Sarah Seeley-Dick is a 32-year-old pediatrician at Pediatric Clinic, P.C. in West Knoxville, Karns, and Seymour. She has a 4-year-old daughter named Kathryn and a 15-month-old son named Jamison. Sarah enjoys outdoor activities and spending time with her family. Joel Knapper is a 1-year-old boy who was treated at Children's Hospital for recurrent ear infections and respiratory issues. Though not seriously ill, he has made several visits to Children's Hospital for his medical needs. The Knapper family is thankful for the excellent care and compassion Joel has received from all the staff at Children's Hospital.
Meet Gabby Seay, a young girl whose development was threatened by a rare condition called infantile spasms that started when she was just months old. Find out what inspired Casey Owens, a former patient, to be a second-floor nurse at Children's Hospital. See how we're using telemedicine to connect our pediatric experts with patients miles away in the Morristown area.
Find out how an experience at Children’s Hospital deeply impacted a young couple who’ll begin their journey as husband and wife this spring.
Meet Elise McDaniel, an energetic young woman who makes being healthy a priority.
Saying goodbye to Laura Barnes after nearly 41 years; welcoming Hella Ewing to Children’s Hospital.
Read more at http://www.etch.com/about_us/its_about_children.aspx
A Sweetwater family faces the challenges of a painful, potentially life-threatening disease.
See how Joseph Peeden, M.D., solved one of our medical mysteries.
Brittany Overton is alive today thanks to an automated external defibrillator -- and school staff trained to use it.
Children’s Hospital offers services to manage JoshuaJohn’s pain for him and other chronic patients. Learn more about our Pain and Palliative Care Service and read our annual report in this issue of It's About Children by East Tennessee Children's Hospital.
East Tennessee Children's Hospital's mission is to improve the health of children through exceptional, comprehensive
family-centered care, wellness and education. Our School Nurse Conference puts that mission into action within the
community by enhancing the knowledge of school nurses about managing common childhood illnesses and injuries
and providing updated information about changes in care for children with chronic diseases.
AJ Cucksey was named the Children’s Miracle Network Hospitals (CMNH) Champion for the state of Tennessee. He and his family will spend the year sharing his journey with brain tumors and how East Tennessee Children’s Hospital, a CMNH affiliate, has helped him.
It’s About Children is a publication of the Marketing Department at East Tennessee Children’s Hospital.
http://www.etch.com/about_us/its_about_children.aspx
Read these stories in Issue 1 2014 of It's About Children by East Tennessee Children's Hospital:
Thanks to pediatric experts, Blake Shelor is able to be a "crazy, wild, active little boy."
From a 3.8 GPA in microbiology to learning how to rock climb, Sarah Holloway is ready for any challenge.
We recently started using a new type of equipment to improve safety for patients who receive I.V. medicine.
Meet Braeden Rogers and his beloved German shepherd, Jill, a dynamic duo battling diabetes
Read our annual report to learn how we're making a difference in thousands of young lives.
See how generous donors like you are giving brighter futures to patients at Children's Hospital.
Meet Gabby Seay, a young girl whose development was threatened by a rare condition called infantile spasms that started when she was just months old. Find out what inspired Casey Owens, a former patient, to be a second-floor nurse at Children's Hospital. See how we're using telemedicine to connect our pediatric experts with patients miles away in the Morristown area.
Find out how an experience at Children’s Hospital deeply impacted a young couple who’ll begin their journey as husband and wife this spring.
Meet Elise McDaniel, an energetic young woman who makes being healthy a priority.
Saying goodbye to Laura Barnes after nearly 41 years; welcoming Hella Ewing to Children’s Hospital.
Read more at http://www.etch.com/about_us/its_about_children.aspx
A Sweetwater family faces the challenges of a painful, potentially life-threatening disease.
See how Joseph Peeden, M.D., solved one of our medical mysteries.
Brittany Overton is alive today thanks to an automated external defibrillator -- and school staff trained to use it.
Children’s Hospital offers services to manage JoshuaJohn’s pain for him and other chronic patients. Learn more about our Pain and Palliative Care Service and read our annual report in this issue of It's About Children by East Tennessee Children's Hospital.
East Tennessee Children's Hospital's mission is to improve the health of children through exceptional, comprehensive
family-centered care, wellness and education. Our School Nurse Conference puts that mission into action within the
community by enhancing the knowledge of school nurses about managing common childhood illnesses and injuries
and providing updated information about changes in care for children with chronic diseases.
AJ Cucksey was named the Children’s Miracle Network Hospitals (CMNH) Champion for the state of Tennessee. He and his family will spend the year sharing his journey with brain tumors and how East Tennessee Children’s Hospital, a CMNH affiliate, has helped him.
It’s About Children is a publication of the Marketing Department at East Tennessee Children’s Hospital.
http://www.etch.com/about_us/its_about_children.aspx
Read these stories in Issue 1 2014 of It's About Children by East Tennessee Children's Hospital:
Thanks to pediatric experts, Blake Shelor is able to be a "crazy, wild, active little boy."
From a 3.8 GPA in microbiology to learning how to rock climb, Sarah Holloway is ready for any challenge.
We recently started using a new type of equipment to improve safety for patients who receive I.V. medicine.
Meet Braeden Rogers and his beloved German shepherd, Jill, a dynamic duo battling diabetes
Read our annual report to learn how we're making a difference in thousands of young lives.
See how generous donors like you are giving brighter futures to patients at Children's Hospital.
Rains Malone spent two weeks of his life in the Children's Hospital Neonatal Intensive Care Unit while his brain healed. Learn about his journey and the treatment in this issue of It's About Children by East Tennessee Children's Hospital.
Meet Madeline, or Maddie, as her family and friends call her. She’s active, outgoing and full of life, and despite a diagnosis that often leads her to spend more time in the hospital than she’d like, she believes in herself.
It’s About Children is a publication of the Marketing Department at East Tennessee Children’s Hospital. Learn more at www.etch.com/ItsAboutChildren
It's About Children special issue, the 2017-2018 annual report. Take a look back on some of the organization's stats and accomplishments over the past year, plus meet Audrey, a special young lady who is celebrating ten years cancer-free.
Read the 2014-2015 Annual Report for Children's Hospital to find out how we are serving the kids of Knoxville and the greater East Tennessee area. Find out more at https://www.etch.com/about/annual-report/
The 2019 Community Health Needs Assessment offers a comprehensive analysis of the health needs for children in the East Tennessee region. East Tennessee Children's Hospital partners with members of our community every three years to evaluate the top concerns, and to form an action plan which will take aim at combating these concerns to improve the health of children.
An East Tennessee Children's Hospital publication that spotlights the lifesaving work done at Children's Hospital and the latest advances in medical technology, treatment and research.
In this issue: A special safety update from Children's Hospital regarding the ongoing COVID-19 pandemic. Learn how our facility has implemented policies and procedures to help keep your family safe from coronavirus.
