations
David Rule
Director of Development
Wendy Hames
Editor
Neil Crosby
Cover/Contributing Photographer
“Because Children are Special…”
…they deserve the best possible health
care given in a positive 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
and adolescents.”
Statement of Philosophy
East Tennessee Children’s Hospital
www.etch.com
Artwork by some of Children’s Hospital’s special patients
3
On the cover: Emma Woodroof of Seymour will soon celebrate
her second Christmas. Read her story on pages 4-5.
– by Jessica, age 10
To Whom It May Concern:
I am really proud of everything Children’s Hospital
does for all the children who come through the doors.
My son was born Aug. 25th, 1996, at Fort Sanders
Regional Medical Center. He was also born 2 months
early (32 weeks). He was a tiny little thing weighing in at
2 lb. 7 1/2 oz. He is now 6 years old and will be going into
first grade at Gibbs Elementary School when school starts.
The NICU staff became my family for 40 days that
summer and fall. I am really grateful for everything they
did while he was in their unit. Dr. Prinz is a fine man
and doctor, and he was always very glad to answer any
questions, and he eased any fears I had. If I were to look
for the word “hero” in the dictionary, Dr. Prinz and his
staff’s picture would be there. With their help, my son is
the healthy, active child he is today.
Thanks again for everything and
everyone.
Sincerely,
Debbie Dunn
Knoxville
– by Stuart, age 5
To Whom It May Concern:
On July 17, 2003, I took my daughter, Courtney, to your EmergencyDepartment. I thought it was for a very bad headache, possibly a migraine. Wemet a wonderful doctor, Dr. John Williams, Nancy the nurse and Kristen, yetanother great nurse. They ALL took wonderful care of my daughter and I. TheChild Life person was a very sweet girl named Ashley.After Dr. Williams had performed a strep test and Nancy had taken severalvials of blood, nothing showed up, so Dr. Williams had Nancy put a numbinggel on Courtney’s spine. Afterward, Dr. Williams performed the “lumbarpuncture.” It showed 108 white blood cells in her spinal fluid, and so headmitted Courtney to the hospital. She was in Room 314 on the Third Floor.The assistance our daughter received in your Emergency Department waswonderful. I was surprised at myself because I managed to stay so calm. Ihonestly believe a large part of that was due to your staff. The other part wasdue to the Good Lord.
Once Courtney was in her room, again everyone who cared for her, Dr.DeAnn Holbrook, a nurse named Lisa, Deb, Rachael, JaVegas, David, ConnieCovington, Pat and probably others, were exceptional. Laurie, who so kindlycleaned my daughter’s room, was very nice and even came back in the roomand cleaned up where she had just cleaned and I had already made a mess.She was really sweet to do that. I have to thank the nurses who worked duringthose three days (July 17-19) at the nurses’ station, a great big thank you! If weneeded anything, someone always made sure we got what we needed. Theyalso made sure that our other daughter, Holly, was comfortable and had whatshe needed as well.
Courtney got better and was able to go home on Saturday the 19th. I knewshe was feeling better that day because she was already starting to argue withher sister, before she was even discharged from the hospital. If I did leaveout anyone, please forgive me. Everyone we encountered at the hospital wentabove and beyond the call of duty. I can’t sing praises enough for all of yourstaff who took care of our daughter. My husband and I were told 17 years agothat we would never have children. So now that we have two beautiful, healthydaughters, whenever they get seriously sick, the panic starts to rise inside ofme. Luckily, we caught the illness, viral meningitis, in time and were able totake care of it. She has been her normal self since her discharge and back toher normal activities.
Thank you so much for everything your staff did to help our daughter. MayGod richly bless each and every one of you!
Sincerely,
Brenda Darlene Fennel
Knoxville
Dear Mr. Koppel,
I am writing to thank the staff at Children’s Hospital for the wonderful
care that was provided to us while our son, Eric, was a patient. We had the
unfortunate pleasure of visiting your hospital while we were on vacation in the
Gatlinburg area. Eric developed appendicitis and required emergency surgery.
You can only imagine how anxious we were when our son required surgery in a
city that we were not familiar with; but everyone that we came in contact with
was very understanding of our situation.
Please let Will Ferguson, R.N., in the Emergency Department, know how
thankful we were for the extra special attention he provided to our son,
particularly since he had never been a patient in a hospital until that day. Eric
had many questions, and Will answered all of his questions and let him know
what he was doing each step of the way. It was particularly comforting for Will
to tell us that our son may wake up in the Intensive Care Unit, not because there
would be anything wrong, but because it was typical for patients in the evening
to be recovered there.
Your Child Life staff was very helpful as well. They provided our son with a
television set and a Nintendo system to help keep him occupied as we waited.
He was very nervous about his surgery.
I would also like to extend a big thank you to Dr. Mick Connors in the
Emergency Department and to Dr. David Schindel, the pediatric surgeon, for
their care. They made us feel very comfortable and were very patient with us,
and it didn’t hurt that they had a Hoosier connection.
And please extend a thank you to the staff on Second Floor, particularly Karen
Fieldsa, Amanda Brown and Seth Donly. I am sure there are others who helped
to take care of Eric, but I cannot remember all their names. Not only did they
take care of Eric, but they genuinely cared, not only for their patients, but for
their families as well. We truly appreciate
their care and concern. I only hope that if
any of you ever required care in our area,
that our hospital could provide the quality
of care that was shown to us.
Thankfully,
Alice McCoy, R.N.
Team Leader, Endoscopy Lab
Columbus Regional Hospital
Columbus, Indiana
4 5
Getting up in the middle of the night to
attend to a newborn is a normal experience
for most parents, and it was no different for
Chad and Tara Woodroof of Seymour, Tenn.
Except the sound they would awaken to
almost every night when their daughter,
Emma, was first born was a heart monitor
reminding them of Emma’s medical
condition.
On September 4, 2002, Tara gave birth
to a beautiful baby girl. But the excitement
that usually surrounds such a wondrous
occasion was soon replaced by fear. Emma
was born with an abnormal heart rate and a
heart murmur, and on September 6, she was
transported by one of Children’s Hospital’s
LIFELINE vehicles to the Children’s Hospital
Neonatal Intensive Care Unit (NICU) from
the hospital in Sevierville where she was
born.
“I was a wreck driving to the hospital (in
Knoxville),” Tara said. “It was a nightmare.”
After Emma spent five days in the NICU,
Chad and Tara finally got to take her home.
She was not showing any serious side effects
from her slow heart rate such as loss of
oxygen, dizziness or shortness of breath.
Still, Stephen Prinz, M.D., neonatologist at
Children’s Hospital, ordered a heart monitor
to use with Emma while she slept at
night. The monitor’s results can be
digitally read at the Children’s
Hospital Home Health Care
office in Farragut without
a nurse or a therapist
having to go to Seymour.
Home Health also delivers
all of the necessary supplies
for the heart monitor to the
Woodroofs’ home.
Initially, the monitor was
adjusted to go off if Emma’s heart
rate dropped below 80 beats per minute.
This would usually occur four times a week.
Tara and Chad would have to get up every
time to reset the monitor and check to see
if Emma was still breathing.
“I would lie in bed and cry because I
dreaded it going off,” Tara said.
All of a sudden, the monitor started
going off 100 times a night. One night
Emma’s heart rate plummeted to the 40s,
which caused the monitor to go off more
than 200 times. Tara and Chad, who were
both working at the time, were tired and
scared. To evaluate the problem and search
for its cause, Emma’s pediatric cardiologist
scheduled her for a sleep study.
Emma, who was just 6 months old at
the time, came to the Children’s Hospital
Sleep Lab on February 6, 2003. The Sleep
Lab has two rooms equipped with the
latest technology for overnight observation
of children who are having problems with
sleep. Remodeling of the Sleep Lab this
fall will provide a third overnight room,
and a new Sleep Lab, part of the hospital’s
expansion (read more about the expansion
on page 9), is scheduled to open next year.
The Sleep Lab technicians applied self-
adhesive electrodes to Emma’s head, chest,
abdomen and legs to monitor brain waves,
eye movements, air flow, heartbeat, blood
oxygen levels and carbon dioxide levels.
Then, Emma and her parents settled into
one of the home-like rooms to try to get a
good night’s rest or, more appropriately, a
good night’s test.
“We felt helpless not knowing what was
causing it,” Tara said. “We knew Children’s
was the right place to be, because they truly
cared about what happened to her.”
In fact, the Sleep Lab staff cared so much
about Emma that they were all in tears
when, within 10 minutes of falling asleep,
Emma’s heart rate plunged so low they had
to wake her and her parents and rush her to
the Emergency Department down the hall.
Once awake, Emma appeared fine, but
she was carefully examined by Emergency
Department staff. Results from her short
sleep study ruled out several possible causes
of her heart irregularities, such as sleep
apnea. It was eventually discovered that two
of the nodes in Emma’s heart are blocked,
which, in basic terms, means the heart is
not receiving enough “electricity.” Though
Emma may eventually need a pacemaker
to artificially simulate the natural rhythmic
electrical discharges of the heart, for now
the condition isn’t life-threatening.
Now that the cause of Emma’s slow heart
rate is known, it is not necessary to watch
her as closely. Her heart works perfectly
while she is awake, and even though her
heart rate still slows when she sleeps,
it always goes back up on its own. Her
monitor is now set to go off at 50 beats per
minute, which rarely happens. Emma’s sleep
study not only led to her diagnosis but also
subsequently helped her parents
to get more sleep.
“She usually slept right
through her monitor beeping,
but we sure didn’t,” Tara
recalled with a laugh.
Emma is also a patient of
Youhanna Al-Tawil, M.D.,
pediatric gastroenterologist.
Dr. Al-Tawil is checking
Emma for possible gastroesophageal
reflux disease (GERD), which is when
gastric content is brought back up into the
esophagus. Emma had a probe study done
in March, and the results were normal.
“Children’s Hospital is like our family,”
Tara said. “We are so appreciative for each
person we have been fortunate to meet
through all of our time there.”
According to her primary pediatrician,
Fred Hodge, M.D., Emma has a bright
future and many sweet dreams ahead of her.
“In spite of a rough start, Emma is
continuously improving,” he said. “She has a
wonderful family to take care of her.”
by Katie Harvey, Publications Specialist
For bleary-eyed parents of newborns,
it never fails. Just as you have finally
fallen to sleep after a full day of feeding,
changing, carrying, holding and loving,
you are awakened by the sound of your
baby stirring in his or her crib.
“We felt helpless not
knowing what was
causing it,” Tara said.
“We knew Children’s
was the right place
to be, because they
truly cared about what
happened to her.”
76
The premier event of the 2003 holiday season in East Tennessee
will be highlighted with musical decorations and melodic symbols
heralding the arrival of the Christmas season. Guests will wander
through a magical forest of more than 260 beautifully decorated
trees, holiday accessories, room scenes, fireplace mantels, swags,
door designs, table centerpieces, topiaries and “Adopt-a-Trees”
decorated by local children.
Entertainers from throughout East Tennessee will perform daily
at the Fantasy Theater. Singers, dancers and other entertainers will
take center stage each day to share their talents and ring in the
holiday season. The Gingerbread Village will showcase gingerbread
houses deliciously constructed and decorated by area bakers, chefs
and school children. And, as always, visitors will be able to find
something for everyone on their shopping list at the Fantasy’s many
holiday shops.
A family-oriented event, the Fantasy of Trees offers activities
and fun for children of all ages. For the youngest guests, activities
include many returning favorites such as a beautiful 30-horse
carousel and visits with Santa. New activities include Jingle Buddies
(little musicians can personalize their own jingle bell), Fa La La
Flutes (children can make the sounds of the season come alive by
decorating their own flutes), Itsy Bitsy Trees (the smallest holiday
decorators can trim a tree just their size), My Very Own Stocking
(Santa will love filling these personally-decorated stockings with
goodies) and Santa’s Jazzy Band (children can be part of a special
holiday band, play a variety of instruments and watch their “show”
on a big-screen TV). New shops have been added this season
for the adults, making it even easier to complete Christmas
shopping lists.
