It's About Children - Spring 2007 Issue by East Tennessee Children's Hospital
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About This Presentation
See more at: http://www.etch.com/about_us/its_about_children.aspx
Slide Content
&
Board of Directors
James S. Bush
Chairman
Dennis Ragsdale
Vice Chairman
Michael Crabtree
Secretary/Treasurer
Debbie Christiansen, M.D.
Dawn Ford
Steven Harb
Lewis Harris, M.D.
Jeffory Jennings, M.D.
Bob Koppel
A. David Martin
Dugan McLaughlin
Christopher Miller, M.D.
Alvin Nance
Steve South
Bill Terry, M.D.
Laurens Tullock
Danni Varlan
Medical Staff
David Nickels, M.D.
Chief of Staff
John Buchheit, M.D.
Vice Chief of Staff
John Little, M.D.
Secretary
Chiefs of Services
Jeanann Pardue, M.D.
Chief of Medicine
Mark Cramolini, M.D.
Chief of Surgery
Administration
Bob Koppel
President
Laura Barnes, R.N., M.S.N., C.N.A.A.,B.C.
Vice President for Patient Care
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
A quarterly publication of East Tennessee
Children’s Hospital,It’s About Childrenis
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 70 years and is certified
by the state of Tennessee as a Comprehensive
Regional Pediatric Center.
Ellen Liston
Director of Community Relations
David Rule
Director of Development
Wendy Hames
Editor
Neil Crosby
Cover/Contributing Photographer
“Because Children are Special…”
...they deserve the best possible health care given
in a positive,child/family-centered atmosphere of
friendliness, cooperation, and support - regardless
of race, religion, or ability to pay.”
...their medical needs are closely related to their
emotional and informational needs; therefore, the
total child must be considered in treating any illness
or injury.”
...their health care requires family involvement,
special understanding, special equipment, and
specially trained personnel who recognize that
children are not miniature adults.”
...their health care can best be provided by a facility
with a well-trained medical and hospital staff whose
only interests and concerns are with the total health
and well-being of infants, children, and adolescents.”
Statement ofPhilosophy
East Tennessee Children’s Hospital
www.etch.com
2 On the cover: Claire Milner. Read her story on pages 4-5.
Lane Bryson Wilson
On October 4, 1997, the lives of former Lenoir City
residents Mike and Missy Wilson changed forever.
Their second son, Lane Bryson Wilson, was born at 24
weeks gestation (16 weeks premature). It is difficult,
though not impossible, for a baby this premature to
survive. Lane was extremely underdeveloped; weighing
just 1 pound, 4 ounces, he fit comfortably in the palm
of his daddy’s hand.
Lane experienced many of the complications
common to premature infants during his stay in the
Children’s Hospital Neonatal Intensive Care Unit. At
some point, he experienced a hemorrhage in his brain
that caused a severe case of cerebral palsy; this meant he
most likely would never be able to learn how to move,
hold his head up or even eat.
Two weeks after birth,he suffered from a bowel
perforation (a hole that developed in the bowel). He
also battled severe infections and a second bowel
perforation that prevented him from receiving IV fluids.
At one point,
the only way to
get vital fluids
into Lane was
for one of the
neonatologists
to insert an IV
into the bone
marrow. This
procedure had
never been
done on such a
small baby at
Children’s
before,but it was Lane’s only hope. The procedure was
successful, but then Lane faced another challenge: he
suffered from a bronchospasm, which is when the
passageway that air travels through to the lungs closes.
The Wilson family also learned during his time in
the NICU that Lane was permanently blind due to a
condition called retinopathy of prematurity. This news
would be a blow to many parents of otherwise healthy
children. But after so much difficult news, the Wilsons
took this news in stride; at that time, it was the only
problem Lane had that was not life threatening.
Finally, after months of antibiotics, challenging
procedures and continuous nursing care in the
Children’s Hospital NICU, Lane was able to go home
to be with his family.
Today Lane leads an extraordinary life in Franklin,
Tenn., with his parents and brothers (10-year-old
Dyllan and six-year-old Eli).He has defied the
predictions of the type of life he would be able to lead.
He began attending the Tennessee School for the Blind
when he was three years old; there he learned how to
communicate with sign language and to use a walker.
Lane is now in third grade at Trinity Elementary
School,the same public school his brothers attend, and
he participates actively in music and physical education
classes. He has developed a small spoken vocabulary
and taught himself to play the piano by ear (he knows
10-15 songs). In addition, he participates in horseback
riding therapy at the SaddleUp in Franklin; he placed
second and third in the 2006 Spring SaddleUp Super
Show in his age division.
by Jessica Chambers,
Guest Relations Representative
NOW
then
Lane at home
Lane (center) with his brothers, Dyllan and Eli
Lane in the NICU
Lane with WBIR-TV Channel 10’s Bill Williams
on the Summer 1998 cover of It’s About Children
Board of Directors
James S. Bush
Chairman
Dennis Ragsdale
Vice Chairman
Michael Crabtree
Secretary/Treasurer
Debbie Christiansen, M.D.
Dawn Ford
Steven Harb
Lewis Harris, M.D.
Jeffory Jennings, M.D.
Bob Koppel
A. David Martin
Dugan McLaughlin
Christopher Miller, M.D.
Alvin Nance
Steve South
Bill Terry, M.D.
Laurens Tullock
Danni Varlan
Medical Staff
David Nickels, M.D.
Chief of Staff
John Buchheit, M.D.
Vice Chief of Staff
John Little, M.D.
Secretary
Chiefs of Services
Jeanann Pardue, M.D.
Chief of Medicine
Mark Cramolini, M.D.
Chief of Surgery
Administration
Bob Koppel
President
Laura Barnes, R.N., M.S.N., C.N.A.A.,B.C.
Vice President for Patient Care
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
A quarterly publication of East Tennessee
Children’s Hospital,It’s About Childrenis
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 70 years and is certified
by the state of Tennessee as a Comprehensive
Regional Pediatric Center.
Ellen Liston
Director of Community Relations
David Rule
Director of Development
Wendy Hames
Editor
Neil Crosby
Cover/Contributing Photographer
“Because Children are Special…”
...they deserve the best possible health care given
in a positive,child/family-centered atmosphere of
friendliness, cooperation, and support - regardless
of race, religion, or ability to pay.”
...their medical needs are closely related to their
emotional and informational needs; therefore, the
total child must be considered in treating any illness
or injury.”
...their health care requires family involvement,
special understanding, special equipment, and
specially trained personnel who recognize that
children are not miniature adults.”
...their health care can best be provided by a facility
with a well-trained medical and hospital staff whose
only interests and concerns are with the total health
and well-being of infants, children, and adolescents.”
Statement ofPhilosophy
East Tennessee Children’s Hospital
www.etch.com
2 On the cover: Claire Milner. Read her story on pages 4-5.
Lane Bryson Wilson
On October 4, 1997, the lives of former Lenoir City
residents Mike and Missy Wilson changed forever.
Their second son, Lane Bryson Wilson, was born at 24
weeks gestation (16 weeks premature). It is difficult,
though not impossible, for a baby this premature to
survive. Lane was extremely underdeveloped; weighing
just 1 pound, 4 ounces, he fit comfortably in the palm
of his daddy’s hand.
Lane experienced many of the complications
common to premature infants during his stay in the
Children’s Hospital Neonatal Intensive Care Unit. At
some point, he experienced a hemorrhage in his brain
that caused a severe case of cerebral palsy; this meant he
most likely would never be able to learn how to move,
hold his head up or even eat.
Two weeks after birth,he suffered from a bowel
perforation (a hole that developed in the bowel). He
also battled severe infections and a second bowel
perforation that prevented him from receiving IV fluids.
At one point,
the only way to
get vital fluids
into Lane was
for one of the
neonatologists
to insert an IV
into the bone
marrow. This
procedure had
never been
done on such a
small baby at
Children’s
before,but it was Lane’s only hope. The procedure was
successful, but then Lane faced another challenge: he
suffered from a bronchospasm, which is when the
passageway that air travels through to the lungs closes.
The Wilson family also learned during his time in
the NICU that Lane was permanently blind due to a
condition called retinopathy of prematurity. This news
would be a blow to many parents of otherwise healthy
children. But after so much difficult news, the Wilsons
took this news in stride; at that time, it was the only
problem Lane had that was not life threatening.
Finally, after months of antibiotics, challenging
procedures and continuous nursing care in the
Children’s Hospital NICU, Lane was able to go home
to be with his family.
Today Lane leads an extraordinary life in Franklin,
Tenn., with his parents and brothers (10-year-old
Dyllan and six-year-old Eli).He has defied the
predictions of the type of life he would be able to lead.
He began attending the Tennessee School for the Blind
when he was three years old; there he learned how to
communicate with sign language and to use a walker.
Lane is now in third grade at Trinity Elementary
School,the same public school his brothers attend, and
he participates actively in music and physical education
classes. He has developed a small spoken vocabulary
and taught himself to play the piano by ear (he knows
10-15 songs). In addition, he participates in horseback
riding therapy at the SaddleUp in Franklin; he placed
second and third in the 2006 Spring SaddleUp Super
Show in his age division.
by Jessica Chambers,
Guest Relations Representative
NOW
then
Lane at home
Lane (center) with his brothers, Dyllan and Eli
Lane in the NICU
Lane with WBIR-TV Channel 10’s Bill Williams
on the Summer 1998 cover of It’s About Children
3
A visit to any hospital can be scary,especially
when the patient is a child.There are so many details
to understand in such a short period,and families
staying at Children’s Hospital often wonder
what to read or inquire about first.
A newly developed Family Resource
Guide assists patients and their families
with a variety of this information,thanks to
a generous donation from the Children’s
Hospital Volunteers.A guide will soon be
located in each inpatient room,as well as
at key locations throughout the hospital
and in hospital departments providing
outpatient services.
Information about hospital services
and programs is detailed in the guides.
Details for families about their child’s
hospital stay,as well as information about
who is on a child’s health care team,pain
management information,and a list of
patients’rights are included.
Families can also learn about the
services Children’s Hospital offers “just
for kids”and hospital policies on
visitation,parking and more.The
Family Resource Guide also explains
important information families should know and
understand when their child is released from
Children’s and is able to go home.
Hospital Web site features enhanced offerings
As part of Children’s Hospital’s ongoing commitment to this
region,the hospital provides a wealth of free information on our
Web site,www.etch.com.
We most recently added the CarePages service to help families
stay in touch throughout the difficulty of a child’s illness.CarePages,
an Internet-based communications system,offers an opportunity for
families to create simple web pages about a sick or injured relative
who is a patient at Children’s Hospital.
CarePages offers
patient web pages that
deliver emotional support
to Children’s Hospital
patients and families by
making it easy for them
to stay in touch during a
hospital stay or any time the child is receiving medical care.
The service provides patient families with an easier way to update
relatives and friends without the need for repeated phone calls or
e-mails.CarePages also makes it possible for relatives and friends
to send messages of encouragement,giving the patient and
family much needed emotional support.A patient’s CarePage
can be updated as often as the family chooses,and guests to the
page can see the updates about the patient any time they access
the family’s web page.
Children’s Hospital’s CarePages can be accessed through
computers in the hospital’s Family Resource Center,in a patient
family’s home or from any computer by visiting
www.etch.com.
CarePages are password-protected,secure and comply with all
patient privacy regulations.The service is offered free to Children’s
Hospital patient families,thanks to funds raised by the annual
Star 102.1 Radiothon.
Other site enhancements:
•Visit our Web site to subscribe to our new E-Kids News,an
updated e-mailed newsletter that recently replaced Children’s
E-News,a text-based e-mail.In addition to news about
Children’s Hospital and health news from KidsHealth,E-Kids
News features color,graphics and links to many topics.
Subscribers can also partially customize the newsletter,
according to their children’s ages and medical conditions.
•Now available is an enhanced version of New Parent E-News,
an emailed newsletter geared to expectant parents as well as
parents of newborns.
•KidsHealth,the provider of pediatric health information on the
Children’s Hospital Web site,has begun adding video segments
to its library of articles,games and interactive tools.Two new
videos currently are available,with more coming in 2007.
Current live segments include “Helping Sam Hear”(which
follows a boy and his family through cochlear
implant surgery and beyond) and “Kids Ask
Cal”(children ask baseball Hall of Famer Cal
Ripken Jr.about sportsmanship).Both videos
can be viewed by going to
www.etch.comand
clicking on Health Library.
To subscribe to either newsletter,visit our Web site at www.etch.com
and look for “Newsletters”on the right side ofthe page.
Bulletin Board
V
Family Resource Guide to
help patient families navigate
Children’s Hospital experience
V
Each year, the Great Smoky Mountain Chapter of the Association of
Fundraising Professionals presents the Philanthropy Day awards. At the annual
event in November, Children’s Hospital honored Kohl’s at its Community Table.
The hospital’s recognition of Kohl’s Department Stores stated:
“Kohl’s Department Stores are an important member of Knoxville’s Philanthropic
Community. Kohl’s commitment to children’s hospitals and education is made
possible through the Kohl’s Cares for Kids program, which raises funds through the
sale of special merchandise. One hundred percent of the net profits from the sale of
these items benefit health and educational opportunities in the communities Kohl’s
serves. Kohl’s
community
outreach also
includes Kohl’s
Kids Who Care,
an annual youth
volunteer
recognition
program;
fundraising gift
cards for local
schools and non-
profit youth
groups; and an
associate program
to encourage volunteerism. Locally since 1998, Kohl’s has provided East Tennessee
Children's Hospital with over $392,000. Based in Menomonee Falls, Wis., Kohl’s is
a family-focused, value-oriented specialty department store. Kohl’s operates 674
stores in 40 states and supports more than 127 children’s hospitals.”
By Amandalynn Thomas,student intern
Children’s Hospital honors
Kohl’s Department Stores
V
A visit to any hospital can be scary,especially
when the patient is a child.There are so many details
to understand in such a short period,and families
staying at Children’s Hospital often wonder
what to read or inquire about first.
A newly developed Family Resource
Guide assists patients and their families
with a variety of this information,thanks to
a generous donation from the Children’s
Hospital Volunteers.A guide will soon be
located in each inpatient room,as well as
at key locations throughout the hospital
and in hospital departments providing
outpatient services.
Information about hospital services
and programs is detailed in the guides.
Details for families about their child’s
hospital stay,as well as information about
who is on a child’s health care team,pain
management information,and a list of
patients’rights are included.
Families can also learn about the
services Children’s Hospital offers “just
for kids”and hospital policies on
visitation,parking and more.The
Family Resource Guide also explains
important information families should know and
understand when their child is released from
Children’s and is able to go home.
Hospital Web site features enhanced offerings
As part of Children’s Hospital’s ongoing commitment to this
region,the hospital provides a wealth of free information on our
Web site,www.etch.com.
We most recently added the CarePages service to help families
stay in touch throughout the difficulty of a child’s illness.CarePages,
an Internet-based communications system,offers an opportunity for
families to create simple web pages about a sick or injured relative
who is a patient at Children’s Hospital.
CarePages offers
patient web pages that
deliver emotional support
to Children’s Hospital
patients and families by
making it easy for them
to stay in touch during a
hospital stay or any time the child is receiving medical care.
The service provides patient families with an easier way to update
relatives and friends without the need for repeated phone calls or
e-mails.CarePages also makes it possible for relatives and friends
to send messages of encouragement,giving the patient and
family much needed emotional support.A patient’s CarePage
can be updated as often as the family chooses,and guests to the
page can see the updates about the patient any time they access
the family’s web page.
Children’s Hospital’s CarePages can be accessed through
computers in the hospital’s Family Resource Center,in a patient
family’s home or from any computer by visiting
www.etch.com.
CarePages are password-protected,secure and comply with all
patient privacy regulations.The service is offered free to Children’s
Hospital patient families,thanks to funds raised by the annual
Star 102.1 Radiothon.
Other site enhancements:
•Visit our Web site to subscribe to our new E-Kids News,an
updated e-mailed newsletter that recently replaced Children’s
E-News,a text-based e-mail.In addition to news about
Children’s Hospital and health news from KidsHealth,E-Kids
News features color,graphics and links to many topics.
Subscribers can also partially customize the newsletter,
according to their children’s ages and medical conditions.
•Now available is an enhanced version of New Parent E-News,
an emailed newsletter geared to expectant parents as well as
parents of newborns.
•KidsHealth,the provider of pediatric health information on the
Children’s Hospital Web site,has begun adding video segments
to its library of articles,games and interactive tools.Two new
videos currently are available,with more coming in 2007.
Current live segments include “Helping Sam Hear”(which
follows a boy and his family through cochlear
implant surgery and beyond) and “Kids Ask
Cal”(children ask baseball Hall of Famer Cal
Ripken Jr.about sportsmanship).Both videos
can be viewed by going to
www.etch.comand
clicking on Health Library.
To subscribe to either newsletter,visit our Web site at www.etch.com
and look for “Newsletters”on the right side ofthe page.