An East Tennessee Children's Hospital publication that spotlights the lifesaving work done at Children's Hospital and the latest advances in medical technology, treatment and research.
In this issue: Meet Allison, a neurosurgical patient, student, non-profit founder and advocate for kids like her. Plus, get the latest news about the hospital and its upcoming events.
An East Tennessee Children's Hospital publication that spotlights the lifesaving work done at Children's Hospital and the latest advances in medical technology, treatment and research.
In this issue: Meet Bryan, a Sickle Cell warrior who has been a part of our hospital family since he was 6 weeks old. Plus, get the latest news about the hospital and its upcoming events.
An East Tennessee Children's Hospital publication that spotlights the lifesaving work done at Children's Hospital and the latest advances in medical technology, treatment and research.
In this issue: Meet the Baer twins, two boys who are celebrating one year of life after a very rocky beginning. Plus, get the latest news about the hospital and its upcoming events.
This magazine provides patient families with need-to-know information about East Tennessee Children's Hospital. The resources featured here are available to every family that visits our facility.
This special issue of It's About Children features two sisters with similar scoliosis diagnoses, the latest news and fundraising efforts, plus East Tennessee Children's Hospital's 2016-2017 annual report.
The Clinical Excellence Annual Report highlights some of the programs and advancements East Tennessee Children's Hospital has implemented over the past year.
It's About Children, Issue 1, 2017
An East Tennessee Children's Hospital publication that spotlights the lifesaving work done at Children's Hospital and the latest advances in medical technology, treatment and research.
In this issue: Meet Jasmyne, the healthy teen who inspires others, and Fletcher, the little boy with a big smile. Plus, get the latest news about the hospital and its upcoming events.
Caring for a child with a tracheostomy (trach) can be challenging. East Tennessee Children's Hospital has created this booklet for you to learn as much as possible about your child's new device.
Read the 2016 Community Health Needs Assessment (CHNA) about East Tennessee Children's Hospital's plans to serve the community. Learn more at https://www.etch.com/chna
This PowerPoint presentation shows school nurses how to understand and respond to a child's sudden cardiac arrest. Information provided by the Project ADAM program at East Tennessee Children's Hospital.
"The quality of patient care is directly correlated to the degree to which our nurses are active and empowered through the use of the professional practice model." Read the East Tennessee Children's Hospital 2015 Nursing Annual Report.
The official program for Dancing with the Knoxville Stars 2016, a fundraiser to benefit East Tennessee Children's Hospital. Find out more at https://www.etch.com/giving/dancing-knoxville-stars/
The Peyton Manning Golf Classic is an annual summer fundraising event in Knoxville that benefits both East Tennessee Children's Hospital and the PeyBack Foundation. For registration information, please visit: https://www.etch.com/giving/peyton-manning-golf/
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
It's About Children - Summer 2010 Issue by East Tennessee Children's Hospital
1.
2. October 28, 2009
Ten days ago, Sarah Jane, my 3-year-old, fell off the kitchen stool
and busted her lip. She was then the lucky recipient of six “princess
strings” (what a brilliant term for stitches!) She was a real trooper
though. She didn’t cry at all and was quite proud of her “strings.”
She is now already healed up with hardly any scar at all. My
wife Kelly said the whole experience at Children’s was phenomenal.
From beginning to end, she said that EVERYONE was fantastic
and put both her and Sarah Jane at ease. Just thought you would like
to know!
Frank Nystrom
Knoxville
Dear East Tennessee Children’s Hospital,
I just wanted to send a note of thanks for theexcellent and compassionate care provided to mydaughter, Eliana Smith, who was hospitalized therefrom Dec. 11-13, 2009. We could not have been morepleased with the kindness and helpfulness of everyonewe encountered – physicians and practitioners, nurses,lab technicians and housekeeping staff alike.I hope and pray that Eliana never has to behospitalized again, but if she does, I am reassured thatwe have such an excellent choice so close to home andthat she had such a positive experience she would notbe afraid to come back.Thank you once again.
Greta Smith
Maryville
Dennis Ragsdale, Chairman • Jeffory Jennings, M.D., Vice Chairman
Michael Crabtree, Secretary/Treasurer • Debbie Christiansen, M.D. • Dawn Ford
Keith D. Goodwin • Steven Harb • Lewis Harris, M.D. • Dee Haslam
A. David Martin • Dugan McLaughlin • Christopher Miller, M.D. • Steve South
Bill Terry, M.D. • Laurens Tullock • Danni Varlan • Jim Bush, Chair Emeritus
Don Parnell, Chair Emeritus • William G. Byrd, M.D., Chair Emeritus
John Buchheit, M.D., Chief of Staff • Lise Christensen, M.D., Vice Chief of Staff
Mark Cramolini, M.D., Secretary
Lori Patterson, M.D., Chief of Medicine
Cameron J. Sears, M.D., Chief of Surgery
Keith D. Goodwin, President/CEO • Bruce Anderson, Vice President for Legal
Services & General Counsel • Laura Barnes, R.N., M.S.N., C.N.A.A., B.C., Vice
President for Patient Care • Joe Childs, M.D., Vice President for Medical Services
Zane Goodrich, CPA, Vice President for Finance & CFO • Rudy McKinley, Vice
President for Operations • Sue Wilburn, Vice President for Human Resources
Ellen Liston, APR, Fellow PRSA, Director of Community Relations
Wendy Hames, APR, Editor • David Rule, Director of Development
Neil Crosby & Wade Payne, Contributing Photographers
www.etch.com
Board of Directors
Medical Staff
Chiefs of Services
Administration
It’s About Children Staff
“Dear
Children’s”
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. East Tennessee Children’s Hospital’s vision is Leading
the Way to Healthy Children. Children’s Hospital is a private, independent, not-
for-profit pediatric medical center that has served the East Tennessee region for
more than 70 years and is certified by the state of Tennessee as a Comprehensive
Regional Pediatric Center.
“Because Children are Special…”
…they deserve the best possible health care given in a positive, family-centered
atmosphere of friendliness, cooperation and support -- regardless of race, religion
or ability to pay.”
…their medical needs are closely related to their emotional and informational
needs; therefore, the total child must be considered in treating any illness or
injury.”
…their health care requires family involvement, special understanding, special
equipment and specially trained personnel who recognize that children are not
miniature adults.”
…their health care can best be provided by a facility with a well-trained medical
and hospital staff whose only interests and concerns are with the total health and
well-being of infants, children and adolescents.
Statement of Philosophy
East Tennessee Children’s Hospital
March 10, 2010
Just wanted to say that our stay in the
ICU has been so much better because
of the excellent, professional care from
our nurse, Bill. His knowledge of subject,
along with compassion and care, work
together to make us feel informed and
comforted.Thank you for keeping good
nurses on staff!
