It's About Children - Spring 2011 Issue by East Tennessee Children's Hospital

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Information about It's About Children - Spring 2011 Issue by East Tennessee Children's...
Health & Medicine

Published on February 5, 2014

Author: etchbrian



Read the Spring 2011 issue of It's About Children Magazine by East Tennessee Children's Hospital.

“Dear Children’s” September 26, 2010 December 24, 2010 spital, dren’s Ho Dear Chil ays at had two st , Evan, has facilities My son times the al, and both Nobody likes your hospit top notch. ere ital, but and staff w in the hosp t ave a child al is somewhere tha to h Hospit Children’s e doctors to ence in th able. ave confid Ih tment avail e best trea er provide th Allen Trott le, Tenn. Louisvil pital, Dear Children’s Hos 9/24/10 nt in Room 246 from son, Adam, was a patie sm, My ed at the professionali 0. I was totally impress th my son. to 9/26/1 those who worked wi ion and team spirit of nderful compass le were absolutely wo Brittany and tech Ky His nurse and enthusiasm. a burst of happiness with him. Brittany is and the children she she loves her job taking You can see how much . He was wonderful in th. Kyle ... we adore him in the works wi easy task! I was upset stats, which is not an make as a Adam’s cisions that I had to thinking about the de set, and hallway to notice that I was up m. Kyle was so sweet nutes. single mo g me talk for a few mi orted me by just lettin gs to the he comf helped us with our ba it was time to leave, he W hen e 100 percent ial employees who giv u have two very spec car. Yo do. Susan Byczko tenfold to what they Jonesborough, Tenn. Handwritten note On The Cover: Shelby Smith of Knoxville Read her story on pages 4-6. Board of Directors Dennis Ragsdale, Chairman • Bill Terry, M.D., Vice Chairman Michael Crabtree, Secretary/Treasurer • Debbie Christiansen, M.D. • Dawn Ford Keith D. Goodwin • Steven Harb • Lewis Harris, M.D. • Dee Haslam A. David Martin • Larry Martin • Christopher Miller, M.D. • Steve South Laurens Tullock • Danni Varlan • Jim Bush, Chair Emeritus William G. Byrd, M.D., Chair Emeritus • Don Parnell, Chair Emeritus Medical Staff Lise Christensen, M.D., Chief of Staff • Mark Cramolini, M.D., Vice Chief of Staff Lori Patterson, M.D., Secretary Chiefs of Services Ken Wicker, M.D., Chief of Medicine Cameron J. Sears, M.D., Chief of Surgery Administration Keith D. Goodwin, President/CEO • Bruce Anderson, Vice President for Legal Services & General Counsel • Laura Barnes, R.N., M.S.N., C.N.A.A., B.C., Vice President for Patient Care • Joe Childs, M.D., Vice President for Medical Services Zane Goodrich, CPA, Vice President for Finance & CFO • Rudy McKinley, Vice President for Operations • Sue Wilburn, Vice President for Human Resources It’s About Children Staff Ellen Liston, APR, Fellow PRSA, Director of Community Relations Wendy Hames, APR, Editor • Neil Crosby, Contributing Photographer 2 Children’s Hospital is a Tobacco-Free and Smoke-Free Campus we received from Scarlett Warringto n A quarterly publication of East Tennessee Children’s Hospital, It’s About Children is designed to inform the East Tennessee community about the hospital and the patients we serve. East Tennessee Children’s Hospital’s vision is Leading the Way to Healthy Children. Children’s Hospital is a private, independent, not-for-profit pediatric medical center that has served the East Tennessee region for nearly 75 years and is certified by the state of Tennessee as a Comprehensive Regional Pediatric Center. “Because Children are Special…” …they deserve the best possible health care given in a positive, family-centered atmosphere of friendliness, cooperation and support -- regardless of race, religion or ability to pay.” …their medical needs are closely related to their emotional and informational needs; therefore, the total child must be considered in treating any illness or injury.” …their health care requires family involvement, special understanding, special equipment and specially trained personnel who recognize that children are not miniature adults.” …their health care can best be provided by a facility with a well-trained medical and hospital staff whose only interests and concerns are with the total health and well-being of infants, children and adolescents. Statement of Philosophy East Tennessee Children’s Hospital

Hospital NOTES Children’s Medical professionals join Children’s Hospital staff welcome the expertise Children’s Hospital is pleased to members, who joined of the following new medical staff our staff in 2010. • Laura Asbury, M.D., Pediatrics Radiology • Rachel Barker, M.D., Pediatric ic Dentistry • Charles Christ, D.D.S., Pediatr iatric Hematology/Oncology • John Stephen Corns, D.O., Ped ic Pathology • Thomas Eberts, M.D., Pediatr ics • Megan Gaddis, M.D., Pediatr ic Surgery • Ankush Gosain, M.D., Pediatr ic Vascular Surgery • Oscar Grandas, M.D., Pediatr ic Orthopedics • Gregory Hoover, M.D., Pediatr Surgery • Eric Jensen, M.D., Pediatric and Pediatric Allergy • Karthik Krishnan, M.D., Adult and Immunology Pediatric Pulmonology • Michael McCormack, M.D., iatrics • Andrea Meadows, M.D., Ped ics • Robin Michaels, M.D., Pediatr D., Pediatric Hospitalist Service • Joni Oberlin, M. Allergy and Immunology • Erin Rohman, M.D., Pediatric ic Ophthalmology • Allyson Schmitt, M.D., Pediatr ic Emergency Medicine • Michelle Smoot, M.D., Pediatr ic Otolaryngology • Heath Tennyson, M.D., Pediatr by Taylor Griffin, student intern Fantasy of Trees brings holiday cheer to Knoxville Upon entering the 26th annual Fantasy of Trees November 2428, guests were immersed into a wor ld of twinkling snowflakes, brig ht-colored decorations and reindeer at play —all at the Knoxville Conventio n Center. This year’s Fantasy of Trees kick ed off the Knoxville holiday sea son for 57,600 guests with the theme “Have a Holly Jolly Christmas” and was one of the most successful years in the event’s history. Fantasy of Trees showcased hun dreds of designer trees, wreath s and decorations, a Gingerbread Vil lage, children’s activities and ent ertainment for the whole family at the Fan tasy Theatre. Other attractions included visits with Santa, carousel rides, holida y shops and a Babes in Toyland parade. More than $351,000 was raised at Fantasy of Trees; funds are bein g used to buy much needed equipm ent for the Children’s Sleep Me dicine Center and the laboratory dep artment. The Fantasy of Trees staff wou ld like to thank the more than 10,500 volunteers who donated thousa nds of hours throughout 2010 to make the event such a success. Childr en’s Hospital extends many tha nks to all volunteers and visitors for their support. Plans are already underway for the 2011 Fantasy of Trees, which will feature a theme of “Rockin’ Aro und the Christmas Tree.” The 201 1 co-chairs are Todd Heptinstall and Genia Jack son, and the assistant co-chair is Janice Davis. The Fantasy of Trees has created holiday memories for more tha n one million guests and raised more than $5.7 million for Children’s Hospital since it began 26 years ago. by Claire Quinn and Taylor Gri ffin, student interns gertips ur fin Health tips at yo Hospital’s ownloads app tops 1,000 d dropping off one y ahead of you – first, You have a crazy da school, then other at the elementary ild at preschool and the ch th children ily before picking up bo and errands for the fam work to remember the pointments. You have for different doctor ap ords, past surgery and immunizations rec correct insurance cards child is taking. what medications each ormation and a list of inf u need for your all the information yo How can you manage at you need ital has a solution for wh health? Children’s Hosp children’s ur iPhone or iPad. the go – an app for yo to know when you’re on ore for iPhones, able now at the App St This FREE app is avail Healthcare & “East TN Kids” in the and iPads; it is named 00 iPhone/ iPods . Already, more than 1,0 tion of the App Store Fitness sec In addition to wnloaded the new app. iPod/iPad users have do p and directions l information and a ma viding general hospita pro Children’s Hospital and on the best way to get to lets you keep your where to park, the new app in one convenient place children’s medical history at all times. Use the – in a device that’s with you keep information Children’s Hospital app to ns, allergies and about your kids’ medicatio emergency contacts, immunizations, as well as ted, so erything is password protec right at your fingertips. Ev information is secure. p hundreds of articles to hel The new app also features n of the tio ation. The KidsHealth sec parents with medical inform neral Health; First Aid categories: Ge app includes the following & Behavior; ms; Infections; Emotions & Safety; Medical Proble Pregnancy & Nutrition & Fitness; and Growth & Development; Newborns. 3