Bulletin Board
V
Family Resource Guide to
help patient families navigate
Children’s Hospital experience
V
Each year, the Great Smoky Mountain Chapter of the Association of
Fundraising Professionals presents the Philanthropy Day awards. At the annual
event in November, Children’s Hospital honored Kohl’s at its Community Table.
The hospital’s recognition of Kohl’s Department Stores stated:
“Kohl’s Department Stores are an important member of Knoxville’s Philanthropic
Community. Kohl’s commitment to children’s hospitals and education is made
possible through the Kohl’s Cares for Kids program, which raises funds through the
sale of special merchandise. One hundred percent of the net profits from the sale of
these items benefit health and educational opportunities in the communities Kohl’s
serves. Kohl’s
community
outreach also
includes Kohl’s
Kids Who Care,
an annual youth
volunteer
recognition
program;
fundraising gift
cards for local
schools and non-
profit youth
groups; and an
associate program
to encourage volunteerism. Locally since 1998, Kohl’s has provided East Tennessee
Children's Hospital with over $392,000. Based in Menomonee Falls, Wis., Kohl’s is
a family-focused, value-oriented specialty department store. Kohl’s operates 674
stores in 40 states and supports more than 127 children’s hospitals.”
By Amandalynn Thomas,student intern
Children’s Hospital honors
Kohl’s Department Stores
V
Claire Milner looks like most
children her age and has lots of
interests. She is the reigning
spelling bee champion for three years
at her middle school, has had her art
published in a national magazine
and plays soulful blues on her
clarinet. But Claire says that she
feels kind of different sometimes.
Claire Milner was born after a
normal pregnancy and delivery but
her mom, Sally Bishop, soon noticed
something was not right. Claire got
sick more than normal, and since
Claire was a second child, Sally had
already experienced what a healthy
child’s behavior was like. Claire was
initially diagnosed with asthma.
Following her “mother’s intuition,”
Sally sought more medical advice
and went to doctor after doctor in
her New Jersey town.
Claire continued to suffer from frequent
bouts with pneumonia and digestive problems.
At times she would be so congested that her
mom would hold her upright throughout the
night so she could breathe. Despite this, Claire
began developing into a very smart, funny
toddler with a huge imagination and a flair for
the dramatic. “I think that imagination helped
her get through the bad times when she felt so
sick,” Sally said.
After three successive bouts of pneumonia
when she was three years old,Claire was tested
for and diagnosed with cystic fibrosis. Cystic
fibrosis (CF) is an inherited disease that causes
the body to produce mucus that is extremely
thick and sticky. The two organs that are most
affected are the lungs and pancreas,where the
thick mucus causes breathing and digestive
problems. The test often used to test a person
for CF is called a sweat test. In this test, the
doctor looks for heightened levels of chloride
(a chemical in salt), as this indicates a possibility
the patient has CF.In some states in the United
States,all newborns are checked for this disease
with a blood test. Claire was born in New Jersey,
one of the states that did not have CF testing
included in newborn screenings.
Upon learning of her daughter’s diagnosis,
Sally experienced a variety of feelings, including
guilt.“I felt that I should have done something
more,” she said. One of Claire’s physicians
pointed to a seven-foot long sheet of paper
listing Sally’s repeated inquiries and requests
concerning Claire to illustrate that Sally had
done everything right. “They told me I had
done all I could do and now it was time to
look realistically and positively at the future,”
Sally said.
Claire began her treatment at Robert Wood
Johnson Hospital in New Brunswick, N.J.,
before moving with her family to her mom’s
hometown,Oak Ridge,about six years ago.
Claire’s mom and stepdad are both teachers
in the Knoxville area, while her father and
stepmom are scientists in New Jersey.
Once in Oak Ridge,Claire began seeing
Dr. John Rogers and Dr. Eduardo Riff at
Pediatric Pulmonology at Children’s Hospital.
“Dr. Riff has this larger-than-life personality
that is magnificent,” says the extremely
articulate,now 13-year-old Claire.“And
Dr. Rogers keeps us all balanced and is very
encouraging.” Pediatric Pulmonology has been
dedicated to treating Claire as a whole person,
realizing the psychological aspects of dealing
with a chronic illness as a young person. By
staying up-to-date on the latest studies and
treatments available for CF patients,Pediatric
Pulmonology has been applauded by the Cystic
Fibrosis Foundation for showing some of the
most impressive results for the treatment of CF
in the country.
While Claire’s case has been deemed
“moderate,” she has a strict daily regimen that
she follows to stay functional and healthy. Her
treatment begins the minute she wakes up each
day.It’s a good thing Claire is a morning person
because she has a lot to take care of before she
can even think about getting ready for her
school day at Jefferson Middle School. Claire
spends 20 minutes twice a day breathing in two
inhalers; using a hyper tonic saline nasal rinse;
swallowing oral drugs; digestive enzymes,
vitamins and probiotics to help with digestion;
all while wearing a vest that rapidly shakes her
torso to loosen the mucus build-up in her
lungs. Throughout the month, additional
medicines are used including Zithromax as an
anti-inflammatory and Singulair and Pulmicort
to aid in respiratory health.
In addition to these “standard” treatments,
Claire also eats a diet high in active bacteria
like yogurt. Her favorite food is sushi, which
Sally has brought into Children’s Hospital for
Claire during one of her “tune-ups.” Tune-ups
are necessary at times for children with CF and
generally consist of more intensive breathing
treatments,inserting PICC lines for IV
antibiotics and sometimes a bronchoscopy.
Depending on the child’s health and severity of
CF, these tune-ups can last two weeks. Claire
has never had a stay at Children’s Hospital
longer than four days completing her “tune ups”
4
ClaireClaire
children her age and has lots of
interests. She is the reigning
spelling bee champion for three years
at her middle school, has had her art
published in a national magazine
and plays soulful blues on her
clarinet. But Claire says that she
feels kind of different sometimes.
Claire Milner was born after a
normal pregnancy and delivery but
her mom, Sally Bishop, soon noticed
something was not right. Claire got
sick more than normal, and since
Claire was a second child, Sally had
already experienced what a healthy
child’s behavior was like. Claire was
initially diagnosed with asthma.
Following her “mother’s intuition,”
Sally sought more medical advice
and went to doctor after doctor in
her New Jersey town.
Claire continued to suffer from frequent
bouts with pneumonia and digestive problems.
At times she would be so congested that her
mom would hold her upright throughout the
night so she could breathe. Despite this, Claire
began developing into a very smart, funny
toddler with a huge imagination and a flair for
the dramatic. “I think that imagination helped
her get through the bad times when she felt so
sick,” Sally said.
After three successive bouts of pneumonia
when she was three years old,Claire was tested
for and diagnosed with cystic fibrosis. Cystic
fibrosis (CF) is an inherited disease that causes
the body to produce mucus that is extremely
thick and sticky. The two organs that are most
affected are the lungs and pancreas,where the
thick mucus causes breathing and digestive
problems. The test often used to test a person
for CF is called a sweat test. In this test, the
doctor looks for heightened levels of chloride
(a chemical in salt), as this indicates a possibility
the patient has CF.In some states in the United
States,all newborns are checked for this disease
with a blood test. Claire was born in New Jersey,
one of the states that did not have CF testing
included in newborn screenings.
Upon learning of her daughter’s diagnosis,
Sally experienced a variety of feelings, including
guilt.“I felt that I should have done something
more,” she said. One of Claire’s physicians
pointed to a seven-foot long sheet of paper
listing Sally’s repeated inquiries and requests
concerning Claire to illustrate that Sally had
done everything right. “They told me I had
done all I could do and now it was time to
look realistically and positively at the future,”
Sally said.
Claire began her treatment at Robert Wood
Johnson Hospital in New Brunswick, N.J.,
before moving with her family to her mom’s
hometown,Oak Ridge,about six years ago.
Claire’s mom and stepdad are both teachers
in the Knoxville area, while her father and
stepmom are scientists in New Jersey.
Once in Oak Ridge,Claire began seeing
Dr. John Rogers and Dr. Eduardo Riff at
Pediatric Pulmonology at Children’s Hospital.
“Dr. Riff has this larger-than-life personality
that is magnificent,” says the extremely
articulate,now 13-year-old Claire.“And
Dr. Rogers keeps us all balanced and is very
encouraging.” Pediatric Pulmonology has been
dedicated to treating Claire as a whole person,
realizing the psychological aspects of dealing
with a chronic illness as a young person. By
staying up-to-date on the latest studies and
treatments available for CF patients,Pediatric
Pulmonology has been applauded by the Cystic
Fibrosis Foundation for showing some of the
most impressive results for the treatment of CF
in the country.
While Claire’s case has been deemed
“moderate,” she has a strict daily regimen that
she follows to stay functional and healthy. Her
treatment begins the minute she wakes up each
day.It’s a good thing Claire is a morning person
because she has a lot to take care of before she
can even think about getting ready for her
school day at Jefferson Middle School. Claire
spends 20 minutes twice a day breathing in two
inhalers; using a hyper tonic saline nasal rinse;
swallowing oral drugs; digestive enzymes,
vitamins and probiotics to help with digestion;
all while wearing a vest that rapidly shakes her
torso to loosen the mucus build-up in her
lungs. Throughout the month, additional
medicines are used including Zithromax as an
anti-inflammatory and Singulair and Pulmicort
to aid in respiratory health.
In addition to these “standard” treatments,
Claire also eats a diet high in active bacteria
like yogurt. Her favorite food is sushi, which
Sally has brought into Children’s Hospital for
Claire during one of her “tune-ups.” Tune-ups
are necessary at times for children with CF and
generally consist of more intensive breathing
treatments,inserting PICC lines for IV
antibiotics and sometimes a bronchoscopy.
Depending on the child’s health and severity of
CF, these tune-ups can last two weeks. Claire
has never had a stay at Children’s Hospital
longer than four days completing her “tune ups”
4
ClaireClaire
5
at home, a statistic for which her family and
doctors are quite proud. With the help of the
Children’s Home Health Care program, Sally
and her husband are able to conduct Claire’s
follow-up care confidently and in the comfort
of their own home.
“We have never received care like we have
at Children’s Hospital- we are so spoiled,”
Sally said. “Every single doctor, nurse, lab
tech, radiologist, anesthetist, child life
specialist, chaplain and person we have come
in contact with has been wonderful.” It seems
the feelings are mutual. Children’s Hospital
chaplain Shirley Bunting said, “Claire is a
remarkable young lady, and everyone knows
it. She is one of those people who just can’t
be pigeon-holed because she is so unique and
special.”
Children’s Hospital staff respect Claire’s
maturity and knowledge and speak to her in
an appropriate manner. It is this same kind
of maturity and respect that radiates from
Claire herself. “I recognize the importance
of things now. Everybody at Pediatric
Pulmonology and Children’s Hospital has
helped me develop a sense of responsibility,
and I have found that my endurance and
patience are precious gifts,” said Claire.
It is this kind of perseverance and attitude
that allows Claire to take life by the reigns
and not be inhibited by CF. She recently
wowed her parents and physicians by going
on an eighth grade class trip to Williamsburg,
Va., where she took full responsibility for
administering all of her medications. The trip
was a great success in more ways than one.
Not only did Claire prove to be totally
independent with her medical needs, but she
is now considering becoming an historical
reinactor. Whatever she chooses, the future is
looking very bright for Claire.
By Joanna Simeone,
Public Relations Specialist
What is cystic fibrosis?
Cystic fibrosis occurs because of mutations in
the gene that makes a protein called CFTR
(cystic fibrosis transmembrane regulator). A
person with CF produces abnormal CFTR
protein. People who are born with CF have two
copies of the CF gene. In almost all people born
with CF, one gene is received from each parent.
This means that the parents of children with CF
are usually both CF carriers (that is, they have
one normal and one defective gene) but the
parents do not have CF themselves because their
normal gene is able to “take over” and make the
necessary CFTR protein.
Each child born to parents who are both CF
carriers has a one in four chance of having the
disease. Cystic fibrosis occurs most frequently in
Caucasians of northern European descent, in whom
the CF gene is most common, although people of
other heritages can have the disease, too. People
who have a close relative with CF are also more
likely to carry the CF gene; approximately 12 million
Americans, or one in every 20 people living in this
country, is a CF carrier. And most of them don’t
know it.
About 30,000 people in the United States have a
diagnosis of CF. It affects both males and females.
While there is currently no cure for CF, there is
hope. In the last fifteen years, the life expectancy for
those living with CF has doubled, with more than
half living into their 30s. Statistics now show that
nearly 40 percent of the people living with CF in the
United States are 18 years or older, and new research
is leading to the possibility of a cure.
Common symptoms
of cystic fibrosis
•Frequent lung infections or pneumonia
• Persistent wheezing
• Persistent cough with thick mucus
•Failure to gain weight, even though
the child eats normal amounts
• Very salty sweat
•Poor height growth
• Nasal polyps (small growths of tissue
inside the nose)
• Frequent sinus infections
•Fatigue
• Rounded or enlarged toes and fingers
Did You Know….
Cystic fibrosis is sometimes called “65 roses.” The
nickname came from a little boy who overheard his
mom talking about the condition on the phone. He
thought that each time his mom said “cystic
fibrosis,” she was talking about 65 roses. This term
has now become a widely used tool when teaching
children about the disease and how to pronounce the
name of the disease.
Safe Sitter
Dates:March 10 (at the Knoxville Convention Center as part of the
Women Today Expo), March 24, April 14 and 28, May 5 and 19,
and June 2
Time: 9 a.m. to 3 p.m. (lunch is provided)
Safe Sitter is a national organization that teaches young adolescents safe and
nurturing babysitting techniques and the rescue skills needed to respond
appropriately to medical emergencies. Instructors are certified through Safe
Sitter nationally. Participants must be ages 11-14. This course is $18 per person.
I Can!
Date: March 28, April 18, May 16 and June 7
Time: 6 p.m.
I Can! is a new Healthy Kids class series for families about making healthy
choices. Children’s Hospital’s Healthy Kids program is introducing this class
focusing on food and fitness choices for families. Beginning in late March, the
first class will focus on making healthy food choices and the next three months’
classes will highlight fun and fitness, cooking choices and shopping ideas.
Families can join the series of classes at any time.
CPR
Dates:March 26, April 16, May 14 and June 4
Time: 6-9 p.m.
This class will teach caregivers cardiopulmonary resuscitation and choking
maneuvers for children and adults. This class also gives general home safety
advice and tips, and participants must be at least 14 years old. This course is $18
per person.
Class size is limited,so preregistration is required. All classes are offered in the
Koppel Plaza at Children’s Hospital, unless otherwise noted. For more information or
to register for any of these classes or to receive our free Healthy Kids parenting
newsletter,call (865) 541-8262.
Announcements about upcoming classes can be seen on WBIR-TV 10 and heard
on area radio stations. Or visit our Web site at www.etch.com and click on “Healthy
Kids Education and News.”
Children’s Hospital’s Healthy Kids Campaign, sponsored by WBIR-TV 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.
Upcoming Community Education ClassesUpcoming Community Education Classes
at home, a statistic for which her family and
doctors are quite proud. With the help of the
Children’s Home Health Care program, Sally
and her husband are able to conduct Claire’s
follow-up care confidently and in the comfort
of their own home.
“We have never received care like we have
at Children’s Hospital- we are so spoiled,”
Sally said. “Every single doctor, nurse, lab
tech, radiologist, anesthetist, child life
specialist, chaplain and person we have come
in contact with has been wonderful.” It seems
the feelings are mutual. Children’s Hospital
chaplain Shirley Bunting said, “Claire is a
remarkable young lady, and everyone knows
it. She is one of those people who just can’t
be pigeon-holed because she is so unique and
special.”
Children’s Hospital staff respect Claire’s
maturity and knowledge and speak to her in
an appropriate manner. It is this same kind
of maturity and respect that radiates from
Claire herself. “I recognize the importance
of things now. Everybody at Pediatric
Pulmonology and Children’s Hospital has
helped me develop a sense of responsibility,
and I have found that my endurance and
patience are precious gifts,” said Claire.
It is this kind of perseverance and attitude
that allows Claire to take life by the reigns
and not be inhibited by CF. She recently
wowed her parents and physicians by going
on an eighth grade class trip to Williamsburg,
Va., where she took full responsibility for
administering all of her medications. The trip
was a great success in more ways than one.
Not only did Claire prove to be totally
independent with her medical needs, but she
is now considering becoming an historical
reinactor. Whatever she chooses, the future is
looking very bright for Claire.
By Joanna Simeone,
Public Relations Specialist
What is cystic fibrosis?
Cystic fibrosis occurs because of mutations in
the gene that makes a protein called CFTR
(cystic fibrosis transmembrane regulator). A
person with CF produces abnormal CFTR
protein. People who are born with CF have two
copies of the CF gene. In almost all people born
with CF, one gene is received from each parent.
This means that the parents of children with CF
are usually both CF carriers (that is, they have
one normal and one defective gene) but the
parents do not have CF themselves because their
normal gene is able to “take over” and make the
necessary CFTR protein.
Each child born to parents who are both CF
carriers has a one in four chance of having the
disease. Cystic fibrosis occurs most frequently in
Caucasians of northern European descent, in whom
the CF gene is most common, although people of
other heritages can have the disease, too. People
who have a close relative with CF are also more
likely to carry the CF gene; approximately 12 million
Americans, or one in every 20 people living in this
country, is a CF carrier. And most of them don’t
know it.