Back by popular demand, the Fantasy of Trees presents “Home
for the Holidays,” sponsored by the Scripps Networks, which includes
HGTV, the Food Network, DIY (Do It Yourself) and Fine Living. This
unique area that debuted last year allows visitors to take home
great holiday decorating and entertaining ideas.
The “Home for the Holidays” area will also be the site of activities
hosted by Fantasy of Trees major sponsors. On Wednesday and
Saturday from 10 a.m. to noon, Shoney Bear will be on site for
photos with children and to hand out goodies. Also Saturday,
Goody’s and the Knoxville News Sentinel will present a holiday
fashion display in the “Home for the Holidays” booth from 9 a.m. to
noon. This will allow visitors to the Fantasy of Trees to see holiday
fashions and accessories “up close” and talk with Goody’s fashion
associates about dressing up their wardrobe for the holidays.
Special events at the Fantasy of Trees include:
Opening Night Gala
Tuesday, November 25, 7-11 p.m.
Be among the first to visit the 2003 Fantasy of Trees by attending
the Fantasy of Trees Opening Night Gala, sponsored by Metron
North America. It is the season’s most festive party, with a private
preview and sale of designer trees and accessories, a magnificent
buffet and dancing. Festive attire is requested at this black-tie-
optional event. Gala tickets are $150 per person and must be
purchased in advance; call (865) 541-8136 for ticket information
and availability.
Babes in Toyland Parade
Wednesday, November 26, 7 p.m.
The first and only indoor Christmas parade of the season features
children from area child care centers, a marching band, costumed
characters and holiday fun. The parade’s grand finale features Santa
Claus and indoor “fireworks” provided by Pyroshows, Inc. The
parade, sponsored by Dollywood, will be broadcast live on
WVLT-TV Volunteer News.
Call Home Free on Thanksgiving Day
Thursday, November 27, 3-9 p.m.
The Fantasy of Trees is one of the few sites in Knoxville open on
Thanksgiving Day. Consider making the Fantasy a tradition for
your family after enjoying your Thanksgiving feast. Visitors to the
Fantasy of Trees can chat with Grandma or another relative or
friend on this holiday, compliments of Sprint.
Santa’s Senior Stroll
Friday, November 28, 9-10 a.m.
Seniors and walkers of all ages can enjoy a one-mile walk through
the Fantasy of Trees. Santa’s Senior Stroll will be mapped out for
walkers so that they will know how many times they need to walk
through the Fantasy of Trees for a one-mile walk. Representatives
from Baptist Health System’s Senior Health Centers will be on
hand at the conclusion of the course to provide information on
health topics of interest to seniors and to offer free blood pressure
screenings. A half-price ticket of $4 will be available to seniors
from 9-10 a.m. during the event; this price cannot be combined
with any other discount. Santa’s Senior Stroll is sponsored by
Baptist Senior Health Centers and BellSouth.
Teddy Bear Breakfast and Lunch
Friday, November 28
Breadfast - 9 a.m.; Lunch - Noon
Sponsored by Comcast and Coca-Cola, the Teddy Bear Breakfast
and Lunch are special parties for children preschool through third
grade and their parents. The parties include a delicious meal, fun
activities, entertainment and a visit with Santa. Tickets are $20 per
person and include free admission to the Fantasy of Trees and a
holiday gift for each guest. Tickets must be purchased in advance;
call (865) 541-8136 for ticket information and availability.
The Fantasy of Trees is more than just a special holiday event
for many East Tennesseans. Proceeds from this year’s show will
be used to purchase new and replacement equipment for the
larger space and expanded services at the new Children’s Hospital
Rehabilitation Center, scheduled to open in March 2004. The
Fantasy has raised more than $3 million for Children’s Hospital
since its inception in 1985.
This spectacular holiday event would not be possible without
the more than 110,000 volunteer hours that make the Fantasy of
Trees a reality year after year. Children’s Hospital thanks everyone
involved in making this event a success, ensuring Children’s
Hospital can continue to provide the best in pediatric health care to
all of East Tennessee’s children.
For more information about the 2003 Fantasy of Trees, visit our
Web site at www.etch.com/fantasy.cfm.
by Elaina Davenport, student intern
Fantasy of Trees assistant co-chair Becky Vanzant and co-chairs
Karen Waldbauer and Belinda Ford (left to right)
98
Diabetes is a national epidemic in America’s
children, affecting more than 100,000 children
nationwide and more than 1,000 in East
Tennessee. Children’s Hospital and WATE-TV 6
have begun an important partnership to make
families in East Tennessee more aware of this
chronic health condition affecting so many of
our region’s children.
In the coming months, WATE co-anchor
Lori Tucker will report on the signs,
symptoms and dangers associated with
Type I and Type II diabetes through a series
of reports on the station’s newscasts. The
news station also will introduce a series of
innovative public service announcements
with a theme of “Mission Nutrition,” which
will provide healthy eating strategies
aimed at preventing overeating in children.
An ever-increasing number of children
locally and nationally are becoming obese
and, therefore, are more prone to Type II
diabetes.
On January 11, WATE will air a “campathon”
live from 8-9 p.m. to encourage the East
Tennessee community to be more involved
in this important pediatric health issue and
to raise money for Camp Cure, the Children’s
Hospital summer day-camp for diabetes
patients. Monies raised from the hour-long
event will provide funding for the camp and
allow children to attend for free.
“We are really excited about joining
forces with Children’s Hospital to help
spread the word about diabetes,” said Jan
Wade, General Manager of WATE. “Our
hope is that by providing the public with
much-needed information about this
serious health concern, we can truly make
a difference not only in the lives of children
and families currently affected by diabetes,
but also keep others from having to face
living with this medical condition.”
Look for more information about this
diabetes education partnership on WATE
and at www.etch.com.
by Janya Marshall,
Associate Director for Public Relations
Thirty years ago, Children’s Hospital’s
Social Work Department consisted of one
social worker, a tiny office located in the
back of an elevator shaft and an annual
caseload of a little more than 400 patients.
Today, Children’s Hospital employs 14 social
workers who, from their suite of offices
on the Second Floor of the Koppel Plaza,
assisted 3,500 patients and families in the
2002/03 fiscal year.
The growing numbers of cases and social
workers aren’t the only changes evident.
Since 1973, social work responsibilities
have also increased — and have changed
dramatically. Social workers assist families
with basic needs (clothing, food, financial
referrals, etc.), but more significantly, they
provide a wealth of additional services,
including supportive counseling, crisis
intervention, discharge planning, case
coordination, information and referral,
and language and hearing impaired
interpretation services.
The Social Work Department also helps
patients and families deal with the emotional
stress a child’s illness or injury can cause.
Social workers help by teaching therapeutic
coping techniques to patients and families
and by referring them to community
resources so families may receive ongoing
assistance after discharge from Children’s
Hospital. Sometimes emotions can become
more complicated when detailed medical
information is presented to already stressed
parents, and a social worker is often of
assistance in these situations.
“Sometimes we serve as a liaison between
physicians and patients and their families,
because they may feel overwhelmed, anxious
or unable to understand the information
provided,” said Beverly Schneider, Director of
Social Work.
It is important for medical information
to be conveyed properly to all patients and
families. The increase in non-English-
speaking families in East Tennessee has
made interpretation services necessary to
ensure the needs of this diverse population
are met. The Social Work Department
provides the resources needed for a non-
English-speaking patient and family to
communicate with and understand
medical staff.
For non-English speaking families,
three different interpretation services are
available. The Language Line, Inc., is a
24-hour telephone service for interpreters
in 148 languages. In the 2002/03 fiscal
year, 354 calls were placed to the Language
Line for the interpretation of a variety of
languages spoken by Children’s Hospital
patient families. Interpreting Resources
International, Inc., is a face-to-face Spanish
interpretation company that assisted 55
families in the 2002/03 fiscal year. Social
workers also used the services of the Knox
Area Communication Center for the Deaf for
18 hearing-impaired patients and families.
The role of a social worker is not one that
can be easily defined because of the broad
range of situations involved. Many cases
are opened for families with basic needs
— an aspect of Social Work that may be
unfamiliar to many people. On the other end
of the spectrum are the more sensitive cases
regarding issues such as abuse and neglect —
the types of cases the general public typically
identifies with the Social Work profession.
Social workers are actively involved in these
situations in various ways, including working
with outside agencies such as the Knoxville
Police Department and the Department of
Child Services.
“We do what we can to alleviate the stress
of the situation, but we do not investigate the
circumstances,” Schneider said. “We assist
the investigating agencies and serve as a
liaison between the agencies and staff.”
The Social Work Department also staffs
specific areas of the hospital to help with
situations that may arise. Areas covered are
the Neonatal Intensive Care Unit, Pediatric
Intensive Care Unit, the Second and Third
Floors, Emergency Department, Home Health
and outpatient clinics.
Children’s Hospital offers several services
to help families with basic needs; these
services are administered by the Social
Work Department. The meal program
was developed for families who arrive at
Children’s Hospital for unexpected medical
care and for families with financial need.
Those in an emergency situation or those
who have traveled a long distance on short
notice may benefit from the meal program,
which is funded by private community and
employee donations.
The Nancy Beltz Special Services Fund,
established in memory of the former Director
of Materials Management at Children’s
Hospital, assists families in ways that will
benefit a patient and perhaps speed recovery.
For example, the Special Services Fund has
helped families on occasion with utility
bills and even purchased coal for one family
to heat their house to ensure the patient
would be discharged to an adequately heated
home. The program has helped families with
individual need-based circumstances so that
the child’s health is not jeopardized once at
home, due to a situation such as lack of heat.
This fund is also financed through private
community and employee donations.
The Clothing Closet is another service of
the hospital for families who may have had
to leave home unexpectedly and are without
a clean change of clothing. The Children’s
Hospital Auxiliary collects clothing donations,
while the Social Work Department dispenses
the clothes as needed. Basic toiletry items,
such as shampoo and toothpaste, are also
available to families in need.
For additional information on the
different services social workers provide at
Children’s Hospital, contact the Social Work
Department at (865) 541-8457.
by Donna Lupinos, student intern
Jill Edds, a social worker in the Children’s
Hospital Neonatal Intensive Care Unit, visits
with 1-year-old Alan Ray Wunderlich and his
mother, Mary Wunderlich (at left).
Social Work encompasses wide variety
of services to meet patient, family needs
Partnership to highlight
diabetes program, awareness
JCAHO survey
a success
Children’s Hospital and Children’s
Hospital Home Health Care were awarded
a renewal of their three-year accreditation
following a successful survey by the
Joint Commission for the Accreditation of
Healthcare Organizations (JCAHO) during
the week of September 8-12.
The JCAHO surveyed Children’s Hospital
over three days and also conducted a
separate, four-and-a-half-day survey of the
hospital’s Home Health Care department,
which operates out of offices in Farragut.
In its preliminary report, the Joint
Commission survey team, which included
a pediatrician and a nurse, recommended
a three-year accreditation — the longest
period offered by the JCAHO — for the
hospital and home health.
The surveyors were extremely
complimentary of our organization, staff
and the care we provide to our patients and
families.
The JCAHO is a private, not-for-
profit organization that seeks to improve
the quality of health care through the
accreditation of health care organizations.
It began hospital inspections in 1918,
and today, the Joint Commission surveys
hospitals, health care networks, long-
term care pharmacies, laboratories and
organizations specializing in long-term
care, ambulatory care, behavioral health
and home care.
