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B o a r d o f D i r e c t o r s
Dennis Ragsdale
Chairman
Jeffory Jennings, M.D.
Vice Chairman
Michael Crabtree
Secretary/Treasurer
Bruce Anderson
Debbie Christiansen, M.D.
Dawn Ford
Keith D. Goodwin
Steven Harb
Lewis Harris, M.D.
Dee Haslam
A. David Martin
Dugan McLaughlin
Christopher Miller, M.D.
Steve South
Bill Terry, M.D.
Laurens Tullock
Danni Varlan
M e d i c a l S t a f f
David Nickels, M.D.
Chief of Staff
John Buchheit, M.D.
Vice Chief of Staff
John Little, M.D.
Secretary
C h i e f s o f S e r v i c e s
Jeanann Pardue, M.D.
Chief of Medicine
Mark Cramolini, M.D.
Chief of Surgery
A d m i n i s t r a t i o n
Keith D. Goodwin
President/CEO
Bob Koppel
President/CEO Emeritus
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
Becky Colker
Vice President for Finance
Rudy McKinley
Vice President for Operations
A quarterly publication of East Tennessee
Children’s Hospital, It’s About Children is
designed to inform the East Tennessee
community about the hospital and the
patients we serve. Children’s Hospital is a
private, independent, not-for-profit pediatric
medical center that has served the East
Tennessee region for more than 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 and Wade Payne
Contributing Photographers
“Because Children are Special…”
...they deserve the best possible health care given
in a positive, child/family-centered atmosphere of
friendliness, cooperation, and support - regardless
of race, religion, or ability to pay.”
...their medical needs are closely related to their
emotional and informational needs; therefore, the
total child must be considered in treating any illness
or injury.”
...their health care requires family involvement,
special understanding, special equipment, and
specially trained personnel who recognize that
children are not miniature adults.”
...their health care can best be provided by a facility
with a well-trained medical and hospital staff whose
only interests and concerns are with the total health
and well-being of infants, children, and adolescents.”
Statement of Philosophy
East Tennessee Children’s Hospital
www.etch.com
2
On the cover: Children’s Hospital patient Emily Barger with Minnie Mouse
at the annual CMN celebration in Orlando. Read Emily’s story on pages 4-6.
February 11, 2008 
Dear Children’s Hospital,
I just wanted to thank all of the doctors and
nurses in the NICU. My daughter was born
at 26 weeks and sent to Children’s Hospital.
She is now 3 years old and still has some
problems. She has cerebral palsy and is having
trouble with her eyes, and seizures. She has
developmental delays but without the team
in the NICU, she may not even be here today.
I just wanted to say thank you from me, my
husband Michael, and from Katlyn.
Donna Smith
White Pine
February 14, 2008
Subject: Good Job and Thank you!
	 On behalf of all the public health
professionals at the Knox County Health
Department, I would like to thank you for
the “Clean Up Your Act” campaign that
Children’s Hospital and Shoney’s Restaurants
are currently running. The radio spots are well
done and listener friendly, and the information
is timely and important. You’re doing a
wonderful job raising public awareness about
the dangers of food-borne illness and how easy
it is to keep our families safe. Great job! We
applaud you!
 
Ranee Randby
Public Health Community Relations Director
Knox County Health Department
“Dear Children’s”
March 20, 2008
Dear Children’s Hospital,
	 My daughter, Logan Lee, was admitted on 3/18
and we came home this morning. I can’t truly express
how the caring staff helped a horrible incident be
lessened with their treatment of my child. Everyone
from the emergency room through to the floor nurses,
techs and lab people were a pleasure to deal with,
always explaining in terms that a 7-year-old could
understand, and helping ease her fears. Thank you so
much for your compassionate team of people.
Best Regards,
Leslie Lee
Maryville
Logan Lee
Katlyn today
Katlyn
3 years ago
The record net funds raised at the 2007 Fantasy of Treesmeans even more medical equipment can be purchased
this year for the Emergency Department and other hospital
departments. The 2007 Fantasy of Trees raised $380,370,
a 25 percent increase over the previous record net –
$323,100 – set in 2006.
	 The equipment designated for the 2007 event proceeds,Intellivue monitors for the Emergency Department, cost
$292,979. An additional $20,204.51 of net proceeds from
the Target Raffle Tree program was designated for the
Open Door Fund.
	 That left just over $67,000 to be spent on additional
ED equipment, which includes Stretchairs, an Omnicell
addition and video game stations for the waiting area. In
addition, the remaining 2007 Fantasy of Trees proceeds
are funding the purchase of Intellivue monitors for the PostAnesthesia Care Unit and electronic vital signs monitors
for inpatient and outpatient surgery.
Here is what the new pieces of
equipment are:
•	 Intellivue bedside monitors – monitor heart rates,
breathing patterns, oxygen saturation and blood
pressure.
•	 Stretchairs – these hydraulic wheelchairs can be
converted into a stretcher. They are used for
transporting larger patients who cannot sit or walk. Oneof Children’s Hospital’s inpatient nurse managers callsstretchairs “a miracle piece of equipment” because oftheir tremendous usefulness in the hospital setting.•	Omnicell addition – The Omnicell is a storage productfor medications used in the Emergency Department.
This addition will be placed in the urgent area of the
ED; it will allow the storage of additional drugs in thisarea, which will save staff time and help to standardizethe medications kept in the Emergency Department.•	 Electronic vital signs monitors – these monitors areused to obtain temperature, pulse, oxygen saturationand blood pressure. One electronic vital signs monitorreplaces three separate monitors that were previouslyneeded to perform these four functions. The monitors
also have printing capabilities.
•	 Two video game stations – The Emergency
Department waiting area has a limited number of
activities for patients and families waiting to be seen byED staff. Two new video game systems, with games forages preschool through adult, will be installed in the EDwaiting area to provide additional entertainment ­optionsfor families during wait times. This purchase is in
response to parent requests for more ways to entertain
their children while waiting in the ED.
3
B u l l e t i n B o a r d
3
V
Fantasy of Trees’
record means more
equipment for hospital
	 As part of a national campaign to
increase awareness about missing children,
Shoney’s Restaurants will again host a
series of KidCare Photo ID events at area
malls in conjunction with the National
Center for Missing and Exploited Children
(NCMEC). Over the past 13 years, the
program has successfully provided more
than 28,000 local children with IDs.
	 The KidCare Photo ID events provide
free photo identification cards for children,
which include a color photograph,
fingerprints, height, weight, date of birth,
medical profile and a 24-hour NCMEC
hotline number. These cards can assist local
authorities should a child ever become
missing. Knoxville Police Department
officials are on site for fingerprinting,
and representatives from Children’s
Hospital, Safe Kids of the Greater
Knox Area and Safety City will provide
additional child safety information.
Dates, times and locations:
Friday, August 22 from 1 – 7 p.m.
at Knoxville Center Mall
Saturday, August 23 from 11 a.m. –
5 p.m. at West Town Mall
Sunday, August 24 from 12 – 6 p.m.
at Foothills Mall
	 Children’s Hospital is proud to
collaborate with Shoney’s Restaurants
in taking a proactive approach to
keeping children safe.
By Kathryn Robertson, student intern
VShoney’s to host
KidCare Photo ID events
“There’s No Business Like
Snow Business” at Fantasy of Trees
	 Fantasy of Trees has been a holiday
tradition in East Tennessee since 1985, and
through the years it has kicked off the holiday
season for more than 1.3 million people.
Plans for continuing the tradition in 2008 are
already underway. The 24th
annual Fantasy of
Trees will take place November 26-30. Co-
chairs Sarah Beth Carlon and Sarah Munsey
and Assistant Co-Chair Jody Cusick are busy
making plans for the annual event, themed
“There’s No Business Like Snow Business.”
	 The 2008 Fantasy will include all things
polar: snowflakes and penguins will deck the
halls, and snowmen, reindeer and polar bears
will adorn snowy forests. Guests will once
again enjoy continuous live entertainment
from choirs, dancers, magicians and
more. There will be a variety of children’s
activities, a Gingerbread Village and shops
to inspire the young and young at heart.
	 Over the past 23 years, Fantasy of Trees
has raised more than $4.6 million for East
Tennessee Children’s Hospital. The 2007
Fantasy of Trees was the most successful
ever and brought in more than $380,000,
a 25 percent increase from 2006. 	
Children’s Hospital extends special
thanks to the more than 10,000 volunteers
who participated in the
2007 Fantasy of Trees
and played a crucial role
in making the 23rd
annual
event such a success. It
is through the efforts of
volunteers who contribute
their time and energy that
the 2008 Fantasy of Trees
will also be a success. To
volunteer for Fantasy of
Trees, call (865) 541-8385
or send an email to
fot@etch.com.
By Alyssa Phillips,
student intern
2008 Fantasy of Trees Assistant Co-Chair Jody Cusick,
Co-Chair Sarah Munsey and Co-Chair Sarah Beth
Carlon (left to right)
V V
It was Tuesday afternoon, January 23, 2007. Brian
Barger and his older daughters, Megan (then age 8)
and Blair (then age 11), had just gotten home from
doing some grocery shopping.
	 “I can remember it like it was just yesterday,”
Brian wrote on CarePages on January 23, 2008.
“Blair and I were doing a little cleaning up, and
Megan was washing dishes. The time was around
4:30 p.m., and I was waiting to hear back from Misty
and Emily [his wife and youngest daughter]. The
phone rang, and the words that I heard next totally
changed my life: ‘Emily has a tumor; you need to
come to the hospital.’”
The call was a shock, of course, but especially
because only one day before, 6-year-old Emily had
been diagnosed with a much milder cause for her
recent weeks-long bout of stomach pain.
	 “We went from constipation to cancer in less that
24 hours,” Brian said.
Tears
Brian wrote that he felt like he had been punched.
“I tried to stay strong while on the phone with Misty.
I told her we would be there soon. After she hung up,
I just lost it, then Blair and Megan came running in,
and I told them. We all just stood there and cried for a
bit. Then it was time to get things in order and leave.
“I called work, I called the pastor’s wife, I called
my parents, I called Misty’s sister-in-law because
I was in a panic and couldn’t remember her mom’s
phone number,” he wrote in the CarePage.
While Brian was trying to make all the necessary
phone calls, he noticed that Megan had quietly gone
back to her dishwashing duties, still crying her
eyes out.
Fears
Brian and the girls arrived at Children’s
Hospital less than an hour after Misty’s phone
call. They found Emily
and Misty in a room in the
Emergency Department. Emily
was connected to an IV and
looked “scared to death,” Brian
wrote. “We tried to act calm to
keep her calm.”
Family members and church
friends began arriving, and
Emily began asking questions.
Because of Emily’s young
age, the Bargers chose to use
the word “tumor” rather than
“cancer.” She was familiar with
the word “cancer” and knew
that it could be fatal. “Tumor”
didn’t mean anything to her, so
they felt it was the best choice
for the time being.
A CT scan had revealed
a tumor on one of Emily’s
kidneys. Later tests brought
even more difficult news:
Emily had rhabdomyosarcoma, a very rare cancer
that only affects about 250 children in the United
States each year. Generally, this soft tissue cancer
appears in the muscles. Therefore, Emily’s
diagnosis of rhabdomyosarcoma in one of her
kidneys was extremely rare.
A fight
From the Tuesday afternoon of Emily’s cancer
diagnosis, events proceeded quickly. Emily
had surgery that Friday to have the tumor, the
affected kidney and part of her spleen removed.
(All children diagnosed with rhabdomyosarcoma
will have surgery to remove all or part of the
primary tumor.)
Emily spent several days in the Pediatric
Intensive Care Unit at Children’s Hospital after
her surgery. In fact, she was hospitalized during
the local portion of the annual Children’s Miracle
Network Telethon broadcast on January 28, 2007,
on WBIR-TV Channel 10.
Although the Bargers did not appear on the
telethon, the family received much support and
many visitors during the broadcast. Brian is a
producer at WBIR and has produced the morning
newscast for several years. The hospital was
swarmed with his coworkers offering support.
	 “I have worked with Children’s Hospital
setting up interviews and other news stories for
a long time, but now I am on the other side – I
am one of those parents that the news stories
targeted,” Brian said.
Following her recovery from surgery, Emily
soon began the typical treatment of a child with
her type of cancer – 42 weeks of chemotherapy
and about six weeks of radiation – through the
Hematology/Oncology Outpatient Clinic at
Children’s Hospital.
To make things easier, Emily had a port-a-cath
(a surgically implanted central line that delivers
medications into a vein) that was monitored
by Children’s Hospital Home Health Care
for maintenance and cleanings while she was
receiving chemo. Because Emily was naturally
very thin before her diagnosis and lost weight
during her illness, she also required a feeding tube
for several months to help her receive adequate
nutrition and minimize weight loss.
Testing later showed Emily’s cancer had NOT
moved into her bone marrow, and her scans
appeared clear in other areas, too, so this was
finally some positive news for the Barger family.
Since her diagnosis, Emily’s pediatric
oncologist at Children’s Hospital has been Shahid
Malik, M.D. “Dr. Malik has been wonderful
throughout Emily’s treatments, and we have been
so happy with him and the staff at the oncology
clinic,” Misty said.
	 Emily and her family were guests on the
annual Star 102.1 Radiothon in March 2007; they
told their story and talked about the many services
they benefited from that are funded by Radiothon,
including Children’s Hospital Home Health Care
and the CarePages service. Emily’s story was
so compelling that one of the 2007 Radiothon
check presenters, Strickwood Communications,
a Knoxville-based company, raised their planned
donation from $500 to $5,000 in Emily’s honor.
	 The Bargers also appeared on the 2008
Children’s Miracle Network Telethon in January
and again came to the Star 102.1 Radiothon in
February 2008 to share Emily’s story.
Her spirit
During her battle, Emily lost her hair but
not her spirit. She endeared herself to many
Children’s Hospital staff during her regular visits
to the Hematology/Oncology Clinic and the
surgery and inpatient units where she also spent
time.
Child Life specialist Sara Sealine developed a
special bond with Emily, who was very frightened
at first and would not smile at anyone. Sealine
worked with Emily regularly, always hoping to
draw her out of her shell of sadness and fear. The
day Emily finally cracked a smile, Sealine had
to leave the room because she was so emotional.
Because of her role in Emily’s care and because
of her desire to maintain appropriate professional
boundaries, Sealine didn’t want Emily or the
Bargers to see her own tears of joy at Emily’s
breakthrough.
From that point forward, they became special
friends, and Sealine always makes time for Emily
during her visits. In January 2008, when Emily
had her “off-treatment” party in the Hematology/
4
The Bargers (left to right — Brian, Misty, Megan, Emily
and Blair) visit with Goofy at Walt Disney World.
Em i l y
Lessons Learned
The Bargers have traveled a long road over the
last year and a half. “It has taken us many places,
and it has also brought us together more as a family
and changed the way we do some things now, like
our diet and the foods we eat,” Brian wrote in the
CarePage. “So here is what have I learned from this
past year: don’t take anything for granted no matter
how well things are going, because they can all
change with just one phone call.
“Also, I’ve learned that things are never as bad
as they seem, because there is always someone
or some family out there who may have it a little
worse, and we saw that while in the hospital.”
By Seth Linkous, Associate Director for
Public Relations, and Wendy Hames,
Associate Director for Publicaions
5
Emily and country singer Mark Wills became fast
friends during their visit to Washington, D.C., as partof the CMN Champions Across America events.
Emily with her pediatric
oncologist, Shahid Malik, M.D.
Emily (front right), Blair (back left) and Megan
Barger (hidden in back right) along with 12-year-old
Edna Cerritos, the CMN Champion from California,
pose with Miss America 2008 Kirsten Haglund.
Oncology Clinic, Sealine even danced with Emily to
music stored on Emily’s pink “Hannah Montana”
MP3 player.
“Emily is a little girl who smiles at the mention of
puppies and laughs at the silliest of southern accents,”
Sealine said. “Emily always is up for a manicure party
and loves to talk about her dog, Rosebud.”
Shortly after finishing her treatments in early
2008 and returning to school, Emily decided to do
something kind for other children in similar situations.
She delivered Valentine’s Day stuffed animals to every
child who came into the Hematology/Oncology Clinic
on February 12.