Shelby Parenting is really an adventure, and sometimes quite a stressful one at that. Some children make it more of an adventure, and sweet little Shelby Smith of Knoxville is certainly one of those. For her parents, Millicent and Seth Smith, Shelby is a tremendous joy who has come a long way in a short amount of time since her birth in October 2006. Born three months early in an emergency cesarean section at UT Medical Center, Shelby weighed two pounds, 11 ounces and was 14 inches long. Millicent, the Social Studies Supervisor for grades K-12 for Knox County Schools, had experienced severe pre-eclampsia (high blood pressure and some other pregnancy complications), which resulted in the need to deliver Shelby so early for the protection of both mother and baby. A 100-day stay in the Neonatal Intensive Care Unit at UT Medical Center was just the first of Shelby’s many experiences with hospitalization and health care, according to Seth, who is an Assistant Principal and the Athletic Director at Carter High School in the Knox County School System. Shelby had a few medical problems identified early on, not all of which were related to her prematurity. She had a submucous cleft palate (an opening in the palate on the roof of her mouth, a birth defect that occurs early in pregnancy); a congenital heart defect called patent ductus arteriosis, or PDA (the ductus arteriosis in the heart is supposed to close on its own shortly after birth, but it did not in Shelby’s case); and underdeveloped lungs due to extreme prematurity. Shelby had a PDA ligation surgery while in the NICU at UT to correct the heart defect, so this problem was taken care of early on. Her other issues, however, took a bit more time and numerous hospital visits to address. Throughout it all, Shelby has been under the primary care of pediatrician John Rochester, M.D., of Rochester Pediatrics, a Children’s Hospital- affiliated practice. Dr. Rochester had been Millicent’s pediatrician during her childhood, as well. Shelby’s underdeveloped lungs gave her the most significant problems during her first few years, according to her parents. Her first procedure – and first overnight stay – at Children’s Hospital was a bronchoscope when she was two years old. Sterling Simpson, M.D., of Pediatric Pulmonology and Respiratory Care at Children’s Hospital, performed the procedure to examine Shelby’s airway. Dr. Simpson and his colleagues, Drs. John Rogers and Eduardo Riff, followed Shelby for a few years at their pediatric pulmonology practice until she outgrew 4 the prematurity-related lung issues. Through their office, Shelby also received monthly Synagis shots during RSV season (fall and winter) for the first two years of her life to prevent respiratory syncytial virus (RSV) – a potentially life-threatening virus for children such as Shelby with issues of prematurity and underdeveloped lungs. Unfortunately and in spite of the many efforts to keep her healthy, Shelby developed serious cases of other viruses – both seasonal influenza and H1N1 influenza (“swine flu”) in fall 2009, again leading to an overnight stay at Children’s Hospital. Her lung issues made the flu viruses a greater concern, but she fully recovered. Last year Shelby made a pair of significant visits to Children’s Hospital. In April, pediatric otolaryngologist (ENT) Mark Ray, M.D., performed a furlow palatoplasty, a surgical procedure to correct her cleft palate. Again, she spent a night at the hospital. A cleft palate is not life threatening, but it can have long-term effects on the patient, such as causing difficulties with feeding and speech development. “While that surgery was complicated and resulted in stitches and quite a bit of pain initially, it has had a tremendously positive impact on her speech and language development,” Millicent said. “Her recovery was swift and uneventful. This procedure has had the most positive impact on her development – we are elated with the results.” Shelby and her parents were fortunate to have the services of Dr. Ray available when they needed him. Dr. Ray joined Pediatric Otolaryngology-Head and Neck Surgery, PLLC, in January 2009, joining Drs. John Little and Michael Belmont in the practice at Children’s Hospital. Dr. Ray’s arrival brought specialized experience in cleft surgeries to the group as well as to Children’s Hospital. During his pediatric otolaryngology fellowship in Arkansas, Dr. Ray participated in training that was heavily weighted toward cleft lip and palate repair. He was involved in the care of 700-800 cleft patients while he served as co-director of the cleft team. He performs cleft lip and cleft palate surgeries regularly and has established East Tennessee’s first multidisciplinary cleft treatment team recognized by the

About Me Name: Shelby Zoe Smith Age: 4 n Early School and grade: Preschool at Bearde ily’s church, Enrichment Program at the Smith fam Bearden United Methodist of humor and Personality traits: An awesome sense very independent. any other word Words she can say: “Palatoplasty” and Dr. Ray! she wants or needs to say, thanks to ! Favorite color: Pink and purple – equally Favorite food: Macaroni and cheese ween “Tangled” Favorite movie: Right now, a toss-up bet time, it could and “Cinderella.” However, at any given be any princess or Tinker Bell movie. thing with Favorite TV show: Disney Channel or any music, dancing and singing g by Taylor Swift Favorite song: “Love Story” or anythin John and Favorite game: Hide ’n’ seek with cousins z at any Sam Beaty and Bryce Rivers; also a whi matching game. ly, Busybodies Favorite school subject/activity: Assemb es/games/ (a program of physical activity/exercis e gymnastics/ once per week) and any tim they sing and dance ses Likes: Music, singing, dancing and princes read to others. What I do for fun: Read and pretend to lly to cook, Play “pretend” games in general – especia tumes. I love play store and dress up in princess cos with my daddy. to go to football and basketball games music, shows I love the Vols! I’m an expert at finding and iPad. and games on my parents’ iPod Touch 5