About 30,000 people in the United States have a
diagnosis of CF. It affects both males and females.
While there is currently no cure for CF, there is
hope. In the last fifteen years, the life expectancy for
those living with CF has doubled, with more than
half living into their 30s. Statistics now show that
nearly 40 percent of the people living with CF in the
United States are 18 years or older, and new research
is leading to the possibility of a cure.
Common symptoms
of cystic fibrosis
•Frequent lung infections or pneumonia
• Persistent wheezing
• Persistent cough with thick mucus
•Failure to gain weight, even though
the child eats normal amounts
• Very salty sweat
•Poor height growth
• Nasal polyps (small growths of tissue
inside the nose)
• Frequent sinus infections
•Fatigue
• Rounded or enlarged toes and fingers
Did You Know….
Cystic fibrosis is sometimes called “65 roses.” The
nickname came from a little boy who overheard his
mom talking about the condition on the phone. He
thought that each time his mom said “cystic
fibrosis,” she was talking about 65 roses. This term
has now become a widely used tool when teaching
children about the disease and how to pronounce the
name of the disease.
Safe Sitter
Dates:March 10 (at the Knoxville Convention Center as part of the
Women Today Expo), March 24, April 14 and 28, May 5 and 19,
and June 2
Time: 9 a.m. to 3 p.m. (lunch is provided)
Safe Sitter is a national organization that teaches young adolescents safe and
nurturing babysitting techniques and the rescue skills needed to respond
appropriately to medical emergencies. Instructors are certified through Safe
Sitter nationally. Participants must be ages 11-14. This course is $18 per person.
I Can!
Date: March 28, April 18, May 16 and June 7
Time: 6 p.m.
I Can! is a new Healthy Kids class series for families about making healthy
choices. Children’s Hospital’s Healthy Kids program is introducing this class
focusing on food and fitness choices for families. Beginning in late March, the
first class will focus on making healthy food choices and the next three months’
classes will highlight fun and fitness, cooking choices and shopping ideas.
Families can join the series of classes at any time.
CPR
Dates:March 26, April 16, May 14 and June 4
Time: 6-9 p.m.
This class will teach caregivers cardiopulmonary resuscitation and choking
maneuvers for children and adults. This class also gives general home safety
advice and tips, and participants must be at least 14 years old. This course is $18
per person.
Class size is limited,so preregistration is required. All classes are offered in the
Koppel Plaza at Children’s Hospital, unless otherwise noted. For more information or
to register for any of these classes or to receive our free Healthy Kids parenting
newsletter,call (865) 541-8262.
Announcements about upcoming classes can be seen on WBIR-TV 10 and heard
on area radio stations. Or visit our Web site at www.etch.com and click on “Healthy
Kids Education and News.”
Children’s Hospital’s Healthy Kids Campaign, sponsored by WBIR-TV 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.
Upcoming Community Education ClassesUpcoming Community Education Classes
Cindy Hoffman, M.D.
Age– 37
Family– Fiancé, Marty Hoover
Name of Pediatric Practice–
Maryville Pediatric Group
Personal Interests– Running, biking,
horseback riding, spending time with
family and friends
Academic Background/Prior Experience
B.S.– David Lipscomb University,
Nashville, 1991
M.D. – University of Tennessee,
Memphis,1997
Internship and Residency – Indiana
University School of Medicine, Riley
Children’s Hospital, Indianapolis,
1997-2000
Other:Board certified in pediatrics, 2000
Why Pediatrics?
I love to see kids healthy, happy and smiling.
They are so resilient and inspiring.
Greatest Influence:
My mother, Gay Fitzgerald, who was always a
hard worker and who encouraged and
supported me in my educational endeavors.
Also,my family physician,Dilip Joshi, M.D.,
who still practices in my hometown of
Jamestown,Tenn.
Philosophy:
To treat each family with respect and each
child as an individual,and to set a good
example of a healthy lifestyle.
Proudest Moment as a Pediatrician:
No one particular moment stands out, but
I truly enjoy getting to know the children and
their families and watching them grow and
develop.
Jeff Lin, M.D.
Age– 38
Family– Wife, Mary Combs
Lin; children, Katie (6
Abby (4
Nicholas (3 months
Name of Pediatric Practice–
Knoxville Pediatric Associates,
Farragut office
Personal Interests– fly
fishing, deep sea fishing, golf,
skiing, activities with my
church (First Farragut United
Methodist Church)
Academic Background/
Prior Experience
B.S. – University of Alabama, Tuscaloosa, 1990
M.D. – University of Alabama School of Medicine, Birmingham, 1995
Internship – University of Florida, Pediatric Residency at Sacred Heart,
Pensacola, 1995-96
Residence – University of Florida, Pediatric Residency at Sacred Heart,
Pensacola, 1996-98
Other – Co-chief resident, 1997-98; won the Reed Bell Intern of the Year
Award in 1996 and the Reed Bell Resident of the Year Award in 1998.
Board certified in Pediatrics in 1998.
Why Pediatrics?
During medical school, I had decided to do primary care and considered
family practice but found it enjoyable only when seeing a pediatric patient.
I found this true with all the other rotations during medical school, as well.
Greatest Influence:
Personally, my father, the late Yung-lo Lin, would be my greatest influence.
He grew up as a farmer’s son in Taiwan and came to the U.S. to study at
Princeton University. He always stressed the importance of working hard
and being humble. Professionally, Robert Wilson, M.D., FAAP (also
known as “Dr. Bob”) would be my greatest influence. Dr. Bob was my
residency program director in Pensacola. He taught and practiced medicine
with great humility and faith in God. He taught me as much about life as
he taught me about pediatrics.
Philosophy:
My basic philosophy is that being a physician and taking care of children is
a blessing and a privilege.
Proudest Moment as a Pediatrician:
Three and a half years ago, while in practice in Florida, I was called to the
ER to tend to 24-week twins. One was born at home in a toilet and the
other was born in the ambulance. They were in respiratory distress,
hypoxic [lacking adequate oxygen] and hypothermic, and for much of the
time I had one ventilator to my access. I was fortunately able to stabilize
them and get them transported to the Children’s Hospital. They eventually
became patients of my practice, doing well with minor developmental
issues. The parents were grateful, and I was proud and blessed to have been
a part of their lives.
PediatricianProfiles
6
Age– 37
Family– Fiancé, Marty Hoover
Name of Pediatric Practice–
Maryville Pediatric Group
Personal Interests– Running, biking,
horseback riding, spending time with
family and friends
Academic Background/Prior Experience
B.S.– David Lipscomb University,
Nashville, 1991
M.D. – University of Tennessee,
Memphis,1997
Internship and Residency – Indiana
University School of Medicine, Riley
Children’s Hospital, Indianapolis,
1997-2000
Other:Board certified in pediatrics, 2000
Why Pediatrics?
I love to see kids healthy, happy and smiling.
They are so resilient and inspiring.
Greatest Influence:
My mother, Gay Fitzgerald, who was always a
hard worker and who encouraged and
supported me in my educational endeavors.
Also,my family physician,Dilip Joshi, M.D.,
who still practices in my hometown of
Jamestown,Tenn.
Philosophy:
To treat each family with respect and each
child as an individual,and to set a good
example of a healthy lifestyle.
Proudest Moment as a Pediatrician:
No one particular moment stands out, but
I truly enjoy getting to know the children and
their families and watching them grow and
develop.
Jeff Lin, M.D.
Age– 38
Family– Wife, Mary Combs
Lin; children, Katie (6
Abby (4
Nicholas (3 months
Name of Pediatric Practice–
Knoxville Pediatric Associates,
Farragut office
Personal Interests– fly
fishing, deep sea fishing, golf,
skiing, activities with my
church (First Farragut United
Methodist Church)
Academic Background/
Prior Experience
B.S. – University of Alabama, Tuscaloosa, 1990
M.D. – University of Alabama School of Medicine, Birmingham, 1995
Internship – University of Florida, Pediatric Residency at Sacred Heart,
Pensacola, 1995-96
Residence – University of Florida, Pediatric Residency at Sacred Heart,
Pensacola, 1996-98
Other – Co-chief resident, 1997-98; won the Reed Bell Intern of the Year
Award in 1996 and the Reed Bell Resident of the Year Award in 1998.
Board certified in Pediatrics in 1998.
Why Pediatrics?
During medical school, I had decided to do primary care and considered
family practice but found it enjoyable only when seeing a pediatric patient.
I found this true with all the other rotations during medical school, as well.
Greatest Influence:
Personally, my father, the late Yung-lo Lin, would be my greatest influence.
He grew up as a farmer’s son in Taiwan and came to the U.S. to study at
Princeton University. He always stressed the importance of working hard
and being humble. Professionally, Robert Wilson, M.D., FAAP (also
known as “Dr. Bob”) would be my greatest influence. Dr. Bob was my
residency program director in Pensacola. He taught and practiced medicine
with great humility and faith in God. He taught me as much about life as
he taught me about pediatrics.
Philosophy:
My basic philosophy is that being a physician and taking care of children is
a blessing and a privilege.
Proudest Moment as a Pediatrician:
Three and a half years ago, while in practice in Florida, I was called to the
ER to tend to 24-week twins. One was born at home in a toilet and the
other was born in the ambulance. They were in respiratory distress,
hypoxic [lacking adequate oxygen] and hypothermic, and for much of the
time I had one ventilator to my access. I was fortunately able to stabilize
them and get them transported to the Children’s Hospital. They eventually
became patients of my practice, doing well with minor developmental
issues. The parents were grateful, and I was proud and blessed to have been
a part of their lives.
PediatricianProfiles
6
7
We’ve all seen the pictures many times on TV, in
magazines, in Children’s Hospital’s own publications and
on Web sites – a doctor or nurse practitioner viewing an
X-ray on a light box or even holding the X-ray up to a
ceiling light.
The image is so common that it is almost a cliché in
health care photography.
And in 2007 at Children’s Hospital, it is also obsolete.
Radiology has gone filmless!
Last fall Children’s Hospital stepped into a new era of
technology with the installation of PACS – a Picture
Archiving and Communications System. PACS is a
computer network designed for the transmission, display,
storage and retrieval of digital medical images.
In simple terms, PACS can be compared to a digital
camera that you use for personal photographs, according
to Clifford Meservy, M.D., pediatric radiologist with
Vista Radiology and Medical Director of Radiology at
Children’s Hospital. With a film camera, you take the
pictures, take the roll to a store to be developed, wait a
while, go back, pick up the pictures and finally get to
look through them. With a digital camera, you can see
the picture on the camera instantly or you can plug the
camera into a computer and view the images in a
larger size – you eliminate a step or two and save
significant time.
PACS presents an innovative change for physicians,
hospitals and patients. With PACS, Children’s
Hospital can distribute radiology images (X-rays, MRI
and CT scans and other forms of imaging) digitally by
computer to any location in Children’s Hospital or to
many of the pediatric subspecialists’ offices without the
need for manually handling or storing film.
The arrival of PACS took place in November in the
Radiology Department, the Emergency Department and
the patient floors.In December it was placed in the
Surgery Department. It will be added this spring in
Cardiology for echocardiograms.
Meservy said the new system offers some significant
benefits for radiology at Children’s Hospital. PACS will
increase productivity and streamline workflow for the
Radiology Department staff,as well as for Children’s
Hospital’s radiologists, surgeons, cardiologists and other
physicians, who have access to the scans via computer
network.
Having a new digital network also eliminates the risk
of misplaced films.Under the old system,a single copy of
a patient’s X-ray,for example, could be filed in Radiology
but needed by a physician in another office. So at any
given time, a film might be removed from the files and
carried between locations.Although care was always used
with films, they were occasionally misplaced or misfiled.
However, with PACS, all films are digitally stored and
backed up on a computer network,so a copy is always
available online.
Meservy said that a significant benefit to the system is
the ability to compare old and new films side-by-side on
dual computer screens. It is often necessary to compare
scans to look for changes in a patient’s condition, and
PACS enables the radiologist to immediately call up any
old studies stored in the system. With old film, someone
would have to go to the file room to retrieve the patient’s
file,then the radiologist would compare it with the new
film, and finally it would have to be refiled.
With this new software, Children’s Hospital physicians
have the ability to easily view their patients’ films
themselves from sites other than the hospital’s Radiology
Department. The new system allows immediate access to
diagnostic images,provides improved interpretation time
and ultimately improves patient care. Emergency
Department physicians also can leave detailed voice
messages on the system to enhance communication with
the radiologist and compare information about a particular
patient’s films.
PACS also allows radiologists to do much more than
just view and store images. For example, the sophisticated
system enables physicians to easily measure angles
and sizes of tumors and bones seen on the films. In
addition, some images can be viewed in three
dimensions. All images can be reduced or enlarged
for better viewing; one feature replicates the action
of a magnifying glass to enable very close
examination of a section of scan. For CT and MRI
studies, physicians can even double-click on a
particular spot on one scan to see the same location
on other pictures (“planes”) of the patient’s study.
Speed of scanning at Children’s Hospital also
improves with PACS. After the PACS installation,
the hospital is purchasing a new CT scanner. The
technology of this new multi-slice CT scanner will
allow more data to be acquired in a much shorter
amount of time. According to Meservy, the
hospital’s current 10-year-old CT is a single-slice
scanner, which essentially takes one picture (or
“slice”) every second. The new scanners being
considered are 64-slice scanners, which means they
take 64 pictures each second. The result is a much
faster, more detailed scan. The new CT generates so
many images that it would use a significant amount
of film; however, PACS will be able to easily store
the data, Meservy said.
The new CT scanner will offer some additional
benefits to patients. First, while both the current CT
and the new technology scan on a single plane, the
new scanners do an excellent job of reconstructing
images in other planes, unlike the hospital’s current
CT. Depending on the type of test, current patients
sometimes have to lie in a rather uncomfortable
position (such as on the stomach) for their scan to
be in the correct plane. Because the new CT can
reconstruct the image in other planes, patients can
be tested while in a more comfortable position lying
on their back.
Second, another key benefit for patients is the
reduced need for sedation. CT scanning requires a
patient to remain still for the duration of the scan.
For a younger child, this can be difficult, if not
impossible. So sometimes it is necessary to sedate a
patient for a good scan. When the hospital
purchased its current CT scanner 10 years ago, the
need for sedation dropped by about 50 percent from
what was needed with the previous scanner. Meservy
said the new scanner will hopefully lead to another
50-percent reduction in sedation. This will be
possible because of the change in scanning speed: a
typical scan of an abdomen of a five-year-old child
currently takes about 45 seconds, while the same
scan with the new CT scanner will take only about
6 seconds, which is a much more realistic length of
time for a child to be still.
And third, Meservy said that sometimes the
hospital staff settle for a bit of motion in a scan
instead of sedating some patients. Because of the
faster speed of scanning, scans should be relatively
free of motion even without sedation.
A new digital radiography (X-ray) machine also
will be installed soon to take advantage of the PACS
technology. Digital radiography is much faster and
more efficient than the hospital’s current radiography
equipment because it eliminates a
step or two in the process of taking a patient’s X-ray.
Currently, a tech takes an X-ray, removes the cassette
with the image and takes it to a reader, which “reads”
the image and sends it to the PACS system. With
digital radiography, there is no cassette or reader
required to see the image – instead, the reader is built
into the machine itself. As soon as an X-ray is taken,
the image is available on a computer monitor. The new
technology also produces a higher quality image for
the radiologist to view as well as provides a reduction
in the radiation exposure to the patient.
PACS will also be a space-saver for Radiology,
Meservy said. The traditional light boxes used to view
film eventually will be removed and replaced by
computer workstations. And the large file room in
Radiology, which houses literally thousands of films,
and the dark room used for developing film will be
converted into more functional space.
The cost of the new PACS system for Radiology
and Cardiology is $1.8 million, and the CT scanner is
another $1.5 million. After the initial investment, the
PACS system is expected to save the hospital annually
on the costs of film, processing and file folders.
Although Children’s Hospital Radiology has gone
filmless, old hard-copy films will be kept on file for
five years. For the most part, these old films will not be
scanned into the digital system. The major exception
will be films of children who visit the hospital
frequently for serious or chronic conditions, such as
cancer. Physicians caring for children with these types
of conditions often must compare old and new films,
so eventually most hard-copy films of these chronic
patients will be scanned into the PACS system for easy
and quick physician access at any time.
By Amandalynn Thomas, student intern, and
Wendy Hames, Associate Director for Publications
New radiologist practices
from his Hawaiian home
The clichéd image of a physician looking at a hard
copy X-ray at Children’s Hospital is even more
inaccurate these days because the physician looking at
our patients’films might not even be in Tennessee.
Children’s Hospital’s radiologists are associated with
Knoxville-based Vista Radiology, which provides
radiologists to various hospitals in the area. Last year
Vista hired a new radiologist to provide overnight
coverage at several hospitals, including Children’s.