“Emily is so shy that I was afraid that she would
back out on me, but she didn’t,” Misty said. “I think
that she liked being on the other side, giving sick
children presents to brighten their day instead of being
on the receiving end. It was wonderful to see her
reaching out to others going through some of the same
things that she did last year. She knows the fear and
pain that these children are feeling, and hopefully she
made a difference in their lives that day.”
Laughter
	 It has taken more than a year for the Bargers to
be able to move back into a more “normal” life, with
fewer needed appointments at the hospital and the
removal of Emily’s feeding tube in March.
March also brought a special treat and a joyful
occasion for the Barger family – a trip to Walt
Disney World and Washington, D.C., as part of the
Children’s Miracle Network’s Champions Across
America. Children’s Hospital nominated Emily to
be Tennessee’s “champion,” and the family was
thrilled when she
was selected.
“It really was cool, because we were touring
the White House right next to Miss America,”
Brian said in a recent interview. “We were taking
the same pictures she was, and she was awed by
the same things we were. You forget, ‘Here’s Miss
America standing right beside me.’”
The trip included visits not only with Miss
America but also with other celebrities such as
Marie Osmond (one of the co-founders of CMN);
her brother, Donny Osmond; Olympic gymnast
Mary Lou Retton; Hall of Fame football star Steve
Young; and others. Emily’s favorite celebrity was
country singer Mark Wills; the pair became fast
friends during the events in Washington, D.C.,
and were interviewed together with Misty on air
by Andy and Alison from Knoxville radio station
WIVK-FM, although Misty notes that shy Emily
actually didn’t speak during the
interview.
At the White House, the
group even spent a little time
with President George Bush. “He
was very jovial. He had a great
time with the kids,” Brian said.
“Everybody was laughing and
joking around. It was quick, but it
was really fun -- memories that will
last a lifetime.”
During the trip to Disney World,
Emily was able to go swimming
for the first time in more than
a year, so that was a major
milestone. But her favorite
part of the trip was meeting
President Bush.
The Bargers (left to right — Misty, Brian, Megan,
Emily and Blair) met CMN co-founder Marie
Osmond during the Celebration in Orlando.
6
Children meet president
as ambassadors for
children’s hospitals
International ambassadors frequently
visit The White House, but in March, child
ambassadors from each state met with President
George Bush as representatives of 17 million
hospitalized children. These remarkable
children have triumphed despite severe medical
challenges and were chosen to represent their
state as part of Children’s Miracle Network’s
Champions Across America presented by CO-OP
Financial Services.
The mission of these young ambassadors
is to share the message that their lives are
better because of the tremendous work of
children’s hospitals. Emily Barger of Knoxville
was Tennessee’s representative for the 2008
Champions Across America program.
“These Champions have overcome more
than many of us can even imagine,” said
Children’s Miracle Network co-founder Marie
Osmond. “Each story testifies of the strength of
these kids and the outstanding caregivers who
have changed their lives.” Osmond welcomed the
children to Walt Disney World before their visit
to Washington, D.C., as they participated in the
national television production of the Children’s
Miracle Network Celebration.
Joining the Champions in Washington, D.C.,
was country music artist Mark Wills, an active
supporter of Children’s Miracle Network for
many years. Also joining the group was Miss
America 2008 Kirsten Haglund, Children’s
Miracle Network’s official Goodwill Ambassador
for the year.
The organization sponsoring the Champion
children is CO-OP Financial Services. As the
nation’s largest credit union processor and
ATM network, CO-OP Financial Services
understands how important a network of support
is for hospitalized children. For years, the credit
union industry has supported Children’s Miracle
Network, and CO-OP Financial Services is proud
to continue the industry tradition of “people
helping people.”
Emily enjoys a video motorcycle ride
at the ESPN Zone in Washington, D.C.,
during a private party for the Champions
and their families.
Pictured above: President Bush, the
CMN Champions and their families
pose in front of the White House.
Pictured Right: Emily Barger in
Washington, D.C., with the U.S.
Capitol in the background.
President Bush greets CMN Champions and their families at the White House. Tennessee
Champion Emily Barger is in the right second row, wearing a white hat.
lifeA day in the
7
help sick children. Tomlinson began her career at
the University of South Alabama Women’s and
Children’s Hospital and continues to maintain her
skills and knowledge through continuing education
classes at Children’s Hospital.
	 Tomlinson remembers one baby boy who was
diagnosed with a rare tumor of the neck and fetal
hydrops. His parents were told that he had a 98
percent fatality rate when he was born in October,
but after an intense procedure and living on a
ventilator for a while, the boy was brought home
almost six months later. He no longer requires
supplemental oxygen and is recovering at home with
his family despite
some pretty tough
odds. “Working
with children, I am
blessed daily to be
around such special
and fascinating little
miracles,”
Tomlinson said.
	 Tomlinson
chooses to work at
Children’s Hospital
because she feels
her passions
match the mission of the hospital. “Because of the
specialized care available and the educational efforts
and involvement in the community, I am honored
as a nurse knowing I can attempt to, in some small
way, contribute to such an outstanding organization,”
Tomlinson said.
Rehabilitation Center
	 The Children’s Hospital Rehabilitation Center
provides physician-directed rehabilitation services
to nearly 1,500 area children each year. Since 1947,
the Rehabilitation Center has helped children age
birth to 21 acquire or regain skills to perform age-
appropriate activities. All Rehabilitation Center
programs reflect a philosophy of care that offers a
commitment to the whole child, recognizing his or
her unique combination of characteristics and needs.
The center strives to help each child reach his or her
greatest level of independence, maximizing quality
of life and potential.
	 Children’s Corner, a program offered at the
Rehabilitation Center, is an outpatient medical
day treatment program. Children who need skilled
nursing care and intensive therapy participate in
Children’s Corner as an alternative to an extended
inpatient hospital stay.
Helen Willis
When Helen Willis was in third grade, she was
quoted in a local newspaper as wanting to “help sick
people” when she grew up. That desire to care for
others eventually
led Willis to the
Children’s Hospital
Rehabilitation
Center, where she
serves as a rehab
technician. Willis
worked for six years
at St. Mary’s Hospice
before making the
move to Children’s
Hospital, where she
plans to stay until
“they kick me out!”
One of Willis’s favorite memories during
her time at Children’s Hospital is of a little boy
who originally came to the Rehab Center while
in need of a transplant. About seven years later,
after his transplant, the little boy returned. His
medications were not working, and he was not
doing well.
Willis said, “We went outside a lot, but he
would sit like a lifeless flower. As time went
on, we would befriend him and talk with him,
and we learned how to make him smile. The
little boy came to life like a flower. We became
friends, and he just blossomed.” Willis has had
the opportunity to see many such stories where
children “come in pretty much hopeless, and
then they bloom before our eyes.”
Willis loves working at the Rehab Center
and attributes it to her “awesome” co-workers.
She said, “I am nothing without my team. We
work hand in hand to give the best therapy we
can. We get to put little children back together
again.”
Julie Browning
Julie Browning entered the field of speech
pathology after a lifelong connection with
speech impairments. Browning, a speech
language pathologist at the Children’s Hospital
Rehabilitation Center, was born with a cleft lip
and has always been intrigued by children with
similar medical conditions.
It wasn’t until a close friend was severely
injured in a car accident that Browning decided
to make speech pathology her profession.
Browning recalls, “I remember seeing him
shortly after the accident and seeing how
difficult it was for him to speak. I told him I
loved him and
watched as
he struggled
to utter those
three simple
words back. I
guess it was at
that moment
that I realized
how important
communication
is and how
devastating
it can be
when it is taken away. I knew I wanted to help
others, like my friend, to communicate so that
somewhere a mom or dad could hear their child
say ‘I love you.’”
Browning earned both a bachelor’s and a
master’s degree in speech pathology. She then
completed a nine-month clinical fellowship
where she conducted speech therapy under
the direct supervision of a licensed speech
pathologist. Browning then made her way to
the Rehab Center at Children’s Hospital. “I love
the hospital’s philosophy on providing the best
possible care for kids in need,” she said. “All
children are special and deserve the very best
we can give them.”
By Alyssa Phillips and
Kathryn Robertson, student interns
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.
Home Health Care
Children’s Hospital Home Health Care, a
hospital-based home health agency, supports the
philosophy, mission and policies of Children’s
Hospital and is dedicated to meeting the needs of
children. Home Health Care provides follow-up
supportive care to patients from newborns to 21
years of age who do not require hospitalization or
constant skilled supervision. Home Health Care is
licensed to provide services in 16 East Tennessee
counties.
All patients are accepted based on physician
referral, the ability of Home Health Care to
meet the patient’s specific needs, and when the
physician, child’s family and the Home Health
staff agree that in-home care would be an
appropriate and effective means of treatment.
Available services include registered nursing,
respiratory therapy, home infusion, nutritional
support, home medical equipment and supplies,
physical therapy, speech therapy and occupational
therapy.
Danny Hicks
	 Danny Hicks is an equipment technician with
Children’s Hospital Home Health Care. He travels
to different homes
delivering equipment
and supplies, and
helping patients
and their families
learn how to use
the equipment, such
as nebulizers and
wheelchairs. Hicks
was referred to the
position through a
respiratory therapist
friend who works for
Children’s Hospital.
	 Hicks says he chooses to work at Children’s
because helping educate patients and their families
is very rewarding. He emphasizes the importance
of the equipment and knowing how to use
everything correctly.
	 One of Hicks’ favorite patient memories is from
last fall when a colleague gave a teenage patient
tickets to a University of Tennessee football game.
Hicks said the boy had the time of his life at the
game and stated that it is amazing how the staff at
Home Health Care impacts the lives of patients,
even away from the hospital.
Amanda Tomlinson
	 An RN with Children’s Hospital Home Health
Care, Amanda Tomlinson enjoys working with
a diverse staff that all share the same goal: to
of Children’s Hospital
In the fall of 2003, Children’s Hospital and WBIR-TV began
a program to recognize children from throughout East Tennessee
who have done something out of the ordinary – whether through
extraordinary volunteer work or an amazing talent or by
impressive service to their community.
		 “We were looking for outstanding youngsters who had
done something amazing: overcome an incredible physical
or emotional situation, demonstrated outstanding talent and
achievement through their art, or exhibited a passion for helping
to make life better for others,” said Jeff Lee, WBIR’s General
Manager.
		 From that desire to recognize area children, 10 Amazing
Kids was created; the first group was honored in the spring of
2004, and additional groups were honored in 2005, 2006 and
2007. Dozens of entries for the 2008 10 Amazing Kids program
were received featuring children who truly have done a variety of
amazing things, and the selection process was extremely difficult.
	The 2008 10 Amazing Kids are:
Lizette Aparicio,•	 age 13,
Pigeon Forge Middle School
– When Lizette moved to
Pigeon Forge in 2004, she
made a great difference
by helping other Hispanic
children who could not speak
English. What her teachers
didn’t realize was that
Lizette’s Spanish was very
limited and she would ask
her parents, who are natives
of Cuba, to translate subjects
for the following day. She
serves as School Ambassador
to show new students and their parents around, is active in Beta
Club and Student Council and went to the state 4-H speech
competition finals. Her nomination form said, “You will find
Lizette the first to volunteer and help in any way she can, no
matter how mundane or complicated the task.”
Julia Cecere,•	 age 17,
Gatlinburg Pittman High
School – Julia’s teacher said,
“Her volunteer spirit and
community service are highly
noteworthy. Many of our
Interact Club’s community
service projects would have
fallen far short of our goals
if it had not been for Julia’s
willingness to go beyond what
was required.” Recently, she
started a drive to encourage
students to register to vote and
raised over $6,000 for the Star
102.1 Radiothon to benefit Children’s Hospital through her
“Hearts for Healing” program. Julia also has raised awareness
for the local animal shelter and has the highest multi-year
average (99.63) of any student presently in her school.
Mason Daniels,•	 age 7, Adrian
Burnett School – This first
grader challenged others to
help him help others last
December and collected
70 shoe boxes of gifts for
“Operation Christmas Child,”
to be provided to children in
third world countries. The
coordinator for the project
said she was “proud to have
him on our team” and said
Mason has already set a goal
for this Christmas to fill 180
shoeboxes with gifts. When
he was just four years old, Mason helped raise $350 for victims
of Hurricane Katrina with the help of his Beaver Dam Baptist
Child Care Center classmates. The now seven-year-old also
is active at church, playing soccer and basketball and loves
fishing with his dad.
Casey Douglas,•	 age 13,
Elk Valley Elementary
(Campbell County) –
Having limited physical
mobility has never
kept this eighth grader
from reaching for the
stars. Casey has Spinal
Muscular Atrophy
(SMA) and requires
assistance in many daily
activities. This year,
Casey has served as Beta
Club and 4-H President,
was Basketball Queen,
was a multiple 4-H speech winner, and is a cheerleader. Her
teacher said, “She wants to make a difference at school, at
home and in her community. She is a positive role model
and does not let her limitations stop her.” She is also an
honor student who often stays after school to help tutor
other children.
Mia Fisher,•	 age 6,
Sevierville Primary
School – Her grandfather
called her an amazing
kid because “despite her
young age, she possesses
the heart of one far
beyond her years.” Her
teacher said the first
grader asked what she
could do to help the
patients at Children’s
Hospital. Then Mia
encouraged classmates
and her principal to help
raise money to buy crayons, coloring books and batteries
for toys. She also contributed her birthday money to help
the cause and personally delivered the items to Children’s
Hospital. A friend who nominated her said, “I wish she was
running for office in view of her insight to see a need and
do something about it. We could all learn from this young
lady’s actions.”
Weston Hamilton,•	 age
9, Rural Vale Elementary
School (Tellico Plains)
– Few nine-year-olds
realize they can make a
difference, but Weston is
an exception to this rule.
Last year for his eighth
birthday, he decided
to donate the gifts he
received to Children’s
Hospital. His birthday
party invitation asked
each child to bring a book
that was then delivered
to the hospital. For his ninth birthday this year, he collected
over 30 fleece blankets to donate for children at the Knox
Area Rescue Ministry. Weston also is active at church,
loves to play sports and
is in the FOCUS club at
school.
Will Johnson,•	 age 9,
Claxton Elementary –
This student set a goal
to raise awareness for
autism, a condition he
has. He accomplished
this in part by setting
out to beat the world
record for the “most high
fives given in a month”
– giving high fives to children at his school, at a Smokies’
baseball game and at a local Home Depot store. From all the
publicity he received, people in his community now have a
better understanding of what autism is. One of his teachers
said that this energetic boy has “the ability to see past others’
differences” and helped other students learn that autistic
children have much to offer and teach others.
Skye Sanders,•	 age 16,
South Doyle High School
– This Amazing Kid often
finds herself soaring above
the crowd – literally, and
she is very appropriately
named for a teenager
about to receive her pilot’s
license. With her dad
as her flight instructor,
she has been flying
since she was 12. In the
classroom, where she has
distinguished herself as a
scholar and high academic
achiever, her school
counselor describes her as “an incredible young lady who
impacts her school, community and home.” Skye is active in
her youth group at First Baptist Church in Knoxville and is a
member of the Junior Olympic Diving Team at the University
of Tennessee.
Rachel Stacy,•	 age 12,
Powell Middle School –
This 12-year-old’s “claim
to fame” is for sharing her
birthday with her favorite
charities. Since the age
of four, she has selected
a local charity each year
to be the recipient of her
birthday presents – from
food for Second Harvest
to backpacks for children
served by the Salvation
Army. Rachel is a trained
volunteer for the Remote
Area Medical Clinic portable eyeglass lab, working alongside
her grandmother. This Amazing Kid is a great student and
had the highest math average of the 900 students at Brickey-
McCloud Elementary when she graduated from there in 2007.
She also is active in sports and sings with the ET Middle
School Honors Choir.
Maleka West,•	 age 12,
Tennessee School for the
Blind – Despite being born
blind, Maleka “has greater
vision than most well-
sighted people I know,”
according to a nomination
letter. “She is a positive
role model by teaching
other children … to love
other kids. She shows
others that everyone is
special in their own way.”
Maleka attends Tennessee
School for the Blind in Nashville; each Friday, she boards a
bus to Sevierville to spend the weekend at home. One of her
teachers said she is an integral part of the class. “Even though
she has extra things to learn because of her blindness, Maleka
approaches tasks with a willingness to work and learn and
encourages her classmates to do the same.”