Karen Peebles
Knoxville
2
3. Children’s Hospital NOTES
Alice Kampas named Physician Assistant of the Year
After serving almost eight years at Children’s Hospital,Alice Kampas
recently received the 2009 Physician Assistant of the Year Award.She accepted
the honor at the annual Tennessee Academy of Physician Assistants conference
in Gatlinburg on October 5.Kampas’co-workers and individuals outside the
hospital nominated her by writing recommendation letters to the TAPA on her
behalf.
Children’s Hospital congratulates Alice on receiving this outstanding honor
and commends her dedication to providing exceptional care for patients.
Hospital,itssecondhighesttotalever. Theseproceedspurchasedtwo Millennium Gamma Camera Systems for the Nuclear
Medicine area in the Children’s Hospital
Radiology Department. Over its 25 year
history, Fantasy of Trees has raised more
than $5.3 million for Children’s Hospital.
The 2010 Co-Chairs are Jody Cusick
and Todd Heptinstall, and the Assistant
Co-Chair is Jenia Jackson.
Formoreinformationonhowtovolunteerfor the 2010 event or to be a sponsor, contact the Children’sHospital Volunteer Services Department at (865) 541-8385 ore-mail fot@etch.com.
byTaylor Griffin, student intern
Fantasy of Trees sure to provide a “Holly Jolly Christmas”After a successful 2009 Fantasy of Trees, planning of
the 2010 event is already underway. The theme for its 26th
year will be“Have a Holly Jolly Christmas.”
An East Tennessee holiday tradition since
1985,this year’s Fantasyof Trees will feature
reindeer at play and whimsical decorations
in modern colors,including lime green and
bright red. New shops and children’s
activities will be offered at this event
alongside many old favorites.
The holiday season is a time of giving, and in its 25th
year, the Fantasy of Trees was not forgotten. Thanks to
the support from thousands of visitors and volunteers, the
2009 Fantasy of Trees raised $348,354 for Children’s
Shoney’s KidCare ID program set for August 27-29
A parent’s number one concern is his or her child’s
safety. To help parents keep their children as safe as
possible,Shoney’s Restaurants and the National Center
for Missing and Exploited Children are teaming up for
the program’s 15th
year to sponsor three KidCare ID
events in East Tennessee.
The KidCare ID program provides an opportunity for
parents to obtain photo identification of their children
that can be used if one of their children were to go missing.
A KidCare ID can dramatically speed up the process of
finding a missing child.At the events,parents can also
have their children fingerprinted by the Knoxville Police
Department.All services are provided free of charge.
Representatives from Children’s Hospital,Safe Kids
of the Greater Knox Area and the Knoxville Police
Department will also be at these events to provide additional
information on children’s safety. Working with Shoney’s
Restaurants,co-sponsors include Children’s Hospital,Star 102.1
radio,WVLT-TV 8/Volunteer TV,the Knoxville News Sentinel,
the Knoxville Police Department and Safe Kids of the Greater
Knox Area.
The KidCare event times and locations are as follows:
Friday,August 27,1-7 p.m.at Knoxville Center Mall (Knoxville)
Saturday,August 28,11 a.m.-5 p.m.at WestTown Mall (Knoxville)
Sunday,August 29,12-6 p.m.at Foothills Mall (Maryville)
For more information,contact Annie LaLonde at Shoney’s
at (865) 690-6331.
byTaylor Griffin, student intern
3
4. You might think that Children’s Hospital is here for the
sickest of the sick – the children with cancer or heart disease
or babies born prematurely. And you would certainly be right.
But Children’s Hospital also sees children every day with
less serious medical needs. As every parent knows, when it’s
YOUR child, it’s serious, even if it is “technically” not that
serious. Children’s Hospital is here to meet the health care
needs of all of this region’s children, regardless of how big or
small the problem.
Joel Knapper is one of those children who needed
Children’s Hospital for some everyday pediatric health
problems – recurrent ear infections and respiratory issues.
Although he is not seriously ill today, Joel has made quite
a few visits to Children’s Hospital since he was born in late
May 2009.
According to Joel’s mother, Christie Knapper of
Knoxville, Joel developed his first ear infection in
mid-October 2009; it was diagnosed at his 4-month
well-child checkup with his pediatrician, Dr. Robert Barnes
at Knoxville Pediatric Associates.
“He is such a happy and laid back baby; we had no idea
he was even sick,” Christie said. “Soon after clearing up the
initial ear infection with Amoxicillin, he began treatment
for a second ear infection (this time a double) and had an
allergic reaction to the medicine. Over the next few ear
infections, we tried a few additional antibiotics.”
On November 15, Christie and her husband, Wade, took
their baby to the Children’s Hospital Emergency Department,
where he was diagnosed with clostridium difficile, or
antibiotic-associated diarrhea and blood in his stool caused by
the powerful antibiotics he had been on for so many weeks.
During this hospital stay, which lasted until November
18, Joel was treated by the nursing staff; pediatricians from
KPA on rounds at the hospital; and Michael Belmont, M.D.,
pediatric otolaryngologist (ENT or “ear/nose/throat”specialist).
On the morning of November 17, Dr. Belmont completed a
double myringotomy on Joel to drain his ears as well as put
tubes in both ears.
The fluid drained from Joel’s ears during surgery was
tested and came back positive for streptococcus pneumoniae,
a bacterium that sometimes does not respond to the normal
antibiotics used to treat ear infections. Joel continued with
repeated ear infections despite the use of a number of different
antibiotics, accompanied by Ciprodex eardrops that generally
cleared up the ear drainage temporarily.
“At times I felt like he had a permanent pin hole in his
little foot where all you had to do was squeeze to get a sample
for a CBC [blood testing],” Christie said. “Joel continued
to struggle with the antibiotic treatments including tummy
troubles and thrush despite the use of probiotics.”
The pattern continued over the next several months, and
it was, unfortunately, unavoidable for two reasons. One was the
season,because winter is when ear infections are most common.
The other was his young age, because children are most prone
to ear infections during their first few years of life (their
Eustachian tubes are shorter and more horizontal than those of
adults, which allows bacteria and viruses to find their way into
the middle ear more easily).
Joel, who was in a daytime childcare setting while his
Joel
4
5. a lil’ about Joel
Name: Joel Garrison Knapper
Age: Turns 1 on May 24, 2010
Personality traits: Joel is such a happy baby. Even on his sick days
he still found a smile to share.
Words he can say: DaDa, MaMa, BaBa
Favorite color: Red
Favorite movie: Baby Einstein Baby Neptune
Favorite TV show: Wheel of Fortune
Likes: his four-legged “sister,” Gibson (the family dog)
Dislikes: sweet peas
What I do for fun: crawl
5
6. parents worked, began to show signs of respiratory problems
and was diagnosed with bronchiolitis on February 20.