Shelby American Cleft Palate Association. He also bonded well with Shelby. “Shelby is particularly fond of Dr. Ray and his nurse, April,” Millicent said. “She responds to them quite well.” As the Smiths sought care for each of Shelby’s problems, they made careful choices as to the providers who would care for their daughter. When Shelby needed ear tubes, the Smiths turned to family friend Dr. Leslie Baker of Greater Knoxville Ear, Nose & Throat, an otolaryngologist, for her expertise to perform that surgery. Dr. Baker determined that Shelby might have the submucous cleft, and she referred Shelby to Dr. Ray. “She helped us get the initial appointment and was in communication with Dr. Ray regarding her concerns with Shelby’s palate and speech,” Millicent said. “We are so grateful to her for that.” The Smiths then did some research into Dr. Ray and his skills/training. “I began looking into Dr. Ray and his background,” Millicent said. “I was told he is one of the only doctors – if not the ONLY one – in our area to perform the furlow palatoplasty. That is a little scary as we really didn’t have a lot of options should we not be comfortable with him. I found Dr. Ray has traveled the world helping kids with cleft palates much more severe than Shelby’s and for those with little access to proper health care and support, and he has five children of his own. “And, when we had our first consultation, I decided to ask him for myself: ‘Are you good at what you do?’ He was a little shocked at this question as he said he had never been asked it before,” Millicent said. “I felt like a doctor should have the confidence to tell me he thinks he is good. He said, ‘I would say I’m in the top 10 percent.’” Millicent also researched the furlow procedure itself, first performed by Leonard T. Furlow, Jr., M.D., of the University of Florida in the 1980s. “Dr. Ray gave us statistics regarding the success of the procedure, which I later corroborated via my research,” Millicent said. “I think, while there is still room for improvement as she grows and matures, the prediction of Shelby’s success has come to fruition. “After our experience with him, I would say Dr. Ray was being modest,” Millicent said. “Shelby is thriving and her speech – and her confidence – are getting better every day.” Even just hours after Shelby’s surgery, Millicent and Seth were feeling tremendous confidence in Dr. Ray’s skills in caring for their daughter. “When we were in our room the evening after surgery, a little girl was admitted into the bed next to us,” Millicent said. “Her family was very anxious as the girl would require surgery for her condition, and they did not know the doctor. The next day, when Dr. Ray came in to visit Shelby, the family saw he was the same doctor who would perform their daughter’s surgery. “After Dr. Ray left, they immediately came over to our side of the room to inquire about him,” Millicent continued. “After 6 speaking with us, I think they felt much better and more at ease with him performing the surgery on their daughter. We recommended him then, even before we could know the longterm results of Shelby’s surgery. His bedside manner, his forthrightness, his confidence, his knowledge, his expertise – all those things comforted us and allowed us to comfort another family.” In December, the Smiths were back at Children’s Hospital – this time for their first trip to the Emergency Department. “Shelby ran into the pantry door in our kitchen and got a nasty gash on her forehead,” Millicent said. “The ER staff was amazing and not only took great care with Shelby, but attended to my needs as well. I was a little shaken, and the staff made every effort to comfort all of us while giving Shelby the best possible care. She barely even has a scar from the injury, which required five stitches!” The major thing Shelby remembers about her 2010 visits to Children’s Hospital is her stitches – both the ones she had in her mouth after the palatoplasty and the ones she had on her forehead following the pantry door incident. She was “all about” following the doctors’ orders for taking care of them and protecting them, Millicent said, adding that Shelby has a definite dislike for a few other aspects of her health care – notably, getting shots and having her finger pricked for blood work. Shelby is very familiar with the hospital and is quite used to being there. “She knows it is where you go to get better,” Millicent said. “I do not think she necessarily associates it with something ‘bad.’ I think that is a testament to the doctors, nurses and staff who have attended to her on her many visits. She is very interested in hospitals and has even said on occasion that she wants to be a doctor, saying that ‘They have to go to college.’ “She has a doctor’s kit, and she likes to ‘pretend’ to give shots and put on band-aids,” Millicent continued. “It is funny – any time she ‘doctors’ any of us adults, we ALWAYS need a shot! I guess it is her ‘payback.’ ” The Smiths appreciate the care and attention the entire family receives whenever they are at Children’s Hospital. “Even though our trips to Children’s Hospital are usually under stressful circumstances, we have always had the best experience. Everyone is helpful, caring and quick to attend to Shelby’s (and her parents’) needs,” Millicent said. “All the doctors and nurses take time to answer questions and explain medications and procedures thoughtfully.” These days, after four years of parenting adventures for Seth and Millicent, they are proud to say that Shelby is “doing fabulously.” At about 37 pounds and 40 inches, she has grown significantly since her too-early arrival. She is active and loves to sing, dance, swim and read books. And post-surgery, she is now able to say anything she wants to say, including the clinical name of her cleft palate surgery – “palatoplasty” – a word over which many adults would surely stumble.

Pediatrician Profiles Andrea Meadows, M.D. John W. Wilkinson, M.D., F.A.A.P. Age: 36 Family: Wife, Sabrina; daughters Ali (3) and Bella (2) Age: 32 Family: Husband, Tom Meadows Name of Pediatric Practice: LaFollette Pediatric Clinic; Lafollette, Tenn. Personal Interests: Running, cycling and cooking. Academic Background/Prior Experience: B.S. – Marshall University, Huntington, W.V., 2000 M.D. – Marshall University, 2004 Internship and Residency: University of Kentucky, Lexington, Ky. Internship: 2004-05; Residency: 2005-07 Name of Pediatric Practice: Knoxville Pediatric Associates, Weisgarber office Personal Interests: Most importantly, I enjoy spending time with my family, playing with my two lovely girls and laughing with my beautiful wife. When time permits, I enjoy running, playing and watching basketball, reading, golf and football. Academic Background/Prior Experience: B.A. – Bellarmine University, Louisville, Ky., 1996 M.D. – Indiana University School of Medicine, Indianapolis, Ind., 2000 Internship and Residency: University of Tennessee College of Medicine, Memphis. Internship: 2000-01; Residency: 2001-03 Additional Experience: Private practice at Hamblen Pediatric Associates, Morristown, 2003-10 Additional Experience: Private practice at Lexington Clinic in Kentucky, 2007-10 Why Pediatrics? As a child, I realized the impact a physician can have in the life of a child. I also remember aspiring to be in a position to have that same positive influence. Naturally, this led me into medicine and pediatrics. Why Pediatrics? I chose pediatrics because during my clerkship, I enjoyed going to work every day and realized that I was disappointed when the clerkship was over. I knew that working with kids every day would mean I would always enjoy work. Philosphy: My greatest responsibility as a pediatrician is to provide quality medical care with a foundation in evidence-based medicine, preventive care and the ultimate goal of equipping my patients with the ability to make appropriate lifestyle choices so they can enjoy a healthy adult life. Greatest Influences: My parents, who instilled a wonderful work ethic in me; and Dr. Ratcliff, my childhood pediatrician and instructor in medical school. Greatest Influences: The many physicians I have been privileged to know – my own childhood pediatrician, the attending physician I worked for in school and residency, my mentors and my colleagues – throughout my life have helped mold me into the pediatrician I am today. Proudest Moment as a Pediatrician: Moments when a child or parent says “Thank you. You have really made a difference in our life.” Proudest Moment as a Pediatrician: I have been blessed to enjoy many proud moments in my career. But I think the small things patients do – the pictures they draw or color for me, the Christmas cards they send, the school pictures they give every year, the hugs I receive at the end of an office visit – are the things I treasure most. 7