The 10 Amazing Kids’
stories were featured on
“Live at 5” on WBIR-TV
each weekday from April
7-18.
8
10 Amazing Kids recognized by WBIR-TV 10, Children’s Hospital
Children’s Hospital recently completed the
development of a new strategic plan to guide
our pediatric medical center for the next several
years.
	 The planning process involved numerous
steps. Among them:
Input was sought from a wide variety of•	
individuals involved with the hospital,
including the Board of Directors, community
leaders, physicians, Administration, senior
management and hospital employees.
All hospital employees were invited to•	
participate in the planning process through a
survey that was sent out in November 2007,
and several hundred employees completed
and returned their feedback. Throughout the
process, employees were kept up to date via
articles in the hospital’s employee newsletter,
Express, and forums in January 2008 that
offered a summary of employees’ feedback.
A planning retreat in January with the Board of•	
Directors and hospital and medical staff leadership
was held to discuss the future and develop high
level priorities for Children’s Hospital.
Following the January retreat, planners began to•	
look at specific strategies, personnel, resource
allocation and space concerns associated with each
strategy.
	 Through the strategic planning process, the Board
of Directors highlighted the following key issues:
The need to maintain the hospital’s organizational•	
independence and the need to continue to seek
opportunities to collaborate with other health care
providers locally and regionally where appropriate.
The need to continue to grow but to do so with care.•	
To begin to consider strategies that address the•	
issues of convenience and access for our families.
To continue to be identified as the preferred•	
provider and advocate for children’s care.
	 The board set a key priority – improving the
health status of children in this region — and
identified these strategic initiatives:
Quality/Safety of care•	
Physician recruitment•	
Financial discipline•	
Technology•	
Talent•	
Customer service•	
Education•	
Regionalized care•	
Strategic marketing•	
Philanthropy•	
	 Administration has developed goals to
support each strategic initiative.
	 Watch the next issue of It’s About Children
for an in-depth look at the hospital’s new
strategic plan.
Popular online feature for kids
makes learning about the body
fun and engaging
“Why does my nose run?”
“What are taste buds?”
“Where do tears come from?”
Parents know children have many questions
about their bodies. To help children — and
their parents — uncover the mysteries of the
human body, Children’s Hospital has launched
a new feature for kids, “How the Body Works.”
Using child-friendly language, animations and
activities, “How the Body Works” is a great
resource for homework help and an entertaining
way for children to get answers to their
questions.
The interactive, online center includes
more than 100 articles, quizzes, word searches,
activities and movies, and it covers 19 body
parts, including: bladder, bones, brain, ears,
eyes, endocrine glands, hair, heart, immune cells,
kidney, liver, lungs, muscles, nails, nose, skin,
stomach, teeth and tongue.
Also, KidsHealth has published a new article
for children featuring an interview with 15-year-
old teen star Nick Jonas of the popular band the
Jonas Brothers. Nick spoke with KidsHealth
about dealing with type 1 diabetes, which he was
diagnosed with in 2005, and how he copes with
his condition while touring with the band. The
Jonas Brothers, a pop-rock band composed of
brothers Joseph, Nick and Kevin, appeared in the
“Hannah Montana  Miley Cyrus: Best of Both
Worlds Concert” film in theaters and have signed
a television series deal with Disney Channel set
to debut this summer.
To see all the KidsHealth features on the
Children’s Hospital Web site, visit www.etch.com
and click on the KidsHealth logo in the upper
right corner.
And remember: Children’s Hospital and
KidsHealth offer two great e-mail newsletters.
Visit our Web site at www.etch.com to
subscribe to either free newsletter.
E-Kids News provides information for
parents, teens and kids. The monthly E-Kids
News offers subscribers the opportunitity to
customize their newsletter by indicating ages
of their children and specific areas of interest
(allergies and asthma, fitness and nutrition,
emotions and behavior, and diabetes). In
addition to news about Children’s Hospital
and health news from KidsHealth, E-Kids
News features color, graphics and links to
many topics.
New Parent E-News is an emailed
newsletter geared to expectant parents as well
as parents of newborns. Subscribers receive
weekly emails during their pregnancy and
monthly emails from the baby’s birth through
the first birthday. Each email contains an
engaging variety of information, including
Parent-to-Parent advice from veteran parents
to first-timers, recipes for pregnant and
nursing moms, and great information on
health and developmental topics to prepare
parents for the wonderful moments of
parenthood.
If you want to learn even more,
KidsHealth offers not only a comprehensive
library of age-appropriate articles, but also
many unique features, including:
Condition Centers for Parents,•	
Kids and Teens: Focusing on asthma,
diabetes, and nutrition and fitness,
each center offers articles, printable
charts, personal stories and mini-
movies to help teach families about
their bodies and their condition.
Children’s Health News:•	 The latest
medical research and news is written
for parents in easy-to-understand
language.
Pregnancy  Newborns Center:•	 This one-stop
section for expectant and new parents includes
a weekly pregnancy calendar and slideshow,
recipes for expectant and breastfeeding moms
and practical tips.
Word!:•	 This glossary of medical terms with
definitions children can understand is a great
homework helper.
The Game Closet – for Kids:•	 Fun and
interactive experiments, mini health movies and
games make learning about health exciting.
BMI Calculator:•	 This innovative tool features
easy-to-read graphs, personalized information
(including ideal weight ranges), and the ability
to enter multiple measurement dates to track a
child’s BMI over time.
Spanish articles:•	 KidsHealth continues to
develop and enhance its library of Spanish-
language pediatric health articles for parents,
teens and kids.
Children’s Hospital has been a KidsHealth
Educational Partner since 2001. KidsHealth is the
largest and most-visited site on the Web providing
doctor-approved health information about children
from before birth through adolescence. Created by
The Nemours Foundation’s Center for Children’s
Health Media, the award-winning KidsHealth provides
families with accurate, up-to-date and jargon-free
health information they can use.
9
Children ask lots of questions – Children’s Hospital has the answers
Hospital develops new strategic plan
10
Interstate 40 is closed near hospital
	 Traveling around Knoxville has recently become more
difficult. On May 1, a short section of Interstate 40 between
James White Parkway (exit 388A) and Hall of Fame Drive
(exit 389) was closed as part of the SmartFIX 40 program
to enlarge and improve the interstate through the downtown
Knoxville area.
	 “It’s going to be a trying time for traffic in Knoxville,”
said Travis Brickey of the Tennessee Department of
Transportation.
	 Brickey encourages anyone traveling to Knoxville
to visit www.smartfix40.com to sign up for updates
about the program.
	 He also said individuals with GPS systems by NAVTEQ
and TeleAtlas in their cars need to have their systems
updated to get correct and current directions; owners should
contact their system providers to request the update.
	 This closure will affect anyone coming to Children’s
Hospital from east of Knoxville (motorists traveling
west on I-40). However, the Children’s Hospital
campus will be easily accessible via an alternate
route. Visitors coming to the hospital from east
of Knoxville on I-40 are asked to take I-640 west
and then I-275 south during the closure, which is
estimated to last 14 months (until about July 2009).
	 Visit Children’s Hospital’s website at
www.etch.com and click on “Interstate 40 Closure”
in the top right corner for detailed directions to
Children’s Hospital.
	 Visit www.smartfix40.com for specific details
and updates on the SmartFIX 40 program and
maps provided by the Tennessee Department of
Transportation.
	 According to www.smartfix40.com, SmartFIX
is an accelerated construction process used by the
Tennessee Department of Transportation
to speed up the construction and repair of
highways and bridges.
	 The SmartFIX process involves a short-
term, total road or bridge closure during a
project. This provides ample space for work
crews to do their jobs and the freedom to work
around the clock without time limitations. This
also reduces the time it takes to finish a project
and long-term inconvenience to motorists.
It’s hard to believe Children’s Hospital hired its first
staff Spanish interpreter just under two years ago. But
a look at the statistics shows how the need continues to
grow at a rapid rate.
In 1997, when the hospital first began offering in-
person Spanish interpretation through Social Work, the
department averaged eight requests per month. In the last
six months of 2007, Social Work averaged 401 requests
per month!
As the hospital continues to work to best meet the
needs of the Spanish-speaking population, a number of
staffing additions and changes have taken place in the
Social Work Department’s Interpretation Services in recent
months. Most significantly, the department has expanded
to include three full-time and four PRN interpreter
positions.
The full-time interpreters work different shifts to
provide coverage seven days a week — beginning as early
as 5:30 a.m. when needed for surgery patients and ending
at 9:30 each evening. The addition of the third full-time
position means the hospital now has staff interpreters
working the 1-9:30 p.m. shift seven days a week. The
overlapping hours of the three full-time interpreters help
decrease the wait time for an interpreter.
There are also four PRN (“as needed”) interpreter
positions in Social Work. PRN interpreters provide
coverage both on the hospital campus when needed and at
the Children’s Hospital Rehabilitation Center.
According to Social Work Director Beverly
Schneider, “It’s not at all unusual for the interpreters to be
assisting four to five patients/families simultaneously with
others waiting. The need has grown exponentially.”
Federal law requires a hospital to provide
interpretation services so that a family knows what is
happening with their child, but the method in which the
service is provided is the hospital’s choice.
Children’s Hospital has contracted with Optimal
Phone Interpreters (OPI) for interpretation in all
languages. OPI offers 204 languages and dialects and is
available 24 hours a day, seven days a week.
When staff interpreters are unavailable, OPI is
used for Spanish interpretation. The hospital also has a
contract with Lighthouse Interpreters and Translators,
Inc., to provide in-person Spanish interpretation for
Children’s Hospital Home Health Care and for night
shift on-call interpretation needs at the hospital.
Hospital expands Spanish interpretation services
Summer road project to
close road beside hospital
	 In addition to the major closure of
Interstate 40 near Children’s Hospital,
another project will have some impact on our
campus throughout the summer, beginning
shortly after spring semester classes end at
the University of Tennessee.
	 The project, which is set to begin May
15, will involve utility work and digging
on White Avenue from 16th Street to 22nd
Street, then down 22nd Street to Cumberland
Avenue, and then on Cumberland Avenue to
the Tyson Park area. Each section along the
project route will be closed while the digging
and subsequent repaving are completed.
The work is expected to be in the area of
Children’s Hospital around mid- to late July.
For more information:
•	 Go online to www.etch.com and click on
“Interstate 40 Closure”
•	 Go online to www.smartfix40.com
•	 In the Knoxville area, call the 511 telephone
information system
11
Safety.
It’s a word that parents hear a lot as it relates
to their children.
A wide variety of issues involve children and
safety: passenger safety in motor vehicles, bike
safety, poison prevention, water safety and fire
safety, just to name a few.
At Children’s Hospital, the health and
wellness of the children we serve have always
been tied closely to safety – and to educating
parents, grandparents and caregivers about
the often life-saving importance of safety and
preventing unsafe practices. The hospital often
reminds adults caring for children that safety
applies to everyone and starts with the adult in
the supervisory role.
Children’s Hospital takes responsibility
for providing education to area families about
keeping children safe and well so that a visit
to the hospital will not be necessary. One
of the best ways to minimize the impact of
injuries in children is prevention. When
community organizations join forces, educating
the public about safety and prevention can be
accomplished at an even greater level.
For that reason, Children’s Hospital is
taking on a new role with an important area
coalition: Safe Kids of the Greater Knox Area.
The mission of the local Safe Kids coalition is
to reduce unintentional injuries in children up to
age 14 in the East Tennessee region by promoting
awareness and implementing prevention
initiatives. The local Safe Kids is part of Safe Kids
Worldwide, a network of coalitions whose primary
purpose is to prevent unintentional injuries in
children by providing children and adults caring
for them with information about how to stay safe.
While Safe Kids has been an active
organization in the Knoxville area since 1999, the
lead organization (which handles administrative
coordination of activities and provides staff for
the coalition) has changed several times. As 2007
ended, the Knox County Health Department, the
current lead organization, requested that another
coalition member take on this responsibility as the
health department shifts some of its focus. The
other three children’s hospitals in the state are
the lead organizations for their local Safe Kids
coalitions, and Children’s Hospital saw this as a
similar way to extend our reach and service to the
community we serve.
As the new lead organization, Children’s
Hospital will work with all the Safe Kids coalition
members to ensure the Principles of Performance
established by Safe Kids Worldwide are met:
Develop an injury prevention plan based•	
on needs assessments and ongoing
evaluations.
Comply with all procedural and reporting•	
requirements within the organization and
to relevant governmental or regulatory
agencies.
Conduct comprehensive outreach•	
programs designed to reduce injuries
to children in the communities served.
Promote public awareness of Safe Kids•	
and injury prevention through media
and marketing.
Advocate for injury prevention•	
legislation, regulations and
enforcement of existing laws.
Secure resources and community•	
support necessary to fund and enable
the ongoing work of the organization.
These strategies are accomplished
through educational efforts to reach
parents, caregivers, children, health
care practitioners and policymakers
to change knowledge, attitudes and
behavior. Activities can include
displays at health and safety fairs, car
seat checkpoints, bike fairs, safety
seminars and classes for parents and
caregivers, and media awareness
campaigns.
Through Children’s Hospital’s
leadership, Safe Kids also will pursue
the reduction of injuries not just
because it is a desirable public health
goal, but because accidental injuries
have a clear and serious financial
impact on families. Injury prevention
programs are cost effective because they
employ relatively inexpensive interventions
to avoid costly medical care. Such programs
also require continued and often constant
reinforcement because as long as there are
children, there will be a need to remind them
of ways to lessen the possibility of injuries.
For more information on Safe Kids, visit
www.etch.com or the Safe Kids Worldwide
Web site at www.safekids.org.
In addition to interpretation services, Children’s
Hospital has focused efforts on a variety of other
services to better meet the needs of this region’s
growing Hispanic population. Among the efforts:
•	Hospital forms and documents have been
translated into Spanish.
•	Sharing Information educational brochures for
parents are translated to Spanish when they are
written or revised.
•	Spanish-language articles on pediatric
health topics are available on the Children’s
Hospital Web site, www.etch.com, through our
partnership with KidsHealth, which continues
to develop and enhance its library of Spanish-
language pediatric health articles for parents,
teens and kids.
•	Safe Kids of the Greater Knox Area, under the
leadership of Children’s Hospital, is serving as
a silver sponsor of the Hola! Hispanic Festival
on September 27 in downtown Knoxville. Safe
Kids will promote its program of child injury
prevention through the distribution of Spanish-
language informational materials during the
festival.
Children’s Hospital becomes lead organization
for Safe Kids of Greater Knox Area
Hospital meets needs of growing Hispanic population
Interpreter Kerry Banks with a patient
family at Children’s Hospital.
tax to pay; but by donating the land to Children’s,
you can avoid some or all of that tax.
II. A life estate gift of your personal
residence. You can make a life estate gift that
offers you and your spouse the right to live in
your home the rest of your lives and ensures the
property will come to Children’s Hospital after
you have both passed away. You are responsible
for the normal expenses of utilities, repairs and
property insurance on the home as long as you
live there. It is possible to receive an income tax
deduction for this type of gift, as well.
III. A gift of land that returns an income
to you. Perhaps you have some property you can
part with but need the income it could produce.
You can donate this land to a trust that will sell
Many times we hear from generous friends who
want to do more to help the children entrusted to
our care.
They may be Radiothon or Telethon donors.
They may be making gifts in honor or in memory of
someone special. They may be designers or donors
to the Fantasy of Trees. Perhaps they participate
in one of the many golf tournaments that benefit
our medical facility or work as a volunteer in the
hospital.
There seems to be a common theme. These
individuals see what is being done for area children
by the medical and hospital staff, and they also see
what the community is doing to ensure the finest
pediatric care continues to be available to every
child. They become interested and want to do more
to help our pediatric medical center.
There are so many different ways to
help Children’s Hospital, as we often discuss
in this publication. If you are a landowner
who wishes to help the hospital, you have
some specific options if you wish to make a
gift of land:
I. A direct donation of land. You may
have some acreage or building lots in a
subdivision, or perhaps you inherited your
aunt’s home and don’t really have a need for
the property. You can help area children and
possibly receive an income tax deduction by
donating the property to Children’s Hospital.