George Ainge, M.D., is an innovative addition to
Vista’s team because he works and lives in Hawaii. He
is on call five nights a week from 10 p.m. to 6:30 a.m.
Eastern standard time to read images for all the
hospitals Vista serves, including Children’s. He works
out of his home office using multiple computers and
high speed Internet to view images online.
Because of the six-
hour time difference
between Knoxville
and Hawaii, Dr.
Ainge’s schedule is
essentially an evening
job – 4 p.m. to 12:30
a.m. his time. This
allows him to enjoy
the benefits of living
in Hawaii, while
providing a valuable
service to the people
of East Tennessee.
George Ainge, M.D.
Clifford Meservy, M.D.
A new era of technology: Radiology has gone filmless
We’ve all seen the pictures many times on TV, in
magazines, in Children’s Hospital’s own publications and
on Web sites – a doctor or nurse practitioner viewing an
X-ray on a light box or even holding the X-ray up to a
ceiling light.
The image is so common that it is almost a cliché in
health care photography.
And in 2007 at Children’s Hospital, it is also obsolete.
Radiology has gone filmless!
Last fall Children’s Hospital stepped into a new era of
technology with the installation of PACS – a Picture
Archiving and Communications System. PACS is a
computer network designed for the transmission, display,
storage and retrieval of digital medical images.
In simple terms, PACS can be compared to a digital
camera that you use for personal photographs, according
to Clifford Meservy, M.D., pediatric radiologist with
Vista Radiology and Medical Director of Radiology at
Children’s Hospital. With a film camera, you take the
pictures, take the roll to a store to be developed, wait a
while, go back, pick up the pictures and finally get to
look through them. With a digital camera, you can see
the picture on the camera instantly or you can plug the
camera into a computer and view the images in a
larger size – you eliminate a step or two and save
significant time.
PACS presents an innovative change for physicians,
hospitals and patients. With PACS, Children’s
Hospital can distribute radiology images (X-rays, MRI
and CT scans and other forms of imaging) digitally by
computer to any location in Children’s Hospital or to
many of the pediatric subspecialists’ offices without the
need for manually handling or storing film.
The arrival of PACS took place in November in the
Radiology Department, the Emergency Department and
the patient floors.In December it was placed in the
Surgery Department. It will be added this spring in
Cardiology for echocardiograms.
Meservy said the new system offers some significant
benefits for radiology at Children’s Hospital. PACS will
increase productivity and streamline workflow for the
Radiology Department staff,as well as for Children’s
Hospital’s radiologists, surgeons, cardiologists and other
physicians, who have access to the scans via computer
network.
Having a new digital network also eliminates the risk
of misplaced films.Under the old system,a single copy of
a patient’s X-ray,for example, could be filed in Radiology
but needed by a physician in another office. So at any
given time, a film might be removed from the files and
carried between locations.Although care was always used
with films, they were occasionally misplaced or misfiled.
However, with PACS, all films are digitally stored and
backed up on a computer network,so a copy is always
available online.
Meservy said that a significant benefit to the system is
the ability to compare old and new films side-by-side on
dual computer screens. It is often necessary to compare
scans to look for changes in a patient’s condition, and
PACS enables the radiologist to immediately call up any
old studies stored in the system. With old film, someone
would have to go to the file room to retrieve the patient’s
file,then the radiologist would compare it with the new
film, and finally it would have to be refiled.
With this new software, Children’s Hospital physicians
have the ability to easily view their patients’ films
themselves from sites other than the hospital’s Radiology
Department. The new system allows immediate access to
diagnostic images,provides improved interpretation time
and ultimately improves patient care. Emergency
Department physicians also can leave detailed voice
messages on the system to enhance communication with
the radiologist and compare information about a particular
patient’s films.
PACS also allows radiologists to do much more than
just view and store images. For example, the sophisticated
system enables physicians to easily measure angles
and sizes of tumors and bones seen on the films. In
addition, some images can be viewed in three
dimensions. All images can be reduced or enlarged
for better viewing; one feature replicates the action
of a magnifying glass to enable very close
examination of a section of scan. For CT and MRI
studies, physicians can even double-click on a
particular spot on one scan to see the same location
on other pictures (“planes”) of the patient’s study.
Speed of scanning at Children’s Hospital also
improves with PACS. After the PACS installation,
the hospital is purchasing a new CT scanner. The
technology of this new multi-slice CT scanner will
allow more data to be acquired in a much shorter
amount of time. According to Meservy, the
hospital’s current 10-year-old CT is a single-slice
scanner, which essentially takes one picture (or
“slice”) every second. The new scanners being
considered are 64-slice scanners, which means they
take 64 pictures each second. The result is a much
faster, more detailed scan. The new CT generates so
many images that it would use a significant amount
of film; however, PACS will be able to easily store
the data, Meservy said.
The new CT scanner will offer some additional
benefits to patients. First, while both the current CT
and the new technology scan on a single plane, the
new scanners do an excellent job of reconstructing
images in other planes, unlike the hospital’s current
CT. Depending on the type of test, current patients
sometimes have to lie in a rather uncomfortable
position (such as on the stomach) for their scan to
be in the correct plane. Because the new CT can
reconstruct the image in other planes, patients can
be tested while in a more comfortable position lying
on their back.
Second, another key benefit for patients is the
reduced need for sedation. CT scanning requires a
patient to remain still for the duration of the scan.
For a younger child, this can be difficult, if not
impossible. So sometimes it is necessary to sedate a
patient for a good scan. When the hospital
purchased its current CT scanner 10 years ago, the
need for sedation dropped by about 50 percent from
what was needed with the previous scanner. Meservy
said the new scanner will hopefully lead to another
50-percent reduction in sedation. This will be
possible because of the change in scanning speed: a
typical scan of an abdomen of a five-year-old child
currently takes about 45 seconds, while the same
scan with the new CT scanner will take only about
6 seconds, which is a much more realistic length of
time for a child to be still.
And third, Meservy said that sometimes the
hospital staff settle for a bit of motion in a scan
instead of sedating some patients. Because of the
faster speed of scanning, scans should be relatively
free of motion even without sedation.
A new digital radiography (X-ray) machine also
will be installed soon to take advantage of the PACS
technology. Digital radiography is much faster and
more efficient than the hospital’s current radiography
equipment because it eliminates a
step or two in the process of taking a patient’s X-ray.
Currently, a tech takes an X-ray, removes the cassette
with the image and takes it to a reader, which “reads”
the image and sends it to the PACS system. With
digital radiography, there is no cassette or reader
required to see the image – instead, the reader is built
into the machine itself. As soon as an X-ray is taken,
the image is available on a computer monitor. The new
technology also produces a higher quality image for
the radiologist to view as well as provides a reduction
in the radiation exposure to the patient.
PACS will also be a space-saver for Radiology,
Meservy said. The traditional light boxes used to view
film eventually will be removed and replaced by
computer workstations. And the large file room in
Radiology, which houses literally thousands of films,
and the dark room used for developing film will be
converted into more functional space.
The cost of the new PACS system for Radiology
and Cardiology is $1.8 million, and the CT scanner is
another $1.5 million. After the initial investment, the
PACS system is expected to save the hospital annually
on the costs of film, processing and file folders.
Although Children’s Hospital Radiology has gone
filmless, old hard-copy films will be kept on file for
five years. For the most part, these old films will not be
scanned into the digital system. The major exception
will be films of children who visit the hospital
frequently for serious or chronic conditions, such as
cancer. Physicians caring for children with these types
of conditions often must compare old and new films,
so eventually most hard-copy films of these chronic
patients will be scanned into the PACS system for easy
and quick physician access at any time.
By Amandalynn Thomas, student intern, and
Wendy Hames, Associate Director for Publications
New radiologist practices
from his Hawaiian home
The clichéd image of a physician looking at a hard
copy X-ray at Children’s Hospital is even more
inaccurate these days because the physician looking at
our patients’films might not even be in Tennessee.
Children’s Hospital’s radiologists are associated with
Knoxville-based Vista Radiology, which provides
radiologists to various hospitals in the area. Last year
Vista hired a new radiologist to provide overnight
coverage at several hospitals, including Children’s.
George Ainge, M.D., is an innovative addition to
Vista’s team because he works and lives in Hawaii. He
is on call five nights a week from 10 p.m. to 6:30 a.m.
Eastern standard time to read images for all the
hospitals Vista serves, including Children’s. He works
out of his home office using multiple computers and
high speed Internet to view images online.
Because of the six-
hour time difference
between Knoxville
and Hawaii, Dr.
Ainge’s schedule is
essentially an evening
job – 4 p.m. to 12:30
a.m. his time. This
allows him to enjoy
the benefits of living
in Hawaii, while
providing a valuable
service to the people
of East Tennessee.
George Ainge, M.D.
Clifford Meservy, M.D.
A new era of technology: Radiology has gone filmless
8
There is no such thing as a “typical” day in a hospital.
Day in and day out, patients enter our doors for care,
but each child is unique, and each experience is
different. However, within each day at Children’s
Hospital, there are some common threads. One common
thread is the training and experience of the hospital’s
staff — no matter what situation arises, our staff is
skilled and prepared to meet the challenge. For the next
several issues of
It’s About Children, we will profile
some of our staff and highlight all our clinical areas.
We hope it will give you a glimpse into life at
Children’s Hospital.
LABORATORY
Medical testing is a vital component of the
health care process. Test results help physicians
diagnose medical conditions or monitor treatment;
results also serve as health screenings during
routine checkups.
The Clinical Laboratory at Children’s Hospital
is responsible for diagnostic testing, which includes
the following areas: hematology, chemistry,
microbiology, immunology, serology and blood
bank.To put it simply,the lab performs testing on
all body fluids, tissues and waste products, as well
as maintains the hospital’s in-house blood bank.
The lab is open 24 hours a day,seven days a week,
and staff include techs, phlebotomists, secretaries
and management/supervisory staff.
Cheriya Scott
A phlebotomist at Children’s Hospital, Cheriya
Scott always knew she would work in health care.
Many of her family members worked in health
care, and she wanted to follow their footsteps into
what she knew would be a rewarding field.
Scott chose phlebotomy for several reasons. As a
child, she remembered her fears of having blood
drawn and how the technician relieved her fears by
being very gentle.
“Needles are something nobody desires to
experience, but if it is necessary, we all hope for a
skilled and gentle phlebotomist,” she said. Scott’s
ability to do her job and perform it well eases
children’s and parents’ fears and helps to provide
them with an easier experience.
Phlebotomy training prepared her for the field
by teaching simple anatomy in understanding
blood vessels and their locations. The training also
helped her to be more proficient in obtaining
blood samples and to keep patients safe and
comfortable by preventing painful sticks. After
working as a phlebotomist for six years, she
developed the courage to work with children and a
year later found herself working at Children’s
Hospital.
“I was a little fearful, as children can be a
challenge with smaller veins, squirming arms and
anxious parents,but I love children, so I put my
fears aside,” Scott said. She finds inspiration every
day in her patients’ strength and laughter through
each tough diagnosis.The children at Children’s
Hospital continue to teach Scott that life is
precious and to cherish each moment.
One of Scott’s favorite memories working in
phlebotomy was a three-year-old boy who began
kicking and crying as soon as he entered the
drawing room. Mother and child were both visibly
upset, so Scott had a talk with the child to explain
what would happen. She explained every step of
the process from the tightening of the tourniquet
to the “pinch” he would experience. After letting
the child stretch out the tourniquet and pick his
favorite color of bandage, he was much more calm,
as was his mother.
“What made me feel good is when the child
returned about a month later for more labs with no
fighting or crying. His mom was so grateful for a
facility that caters to children,” Scott said.
John Ritter
Since grade school, John Ritter has been
fascinated by the sciences, especially laboratory
sciences. In college, Ritter was a microbiology
major,but one day the director of the
university’s Medical Technology program talked
to his class about clinical laboratory science.
From that moment on,he was hooked.
Ritter graduated with a Bachelor of Science
degree in Medical Technology after four years
of course work including classes such as organic
chemistry and immunology, as well as one year
of clinical study and lecture at a university
hospital laboratory.He also received his license
as a Medical Laboratory Technologist/
Supervisor from the state of Tennessee and the
American Society of Clinical Pathology. Both
agencies require earning 12 hours of continuing
education per year in laboratory and
management skills to maintain licensure.
Ritter has fond memories of the fast-paced
workload and coworker camaraderie during his
years on night shift.His profession requires the
ability to maintain both a high quality and
quantity workload under stressful conditions.
“It was very satisfying to know that our team
served so many patients well without
compromising our professional standards,
regardless of the obstacles that we faced,”
Ritter said.
Ritter has worked as a laboratory supervisor
in Hematology and Phlebotomy since March
2005 and as a medical technologist/generalist
Cheriya Scott
John Ritter
life
A day in the of Children’s Hospital
There is no such thing as a “typical” day in a hospital.
Day in and day out, patients enter our doors for care,
but each child is unique, and each experience is
different. However, within each day at Children’s
Hospital, there are some common threads. One common
thread is the training and experience of the hospital’s
staff — no matter what situation arises, our staff is
skilled and prepared to meet the challenge. For the next
several issues of
It’s About Children, we will profile
some of our staff and highlight all our clinical areas.
We hope it will give you a glimpse into life at
Children’s Hospital.
LABORATORY
Medical testing is a vital component of the
health care process. Test results help physicians
diagnose medical conditions or monitor treatment;
results also serve as health screenings during
routine checkups.
The Clinical Laboratory at Children’s Hospital
is responsible for diagnostic testing, which includes
the following areas: hematology, chemistry,
microbiology, immunology, serology and blood
bank.To put it simply,the lab performs testing on
all body fluids, tissues and waste products, as well
as maintains the hospital’s in-house blood bank.
The lab is open 24 hours a day,seven days a week,
and staff include techs, phlebotomists, secretaries
and management/supervisory staff.
Cheriya Scott
A phlebotomist at Children’s Hospital, Cheriya
Scott always knew she would work in health care.
Many of her family members worked in health
care, and she wanted to follow their footsteps into
what she knew would be a rewarding field.
Scott chose phlebotomy for several reasons. As a
child, she remembered her fears of having blood
drawn and how the technician relieved her fears by
being very gentle.
“Needles are something nobody desires to
experience, but if it is necessary, we all hope for a
skilled and gentle phlebotomist,” she said. Scott’s
ability to do her job and perform it well eases
children’s and parents’ fears and helps to provide
them with an easier experience.
Phlebotomy training prepared her for the field
by teaching simple anatomy in understanding
blood vessels and their locations. The training also
helped her to be more proficient in obtaining
blood samples and to keep patients safe and
comfortable by preventing painful sticks. After
working as a phlebotomist for six years, she
developed the courage to work with children and a
year later found herself working at Children’s
Hospital.
“I was a little fearful, as children can be a
challenge with smaller veins, squirming arms and
anxious parents,but I love children, so I put my
fears aside,” Scott said. She finds inspiration every
day in her patients’ strength and laughter through
each tough diagnosis.The children at Children’s
Hospital continue to teach Scott that life is
precious and to cherish each moment.
One of Scott’s favorite memories working in
phlebotomy was a three-year-old boy who began
kicking and crying as soon as he entered the
drawing room. Mother and child were both visibly
upset, so Scott had a talk with the child to explain
what would happen. She explained every step of
the process from the tightening of the tourniquet
to the “pinch” he would experience. After letting
the child stretch out the tourniquet and pick his
favorite color of bandage, he was much more calm,
as was his mother.
“What made me feel good is when the child
returned about a month later for more labs with no
fighting or crying. His mom was so grateful for a
facility that caters to children,” Scott said.
John Ritter
Since grade school, John Ritter has been
fascinated by the sciences, especially laboratory
sciences. In college, Ritter was a microbiology
major,but one day the director of the
university’s Medical Technology program talked
to his class about clinical laboratory science.
From that moment on,he was hooked.
Ritter graduated with a Bachelor of Science
degree in Medical Technology after four years
of course work including classes such as organic
chemistry and immunology, as well as one year
of clinical study and lecture at a university
hospital laboratory.He also received his license
as a Medical Laboratory Technologist/
Supervisor from the state of Tennessee and the
American Society of Clinical Pathology. Both
agencies require earning 12 hours of continuing
education per year in laboratory and
management skills to maintain licensure.
Ritter has fond memories of the fast-paced
workload and coworker camaraderie during his
years on night shift.His profession requires the
ability to maintain both a high quality and
quantity workload under stressful conditions.
“It was very satisfying to know that our team
served so many patients well without
compromising our professional standards,
regardless of the obstacles that we faced,”
Ritter said.
Ritter has worked as a laboratory supervisor
in Hematology and Phlebotomy since March
2005 and as a medical technologist/generalist
Cheriya Scott
John Ritter
life
A day in the of Children’s Hospital
9
since October 1998 at Children’s. He enjoys his
work at Children’s Hospital because of this
region’s pediatric patients’ need for high quality
health care and because Children’s does a
superior job in fulfilling that need.