Leading The Way Children’s Hospital vision statement is “Leading the Way to Healthy Children.” In this series in It’s About Children, we are sharing with our readers some of the many ways we are “Leading the Way.” Outstanding practices by Children’s Hospital departments are highlighted – things that are, although quite commonplace at our pediatric medical center, actually rather unique. This series showcases the exceptional work done at Children’s Hospital and demonstrates how the hospital is a great place to work. Children’s Hospital promotes breastfeeding to make newborns healthier Children’s Hospital’s position on breastfeeding has always been that it is one of the most important things a new mother can do for her baby. Now, more than ever before, research shows that breastfeeding provides babies with protection from many medical complications including ear infections, gastrointestinal infections, severe lower respiratory infections and necrotizing enterocolitis (a condition affecting the intestines of premature infants). Breastfeeding also is associated with lower rates of sudden infant death syndrome, childhood obesity, type 2 diabetes and leukemia in babies. Mothers also benefit from breastfeeding, because it reduces their risk for type 2 diabetes, breast cancer and ovarian cancer. Hospitals across Tennessee have incorporated this critical knowledge into a push for mothers to breastfeed and, in turn, reduce infant mortality (death) and morbidity (illness and disease) rates. The importance of breastfeeding is being heavily stressed to mothers at Children’s Hospital, especially in the Haslam Family Neonatal Intensive Care Unit (NICU) and during transport of babies to the NICU. New mothers are given written materials and are educated verbally at the time of transport from the hospital where their baby was born to the Children’s Hospital NICU. Mothers who are not able to provide breast milk have the option of their baby being given donated breast milk from the WakeMed Mother’s Milk Bank in Raleigh, N.C., to supply the baby with the protection and benefits of breastfeeding. The state of Tennessee has one of the highest infant mortality and morbidity rates in the country. After the governor’s office provided a grant to help improve the health of children in Tennessee, a group of key stakeholders involved in infant care set a goal of urging breast milk use to improve infant outcomes. Children’s Hospital, along with The Regional Medical Center at Memphis, Monroe Carell Jr. Children’s Hospital at Vanderbilt and Parkridge East Hospital in Chattanooga, were the four initial participants in the planning and implementation of these best practices in a collaboration through the Tennessee Initiative for Perinatal Quality Care (TIPQC). This quality improvement initiative has proven successful and has now begun in additional hospitals with NICUs throughout Tennessee. (See page 14 for more on TIPQC.) “Breastmilk can be considered a baby’s first immunization by helping build a stronger immune system and providing immune benefits for infants,” said LeAnne Gibbs, Children’s Hospital lactation consultant. “All of the evidence concurs that this is also the best nutrition for infants.” 8 A newborn is transported to Children’s Hospital for care in the Haslam Family Neonatal Intensive Care Unit. In addition to teaching new mothers about the benefits of breastfeeding, Children’s Hospital is taking the initiative to promote breastfeeding to the community through framed educational posters given to obstetricians’ offices in the hospital’s 16-county service area, as well as through outreach education programs. “This collaboration seeks to improve outcomes for infants by using evidence-based best practices,” Gibbs said. “Based on all the valuable research available, we know that providing infants with breast milk for their nutrition and immune system gives them the best start to life. We are fortunate to be a part of this statewide effort and to have the support we need from our staff, physicians and administration to increase the use of breast milk in our NICU.” by Taylor Griffin, student intern

Coordinator, hospital receive Safe Kids USA awards As coordinator for Safe Kids of the Greater Knox Area, Susan Cook is often found around the community promoting injury prevention by fitting bike helmets on children and teaching the importance of using proper safety equipment or teaching parents/caregivers about ways to keep their children safe around water, fire and poisonous materials. She also is often at car seat checkpoints throughout East Tennessee teaching parents and caregivers the appropriate way to install a car seat and the best practices in regard to child passenger safety. When Susan is not out in the community, she spends her time at Children’s Hospital in the Community Relations Department working on grants and other educational efforts to prevent unintentional injuries in children. It comes as no surprise, then, to announce that Cook has been chosen as the 2010 Safe Kids USA Local Coordinator of the Year. This award is given to the one person out of more than 600 coordinators nationwide “best exemplifying the spirit, drive and integrity of advancing child safety,” and it is one of the highest honors given by Safe Kids. Cook has been exceeding these standards since the summer of 2008 when Children’s Hospital became the lead organization for Safe Kids of the Greater Knox Area. By taking on this partnership, Children’s Hospital was given an opportunity to extend Safe Kids’ reach to the entire East Tennessee region served by the hospital. Since 2008, Children’s Hospital has supported Safe Kids of the Greater Knox Area in participating in health and safety fairs, car seat checkpoints, bike fairs, safety seminars and classes for parents and caregivers, and media awareness campaigns. Because of these efforts, Children’s Hospital was named the 2010 Safe Kids USA Outstanding Lead Organization. This award is another one of the honors given each year and is presented to a lead organization that puts forth extraordinary efforts for that year. “I feel honored to have been chosen as the Safe Kids USA Coordinator of the Year, but it would not have been possible without the support of our great partners and such a great lead organization,” Cook said. Since winning the award in October, Cook has been working to secure additional grants to help Safe Kids of the Greater Knox Area and Children’s Hospital in promoting fire, bike and helmet safety. For the first time ever, a pedestrian safety grant was awarded to this Safe Kids coalition and will be used to promote safe walking and to recognize issues in the community that could be dangerous to pedestrians through photos taken by students. This grant should help promote injury prevention and changes in behavior for the East Tennessee region. Cook assists at car seat checkpoints monthly in four of the 16 counties served by Safe Kids of the Greater Knox Area. These checkpoints are a free community service for any parent with children who are required by law to be in a child passenger restraint Safe Kids Coordina tor Susan Cook exam ines a car seat to be is correctly installe sure d. it system. Cook and other certified car seat technicians test the installation of the car seat and ensure the seat is installed properly. The remaining 12 counties served by this Safe Kids coalition have at least one car seat checkpoint each year. Safe Kids USA is one of 19 Safe Kids Worldwide member countries that promote the prevention of unintentional childhood injury. The death rate for unintentional injuries in children ages 14 and under has declined by a significant 45 percent in the 22 years since Safe Kids was created. by Taylor Griffin, student intern 9