If you have had the land more than a year, it
has probably increased in value. If you sell
the land, you will likely have capital gains
it, invest the proceeds and pay you and your
spouse an income for a specified period of
years or for the rest of your lives. The principal
comes to Children’s Hospital at the end of the
trust. It is also possible for you to receive an
income tax deduction for this type of gift.
We encourage you to consult your tax
advisors to determine how a gift of land to
Children’s Hospital might affect your tax
situation. We would be pleased to work with
you and your advisors on such a gift. Please
call David Rule, Director of Development, or
Teresa Goddard, Senior Development Officer,
at (865) 541-8441 if you are considering such
a gift to Children’s Hospital.
Estate Planning
Your land can help Children’s Hospital
Include Children’s Hospital in your estate plans.
Join the ABC Club. For more information, call (865) 541-8441.
Please send the FREE planning booklet, “Personal Financial Affairs Record.” 
Name______________________________ Address____________________________________________________________
City___________________________ State_______ Zip_____________ Phone# (______) ___________________________
r Please call me at the phone number below for a free confidential consultation concerning planned giving.
r Please send me more information about deferred giving.
r I have already included Children’s Hospital in my estate plan in the following way:
__________________________________________________________________________
r Please send me information about the ABC Club.
Children’s Hospital Development Office • (865) 541-8441
The state of Tennessee has given Children’s Hospital an extension through 2008
to increase the number of specialty license plates. The hospital is required to maintain
a minimum of 1,000 tags to keep the plate in effect. As of March, only 828 tags were
registered, 172 below the required minimum.
Since then, a number of friends of the hospital have already purchased or renewed
plates. With your help, there is still an opportunity
to do more for the children the hospital serves.
You can beautify your car with one of the attractive
plates designed by Morris Creative Group. But most
importantly, you can help make Children’s Hospital an
even better place for area children.
Each day, the hospital’s chaplains, social workers
and child life specialists meet the pressing needs of
area families whose sick and injured children have
been entrusted to our care. These children come from
Knoxville and hundreds of other communities in the
surrounding counties and states.
These families are concerned and nervous about
their child being in the hospital. And some have additional financial stress because they
are missing work.  So Children’s Hospital provides staff to comfort both the child and the
family, to help find resources to deal with financial woes and the need for ongoing care,
and to provide books and toys for patients and siblings. And these staff members have
the resources to do this because you and your friends and family care enough to buy a
Children’s Hospital specialty license plate.
The specialty license plate has been a labor of love from the beginning.  After
Children’s Hospital applied to the legislature in 2002 and received approval, Morris
Creative Group donated the time of their artists to prepare the plate’s attractive design.  
Volunteers stuffed mailings to help sell the initial 1,000 plates. And the results have
been wonderful.
Since the plate first became available,
Children’s Hospital has received $54,509.25,
benefiting children served by the hospital’s
chaplains, social workers and Child Life staff. The
license plate is an easy way to support Children’s
Hospital, and we are grateful to each person who
has purchased one. Please consider renewing your
Children’s Hospital plate each year and encouraging
friends and family to join you.
The plate is available at any time through your
local County Clerk’s office, and the cost of the plate
is $35 in addition to each county’s renewal fee.
Children’s Hospital receives nearly $16 from each
plate sold. Simply drive to your local county clerk’s office, take in the plate from your
car and your registration, and tell them you would like a Children’s Hospital plate. Not
only will you have a more attractive car, but you will also have that warm feeling that
comes from helping children.
If you have questions about the Children’s Hospital specialty license plate,
contact your local County Clerk’s office or the hospital’s Development Department
at (865) 541-8441.
12
License plate deadline extended; purchasers can still help area families
13
UPCOMING EVENTS
to benefit CHILDREN’S
calendar of events
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.
Nancy Hayes Memorial
Baseball Tournament
	 Get ready to hit another one out of the park
with the 2008 Nancy Hayes Memorial Baseball
Tournament. The 6th
annual event will take place
June 5-8 at the Powell-Levi Fields, Caswell Park,
Knox County SportsPark and Fountain City Park.
The Hayes family of New Market sponsors the
event in memory of their daughter, Nancy Elizabeth
Hayes. Proceeds from the event will benefit
Children’s Hospital. For more information,
contact Lenny Hayes at (865) 382-1133 or by
e-mail at lhayes22@earthlink.net.
Log A Load For Kids
Golf Tournament
	 The Log A Load For Kids Golf Tournament will
take place Friday, June 20, at the Chatata Valley Golf
Course in Cleveland, Tenn. Area golfers can enjoy
a round of golf to support East Tennessee Children’s
Hospital and the T.C. Thompson Children’s Hospital
Foundation. For more information on the Log A
Load Golf Tournament, contact the Development
Department at (856) 541-8608.
Hope-A-Thon
	 Children’s Hospital will again partner with
WATE-TV Channel 6 to raise money to benefit Camp
Cure. Hope-A-Thon will take place Sunday, July 13,
from 7-8 p.m. and will be broadcast live on WATE.
Hope-A-Thon follows Children’s Hospital’s week-
long diabetes camp, Camp Cure, set for July 7-11.
WATE anchors Lori Tucker, Gene Patterson and
Matt Hinkin will revisit camp experiences during the
hour-long broadcast with patients and their families,
who will also share their stories about living with
diabetes and their hope for a cure. Last year’s
Hope-A-Thon raised more than $16,000. For more
information, call (865) 541-8437.
ETPMI Golf Tournament
	 The East Tennessee Chapter of PMI
(Project Management Institute) will host
a golf tournament to benefit Children’s
Hospital at Willow Creek Golf Club in
Farragut on Friday, September 12. Proceeds
of the event will benefit the Celiac Disease
Support Group at the hospital. For more
information, contact the Development
Department at (865) 541-8608.
Claris Networks
Golf Tournament
Claris Networks (formerly RM Technologies)
will host its annual golf tournament to benefit
Children’s Hospital on September 26 at
River Islands Golf Club. This double flight
tournament has become an annual staple for
the East Tennessee golfing community. Play
includes 18 holes of golf and a luncheon
hosted by Phil Williams of “The Phil Show”
on Newstalk radio. Last year’s tournament
raised over $15,000 for the Pediatric
Intensive Care Unit. Come enjoy a round
of golf for a great cause and help make the
2008 Claris Networks Annual Charity Golf
Tournament a success.
By Alyssa Phillips, student intern
Kids, fun, summer and the water – they
just go together during summer vacation.
Children’s Hospital, along with Kohl’s, Safe
Kids of the Greater Knox Area and Dollywood’s
Splash Country, will be reminding everyone of one
important safety lesson again this summer when
school is out – no one can ever take a vacation
from water safety.
A major media campaign will remind parents/
caregivers and children of important water safety
tips, and a fun event at Dollywood’s Splash
Country will offer a way for families to learn about
water safety together.
The awareness campaign will travel to
Pigeon Forge on June 11 for a water safety day
at Dollywood’s Splash Country, where water
safety is always a priority. The event will feature
a water safety and awareness workshop taught by
the water park’s award-winning lifeguards; they
will demonstrate water safety tips and answer
questions. Visitors also will find water safety
booths open at the water park from 10 a.m. until
2 p.m., where representatives from Safe Kids of
the Greater Knox Area and Children’s Hospital
will have additional water safety information.
B97.5 radio will take part in the event with a
live remote at Splash Country featuring morning
personalities Brad and Ashley. There is no extra
charge for the water safety program, but an
admission ticket to Dollywood’s Splash Country
is required for admittance; for ticket information,
call (800) DOLLYWOOD or visit
www.dollywoodssplashcountry.com.
This is the second consecutive year this
important water safety campaign is being funded
by a generous donation from Kohl’s. For more
information on water safety and the event on
June 11, visit www.etch.com.
Have fun at water safety event in June
football players who weigh 65 or 70 pounds
each does not produce as much force as that
produced by two 16-year-old high school
football players who may each weigh up to
200 pounds.
			 In addition, children may not assess the
risks of certain activities as fully as adults
might. So they may unknowingly take risks
that may cause them to be injured.
		 How can sports injuries be prevented?
		You may be able to help prevent your child
from being injured by following some simple
guidelines:
			 Use of proper equipment and safety gear –
Make sure equipment fits well, is the correct
size and is the proper equipment for the sport
being played (different sports have different
equipment needs).
		 	Maintenance and appropriateness of
playing surfaces – Check to make sure
that playing fields are not full of holes and
ruts that might cause children to fall or
trip. When your child is doing high-impact
sports, like basketball and running, it’s a
good idea to do them on surfaces like tracks
and wooden basketball courts, which can be
more forgiving than surfaces like concrete.
			 Adequate adult supervision and
commitment to safety – Any team sport or
activity should be supervised by qualified
adults. Select leagues and teams that have
the same commitment to safety and injury
prevention that you do. The team coach
should have training in first aid and CPR,
and the coach’s philosophy should promote
players’ well-being. A coach with a win-at-
all-costs attitude may encourage children to
play through injury and may not foster good
sportsmanship. Be sure the coach enforces
playing rules and requires that safety
equipment be used at all times.
			 Proper preparation – Your child should
be adequately prepared with warm-ups and
training sessions before practices as well as
before games. This will help ensure your
child has fun and reduce the chances of an injury.
In addition, your child should drink plenty of
fluids and be allowed to rest during practices
and games.
		 What are some common types of sports injuries?
		Sometimes, despite your best efforts, your
child might get hurt while playing sports. Three
common types of sports injuries in children are
acute injuries, overuse injuries and reinjuries.
			 Acute injuries occur suddenly and are usually
associated with some form of trauma. In younger
children, acute injuries typically include minor
bruises, sprains and strains. Teen athletes are
more likely to sustain more severe injuries,
including broken bones and torn ligaments. More
severe acute injuries that can occur, regardless
of age, include: eye injuries, including scratched
corneas, detached retinas, and blood in the eye;
broken bones or ligament injuries; brain injuries,
including concussions, skull fractures, brain
hemorrhages; and spinal cord injuries.
			 Overuse injuries occur from repetitive actions
that put too much stress on the bones and
muscles. Although these injuries can occur
in adults as well as children, they are more
problematic in a child athlete because of the
effect they may have on the child’s bone growth.
Some of the most common types of overuse
injuries are anterior knee pain, Little League
elbow, swimmer’s shoulder, shin splints and
spondylolysis (low back pain). Overuse injuries
can be caused or aggravated by: growth spurts
or an imbalance between strength and flexibility;
inadequate warm-up; excessive activity (for
example, increased intensity, duration, or
frequency of playing and/or training); playing
the same sport year-round or multiple sports
during the same season; improper technique
(for example, overextending on a pitch);
and unsuitable equipment (for example,
nonsupportive athletic shoes).
			 Reinjury occurs when an athlete returns to the
sport before a previous injury has sufficiently
healed. Returning to the playing field before a
previous injury has completely healed places
	 Few issues are closer to our hearts or more
crucial to our future than the health of children.
As an abundance of children’s health issues hit the
media spotlight last year, it was a challenge for many
parents to keep track of them all or determine which
matter most. Some strike close to home and involve
things parents do routinely to keep their kids safe
and healthy. Others, for now at least, seem to be in
the hands of lawmakers or scientists, far removed
from our immediate lives, yet no less important to
children’s well being.
	 In 2008, Children’s Hospital will highlight
eight of these important children’s health issues to
watch. Each issue of It’s About Children this year
will focus on two topics. This list is not meant to be
comprehensive, nor does it suggest that other health
issues aren’t also important. But we think these eight
subjects will have a lasting impact on children’s health
in 2008.
Overtraining Little Athletes
With many children playing and training for
organized sports with an intensity once reserved for
top-level athletes, doctors are learning more about the
lasting impact sports injuries can have on children’s
health.
		 What causes sports injuries among children?
		Children can be susceptible to sports injuries
for a variety of reasons. Children, particularly
those who are younger than eight years old, are
less coordinated and have slower reaction times
than adults because they are still growing and
developing.
		 In addition, children mature at different rates.
Often there’s a substantial difference in height
and weight between children of the same age.
And when children of varying sizes play sports
together, there may be an increased risk of
injury.
			 As children grow bigger and stronger, the
potential for injury increases, largely because
of the amount of force involved. For example,
a collision between two eight-year-old Pee-Wee
part 2 of 4part 2 of 4
‘08‘08
Overtraining Little Athletes and Keeping Child’s Play Safe
stress upon the injury and forces the body
to compensate for the weakness, which can
put the athlete at greater risk for injuring
another body part. Once your child’s doctor
has approved a return to the sport, make sure
your child properly warms up and cools down
before and after exercise. Sudden exertion can
also cause reinjury, so your child should re-
enter the sport gradually.
		 What can we expect of this issue in 2008?
		With new evidence of how widespread and
damaging youth sports injuries can be, many
parents might have to examine whether they’re
allowing children to push too hard to excel
at sports. With this growing awareness, there
could be a return to the fundamentals of youth
sports — helping children learn sportsmanship
and teamwork; helping them develop a
lifelong love of physical activity; and, most
important, letting them have fun.
Keeping Child’s Play Safe
A wave of toy recalls put new questions about toy
safety – and the dangers of lead exposure – in the
spotlight. From Barbie to Thomas the Tank Engine,
some of America’s most popular toys were hit by
safety recalls in 2007. The recalls of millions of
toys raised new concerns about how to choose safe
toys and keep unsafe items out of children’s hands.
And since many of the recalls involved concerns
about lead exposure, new attention was also paid to
the risks of lead poisoning – when chronic exposure
to lead brings on a host of behavior, learning and
developmental problems.
		What should a parent look for to choose
a safe toy?
		Manufacturers follow certain guidelines
and label most new toys for specific age
groups. But perhaps the most important thing
a parent can do is to supervise play. The
U.S. Consumer Product Safety Commission
(CPSC) closely monitors and regulates toys.
Any toys made in – or imported into – the
United States after 1995 must comply with
CPSC standards.
Here are some general guidelines to keep in mind
when toy shopping:
	Toys made of fabric should be labeled as•	
flame resistant or flame retardant.
	 Stuffed toys should be washable.•	
	Painted toys should be covered with•	
lead-free paint.
	Art materials should say nontoxic.•	
	Crayons and paints should say ASTM D-4236•	
on the package, which means that they’ve
been evaluated by the American Society for
Testing and Materials.
	Toys should not be overly noisy, as this can•	
cause hearing damage.
	Toys should be age appropriate -- always•	
check packaging to make sure a toy is
recommended for your child’s age. You
may think that a child who’s advanced in
comparison to peers can handle toys meant
for older children. But the age levels for
toys are determined by safety factors, not
intelligence or maturity.
		 Avoid older toys, even hand-me-
downs from friends and family. Those
toys might have sentimental value and are
certainly cost-effective, but they may not
meet current safety standards and may be
so worn from play that they can break and
become hazardous.
		How can I make sure toys remain safe at
home?
		After you’ve bought safe toys, it’s also
important to make sure children know how
to use them. The best way to do this is by
supervising play. Playing with your children
teaches them how to play safely while
having fun.
Parents should:
	Check toys regularly to make sure that they•	
aren’t broken or unusable. For example,
wooden toys shouldn’t have splinters, bikes
and outdoor toys shouldn’t have rust, and
stuffed toys shouldn’t have broken seams
or exposed removable parts.
	Throw away broken toys or repair them•	
right away.
	Store outdoor toys when they’re not in use•	
so they are not exposed to rain or snow.
	Keep toys clean. Some plastic toys can•	
be cleaned in the dishwasher, but read the
manufacturer’s directions first. Another
option is to mix antibacterial soap or a mild
dishwashing detergent with hot water in a
spray bottle and use it to clean toys, rinsing
them afterward.
	 Teach children to put toys away.•	
		What should I do if I think a toy is not safe?
		First, if you have any doubt about a toy’s
safety, err on the side of caution and do not
allow your child to play with it. And second,
check the Consumer Products Safety
Commission Web site at www.cpsc.gov
for the latest information about toy recalls
or call their hotline at (800) 638-CPSC to
report a toy you think is unsafe
		What can we expect of this issue in 2008?