RADIOLOGY
Like the Children’s Hospital Laboratory, the
Radiology Department performs vital tests. The
Radiology Department serves as an "imaging"
center for children: these images include
radiography (X-ray), fluoroscopy, computed
tomography (CT), nuclear medicine, magnetic
resonance imaging (MRI), echocardiography and
ultrasonography. The high-quality images are
used by the hospital’s radiologists to interpret
for diagnosis and treatment of a variety of
medical conditions.
X-ray services are available 24 hours a day,
while other services are offered during the
daytime with staff on call for emergency needs
nights and weekends. Technologists, nurses,
aides and secretaries staff the department.
Maureen Flanagan
Maureen Flanagan has always loved the
medical profession. She found her interest in
health care after spending time with her aunt
who was a physical therapist at a pediatric
hospital in Richmond, Va. Maureen never forgot
the love and care expressed to the patients by her
aunt when she visited her at that hospital. Little
did she know that her experience would bring
her full circle to her career in radiology.
Flanagan received two years of training in
anatomy,positioning,radiation physics, radiation
protection and chemistry at Anne Arundel
General Hospital in Annapolis, Md. She also
received training in ultrasound at the University
of Maryland Hospital and training in CT
scanning at Children’s Hospital. As a registered
technologist, Flanagan is required to continue
her education to maintain her competency level.
Every two years, 24 hours of educational credits
are required to keep licensure.
Flanagan’s favorite memory in her
career as a staff technologist is when
she came to work at Children’s
Hospital 31 years ago. She was
inspired by the dedication of retired
Director of Radiology Earleene Lyle,
the chief technologist at that time,
to the patients in the Radiology
Department. “Her care and leadership
were what made our department
exceptional,” Flanagan said.
The choice to work for Children’s
Hospital was an easy one for
Flanagan because of her love for
children and the wonderful people
she would be working with.
“It is so great to see the babies you
X-rayed years ago coming back to
Children’s with babies of their own.
What better reward could you ask for
than a smile,” Flanagan said.
After spending half of her life working at
Children’s Hospital, Flanagan said she cannot
imagine being anywhere else.
Mark Underwood
Mark Underwood chose a career as a
registered CT and radiologic technologist
because CT scanning is on the cutting edge of
technology,and he knew he wanted to be a part
of that.
“I knew it would be interesting
and the fast pace suited me,”
Underwood said. He has
continued his education over the
years by completing challenging
educational requirements that
bring the latest technological
updates to the Radiology
Department.
Underwood’s favorite memories
from working at Children’s center
around the multiple miracles he
has seen where children have
beaten the odds and gone on to
lead a happy life. “My memories are of the
friendships I build with those youngsters and
the personal strength their struggles have
imparted to my own life experiences. I am
always awed by the courage and faith of the
children I meet,” Underwood said.
After having children of his own,
Underwood realized how far he would go to
help someone else’s child. He is reminded
every day how blessed he is to have healthy
children. “That fact makes me rich beyond
imagination,” he said.
Underwood said the people he works with
at Children’s Hospital feel like family; he
respects the leadership and vision of the
leaders at Children’s.“I am happy to be a
part of a team of wonderful people who
make up this hospital. People who make the
conscious decision to help children,I have
found,are the most loving, giving and
dedicated people around,” Underwood said.
After 22 years at Children’s Hospital,
Underwood feels it is the ultimate charity to
give of himself to help children and make
them feel secure while in his care in the
Radiology Department.
“When you connect with these children
and they express gratitude to you for caring
about them … that can be the best day of
your life,” Underwood said.
by Bethany Swann,student intern
Maureen Flanagan
Mark Underwood
since October 1998 at Children’s. He enjoys his
work at Children’s Hospital because of this
region’s pediatric patients’ need for high quality
health care and because Children’s does a
superior job in fulfilling that need.
RADIOLOGY
Like the Children’s Hospital Laboratory, the
Radiology Department performs vital tests. The
Radiology Department serves as an "imaging"
center for children: these images include
radiography (X-ray), fluoroscopy, computed
tomography (CT), nuclear medicine, magnetic
resonance imaging (MRI), echocardiography and
ultrasonography. The high-quality images are
used by the hospital’s radiologists to interpret
for diagnosis and treatment of a variety of
medical conditions.
X-ray services are available 24 hours a day,
while other services are offered during the
daytime with staff on call for emergency needs
nights and weekends. Technologists, nurses,
aides and secretaries staff the department.
Maureen Flanagan
Maureen Flanagan has always loved the
medical profession. She found her interest in
health care after spending time with her aunt
who was a physical therapist at a pediatric
hospital in Richmond, Va. Maureen never forgot
the love and care expressed to the patients by her
aunt when she visited her at that hospital. Little
did she know that her experience would bring
her full circle to her career in radiology.
Flanagan received two years of training in
anatomy,positioning,radiation physics, radiation
protection and chemistry at Anne Arundel
General Hospital in Annapolis, Md. She also
received training in ultrasound at the University
of Maryland Hospital and training in CT
scanning at Children’s Hospital. As a registered
technologist, Flanagan is required to continue
her education to maintain her competency level.
Every two years, 24 hours of educational credits
are required to keep licensure.
Flanagan’s favorite memory in her
career as a staff technologist is when
she came to work at Children’s
Hospital 31 years ago. She was
inspired by the dedication of retired
Director of Radiology Earleene Lyle,
the chief technologist at that time,
to the patients in the Radiology
Department. “Her care and leadership
were what made our department
exceptional,” Flanagan said.
The choice to work for Children’s
Hospital was an easy one for
Flanagan because of her love for
children and the wonderful people
she would be working with.
“It is so great to see the babies you
X-rayed years ago coming back to
Children’s with babies of their own.
What better reward could you ask for
than a smile,” Flanagan said.
After spending half of her life working at
Children’s Hospital, Flanagan said she cannot
imagine being anywhere else.
Mark Underwood
Mark Underwood chose a career as a
registered CT and radiologic technologist
because CT scanning is on the cutting edge of
technology,and he knew he wanted to be a part
of that.
“I knew it would be interesting
and the fast pace suited me,”
Underwood said. He has
continued his education over the
years by completing challenging
educational requirements that
bring the latest technological
updates to the Radiology
Department.
Underwood’s favorite memories
from working at Children’s center
around the multiple miracles he
has seen where children have
beaten the odds and gone on to
lead a happy life. “My memories are of the
friendships I build with those youngsters and
the personal strength their struggles have
imparted to my own life experiences. I am
always awed by the courage and faith of the
children I meet,” Underwood said.
After having children of his own,
Underwood realized how far he would go to
help someone else’s child. He is reminded
every day how blessed he is to have healthy
children. “That fact makes me rich beyond
imagination,” he said.
Underwood said the people he works with
at Children’s Hospital feel like family; he
respects the leadership and vision of the
leaders at Children’s.“I am happy to be a
part of a team of wonderful people who
make up this hospital. People who make the
conscious decision to help children,I have
found,are the most loving, giving and
dedicated people around,” Underwood said.
After 22 years at Children’s Hospital,
Underwood feels it is the ultimate charity to
give of himself to help children and make
them feel secure while in his care in the
Radiology Department.
“When you connect with these children
and they express gratitude to you for caring
about them … that can be the best day of
your life,” Underwood said.
by Bethany Swann,student intern
Maureen Flanagan
Mark Underwood
Children’s News...
10
Rounding initiative designed to improve patient, staff satisfaction
Children’s Hospital is proud of its long history
of quality health care in a child and family-
friendly environment. But we recognize that we
must always be open to change – because
improvements can always be made.
A new process – “Rounding for Outcomes” –
at Children’s seeks to improve overall satisfaction
with our hospital.
Children’s Hospital is following the model of
several other hospitals that have initiated rounding
with great success. A Studor Group survey of
hospitals found that the usage of patient room call
lights dropped 40 percent within just four weeks
of the start of rounding on patients, and patient
satisfaction surveys showed greatly increased
satisfaction.
“Rounding for Outcomes” began for Children’s
Hospital staff in December with in-service
programs for staff in all nursing departments to
educate them about the process. Then in mid-
December, Phase 1 began: assistant nurse
managers, charge nurses and shift leaders began
“rounding” as a way to make Children’s Hospital
an even better place to work. All these leaders
make rounds with every employee on every shift
every day to ensure effective communication and to
enhance employee satisfaction; they also round on
every patient once daily. In addition, nurse
managers round weekly with all staff and patients,
and Nursing Directors round to all units monthly.
“By implementing this strategy, the nursing
departments hope to gain important information
necessary for smooth operations and happy
employees,” said Sheri Smith, Nursing Director for
Critical Care Services.
“Research shows that employees all have needs
related to their jobs,” Smith continued. “Some of
these needs include having a relationship with their
supervisor, having access to the tools and
equipment they need to do their job, efficient
systems, appropriate training and appreciation from
their supervisor. Rounding on employees assists
leaders in meeting all of these needs and also builds
relationships. Used correctly, this strategy
strengthens relationships, encourages teamwork
and fosters accountability.”
Phase 2 of “Rounding for Outcomes” began
January 1. Nurses and patient care assistants have
begun rounding on patients. These staff round
on patients every hour during the day and
every two hours at night.
“This does not entail disrupting patients’
rest, as we will never wake a sleeping patient or
family, but it will better meet the needs of our
patients by attending to requests while we are
there,” Smith said.
While rounding, staff will assess the
patient’s pain level and comfort; give
medications as needed; change diapers or offer
toileting assistance; ensure the call light,
telephone, trash can, tissues, remote control
and tray table are within reach; ask if there is
anything else they can do for the patient or
family; and tell the patient and family who will
return within the next hour, so they know
when to next expect assistance.
“By focusing on these items, we address the
most common reasons patients call for
assistance,” Smith explained. “We also
encourage patients to think about their needs
while we are there with them, allowing us to
provide better care by partnering with our
patients.”
Hospital adds psychology services
Since its founding in 1937, Children’s Hospital
has continually sought ways to further enhance the
care provided to our patients. As we celebrate our
70th year, we have added a new service staffed by a
pediatric psychologist to provide mental health
services to our patients and their families.
Nicole Falvo Swain, Psy.D., joined the hospital’s
staff in January to provide psychological services to
medically ill and injured patients. The new service
is under the direction of Laura Barnes, R.N., Vice
President for Patient Care Services.
Because the service is a new one for the hospital,
Dr. Swain is starting essentially from scratch. “We’re
initially focusing on implementing psychological
services within the inpatient setting and determining
how psychology can be an effective and valuable
service to the treatment team here,” she explained.
Dr. Swain will provide consultation services with
each patient’s treatment team (physicians and nurses,
as well as rehab therapists, social workers, child life
specialists and other staff involved in each patient’s
care) as well as emotional support and education to
patients and their families.
Initially Dr. Swain will focus on two patient
populations at Children’s Hospital:
•Rehabilitation patients– children who have
had concussions and more serious brain injury,
strokes, near-drownings, neuromuscular
disorders (such as spina bifida and Guillain-
Barre Syndrome) and burns.
•Chronic pain patients – children who have
gastrointestinal pain (such as irritable bowel
syndrome), juvenile fibromyalgia syndrome,
migraines or other severe headaches, pain caused
by chronic diseases and other general pain.
“One of my primary focuses is to help patients
adapt, adjust and increase the quality of their life,” Dr.
Swain said. “There may be no cure or no easy answers,
and that takes an emotional toll on the child and the
family.”
As a psychologist, Dr. Swain does not prescribe
medications for her patients. Instead, she provides
services in addition to the medical procedures and
medications the patient already receives through other
health care providers. The goal is not to eliminate the
other care but to work collaboratively in helping the
patient manage his or her condition. Dr. Swain
provides emotional support; teaches coping skills;
monitors the patient for clinical depression, significant
anxiety or other mental health issues; provides focused
cognitive-behavioral treatment on a short-term basis;
and provides referrals to community psychiatrists or
psychologists for patients being discharged.
At this time, Dr. Swain will only see inpatients in
the hospital setting. As the service develops and adds
psychologists, the hope is to expand to include patients
in the Outpatient Clinics and even offer outpatient
psychological assessment and therapy. “For now, I will
focus on tracking patient need,” she said. “It will be a
work in progress.”
Before Dr. Swain joined Children’s Hospital,
psychological and psychosocial services were available
through consults with some community mental health
professionals and informally through the hospital’s
Child Life, Social Work and Pastoral Care
departments.“They have been helping with this
significant need,but some of what they are asked to do
is really not their role and takes time away from their
many other responsibilities,”she added.“I am looking
forward to working collaboratively with these services
to provide the best psychological and psychosocial care
to our children and families.
“I am very excited to be here and to have this
opportunity,” Dr. Swain said. “I am looking forward
to starting the work here and meeting my colleagues
in the mental health community.”
Nicole Falvo Swain, Psy.D.
B.S. (psychology)– Otterbein College,
Westerville, Ohio, 1993
M.A.– Xavier University, Cincinnati, Ohio, 1997
Predoctoral Internship (child clinical psychology
and pediatric psychology) – Children’s Hospital,
Columbus, Ohio, 2001
Psy.D. (clinical psychology) – Xavier University,
2001
Postdoctoral Fellowship (pediatric psychology
and pain management) – Cincinnati Children’s
Hospital Medical Center, 2003
Family– Husband, Scott Swain
Personal interests– exercise (especially aerobics
and cardio), movies, family
Nicole Swain,Psy.D.
10
Rounding initiative designed to improve patient, staff satisfaction
Children’s Hospital is proud of its long history
of quality health care in a child and family-
friendly environment. But we recognize that we
must always be open to change – because
improvements can always be made.
A new process – “Rounding for Outcomes” –
at Children’s seeks to improve overall satisfaction
with our hospital.
Children’s Hospital is following the model of
several other hospitals that have initiated rounding
with great success. A Studor Group survey of
hospitals found that the usage of patient room call
lights dropped 40 percent within just four weeks
of the start of rounding on patients, and patient
satisfaction surveys showed greatly increased
satisfaction.
“Rounding for Outcomes” began for Children’s
Hospital staff in December with in-service
programs for staff in all nursing departments to
educate them about the process. Then in mid-
December, Phase 1 began: assistant nurse
managers, charge nurses and shift leaders began
“rounding” as a way to make Children’s Hospital
an even better place to work. All these leaders
make rounds with every employee on every shift
every day to ensure effective communication and to
enhance employee satisfaction; they also round on
every patient once daily. In addition, nurse
managers round weekly with all staff and patients,
and Nursing Directors round to all units monthly.
“By implementing this strategy, the nursing
departments hope to gain important information
necessary for smooth operations and happy
employees,” said Sheri Smith, Nursing Director for
Critical Care Services.
“Research shows that employees all have needs
related to their jobs,” Smith continued. “Some of
these needs include having a relationship with their
supervisor, having access to the tools and
equipment they need to do their job, efficient
systems, appropriate training and appreciation from
their supervisor. Rounding on employees assists
leaders in meeting all of these needs and also builds
relationships. Used correctly, this strategy
strengthens relationships, encourages teamwork
and fosters accountability.”
Phase 2 of “Rounding for Outcomes” began
January 1. Nurses and patient care assistants have
begun rounding on patients. These staff round
on patients every hour during the day and
every two hours at night.
“This does not entail disrupting patients’
rest, as we will never wake a sleeping patient or
family, but it will better meet the needs of our
patients by attending to requests while we are
there,” Smith said.
While rounding, staff will assess the
patient’s pain level and comfort; give
medications as needed; change diapers or offer
toileting assistance; ensure the call light,
telephone, trash can, tissues, remote control
and tray table are within reach; ask if there is
anything else they can do for the patient or
family; and tell the patient and family who will
return within the next hour, so they know
when to next expect assistance.
“By focusing on these items, we address the
most common reasons patients call for
assistance,” Smith explained. “We also
encourage patients to think about their needs
while we are there with them, allowing us to
provide better care by partnering with our
patients.”
Hospital adds psychology services
Since its founding in 1937, Children’s Hospital
has continually sought ways to further enhance the
care provided to our patients. As we celebrate our
70th year, we have added a new service staffed by a
pediatric psychologist to provide mental health
services to our patients and their families.
Nicole Falvo Swain, Psy.D., joined the hospital’s
staff in January to provide psychological services to
medically ill and injured patients. The new service
is under the direction of Laura Barnes, R.N., Vice
President for Patient Care Services.
Because the service is a new one for the hospital,
Dr. Swain is starting essentially from scratch. “We’re
initially focusing on implementing psychological
services within the inpatient setting and determining
how psychology can be an effective and valuable
service to the treatment team here,” she explained.
Dr. Swain will provide consultation services with
each patient’s treatment team (physicians and nurses,
as well as rehab therapists, social workers, child life
specialists and other staff involved in each patient’s
care) as well as emotional support and education to
patients and their families.
Initially Dr. Swain will focus on two patient
populations at Children’s Hospital:
•Rehabilitation patients– children who have
had concussions and more serious brain injury,
strokes, near-drownings, neuromuscular
disorders (such as spina bifida and Guillain-
Barre Syndrome) and burns.
•Chronic pain patients – children who have
gastrointestinal pain (such as irritable bowel
syndrome), juvenile fibromyalgia syndrome,
migraines or other severe headaches, pain caused
by chronic diseases and other general pain.