If you take a drive by Children’s Hospital
or if a child in your family must visit our
facility, it is obvious our campus continues
to undergo construction work. Progress
is being made toward completion of the
115,000-square-foot, seven-story patient
tower. Here is an update on what has been
completed and what the future holds for the
new hospital areas:
• Construction of the steel structure is
under way. The eastbound lane on Clinch
Avenue between 20th and 21st streets
is currently closed to accomplish this
phase of construction, which is set for
completion in several months.
• The four elevator shafts and stairwell for
the new tower are completed.
• The addition of a third floor over the
Emergency Department/Outpatient
Clinics is well under way.
• Work is continuing on the south side of
the hospital for the installation of new
heating and air-conditioning units on the
second, third and fourth floors.
In addition, the campus has been put on
a dual electrical feed from the Knoxville
Utilities Board to enable all hospital
buildings to be tied together through the
electrical systems.
Once construction is complete,
renovation of about 90,000 square feet of
existing hospital space will begin, including
modernization of all semi-private inpatient
rooms with half baths to private rooms with
full baths. These renovations are scheduled
to begin in late 2004.
The $31.8 million expansion and
renovation of Children’s Hospital will
ultimately allow for more space and
comfort for patients and families. Features
will include 95 private patient rooms with
full baths, an expanded 13-bed Pediatric
Intensive Care Unit and an expanded
44-bed Neonatal Intensive Care Unit.
The hospital’s licensed beds will increase
from 122 to 152, and the Emergency
Department will see an increase from 18
to 35 beds. In addition, the Surgery and
Radiology Departments will be expanded,
and more space will allow additional room
for a larger cafeteria, support services, staff
and storage.
by Matt Rongey, student intern
Construction project continues
1110
Michael J. Belmont, M.D.
B.S. — State University of New York at Buffalo, 1990
M.D. — State University of New York at Brooklyn, 1995
Internship (General Surgery) — Lenox Hill Hospital, New York,
New York, 1995-1996
Residency (Otolaryngology Head and Neck Surgery) — State
University of New York at Buffalo, 1996-1999. University of
Pennsylvania, 1999-2001
Fellowship (Pediatric Otolaryngology) — Children’s Hospital of
Pittsburgh, 2001-2003
Other — Board certified by the American Academy of Otolaryngology;
member of Alpha Omega Alpha medical honor society
Family — Wife, Tracey Belmont
Interests — Mountain biking, hiking, scuba diving, tennis, orchid and
bonsai cultivation
A desire to provide care to children
with complex medical problems led one
of Children’s Hospital’s newest pediatric
subspecialists to his chosen field.
Michael J. Belmont, M.D., grew
up in Long Island, New York. He
completed his undergraduate education
in electrical engineering at the State
University of New York at Buffalo and
went on to earn his medical degree
at the State University of New York at
Brooklyn.
Dr. Belmont spent three years as
a resident at the State University of
New York at Buffalo and completed
his residency in Otolaryngology Head
and Neck surgery at the University
of Pennsylvania. He then completed
a two-year fellowship in Pediatric
Otolaryngology at Children’s Hospital
of Pittsburgh, the oldest pediatric
otolaryngology fellowship in the nation.
Pediatric otolaryngologist
joins staff at Children’s
Dr. Belmont became interested
in otolaryngology during medical
school. “The specialty allows me
to treat a broad range of problems,
medically when possible, or surgically
when appropriate,” he said. He also
had strongly considered a career in
pediatrics but ultimately combined
his two greatest interests in medicine
in choosing to practice as a pediatric
otolaryngologist.
Dr. Belmont’s desire to move south
led him to consider East Tennessee
Children’s Hospital. At the same time,
John Little, M.D., was seeking a partner
for his Children’s Hospital-based
practice, Pediatric Otolaryngology
– Head and Neck Surgery, PLLC.
Children’s Hospital and the city of
Knoxville fit the bill perfectly for Dr.
Belmont, and he joined Dr. Little’s
practice this summer.
Dr. Belmont treats patients with
common medical problems such as
recurrent ear infections, recurrent
tonsillitis, allergy and sinus disorders,
and sleep apnea. He also specializes in
treating children with more complex
airway and breathing problems, and
children with head and neck tumors.
“I’m especially interested in
microsurgical repair of ear drum
perforations, ear bone abnormalities and
cholesteatomas that can be associated
with hearing loss,” Dr. Belmont said.
He also performs more common
surgeries such as tonsillectomy,
adenoidectomy and ear tube placement.
“While common for me, they are far
from routine when it’s your child; my goal
is to make these procedures as stress-free,
worry-free and pain-free as possible for
both the child and the parents,” he said.
Mary Gwyn Roper, M.D.
B.A. — Davidson College, Davidson, N.C., 1993
M.D. — Medical University of South Carolina, Charleston, 1997
Pediatric Residency — Medical College of Virginia, Richmond, Va.,
1997-2000
Fellowship (Pediatric Endocrinology) — University of North Carolina,
Chapel Hill, 2003
Family — Husband, John Roper
Interests — Tennis, water-skiing, cooking, working with the Turner
Syndrome Society
Pediatric endocrinologist
identifies with her patients
Subspecialist Profiles
Mary Gwyn Roper, M.D., has come full circle.
She spent her earliest years in Knoxville, where
she was diagnosed with an endocrine disorder.
This summer she returned to Knoxville to treat
children with similar medical problems.
Dr. Roper’s personal childhood experience
with a pediatric endocrinologist led her to
pursue the specialty as a profession. She was
born at Fort Sanders Regional Medical Center,
just across the street from Children’s Hospital;
and she was a patient of longtime Knoxville
pediatrician Dr. Henry Long, who is now
retired from the Pediatric Clinic group. When
Dr. Roper was 2 years old, Dr. Long referred
her to a pediatric endocrinologist in Chapel
Hill, N.C., for treatment of Turner Syndrome,
an endocrine disorder. Individuals with Turner
Syndrome may exhibit a wide variety and
degree of symptoms, including short stature
and ovarian failure, as well as other problems.
It is caused by a missing partial or whole X-
chromosome.
“I had a very astute pediatrician,” Dr. Roper
said. “He sent me to Chapel Hill because
there were no subspecialists here at Children’s
Hospital. Today, my family and I would not
have to go anywhere else for my care, because
Children’s Hospital now has physicians in most
of the pediatric specialties.”
As a child, Dr. Roper was treated with
growth hormone to increase her height. She
was a participant in pilot studies of growth
hormone and says the treatment she received as
a child, though unpleasant, was based on the
best knowledge available at the time.
She speaks from experience when she
says changes in growth hormone therapy are
one of the great improvements in pediatric
endocrinology. “The growth hormone injections
are now easier. They were previously given into
muscle and were very painful,” she said. “Now
they are given under the skin, which is less
painful, and dosing is more accurate as well.”
Regardless of the cause, “Treating children
with short stature is my big interest,” Dr. Roper
said. Because of her own short stature, she
can identify with these patients, who may also
have Turner Syndrome or another problem
that limits growth, such as an isolated growth
hormone deficiency or hypopituitarism.
In addition to growth disorders, Dr. Roper
treats many other endocrine disorders in
children. Perhaps 60 percent of her practice
is devoted to children with diabetes, both
Type 1 (often referred to as juvenile diabetes)
and Type 2 (frequently called adult-onset
diabetes). An increasing number of children
are being diagnosed with Type 2, which was
once primarily an adult disease but is now
recognized as a problem in overweight children.
Diabetes care is rapidly advancing, particularly
since insulin pumps became available to more
easily deliver insulin to pediatric patients. “This
is a huge area of research, and diabetes care is
really improving,” she said.
Other common conditions seen in the
pediatric endocrinology practice include
thyroid hormone problems, delayed or early
puberty and calcium disorders.
Among the biggest challenges Dr. Roper
faces as a pediatric endocrinologist is finding
adequate time to work with her patients and
their families. “It takes a great deal of time
and teaching, particularly with children with
diabetes, to educate our patients. We have
great nurse educators and great nutritionists,
but it just takes a lot of time and interaction
to meet our patients’ educational needs in the
office, in the Diabetes Outpatient Clinic or by
telephone because there is so much they need
to know.”
Dr. Roper returned this summer to
Knoxville, the city she left at age 9, to join
David Nickels, M.D., and Carmen Tapiador,
M.D., in their busy Children’s Hospital-based
pediatric endocrinology practice. Knoxville was
Dr. Roper’s parents’ hometown, and she still
has relatives in the area.
“I was interested in coming here but
didn’t know if it would be a possibility,” she
said. “I didn’t know there was a pediatric
endocrinology group here. I was excited to
learn about it.”
Working with Drs. Nickels and Tapiador, Dr.
Roper will help to meet the increasing medical
needs of this region’s children.
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
( )
Include
Children’s Hospital
in your estate plans.
Join the ABC Club.
For more information,
call (865) 541-8441.
1312
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 winter or if you’re interested in helping Children’s Hospital, several
upcoming events will let you accomplish both. Through the support of sponsors, volunteers 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 Office at (865) 541-8441 or
visit the calendar of events on the Children’s Hospital Web site at www.etch.com/attractions.cfm.
The 10th Amendment to the Constitution
of the United States reads as follows: “The
powers not delegated to the United States by
the Constitution, nor prohibited by it to the
states, are reserved to the states respectively,
or to the people.” Among the powers held
by each state is that of establishing its own
set of laws.
Though there may be some similarities
in the laws of each state, there are many
differences. Tennessee law contains three
different “titles” relating to wills and estates.
These contain 17 separate chapters with 15
different parts and more than 300 subparts.
If you find this confusing, imagine
trying to put together a “will kit” or a
software package that could be accurate
for all 50 states. Imagine dealing with a
software program with all of those intricate
differences and how confusing that could
be. The opportunities for error are enormous,
especially when you consider the number
of changes that can be made by 50 state
legislatures each year.
Whether you are wealthy or of more
modest means, there is simply no substitute
for your lawyer’s knowledge of the laws
of your state when drawing up your will.
Think for a moment about some of the
things your lawyer can do for you:
• Guide you as you select a guardian for
your minor children;
• Help you reach as many of your
objectives as possible with a minimum of
taxes and other headaches;
• Present alternative plans for you to
consider and explain the benefits and the
drawbacks of each;
• Advise you if your situation calls for the
expertise of other professionals such as
certified public accountants (CPAs), Trust
Officers or certified life underwriters
(CLUs);
• Guide you in selecting a personal
representative to carry out your wishes
through your will;
• Ensure your will is properly signed and
witnessed;
• Help you take special circumstances of all
types into account;
• Advise you about the benefits and
drawbacks of holding all property in joint
names;
• Advise you about charities you may wish
to assist through your will;
• Explain upcoming changes in estate law
and other important matters.
Just as each state has different laws, each
family has different priorities for handling
assets accumulated during a lifetime. Your
situation is important; it requires and
deserves the individual attention you can
only get from your lawyer. You and your
family deserve the peace of mind that
comes from having a properly drawn will.
For a copy of our free planning booklet,
“Personal Records,” please 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, or give us a
call at (865) 541-8441.
hy should I hire an attorney?
Can’t I just buy a “will kit” or some
software for my computer?
EstatePlanning...
Yourattorney:Thequarterbackofyourestateplanningteam
by David Rule,
Director of Development
• If you are looking for a unique gift for
someone special this holiday season, visit
Children’s Hospital November 13-14 for
the Robert Tino Holiday Sale. Nationally-
known artist Robert Tino of Sevierville
will be at Children’s Hospital on
Thursday, November 13, from 8 a.m. to
5 p.m. and on Friday, November 14,
from 7 a.m. to 2 p.m. The public is
invited to attend the seventh annual art
sale at Children’s Hospital, and Tino and
his wife, Mary John Tino, will donate a
portion of the proceeds from the sale to
Children’s Hospital as a holiday gift. Tino
will bring a variety of his work in all
price ranges to the two-day event,
including notecards, matted 8x10 prints,
art tiles, framed limited edition prints
and more.