What’s New at Telethon 2011 Wrap-Up When the telephones stopped ringing and volunteers wrote down the final donations at 11:30 p.m. on January 30, it was obvious the 29th annual Children’s Miracle Network Hospitals’ Telethon was another success. Kicking off 2011 with a bang, the annual telethon raised more than $1.15 million through individual pledges and corporate donations. This Knoxville tradition has lasted for nearly three decades, thanks to the many donors and sponsors that contribute yearly. The telethon took place Sunday, January 30 from 3-11:30 p.m., live on WBIR-TV Channel 10. The broadcast was filled with check presentations from donors; coverage of hospital activities; local personalities urging viewers to make a pledge; and inspiring stories of children who have been or are currently patients of Children’s Hospital (see additional photos, page 20). A variety of new and sophisticated medical equipment will be purchased with the funds raised from this year’s telethon. This equipment not only ensures that all patients will continue to receive high-quality care at Children’s Hospital but also keeps the hospital on the cutting edge of the newest pediatric medical technology while helping continue “Leading the Way to Healthy Children.” Children’s Hospital was one of only 22 hospitals to participate in the first telethon in 1983 and is a charter member of the Children’s Miracle Network Hospitals. Since the telethon’s inception, more than $33 million has been raised for the hospital, and community support has grown substantially. Children’s Hospital would like to thank everyone who was involved in the telethon this year, including corporate sponsors Ace Hardware, The Butterfly Fund, Carmike Theatres, Center Stage, Children’s Hospital Volunteers, Children’s Hospital Committee for the Future, Dairy Queen, Dance Marathon Council (UT, Knoxville), Kiwanis Clubs, Food Lion, Fred’s Discount Stores, Golden Corral, Great Clips, IHOP, Journal Broadcast Group for the Star 102.1 Radiothon, Kroger, Love’s Travel Stops and Country Stores, Marriott Business Services, Baseball for Babies Tournament, Phi Mu sorority (UT, Knoxville), Phonathons, Re/Max Realty and Josh the Dog, Rite Aid, Security Finance, Tri Delta sorority (UT, Knoxville), USA Gymnastics, Walmart, Walmart SuperCenters and Sam’s Clubs. Special thanks to WBIR-TV Channel 10 and the many volunteers for their decades of support in helping this area’s children stay healthy. by Taylor Griffin, student intern Lobby and waiting area renovation complete Children’s Hospital’s main and lower lobbies are brand new, thanks to an extensive $1 million makeover and expansion, with $500,000 of the funding from a donation from the Regal Foundation (part of the Regal Entertainment Group). Construction began at the end of May 2010, and the project is receiving final touches now. The main waiting area features a water wall and a new roof with three 6-foot skylights. Due to the enclosure of the former atrium, the waiting area is now twice its previous size and can seat nearly 60 people comfortably in movie-theater style chairs (the chairs are fixed, non-folding, for safety). In addition, a fifth registration station has been constructed to help during busy registration times. Two play areas in the waiting section will help keep children entertained, and a new coffee shop offers beverages for families waiting to be seen. Other changes include a Family Restroom 10 with a full changing table and a lactation room for nursing mothers and their infants. The lower main lobby received a much needed makeover and now features design changes with bright colored walls and floors, larger than life-size photos of children, and a display case for art exhibits. Due to be completed in late February, these renovations will provide a waiting space in a comforting atmosphere for patients and their families. Regal’s donation, which totaled $750,000, also provided an expansion to the Pre-Operative Holding and Family Waiting Areas in Surgical Services. There is now a bigger space for families and patients to stay together up until a few moments before surgery. For more information about this project, visit by Claire Quinn, student intern

What’s New at Children’s Hospital now offers a non-invasive, virtually painless treatment for chest deformities   You remember the teenage years … the braces, growth spurts, ever changing groups of friends and feeling, oh, so uncomfortable in your own body. Then imagine being a teen diagnosed with a “deformity”- a protrusion of the chest or a chest that is sunken. Chest deformities are caused by an abnormal growth of the rib cartilages. The abnormal growth pushes the sternum either inward (toward the spine) or outward (away from the chest plane). Until last year, patients with a protruding chest, also known as Pectus carinatum or pigeon chest, were referred to other children’s hospitals in cities like Cincinnati or Nashville for bracing or extensive surgery. But now, pigeon chest can be treated at East Tennessee Children’s Hospital with a completely non-invasive, virtually painless brace. Pigeon chest makes up about 5 percent of all chest wall deformities. Symptoms include pain, abnormal heartbeat, decreased exercise tolerance, a negative self image and often a hunched posture in an effort to hide the chest deformity. The cause of pigeon chest is unknown but usually starts in the early teenage years around ages 10-12 and becomes worse during growth spurts. Chest deformities occur in approximately four people in every 1,000 and are more common in boys. Dr. Carlos Angel, pediatric surgeon at Children’s Hospital and managing partner of East Tennessee Pediatric Surgery Group, investigated the T-Joe Bracing System as a way to correct pigeon chest with a custom-fit brace. Dr. Angel contacted Joe Porcello, creator of the T-Joe Bracing System, and requested his services at Children’s Hospital. The T-Joe Bracing System is used nationally and internationally to correct from the mildest to the most severe cases of pigeon chest without surgery. The child is fit with a custom brace that fits flush with the skin. The bracing program only takes about 8-12 months to complete, and the child must wear the brace 24 hours a day. The brace is inconspicuous and barely visible under clothing. The brace does not disrupt the child’s lifestyle, and the child can practice almost any sport or do any physical activity while wearing the brace. “Most children do not complain of any discomfort from the bracing system, and the outcomes are excellent,” Dr. Angel said. Porcello visits Children’s Hospital every two months to fit new braces, evaluate established patients and make adjustments to their braces. Pigeon chest does not often reoccur, but if it does, the child will continue to wear the brace for compression only during certain hours of the day, similar to a retainer in the mouth after orthodontic procedures. Porcello is also an athletic trainer, so the brace not only corrects pigeon chest but also improves posture and strengthens core muscles. The T-Joe Bracing System is also used to correct ribs that protrude, a condition called costal arches or flared ribs. Dr. Angel and his partner, Dr. Eric Jensen, also treat patients with sunken chests, known as Pectus excavatum or funnel chest, which makes up 90 percent of all chest wall deformities. Funnel chest is marked by pain, abnormal heartbeat, decreased exercise tolerance and low selfesteem. Drs. Angel and Jensen perform a minimally invasive technique to repair funnel chest; a curved steel bar is inserted under the sternum Left: Carlos Angel, M.D., pediatric surgeon Below: Joe Porcello with Children’s Hospital patient Jacob John Hay through two small lateral incisions. The bar causes the cartilage to reshape, and the bar stays in place for a minimum of two years. The bar is not visible from the outside, and physical activity is not restricted except in the first three months after the procedure. Children’s Hospital is always looking for ways to evolve and improve its medical care. With the addition of the T-Joe Bracing System to the treatments that Children’s Hospital offers, many patients’ lives are improved. Now, not only is surgery avoided, but children are also able to continue everyday activities with minimal discomfort. by Hayley Martin, Public Relations Specialist 11