“One of my primary focuses is to help patients
adapt, adjust and increase the quality of their life,” Dr.
Swain said. “There may be no cure or no easy answers,
and that takes an emotional toll on the child and the
family.”
As a psychologist, Dr. Swain does not prescribe
medications for her patients. Instead, she provides
services in addition to the medical procedures and
medications the patient already receives through other
health care providers. The goal is not to eliminate the
other care but to work collaboratively in helping the
patient manage his or her condition. Dr. Swain
provides emotional support; teaches coping skills;
monitors the patient for clinical depression, significant
anxiety or other mental health issues; provides focused
cognitive-behavioral treatment on a short-term basis;
and provides referrals to community psychiatrists or
psychologists for patients being discharged.
At this time, Dr. Swain will only see inpatients in
the hospital setting. As the service develops and adds
psychologists, the hope is to expand to include patients
in the Outpatient Clinics and even offer outpatient
psychological assessment and therapy. “For now, I will
focus on tracking patient need,” she said. “It will be a
work in progress.”
Before Dr. Swain joined Children’s Hospital,
psychological and psychosocial services were available
through consults with some community mental health
professionals and informally through the hospital’s
Child Life, Social Work and Pastoral Care
departments.“They have been helping with this
significant need,but some of what they are asked to do
is really not their role and takes time away from their
many other responsibilities,”she added.“I am looking
forward to working collaboratively with these services
to provide the best psychological and psychosocial care
to our children and families.
“I am very excited to be here and to have this
opportunity,” Dr. Swain said. “I am looking forward
to starting the work here and meeting my colleagues
in the mental health community.”
Nicole Falvo Swain, Psy.D.
B.S. (psychology)– Otterbein College,
Westerville, Ohio, 1993
M.A.– Xavier University, Cincinnati, Ohio, 1997
Predoctoral Internship (child clinical psychology
and pediatric psychology) – Children’s Hospital,
Columbus, Ohio, 2001
Psy.D. (clinical psychology) – Xavier University,
2001
Postdoctoral Fellowship (pediatric psychology
and pain management) – Cincinnati Children’s
Hospital Medical Center, 2003
Family– Husband, Scott Swain
Personal interests– exercise (especially aerobics
and cardio), movies, family
Nicole Swain,Psy.D.
11
New officers of the Children’s Hospital
Medical/Dental Staff took office on January 1,
following elections last fall. Officers are elected
for a two-year term, continuing through the end
of 2008.
David Nickels, M.D., who most recently
served as Vice Chief of Staff, is the new Chief of
Staff. Dr. Nickels, a pediatric endocrinologist, is
responsible for a variety of tasks, including
serving as a standing member of the Children’s
Hospital Board of Directors; enforcing Medical
Staff bylaws, rules and regulations; reporting to
the hospital’s Board of Directors on the
performance and maintenance of quality of the
Medical Staff ’s provision of medical care;
receiving and interpreting the policies of the
board to the Medical Staff; and representing the
views, policies and needs of the Medical Staff to
the board.
The new Vice Chief of Staff is neonatologist
John Buchheit, M.D. The Vice Chief of Staff is
responsible for assuming the Chief of Staff ’s
duties in his absence and also attends meetings of
the Board of Directors in preparation of assuming
responsibilities as Chief of Staff in 2009.
The other 2007-08 Medical/Dental Staff
officers are: Secretary, John Little, M.D.; Chief
of Medicine, Jeanann Pardue, M.D.; and Chief
of Surgery, Mark Cramolini, M.D.
In addition to the new Medical Staff
officers, Children’s Hospital is pleased to
welcome the expertise of the following new
medical staff members who have joined our
staff in recent months: Bond Almand, M.D.,
otolaryngology; George Ainge, M.D.,
radiology; Carlos Angel, M.D., pediatric
surgery; Mary Beaver, M.D., otolaryngology;
Scott Brice, M.D., pediatrics; Melissa Chiles,
M.D., pathology; Fredrico Dixon, D.D.S.,
general dentistry; Mohammad Farkhondeh,
M.D., pediatrics; Carol Fowler, M.D.,
pediatric surgery; Claude Frazier, D.O.,
dermatology; Leo Hamilton, M.D., pediatric
hematology/oncology; Aleshia Lunsford,
M.D., pediatrics; Mark McColl, M.D.,
pediatrics and internal medicine; Matthew
Meigs, M.D., otolaryngology; Joshua Miller,
M.D., neurosurgery; Laurentia Nodit, M.D.,
pathology; Ellen Pappano, M.D., pediatric
emergency medicine; Dante Pappano, M.D.,
pediatric emergency medicine; Amir Patel,
M.D., pediatrics; Darryl Phillips, D.D.S.,
pediatric dentistry; Christopher Rathfoot,
M.D., otolaryngology; Ryan Redman, M.D.,
pediatric emergency medicine; James Stafford,
M.D., radiology; and Bryan Tigner, M.D.,
otolaryngology.
By Amandalynn Thomas, student intern
New Medical/Dental Staff officers installed, new physicians added to staff
22nd annual Fantasy of Treesis a sweet treat
David Nickels, M.D.
On January 1, the Children’s Hospital
Auxiliary changed its name to Children’s Hospital
Volunteers, and all volunteers are automatically
members of the organization.
The Volunteers are committed to providing
special services for patients and families, such as
the Clothing Closet, children’s books for hospital
waiting areas and support for the Child Life
Department and the Children’s Hospital
For the 22nd year, the Fantasy of Trees in
November ushered in the holidays in East
Tennessee with a festive event that delighted a
crowd of over 58,000 guests to the Knoxville
Convention Center.
Highlighting a theme of “O Christmas Treats,”
the show featured a Fantasy Forest of
scrumptious-looking trees and designer-decorated
holiday items, continuous entertainment, children’s
activities, decorating demonstrations, special
events and holiday shops. A variety of new
children’s activities joined more than a dozen
other interactive “fun stations,” including
decoration making,face painting and a giant
“talking”snowman.
The funds raised at the 2006 Fantasy of Trees –
estimated at more than $315,000 – will equip two
new surgery suites at Children’s Hospital.
Plans are already well under way for the 2007
show,which will feature the heartwarming theme
“Holiday Cheer Down South.” As always, the real
stars of the Fantasy of Trees were the 9,979
volunteers who donated 150,694 hours throughout
the last year to make the event such a success.
Children’s Hospital extends its many thanks to all
the volunteers and visitors to the 2006 show.
The Fantasy of Trees has raised more than
$4 million for Children’s Hospital since it began
in 1985.
By Amandalynn Thomas, student intern
Rehabilitation Center. Throughout the year the
volunteers operate the hospital Gift Shop, host
various sales and coordinate an annual holiday
greeting card sale, their largest fund-raiser, to raise
funds to support their various services for patients
and families.
The group recently made some adjustments in
their by-laws, policies and procedures, including the
name change, to strengthen the organization.
The Volunteers recently named their new
Volunteer Leadership Council. Donna Hoadley
is the chair, Verna Bollin is vice-chair, and
council members are Chris Eblen, Jennifer
Gerbasi, Nancy Mason, Phil Mason, Anne
Palmer, Elaine Parkin, Kathy Payne, Ann
Tipton and Jane Walker.
By Bethany Swann, student intern
Auxiliary changes name to Children’s Hospital Volunteers
New officers of the Children’s Hospital
Medical/Dental Staff took office on January 1,
following elections last fall. Officers are elected
for a two-year term, continuing through the end
of 2008.
David Nickels, M.D., who most recently
served as Vice Chief of Staff, is the new Chief of
Staff. Dr. Nickels, a pediatric endocrinologist, is
responsible for a variety of tasks, including
serving as a standing member of the Children’s
Hospital Board of Directors; enforcing Medical
Staff bylaws, rules and regulations; reporting to
the hospital’s Board of Directors on the
performance and maintenance of quality of the
Medical Staff ’s provision of medical care;
receiving and interpreting the policies of the
board to the Medical Staff; and representing the
views, policies and needs of the Medical Staff to
the board.
The new Vice Chief of Staff is neonatologist
John Buchheit, M.D. The Vice Chief of Staff is
responsible for assuming the Chief of Staff ’s
duties in his absence and also attends meetings of
the Board of Directors in preparation of assuming
responsibilities as Chief of Staff in 2009.
The other 2007-08 Medical/Dental Staff
officers are: Secretary, John Little, M.D.; Chief
of Medicine, Jeanann Pardue, M.D.; and Chief
of Surgery, Mark Cramolini, M.D.
In addition to the new Medical Staff
officers, Children’s Hospital is pleased to
welcome the expertise of the following new
medical staff members who have joined our
staff in recent months: Bond Almand, M.D.,
otolaryngology; George Ainge, M.D.,
radiology; Carlos Angel, M.D., pediatric
surgery; Mary Beaver, M.D., otolaryngology;
Scott Brice, M.D., pediatrics; Melissa Chiles,
M.D., pathology; Fredrico Dixon, D.D.S.,
general dentistry; Mohammad Farkhondeh,
M.D., pediatrics; Carol Fowler, M.D.,
pediatric surgery; Claude Frazier, D.O.,
dermatology; Leo Hamilton, M.D., pediatric
hematology/oncology; Aleshia Lunsford,
M.D., pediatrics; Mark McColl, M.D.,
pediatrics and internal medicine; Matthew
Meigs, M.D., otolaryngology; Joshua Miller,
M.D., neurosurgery; Laurentia Nodit, M.D.,
pathology; Ellen Pappano, M.D., pediatric
emergency medicine; Dante Pappano, M.D.,
pediatric emergency medicine; Amir Patel,
M.D., pediatrics; Darryl Phillips, D.D.S.,
pediatric dentistry; Christopher Rathfoot,
M.D., otolaryngology; Ryan Redman, M.D.,
pediatric emergency medicine; James Stafford,
M.D., radiology; and Bryan Tigner, M.D.,
otolaryngology.
By Amandalynn Thomas, student intern
New Medical/Dental Staff officers installed, new physicians added to staff
22nd annual Fantasy of Treesis a sweet treat
David Nickels, M.D.
On January 1, the Children’s Hospital
Auxiliary changed its name to Children’s Hospital
Volunteers, and all volunteers are automatically
members of the organization.
The Volunteers are committed to providing
special services for patients and families, such as
the Clothing Closet, children’s books for hospital
waiting areas and support for the Child Life
Department and the Children’s Hospital
For the 22nd year, the Fantasy of Trees in
November ushered in the holidays in East
Tennessee with a festive event that delighted a
crowd of over 58,000 guests to the Knoxville
Convention Center.
Highlighting a theme of “O Christmas Treats,”
the show featured a Fantasy Forest of
scrumptious-looking trees and designer-decorated
holiday items, continuous entertainment, children’s
activities, decorating demonstrations, special
events and holiday shops. A variety of new
children’s activities joined more than a dozen
other interactive “fun stations,” including
decoration making,face painting and a giant
“talking”snowman.
The funds raised at the 2006 Fantasy of Trees –
estimated at more than $315,000 – will equip two
new surgery suites at Children’s Hospital.
Plans are already well under way for the 2007
show,which will feature the heartwarming theme
“Holiday Cheer Down South.” As always, the real
stars of the Fantasy of Trees were the 9,979
volunteers who donated 150,694 hours throughout
the last year to make the event such a success.
Children’s Hospital extends its many thanks to all
the volunteers and visitors to the 2006 show.
The Fantasy of Trees has raised more than
$4 million for Children’s Hospital since it began
in 1985.
By Amandalynn Thomas, student intern
Rehabilitation Center. Throughout the year the
volunteers operate the hospital Gift Shop, host
various sales and coordinate an annual holiday
greeting card sale, their largest fund-raiser, to raise
funds to support their various services for patients
and families.
The group recently made some adjustments in
their by-laws, policies and procedures, including the
name change, to strengthen the organization.
The Volunteers recently named their new
Volunteer Leadership Council. Donna Hoadley
is the chair, Verna Bollin is vice-chair, and
council members are Chris Eblen, Jennifer
Gerbasi, Nancy Mason, Phil Mason, Anne
Palmer, Elaine Parkin, Kathy Payne, Ann
Tipton and Jane Walker.
By Bethany Swann, student intern
Auxiliary changes name to Children’s Hospital Volunteers
Three Dog Night to take
‘Center Stage’
The classic sounds of rock and roll will
take “Center Stage” as legendary group Three
Dog Night highlights the 15th annual benefit
for Children’s Hospital April 14 at the
Knoxville Convention Center.
From 1969-1974,nobody had more Top
10 hits,moved more records or sold more
concert tickets than Three Dog Night.
During this period, the group was the most
popular band in America with 21 consecutive
Top 40 hits and 12 straight gold albums. By
late 1975, they had sold nearly 50 million
records.
The group’s hits can be found throughout
pop culture today -- on the radio, in TV
commercials or in major motion pictures.
Their hit songs, including “Joy to the World,”
“An Old Fashioned Love Song,” “One” and
“Black and White,” continue to be popular
with audiences today. In 2006, Three Dog
Night released a new disc – “Extended
Versions – Live” — giving fans both new and
old a chance to experience their live show of
instantly familiar tunes with the group’s
customary harmonies and signature sound.
The Center Stage benefit will begin at
6 p.m.with cocktails and hors d’oeuvres,
followed by dinner and Three Dog Night’s
performance. A dance band will perform
following the concert.
Children’s Hospital extends a special
thanks to Bob and Wendy Goodfriend, who
will serve as co-chairs for the 15th year. The
Goodfriends,Pilot Corporation and LandAir
will provide underwriting support for Center
Stage.
Benefactor and Corporate tables are
currently being reserved, and individual
tickets may be available if space allows
for $350 per person.Call the Children's
Hospital Development Department at
(865
availability.
Center Stage has raised more than $2.3
million for Children’s Hospital since its
inception in 1993.
12
Estate Planning...
Help children by using your IRA
Include
Children’s Hospital
in your estate plans.
Join the ABC Club.
For more information,
call (865) 541-8441.
Please send additional information about IRA rollover gifts.
Name______________________________ Address__________________________________________
City___________________________ State_______ Zip_____________ Phone#(______)___________
rPlease call me at the phone number below for a free confidential consultation concerning planned giving.
rPlease send me more information about deferred giving.
rI have already included Children’s Hospital in my estate plan in the following way:
__________________________________________________________________________
rPlease send me information about the ABC Club.
Children’s Hospital Development Office • (865
AA ssppeecciiaall ggiivviinngg ooppppoorrttuunniittyy ffoorr
ffrriieennddss 7700 aanndd oollddeerr..
For a number of years, Children’s Hospital
and other charities have received questions from
certain of our more senior donors about making
gifts from their Individual Retirement Accounts
(IRAs).
They have asked if it was possible to make
gifts from an IRA without incurring income tax
and, until late 2006, the answer was “no.” But
through December 31, 2007, the answer is “yes.”
Toward the end of last year, Congress passed
and President Bush signed into law the Pension
Protection Act of 2006. This bill includes an
IRA Charitable Rollover provision. It allows
people age 70 or older to donate up to $100,000
during a taxable year for gifts made directly
rollover and Roth IRAs, not to other
types of plans like 401(k
However, funds from the other types of
retirement plans may be rolled into a
traditional IRA to make the gift.
6. The transfer cannot be made to a donor-
advised fund or to a supporting organization.
7. The transfer cannot be used to fund a
charitable gift annuity or a charitable
remainder trust.
If you or someone you know - age 70 or older -
is interested in assisting our work with children
by making a gift from an IRA, please call Teresa
Goddard, Senior Development Officer, or David
Rule, Director of Development, at (865
We would be delighted to work with you and your
advisers.
from a traditional or Roth IRA to a qualified
charity such as Children’s Hospital.
This temporary tax provision for IRA gifts
remains in effect only through December 31,
2007, so if you are interested in making such
a donation, it is important to act soon.
Here are some key details:
1. The donor must be at least 70 at the
time of transfer.
2. The transfer must pass directly from the
IRA custodian to the qualifying charity.
3. The transfer is limited to no more than
$100,000 per tax year.
4. The transfer is not limited to 50 percent
of adjusted gross income (AGI) like
other cash gifts.
5. The act applies only to traditional,
Center StageCenter Stage
‘Center Stage’
The classic sounds of rock and roll will
take “Center Stage” as legendary group Three
Dog Night highlights the 15th annual benefit
for Children’s Hospital April 14 at the
Knoxville Convention Center.
From 1969-1974,nobody had more Top
10 hits,moved more records or sold more
concert tickets than Three Dog Night.
During this period, the group was the most
popular band in America with 21 consecutive
Top 40 hits and 12 straight gold albums. By
late 1975, they had sold nearly 50 million
records.
The group’s hits can be found throughout
pop culture today -- on the radio, in TV
commercials or in major motion pictures.
Their hit songs, including “Joy to the World,”
“An Old Fashioned Love Song,” “One” and
“Black and White,” continue to be popular
with audiences today. In 2006, Three Dog
Night released a new disc – “Extended
Versions – Live” — giving fans both new and
old a chance to experience their live show of
instantly familiar tunes with the group’s
customary harmonies and signature sound.