		With more and more products coming from
overseas, many public officials are calling
on Congress to ensure better enforcement
of U.S. safety standards on foreign-made
goods sold here, particularly those for
children. Safety scares about popular toys
will have parents on high alert when they’re
picking out playthings and more vigilant
about supervising children during play.
15
UPCOMING
community
education
classes
CPR Certification Course
Dates: May 12, June 23, July 21, August 4,
September 8, October 13, November 10 and
December 8
Time: 6-10 p.m.
	 This certification course teaches the American
Heart Association chain of survival – from when
to call 911 to how to effectively administer CPR
to an infant, child or adult. This course is designed
for anyone who may be expected to respond
to emergencies at home or in the workplace.
Participants must be at least 14 years old. Following
the course, participants will receive an American
Heart Association Heartsaver certification card.
This course is $40 per person.
Safe Sitter
Dates: May 17, June 21, July 19, August 2 and 9,
September 6 and 27, October 11, November 1
and 15, and December 6 and 13
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 $20 per person.
	 Class size is limited, so preregistration is
required for all classes. 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.
Article edited and abridged from the KidsHealth section of www.etch.com.
© 2008 The Nemours Foundation/KidsHealth. Used under license.
Kool and the Gang takes Center Stage
Since its inception in 1993, Center Stage
has raised more than $2.5 million for Children’s
Hospital. This year’s event was no exception
to this fundraising success. The 16th
annual
black-tie gala took place April 12 at the
Knoxville Convention Center. Guests enjoyed
cocktails, hors d’oeuvres, a four-course dinner,
and a concert by two-time Grammy Award
winners Kool and the Gang. The concert was
followed by an evening of dancing with live
music from “City Heat.”
Kool and the Gang has sold more than
70 million albums worldwide and has influenced
music for three generations. Thanks to hits
like “Jungle Boogie,” “Hollywood Swinging,”
“Celebration,” “Cherish,” Summer Madness”
and “Open Sesame,” they have earned two
Grammy Awards, seven American Music
Awards, 25 Top Ten RB hits, nine Top Ten Pop
hits, and 31 gold and platinum albums.
Children’s Hospital extends a special thanks
to Bob and Wendy Goodfriend, who served as
co-chairs for the 16th
year. Children’s Hospital
would also like to thank the Goodfriend
Foundation, Pilot Corporation and LandAir
for underwriting Center Stage, and to everyone
who attended the event for helping to make it
such a success.
By Alyssa Phillips, student intern
Wendy and Bob Goodfriend
Kool and the Gang
Kool and the Gang
Diane and Dave Ross from Pilot
Caine and Joey Ballard from the
Niswonger Group

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It's About Children - Summer 2008 Issue by East Tennessee Children's Hospital

  • 1.
  • 2. B o a r d o f D i r e c t o r s Dennis Ragsdale Chairman Jeffory Jennings, M.D. Vice Chairman Michael Crabtree Secretary/Treasurer Bruce Anderson Debbie Christiansen, M.D. Dawn Ford Keith D. Goodwin Steven Harb Lewis Harris, M.D. Dee Haslam A. David Martin Dugan McLaughlin Christopher Miller, M.D. Steve South Bill Terry, M.D. Laurens Tullock Danni Varlan M e d i c a l S t a f f David Nickels, M.D. Chief of Staff John Buchheit, M.D. Vice Chief of Staff John Little, M.D. Secretary C h i e f s o f S e r v i c e s Jeanann Pardue, M.D. Chief of Medicine Mark Cramolini, M.D. Chief of Surgery A d m i n i s t r a t i o n Keith D. Goodwin President/CEO Bob Koppel President/CEO Emeritus 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 Becky Colker Vice President for Finance Rudy McKinley Vice President for Operations A quarterly publication of East Tennessee Children’s Hospital, It’s About Children is designed to inform the East Tennessee community about the hospital and the patients we serve. Children’s Hospital is a private, independent, not-for-profit pediatric medical center that has served the East Tennessee region for more than 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 and Wade Payne Contributing Photographers “Because Children are Special…” ...they deserve the best possible health care given in a positive, child/family-centered atmosphere of friendliness, cooperation, and support - regardless of race, religion, or ability to pay.” ...their medical needs are closely related to their emotional and informational needs; therefore, the total child must be considered in treating any illness or injury.” ...their health care requires family involvement, special understanding, special equipment, and specially trained personnel who recognize that children are not miniature adults.” ...their health care can best be provided by a facility with a well-trained medical and hospital staff whose only interests and concerns are with the total health and well-being of infants, children, and adolescents.” Statement of Philosophy East Tennessee Children’s Hospital www.etch.com 2 On the cover: Children’s Hospital patient Emily Barger with Minnie Mouse at the annual CMN celebration in Orlando. Read Emily’s story on pages 4-6. February 11, 2008  Dear Children’s Hospital, I just wanted to thank all of the doctors and nurses in the NICU. My daughter was born at 26 weeks and sent to Children’s Hospital. She is now 3 years old and still has some problems. She has cerebral palsy and is having trouble with her eyes, and seizures. She has developmental delays but without the team in the NICU, she may not even be here today. I just wanted to say thank you from me, my husband Michael, and from Katlyn. Donna Smith White Pine February 14, 2008 Subject: Good Job and Thank you! On behalf of all the public health professionals at the Knox County Health Department, I would like to thank you for the “Clean Up Your Act” campaign that Children’s Hospital and Shoney’s Restaurants are currently running. The radio spots are well done and listener friendly, and the information is timely and important. You’re doing a wonderful job raising public awareness about the dangers of food-borne illness and how easy it is to keep our families safe. Great job! We applaud you!   Ranee Randby Public Health Community Relations Director Knox County Health Department “Dear Children’s” March 20, 2008 Dear Children’s Hospital, My daughter, Logan Lee, was admitted on 3/18 and we came home this morning. I can’t truly express how the caring staff helped a horrible incident be lessened with their treatment of my child. Everyone from the emergency room through to the floor nurses, techs and lab people were a pleasure to deal with, always explaining in terms that a 7-year-old could understand, and helping ease her fears. Thank you so much for your compassionate team of people. Best Regards, Leslie Lee Maryville Logan Lee Katlyn today Katlyn 3 years ago
  • 3. The record net funds raised at the 2007 Fantasy of Treesmeans even more medical equipment can be purchased this year for the Emergency Department and other hospital departments. The 2007 Fantasy of Trees raised $380,370, a 25 percent increase over the previous record net – $323,100 – set in 2006. The equipment designated for the 2007 event proceeds,Intellivue monitors for the Emergency Department, cost $292,979. An additional $20,204.51 of net proceeds from the Target Raffle Tree program was designated for the Open Door Fund. That left just over $67,000 to be spent on additional ED equipment, which includes Stretchairs, an Omnicell addition and video game stations for the waiting area. In addition, the remaining 2007 Fantasy of Trees proceeds are funding the purchase of Intellivue monitors for the PostAnesthesia Care Unit and electronic vital signs monitors for inpatient and outpatient surgery. Here is what the new pieces of equipment are: • Intellivue bedside monitors – monitor heart rates, breathing patterns, oxygen saturation and blood pressure. • Stretchairs – these hydraulic wheelchairs can be converted into a stretcher. They are used for transporting larger patients who cannot sit or walk. Oneof Children’s Hospital’s inpatient nurse managers callsstretchairs “a miracle piece of equipment” because oftheir tremendous usefulness in the hospital setting.• Omnicell addition – The Omnicell is a storage productfor medications used in the Emergency Department. This addition will be placed in the urgent area of the ED; it will allow the storage of additional drugs in thisarea, which will save staff time and help to standardizethe medications kept in the Emergency Department.• Electronic vital signs monitors – these monitors areused to obtain temperature, pulse, oxygen saturationand blood pressure. One electronic vital signs monitorreplaces three separate monitors that were previouslyneeded to perform these four functions. The monitors also have printing capabilities. • Two video game stations – The Emergency Department waiting area has a limited number of activities for patients and families waiting to be seen byED staff. Two new video game systems, with games forages preschool through adult, will be installed in the EDwaiting area to provide additional entertainment ­optionsfor families during wait times. This purchase is in response to parent requests for more ways to entertain their children while waiting in the ED. 3 B u l l e t i n B o a r d 3 V Fantasy of Trees’ record means more equipment for hospital As part of a national campaign to increase awareness about missing children, Shoney’s Restaurants will again host a series of KidCare Photo ID events at area malls in conjunction with the National Center for Missing and Exploited Children (NCMEC). Over the past 13 years, the program has successfully provided more than 28,000 local children with IDs. The KidCare Photo ID events provide free photo identification cards for children, which include a color photograph, fingerprints, height, weight, date of birth, medical profile and a 24-hour NCMEC hotline number. These cards can assist local authorities should a child ever become missing. Knoxville Police Department officials are on site for fingerprinting, and representatives from Children’s Hospital, Safe Kids of the Greater Knox Area and Safety City will provide additional child safety information. Dates, times and locations: Friday, August 22 from 1 – 7 p.m. at Knoxville Center Mall Saturday, August 23 from 11 a.m. – 5 p.m. at West Town Mall Sunday, August 24 from 12 – 6 p.m. at Foothills Mall Children’s Hospital is proud to collaborate with Shoney’s Restaurants in taking a proactive approach to keeping children safe. By Kathryn Robertson, student intern VShoney’s to host KidCare Photo ID events “There’s No Business Like Snow Business” at Fantasy of Trees Fantasy of Trees has been a holiday tradition in East Tennessee since 1985, and through the years it has kicked off the holiday season for more than 1.3 million people. Plans for continuing the tradition in 2008 are already underway. The 24th annual Fantasy of Trees will take place November 26-30. Co- chairs Sarah Beth Carlon and Sarah Munsey and Assistant Co-Chair Jody Cusick are busy making plans for the annual event, themed “There’s No Business Like Snow Business.” The 2008 Fantasy will include all things polar: snowflakes and penguins will deck the halls, and snowmen, reindeer and polar bears will adorn snowy forests. Guests will once again enjoy continuous live entertainment from choirs, dancers, magicians and more. There will be a variety of children’s activities, a Gingerbread Village and shops to inspire the young and young at heart. Over the past 23 years, Fantasy of Trees has raised more than $4.6 million for East Tennessee Children’s Hospital. The 2007 Fantasy of Trees was the most successful ever and brought in more than $380,000, a 25 percent increase from 2006. Children’s Hospital extends special thanks to the more than 10,000 volunteers who participated in the 2007 Fantasy of Trees and played a crucial role in making the 23rd annual event such a success. It is through the efforts of volunteers who contribute their time and energy that the 2008 Fantasy of Trees will also be a success. To volunteer for Fantasy of Trees, call (865) 541-8385 or send an email to fot@etch.com. By Alyssa Phillips, student intern 2008 Fantasy of Trees Assistant Co-Chair Jody Cusick, Co-Chair Sarah Munsey and Co-Chair Sarah Beth Carlon (left to right) V V
  • 4. It was Tuesday afternoon, January 23, 2007. Brian Barger and his older daughters, Megan (then age 8) and Blair (then age 11), had just gotten home from doing some grocery shopping. “I can remember it like it was just yesterday,” Brian wrote on CarePages on January 23, 2008. “Blair and I were doing a little cleaning up, and Megan was washing dishes. The time was around 4:30 p.m., and I was waiting to hear back from Misty and Emily [his wife and youngest daughter]. The phone rang, and the words that I heard next totally changed my life: ‘Emily has a tumor; you need to come to the hospital.’” The call was a shock, of course, but especially because only one day before, 6-year-old Emily had been diagnosed with a much milder cause for her recent weeks-long bout of stomach pain. “We went from constipation to cancer in less that 24 hours,” Brian said. Tears Brian wrote that he felt like he had been punched. “I tried to stay strong while on the phone with Misty. I told her we would be there soon. After she hung up, I just lost it, then Blair and Megan came running in, and I told them. We all just stood there and cried for a bit. Then it was time to get things in order and leave. “I called work, I called the pastor’s wife, I called my parents, I called Misty’s sister-in-law because I was in a panic and couldn’t remember her mom’s phone number,” he wrote in the CarePage. While Brian was trying to make all the necessary phone calls, he noticed that Megan had quietly gone back to her dishwashing duties, still crying her eyes out. Fears Brian and the girls arrived at Children’s Hospital less than an hour after Misty’s phone call. They found Emily and Misty in a room in the Emergency Department. Emily was connected to an IV and looked “scared to death,” Brian wrote. “We tried to act calm to keep her calm.” Family members and church friends began arriving, and Emily began asking questions. Because of Emily’s young age, the Bargers chose to use the word “tumor” rather than “cancer.” She was familiar with the word “cancer” and knew that it could be fatal. “Tumor” didn’t mean anything to her, so they felt it was the best choice for the time being. A CT scan had revealed a tumor on one of Emily’s kidneys. Later tests brought even more difficult news: Emily had rhabdomyosarcoma, a very rare cancer that only affects about 250 children in the United States each year. Generally, this soft tissue cancer appears in the muscles. Therefore, Emily’s diagnosis of rhabdomyosarcoma in one of her kidneys was extremely rare. A fight From the Tuesday afternoon of Emily’s cancer diagnosis, events proceeded quickly. Emily had surgery that Friday to have the tumor, the affected kidney and part of her spleen removed. (All children diagnosed with rhabdomyosarcoma will have surgery to remove all or part of the primary tumor.) Emily spent several days in the Pediatric Intensive Care Unit at Children’s Hospital after her surgery. In fact, she was hospitalized during the local portion of the annual Children’s Miracle Network Telethon broadcast on January 28, 2007, on WBIR-TV Channel 10. Although the Bargers did not appear on the telethon, the family received much support and many visitors during the broadcast. Brian is a producer at WBIR and has produced the morning newscast for several years. The hospital was swarmed with his coworkers offering support. “I have worked with Children’s Hospital setting up interviews and other news stories for a long time, but now I am on the other side – I am one of those parents that the news stories targeted,” Brian said. Following her recovery from surgery, Emily soon began the typical treatment of a child with her type of cancer – 42 weeks of chemotherapy and about six weeks of radiation – through the Hematology/Oncology Outpatient Clinic at Children’s Hospital. To make things easier, Emily had a port-a-cath (a surgically implanted central line that delivers medications into a vein) that was monitored by Children’s Hospital Home Health Care for maintenance and cleanings while she was receiving chemo. Because Emily was naturally very thin before her diagnosis and lost weight during her illness, she also required a feeding tube for several months to help her receive adequate nutrition and minimize weight loss. Testing later showed Emily’s cancer had NOT moved into her bone marrow, and her scans appeared clear in other areas, too, so this was finally some positive news for the Barger family. Since her diagnosis, Emily’s pediatric oncologist at Children’s Hospital has been Shahid Malik, M.D. “Dr. Malik has been wonderful throughout Emily’s treatments, and we have been so happy with him and the staff at the oncology clinic,” Misty said. Emily and her family were guests on the annual Star 102.1 Radiothon in March 2007; they told their story and talked about the many services they benefited from that are funded by Radiothon, including Children’s Hospital Home Health Care and the CarePages service. Emily’s story was so compelling that one of the 2007 Radiothon check presenters, Strickwood Communications, a Knoxville-based company, raised their planned donation from $500 to $5,000 in Emily’s honor. The Bargers also appeared on the 2008 Children’s Miracle Network Telethon in January and again came to the Star 102.1 Radiothon in February 2008 to share Emily’s story. Her spirit During her battle, Emily lost her hair but not her spirit. She endeared herself to many Children’s Hospital staff during her regular visits to the Hematology/Oncology Clinic and the surgery and inpatient units where she also spent time. Child Life specialist Sara Sealine developed a special bond with Emily, who was very frightened at first and would not smile at anyone. Sealine worked with Emily regularly, always hoping to draw her out of her shell of sadness and fear. The day Emily finally cracked a smile, Sealine had to leave the room because she was so emotional. Because of her role in Emily’s care and because of her desire to maintain appropriate professional boundaries, Sealine didn’t want Emily or the Bargers to see her own tears of joy at Emily’s breakthrough. From that point forward, they became special friends, and Sealine always makes time for Emily during her visits. In January 2008, when Emily had her “off-treatment” party in the Hematology/ 4 The Bargers (left to right — Brian, Misty, Megan, Emily and Blair) visit with Goofy at Walt Disney World. Em i l y
  • 5. Lessons Learned The Bargers have traveled a long road over the last year and a half. “It has taken us many places, and it has also brought us together more as a family and changed the way we do some things now, like our diet and the foods we eat,” Brian wrote in the CarePage. “So here is what have I learned from this past year: don’t take anything for granted no matter how well things are going, because they can all change with just one phone call. “Also, I’ve learned that things are never as bad as they seem, because there is always someone or some family out there who may have it a little worse, and we saw that while in the hospital.” By Seth Linkous, Associate Director for Public Relations, and Wendy Hames, Associate Director for Publicaions 5 Emily and country singer Mark Wills became fast friends during their visit to Washington, D.C., as partof the CMN Champions Across America events. Emily with her pediatric oncologist, Shahid Malik, M.D. Emily (front right), Blair (back left) and Megan Barger (hidden in back right) along with 12-year-old Edna Cerritos, the CMN Champion from California, pose with Miss America 2008 Kirsten Haglund. Oncology Clinic, Sealine even danced with Emily to music stored on Emily’s pink “Hannah Montana” MP3 player. “Emily is a little girl who smiles at the mention of puppies and laughs at the silliest of southern accents,” Sealine said. “Emily always is up for a manicure party and loves to talk about her dog, Rosebud.” Shortly after finishing her treatments in early 2008 and returning to school, Emily decided to do something kind for other children in similar situations. She delivered Valentine’s Day stuffed animals to every child who came into the Hematology/Oncology Clinic on February 12. “Emily is so shy that I was afraid that she would back out on me, but she didn’t,” Misty said. “I think that she liked being on the other side, giving sick children presents to brighten their day instead of being on the receiving end. It was wonderful to see her reaching out to others going through some of the same things that she did last year. She knows the fear and pain that these children are feeling, and hopefully she made a difference in their lives that day.” Laughter It has taken more than a year for the Bargers to be able to move back into a more “normal” life, with fewer needed appointments at the hospital and the removal of Emily’s feeding tube in March. March also brought a special treat and a joyful occasion for the Barger family – a trip to Walt Disney World and Washington, D.C., as part of the Children’s Miracle Network’s Champions Across America. Children’s Hospital nominated Emily to be Tennessee’s “champion,” and the family was thrilled when she was selected. “It really was cool, because we were touring the White House right next to Miss America,” Brian said in a recent interview. “We were taking the same pictures she was, and she was awed by the same things we were. You forget, ‘Here’s Miss America standing right beside me.’” The trip included visits not only with Miss America but also with other celebrities such as Marie Osmond (one of the co-founders of CMN); her brother, Donny Osmond; Olympic gymnast Mary Lou Retton; Hall of Fame football star Steve Young; and others. Emily’s favorite celebrity was country singer Mark Wills; the pair became fast friends during the events in Washington, D.C., and were interviewed together with Misty on air by Andy and Alison from Knoxville radio station WIVK-FM, although Misty notes that shy Emily actually didn’t speak during the interview. At the White House, the group even spent a little time with President George Bush. “He was very jovial. He had a great time with the kids,” Brian said. “Everybody was laughing and joking around. It was quick, but it was really fun -- memories that will last a lifetime.” During the trip to Disney World, Emily was able to go swimming for the first time in more than a year, so that was a major milestone. But her favorite part of the trip was meeting President Bush. The Bargers (left to right — Misty, Brian, Megan, Emily and Blair) met CMN co-founder Marie Osmond during the Celebration in Orlando.