• Colder weather is quickly approaching,
which means the winter blues can’t
be too far behind. A great way to cure
those blues is to attend the 7th annual
Jammin’ In Your Jammies, sponsored
by the Children’s Hospital Committee
for the Future. This pajama party is a
great family-oriented “mini-vacation”
that benefits Children’s Hospital.
Families will have the opportunity to
participate in fun games and activities,
be treated to an overnight stay at the
Holiday Inn Select — Cedar Bluff, and
enjoy dinner the night of their stay
and brunch the following morning.
Participants may attend Friday, January
30 (with brunch on Saturday) or
Saturday, January 31 (with brunch on
Sunday). All this “jammin” fun for a
family of four is only $100 if the family
pre-registers by January 23, 2004;
after the pre-registration deadline, the
cost per family is $115. A portion of
the event price is tax-deductible, and
additional family members can attend
for $25 per person. All proceeds from
this event benefit the Children’s Hospital
Child Life programs.
• On February 6 and 7, University of
Tennessee students will once again break
out their dancing shoes for the 9th annual
Dance Marathon. More than 350 students
will gather in Stokely Athletic Center on
the UT campus to spend 24 hours raising
money to benefit Children’s Hospital.
Besides lots of dancing, the activities
scheduled to keep everyone motivated
throughout the night include comedians,
live bands, karaoke, guest speakers and
visits from Hematology/Oncology patients
from Children’s Hospital. The event raises
money for the Hematology/Oncology
Endowment Fund, which provides
lifesaving treatment for children in East
Tennessee who are affected with cancer
and blood disorders. Last year, Dance
Marathon raised more than $101,000 for
the Hematology/Oncology clinic, and the
students involved in Dance Marathon
2004 are planning for an even more
successful event.
• Plans are under way for the 3rd annual
Star 102.1 Radiothon presented
by longtime Children’s Hospital
supporters Star 102.1 radio and the
Journal Broadcast Group. Radiothon
will take place March 4 and 5 at West
Town Mall, and the money raised
during the event will be used to buy
new medical equipment for Children’s
Hospital Home Health Care and the
new Children’s Hospital Rehabilitation
Center. Last year, Star 102.1 morning
radio personalities Marc and Kim and the
Journal Broadcast team raised more than
$120,000 for Children’s Hospital. Look
for the Star 102.1 Radiothon live from
the amphitheater in front of JCPenney.
Listeners and mall shoppers will have
the opportunity to pledge money while
November
Robert Tino Holiday Sale
at Children’s Hospital
November 13 & 14
Fantasy of Trees
November 26-30
January
WATE-TV Mini-Telethon for
Camp Cure (Diabetes Camp)
January 11
Jammin’ in Your Jammies
January 30 & 31 and February 1
February
University of Tennessee
Dance Marathon
February 6 & 7
March
Star 102.1 Radiothon
March 4 & 5
TK’s Breakfast
March 20
Dates to Remember
Upcoming events to benefit
Children’s Hospital
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.”
WW
listening to Children’s Hospital patient
stories and Marc and Kim on Star 102.1.
To volunteer to help with Radiothon,
call the Children’s Hospital Development
Office at (865) 541-8567 or listen to Star
102.1 radio for more details.
by Matt Rongey, student intern
1514
Q&A
Second-hand smoke
and its effect on children
Second-hand smoke, or passive smoke, puts children at an increased risk of suffering respiratory
ailments such as asthma, bronchiolitis and frequent pneumonia. Children are also more likely to have
reduced lung function and symptoms of breathing irritations like cough, excess phlegm and wheezing
when exposed to second-hand smoke. Steve Klyce, Respiratory Care Coordinator at Children’s Hospital,
offers the following information on second-hand smoke and its effect on children.
Upcoming
Community
Education
Classes
For more information or to register for any of these 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, sponsored by WBIR-TV Channel 10
and Chick-Fil-A, is a community education initiative of the hospital’s Community
Relations Department to help parents keep their children healthy.
Steve Klyce, Respiratory Care Coordinator
Infant & Child CPR
Monday, November 10 & Monday, December 15
6-9 p.m.
Children’s Hospital, Koppel Plaza — Cost: $18
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. Class sizes are limited,
so pre-registration is required.
Q: What problems may result if a woman
chooses to smoke while pregnant?
A: Women who smoke during pregnancy
greatly increase the chances of having a
baby with low birth weight and growth
delay during the first year. A fetus may face
side effects during pregnancy, which can
result in respiratory disorders and heart
disease because of his or her mother smoking.
Q: What problems can arise when
children are exposed to second-hand
smoke?
A: Unfortunately, children cannot protect
themselves from passive smoking. Parents
need to realize that passive smoking has
been associated with increased rates of
sudden infant death syndrome (SIDS),
low birth weight, delayed lung growth,
asthma, otitis media (ear infections), and
even burns due to house fires caused
by cigarettes. Children with respiratory
disease account for many lost school days
and parents missing time at work.
Q: What more serious problems may be
associated with children who already have
asthma?
A: Children who have a medical history of
asthma will suffer much more than other
children around second-hand smoking.
The most common symptoms of asthma
include recurring episodes of wheezing,
difficulty breathing and coughing. These
symptoms can significantly increase
around a smoker. The results can be
chronic breathing problems, a greater risk
of developing bronchiolitis and pneumonia.
Children with asthma seem to have very
sensitive or hyper-responsive airways.
When they come in contact with certain
triggers, such as smoke, the airways react
by tightening, swelling, becoming narrow
and clogging with mucous. This limits the
ability of the child to breathe air in and out
of the lungs. Sometimes this only lasts for a
short time and can be reversed with aerosol
medications (called bronchodilators);
however, it could also lead to more serious
asthma attacks.
Q: What do I do about others smoking
around my child?
A: Parents should be aware of their child’s
surroundings. Making healthy choices such
as eating in non-smoking sections or
smoke-free restaurants is helpful to the
entire family. To find out which businesses
are smoke-free in the Knoxville area, visit
the Smoke-Free Knoxville Web site at
www.smokefreeknoxville.com. Talking
with family members, friends or associates
who smoke and may be around your
children can be difficult. However, making
your home, car or office non-smoking will
set the rule without having to make others
uncomfortable. Explaining the effects
smoke will have on your child may also
encourage them to consider quitting.
Q: Are there tips to help me quit smoking?
A: There are many programs and options
to help in quitting. Children’s Hospital, in
association with the Knox County Health
Department, offers the 215-QUIT program
for those who would like assistance and
support in quitting. There are also Web
sites, programs with the American Cancer
Society and the American Lung Association
and advice from family physicians on
quitting. The most common denominator
in all of these is setting a personal plan and
goals to quit. Five keys to quitting may be:
1) Get ready. 2) Get support. 3) Learn new
skills and behaviors. 4) Get medications
and use them correctly. 5) Be prepared for
relapse or difficult situations, but don’t
give up.
Quitting can be very difficult for any
smoker, whether it has been a 2- or 20-year
addiction. Once the decision to quit is
made, think about the following questions:
Why do you want to quit? When you tried
to quit in the past, what helped and what
didn’t? What will be the most difficult
situations for you after you quit? Who will
help you through the tough times? What
pleasures do you get from smoking? How
can you still get pleasures if you quit?
Within a few days after quitting, mucus
in your airways starts to work to clear out
your lungs. Within a few weeks, circulation
improves, and you will be able to smell and
taste more, and within a year, your risk of
lung cancer begins to decrease.
Q: How do I prevent my teenager from
starting to smoke?
A: Approximately 80 percent of adult
smokers started smoking before the age of
18. Every day, nearly 5,000 young people
under the age of 18 try their first cigarette.
It is important to stress the negative
aspects of smoking — it’s smelly, expensive
and unhealthy — but also to communicate
in a positive manner with children and
adolescents.
Many teens start smoking because they
have friends, parents or older siblings who
smoke. Some look to cigarettes to help
“calm nerves” in uncomfortable social
situations like parties or dates. Teenage
girls may be led to believe that it will help
keep their weight under control. Many
other teens will smoke simply because it
isn’t acceptable in their families.
Talking with teens openly and honestly
about the effects of smoking may prevent
their curiousity from getting the best of
them. Introducing them to an adult who
has quit or had health problems as a result
of smoking may also help them think twice
before lighting up. It is also good to teach
teens alternatives to smoking and ways
to make an excuse in social settings for
not smoking. It is also important to help
change the theory that “everyone is doing
it.” Provide non-smoking adults and older
teens to prove that theory wrong.
Q: What resources are there for quitters
and those who want to quit?
A: There are a number of good
resources, such as the local American
Cancer Society, the Knox County Health
Department, a family physician, Web
sites such as www.thetruth.com and
www.tobaccofreekids.com, the American
Academy of Pediatrics, the American
Heart Association, the American Lung
Association, the National Cancer Institute
and many others.
Another great resource is other smokers
you know who have quit. They will provide
knowledge and support that another
person who has not experienced addiction
can understand.
Q: Are there any other tips that can help
me keep my child healthy?
A: The following list contains just a few
tips for parents and caregivers to use in the
overall health of children:
• The most important way to keep your
child completely healthy is to quit
smoking, and do not take your children
to areas where smoking is permitted.
If you choose not to quit smoking, do
not smoke in the house or around your
child.
• Do not smoke while in a car.
• Do not smoke if children are present,
especially infants and toddlers.
• Don’t allow caregivers to smoke near your
children.
• Find out the smoking policies of child
care providers, preschools, schools, and
other caregivers for your children.
• Tell other parents about the health risks
of passive smoking. Work within your
child’s school and in the community to
promote programs against smoking.
Each year on the Thursday before
Thanksgiving, the American Cancer
Society sponsors the Great American
Smokeout. The event is an upbeat, good-
natured effort to encourage smokers to
give up cigarettes for 24 hours. Many
organizations, businesses and hospitals
participate in the Great American
Smokeout. For more information, contact
the local office of the American Cancer
Society by calling (800) ACS-2345.
Nationally, smoking results in more
than 5.6 million years of potential life lost
each year. Those years don’t have to and
shouldn’t be taken from the lives of our
children.
compiled by Janya Marshall,
Associate Director for Public Relations
NON–PROFIT
ORGANIZATION
U.S. POSTAGE
PAID
PERMIT 433
KNOXVILLE, TN
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.
Children’s Hospital
2018 Clinch Ave. • P.O. Box 15010
Knoxville, Tennessee 37901-5010
RETURN SERVICE REQUESTED
The holidays are almost here, and many East Tennesseans
are already making gift lists and planning family gatherings.
The Children’s Hospital Auxiliary has an easy way to check one
important task off your holiday “to-do” list — purchase the just-
released 2003 Children’s Hospital Auxiliary Holiday Card and help
the area’s children at the same time.
Feature artist and Children’s Hospital Auxiliary member Jan
Church has designed an enchanting holiday card again this year.
Titled “…from Santa,” this season’s holiday card invokes a magical
feeling with presents piled high and a stocking filled to the brim.
In 1991, Church began designing greeting cards for Children’s
Hospital after her design “Bears on Sleighs” was chosen from a
prospective artist search. After designing the following year’s card,
Church took a year off. Because of the beautiful designs she paints
and the success of the card sales, Church was asked to return and
has donated the card design for several years running.
Church says she has always given of her talents,
but because Children’s Hospital is a child-centered
organization, it fits her interests and holds special
meaning for her.