The Center Stage benefit will begin at
6 p.m.with cocktails and hors d’oeuvres,
followed by dinner and Three Dog Night’s
performance. A dance band will perform
following the concert.
Children’s Hospital extends a special
thanks to Bob and Wendy Goodfriend, who
will serve as co-chairs for the 15th year. The
Goodfriends,Pilot Corporation and LandAir
will provide underwriting support for Center
Stage.
Benefactor and Corporate tables are
currently being reserved, and individual
tickets may be available if space allows
for $350 per person.Call the Children's
Hospital Development Department at
(865
availability.
Center Stage has raised more than $2.3
million for Children’s Hospital since its
inception in 1993.
12
Estate Planning...
Help children by using your IRA
Include
Children’s Hospital
in your estate plans.
Join the ABC Club.
For more information,
call (865) 541-8441.
Please send additional information about IRA rollover gifts.
Name______________________________ Address__________________________________________
City___________________________ State_______ Zip_____________ Phone#(______)___________
rPlease call me at the phone number below for a free confidential consultation concerning planned giving.
rPlease send me more information about deferred giving.
rI have already included Children’s Hospital in my estate plan in the following way:
__________________________________________________________________________
rPlease send me information about the ABC Club.
Children’s Hospital Development Office • (865
AA ssppeecciiaall ggiivviinngg ooppppoorrttuunniittyy ffoorr
ffrriieennddss 7700 aanndd oollddeerr..
For a number of years, Children’s Hospital
and other charities have received questions from
certain of our more senior donors about making
gifts from their Individual Retirement Accounts
(IRAs).
They have asked if it was possible to make
gifts from an IRA without incurring income tax
and, until late 2006, the answer was “no.” But
through December 31, 2007, the answer is “yes.”
Toward the end of last year, Congress passed
and President Bush signed into law the Pension
Protection Act of 2006. This bill includes an
IRA Charitable Rollover provision. It allows
people age 70 or older to donate up to $100,000
during a taxable year for gifts made directly
rollover and Roth IRAs, not to other
types of plans like 401(k
However, funds from the other types of
retirement plans may be rolled into a
traditional IRA to make the gift.
6. The transfer cannot be made to a donor-
advised fund or to a supporting organization.
7. The transfer cannot be used to fund a
charitable gift annuity or a charitable
remainder trust.
If you or someone you know - age 70 or older -
is interested in assisting our work with children
by making a gift from an IRA, please call Teresa
Goddard, Senior Development Officer, or David
Rule, Director of Development, at (865
We would be delighted to work with you and your
advisers.
from a traditional or Roth IRA to a qualified
charity such as Children’s Hospital.
This temporary tax provision for IRA gifts
remains in effect only through December 31,
2007, so if you are interested in making such
a donation, it is important to act soon.
Here are some key details:
1. The donor must be at least 70 at the
time of transfer.
2. The transfer must pass directly from the
IRA custodian to the qualifying charity.
3. The transfer is limited to no more than
$100,000 per tax year.
4. The transfer is not limited to 50 percent
of adjusted gross income (AGI) like
other cash gifts.
5. The act applies only to traditional,
Center StageCenter Stage
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Star 102.1 Radiothon
Star 102.1 presents its sixth annual
Radiothon to benefit Children’s Hospital
March 1-2. The event, hosted by Star 102.1
morning radio personalities Marc, Kim and
Frank from 6 a.m. to 6 p.m. each day, will
feature inspirational patient stories and local
celebrities. The hosts will encourage listeners
to visit West Town Mall during the two-day
event and make a personal pledge to
Children's Hospital. You can also donate to
the hospital by making a purchase at the
Radiothon silent auction, which will feature a
variety of items from local and national
companies and retailers.
The funds raised during the Star 102.1
Radiothon will benefit Children's Hospital
Home Health Care and the CarePages service.
“Cutest Little Baby Face”
Contest
The 17th annual “Cutest Little Baby Face”
contest will kick off March 10 at Belz Factory
Outlet World in Pigeon Forge. The contest is
open to children ages 6 and younger, with
Gary Woods Photography in Sevierville taking
photos of participating children.Contestants
may preregister by completing a registration
form at the outlet mall or by calling the
Children’s Hospital Development Department
at (865) 541-8745.
The entry fee for preregistration is $5, and
registration at the event is $7. The fee includes
a 5x7 portrait of the participating child.
Pictures will be taken March 19,9 a.m.-
6 p.m.,and March 11,12-5 p.m. Voting will
take place at Belz on March 23 and 24;each
$1 donation to Children’s Hospital will count
as 100 votes. The child with the most votes
wins and will be announced March 24 during
the “Baby Face Parade.”
Food City Family Race Night
Meet some of your favorite Nextel Cup and
Busch series NASCAR drivers at the Knoxville
EXPO Center on Clinton Highway on
March 21. The drivers will be on hand to sign
autographs, pose for pictures and talk with fans.
There will also be fun family activities and free
food compliments of Food City. Tickets can be
purchased in advance for $4 at any Knoxville Food
City or for $5 at the door. Children 5 and under
are admitted free.
Trideltathon
Triathletes should make plans to compete at
the 22nd Annual Delta Delta Delta “Trideltathon”
on April 22. Participants will compete in the
mini-triathlon’s 3-mile run, 6-mile bike ride and
400-meter swim while raising money for
Children’s Hospital.
Registration is limited to the first 400 entries.
A registration fee (amount to be announced
individuals and groups will include registration
and a goodie bag.
Race packet pick-up and day-of-race
registration will take place at the UT Aquatic
Center April 21, 3-6 p.m., and race day,
6:30-7:30 a.m.
Nancy Hayes Baseball
Tournament
Knock one out of the park May 3-6 at the
fifth annual Nancy Hayes Memorial Baseball
Tournament. The Hayes family of New Market
sponsors the event in memory of their daughter,
Nancy Elizabeth Hayes.Games will be held at
Powell field, Caswell field, Fountain City field and
Karns Sports Park. Proceeds from the event will
benefit Children’s Hospital. For more information,
contact Lenny Hayes at (865
e-mail at
[email protected].
UPCOMING EVENTS TOBENEFIT CHILDREN’S
Mark your calendars now for several upcoming events to entertain families and benefit Children's Hospital.
Thanks to the generous people of East Tennessee who host and participate in these events, Children's Hospital
can continue to provide the best pediatric health care to the children of this region.
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Children’s Hospital
Invitational Golf Tournament
The 24th annual Children’s Hospital
Invitational Golf Tournament will take place at
Fox Den Country Club in Knoxville on May 14.
The tournament will start with a morning
round, followed by an afternoon tee time. The
entry fee for a two-man team is $225 per player,
which includes green and cart fees, breakfast,
lunch, refreshments, participation in the 19th
hole and an official tournament goodie bag. A
portion of the participant entry fee is tax
deductible.
Ruby Tuesday is the event’s signature
sponsor.
Helicopter Awareness Day
Visitors to Sevier County can enjoy a spring
afternoon outdoors and help Children's Hospital
at the same time.Scenic Helicopter Tours and
Halson’s Helicopter Museum in Sevierville will
host the sixth annual Hal Haynes Helicopter
Awareness Day to benefit Children's Hospital
and the Church of God Home For Children in
Sevierville and raise awareness of the importance
of helicopters in society.
All riders enjoying a trip on April 21 on
Scenic Helicopter Tours’ helicopters near the
Great Smoky Mountains will be charged normal
ride fees ($10 and up per person, depending on
ride length), and 100 percent of the day's ride
fees will be donated to Children's Hospital and
the Church of God Home for Children. Scenic
Helicopter Tours will also accept cash donations
for Children's Hospital. Over $14,000 was
raised at this event in 2006.
In addition to rides, Helicopter Awareness
Day will feature five to 10 helicopters from
throughout East Tennessee that visitors can see.
Free food and drinks will also be available at the
heliport from 10 a.m. to 4 p.m.
During the evening of April 21, a gala
rooftop event at Halson’s Helicopter Museum
will also raise funds for the hospital and
children’s home. The next day, April 22, the
museum will host Helicopter Awareness Day
from 10 a.m.to 4 p.m., and that day’s revenues
will be donated to the hospital and children’s
home.
For more information, contact Scenic
Helicopter Tours at (865
To learn more about any of these events, contact
the Children's Hospital Development Office at
(865) 541-8441.
by Bethany Swann, student intern
The 2006 Cutest Little Baby Face, Madelaine Grizzell,
appeared on the 2007 Children's Miracle Network telethon.
With Madelaine are (left to right), Norm Kallemeyn with the
Kiwanis Club of Sevierville; Julya Johnson of WBIR-TV
Channel 10; Amy Kingery, president of the Kiwanis Club of
Sevierville; and Sarah Grizzell, Madelaine's mother.
Marc, Frank and Kim from Star 102.1 will host the
upcoming sixth annual Radiothon to benefit
Children's Hospital.
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13
Star 102.1 Radiothon
Star 102.1 presents its sixth annual
Radiothon to benefit Children’s Hospital
March 1-2. The event, hosted by Star 102.1
morning radio personalities Marc, Kim and
Frank from 6 a.m. to 6 p.m. each day, will
feature inspirational patient stories and local
celebrities. The hosts will encourage listeners
to visit West Town Mall during the two-day
event and make a personal pledge to
Children's Hospital. You can also donate to
the hospital by making a purchase at the
Radiothon silent auction, which will feature a
variety of items from local and national
companies and retailers.
The funds raised during the Star 102.1
Radiothon will benefit Children's Hospital
Home Health Care and the CarePages service.
“Cutest Little Baby Face”
Contest
The 17th annual “Cutest Little Baby Face”
contest will kick off March 10 at Belz Factory
Outlet World in Pigeon Forge. The contest is
open to children ages 6 and younger, with
Gary Woods Photography in Sevierville taking
photos of participating children.Contestants
may preregister by completing a registration
form at the outlet mall or by calling the
Children’s Hospital Development Department
at (865) 541-8745.
The entry fee for preregistration is $5, and
registration at the event is $7. The fee includes
a 5x7 portrait of the participating child.
Pictures will be taken March 19,9 a.m.-
6 p.m.,and March 11,12-5 p.m. Voting will
take place at Belz on March 23 and 24;each
$1 donation to Children’s Hospital will count
as 100 votes. The child with the most votes
wins and will be announced March 24 during
the “Baby Face Parade.”
Food City Family Race Night
Meet some of your favorite Nextel Cup and
Busch series NASCAR drivers at the Knoxville
EXPO Center on Clinton Highway on
March 21. The drivers will be on hand to sign
autographs, pose for pictures and talk with fans.
There will also be fun family activities and free
food compliments of Food City. Tickets can be
purchased in advance for $4 at any Knoxville Food
City or for $5 at the door. Children 5 and under
are admitted free.
Trideltathon
Triathletes should make plans to compete at
the 22nd Annual Delta Delta Delta “Trideltathon”
on April 22. Participants will compete in the
mini-triathlon’s 3-mile run, 6-mile bike ride and
400-meter swim while raising money for
Children’s Hospital.
Registration is limited to the first 400 entries.
A registration fee (amount to be announced
individuals and groups will include registration
and a goodie bag.
Race packet pick-up and day-of-race
registration will take place at the UT Aquatic
Center April 21, 3-6 p.m., and race day,
6:30-7:30 a.m.
Nancy Hayes Baseball
Tournament
Knock one out of the park May 3-6 at the
fifth annual Nancy Hayes Memorial Baseball
Tournament. The Hayes family of New Market
sponsors the event in memory of their daughter,
Nancy Elizabeth Hayes.Games will be held at
Powell field, Caswell field, Fountain City field and
Karns Sports Park. Proceeds from the event will
benefit Children’s Hospital. For more information,
contact Lenny Hayes at (865
e-mail at
[email protected].
UPCOMING EVENTS TOBENEFIT CHILDREN’S
Mark your calendars now for several upcoming events to entertain families and benefit Children's Hospital.
Thanks to the generous people of East Tennessee who host and participate in these events, Children's Hospital
can continue to provide the best pediatric health care to the children of this region.
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Children’s Hospital
Invitational Golf Tournament
The 24th annual Children’s Hospital
Invitational Golf Tournament will take place at
Fox Den Country Club in Knoxville on May 14.
The tournament will start with a morning
round, followed by an afternoon tee time. The
entry fee for a two-man team is $225 per player,
which includes green and cart fees, breakfast,
lunch, refreshments, participation in the 19th
hole and an official tournament goodie bag. A
portion of the participant entry fee is tax
deductible.
Ruby Tuesday is the event’s signature
sponsor.
Helicopter Awareness Day
Visitors to Sevier County can enjoy a spring
afternoon outdoors and help Children's Hospital
at the same time.Scenic Helicopter Tours and
Halson’s Helicopter Museum in Sevierville will
host the sixth annual Hal Haynes Helicopter
Awareness Day to benefit Children's Hospital
and the Church of God Home For Children in
Sevierville and raise awareness of the importance
of helicopters in society.
All riders enjoying a trip on April 21 on
Scenic Helicopter Tours’ helicopters near the
Great Smoky Mountains will be charged normal
ride fees ($10 and up per person, depending on
ride length), and 100 percent of the day's ride
fees will be donated to Children's Hospital and
the Church of God Home for Children. Scenic
Helicopter Tours will also accept cash donations
for Children's Hospital. Over $14,000 was
raised at this event in 2006.
In addition to rides, Helicopter Awareness
Day will feature five to 10 helicopters from
throughout East Tennessee that visitors can see.
Free food and drinks will also be available at the
heliport from 10 a.m. to 4 p.m.
During the evening of April 21, a gala
rooftop event at Halson’s Helicopter Museum
will also raise funds for the hospital and
children’s home. The next day, April 22, the
museum will host Helicopter Awareness Day
from 10 a.m.to 4 p.m., and that day’s revenues
will be donated to the hospital and children’s
home.
For more information, contact Scenic
Helicopter Tours at (865
To learn more about any of these events, contact
the Children's Hospital Development Office at
(865) 541-8441.
by Bethany Swann, student intern
The 2006 Cutest Little Baby Face, Madelaine Grizzell,
appeared on the 2007 Children's Miracle Network telethon.
With Madelaine are (left to right), Norm Kallemeyn with the
Kiwanis Club of Sevierville; Julya Johnson of WBIR-TV
Channel 10; Amy Kingery, president of the Kiwanis Club of
Sevierville; and Sarah Grizzell, Madelaine's mother.
Marc, Frank and Kim from Star 102.1 will host the
upcoming sixth annual Radiothon to benefit
Children's Hospital.
14
There are so many things a parent can do to keep a
child healthy and safe. In this issue of It’s About
Children, Ryan Redman, M.D., pediatric
emergency medicine specialist at Children’s
Hospital, discusses some of the best ideas parents
can use to help their children stay safe and healthy
— and hopefully out of the Emergency
Department.
QQ::My child seems to bring home every germ
from school. What can we do?
AA::The number one thing parents can do is
teach their children the proper way to wash
hands and help them understand WHEN
to wash – after using the bathroom, before
and after eating, after coughing or sneezing,
after touching a pet, etc. Children tend to
touch their mouths, so germs on the hands
have an easy route into the child’s body –
and before you know it, he or she is sick.
Here, in simple terms that your child will
understand, is how to wash properly:
•Use soap,and then lather for 10-15
seconds.Make sure to wash between fingers
and under nails where germs can hide.
• Rinse and dry well with a clean towel, then
turn off the water with the towel to keep
from getting germs from the faucet onto
clean hands.
•Sing a favorite song while washing hands.
By the time the song is over, those germs
should be washed away.
Having your child immunized against
common diseases is also extremely
important for keeping him or her healthy.
See your child’s primary care physician to
make sure all shots are up to date; if not, the
doctor can put your child on a catch-up
schedule. If you have concerns about the
safety of vaccines,ask your child’s doctor for
TToopp ttiippss ffoorr ssaaffee && hheeaalltthhyy kkiiddss
advice. The vaccines do come with some
risks, but the diseases that these vaccines
protect against are far more serious than
the risk of side effects.
QQ::My son loves to play outside – especially
riding his bike or scooter. What are some
safety tips for those activities?
AA::Outdoor activities are great for children —
the fresh air and physical activity promote
overall health and fitness. But some
favorite activities can have a significant risk
of injury. For kids on bikes, scooters, roller
skates and skateboards, a bike helmet is
vital to protect the brain from injury. I also
recommend knee, elbow and wrist pads for
use with scooters, skates and skateboards
to help protect from cuts and scrapes as
well as more serious sprains and fractures.
Some children may not like this
requirement, but parents should make
safety equipment non-negotiable:children
wear the protective gear or they don’t ride.
And remember,bike helmets are required
by law,so your children really have no
choice in the matter.
In addition to using safety equipment,
children also need a safe place to ride.If a
sidewalk is available,it is the safest place.
Many neighborhoods don’t have sidewalks,
however, so children naturally head to the
street. Even the quietest streets are not safe
from a driver going too fast or one who is
distracted. And sometimes children just
aren’t paying attention and enter the street
right in front of a moving vehicle. So make
sure your children have the safest possible
place to ride, and also teach them safety
rules of the road if you decide
to let them ride in the street.