  • 6. 6 Children meet president as ambassadors for children’s hospitals International ambassadors frequently visit The White House, but in March, child ambassadors from each state met with President George Bush as representatives of 17 million hospitalized children. These remarkable children have triumphed despite severe medical challenges and were chosen to represent their state as part of Children’s Miracle Network’s Champions Across America presented by CO-OP Financial Services. The mission of these young ambassadors is to share the message that their lives are better because of the tremendous work of children’s hospitals. Emily Barger of Knoxville was Tennessee’s representative for the 2008 Champions Across America program. “These Champions have overcome more than many of us can even imagine,” said Children’s Miracle Network co-founder Marie Osmond. “Each story testifies of the strength of these kids and the outstanding caregivers who have changed their lives.” Osmond welcomed the children to Walt Disney World before their visit to Washington, D.C., as they participated in the national television production of the Children’s Miracle Network Celebration. Joining the Champions in Washington, D.C., was country music artist Mark Wills, an active supporter of Children’s Miracle Network for many years. Also joining the group was Miss America 2008 Kirsten Haglund, Children’s Miracle Network’s official Goodwill Ambassador for the year. The organization sponsoring the Champion children is CO-OP Financial Services. As the nation’s largest credit union processor and ATM network, CO-OP Financial Services understands how important a network of support is for hospitalized children. For years, the credit union industry has supported Children’s Miracle Network, and CO-OP Financial Services is proud to continue the industry tradition of “people helping people.” Emily enjoys a video motorcycle ride at the ESPN Zone in Washington, D.C., during a private party for the Champions and their families. Pictured above: President Bush, the CMN Champions and their families pose in front of the White House. Pictured Right: Emily Barger in Washington, D.C., with the U.S. Capitol in the background. President Bush greets CMN Champions and their families at the White House. Tennessee Champion Emily Barger is in the right second row, wearing a white hat.
  • 7. lifeA day in the 7 help sick children. Tomlinson began her career at the University of South Alabama Women’s and Children’s Hospital and continues to maintain her skills and knowledge through continuing education classes at Children’s Hospital. Tomlinson remembers one baby boy who was diagnosed with a rare tumor of the neck and fetal hydrops. His parents were told that he had a 98 percent fatality rate when he was born in October, but after an intense procedure and living on a ventilator for a while, the boy was brought home almost six months later. He no longer requires supplemental oxygen and is recovering at home with his family despite some pretty tough odds. “Working with children, I am blessed daily to be around such special and fascinating little miracles,” Tomlinson said. Tomlinson chooses to work at Children’s Hospital because she feels her passions match the mission of the hospital. “Because of the specialized care available and the educational efforts and involvement in the community, I am honored as a nurse knowing I can attempt to, in some small way, contribute to such an outstanding organization,” Tomlinson said. Rehabilitation Center The Children’s Hospital Rehabilitation Center provides physician-directed rehabilitation services to nearly 1,500 area children each year. Since 1947, the Rehabilitation Center has helped children age birth to 21 acquire or regain skills to perform age- appropriate activities. All Rehabilitation Center programs reflect a philosophy of care that offers a commitment to the whole child, recognizing his or her unique combination of characteristics and needs. The center strives to help each child reach his or her greatest level of independence, maximizing quality of life and potential. Children’s Corner, a program offered at the Rehabilitation Center, is an outpatient medical day treatment program. Children who need skilled nursing care and intensive therapy participate in Children’s Corner as an alternative to an extended inpatient hospital stay. Helen Willis When Helen Willis was in third grade, she was quoted in a local newspaper as wanting to “help sick people” when she grew up. That desire to care for others eventually led Willis to the Children’s Hospital Rehabilitation Center, where she serves as a rehab technician. Willis worked for six years at St. Mary’s Hospice before making the move to Children’s Hospital, where she plans to stay until “they kick me out!” One of Willis’s favorite memories during her time at Children’s Hospital is of a little boy who originally came to the Rehab Center while in need of a transplant. About seven years later, after his transplant, the little boy returned. His medications were not working, and he was not doing well. Willis said, “We went outside a lot, but he would sit like a lifeless flower. As time went on, we would befriend him and talk with him, and we learned how to make him smile. The little boy came to life like a flower. We became friends, and he just blossomed.” Willis has had the opportunity to see many such stories where children “come in pretty much hopeless, and then they bloom before our eyes.” Willis loves working at the Rehab Center and attributes it to her “awesome” co-workers. She said, “I am nothing without my team. We work hand in hand to give the best therapy we can. We get to put little children back together again.” Julie Browning Julie Browning entered the field of speech pathology after a lifelong connection with speech impairments. Browning, a speech language pathologist at the Children’s Hospital Rehabilitation Center, was born with a cleft lip and has always been intrigued by children with similar medical conditions. It wasn’t until a close friend was severely injured in a car accident that Browning decided to make speech pathology her profession. Browning recalls, “I remember seeing him shortly after the accident and seeing how difficult it was for him to speak. I told him I loved him and watched as he struggled to utter those three simple words back. I guess it was at that moment that I realized how important communication is and how devastating it can be when it is taken away. I knew I wanted to help others, like my friend, to communicate so that somewhere a mom or dad could hear their child say ‘I love you.’” Browning earned both a bachelor’s and a master’s degree in speech pathology. She then completed a nine-month clinical fellowship where she conducted speech therapy under the direct supervision of a licensed speech pathologist. Browning then made her way to the Rehab Center at Children’s Hospital. “I love the hospital’s philosophy on providing the best possible care for kids in need,” she said. “All children are special and deserve the very best we can give them.” By Alyssa Phillips and Kathryn Robertson, student interns 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. Home Health Care Children’s Hospital Home Health Care, a hospital-based home health agency, supports the philosophy, mission and policies of Children’s Hospital and is dedicated to meeting the needs of children. Home Health Care provides follow-up supportive care to patients from newborns to 21 years of age who do not require hospitalization or constant skilled supervision. Home Health Care is licensed to provide services in 16 East Tennessee counties. All patients are accepted based on physician referral, the ability of Home Health Care to meet the patient’s specific needs, and when the physician, child’s family and the Home Health staff agree that in-home care would be an appropriate and effective means of treatment. Available services include registered nursing, respiratory therapy, home infusion, nutritional support, home medical equipment and supplies, physical therapy, speech therapy and occupational therapy. Danny Hicks Danny Hicks is an equipment technician with Children’s Hospital Home Health Care. He travels to different homes delivering equipment and supplies, and helping patients and their families learn how to use the equipment, such as nebulizers and wheelchairs. Hicks was referred to the position through a respiratory therapist friend who works for Children’s Hospital. Hicks says he chooses to work at Children’s because helping educate patients and their families is very rewarding. He emphasizes the importance of the equipment and knowing how to use everything correctly. One of Hicks’ favorite patient memories is from last fall when a colleague gave a teenage patient tickets to a University of Tennessee football game. Hicks said the boy had the time of his life at the game and stated that it is amazing how the staff at Home Health Care impacts the lives of patients, even away from the hospital. Amanda Tomlinson An RN with Children’s Hospital Home Health Care, Amanda Tomlinson enjoys working with a diverse staff that all share the same goal: to of Children’s Hospital
  • 8. In the fall of 2003, Children’s Hospital and WBIR-TV began a program to recognize children from throughout East Tennessee who have done something out of the ordinary – whether through extraordinary volunteer work or an amazing talent or by impressive service to their community. “We were looking for outstanding youngsters who had done something amazing: overcome an incredible physical or emotional situation, demonstrated outstanding talent and achievement through their art, or exhibited a passion for helping to make life better for others,” said Jeff Lee, WBIR’s General Manager. From that desire to recognize area children, 10 Amazing Kids was created; the first group was honored in the spring of 2004, and additional groups were honored in 2005, 2006 and 2007. Dozens of entries for the 2008 10 Amazing Kids program were received featuring children who truly have done a variety of amazing things, and the selection process was extremely difficult. The 2008 10 Amazing Kids are: Lizette Aparicio,• age 13, Pigeon Forge Middle School – When Lizette moved to Pigeon Forge in 2004, she made a great difference by helping other Hispanic children who could not speak English. What her teachers didn’t realize was that Lizette’s Spanish was very limited and she would ask her parents, who are natives of Cuba, to translate subjects for the following day. She serves as School Ambassador to show new students and their parents around, is active in Beta Club and Student Council and went to the state 4-H speech competition finals. Her nomination form said, “You will find Lizette the first to volunteer and help in any way she can, no matter how mundane or complicated the task.” Julia Cecere,• age 17, Gatlinburg Pittman High School – Julia’s teacher said, “Her volunteer spirit and community service are highly noteworthy. Many of our Interact Club’s community service projects would have fallen far short of our goals if it had not been for Julia’s willingness to go beyond what was required.” Recently, she started a drive to encourage students to register to vote and raised over $6,000 for the Star 102.1 Radiothon to benefit Children’s Hospital through her “Hearts for Healing” program. Julia also has raised awareness for the local animal shelter and has the highest multi-year average (99.63) of any student presently in her school. Mason Daniels,• age 7, Adrian Burnett School – This first grader challenged others to help him help others last December and collected 70 shoe boxes of gifts for “Operation Christmas Child,” to be provided to children in third world countries. The coordinator for the project said she was “proud to have him on our team” and said Mason has already set a goal for this Christmas to fill 180 shoeboxes with gifts. When he was just four years old, Mason helped raise $350 for victims of Hurricane Katrina with the help of his Beaver Dam Baptist Child Care Center classmates. The now seven-year-old also is active at church, playing soccer and basketball and loves fishing with his dad. Casey Douglas,• age 13, Elk Valley Elementary (Campbell County) – Having limited physical mobility has never kept this eighth grader from reaching for the stars. Casey has Spinal Muscular Atrophy (SMA) and requires assistance in many daily activities. This year, Casey has served as Beta Club and 4-H President, was Basketball Queen, was a multiple 4-H speech winner, and is a cheerleader. Her teacher said, “She wants to make a difference at school, at home and in her community. She is a positive role model and does not let her limitations stop her.” She is also an honor student who often stays after school to help tutor other children. Mia Fisher,• age 6, Sevierville Primary School – Her grandfather called her an amazing kid because “despite her young age, she possesses the heart of one far beyond her years.” Her teacher said the first grader asked what she could do to help the patients at Children’s Hospital. Then Mia encouraged classmates and her principal to help raise money to buy crayons, coloring books and batteries for toys. She also contributed her birthday money to help the cause and personally delivered the items to Children’s Hospital. A friend who nominated her said, “I wish she was running for office in view of her insight to see a need and do something about it. We could all learn from this young lady’s actions.” Weston Hamilton,• age 9, Rural Vale Elementary School (Tellico Plains) – Few nine-year-olds realize they can make a difference, but Weston is an exception to this rule. Last year for his eighth birthday, he decided to donate the gifts he received to Children’s Hospital. His birthday party invitation asked each child to bring a book that was then delivered to the hospital. For his ninth birthday this year, he collected over 30 fleece blankets to donate for children at the Knox Area Rescue Ministry. Weston also is active at church, loves to play sports and is in the FOCUS club at school. Will Johnson,• age 9, Claxton Elementary – This student set a goal to raise awareness for autism, a condition he has. He accomplished this in part by setting out to beat the world record for the “most high fives given in a month” – giving high fives to children at his school, at a Smokies’ baseball game and at a local Home Depot store. From all the publicity he received, people in his community now have a better understanding of what autism is. One of his teachers said that this energetic boy has “the ability to see past others’ differences” and helped other students learn that autistic children have much to offer and teach others. Skye Sanders,• age 16, South Doyle High School – This Amazing Kid often finds herself soaring above the crowd – literally, and she is very appropriately named for a teenager about to receive her pilot’s license. With her dad as her flight instructor, she has been flying since she was 12. In the classroom, where she has distinguished herself as a scholar and high academic achiever, her school counselor describes her as “an incredible young lady who impacts her school, community and home.” Skye is active in her youth group at First Baptist Church in Knoxville and is a member of the Junior Olympic Diving Team at the University of Tennessee. Rachel Stacy,• age 12, Powell Middle School – This 12-year-old’s “claim to fame” is for sharing her birthday with her favorite charities. Since the age of four, she has selected a local charity each year to be the recipient of her birthday presents – from food for Second Harvest to backpacks for children served by the Salvation Army. Rachel is a trained volunteer for the Remote Area Medical Clinic portable eyeglass lab, working alongside her grandmother. This Amazing Kid is a great student and had the highest math average of the 900 students at Brickey- McCloud Elementary when she graduated from there in 2007. She also is active in sports and sings with the ET Middle School Honors Choir. Maleka West,• age 12, Tennessee School for the Blind – Despite being born blind, Maleka “has greater vision than most well- sighted people I know,” according to a nomination letter. “She is a positive role model by teaching other children … to love other kids. She shows others that everyone is special in their own way.” Maleka attends Tennessee School for the Blind in Nashville; each Friday, she boards a bus to Sevierville to spend the weekend at home. One of her teachers said she is an integral part of the class. “Even though she has extra things to learn because of her blindness, Maleka approaches tasks with a willingness to work and learn and encourages her classmates to do the same.” The 10 Amazing Kids’ stories were featured on “Live at 5” on WBIR-TV each weekday from April 7-18. 8 10 Amazing Kids recognized by WBIR-TV 10, Children’s Hospital