What’s New at Henley Bridge closed for 24-30 months Getting to Children’s Hospital from south of the city of Knoxville may be a bit more difficult for the next two to three years. The Tennessee Department of Transportation closed the Henley Bridge in Knoxville on January 3 for an estimated 24-30 months for an extensive bridge rehabilitation project. TDOT contractor Britton Bridge, LLC, will carefully dismantle the bridge down to the concrete arches, which will be salvaged. An estimated 24,000 tons of concrete and 800 tons of steel will be recycled as crews remove it from the structure. Work is expected to take place six days a week for 10-12 hours each day. TDOT staff are closely monitoring the official detour route from Chapman Highway to Moody Avenue to James White Parkway. TDOT is also working with the City of Knoxville to monitor alternate routes. “We realize that this is a new traffic pattern, and we evaluate signalization, pavement markings and signage to help the motorist to adjust to the detour around the Henley Bridge,” TDOT Region One Director Steve Borden said. “We ask that drivers pay close attention to the signs and remain patient while travelers learn the new traffic pattern.” Meanwhile, detour maps and Henley brochures are available at the Henley Bridge Community Center at 220 East Blount Avenue, Monday through Friday, from 8 a.m. to 5 p.m. The phone number is (865) 577-6988. For more information, detour maps and video of the project (via cameras on top of Neyland Stadium and Mercy Riverside, formerly known as Baptist Hospital), visit or follow the project at The official detour es White will utilize Jam oody Parkway and M Avenue. Chapma Highway n will NOT close . Access bet ween Moody A venue an d Blount A venue wil l be mainta ined. Family Advisory Council gives hospital support and guidance As the end of its second year approaches, the Children’s Hospital Family Advisory Council has reviewed its first two years’ progress and is refocusing on goals for the future. Five new members were added to the council last fall, and five more will be added this spring. The Family Advisory Council was created in 2008 to bridge the gap between families and Children’s Hospital staff in patient care. The council gives patient families a voice in determining the programs and policies that affect their children’s care at the hospital. Some of the council’s accomplishments in the past year included providing input and support for the new Tobacco- Free Policy that went into effect on January 1. The council also helped with the “No Surprises” initiative to keep patient families informed about medical procedures and billing information before they arrive at the hospital. Looking to the future, council members are filming “Family Stories” to be used for training new employees and 12 physicians beginning in March. Council members will also provide input for parking garage improvements to make parking easier for families in case of an emergency. Several Children’s Hospital staff members provide support for the 14-member Family Advisory Council: Laura Barnes, Vice President for Patient Care Services; Dr. Joe Childs, Vice President of Medical Services; Keith Goodwin, Children’s Hospital President/CEO; and Mary Pegler, Director of Child Life. Among its many objectives, the Family Advisory Council aims to provide input for hospital facility planning and development, support hospital departments by offering feedback and advice for various projects, provide oversight for other hospital-related family committees and councils, and educate parents and staff members on a variety of topics. The Family Advisory Council welcomes comments, ideas and suggestions. If you would like more information about the council or want to get involved, visit Children’s Hospital’s website at by Claire Quinn, student intern

What’s New at Knoxville recreation centers host art projects for Art of Healing program   In an effort to brighten the halls and walls of Children’s Hospital for the “Art of Healing” program, Knoxville Arts & Fine Crafts Center conducted three art projects for children at recreation centers around Knoxville in 2010. These projects resulted in an outlet of expression for the children creating the art at the recreation centers, as well as colorful artwork for patients at Children’s Hospital to enjoy. The latest art project took place at the Cal Johnson Recreation Center and was led by Knoxville Arts & Fine Crafts Center Director Cathy Maples, who spent an afternoon with the children creating watercolor paintings of things enjoyed in nature. Rainbows and sunflowers were just a few of the creative paintings that resulted from the theme. Once the paintings were finished, they were matted and given to Children’s Hospital to display on patient floors. “This project was developed to be a fun and rewarding experience for the recreation center children,” said Elise Murphy, art specialist at Knoxville Arts & Fine Crafts Center. “It provided them with a chance to express themselves while knowing that their finished pieces would not be their own, but rather would go to the hospital to be placed on display and brighten the halls of the public areas and patient floors.” The artwork created by the children at the recreation centers will soon be seen throughout the hospital, where it will serve to inspire and encourage children their own age who are going through a potentially difficult time. by Taylor Griffin, student intern e Children participat e art in one of th classes last fall at the Cal Johnson Recreation Center. Children’s Hospital, UT Medical Center collaborate for enhanced pediatric care Children’s Hospital and the University of Tennessee Medical Center have entered into a collaboration involving the provision of nurse staffing for the UT Medical Center pediatric intensive care unit (PICU). Beginning January 15, this unit (which provides Level I pediatric trauma care as well as advanced care for pediatric patients undergoing heart surgery and/or renal transplants) is now staffed by intensive care nurses from Children’s Hospital. The collaboration assures patients requiring intensive care at either hospital will continue to receive the very best care possible. Under this management agreement, the PICU at UT Medical Center will be staffed by Children’s Hospital nursing employees. Physician staffing remains the same, as the hospitals have long allowed doctors to have privileges at both facilities. Allied health professionals, including audiologists, physical therapists, occupational therapists, pharmacists, registered dietitians and care management associates, will remain employees of UT Medical Center. The organizational shift for the nursing staff allows the flexibility for registered nurses and nursing assistants to move between Children’s Hospital and UT Medical Center, depending on the patient care needs at either/both institutions. The model is expected to result in more consistent nursing coverage and the ability to “flex” up and down as patient demands change. This collaboration reflects an ongoing commitment by both UT Medical Center and Children’s Hospital to work together to assure the continued advancement of the highest quality of care for the children of our region. As the only comprehensive regional pediatric center in East Tennessee, Children’s Hospital serves as the safety net provider for pediatric care. As the region’s only Level I trauma center, UT Medical Center provides essential support for children suffering from trauma as well as serving as the home for both pediatric heart surgery and renal transplantation. “As an intensive care unit physician who has provided care in both hospitals for 10 years, I see this nursing collaboration agreement providing the opportunity to enhance the care of critically ill or injured children in our region,” said Dr. Joe Childs, Vice President for Medical Services at Children’s Hospital. “Trauma needs are high at UT Medical Center during the warmer months, and critical illnesses increase during the fall and winter at Children’s Hospital. This system allows the experts in pediatric critical care nursing from both institutions to combine into one coordinated team, with the ability to flex to the area with the highest demands.” The new agreement does not have an impact on neonatal intensive care, as both hospitals will continue to independently operate their Neonatal Intensive Care Units. Additionally through the agreement, the care for general pediatric cases currently at UT Medical Center will now be shifted to Children’s Hospital. 13