Bronchiolitis is a common illness of the respiratory system
caused by an infection that affects the tiny airways, called
the bronchioles, that lead to the lungs. As these airways
become inflamed, they swell and fill with mucus, making
breathing difficult.
“Over the course of the next week we experienced three ER
visits and three visits to Dr. Barnes before he was admitted
to Children’s Hospital on Friday, February 26,” Christie said.
“All in all that week, he was diagnosed with RSV [the highly
contagious respiratory syncytial virus, a major cause of
respiratory illness in young children], double pneumonia,
pink eye in both eyes and a double ear infection, in addition
to the bronchiolitis.”
With the pneumonia diagnosis, Joel was admitted to
Children’s on February 26 and discharged on February 28.
Since Joel’s release, he has had only one ear infection. “All
fingers and toes are crossed that he is on the road to recovery
with a little help from warm weather on the horizon,”
Christie said.
As spring arrives,Joel is doing well.The Knappers continue
to take Joel to Dr. Belmont for his ears and to Dr. Barnes for
regular care. Along with his doctors, the Knappers made the
decision to remove him from day care and hire a nanny to
hopefully assist in keeping him germ free for a while. “We have
tried our best to keep him in what we now call our ‘bubble’
at home in hopes that he will continue to be illness-free,”
Christie said. “At his one-year well appointment, hopefully we
will decide he is able to go back into daycare.”
Because of so many hospital visits, the Knappers began
to see familiar faces, including Drs. Ryan Redman and John
Carder in the Emergency Department as well as nurses in the
ED and on the Second Floor.
“Each time we continue to be amazed with the care our
son receives,” Christie said. “I was especially impressed and
appreciative of the swift care we received the night of February
23 when we arrived and Joel’s fever was up to 104.3. Specifi-
cally we hold a special place in our heart for the nursing staff
up on the Second Floor, and Alecia, who has been a nurse for
us during both of our inpatient stays.
“During our most recent stay, Joel was uncomfortable and
had come to a point when you laid him down, he knew either
a needle was coming or ‘the Hoover,’ as we jokingly refer to
the powerful nose aspirator. The nursing staff, specifically
Brenda and David, were wonderful in talking to him and
calming him down as they completed their various tasks,”
Christie continued.
“My most heartfelt appreciation goes out to Brandi, the
respiratory therapist who worked tirelessly with Joel all night
long on the Saturday of our most recent visit. He had been on
breathing treatments for a full week every 4 hours, and I truly
believe Brandi’s gentle hand, which kept Joel asleep all night
long while she continued his treatments,was a large contributor
to his recovery.”
Christie noted that staff regularly went the extra mile to
end each conversation with “Is there anything I can get for
you?” She said that simple question really made them feel at
home during stressful and difficult hospital visits.
Even as the first-time parents deal with a rather busy
first year of parenthood and many more than the anticipated
number of doctor and hospital visits, they are thankful that
Joel’s needs are easily treated. “While we feel blessed to have
such a facility and love the staff, we hope to see them outside
of the hospital walls going forward,” Christie said.
The Knappers are thankful to live so close to the hospital,
where they have had nothing but positive experiences. “It
takes a special person to work in the medical field and an even
more special person to work with children and their families,”
Christie said. “Having access to such talented and caring health
care professionals is something that can easily be taken for
granted. We would like to say thank you to all of the Children’s
Hospital staff from administrators to medical professionals to
the janitorial staff for all that you do to help our children. We
are so fortunate to have such a facility that is dedicated to the
care of our most precious resource, our children.
“We also recognize that while our son was sick and
required Children’s Hospital’s care, his medical issues were
minor in comparison to those precious children that require
an extended stay at the hospital,” she continued. “Many times
while we were there, other parents would tell us about their
children being at the hospital for many weeks and even months
with very serious illnesses. We thank Children’s Hospital for
the work you do to help these families in the most difficult
of circumstances.”
Joel
6
7. Pediatrician Profiles
Sarah Seeley-Dick,
D.O.
Age – 32
Family – Husband, Justen
Dick; daughter Kathryn
“Katie” Dick (4) and son
Jamison Dick (15 months)
Name of Pediatric Practice
– Pediatric Clinic, P.C. –
West Knoxville, Karns
and Seymour
Personal Interests – outdoor activities, spending time with my
family, gardening, quilting/sewing, child advocacy and helping
children realize their personal potential
Academic Background/Prior Experience
B.S. – University of Tennessee at Chattanooga, 2001
D.O. – Pikeville College School of Osteopathic Medicine,
Pikeville, Ky., 2006
Internship and Residency – T.C.Thompson Children’s
Hospital, Chattanooga. Internship: 2006-2007, Residency:
2007-2009
Additional Experience – CNA training as a teenager, caring
for geriatric patients for 10 years total as a CNA PCT, “tech”
in pediatric E.R. at T.C.Thompson Children’s Hospital and
Erlanger Medical Center in Chattanooga for three years
Why Pediatrics?
Where else can you have all the best things there are in
medicine – interesting cases, smiles, hugs and participation
in the development of successful children, teens and young
adults? Children are the innocents, and I view myself as their
protector, teacher and cheerleader.
Greatest Influences – Parents and family. My mom is a general
practice physician, and I’m the second oldest of nine children.
Pediatricians I worked with in Peds ED before medical school.
Dr. Jennette Martin, my mentor who recently “retired.”
Philosophy – “If at first you don’t succeed, try, try again.” Take
a problem apart into manageable pieces and slowly but surely
work toward your goal.
Proudest Moment as a Pediatrician – Seeing children get better
and return to normal life after severe illness; dramatic behavior
changes in a 3-year-old after a discussion on discipline
techniques with the parent; a child squealing my name in the
hallway and running to give me a hug; inspiring children to
live healthier lifestyles.
Richard E.
Poehlein, M.D.
Age – 65
Name of Pediatric Practice
– Westbrook Medical
Center, Knoxville
Personal Interests –
photography, my two dogs
and going to Hilton Head
Academic Background/Prior Experience –
B.A. – University of Tennessee at Martin, 1966
M.D. – University of Tennessee College of Medicine,
Memphis, 1970
Internship and Residency – UT/City of Memphis Hospitals;
internship for one year, residency for two years
Why Pediatrics?
When I was in medical school, the pediatric faculty members
were unusually practical, patient and easy going. I just decided
I wanted to be like them.
Greatest Influences – My family, my teachers during residency
and, of course, all my patients.
Philosophy – I always listen to the mother. Many times the
mother has a sense of something being wrong that I don’t have.
Many times she turns out to be right.
Proudest Moment as a Pediatrician – The times that former
patients of mine told me they had been accepted into medical
school and that I had been an influence in their decision.
7
8. The best way to minimize the impact of injuries in
children is prevention, and when organizations in the
community join forces to educate and affect the public,
this can be accomplished to a greater level.