Cards are $1 each; they can be purchased in any
quantity including boxed sets of 12 cards for $12, and
personalization is available. The cards are appropriate
for both business and personal use.
Proceeds from the holiday cards will be used to
support a variety of the Auxiliary’s programs at
Children’s Hospital including the toy cart, the video
cart, children’s books and other therapeutic activities,
all of which help to make a child’s hospitalization more
comfortable.
This is the 39th year that the Children’s Hospital’s
Auxiliary has sold holiday greeting cards to benefit the
hospital.
For more information or to place an order, call
the Volunteer Services and Resources Department at
(865) 541-8136.
by Elaina Davenport, student internJan Church

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It's About Children - Winter 2003 Issue by East Tennessee Children's Hospital

  • 1.
  • 2. 102 Board of Directors James S. Bush Chairman Robert Madigan, M.D. Vice Chairman Robert M. Goodfriend Secretary/Treasurer Michael Crabtree Dawn Ford Peyton Hairston Jeffory Jennings, M.D. Bob Koppel Donald E. Larmee, M.D. Dugan McLaughlin Chris Miller, M.D. Alvin Nance Dennis Ragsdale J. Finbarr Saunders, Jr. William F. Searle III Bill Terry, M.D. Laurens Tullock Danni Varlan Medical Staff Chris Miller, M.D. Chief of Staff Lewis Harris, M.D. Vice Chief of Staff David Nickels, M.D. Secretary Chiefs of Services Lise Christensen, M.D. Chief of Medicine Cameron Sears, M.D. Chief of Surgery David Birdwell, M.D. Chief of Pathology Clifford J. Meservy, M.D. Chief of Radiology Mike Mysinger, D.D.S. Chief of Dentistry Mark Cramolini, M.D. Chief of Anesthesiology Administration Bob Koppel President Paul Bates Vice President for Human Resources Joe Childs, M.D. Vice President for Medical Services Rudy McKinley Vice President for Operations Jim Pruitt Vice President for Finance Beckie Thomas, R.N. Vice President for Patient Care A quarterly publication of East Tennessee Children’s Hospital, It’s About Children is designed to inform the East Tennessee community about the hospital and the patients we serve. Children’s Hospital is a private, independent, not-for-profit pediatric medical center that has served the East Tennessee region for more than 65 years and is certified by the state of Tennessee as a Comprehensive Regional Pediatric Center. Ellen Liston Director of Community Relations David Rule Director of Development Wendy Hames Editor Neil Crosby Cover/Contributing Photographer “Because Children are Special…” …they deserve the best possible health care given in a positive 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 and adolescents.” Statement of Philosophy East Tennessee Children’s Hospital www.etch.com Artwork by some of Children’s Hospital’s special patients 3 On the cover: Emma Woodroof of Seymour will soon celebrate her second Christmas. Read her story on pages 4-5. – by Jessica, age 10 To Whom It May Concern: I am really proud of everything Children’s Hospital does for all the children who come through the doors. My son was born Aug. 25th, 1996, at Fort Sanders Regional Medical Center. He was also born 2 months early (32 weeks). He was a tiny little thing weighing in at 2 lb. 7 1/2 oz. He is now 6 years old and will be going into first grade at Gibbs Elementary School when school starts. The NICU staff became my family for 40 days that summer and fall. I am really grateful for everything they did while he was in their unit. Dr. Prinz is a fine man and doctor, and he was always very glad to answer any questions, and he eased any fears I had. If I were to look for the word “hero” in the dictionary, Dr. Prinz and his staff’s picture would be there. With their help, my son is the healthy, active child he is today. Thanks again for everything and everyone. Sincerely, Debbie Dunn Knoxville – by Stuart, age 5 To Whom It May Concern: On July 17, 2003, I took my daughter, Courtney, to your EmergencyDepartment. I thought it was for a very bad headache, possibly a migraine. Wemet a wonderful doctor, Dr. John Williams, Nancy the nurse and Kristen, yetanother great nurse. They ALL took wonderful care of my daughter and I. TheChild Life person was a very sweet girl named Ashley.After Dr. Williams had performed a strep test and Nancy had taken severalvials of blood, nothing showed up, so Dr. Williams had Nancy put a numbinggel on Courtney’s spine. Afterward, Dr. Williams performed the “lumbarpuncture.” It showed 108 white blood cells in her spinal fluid, and so headmitted Courtney to the hospital. She was in Room 314 on the Third Floor.The assistance our daughter received in your Emergency Department waswonderful. I was surprised at myself because I managed to stay so calm. Ihonestly believe a large part of that was due to your staff. The other part wasdue to the Good Lord. Once Courtney was in her room, again everyone who cared for her, Dr.DeAnn Holbrook, a nurse named Lisa, Deb, Rachael, JaVegas, David, ConnieCovington, Pat and probably others, were exceptional. Laurie, who so kindlycleaned my daughter’s room, was very nice and even came back in the roomand cleaned up where she had just cleaned and I had already made a mess.She was really sweet to do that. I have to thank the nurses who worked duringthose three days (July 17-19) at the nurses’ station, a great big thank you! If weneeded anything, someone always made sure we got what we needed. Theyalso made sure that our other daughter, Holly, was comfortable and had whatshe needed as well. Courtney got better and was able to go home on Saturday the 19th. I knewshe was feeling better that day because she was already starting to argue withher sister, before she was even discharged from the hospital. If I did leaveout anyone, please forgive me. Everyone we encountered at the hospital wentabove and beyond the call of duty. I can’t sing praises enough for all of yourstaff who took care of our daughter. My husband and I were told 17 years agothat we would never have children. So now that we have two beautiful, healthydaughters, whenever they get seriously sick, the panic starts to rise inside ofme. Luckily, we caught the illness, viral meningitis, in time and were able totake care of it. She has been her normal self since her discharge and back toher normal activities. Thank you so much for everything your staff did to help our daughter. MayGod richly bless each and every one of you! Sincerely, Brenda Darlene Fennel Knoxville Dear Mr. Koppel, I am writing to thank the staff at Children’s Hospital for the wonderful care that was provided to us while our son, Eric, was a patient. We had the unfortunate pleasure of visiting your hospital while we were on vacation in the Gatlinburg area. Eric developed appendicitis and required emergency surgery. You can only imagine how anxious we were when our son required surgery in a city that we were not familiar with; but everyone that we came in contact with was very understanding of our situation. Please let Will Ferguson, R.N., in the Emergency Department, know how thankful we were for the extra special attention he provided to our son, particularly since he had never been a patient in a hospital until that day. Eric had many questions, and Will answered all of his questions and let him know what he was doing each step of the way. It was particularly comforting for Will to tell us that our son may wake up in the Intensive Care Unit, not because there would be anything wrong, but because it was typical for patients in the evening to be recovered there. Your Child Life staff was very helpful as well. They provided our son with a television set and a Nintendo system to help keep him occupied as we waited. He was very nervous about his surgery. I would also like to extend a big thank you to Dr. Mick Connors in the Emergency Department and to Dr. David Schindel, the pediatric surgeon, for their care. They made us feel very comfortable and were very patient with us, and it didn’t hurt that they had a Hoosier connection. And please extend a thank you to the staff on Second Floor, particularly Karen Fieldsa, Amanda Brown and Seth Donly. I am sure there are others who helped to take care of Eric, but I cannot remember all their names. Not only did they take care of Eric, but they genuinely cared, not only for their patients, but for their families as well. We truly appreciate their care and concern. I only hope that if any of you ever required care in our area, that our hospital could provide the quality of care that was shown to us. Thankfully, Alice McCoy, R.N. Team Leader, Endoscopy Lab Columbus Regional Hospital Columbus, Indiana
  • 3. 4 5 Getting up in the middle of the night to attend to a newborn is a normal experience for most parents, and it was no different for Chad and Tara Woodroof of Seymour, Tenn. Except the sound they would awaken to almost every night when their daughter, Emma, was first born was a heart monitor reminding them of Emma’s medical condition. On September 4, 2002, Tara gave birth to a beautiful baby girl. But the excitement that usually surrounds such a wondrous occasion was soon replaced by fear. Emma was born with an abnormal heart rate and a heart murmur, and on September 6, she was transported by one of Children’s Hospital’s LIFELINE vehicles to the Children’s Hospital Neonatal Intensive Care Unit (NICU) from the hospital in Sevierville where she was born. “I was a wreck driving to the hospital (in Knoxville),” Tara said. “It was a nightmare.” After Emma spent five days in the NICU, Chad and Tara finally got to take her home. She was not showing any serious side effects from her slow heart rate such as loss of oxygen, dizziness or shortness of breath. Still, Stephen Prinz, M.D., neonatologist at Children’s Hospital, ordered a heart monitor to use with Emma while she slept at night. The monitor’s results can be digitally read at the Children’s Hospital Home Health Care office in Farragut without a nurse or a therapist having to go to Seymour. Home Health also delivers all of the necessary supplies for the heart monitor to the Woodroofs’ home. Initially, the monitor was adjusted to go off if Emma’s heart rate dropped below 80 beats per minute. This would usually occur four times a week. Tara and Chad would have to get up every time to reset the monitor and check to see if Emma was still breathing. “I would lie in bed and cry because I dreaded it going off,” Tara said. All of a sudden, the monitor started going off 100 times a night. One night Emma’s heart rate plummeted to the 40s, which caused the monitor to go off more than 200 times. Tara and Chad, who were both working at the time, were tired and scared. To evaluate the problem and search for its cause, Emma’s pediatric cardiologist scheduled her for a sleep study. Emma, who was just 6 months old at the time, came to the Children’s Hospital Sleep Lab on February 6, 2003. The Sleep Lab has two rooms equipped with the latest technology for overnight observation of children who are having problems with sleep. Remodeling of the Sleep Lab this fall will provide a third overnight room, and a new Sleep Lab, part of the hospital’s expansion (read more about the expansion on page 9), is scheduled to open next year. The Sleep Lab technicians applied self- adhesive electrodes to Emma’s head, chest, abdomen and legs to monitor brain waves, eye movements, air flow, heartbeat, blood oxygen levels and carbon dioxide levels. Then, Emma and her parents settled into one of the home-like rooms to try to get a good night’s rest or, more appropriately, a good night’s test. “We felt helpless not knowing what was causing it,” Tara said. “We knew Children’s was the right place to be, because they truly cared about what happened to her.” In fact, the Sleep Lab staff cared so much about Emma that they were all in tears when, within 10 minutes of falling asleep, Emma’s heart rate plunged so low they had to wake her and her parents and rush her to the Emergency Department down the hall. Once awake, Emma appeared fine, but she was carefully examined by Emergency Department staff. Results from her short sleep study ruled out several possible causes of her heart irregularities, such as sleep apnea. It was eventually discovered that two of the nodes in Emma’s heart are blocked, which, in basic terms, means the heart is not receiving enough “electricity.” Though Emma may eventually need a pacemaker to artificially simulate the natural rhythmic electrical discharges of the heart, for now the condition isn’t life-threatening. Now that the cause of Emma’s slow heart rate is known, it is not necessary to watch her as closely. Her heart works perfectly while she is awake, and even though her heart rate still slows when she sleeps, it always goes back up on its own. Her monitor is now set to go off at 50 beats per minute, which rarely happens. Emma’s sleep study not only led to her diagnosis but also subsequently helped her parents to get more sleep. “She usually slept right through her monitor beeping, but we sure didn’t,” Tara recalled with a laugh. Emma is also a patient of Youhanna Al-Tawil, M.D., pediatric gastroenterologist. Dr. Al-Tawil is checking Emma for possible gastroesophageal reflux disease (GERD), which is when gastric content is brought back up into the esophagus. Emma had a probe study done in March, and the results were normal. “Children’s Hospital is like our family,” Tara said. “We are so appreciative for each person we have been fortunate to meet through all of our time there.” According to her primary pediatrician, Fred Hodge, M.D., Emma has a bright future and many sweet dreams ahead of her. “In spite of a rough start, Emma is continuously improving,” he said. “She has a wonderful family to take care of her.” by Katie Harvey, Publications Specialist For bleary-eyed parents of newborns, it never fails. Just as you have finally fallen to sleep after a full day of feeding, changing, carrying, holding and loving, you are awakened by the sound of your baby stirring in his or her crib. “We felt helpless not knowing what was causing it,” Tara said. “We knew Children’s was the right place to be, because they truly cared about what happened to her.”