What’s New at TIPQC and Children’s Hospital focus on reducing Tennessee’s infant mortality rate   The perinatal period, or the time right before and after the birth of a child, is a critical part of a baby’s life. It is during this time that a variety of conditions can arise and eventually lead to one of the many diseases that can cause the death of a newborn. The state of Tennessee has one of the highest rates of infant mortality nationwide, and when compared to other states, Tennessee is ranked 45 out of 50. That’s why the Tennessee Initiative for Perinatal Quality Care (TIPQC) was created just a few years ago—to focus exclusively on improving health outcomes for mothers and infants throughout the state by uniting hospitals in a perinatal quality collaborative designed to improve birth outcomes and implement performance improvement initiatives. The stakeholders that have united to form this collaborative include 25 of 27 Neonatal Intensive Care Units (NICUs) statewide. With East Tennessee Children’s Hospital as a participating hospital, this collaboration set goals that include decreasing the chances of infant death and sickness by promoting practices that decrease the risk of Central Line Associated Blood Stream Infection (CLABSI) and by promoting breastfeeding. Children’s Hospital was the lead hospital in the TIPQC’s CLABSI project, which focuses on the elimination of CLABSI in participating NICUs. Beginning in 2010, this project was piloted by Children’s Hospital as well as Jackson-Madison County General Hospital, Johnson City Medical Center, TC Thompson Children’s Hospital in Chattanooga and the TIPQC team. This effort proved to be successful within its first year by decreasing CLABSI occurrences at Children’s Hospital from 20 to three. Through this initiative, breastfeeding was identified as an extremely necessary activity to provide immunization to babies during the later part of the perinatal stage as well. Not only does breast milk offer more immunity from diseases to babies, but it also plays a significant role in reducing infant morbidity (illness and disease) rates. Children’s Hospital became a pilot organization in promoting breastfeeding to new mothers through TIPQC and joined with other hospitals throughout Tennessee in this initiative. There are now 16 participating hospitals, with the objective of “decreasing the rate of non-human milk feeding infants 50 percent by December 2011.” (See related story on page 8). Children’s Hospital’s participation in these efforts puts its mission of “Leading the Way to Healthy Children” into action and has a great deal of support from its staff members. “The staff at Children’s Hospital takes this very seriously,” said Sheri Smith, Children’s Hospital Nursing Director for Critical Care Services. “We have a culture of safety, and saving lives is behind the passion of everything we do.” Other states with perinatal quality care initiatives include Ohio, California, North Carolina and Wisconsin. For more information about the TIPQC, visit by Taylor Griffin, student intern Hospital properties now tobacco-free Children’s Hospital and its affiliate offices are now officially tobacco-free and smoke-free campuses as of January 1. The hospital banned indoor smoking many years ago; this change extends the ban to all outdoor areas of the hospital’s properties, as well. The hospital’s properties include the main campus on Clinch Avenue in Knoxville as well as the Children’s Hospital Rehabilitation Center, Children’s Hospital Home Health Care, Children’s West Surgery Center and physician offices managed by the hospital. Children’s Hospital joined the Knoxville area’s other hospitals and hospital systems – the University of Tennessee Medical Center, Blount Memorial Hospital, Covenant Health and Mercy Health Partners – to make this change at the start of 14 the new year. Under the tobacco-free policy, Children’s Hospital employees are not permitted to use tobacco of any kind during their shift, even off-site. This is to ensure the smell of smoke is not present on staff clothing, as even the scent of tobacco smoke can be bothersome to sensitive patients, guests and other employees. Family and visitors to Children’s Hospital are not able to use tobacco products on the hospital’s campus or affiliate sites but may leave the properties if they wish to smoke or use other tobacco products. New campus signage in English and Spanish on all the hospital’s properties reflects the policy change, and smoking cessation resources are available to guests who desire such information; in addition, guests can now purchase nicotine replacement therapy gum in the hospital’s Gift Shop. Free smoking cessation counseling is available for interested hospital staff through the Employee Health and Wellness office. According to the Centers for Disease Control and Prevention, Tennessee has the sixth highest percentage of smokers in the United States and the 14th highest percentage of smokeless tobacco product users. Tobacco-related diseases cause more than 443,000 deaths every year in America, making it the leading cause of preventable death in the United States. Tobacco also costs the United States more than $193 billion each year due to health care costs and lost productivity while at work. In 2008, 45 percent of hospitals in the United States were tobacco-free.