In July 2008,
Children’s Hospital
became lead
organization of Safe
Kids of the Greater
Knox Area.The local
Safe Kids coalition is
part of Safe Kids
Worldwide, a global
organization with a
mission to keep
children safe by
teaching them and
their caregivers about
injury prevention.
Why is this
important?
Because accidental
injury is a leading cause of death of
children ages 14 and younger. Statistics from Safe Kids
Worldwide also show that children from economically
disadvantaged families have a higher rate of accidental
injury, and children living in rural areas have a higher
injury death rate than children in the population as a
whole (source: Safe Kids Worldwide Coalition Resource
Manual).This shows the importance of educating all
children and families in the East Tennessee region about
injury prevention, but especially children in lower-
income households and in rural settings.
Until two years ago, Safe Kids was under the Knox
County Health Department as its lead organization,
which limited the coalition’s reach to only Knox County.
In its new “home” at Children’s Hospital, Safe Kids has
been able to extend and expand its reach and programming
Leading the Way
Safe Kids
efforts to the primary 16-county area across East Tennessee
served by Children’s Hospital. With this spread, the
organization is able to make an even bigger impact with its
programs and has reached tens of thousands of area children
in just under two years.
Two of Safe Kids initiatives, child passenger safety and
bike safety, have certainly made an impact on injury
prevention for countless children throughout East Tennessee.
Thirty-four bike safety events and programs took place in 16
counties in 2009, personally affecting more than 32,000
children. Ongoing car seat checkpoints have been established
in two counties, Anderson and Sevier, and dozens of
individuals have been trained as “official” technicians to check
car seats properly.
Besides the expansion of Safe Kids outside of Knox
County, the coalition has also added many new programs
since the transition to Children’s Hospital. In July 2008,
“Spot the Tot” debuted at Safety City; in this program,
children get a hands-on experience in the many dangers of
playing around cars,
in driveways and on
streets. One of the key
messages of the “Spot
the Tot” program is
to remind parents and
adult caregivers that
safety begins with
them. By teaching
children simple
prevention measures
and helping them
create habit forming
safety guidelines, Safe
Kids is helping children
to have the best chance
at enjoying every day –
especially in their own
driveways.
Children’s Hospital’s vision statement is “Leading the Way to Healthy Children.” In this series in It’s About Children, we
are sharing with our readers some of the many ways we are “Leading the Way.” We are highlighting outstanding practices by
Children’s Hospital departments – things that are, although quite commonplace at our pediatric medical center, actually rather
unique. This series showcases the exceptional work done at Children’s Hospital and demonstrates how the hospital is a great place
to work.
8
9. Another new program is the Cub Scout Automotive
Safety Patch, added in September 2008. Safe Kids Buckle Up
and Chevrolet teamed up with the Boy Scouts of America
to teach Cub Scouts and their parents and caregivers about
safety in and
around
vehicles. The
hands-on
educational
activities
conducted
by local Safe
Kids
Coalitions
at Chevrolet
dealerships
are designed
to educated families with children ages 7-10 about being safe
inside and outside of moving and parked vehicles.
After the Scouts successfully complete all of the
educational stations during the 60-90 minute program,
they receive their Automotive Safety Patch.
Safe Kids of the Greater Knox Area has also addressed
the need for injury prevention in the Hispanic community.
Safe Kids of the Greater Knox Area partnered with the Lisa
Ross Women’s and Birthing Center in Knoxville to offer a
prenatal course on child passenger safety. The majority of
Safe Kids materials are available in English and Spanish.
In addition to these new projects, Safe Kids gives special
attention to children who have been underserved with injury
prevention messages and who are considered “at risk”; this is
a Safe Kids Worldwide initiative that the local coalition has
truly embraced.
In March, Safe Kids participated in Willowbrook
Elementary School’s “Bears on the Move” program, a week-
long event that teaches students about health and safety.
Located in Anderson County, Willowbrook Elementary is a
Title I school and considered one of the most “at-risk”
schools in East Tennessee. Safe Kids representatives taught
the 200 attendees about child passenger safety, measuring
each student’s height to make sure each child met the
requirements to ride in a passenger seat without a booster seat.
More than 30 students did not reach the recommended
height requirement of 4’9”(a Tennessee state law) and needed
booster seats; Safe Kids provided each of these children with
a seat to take home. One little boy who would be receiving
a booster seat
said, “You
really did bring
me a seat to
keep me safe!”
Thanks to Safe
Kids and the
generous
supporters
from
throughout
East
Tennessee
who support the coalition with grants and contributions,
these 30+ children are now riding safely in their family vehicles.
Susan Cook, Coordinator for Safe Kids of the Greater
Knox Area, says it is moments like these that make her realize
the power of information and one-on-one interaction with
children in preventing injuries.
“The staff and students at Willowbrook were so
appreciative of the booster seats,” Cook said. “The staff said
it really showed where Safe Kids’ and Children’s Hospital’s
commitment lies – with children. And our actions by being at
events like these show that we truly look to our vision statement
of ‘Leading the Way to Healthy Children’on a daily basis.”
She added that feedback from events like this also make
her see the impact of her Safe Kids role. “The opportunity I
have every day when I am working with Safe Kids events and
programs truly helps make a difference, and that is so powerful
to me,” Cook said. “What job could be better than that?”
to Healthy Children
9
10. What’s New at
Have fun and learn at Water Safety event June 9
Acute and Emergency Care Pediatrics conference set
Kids, summer and the water
– they just go together during
summer vacation. Children’s
Hospital, along with Kohl’s, Safe
Kids of the Greater Knox Area,
Knoxville Pediatric Associates
and Dollywood’s Splash
Country, will be reminding
everyone of one important
safety lesson again this summer
when school is out – no one can ever take a vacation from water safety.
A major media campaign will remind parents/caregivers and children
of important water safety tips, and a fun event at Dollywood’s Splash
Country will offer a way for families to learn about water safety together.
The water safety and awareness program will travel to Pigeon Forge
on Wednesday, June 9, for a special water safety day at Dollywood’s Splash
Country, where water safety is a priority. The event will feature a rescue
demonstration by the water park’s award-winning lifeguards, information
on CPR and how to be prepared for an emergency from Children’s Hospital,
Children’s Hospital will host the
9th
annual Update on Acute &
Emergency Care Pediatrics conference
at Wilderness at the Smokies Hotel
& Waterpark Resort in Sevierville on
October 1-2.
Sponsors include the Tennessee
Chapter of the American Academy
of Pediatrics (www.tnaap.org) and
Tennessee Emergency Medical
Services for Children (www.tnemsc.
org).Co-sponsors are T.C.Thompson
Children’s Hospital in Chattanooga;
LeBonheur Children’s Hospital in
Memphis; and Monroe Carrell Jr. Children’s Hospital at Vanderbilt
in Nashville.