  • 4. 76 The premier event of the 2003 holiday season in East Tennessee will be highlighted with musical decorations and melodic symbols heralding the arrival of the Christmas season. Guests will wander through a magical forest of more than 260 beautifully decorated trees, holiday accessories, room scenes, fireplace mantels, swags, door designs, table centerpieces, topiaries and “Adopt-a-Trees” decorated by local children. Entertainers from throughout East Tennessee will perform daily at the Fantasy Theater. Singers, dancers and other entertainers will take center stage each day to share their talents and ring in the holiday season. The Gingerbread Village will showcase gingerbread houses deliciously constructed and decorated by area bakers, chefs and school children. And, as always, visitors will be able to find something for everyone on their shopping list at the Fantasy’s many holiday shops. A family-oriented event, the Fantasy of Trees offers activities and fun for children of all ages. For the youngest guests, activities include many returning favorites such as a beautiful 30-horse carousel and visits with Santa. New activities include Jingle Buddies (little musicians can personalize their own jingle bell), Fa La La Flutes (children can make the sounds of the season come alive by decorating their own flutes), Itsy Bitsy Trees (the smallest holiday decorators can trim a tree just their size), My Very Own Stocking (Santa will love filling these personally-decorated stockings with goodies) and Santa’s Jazzy Band (children can be part of a special holiday band, play a variety of instruments and watch their “show” on a big-screen TV). New shops have been added this season for the adults, making it even easier to complete Christmas shopping lists. Back by popular demand, the Fantasy of Trees presents “Home for the Holidays,” sponsored by the Scripps Networks, which includes HGTV, the Food Network, DIY (Do It Yourself) and Fine Living. This unique area that debuted last year allows visitors to take home great holiday decorating and entertaining ideas. The “Home for the Holidays” area will also be the site of activities hosted by Fantasy of Trees major sponsors. On Wednesday and Saturday from 10 a.m. to noon, Shoney Bear will be on site for photos with children and to hand out goodies. Also Saturday, Goody’s and the Knoxville News Sentinel will present a holiday fashion display in the “Home for the Holidays” booth from 9 a.m. to noon. This will allow visitors to the Fantasy of Trees to see holiday fashions and accessories “up close” and talk with Goody’s fashion associates about dressing up their wardrobe for the holidays. Special events at the Fantasy of Trees include: Opening Night Gala Tuesday, November 25, 7-11 p.m. Be among the first to visit the 2003 Fantasy of Trees by attending the Fantasy of Trees Opening Night Gala, sponsored by Metron North America. It is the season’s most festive party, with a private preview and sale of designer trees and accessories, a magnificent buffet and dancing. Festive attire is requested at this black-tie- optional event. Gala tickets are $150 per person and must be purchased in advance; call (865) 541-8136 for ticket information and availability. Babes in Toyland Parade Wednesday, November 26, 7 p.m. The first and only indoor Christmas parade of the season features children from area child care centers, a marching band, costumed characters and holiday fun. The parade’s grand finale features Santa Claus and indoor “fireworks” provided by Pyroshows, Inc. The parade, sponsored by Dollywood, will be broadcast live on WVLT-TV Volunteer News. Call Home Free on Thanksgiving Day Thursday, November 27, 3-9 p.m. The Fantasy of Trees is one of the few sites in Knoxville open on Thanksgiving Day. Consider making the Fantasy a tradition for your family after enjoying your Thanksgiving feast. Visitors to the Fantasy of Trees can chat with Grandma or another relative or friend on this holiday, compliments of Sprint. Santa’s Senior Stroll Friday, November 28, 9-10 a.m. Seniors and walkers of all ages can enjoy a one-mile walk through the Fantasy of Trees. Santa’s Senior Stroll will be mapped out for walkers so that they will know how many times they need to walk through the Fantasy of Trees for a one-mile walk. Representatives from Baptist Health System’s Senior Health Centers will be on hand at the conclusion of the course to provide information on health topics of interest to seniors and to offer free blood pressure screenings. A half-price ticket of $4 will be available to seniors from 9-10 a.m. during the event; this price cannot be combined with any other discount. Santa’s Senior Stroll is sponsored by Baptist Senior Health Centers and BellSouth. Teddy Bear Breakfast and Lunch Friday, November 28 Breadfast - 9 a.m.; Lunch - Noon Sponsored by Comcast and Coca-Cola, the Teddy Bear Breakfast and Lunch are special parties for children preschool through third grade and their parents. The parties include a delicious meal, fun activities, entertainment and a visit with Santa. Tickets are $20 per person and include free admission to the Fantasy of Trees and a holiday gift for each guest. Tickets must be purchased in advance; call (865) 541-8136 for ticket information and availability. The Fantasy of Trees is more than just a special holiday event for many East Tennesseans. Proceeds from this year’s show will be used to purchase new and replacement equipment for the larger space and expanded services at the new Children’s Hospital Rehabilitation Center, scheduled to open in March 2004. The Fantasy has raised more than $3 million for Children’s Hospital since its inception in 1985. This spectacular holiday event would not be possible without the more than 110,000 volunteer hours that make the Fantasy of Trees a reality year after year. Children’s Hospital thanks everyone involved in making this event a success, ensuring Children’s Hospital can continue to provide the best in pediatric health care to all of East Tennessee’s children. For more information about the 2003 Fantasy of Trees, visit our Web site at www.etch.com/fantasy.cfm. by Elaina Davenport, student intern Fantasy of Trees assistant co-chair Becky Vanzant and co-chairs Karen Waldbauer and Belinda Ford (left to right)
  • 5. 98 Diabetes is a national epidemic in America’s children, affecting more than 100,000 children nationwide and more than 1,000 in East Tennessee. Children’s Hospital and WATE-TV 6 have begun an important partnership to make families in East Tennessee more aware of this chronic health condition affecting so many of our region’s children. In the coming months, WATE co-anchor Lori Tucker will report on the signs, symptoms and dangers associated with Type I and Type II diabetes through a series of reports on the station’s newscasts. The news station also will introduce a series of innovative public service announcements with a theme of “Mission Nutrition,” which will provide healthy eating strategies aimed at preventing overeating in children. An ever-increasing number of children locally and nationally are becoming obese and, therefore, are more prone to Type II diabetes. On January 11, WATE will air a “campathon” live from 8-9 p.m. to encourage the East Tennessee community to be more involved in this important pediatric health issue and to raise money for Camp Cure, the Children’s Hospital summer day-camp for diabetes patients. Monies raised from the hour-long event will provide funding for the camp and allow children to attend for free. “We are really excited about joining forces with Children’s Hospital to help spread the word about diabetes,” said Jan Wade, General Manager of WATE. “Our hope is that by providing the public with much-needed information about this serious health concern, we can truly make a difference not only in the lives of children and families currently affected by diabetes, but also keep others from having to face living with this medical condition.” Look for more information about this diabetes education partnership on WATE and at www.etch.com. by Janya Marshall, Associate Director for Public Relations Thirty years ago, Children’s Hospital’s Social Work Department consisted of one social worker, a tiny office located in the back of an elevator shaft and an annual caseload of a little more than 400 patients. Today, Children’s Hospital employs 14 social workers who, from their suite of offices on the Second Floor of the Koppel Plaza, assisted 3,500 patients and families in the 2002/03 fiscal year. The growing numbers of cases and social workers aren’t the only changes evident. Since 1973, social work responsibilities have also increased — and have changed dramatically. Social workers assist families with basic needs (clothing, food, financial referrals, etc.), but more significantly, they provide a wealth of additional services, including supportive counseling, crisis intervention, discharge planning, case coordination, information and referral, and language and hearing impaired interpretation services. The Social Work Department also helps patients and families deal with the emotional stress a child’s illness or injury can cause. Social workers help by teaching therapeutic coping techniques to patients and families and by referring them to community resources so families may receive ongoing assistance after discharge from Children’s Hospital. Sometimes emotions can become more complicated when detailed medical information is presented to already stressed parents, and a social worker is often of assistance in these situations. “Sometimes we serve as a liaison between physicians and patients and their families, because they may feel overwhelmed, anxious or unable to understand the information provided,” said Beverly Schneider, Director of Social Work. It is important for medical information to be conveyed properly to all patients and families. The increase in non-English- speaking families in East Tennessee has made interpretation services necessary to ensure the needs of this diverse population are met. The Social Work Department provides the resources needed for a non- English-speaking patient and family to communicate with and understand medical staff. For non-English speaking families, three different interpretation services are available. The Language Line, Inc., is a 24-hour telephone service for interpreters in 148 languages. In the 2002/03 fiscal year, 354 calls were placed to the Language Line for the interpretation of a variety of languages spoken by Children’s Hospital patient families. Interpreting Resources International, Inc., is a face-to-face Spanish interpretation company that assisted 55 families in the 2002/03 fiscal year. Social workers also used the services of the Knox Area Communication Center for the Deaf for 18 hearing-impaired patients and families. The role of a social worker is not one that can be easily defined because of the broad range of situations involved. Many cases are opened for families with basic needs — an aspect of Social Work that may be unfamiliar to many people. On the other end of the spectrum are the more sensitive cases regarding issues such as abuse and neglect — the types of cases the general public typically identifies with the Social Work profession. Social workers are actively involved in these situations in various ways, including working with outside agencies such as the Knoxville Police Department and the Department of Child Services. “We do what we can to alleviate the stress of the situation, but we do not investigate the circumstances,” Schneider said. “We assist the investigating agencies and serve as a liaison between the agencies and staff.” The Social Work Department also staffs specific areas of the hospital to help with situations that may arise. Areas covered are the Neonatal Intensive Care Unit, Pediatric Intensive Care Unit, the Second and Third Floors, Emergency Department, Home Health and outpatient clinics. Children’s Hospital offers several services to help families with basic needs; these services are administered by the Social Work Department. The meal program was developed for families who arrive at Children’s Hospital for unexpected medical care and for families with financial need. Those in an emergency situation or those who have traveled a long distance on short notice may benefit from the meal program, which is funded by private community and employee donations. The