  • 9. Children’s Hospital recently completed the development of a new strategic plan to guide our pediatric medical center for the next several years. The planning process involved numerous steps. Among them: Input was sought from a wide variety of• individuals involved with the hospital, including the Board of Directors, community leaders, physicians, Administration, senior management and hospital employees. All hospital employees were invited to• participate in the planning process through a survey that was sent out in November 2007, and several hundred employees completed and returned their feedback. Throughout the process, employees were kept up to date via articles in the hospital’s employee newsletter, Express, and forums in January 2008 that offered a summary of employees’ feedback. A planning retreat in January with the Board of• Directors and hospital and medical staff leadership was held to discuss the future and develop high level priorities for Children’s Hospital. Following the January retreat, planners began to• look at specific strategies, personnel, resource allocation and space concerns associated with each strategy. Through the strategic planning process, the Board of Directors highlighted the following key issues: The need to maintain the hospital’s organizational• independence and the need to continue to seek opportunities to collaborate with other health care providers locally and regionally where appropriate. The need to continue to grow but to do so with care.• To begin to consider strategies that address the• issues of convenience and access for our families. To continue to be identified as the preferred• provider and advocate for children’s care. The board set a key priority – improving the health status of children in this region — and identified these strategic initiatives: Quality/Safety of care• Physician recruitment• Financial discipline• Technology• Talent• Customer service• Education• Regionalized care• Strategic marketing• Philanthropy• Administration has developed goals to support each strategic initiative. Watch the next issue of It’s About Children for an in-depth look at the hospital’s new strategic plan. Popular online feature for kids makes learning about the body fun and engaging “Why does my nose run?” “What are taste buds?” “Where do tears come from?” Parents know children have many questions about their bodies. To help children — and their parents — uncover the mysteries of the human body, Children’s Hospital has launched a new feature for kids, “How the Body Works.” Using child-friendly language, animations and activities, “How the Body Works” is a great resource for homework help and an entertaining way for children to get answers to their questions. The interactive, online center includes more than 100 articles, quizzes, word searches, activities and movies, and it covers 19 body parts, including: bladder, bones, brain, ears, eyes, endocrine glands, hair, heart, immune cells, kidney, liver, lungs, muscles, nails, nose, skin, stomach, teeth and tongue. Also, KidsHealth has published a new article for children featuring an interview with 15-year- old teen star Nick Jonas of the popular band the Jonas Brothers. Nick spoke with KidsHealth about dealing with type 1 diabetes, which he was diagnosed with in 2005, and how he copes with his condition while touring with the band. The Jonas Brothers, a pop-rock band composed of brothers Joseph, Nick and Kevin, appeared in the “Hannah Montana Miley Cyrus: Best of Both Worlds Concert” film in theaters and have signed a television series deal with Disney Channel set to debut this summer. To see all the KidsHealth features on the Children’s Hospital Web site, visit www.etch.com and click on the KidsHealth logo in the upper right corner. And remember: Children’s Hospital and KidsHealth offer two great e-mail newsletters. Visit our Web site at www.etch.com to subscribe to either free newsletter. E-Kids News provides information for parents, teens and kids. The monthly E-Kids News offers subscribers the opportunitity to customize their newsletter by indicating ages of their children and specific areas of interest (allergies and asthma, fitness and nutrition, emotions and behavior, and diabetes). In addition to news about Children’s Hospital and health news from KidsHealth, E-Kids News features color, graphics and links to many topics. New Parent E-News is an emailed newsletter geared to expectant parents as well as parents of newborns. Subscribers receive weekly emails during their pregnancy and monthly emails from the baby’s birth through the first birthday. Each email contains an engaging variety of information, including Parent-to-Parent advice from veteran parents to first-timers, recipes for pregnant and nursing moms, and great information on health and developmental topics to prepare parents for the wonderful moments of parenthood. If you want to learn even more, KidsHealth offers not only a comprehensive library of age-appropriate articles, but also many unique features, including: Condition Centers for Parents,• Kids and Teens: Focusing on asthma, diabetes, and nutrition and fitness, each center offers articles, printable charts, personal stories and mini- movies to help teach families about their bodies and their condition. Children’s Health News:• The latest medical research and news is written for parents in easy-to-understand language. Pregnancy Newborns Center:• This one-stop section for expectant and new parents includes a weekly pregnancy calendar and slideshow, recipes for expectant and breastfeeding moms and practical tips. Word!:• This glossary of medical terms with definitions children can understand is a great homework helper. The Game Closet – for Kids:• Fun and interactive experiments, mini health movies and games make learning about health exciting. BMI Calculator:• This innovative tool features easy-to-read graphs, personalized information (including ideal weight ranges), and the ability to enter multiple measurement dates to track a child’s BMI over time. Spanish articles:• KidsHealth continues to develop and enhance its library of Spanish- language pediatric health articles for parents, teens and kids. Children’s Hospital has been a KidsHealth Educational Partner since 2001. KidsHealth is the largest and most-visited site on the Web providing doctor-approved health information about children from before birth through adolescence. Created by The Nemours Foundation’s Center for Children’s Health Media, the award-winning KidsHealth provides families with accurate, up-to-date and jargon-free health information they can use. 9 Children ask lots of questions – Children’s Hospital has the answers Hospital develops new strategic plan
  • 10. 10 Interstate 40 is closed near hospital Traveling around Knoxville has recently become more difficult. On May 1, a short section of Interstate 40 between James White Parkway (exit 388A) and Hall of Fame Drive (exit 389) was closed as part of the SmartFIX 40 program to enlarge and improve the interstate through the downtown Knoxville area. “It’s going to be a trying time for traffic in Knoxville,” said Travis Brickey of the Tennessee Department of Transportation. Brickey encourages anyone traveling to Knoxville to visit www.smartfix40.com to sign up for updates about the program. He also said individuals with GPS systems by NAVTEQ and TeleAtlas in their cars need to have their systems updated to get correct and current directions; owners should contact their system providers to request the update. This closure will affect anyone coming to Children’s Hospital from east of Knoxville (motorists traveling west on I-40). However, the Children’s Hospital campus will be easily accessible via an alternate route. Visitors coming to the hospital from east of Knoxville on I-40 are asked to take I-640 west and then I-275 south during the closure, which is estimated to last 14 months (until about July 2009). Visit Children’s Hospital’s website at www.etch.com and click on “Interstate 40 Closure” in the top right corner for detailed directions to Children’s Hospital. Visit www.smartfix40.com for specific details and updates on the SmartFIX 40 program and maps provided by the Tennessee Department of Transportation. According to www.smartfix40.com, SmartFIX is an accelerated construction process used by the Tennessee Department of Transportation to speed up the construction and repair of highways and bridges. The SmartFIX process involves a short- term, total road or bridge closure during a project. This provides ample space for work crews to do their jobs and the freedom to work around the clock without time limitations. This also reduces the time it takes to finish a project and long-term inconvenience to motorists. It’s hard to believe Children’s Hospital hired its first staff Spanish interpreter just under two years ago. But a look at the statistics shows how the need continues to grow at a rapid rate. In 1997, when the hospital first began offering in- person Spanish interpretation through Social Work, the department averaged eight requests per month. In the last six months of 2007, Social Work averaged 401 requests per month! As the hospital continues to work to best meet the needs of the Spanish-speaking population, a number of staffing additions and changes have taken place in the Social Work Department’s Interpretation Services in recent months. Most significantly, the department has expanded to include three full-time and four PRN interpreter positions. The full-time interpreters work different shifts to provide coverage seven days a week — beginning as early as 5:30 a.m. when needed for surgery patients and ending at 9:30 each evening. The addition of the third full-time position means the hospital now has staff interpreters working the 1-9:30 p.m. shift seven days a week. The overlapping hours of the three full-time interpreters help decrease the wait time for an interpreter. There are also four PRN (“as needed”) interpreter positions in Social Work. PRN interpreters provide coverage both on the hospital campus when needed and at the Children’s Hospital Rehabilitation Center. According to Social Work Director Beverly Schneider, “It’s not at all unusual for the interpreters to be assisting four to five patients/families simultaneously with others waiting. The need has grown exponentially.” Federal law requires a hospital to provide interpretation services so that a family knows what is happening with their child, but the method in which the service is provided is the hospital’s choice. Children’s Hospital has contracted with Optimal Phone Interpreters (OPI) for interpretation in all languages. OPI offers 204 languages and dialects and is available 24 hours a day, seven days a week. When staff interpreters are unavailable, OPI is used for Spanish interpretation. The hospital also has a contract with Lighthouse Interpreters and Translators, Inc., to provide in-person Spanish interpretation for Children’s Hospital Home Health Care and for night shift on-call interpretation needs at the hospital. Hospital expands Spanish interpretation services Summer road project to close road beside hospital In addition to the major closure of Interstate 40 near Children’s Hospital, another project will have some impact on our campus throughout the summer, beginning shortly after spring semester classes end at the University of Tennessee. The project, which is set to begin May 15, will involve utility work and digging on White Avenue from 16th Street to 22nd Street, then down 22nd Street to Cumberland Avenue, and then on Cumberland Avenue to the Tyson Park area. Each section along the project route will be closed while the digging and subsequent repaving are completed. The work is expected to be in the area of Children’s Hospital around mid- to late July. For more information: • Go online to www.etch.com and click on “Interstate 40 Closure” • Go online to www.smartfix40.com • In the Knoxville area, call the 511 telephone information system
  • 11. 11 Safety. It’s a word that parents hear a lot as it relates to their children. A wide variety of issues involve children and safety: passenger safety in motor vehicles, bike safety, poison prevention, water safety and fire safety, just to name a few. At Children’s Hospital, the health and wellness of the children we serve have always been tied closely to safety – and to educating parents, grandparents and caregivers about the often life-saving importance of safety and preventing unsafe practices. The hospital often reminds adults caring for children that safety applies to everyone and starts with the adult in the supervisory role. Children’s Hospital takes responsibility for providing education to area families about keeping children safe and well so that a visit to the hospital will not be necessary. One of the best ways to minimize the impact of injuries in children is prevention. When community organizations join forces, educating the public about safety and prevention can be accomplished at an even greater level. For that reason, Children’s Hospital is taking on a new role with an important area coalition: Safe Kids of the Greater Knox Area. The mission of the local Safe Kids coalition is to reduce unintentional injuries in children up to age 14 in the East Tennessee region by promoting awareness and implementing prevention initiatives. The local Safe Kids is part of Safe Kids Worldwide, a network of coalitions whose primary purpose is to prevent unintentional injuries in children by providing children and adults caring for them with information about how to stay safe. While Safe Kids has been an active organization in the Knoxville area since 1999, the lead organization (which handles administrative coordination of activities and provides staff for the coalition) has changed several times. As 2007 ended, the Knox County Health Department, the current lead organization, requested that another coalition member take on this responsibility as the health department shifts some of its focus. The other three children’s hospitals in the state are the lead organizations for their local Safe Kids coalitions, and Children’s Hospital saw this as a similar way to extend our reach and service to the community we serve. As the new lead organization, Children’s Hospital will work with all the Safe Kids coalition members to ensure the Principles of Performance established by Safe Kids Worldwide are met: Develop an injury prevention plan based• on needs assessments and ongoing evaluations. Comply with all procedural and reporting• requirements within the organization and to relevant governmental or regulatory agencies. Conduct comprehensive outreach• programs designed to reduce injuries to children in the communities served. Promote public awareness of Safe Kids• and injury prevention through media and marketing. Advocate for injury prevention• legislation, regulations and enforcement of existing laws. Secure resources and community• support necessary to fund and enable the ongoing work of the organization. These strategies are accomplished through educational efforts to reach parents, caregivers, children, health care practitioners and policymakers to change knowledge, attitudes and behavior. Activities can include displays at health and safety fairs, car seat checkpoints, bike fairs, safety seminars and classes for parents and caregivers, and media awareness campaigns. Through Children’s Hospital’s leadership, Safe Kids also will pursue the reduction of injuries not just because it is a desirable public health goal, but because accidental injuries have a clear and serious financial impact on families. Injury prevention programs are cost effective because they employ relatively inexpensive interventions to avoid costly medical care. Such programs also require continued and often constant reinforcement because as long as there are children, there will be a need to remind them of ways to lessen the possibility of injuries. For more information on Safe Kids, visit www.etch.com or the Safe Kids Worldwide Web site at www.safekids.org. In addition to interpretation services, Children’s Hospital has focused efforts on a variety of other services to better meet the needs of this region’s growing Hispanic population. Among the efforts: • Hospital forms and documents have been translated into Spanish. • Sharing Information educational brochures for parents are translated to Spanish when they are written or revised. • Spanish-language articles on pediatric health topics are available on the Children’s Hospital Web site, www.etch.com, through our partnership with KidsHealth, which continues to develop and enhance its library of Spanish- language pediatric health articles for parents, teens and kids. • Safe Kids of the Greater Knox Area, under the leadership of Children’s Hospital, is serving as a silver sponsor of the Hola! Hispanic Festival on September 27 in downtown Knoxville. Safe Kids will promote its program of child injury prevention through the distribution of Spanish- language informational materials during the festival. Children’s Hospital becomes lead organization for Safe Kids of Greater Knox Area Hospital meets needs of growing Hispanic population Interpreter Kerry Banks with a patient family at Children’s Hospital.