The conference will feature three tracks: Hospital/Emergency
Medicine, Pediatric Office and Pre-Hospital/Field.Topics will include
pediatric stroke, pre-hospital pain control, office emergencies, SIDS,
non-trauma surgical emergencies, nitrous and sedation, and much more.
The 2010 conference will take place at the exciting Wilderness
at the Smokies Resort, which features Tennessee’s largest year-round
waterpark and is just 30 miles from Knoxville. Special resort rates for
conference participants include lower rates for early arrivals on Thursday
or for guests staying after the conference’s Saturday activities end.The
stay includes passes for four guests to the resort’s waterpark.
a listing from Kohl’s of essential items to include in a home safety kit,
water safety tips from Safe Kids of the Greater Knox Area, additional
water safety information from the City of Pigeon Forge Police and Fire
Department and Knoxville Pediatric Associates,and opportunities to win
great prizes with a special “splash pass”available inside the gate.
Visitors will find water safety booths open at the water park from
10 a.m. until 2 p.m., where representatives from Safe Kids and Children’s
Hospital will have water safety tips and visitors can answer water-safety
questions to get their “splash pass”punched for prizes.
There is no extra charge for the water safety program, but an
admission ticket to Dollywood’s Splash Country is required for
admittance; for ticket information, call (800) DOLLYWOOD or
visit www.dollywoodssplashcountry.com.
The event brochure will be posted on the Children’s Hospital
website at www.etch.com/confaecp.cfm as soon as it is available. If you have
questions, please contact the Children’s Hospital Education Department
at (865) 541-8618 or send an email to learning@etch.com.
The Children’s Hospital Volunteers presented a $50,000 gift
from Gift Shop proceeds to the hospital in January. Children’s
Hospital will use the funds as follows:
$15,000 – Capital Budget 2009/10 Equipment
$15,000 – Children’s Miracle Network Telethon
$8,536 – fortheChildLifeDepartmentforthein-housemoviesystem
$5,000 – for the Education Department for an audio response
system
$3,000 – Children’s Art Program
$1,000 – Annual gift to Child Life for toys and other items
for playrooms
$1,000 – Pastoral Care Fund
$964 – Social Work Special Needs Fund
$500 – Annual gift to Rehabilitation Center for toys/books
The Volunteer Leadership Council and the Children’s Hospital
Volunteers are dedicated to the support of various projects,departments
and activities.The volunteer leadership for 2010 includes Chair,
David Haun;Vice-Chair, Debbie Roberts; and Secretary, Jackie Smith.
Volunteers give gift to hospital,
install new leaders
10
11. What’s New at
CoverKids reopens enrollment
CoverKids program officials announced in late February that the
program has begun accepting new enrollment applications, effective
March 1. Between November 30, 2009, and February 28, 2010, the
program for uninsured Tennessee children was at its budgeted capacity
and could not accept new enrollments.
“When we opened CoverKids in 2007, we said we would always
operate within our financial means and manage enrollment accordingly,”
said Bob Duncan, who oversees CoverKids as director of the Governor’s
Office of Children’s Care Coordination.
The governor’s current budget proposal included $13.1 million in
new state money for CoverKids, which would result in $41.5 million of
additional federal funding. Combined, the two funding sources will
support increased CoverKids enrollment.
CoverKids is a federally and state funded health plan through the
State Children’s Health Insurance Program, which provides
• The program is open to children ages 18 years and under.There
are no pre-existing condition exclusions for children with
already-diagnosed special needs or medical conditions.
• Applicants to the CoverKids program will first be screened for
TennCare eligibility or access to other state-sponsored
insurance options.
• CoverKids has no monthly premium for families with household
incomes up to 250% of the Federal Poverty Level. Participants pay
a co-pay for certain services;the co-pay amount depends on income.
• Access to other health insurance coverage does NOT affect
eligibility (if a family has access to insurance through a parent’s job
but the coverage is not affordable,the child is eligible for CoverKids).
• Coverage is offered for 12 months. After that, families must
re-verify their children’s eligibility.
• Children must live in a household with income under 250% of
the federal poverty level (example: for a family of four, this would
be $55,125). Buy-in is available for children in households with
Facts about CoverKids
comprehensive health and dental coverage to children in families who
do not qualify for Medicaid, but cannot afford private health insurance.
Tennessee families earning less than 250 percent of the federal
poverty level ($55,125 per year for a family of four) qualify for CoverKids
and pay no monthly premium for the plan. Income-based co-pays are
required for most services, though preventive care, including well-child
visits, teeth cleanings and vision screenings are fully covered. Families
may apply online at www.CoverKids.com or by calling (866) 620-8864.
CoverKids is a program of CoverTennessee,Governor Phil Bredesen’s
initiative to address the health care needs of Tennessee’s uninsured.
higher income (the buy-in premium is currently $230 per month
per child).
• Children must be U.S. citizens or qualified aliens and must be
Tennessee residents.
• Children must have been without insurance for three months
(this is waived for newborns up to four months of age and for
children moving to CoverKids from TennCare or from another
state’s SCHIP program).
• Maternity care (medical treatment or physician visits related
to the pregnancy or the health of the unborn child) is available for
pregnant women who meet other eligibility criteria, from the date
of application until 60 days following the baby’s birth.
• CoverKids provides comprehensive health insurance with an
emphasis on preventive health services and coverage for physician
services, hospitals, prescriptions, mental health/substance abuse,
dental, vision and more. CoverKids has an emphasis on services
children need most, well-baby and well-child visits, and
age-appropriate required immunizations.
Construction for the $750,000 remodel and expansion of the
Children’s Hospital main lobby and part of surgical services -- made
possible by Regal Entertainment Group -- is scheduled to begin in May.
In an effort to enhance Children’s Hospital’s facilities and
continue to provide top notch care for patients, the remodel will
include an expansion of the main lobby, as well as a more spacious
pre-operative holding and family waiting area in surgery. As the need
for pediatric medical services grows in the area, Children’s Hospital
Hospital renovations update
wants to accommodate patients and their families as well as possible
and make their stay a comfortable one.
If all goes as planned,construction should be complete by January
2011. For more details about the renovation, visit the hospital’s Web
site at www.etch.com/lobbyren.cfm.
by Hillary Adams, student intern
11
12. safe deposit box. Consider attaching a letter to the will indicating
any wishes you may have for a funeral and the location of
cemetery lots and information about any prepaid funeral
arrangements you have made.
4. Choose an executor; it is especially important to determine
which of your relatives or friends is wise and honest enough to
serve as Executor of your estate. This is the person whom the
court will hold accountable for carrying out your wishes as listed
in your will. You and your spouse should spend some time with
your executor to discuss your wishes and make certain they will
agree to serve.
5. Write all of this information down. You can use one of
Children’s Hospital’s free planning booklets titled “Personal
Records”; we explain how to get one below.