Nancy Beltz Special Services Fund, established in memory of the former Director of Materials Management at Children’s Hospital, assists families in ways that will benefit a patient and perhaps speed recovery. For example, the Special Services Fund has helped families on occasion with utility bills and even purchased coal for one family to heat their house to ensure the patient would be discharged to an adequately heated home. The program has helped families with individual need-based circumstances so that the child’s health is not jeopardized once at home, due to a situation such as lack of heat. This fund is also financed through private community and employee donations. The Clothing Closet is another service of the hospital for families who may have had to leave home unexpectedly and are without a clean change of clothing. The Children’s Hospital Auxiliary collects clothing donations, while the Social Work Department dispenses the clothes as needed. Basic toiletry items, such as shampoo and toothpaste, are also available to families in need. For additional information on the different services social workers provide at Children’s Hospital, contact the Social Work Department at (865) 541-8457. by Donna Lupinos, student intern Jill Edds, a social worker in the Children’s Hospital Neonatal Intensive Care Unit, visits with 1-year-old Alan Ray Wunderlich and his mother, Mary Wunderlich (at left). Social Work encompasses wide variety of services to meet patient, family needs Partnership to highlight diabetes program, awareness JCAHO survey a success Children’s Hospital and Children’s Hospital Home Health Care were awarded a renewal of their three-year accreditation following a successful survey by the Joint Commission for the Accreditation of Healthcare Organizations (JCAHO) during the week of September 8-12. The JCAHO surveyed Children’s Hospital over three days and also conducted a separate, four-and-a-half-day survey of the hospital’s Home Health Care department, which operates out of offices in Farragut. In its preliminary report, the Joint Commission survey team, which included a pediatrician and a nurse, recommended a three-year accreditation — the longest period offered by the JCAHO — for the hospital and home health. The surveyors were extremely complimentary of our organization, staff and the care we provide to our patients and families. The JCAHO is a private, not-for- profit organization that seeks to improve the quality of health care through the accreditation of health care organizations. It began hospital inspections in 1918, and today, the Joint Commission surveys hospitals, health care networks, long- term care pharmacies, laboratories and organizations specializing in long-term care, ambulatory care, behavioral health and home care. If you take a drive by Children’s Hospital or if a child in your family must visit our facility, it is obvious our campus continues to undergo construction work. Progress is being made toward completion of the 115,000-square-foot, seven-story patient tower. Here is an update on what has been completed and what the future holds for the new hospital areas: • Construction of the steel structure is under way. The eastbound lane on Clinch Avenue between 20th and 21st streets is currently closed to accomplish this phase of construction, which is set for completion in several months. • The four elevator shafts and stairwell for the new tower are completed. • The addition of a third floor over the Emergency Department/Outpatient Clinics is well under way. • Work is continuing on the south side of the hospital for the installation of new heating and air-conditioning units on the second, third and fourth floors. In addition, the campus has been put on a dual electrical feed from the Knoxville Utilities Board to enable all hospital buildings to be tied together through the electrical systems. Once construction is complete, renovation of about 90,000 square feet of existing hospital space will begin, including modernization of all semi-private inpatient rooms with half baths to private rooms with full baths. These renovations are scheduled to begin in late 2004. The $31.8 million expansion and renovation of Children’s Hospital will ultimately allow for more space and comfort for patients and families. Features will include 95 private patient rooms with full baths, an expanded 13-bed Pediatric Intensive Care Unit and an expanded 44-bed Neonatal Intensive Care Unit. The hospital’s licensed beds will increase from 122 to 152, and the Emergency Department will see an increase from 18 to 35 beds. In addition, the Surgery and Radiology Departments will be expanded, and more space will allow additional room for a larger cafeteria, support services, staff and storage. by Matt Rongey, student intern Construction project continues
  • 6. 1110 Michael J. Belmont, M.D. B.S. — State University of New York at Buffalo, 1990 M.D. — State University of New York at Brooklyn, 1995 Internship (General Surgery) — Lenox Hill Hospital, New York, New York, 1995-1996 Residency (Otolaryngology Head and Neck Surgery) — State University of New York at Buffalo, 1996-1999. University of Pennsylvania, 1999-2001 Fellowship (Pediatric Otolaryngology) — Children’s Hospital of Pittsburgh, 2001-2003 Other — Board certified by the American Academy of Otolaryngology; member of Alpha Omega Alpha medical honor society Family — Wife, Tracey Belmont Interests — Mountain biking, hiking, scuba diving, tennis, orchid and bonsai cultivation A desire to provide care to children with complex medical problems led one of Children’s Hospital’s newest pediatric subspecialists to his chosen field. Michael J. Belmont, M.D., grew up in Long Island, New York. He completed his undergraduate education in electrical engineering at the State University of New York at Buffalo and went on to earn his medical degree at the State University of New York at Brooklyn. Dr. Belmont spent three years as a resident at the State University of New York at Buffalo and completed his residency in Otolaryngology Head and Neck surgery at the University of Pennsylvania. He then completed a two-year fellowship in Pediatric Otolaryngology at Children’s Hospital of Pittsburgh, the oldest pediatric otolaryngology fellowship in the nation. Pediatric otolaryngologist joins staff at Children’s Dr. Belmont became interested in otolaryngology during medical school. “The specialty allows me to treat a broad range of problems, medically when possible, or surgically when appropriate,” he said. He also had strongly considered a career in pediatrics but ultimately combined his two greatest interests in medicine in choosing to practice as a pediatric otolaryngologist. Dr. Belmont’s desire to move south led him to consider East Tennessee Children’s Hospital. At the same time, John Little, M.D., was seeking a partner for his Children’s Hospital-based practice, Pediatric Otolaryngology – Head and Neck Surgery, PLLC. Children’s Hospital and the city of Knoxville fit the bill perfectly for Dr. Belmont, and he joined Dr. Little’s practice this summer. Dr. Belmont treats patients with common medical problems such as recurrent ear infections, recurrent tonsillitis, allergy and sinus disorders, and sleep apnea. He also specializes in treating children with more complex airway and breathing problems, and children with head and neck tumors. “I’m especially interested in microsurgical repair of ear drum perforations, ear bone abnormalities and cholesteatomas that can be associated with hearing loss,” Dr. Belmont said. He also performs more common surgeries such as tonsillectomy, adenoidectomy and ear tube placement. “While common for me, they are far from routine when it’s your child; my goal is to make these procedures as stress-free, worry-free and pain-free as possible for both the child and the parents,” he said. Mary Gwyn Roper, M.D. B.A. — Davidson College, Davidson, N.C., 1993 M.D. — Medical University of South Carolina, Charleston, 1997 Pediatric Residency — Medical College of Virginia, Richmond, Va., 1997-2000 Fellowship (Pediatric Endocrinology) — University of North Carolina, Chapel Hill, 2003 Family — Husband, John Roper Interests — Tennis, water-skiing, cooking, working with the Turner Syndrome Society Pediatric endocrinologist identifies with her patients Subspecialist Profiles Mary Gwyn Roper, M.D., has come full circle. She spent her earliest years in Knoxville, where she was diagnosed with an endocrine disorder. This summer she returned to Knoxville to treat children with similar medical problems. Dr. Roper’s personal childhood experience with a pediatric endocrinologist led her to pursue the specialty as a profession. She was born at Fort Sanders Regional Medical Center, just across the street from Children’s Hospital; and she was a patient of longtime Knoxville pediatrician Dr. Henry Long, who is now retired from the Pediatric Clinic group. When Dr. Roper was 2 years old, Dr. Long referred her to a pediatric endocrinologist in Chapel Hill, N.C., for treatment of Turner Syndrome, an endocrine disorder. Individuals with Turner Syndrome may exhibit a wide variety and degree of symptoms, including short stature and ovarian failure, as well as other problems. It is caused by a missing partial or whole X- chromosome. “I had a very astute pediatrician,” Dr. Roper said. “He sent me to Chapel Hill because there were no subspecialists here at Children’s Hospital. Today, my family and I would not have to go anywhere else for my care, because Children’s Hospital now has physicians in most of the pediatric specialties.” As a child, Dr. Roper was treated with growth hormone to increase her height. She was a participant in pilot studies of growth hormone and says the treatment she received as a child, though unpleasant, was based on the best knowledge available at the time. She speaks from experience when she says changes in growth hormone therapy are one of the great improvements in pediatric endocrinology. “The growth hormone injections are now easier. They were previously given into muscle and were very painful,” she said. “Now they are given under the skin, which is less painful, and dosing is more accurate as well.” Regardless of the cause, “Treating children with short stature is my big interest,” Dr. Roper said. Because of her own short stature, she can identify with these patients, who may also have Turner Syndrome or another problem that limits growth, such as an isolated growth hormone deficiency or hypopituitarism. In addition to growth disorders, Dr. Roper treats many other endocrine disorders in children. Perhaps 60 percent of her practice is devoted to children with diabetes, both Type 1 (often referred to as juvenile diabetes) and Type 2 (frequently called adult-onset diabetes). An increasing number of children are being diagnosed with Type 2, which was once primarily an adult disease but is now recognized as a problem in overweight children. Diabetes care is rapidly advancing, particularly since insulin pumps became available to more easily deliver insulin to pediatric patients. “This is a huge area of research, and diabetes care is really improving,” she said. Other common conditions seen in the pediatric endocrinology practice include thyroid hormone problems, delayed or early puberty and calcium disorders. Among the biggest challenges Dr. Roper faces as a pediatric endocrinologist is finding adequate time to work with her patients and their families. “It takes a great deal of time and teaching, particularly with children with diabetes, to educate our patients. We have great nurse educators and great nutritionists, but it just takes a lot of time and interaction to meet our patients’ educational needs in the office, in the Diabetes Outpatient Clinic or by telephone because there is so much they need to know.” Dr. Roper returned this summer to Knoxville, the city she left at age 9, to join David Nickels, M.D., and Carmen Tapiador, M.D., in their busy Children’s Hospital-based pediatric endocrinology practice. Knoxville was Dr. Roper’s parents’ hometown, and she still has relatives in the area. “I was interested in coming here but didn’t know if it would be a possibility,” she said. “I didn’t know there was a pediatric endocrinology group here. I was excited to learn about it.” Working with Drs. Nickels and Tapiador, Dr. Roper will help to meet the increasing medical needs of this region’s children.