  • 12. tax to pay; but by donating the land to Children’s, you can avoid some or all of that tax. II. A life estate gift of your personal residence. You can make a life estate gift that offers you and your spouse the right to live in your home the rest of your lives and ensures the property will come to Children’s Hospital after you have both passed away. You are responsible for the normal expenses of utilities, repairs and property insurance on the home as long as you live there. It is possible to receive an income tax deduction for this type of gift, as well. III. A gift of land that returns an income to you. Perhaps you have some property you can part with but need the income it could produce. You can donate this land to a trust that will sell Many times we hear from generous friends who want to do more to help the children entrusted to our care. They may be Radiothon or Telethon donors. They may be making gifts in honor or in memory of someone special. They may be designers or donors to the Fantasy of Trees. Perhaps they participate in one of the many golf tournaments that benefit our medical facility or work as a volunteer in the hospital. There seems to be a common theme. These individuals see what is being done for area children by the medical and hospital staff, and they also see what the community is doing to ensure the finest pediatric care continues to be available to every child. They become interested and want to do more to help our pediatric medical center. There are so many different ways to help Children’s Hospital, as we often discuss in this publication. If you are a landowner who wishes to help the hospital, you have some specific options if you wish to make a gift of land: I. A direct donation of land. You may have some acreage or building lots in a subdivision, or perhaps you inherited your aunt’s home and don’t really have a need for the property. You can help area children and possibly receive an income tax deduction by donating the property to Children’s Hospital. If you have had the land more than a year, it has probably increased in value. If you sell the land, you will likely have capital gains it, invest the proceeds and pay you and your spouse an income for a specified period of years or for the rest of your lives. The principal comes to Children’s Hospital at the end of the trust. It is also possible for you to receive an income tax deduction for this type of gift. We encourage you to consult your tax advisors to determine how a gift of land to Children’s Hospital might affect your tax situation. We would be pleased to work with you and your advisors on such a gift. Please call David Rule, Director of Development, or Teresa Goddard, Senior Development Officer, at (865) 541-8441 if you are considering such a gift to Children’s Hospital. Estate Planning Your land can help Children’s Hospital Include Children’s Hospital in your estate plans. Join the ABC Club. For more information, call (865) 541-8441. Please send the FREE planning booklet, “Personal Financial Affairs Record.”  Name______________________________ Address____________________________________________________________ City___________________________ State_______ Zip_____________ Phone# (______) ___________________________ r Please call me at the phone number below for a free confidential consultation concerning planned giving. r Please send me more information about deferred giving. r I have already included Children’s Hospital in my estate plan in the following way: __________________________________________________________________________ r Please send me information about the ABC Club. Children’s Hospital Development Office • (865) 541-8441 The state of Tennessee has given Children’s Hospital an extension through 2008 to increase the number of specialty license plates. The hospital is required to maintain a minimum of 1,000 tags to keep the plate in effect. As of March, only 828 tags were registered, 172 below the required minimum. Since then, a number of friends of the hospital have already purchased or renewed plates. With your help, there is still an opportunity to do more for the children the hospital serves. You can beautify your car with one of the attractive plates designed by Morris Creative Group. But most importantly, you can help make Children’s Hospital an even better place for area children. Each day, the hospital’s chaplains, social workers and child life specialists meet the pressing needs of area families whose sick and injured children have been entrusted to our care. These children come from Knoxville and hundreds of other communities in the surrounding counties and states. These families are concerned and nervous about their child being in the hospital. And some have additional financial stress because they are missing work. So Children’s Hospital provides staff to comfort both the child and the family, to help find resources to deal with financial woes and the need for ongoing care, and to provide books and toys for patients and siblings. And these staff members have the resources to do this because you and your friends and family care enough to buy a Children’s Hospital specialty license plate. The specialty license plate has been a labor of love from the beginning. After Children’s Hospital applied to the legislature in 2002 and received approval, Morris Creative Group donated the time of their artists to prepare the plate’s attractive design. Volunteers stuffed mailings to help sell the initial 1,000 plates. And the results have been wonderful. Since the plate first became available, Children’s Hospital has received $54,509.25, benefiting children served by the hospital’s chaplains, social workers and Child Life staff. The license plate is an easy way to support Children’s Hospital, and we are grateful to each person who has purchased one. Please consider renewing your Children’s Hospital plate each year and encouraging friends and family to join you. The plate is available at any time through your local County Clerk’s office, and the cost of the plate is $35 in addition to each county’s renewal fee. Children’s Hospital receives nearly $16 from each plate sold. Simply drive to your local county clerk’s office, take in the plate from your car and your registration, and tell them you would like a Children’s Hospital plate. Not only will you have a more attractive car, but you will also have that warm feeling that comes from helping children. If you have questions about the Children’s Hospital specialty license plate, contact your local County Clerk’s office or the hospital’s Development Department at (865) 541-8441. 12 License plate deadline extended; purchasers can still help area families
  • 13. 13 UPCOMING EVENTS to benefit CHILDREN’S calendar of events 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. Nancy Hayes Memorial Baseball Tournament Get ready to hit another one out of the park with the 2008 Nancy Hayes Memorial Baseball Tournament. The 6th annual event will take place June 5-8 at the Powell-Levi Fields, Caswell Park, Knox County SportsPark and Fountain City Park. The Hayes family of New Market sponsors the event in memory of their daughter, Nancy Elizabeth Hayes. Proceeds from the event will benefit Children’s Hospital. For more information, contact Lenny Hayes at (865) 382-1133 or by e-mail at lhayes22@earthlink.net. Log A Load For Kids Golf Tournament The Log A Load For Kids Golf Tournament will take place Friday, June 20, at the Chatata Valley Golf Course in Cleveland, Tenn. Area golfers can enjoy a round of golf to support East Tennessee Children’s Hospital and the T.C. Thompson Children’s Hospital Foundation. For more information on the Log A Load Golf Tournament, contact the Development Department at (856) 541-8608. Hope-A-Thon Children’s Hospital will again partner with WATE-TV Channel 6 to raise money to benefit Camp Cure. Hope-A-Thon will take place Sunday, July 13, from 7-8 p.m. and will be broadcast live on WATE. Hope-A-Thon follows Children’s Hospital’s week- long diabetes camp, Camp Cure, set for July 7-11. WATE anchors Lori Tucker, Gene Patterson and Matt Hinkin will revisit camp experiences during the hour-long broadcast with patients and their families, who will also share their stories about living with diabetes and their hope for a cure. Last year’s Hope-A-Thon raised more than $16,000. For more information, call (865) 541-8437. ETPMI Golf Tournament The East Tennessee Chapter of PMI (Project Management Institute) will host a golf tournament to benefit Children’s Hospital at Willow Creek Golf Club in Farragut on Friday, September 12. Proceeds of the event will benefit the Celiac Disease Support Group at the hospital. For more information, contact the Development Department at (865) 541-8608. Claris Networks Golf Tournament Claris Networks (formerly RM Technologies) will host its annual golf tournament to benefit Children’s Hospital on September 26 at River Islands Golf Club. This double flight tournament has become an annual staple for the East Tennessee golfing community. Play includes 18 holes of golf and a luncheon hosted by Phil Williams of “The Phil Show” on Newstalk radio. Last year’s tournament raised over $15,000 for the Pediatric Intensive Care Unit. Come enjoy a round of golf for a great cause and help make the 2008 Claris Networks Annual Charity Golf Tournament a success. By Alyssa Phillips, student intern Kids, fun, summer and the water – they just go together during summer vacation. Children’s Hospital, along with Kohl’s, Safe Kids of the Greater Knox Area and Dollywood’s Splash Country, will be reminding everyone of one important safety lesson again this summer when school is out – no one can ever take a vacation from water safety. A major media campaign will remind parents/ caregivers and children of important water safety tips, and a fun event at Dollywood’s Splash Country will offer a way for families to learn about water safety together. The awareness campaign will travel to Pigeon Forge on June 11 for a water safety day at Dollywood’s Splash Country, where water safety is always a priority. The event will feature a water safety and awareness workshop taught by the water park’s award-winning lifeguards; they will demonstrate water safety tips and answer questions. Visitors also will find water safety booths open at the water park from 10 a.m. until 2 p.m., where representatives from Safe Kids of the Greater Knox Area and Children’s Hospital will have additional water safety information. B97.5 radio will take part in the event with a live remote at Splash Country featuring morning personalities Brad and Ashley. There is no extra charge for the water safety program, but an admission ticket to Dollywood’s Splash Country is required for admittance; for ticket information, call (800) DOLLYWOOD or visit www.dollywoodssplashcountry.com. This is the second consecutive year this important water safety campaign is being funded by a generous donation from Kohl’s. For more information on water safety and the event on June 11, visit www.etch.com. Have fun at water safety event in June
  • 14. football players who weigh 65 or 70 pounds each does not produce as much force as that produced by two 16-year-old high school football players who may each weigh up to 200 pounds. In addition, children may not assess the risks of certain activities as fully as adults might. So they may unknowingly take risks that may cause them to be injured. How can sports injuries be prevented? You may be able to help prevent your child from being injured by following some simple guidelines:  Use of proper equipment and safety gear – Make sure equipment fits well, is the correct size and is the proper equipment for the sport being played (different sports have different equipment needs).  Maintenance and appropriateness of playing surfaces – Check to make sure that playing fields are not full of holes and ruts that might cause children to fall or trip. When your child is doing high-impact sports, like basketball and running, it’s a good idea to do them on surfaces like tracks and wooden basketball courts, which can be more forgiving than surfaces like concrete.  Adequate adult supervision and commitment to safety – Any team sport or activity should be supervised by qualified adults. Select leagues and teams that have the same commitment to safety and injury prevention that you do. The team coach should have training in first aid and CPR, and the coach’s philosophy should promote players’ well-being. A coach with a win-at- all-costs attitude may encourage children to play through injury and may not foster good sportsmanship. Be sure the coach enforces playing rules and requires that safety equipment be used at all times.  Proper preparation – Your child should be adequately prepared with warm-ups and training sessions before practices as well as before games. This will help ensure your child has fun and reduce the chances of an injury. In addition, your child should drink plenty of fluids and be allowed to rest during practices and games. What are some common types of sports injuries? Sometimes, despite your best efforts, your child might get hurt while playing sports. Three common types of sports injuries in children are acute injuries, overuse injuries and reinjuries.  Acute injuries occur suddenly and are usually associated with some form of trauma. In younger children, acute injuries typically include minor bruises, sprains and strains. Teen athletes are more likely to sustain more severe injuries, including broken bones and torn ligaments. More severe acute injuries that can occur, regardless of age, include: eye injuries, including scratched corneas, detached retinas, and blood in the eye; broken bones or ligament injuries; brain injuries, including concussions, skull fractures, brain hemorrhages; and spinal cord injuries.  Overuse injuries occur from repetitive actions that put too much stress on the bones and muscles. Although these injuries can occur in adults as well as children, they are more problematic in a child athlete because of the effect they may have on the child’s bone growth. Some of the most common types of overuse injuries are anterior knee pain, Little League elbow, swimmer’s shoulder, shin splints and spondylolysis (low back pain). Overuse injuries can be caused or aggravated by: growth spurts or an imbalance between strength and flexibility; inadequate warm-up; excessive activity (for example, increased intensity, duration, or frequency of playing and/or training); playing the same sport year-round or multiple sports during the same season; improper technique (for example, overextending on a pitch); and unsuitable equipment (for example, nonsupportive athletic shoes).  Reinjury occurs when an athlete returns to the sport before a previous injury has sufficiently healed. Returning to the playing field before a previous injury has completely healed places Few issues are closer to our hearts or more crucial to our future than the health of children. As an abundance of children’s health issues hit the media spotlight last year, it was a challenge for many parents to keep track of them all or determine which matter most. Some strike close to home and involve things parents do routinely to keep their kids safe and healthy. Others, for now at least, seem to be in the hands of lawmakers or scientists, far removed from our immediate lives, yet no less important to children’s well being. In 2008, Children’s Hospital will highlight eight of these important children’s health issues to watch. Each issue of It’s About Children this year will focus on two topics. This list is not meant to be comprehensive, nor does it suggest that other health issues aren’t also important. But we think these eight subjects will have a lasting impact on children’s health in 2008. Overtraining Little Athletes With many children playing and training for organized sports with an intensity once reserved for top-level athletes, doctors are learning more about the lasting impact sports injuries can have on children’s health. What causes sports injuries among children? Children can be susceptible to sports injuries for a variety of reasons. Children, particularly those who are younger than eight years old, are less coordinated and have slower reaction times than adults because they are still growing and developing. In addition, children mature at different rates. Often there’s a substantial difference in height and weight between children of the same age. And when children of varying sizes play sports together, there may be an increased risk of injury. As children grow bigger and stronger, the potential for injury increases, largely because of the amount of force involved. For example, a collision between two eight-year-old Pee-Wee part 2 of 4part 2 of 4 ‘08‘08 Overtraining Little Athletes and Keeping Child’s Play Safe
  • 15. stress upon the injury and forces the body to compensate for the weakness, which can put the athlete at greater risk for injuring another body part. Once your child’s doctor has approved a return to the sport, make sure your child properly warms up and cools down before and after exercise. Sudden exertion can also cause reinjury, so your child should re- enter the sport gradually. What can we expect of this issue in 2008? With new evidence of how widespread and damaging youth sports injuries can be, many parents might have to examine whether they’re allowing children to push too hard to excel at sports. With this growing awareness, there could be a return to the fundamentals of youth sports — helping children learn sportsmanship and teamwork; helping them develop a lifelong love of physical activity; and, most important, letting them have fun. Keeping Child’s Play Safe A wave of toy recalls put new questions about toy safety – and the dangers of lead exposure – in the spotlight. From Barbie to Thomas the Tank Engine, some of America’s most popular toys were hit by safety recalls in 2007. The recalls of millions of toys raised new concerns about how to choose safe toys and keep unsafe items out of children’s hands. And since many of the recalls involved concerns about lead exposure, new attention was also paid to the risks of lead poisoning – when chronic exposure to lead brings on a host of behavior, learning and developmental problems. What should a parent look for to choose a safe toy? Manufacturers follow certain guidelines and label most new toys for specific age groups. But perhaps the most important thing a parent can do is to supervise play. The U.S. Consumer Product Safety Commission (CPSC) closely monitors and regulates toys. Any toys made in – or imported into – the United States after 1995 must comply with CPSC standards. Here are some general guidelines to keep in mind when toy shopping: Toys made of fabric should be labeled as• flame resistant or flame retardant. Stuffed toys should be washable.• Painted toys should be covered with• lead-free paint. Art materials should say nontoxic.• Crayons and paints should say ASTM D-4236• on the package, which means that they’ve been evaluated by the American Society for Testing and Materials. Toys should not be overly noisy, as this can• cause hearing damage. Toys should be age appropriate -- always• check packaging to make sure a toy is recommended for your child’s age. You may think that a child who’s advanced in comparison to peers can handle toys meant for older children. But the age levels for toys are determined by safety factors, not intelligence or maturity. Avoid older toys, even hand-me- downs from friends and family. Those toys might have sentimental value and are certainly cost-effective, but they may not meet current safety standards and may be so worn from play that they can break and become hazardous. How can I make sure toys remain safe at home? After you’ve bought safe toys, it’s also important to make sure children know how to use them. The best way to do this is by supervising play. Playing with your children teaches them how to play safely while having fun. Parents should: Check toys regularly to make sure that they• aren’t broken or unusable. For example, wooden toys shouldn’t have splinters, bikes and outdoor toys shouldn’t have rust, and stuffed toys shouldn’t have broken seams or exposed removable parts. Throw away broken toys or repair them• right away. Store outdoor toys when they’re not in use• so they are not exposed to rain or snow. Keep toys clean. Some plastic toys can• be cleaned in the dishwasher, but read the manufacturer’s directions first. Another option is to mix antibacterial soap or a mild dishwashing detergent with hot water in a spray bottle and use it to clean toys, rinsing them afterward. Teach children to put toys away.• What should I do if I think a toy is not safe? First, if you have any doubt about a toy’s safety, err on the side of caution and do not allow your child to play with it. And second, check the Consumer Products Safety Commission Web site at www.cpsc.gov for the latest information about toy recalls or call their hotline at (800) 638-CPSC to report a toy you think is unsafe What can we expect of this issue in 2008? With more and more products coming from overseas, many public officials are calling on Congress to ensure better enforcement of U.S. safety standards on foreign-made goods sold here, particularly those for children. Safety scares about popular toys will have parents on high alert when they’re picking out playthings and more vigilant about supervising children during play. 15 UPCOMING community education classes CPR Certification Course Dates: May 12, June 23, July 21, August 4, September 8, October 13, November 10 and December 8 Time: 6-10 p.m. This certification course teaches the American Heart Association chain of survival – from when to call 911 to how to effectively administer CPR to an infant, child or adult. This course is designed for anyone who may be expected to respond to emergencies at home or in the workplace. Participants must be at least 14 years old. Following the course, participants will receive an American Heart Association Heartsaver certification card. This course is $40 per person. Safe Sitter Dates: May 17, June 21, July 19, August 2 and 9, September 6 and 27, October 11, November 1 and 15, and December 6 and 13 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 $20 per person. Class size is limited, so preregistration is required for all classes. 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. Article edited and abridged from the KidsHealth section of www.etch.com. © 2008 The Nemours Foundation/KidsHealth. Used under license.
  • 16. Kool and the Gang takes Center Stage Since its inception in 1993, Center Stage has raised more than $2.5 million for Children’s Hospital. This year’s event was no exception to this fundraising success. The 16th annual black-tie gala took place April 12 at the Knoxville Convention Center. Guests enjoyed cocktails, hors d’oeuvres, a four-course dinner, and a concert by two-time Grammy Award winners Kool and the Gang. The concert was followed by an evening of dancing with live music from “City Heat.” Kool and the Gang has sold more than 70 million albums worldwide and has influenced music for three generations. Thanks to hits like “Jungle Boogie,” “Hollywood Swinging,” “Celebration,” “Cherish,” Summer Madness” and “Open Sesame,” they have earned two Grammy Awards, seven American Music Awards, 25 Top Ten RB hits, nine Top Ten Pop hits, and 31 gold and platinum albums. Children’s Hospital extends a special thanks to Bob and Wendy Goodfriend, who served as co-chairs for the 16th year. Children’s Hospital would also like to thank the Goodfriend Foundation, Pilot Corporation and LandAir for underwriting Center Stage, and to everyone who attended the event for helping to make it such a success. By Alyssa Phillips, student intern Wendy and Bob Goodfriend Kool and the Gang Kool and the Gang Diane and Dave Ross from Pilot Caine and Joey Ballard from the Niswonger Group