6. Select an attorney. Choose someone who has experience in
estate planning and feel free to discuss fees in advance. Make an
appointment, and follow through by mailing the attorney a copy
of your information well in advance.The attorney will appreciate
dealing with a well-prepared client and will probably be pleased
that you and your spouse have already agreed on matters such
as custody of minor children and selection of an executor. Your
local Bar Association can give you a list of qualified lawyers if
you aren’t personally acquainted with any attorneys specializing
in this area.
7. After your will is finalized, sign it, give a copy to the executor
and keep the original(s) in your safe deposit box. Then sit back
and enjoy the security and satisfaction that comes from knowing
you have made the arrangements necessary to prevent needless
expense and minimize family strife after you are gone.
Making your will is one of
the most important activities you will ever undertake.
Your will is the legal document that records all of your final wishes.
Making your will need not be a difficult or unpleasant process, but it is
very important and is a great kindness to your family. You can
significantly reduce the stress your family will experience when you
pass away simply by leaving a properly executed will that clearly
expresses your wishes.
People have many excuses for not planning. Some express
concern over paying a lawyer to prepare their will.This should be the
furthest thing from your mind; the dollars you spend on professional
fees for a properly prepared will are truly miniscule compared to the
expense and heartache of failing to plan. By preparing a will, you
are telling those you leave behind who should care for your minor
children and how to dispose of all you have accumulated during your
entire lifetime. Putting your instructions in a valid will eliminates
speculation about your intentions.
You can save time and money by focusing your efforts and “doing
your homework” before visiting with your attorney.
1. Sit down with your spouse and have that all-important
discussion about who should raise your children if you should
both perish in a common accident. Then both of you should
meet with the people you select to make certain they will agree
to accept this important responsibility. Choose an alternate in
case your first choice is deceased or unable to take your children.
Specify who is to manage the money you are leaving for your
children’s benefit. Do you want those who have custody of your
children to oversee funds? Do they manage their own finances
ably? Do they have financial expertise or would you prefer a
separate individual or a trust company to handle that
responsibility?
2. Pull together a listing of the people to whom you will give
your belongings: list their name, current address and phone
number and their relationship to you – son, daughter, niece,
nephew, grandson or granddaughter, neighbor, friend. List what
you would like them to have and be specific. And you could also
put signed labels on physical items, such as “This mirror goes to
Cousin Kay.”
3. List all of your assets: house, land, securities, retirement plans,
IRA, jewelry, art, collectible items, bank accounts, vehicles and
other personal property. Make a list of your favorite charities and
how you wish to help each of them. List the location of your
Estate Planning
The foundation of your estate plan:
your will
For more information on wills and estate planning, including
a copy of our free planning booklet, “Personal Records,” call or
email:
David Rule, Director of Development,
dsrule@etch.com, (865) 541-8172
Teresa Goddard, CFRE, Senior Development Officer,
tgoddard@etch.com, (865) 541-8466
Joe Brandenburg, Major Gifts Officer,
jwbrandenburg@etch.com, (865) 541-8467
12
13. Mark your calendars NOW for several upcoming events to
entertain families and benefit Children’s Hospital.Thanks to the
generous people of East Tennessee who host and participate in
these events, Children’s Hospital can continue to provide the best
pediatric health care to the children of this region.
Baseball for Babies
What better way is there to spend a summer weekend than by
supporting Children’s Hospital at a baseball game? This year’s Baseball
for Babies tournament – formerly known as the Nancy Hayes
Memorial Baseball Tournament – will take place June 4-6. Games
will be played at Caswell Park, Loudon Ballpark, Knox County
Sportspark, Grace Christian Academy and Karns High School ball
fields.The tournament is open to teams 8U to 16U. Proceeds benefit
Children’s Hospital’s Telethon Fund. For registration information,
please contact Lenny Hayes at (865) 441-1367.
Top Chefs of Knoxville
Knoxville’s finest chefs will compete for the title of “Top Chef”
on Saturday, June 19, from 6-11 p.m. at the Women’s Basketball Hall
of Fame.The event, hosted by Cityview magazine, is open to the
public and will include live entertainment, a silent auction and other
fun activities. Proceeds will benefit Children’s Hospital. For ticket
information, contact Kim Olin at (865) 690-3000.
Camp Cure
For children with diabetes, learning how to manage and live
with their disease can be difficult. Camp Cure offers children ages
5-12 with diabetes a chance to learn how to live a healthy life, while
enjoying a fun camping experience.The camp’s philosophy promises
that campers will gain knowledge and develop confidence and
independence in caring for their diabetes.
This year,Camp Cure will take place July 12-16 from 8:30 a.m.-
3 p.m. at the Karns Community Youth Center. Each day, campers
will participate in fun activities such as swimming, arts and crafts
and sports games. On Friday, July 10, campers and their families are
invited to participate in WATE Channel 6 Family Day.
The cost is $10 per child,and registration forms must be submitted
by June 19 to attend. For more information, contact the camp’s
director, Cathy Van Ostrand, at (865) 541-8281 or
cvanostrand@etch.com.
Donald M. Gally Summer Camp
The Donald M. Gally Summer Camp, sponsored by Children’s
Hospital’s Rehabilitation Center, offers children with special needs a
chance to attend a summer camp complete with swimming, singing,
arts and crafts, and games, all in small group settings.The activities,
which are developed by special education, physical therapy and
nursing staff,are designed to help campers build social and physical skills.
The day camp takes place at the Kiwanis Club Fresh Air Camp,
and two sessions are offered. Session I, for campers ages 5-10, takes
place July 12-16 from 8:30 a.m.-3 p.m. Session II, for campers ages
11-18, takes place July 19-22 from 8:30 a.m.-3 p.m. and July 23
from 8:30 a.m.-noon.There is no cost to attend, but donations are
greatly appreciated.
For more information, contact Deidre Seiber at (865) 690-8961.
Camp Eagle’s Nest
Most children love playing messy games, enjoying the summer
sunshine and spending time with friends. Camp Eagle’s Nest, located
at Camp Wesley Woods in Townsend, gives Hematology/Oncology
Clinic patients an opportunity to do these things in a fun – but safe
– summer camp environment. Campers also get a chance to interact
with their camp counselors, who are nurses and other clinical staff
from Children’s Hospital.This year’s Camp Eagle’s Nest will take
place August 1-5 and is open to all Hematology/Oncology Clinic
patients who have approval from their doctors to attend.
“We try to make Camp Eagle’s Nest a vacation away from
cancer treatment,” Rick Callaway, Director of Pastoral Care, said.
“It is our goal to give each camper as normal a camping experience
as possible.”
Campers can expect to participate in many fun activities,
including canoeing, repelling, swimming and horseback riding.
For more information, please contact Rick Callaway at
(865) 541-8476.