  • 7. 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 ( ) Include Children’s Hospital in your estate plans. Join the ABC Club. For more information, call (865) 541-8441. 1312 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 winter or if you’re interested in helping Children’s Hospital, several upcoming events will let you accomplish both. Through the support of sponsors, volunteers 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 Office at (865) 541-8441 or visit the calendar of events on the Children’s Hospital Web site at www.etch.com/attractions.cfm. The 10th Amendment to the Constitution of the United States reads as follows: “The powers not delegated to the United States by the Constitution, nor prohibited by it to the states, are reserved to the states respectively, or to the people.” Among the powers held by each state is that of establishing its own set of laws. Though there may be some similarities in the laws of each state, there are many differences. Tennessee law contains three different “titles” relating to wills and estates. These contain 17 separate chapters with 15 different parts and more than 300 subparts. If you find this confusing, imagine trying to put together a “will kit” or a software package that could be accurate for all 50 states. Imagine dealing with a software program with all of those intricate differences and how confusing that could be. The opportunities for error are enormous, especially when you consider the number of changes that can be made by 50 state legislatures each year. Whether you are wealthy or of more modest means, there is simply no substitute for your lawyer’s knowledge of the laws of your state when drawing up your will. Think for a moment about some of the things your lawyer can do for you: • Guide you as you select a guardian for your minor children; • Help you reach as many of your objectives as possible with a minimum of taxes and other headaches; • Present alternative plans for you to consider and explain the benefits and the drawbacks of each; • Advise you if your situation calls for the expertise of other professionals such as certified public accountants (CPAs), Trust Officers or certified life underwriters (CLUs); • Guide you in selecting a personal representative to carry out your wishes through your will; • Ensure your will is properly signed and witnessed; • Help you take special circumstances of all types into account; • Advise you about the benefits and drawbacks of holding all property in joint names; • Advise you about charities you may wish to assist through your will; • Explain upcoming changes in estate law and other important matters. Just as each state has different laws, each family has different priorities for handling assets accumulated during a lifetime. Your situation is important; it requires and deserves the individual attention you can only get from your lawyer. You and your family deserve the peace of mind that comes from having a properly drawn will. For a copy of our free planning booklet, “Personal Records,” please 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, or give us a call at (865) 541-8441. hy should I hire an attorney? Can’t I just buy a “will kit” or some software for my computer? EstatePlanning... Yourattorney:Thequarterbackofyourestateplanningteam by David Rule, Director of Development • If you are looking for a unique gift for someone special this holiday season, visit Children’s Hospital November 13-14 for the Robert Tino Holiday Sale. Nationally- known artist Robert Tino of Sevierville will be at Children’s Hospital on Thursday, November 13, from 8 a.m. to 5 p.m. and on Friday, November 14, from 7 a.m. to 2 p.m. The public is invited to attend the seventh annual art sale at Children’s Hospital, and Tino and his wife, Mary John Tino, will donate a portion of the proceeds from the sale to Children’s Hospital as a holiday gift. Tino will bring a variety of his work in all price ranges to the two-day event, including notecards, matted 8x10 prints, art tiles, framed limited edition prints and more. • Colder weather is quickly approaching, which means the winter blues can’t be too far behind. A great way to cure those blues is to attend the 7th annual Jammin’ In Your Jammies, sponsored by the Children’s Hospital Committee for the Future. This pajama party is a great family-oriented “mini-vacation” that benefits Children’s Hospital. Families will have the opportunity to participate in fun games and activities, be treated to an overnight stay at the Holiday Inn Select — Cedar Bluff, and enjoy dinner the night of their stay and brunch the following morning. Participants may attend Friday, January 30 (with brunch on Saturday) or Saturday, January 31 (with brunch on Sunday). All this “jammin” fun for a family of four is only $100 if the family pre-registers by January 23, 2004; after the pre-registration deadline, the cost per family is $115. A portion of the event price is tax-deductible, and additional family members can attend for $25 per person. All proceeds from this event benefit the Children’s Hospital Child Life programs. • On February 6 and 7, University of Tennessee students will once again break out their dancing shoes for the 9th annual Dance Marathon. More than 350 students will gather in Stokely Athletic Center on the UT campus to spend 24 hours raising money to benefit Children’s Hospital. Besides lots of dancing, the activities scheduled to keep everyone motivated throughout the night include comedians, live bands, karaoke, guest speakers and visits from Hematology/Oncology patients from Children’s Hospital. The event raises money for the Hematology/Oncology Endowment Fund, which provides lifesaving treatment for children in East Tennessee who are affected with cancer and blood disorders. Last year, Dance Marathon raised more than $101,000 for the Hematology/Oncology clinic, and the students involved in Dance Marathon 2004 are planning for an even more successful event. • Plans are under way for the 3rd annual Star 102.1 Radiothon presented by longtime Children’s Hospital supporters Star 102.1 radio and the Journal Broadcast Group. Radiothon will take place March 4 and 5 at West Town Mall, and the money raised during the event will be used to buy new medical equipment for Children’s Hospital Home Health Care and the new Children’s Hospital Rehabilitation Center. Last year, Star 102.1 morning radio personalities Marc and Kim and the Journal Broadcast team raised more than $120,000 for Children’s Hospital. Look for the Star 102.1 Radiothon live from the amphitheater in front of JCPenney. Listeners and mall shoppers will have the opportunity to pledge money while November Robert Tino Holiday Sale at Children’s Hospital November 13 & 14 Fantasy of Trees November 26-30 January WATE-TV Mini-Telethon for Camp Cure (Diabetes Camp) January 11 Jammin’ in Your Jammies January 30 & 31 and February 1 February University of Tennessee Dance Marathon February 6 & 7 March Star 102.1 Radiothon March 4 & 5 TK’s Breakfast March 20 Dates to Remember Upcoming events to benefit Children’s Hospital 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.” WW listening to Children’s Hospital patient stories and Marc and Kim on Star 102.1. To volunteer to help with Radiothon, call the Children’s Hospital Development Office at (865) 541-8567 or listen to Star 102.1 radio for more details. by Matt Rongey, student intern
  • 8. 1514 Q&A Second-hand smoke and its effect on children Second-hand smoke, or passive smoke, puts children at an increased risk of suffering respiratory ailments such as asthma, bronchiolitis and frequent pneumonia. Children are also more likely to have reduced lung function and symptoms of breathing irritations like cough, excess phlegm and wheezing when exposed to second-hand smoke. Steve Klyce, Respiratory Care Coordinator at Children’s Hospital, offers the following information on second-hand smoke and its effect on children. Upcoming Community Education Classes For more information or to register for any of these 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, sponsored by WBIR-TV Channel 10 and Chick-Fil-A, is a community education initiative of the hospital’s Community Relations Department to help parents keep their children healthy. Steve Klyce, Respiratory Care Coordinator Infant & Child CPR Monday, November 10 & Monday, December 15 6-9 p.m. Children’s Hospital, Koppel Plaza — Cost: $18 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. Class sizes are limited, so pre-registration is required. Q: What problems may result if a woman chooses to smoke while pregnant? A: Women who smoke during pregnancy greatly increase the chances of having a baby with low birth weight and growth delay during the first year. A fetus may face side effects during pregnancy, which can result in respiratory disorders and heart disease because of his or her mother smoking. Q: What problems can arise when children are exposed to second-hand smoke? A: Unfortunately, children cannot protect themselves from passive smoking. Parents need to realize that passive smoking has been associated with increased rates of sudden infant death syndrome (SIDS), low birth weight, delayed lung growth, asthma, otitis media (ear infections), and even burns due to house fires caused by cigarettes. Children with respiratory disease account for many lost school days and parents missing time at work. Q: What more serious problems may be associated with children who already have asthma? A: Children who have a medical history of asthma will suffer much more than other children around second-hand smoking. The most common symptoms of asthma include recurring episodes of wheezing, difficulty breathing and coughing. These symptoms can significantly increase around a smoker. The results can be chronic breathing problems, a greater risk of developing bronchiolitis and pneumonia. Children with asthma seem to have very sensitive or hyper-responsive airways. When they come in contact with certain triggers, such as smoke, the airways react by tightening, swelling, becoming narrow and clogging with mucous. This limits the ability of the child to breathe air in and out of the lungs. Sometimes this only lasts for a short time and can be reversed with aerosol medications (called bronchodilators); however, it could also lead to more serious asthma attacks. Q: What do I do about others smoking around my child? A: Parents should be aware of their child’s surroundings. Making healthy choices such as eating in non-smoking sections or smoke-free restaurants is helpful to the entire family. To find out which businesses are smoke-free in the Knoxville area, visit the Smoke-Free Knoxville Web site at www.smokefreeknoxville.com. Talking with family members, friends or associates who smoke and may be around your children can be difficult. However, making your home, car or office non-smoking will set the rule without having to make others uncomfortable. Explaining the effects smoke will have on your child may also encourage them to consider quitting. Q: Are there tips to help me quit smoking? A: There are many programs and options to help in quitting. Children’s Hospital, in association with the Knox County Health Department, offers the 215-QUIT program for those who would like assistance and support in quitting. There are also Web sites, programs with the American Cancer Society and the American Lung Association and advice from family physicians on quitting. The most common denominator in all of these is setting a personal plan and goals to quit. Five keys to quitting may be: 1) Get ready. 2) Get support. 3) Learn new skills and behaviors. 4) Get medications and use them correctly. 5) Be prepared for relapse or difficult situations, but don’t give up. Quitting can be very difficult for any smoker, whether it has been a 2- or 20-year addiction. Once the decision to quit is made, think about the following questions: Why do you want to quit? When you tried to quit in the past, what helped and what didn’t? What will be the most difficult situations for you after you quit? Who will help you through the tough times? What pleasures do you get from smoking? How can you still get pleasures if you quit? Within a few days after quitting, mucus in your airways starts to work to clear out your lungs. Within a few weeks, circulation improves, and you will be able to smell and taste more, and within a year, your risk of lung cancer begins to decrease. Q: How do I prevent my teenager from starting to smoke? A: Approximately 80 percent of adult smokers started smoking before the age of 18. Every day, nearly 5,000 young people under the age of 18 try their first cigarette. It is important to stress the negative aspects of smoking — it’s smelly, expensive and unhealthy — but also to communicate in a positive manner with children and adolescents. Many teens start smoking because they have friends, parents or older siblings who smoke. Some look to cigarettes to help “calm nerves” in uncomfortable social situations like parties or dates. Teenage girls may be led to believe that it will help keep their weight under control. Many other teens will smoke simply because it isn’t acceptable in their families. Talking with teens openly and honestly about the effects of smoking may prevent their curiousity from getting the best of them. Introducing them to an adult who has quit or had health problems as a result of smoking may also help them think twice before lighting up. It is also good to teach teens alternatives to smoking and ways to make an excuse in social settings for not smoking. It is also important to help change the theory that “everyone is doing it.” Provide non-smoking adults and older teens to prove that theory wrong. Q: What resources are there for quitters and those who want to quit? A: There are a number of good resources, such as the local American Cancer Society, the Knox County Health Department, a family physician, Web sites such as www.thetruth.com and www.tobaccofreekids.com, the American Academy of Pediatrics, the American Heart Association, the American Lung Association, the National Cancer Institute and many others. Another great resource is other smokers you know who have quit. They will provide knowledge and support that another person who has not experienced addiction can understand. Q: Are there any other tips that can help me keep my child healthy? A: The following list contains just a few tips for parents and caregivers to use in the overall health of children: • The most important way to keep your child completely healthy is to quit smoking, and do not take your children to areas where smoking is permitted. If you choose not to quit smoking, do not smoke in the house or around your child. • Do not smoke while in a car. • Do not smoke if children are present, especially infants and toddlers. • Don’t allow caregivers to smoke near your children. • Find out the smoking policies of child care providers, preschools, schools, and other caregivers for your children. • Tell other parents about the health risks of passive smoking. Work within your child’s school and in the community to promote programs against smoking. Each year on the Thursday before Thanksgiving, the American Cancer Society sponsors the Great American Smokeout. The event is an upbeat, good- natured effort to encourage smokers to give up cigarettes for 24 hours. Many organizations, businesses and hospitals participate in the Great American Smokeout. For more information, contact the local office of the American Cancer Society by calling (800) ACS-2345. Nationally, smoking results in more than 5.6 million years of potential life lost each year. Those years don’t have to and shouldn’t be taken from the lives of our children. compiled by Janya Marshall, Associate Director for Public Relations
  • 9. NON–PROFIT ORGANIZATION U.S. POSTAGE PAID PERMIT 433 KNOXVILLE, TN 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. Children’s Hospital 2018 Clinch Ave. • P.O. Box 15010 Knoxville, Tennessee 37901-5010 RETURN SERVICE REQUESTED The holidays are almost here, and many East Tennesseans are already making gift lists and planning family gatherings. The Children’s Hospital Auxiliary has an easy way to check one important task off your holiday “to-do” list — purchase the just- released 2003 Children’s Hospital Auxiliary Holiday Card and help the area’s children at the same time. Feature artist and Children’s Hospital Auxiliary member Jan Church has designed an enchanting holiday card again this year. Titled “…from Santa,” this season’s holiday card invokes a magical feeling with presents piled high and a stocking filled to the brim. In 1991, Church began designing greeting cards for Children’s Hospital after her design “Bears on Sleighs” was chosen from a prospective artist search. After designing the following year’s card, Church took a year off. Because of the beautiful designs she paints and the success of the card sales, Church was asked to return and has donated the card design for several years running. Church says she has always given of her talents, but because Children’s Hospital is a child-centered organization, it fits her interests and holds special meaning for her. Cards are $1 each; they can be purchased in any quantity including boxed sets of 12 cards for $12, and personalization is available. The cards are appropriate for both business and personal use. Proceeds from the holiday cards will be used to support a variety of the Auxiliary’s programs at Children’s Hospital including the toy cart, the video cart, children’s books and other therapeutic activities, all of which help to make a child’s hospitalization more comfortable. This is the 39th year that the Children’s Hospital’s Auxiliary has sold holiday greeting cards to benefit the hospital. For more information or to place an order, call the Volunteer Services and Resources Department at (865) 541-8136. by Elaina Davenport, student internJan Church