QQ::Our neighbors’ children recently received a
trampoline for a holiday gift. Now my
children have asked for their own trampoline,
but I have heard they can be unsafe. What is
your advice?
AA::The best way to keep children safe with a
trampoline is to not use one. Trampoline
injuries such as broken bones and head trauma
are common and can be quite serious.
Trampolines that have the netting around
them may prevent a child from falling off but
will not prevent other injuries.
If you choose to have a trampoline or to let
your children use a friend’s trampoline, here
are some basic guidelines:
• Only one person should be on the trampoline
at a time.
• Children should be at least six years old before
using a trampoline.
• Do not allow somersaults because landing on
the head or neck can lead to very serious
injury.
•Adult supervision is a must at all times.
•Make sure the trampoline has protective
padding on the springs, hooks and frame, as
well as a net enclosure to help prevent falls.
QQ::We are going to the beach during spring
break. How often should I apply sunscreen on
my children?
AA::Sunscreen is very important to a child’s overall
health. A sunburn may just be mildly
uncomfortable now,but each sunburn
damages the skin, which can mean serious
problems,such as skin cancer, later in life.
Serious sunburn at any age can land the
person in the Emergency Department. And
don’t forget that protection from the sun also
means wearing the right kind of clothing as
well as hats and sunglasses.
There are so many things a parent can do to keep a
child healthy and safe. In this issue of It’s About
Children, Ryan Redman, M.D., pediatric
emergency medicine specialist at Children’s
Hospital, discusses some of the best ideas parents
can use to help their children stay safe and healthy
— and hopefully out of the Emergency
Department.
QQ::My child seems to bring home every germ
from school. What can we do?
AA::The number one thing parents can do is
teach their children the proper way to wash
hands and help them understand WHEN
to wash – after using the bathroom, before
and after eating, after coughing or sneezing,
after touching a pet, etc. Children tend to
touch their mouths, so germs on the hands
have an easy route into the child’s body –
and before you know it, he or she is sick.
Here, in simple terms that your child will
understand, is how to wash properly:
•Use soap,and then lather for 10-15
seconds.Make sure to wash between fingers
and under nails where germs can hide.
• Rinse and dry well with a clean towel, then
turn off the water with the towel to keep
from getting germs from the faucet onto
clean hands.
•Sing a favorite song while washing hands.
By the time the song is over, those germs
should be washed away.
Having your child immunized against
common diseases is also extremely
important for keeping him or her healthy.
See your child’s primary care physician to
make sure all shots are up to date; if not, the
doctor can put your child on a catch-up
schedule. If you have concerns about the
safety of vaccines,ask your child’s doctor for
TToopp ttiippss ffoorr ssaaffee && hheeaalltthhyy kkiiddss
advice. The vaccines do come with some
risks, but the diseases that these vaccines
protect against are far more serious than
the risk of side effects.
QQ::My son loves to play outside – especially
riding his bike or scooter. What are some
safety tips for those activities?
AA::Outdoor activities are great for children —
the fresh air and physical activity promote
overall health and fitness. But some
favorite activities can have a significant risk
of injury. For kids on bikes, scooters, roller
skates and skateboards, a bike helmet is
vital to protect the brain from injury. I also
recommend knee, elbow and wrist pads for
use with scooters, skates and skateboards
to help protect from cuts and scrapes as
well as more serious sprains and fractures.
Some children may not like this
requirement, but parents should make
safety equipment non-negotiable:children
wear the protective gear or they don’t ride.
And remember,bike helmets are required
by law,so your children really have no
choice in the matter.
In addition to using safety equipment,
children also need a safe place to ride.If a
sidewalk is available,it is the safest place.
Many neighborhoods don’t have sidewalks,
however, so children naturally head to the
street. Even the quietest streets are not safe
from a driver going too fast or one who is
distracted. And sometimes children just
aren’t paying attention and enter the street
right in front of a moving vehicle. So make
sure your children have the safest possible
place to ride, and also teach them safety
rules of the road if you decide
to let them ride in the street.
QQ::Our neighbors’ children recently received a
trampoline for a holiday gift. Now my
children have asked for their own trampoline,
but I have heard they can be unsafe. What is
your advice?
AA::The best way to keep children safe with a
trampoline is to not use one. Trampoline
injuries such as broken bones and head trauma
are common and can be quite serious.
Trampolines that have the netting around
them may prevent a child from falling off but
will not prevent other injuries.
If you choose to have a trampoline or to let
your children use a friend’s trampoline, here
are some basic guidelines:
• Only one person should be on the trampoline
at a time.
• Children should be at least six years old before
using a trampoline.
• Do not allow somersaults because landing on
the head or neck can lead to very serious
injury.
•Adult supervision is a must at all times.
•Make sure the trampoline has protective
padding on the springs, hooks and frame, as
well as a net enclosure to help prevent falls.
QQ::We are going to the beach during spring
break. How often should I apply sunscreen on
my children?
AA::Sunscreen is very important to a child’s overall
health. A sunburn may just be mildly
uncomfortable now,but each sunburn
damages the skin, which can mean serious
problems,such as skin cancer, later in life.
Serious sunburn at any age can land the
person in the Emergency Department. And
don’t forget that protection from the sun also
means wearing the right kind of clothing as
well as hats and sunglasses.
Use these tips for sun safety:
• Avoid the sun when it is highest overhead
(about 10 a.m. to 4 p.m.) as much as
possible.
• Apply sunscreen for any outdoor activity –
not just at the pool or beach but also for
backyard play. Apply sunscreen even on cool,
cloudy or overcast days. UV rays can travel
through the clouds and reflect off surfaces,
causing an unexpected sunburn.
• Apply sunscreen 30 minutes before going
outside and reapply every 2-3 hours. Reapply
more frequently if your child is swimming or
sweating,and choose a waterproof formula.
And apply it generously for good coverage.
•Select sunscreen with an SPF (sun
protection factor) of at least 15 that also
protects against both UVA and UVB rays
(often referred to as a “broad-spectrum”
sunscreen).
• Choose clothing with fabric that is thick
enough to screen out harmful UV rays (if
you can see your hand through the fabric,
the sun’s rays will also be able to get through
the fabric).
• Do not apply sunscreen to children under six
months of age – just keep them out of the
sun as much as possible. When that is not
possible, dress the baby in a wide-brimmed
hat and in clothing that covers the body. You
can even use an umbrella to shade the baby.
As parents and caregivers, we have a
responsibility to take care of our children,
and that does take some effort.Hopefully
these tips will get you started. For more
health and safety information, visit the
Children’s Hospital Web site at
www.etch.comand click on “Health Library.”
15
Ryan Redman, M.D.
New CPR guidelines make learning easier
“Push hard, push fast” are words that will be repeated over and over in upcoming
Healthy Kids CPR (cardio-pulmonary resuscitation) classes.
This is due to the new, easier CPR guidelines from the American Heart Association that
put emphasis on chest compressions rather than mouth-to-mouth resuscitation. The new
technique calls for 30 chest compressions – rather than 15 – for every two rescue breaths.
These updated guidelines should make it easier for “everyday people” to learn CPR.
Earlier rules were different for adults and for children and called on untrained rescuers to
stop pushing the chest periodically to check for signs of circulation. Now the advice is the
same for all ages – 30 compressions for every two rescue breaths.
“What is important for anyone giving CPR is to keep the blood flowing,” said Lorisa
Williams, Director of Education at Children’s Hospital. “Valuable time is lost when rescuers
who are not medical professionals try to check for signs of circulation or try to reposition a
victim’s head for each rescue breath.”
Studies show that continual chest compressions create more blood flow through the
heart and to the rest of the body, buying time until a defibrillator can be used or the heart
can pump blood on its own. Studies have also shown that blood circulation increases with
each chest compression and must be built back up after an interruption, such as to give
rescue breaths.
“Every parent should know CPR,” said Joanna Simeone, Healthy Kids program
coordinator and public relations specialist for Children’s Hospital. “This skill can save a
child’s life by providing breathing and circulation until advanced care can be given.”
Other changes in the updated CPR techniques can only be taught in a classroom setting.
CPR classes are offered monthly as part of Children’s Hospital’s Healthy Kids program,
which serves as an educational resource for parents by offering classes and literature for
learning more about a variety of children’s health issues.
For more information about learning CPR, call the Healthy Kids Hotline at
(865
at
www.etch.com.
by Seth Linkous, Associate Director for Public Relations
It’s time to buy a Children’s Hospital license plate!
The Children’s Hospital specialty license
plate is in danger of being abolished by the
state due to low numbers of purchasers.
The minimum number to maintain a
specialty plate formerly was 500 license
plates, but the state increased the minimum
in 2005 to
1,000. At this
time, only 800
Children’s
Hospital plates
are registered.
Children’s
Hospital must
reach and
maintain at least
1,000 active
registrations
(plates) by July 1,2007,or our plate will be
abolished.If this happens, the hospital will
have to wait three years before it can pursue
another specialty plate through a very lengthy
process.
If you have purchased one of the plates, we
hope you’ll renew the plate when it comes
due.This is an easy way to help Children’s
Hospital on an ongoing basis.
If you have been thinking about
purchasing the hospital plate, there has
never been a better time! The plate is
available continuously through each
County Clerk’s office, and the cost of the
plate is $35 in addition to each county’s
renewal fee.Fifty percent of the revenue
generated from the specialty plates
directly benefits Children’s Hospital.
If you have any questions about the
specialty Children’s Hospital license
plate, contact your local County Clerk’s
office or the Children’s Hospital
Development Department at
(865) 541-8441.
• Avoid the sun when it is highest overhead
(about 10 a.m. to 4 p.m.) as much as
possible.
• Apply sunscreen for any outdoor activity –
not just at the pool or beach but also for
backyard play. Apply sunscreen even on cool,
cloudy or overcast days. UV rays can travel
through the clouds and reflect off surfaces,
causing an unexpected sunburn.
• Apply sunscreen 30 minutes before going
outside and reapply every 2-3 hours. Reapply
more frequently if your child is swimming or
sweating,and choose a waterproof formula.
And apply it generously for good coverage.
•Select sunscreen with an SPF (sun
protection factor) of at least 15 that also
protects against both UVA and UVB rays
(often referred to as a “broad-spectrum”
sunscreen).
• Choose clothing with fabric that is thick
enough to screen out harmful UV rays (if
you can see your hand through the fabric,
the sun’s rays will also be able to get through
the fabric).
• Do not apply sunscreen to children under six
months of age – just keep them out of the
sun as much as possible. When that is not
possible, dress the baby in a wide-brimmed
hat and in clothing that covers the body. You
can even use an umbrella to shade the baby.
As parents and caregivers, we have a
responsibility to take care of our children,
and that does take some effort.Hopefully
these tips will get you started. For more
health and safety information, visit the
Children’s Hospital Web site at
www.etch.comand click on “Health Library.”
15
Ryan Redman, M.D.
New CPR guidelines make learning easier
“Push hard, push fast” are words that will be repeated over and over in upcoming
Healthy Kids CPR (cardio-pulmonary resuscitation) classes.
This is due to the new, easier CPR guidelines from the American Heart Association that
put emphasis on chest compressions rather than mouth-to-mouth resuscitation. The new
technique calls for 30 chest compressions – rather than 15 – for every two rescue breaths.
These updated guidelines should make it easier for “everyday people” to learn CPR.
Earlier rules were different for adults and for children and called on untrained rescuers to
stop pushing the chest periodically to check for signs of circulation. Now the advice is the
same for all ages – 30 compressions for every two rescue breaths.
“What is important for anyone giving CPR is to keep the blood flowing,” said Lorisa
Williams, Director of Education at Children’s Hospital. “Valuable time is lost when rescuers
who are not medical professionals try to check for signs of circulation or try to reposition a
victim’s head for each rescue breath.”
Studies show that continual chest compressions create more blood flow through the
heart and to the rest of the body, buying time until a defibrillator can be used or the heart
can pump blood on its own. Studies have also shown that blood circulation increases with
each chest compression and must be built back up after an interruption, such as to give
rescue breaths.
“Every parent should know CPR,” said Joanna Simeone, Healthy Kids program
coordinator and public relations specialist for Children’s Hospital. “This skill can save a
child’s life by providing breathing and circulation until advanced care can be given.”
Other changes in the updated CPR techniques can only be taught in a classroom setting.
CPR classes are offered monthly as part of Children’s Hospital’s Healthy Kids program,
which serves as an educational resource for parents by offering classes and literature for
learning more about a variety of children’s health issues.
For more information about learning CPR, call the Healthy Kids Hotline at
(865
at
www.etch.com.
by Seth Linkous, Associate Director for Public Relations
It’s time to buy a Children’s Hospital license plate!
The Children’s Hospital specialty license
plate is in danger of being abolished by the
state due to low numbers of purchasers.
The minimum number to maintain a
specialty plate formerly was 500 license
plates, but the state increased the minimum
in 2005 to
1,000. At this
time, only 800
Children’s
Hospital plates
are registered.
Children’s
Hospital must
reach and
maintain at least
1,000 active
registrations
(plates) by July 1,2007,or our plate will be
abolished.If this happens, the hospital will
have to wait three years before it can pursue
another specialty plate through a very lengthy
process.
If you have purchased one of the plates, we
hope you’ll renew the plate when it comes
due.This is an easy way to help Children’s
Hospital on an ongoing basis.
If you have been thinking about
purchasing the hospital plate, there has
never been a better time! The plate is
available continuously through each
County Clerk’s office, and the cost of the
plate is $35 in addition to each county’s
renewal fee.Fifty percent of the revenue
generated from the specialty plates
directly benefits Children’s Hospital.
If you have any questions about the
specialty Children’s Hospital license
plate, contact your local County Clerk’s
office or the Children’s Hospital
Development Department at
(865) 541-8441.
The 25th annual Children’s Miracle Network Telethon was again a great success for
Children’s Hospital. Although it was broadcast earlier in the calendar year and featured
a different format, the telethon raised $1.9 million through pledges and corporate
donations.
Traditionally a two-day event the weekend after Memorial Day, the telethon was
moved earlier in the season for the first time in 2006. The 2007 telethon took place
Sunday, January 28, and aired live on WBIR-TV 10 from 3:30-11:30 p.m. The
telethon’s success reflects the outstanding support of many generous volunteers,
individuals and corporate sponsors including Wal-Mart, Sam’s Club, Goody’s,
Star 102.1 radio and other community organizations.
Children’s Hospital was a charter member of the Children’s Miracle Network in
1983, becoming one of only 22 hospitals nationally to participate in the first telethon,
which was broadcast locally on WBIR-TV 10.
Since that first telecast, the hospital has raised about $25 million to meet the health
care needs of area children who make more than 141,000 visits to Children’s Hospital
each year. Proceeds from this year’s telethon
will buy new and replacement equipment for
many areas of the hospital so that each
patient can receive the best care possible.
Children’s Hospital extends its sincere
gratitude to all who participated in this year’s
telethon, including WBIR-TV for its 25
years of dedication to making a difference in
the lives of East Tennessee’s children.
Children’s Hospital
2018 Clinch Ave. • P.O. Box 15010
Knoxville, Tennessee 37901-5010
We always try to stay current with friends of the hospital.
Iffor any reason you should receive a duplicate issue,
please notify the hospital at (865
NON-PROFIT
ORGANIZATION
U.S. POSTAGE
PAID
PERMIT 433
KNOXVILLE, TN
25thAnnual CMN Telethon raises $1.9 Million
Children’s Hospital. Although it was broadcast earlier in the calendar year and featured
a different format, the telethon raised $1.9 million through pledges and corporate
donations.
Traditionally a two-day event the weekend after Memorial Day, the telethon was
moved earlier in the season for the first time in 2006. The 2007 telethon took place
Sunday, January 28, and aired live on WBIR-TV 10 from 3:30-11:30 p.m. The
telethon’s success reflects the outstanding support of many generous volunteers,
individuals and corporate sponsors including Wal-Mart, Sam’s Club, Goody’s,
Star 102.1 radio and other community organizations.
Children’s Hospital was a charter member of the Children’s Miracle Network in
1983, becoming one of only 22 hospitals nationally to participate in the first telethon,
which was broadcast locally on WBIR-TV 10.
Since that first telecast, the hospital has raised about $25 million to meet the health
care needs of area children who make more than 141,000 visits to Children’s Hospital
each year. Proceeds from this year’s telethon
will buy new and replacement equipment for
many areas of the hospital so that each
patient can receive the best care possible.
Children’s Hospital extends its sincere
gratitude to all who participated in this year’s
telethon, including WBIR-TV for its 25
years of dedication to making a difference in
the lives of East Tennessee’s children.
Children’s Hospital
2018 Clinch Ave. • P.O. Box 15010
Knoxville, Tennessee 37901-5010
We always try to stay current with friends of the hospital.
Iffor any reason you should receive a duplicate issue,
please notify the hospital at (865
NON-PROFIT
ORGANIZATION
U.S. POSTAGE
PAID
PERMIT 433
KNOXVILLE, TN
25thAnnual CMN Telethon raises $1.9 Million
Categories
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