Bowen Engineering Charity Golf Tournament
Golfers are invited to play 18 holes at the third annual Bowen
Engineering Charity Golf Tournament benefiting Children’s
Hospital.The tournament will take place at Gettysvue Country Club
on Monday, September 27, beginning at 9 a.m. Participants will
receive refreshments, a chance to win prizes and a meal following
the tournament. For registration or sponsorship information, contact
Thomas Lawlor at (865) 293-4042 or tlawlor@bowenengineering.com.
by Hillary Adams, student intern
Calendar of Events
13
14. Q&A
Part 2 of 4
Obesity and Children: What Parents Should Understand
Why are so many children today overweight or obese? Many
factors are involved, from out-of-control portion sizes and eating on
the go to sedentary lifestyles and parental uncertainty about what
children should weigh.
If you’re worried that your child or teen may be overweight,
make an appointment with your doctor, who can assess eating
and activity habits and make suggestions on how to make positive
changes.The doctor may also decide to screen for some of the
medical conditions that can be associated with obesity.
Depending on your child’s body mass index (BMI), age and
health, the doctor may refer you to a registered dietitian for
additional advice and, possibly, may recommend a comprehensive
weight management program such as the Weight Management
Clinic offered at Children’s Hospital.
Overweight and obese children are at risk for developing medical
problems that affect their present and future health and quality of life,
including:
• high blood pressure, high cholesterol and abnormal blood lipid
levels, insulin resistance, and type 2 diabetes
• bone and joint problems
• shortness of breath that makes exercise, sports, or any physical
activity more difficult and may aggravate the symptoms or
increase the chances of developing asthma
• restless or disordered sleep patterns,such as obstructive sleep apnea
• tendency to mature earlier (overweight children may be taller
and more sexually mature than their peers, raising expectations
that they should act as old as they look, not as old as they are;
overweight girls may have irregular menstrual cycles and fertility
problems in adulthood)
• liver and gall bladder disease
• depression
A number of factors contribute to becoming overweight.Genetics,
lifestyle habits or a combination of both may be involved. In some
instances, endocrine problems, genetic syndromes and medications
can be associated with excessive weight gain.
Much of what we eat is quick and easy — from fat-laden fast
Few issues are closer to our hearts or more crucial to our future
than the health of children. As an abundance of children’s health
issues hit the media spotlight last year, it was a challenge for many
parents to keep track of them all or determine which matter most.
From financial turmoil to immunization challenges, 2009 turned out
to be a year of reflection and reaction.
In 2010, Children’s Hospital is highlighting 10 important
children’s health issues to watch. Each issue of It’s About Children this
year will focus on two or three topics.This Top 10 list is not meant to
be comprehensive, nor does it suggest that other health issues aren’t
also important. But we think these 10 subjects will have a lasting
impact on children’s health well into the future.
food to microwave and prepackaged meals. Daily schedules are
so packed that there is little time to prepare healthier meals or to
squeeze in some exercise. Portion sizes, in the home and out, have
grown greatly.
In addition, now more than ever, life is sedentary — children
spend more time playing with electronic devices, from computers to
handheld video game systems,than actively playing outside.Television
is also a major culprit.The American Academy of Pediatrics (AAP)
currently recommends limiting the time children over 2 years of age
spend in front of a screen to no more than 1-2 hours a day.The AAP
also discourages any screen time for children younger than 2 years.
Many children don’t get enough physical activity. Although
physical education (PE) in schools can help children get up and
moving, more and more schools are eliminating PE programs or
cutting down the time spent on fitness-building activities. Current
guidelines recommend that children over 2 years of age get at least 60
minutes of moderate to vigorous physical activity on most, preferably
all, days of the week.
The key to keeping children of all ages at a healthy weight is
taking a whole-family approach. Make healthy eating and exercise
a family affair. Get your children involved by letting them help you
plan and prepare healthy meals, and take them along when you go
grocery shopping so they can learn how to make good food choices.
Avoid falling into these common food/eating behavior traps:
• Don’t reward children for good behavior or try to stop bad
behavior with sweets or treats. Come up with other solutions to
modify their behavior.
• Don’t maintain a clean-plate policy. Be aware of children’s
hunger cues. Even babies who turn away from the bottle or
breast send signals that they are full. If children are satisfied,
don’t force them to continue eating. Reinforce the idea that they
should only eat when they are hungry.
• Don’t talk about “bad foods” or eliminate all sweets and
favorite snacks from children’s diets. Children may rebel and
overeat these forbidden foods outside the home or sneak them
in on their own.
Most of all, let your children know you love them — no matter
what their weight — and that you want to help them be happy
and healthy.
Food Allergies
According to the U.S. Food and Drug Administration (FDA),
up to 6 percent of children in the United States under age 3 have
food allergies.They are less common in adults, but overall, food
allergies affect nearly 11 million people in the United States.
With a food allergy, the body reacts as though that particular
food product is harmful. As a result, the body’s immune system
(which fights infection and disease) creates antibodies to fight the
food allergen, (the substance in the food that triggers the allergy.)
The next time a person encounters that food by touching
or eating it or inhaling its particles, the body releases chemicals,
10for‘10
14
16. The 18th
annual “Center Stage” concert benefitting Children’s Hospital on April
17 was a night that will not soon be forgotten. Underwriters, Patrons, Benefactors
and Corporate Supporters attending the event at the Knoxville Convention Center
enjoyed an exciting performance by ’80s pop band Air Supply as well as cocktails,
hors d’oeuvres, dinner and dancing.
Air Supply was a mainstay on the pop charts for more than a decade beginning
with the release of their album Lost in Love; its title track was the fastest selling single
in the world in 1980 and also contained the mega-hits “All Out of Love” and “Every
Woman in the World.” Air Supply released seven top-five singles consecutively,
and combined with their other singles have sold more than 10 million copies.Their
albums Lost in Love, The One That You Love, Now & Forever and The Greatest Hits
have sold more than 20 million copies. Air Supply has recorded together for the past
35 years and has a new album coming out in 2010.
Chairpersons Bob and Wendy Goodfriend were inspired to create this celebrity
gala in 1993 as a way to give back to Children’s Hospital after their son was hospitalized
after a diving accident. More than $2 million in net proceeds has been collected since
Center Stage’s inception.
The Underwriters of Center Stage this year were Pilot Corporation and the
Goodfriend Foundation, and all proceeds benefitted the Goody’s Pediatric Intensive
Care Unit at Children’s Hospital.
Children’s Hospital appreciates its many supporters and would like to give a
special thanks to Kaye Goodfriend, Holly Lawson, Dana Headden and Gail Reed
for their work on the planning committee; all the Patron, Benefactor and Corporate
Sponsors; guests; volunteers; and all those who continually support Children’s
Hospital’s mission.
by Taylor Griffin, student intern
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Entertainment
in large “supply”
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