What’s New at Graduate Nurse Orientation Program helps prepare new nurses for their careers Children’s Hospital is making significant efforts to recruit and retain the brightest nursing school graduates in the region. The recruitment of nursing students begins during their junior year of nursing school. Usually about 150 – 200 nursing students apply to be externs, and only a small group of the best-qualified students are selected. Each nurse is paired with a veteran member of the nursing staff to learn basic patient care and observe advanced skills. The externs spend four weeks on each of the Children’s Hospital inpatient floors and spend one day each in the Emergency Department, Pediatric Intensive Care Unit, Neonatal Intensive Care Unit, Outpatient Surgery and Clinics. As nursing students near the end of their studies, Children’s Hospital conducts peer interviews to choose the best candidates to hire upon graduation from nursing school. Graduate nurses who accept offers are required to go through an extensive orientation. Nurses assigned to medical units receive 12 weeks of orientation, while critical care nurses complete a 16-week orientation. “My orientation at Children’s Hospital prepared me for my career as a nurse,” said Josh Picquet, 2007 graduate nurse. “First time, real-world nursing experiences for entry-level nurses can be extremely intimidating and often discourage new nurses to continue their career path. Children’s Hospital has a deep commitment to the development of the new nurse, and new graduate nurses are given special attention and comprehensive instruction. Children’s Hospital clearly understands the effect nurse development has on patient care quality.” s New graduate nurse closely with work experienced nurse t colleagues throughou entation. their ori During the first week of orientation, Children’s Hospital hosts a breakfast for graduate nurses and the nurse colleagues who will orient them. The event is intended to help start a relationship between the graduates and experienced nurses. “Institutional research has shown that a graduate nurse’s success depends on establishing positive relationships with coworkers, so every step is taken to ensure that graduate nurses feel comfortable and part of the Children’s Hospital family,” said Karen Burchfield, RN Staff Educator. During orientation, graduate nurses choose a mentor who will provide guidance and support during their first year at the hospital. The mentor/graduate nurse relationship also helps the new graduate make connections to the team of nurses in their assigned work area. “The orientation program is unique in that it also creates a social atmosphere that they can’t teach in nursing school. Children’s Hospital makes it abundantly clear what teamwork looks like and why it works,” said Marshay James, 2009 graduate nurse. Colleagues are required to attend a two-day course which teaches how to successfully encourage, instruct and support their new counterparts. Colleagues also complete a weekly progress report on each graduate nurse, which is monitored by the graduate nurse coordinator. The coordinator is available at all times for meetings with graduates, nurse managers, directors and colleagues to monitor the graduates’ progress and address any problems or issues that arise. Nurse managers also complete a progress report on each graduate nurse they supervise. The report assesses retention risks, tardiness, absentee problems, skill deficiencies and medication calculation errors. The progress report helps identify and correct problems early to ensure the success of the graduate. Six months after graduate nurses are hired, Children’s Hospital hosts a retention conference for graduates as well as nurse managers and unit educators. All graduates are surveyed to determine what topics and skills they have mastered and which ones they need to improve upon. The topics that need improvement are presented at the one-day retention workshop. After graduate nurses have been at the hospital for one year, they attend a second retention workshop and complete a follow-up needs assessment survey. Based on the results of the survey, the Children’s Hospital Education Department makes changes to their orientation curriculum so that the next class of graduate nurses benefits from the insight provided by the survey results. Since the graduate nurse program began, Children’s Hospital has seen improvement in the retention of quality nurses. “We pride ourselves on being the main regional training site of pediatric nurses. It is crucial that new graduates engage in our pediatric nursing vision and philosophy within the first year, or we run the risk of losing them,” said Lorisa Williams, Director of Education. “The national turnover rate for nurses within the first year of employment is 35 - 60 percent. Children’s Hospital consistently has a turnover rate less than 30 percent.” The Education Department continues to improve the graduate nurse program to ensure Children’s Hospital retains the very best candidates for the demanding world of pediatric nursing. by Hayley Martin, Public Relations Specialist 15

Planned giving Growing up during the Great Depression in rural East Tennessee, Leon Arms remembers how challenging it was for many families to make ends meet. Although times were tough, Mr. Arms says his childhood days were filled with many happy moments, including the summers he spent playing baseball on youth leagues in his hometown of Maynardville. His carefree days of youth suddenly changed in 1937, when the then-13-yearold boy fell from a horse and fractured his spine. At first, Mr. Arms said he didn’t think he was seriously injured. However, over the next several months, his friends and family began to notice a distinctive limp in his gait. A neighbor had heard about a new children’s hospital in Knoxville and suggested he go there for treatment. Doctors at the hospital discovered that although Mr. Arms’ fracture had healed, his injury had led to the development of scoliosis, an abnormal curvature of the spine. He needed to wear a brace to correct the curved spine. Although his back has never returned to normal, Mr. Arms says he has always been grateful for the care he received at Children’s Hospital. Now, 74 years later, Mr. Arms says he still remembers how well he and his family were treated at the hospital. “My family had no money to pay for my treatment, but the hospital took care of me anyway,” said Mr. Arms. “I never forgot that.” A retired businessman, Mr. Arms donates money to the hospital every year and has included the hospital in his estate plans. “My grandfather used to tell me that when someone does something nice for you, you have an obligation to do something nice for them,” Mr. Arms said. “I wanted to give something back to help the children at Children’s Hospital. Even when I was younger, my family didn’t have a lot of money but we always helped out any way we could.” Mr. Arms remembers what Children’s Hospital was like when it first opened in the late 1930s, and he has seen it expand to become the large medical center it is today. “Children’s Hospital has helped so many children over the years, and I am grateful for all they were able to do for me when I needed them,” he said. “I’ve lived a good life because of them.” A charitable bequest as a part of your estate plans is an easy way to support the mission of Children’s Hospital. Plus, you have the flexibility to adjust your plans as your circumstances change. There are several ways to make a bequest that provides for your family or loved ones while also supporting Children’s Hospital in the future. You may consider a specific bequest (a designated item such as a home to your closest heirs), a general bequest (a sum of money that would come out of your estate), a contingent bequest (a bequest made on the condition that a certain event occurs before the distribution is made), or a residual bequest (all the “rest, residue and remainder” of an estate after all other bequests, debts and taxes have been paid). Your estate planning attorney or financial advisor will be able to devise a plan that will help you achieve your goals. If you would like to remember Children’s Hospital in your will, please contact us to obtain the official language you can share with your estate planning advisor. We can’t say thank you enough to all the generous supporters who have helped advance the hospital’s healing mission. We realize many of you have remembered Children’s Hospital in your estate plans, and for many different reasons, have chosen not to reveal your intentions to us. To this visionary group of friends, we express our sincere gratitude. If you decide to share your intentions with us, we would love the opportunity to say thanks in person. Of course, we also promise to respect your desire to remain anonymous if you so choose. Please contact the Development Department at (865) 541-8441 if you need assistance or further information. Children’s Hospital license plates add flair to any car Purchasing a Children’s Hospital license plate is one of the easiest ways to help Children’s Hospital. The Children’s Hospital specialty plate, often seen on cars throughout the Knoxville area, was approved by the Tennessee legislature in 2002 and designed by artists from Morris Creative Group in Knoxville. More than $98,000 has been raised for the hospital through sales of the plates since that time. These funds support the hospital’s Faith Fund endowment, which helps Children’s Hospital provide the important services of Child Life, Pastoral Care and Social Work for patients and their families. 16 To keep these specialty plates on the road, at least 1,000 must be in circulation at all times. The cost of a plate is $35 in addition to each county’s renewal fee, with the hospital receiving nearly $16 dollars from each plate sold. To purchase a plate, go to your local County Clerk’s office, take in your registration and old license plate, and ask for the specialty plate. If you have questions about the specialty license plate, contact your local County Clerk’s office or the hospital’s Development Department at (865) 541-8441. by Taylor Griffin, student intern


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