&Board of Directors James S. Bush

Chairman Dennis Ragsdale

Vice Chairman Michael Crabtree

Secretary/Treasurer Debbie Christiansen, M.D.Dawn Ford Steven HarbLewis Harris, M.D.Jeffory Jennings, M.D.Bob Koppel A. David Martin Dugan McLaughlinChristopher Miller, M.D.Alvin Nance Steve SouthBill Terry, M.D.Laurens Tullock Danni Varlan

Medical Staff David Nickels, M.D.

Chief of StaffJohn Buchheit, M.D.

Vice Chief of StaffJohn Little, M.D.

Secretary

Chiefs of Services Jeanann Pardue, M.D.

Chief of Medicine Mark Cramolini, M.D.

Chief of Surgery

Administration Bob Koppel

President Laura Barnes, R.N., M.S.N., C.N.A.A.,B.C.

Vice President for Patient Care Paul Bates

Vice President for Human Resources Joe Childs, M.D.

Vice President for Medical Services Rudy McKinley

Vice President for Operations Jim Pruitt

Vice President for Finance

A quarterly publication of East Tennessee Children’s Hospital, It’s About 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 pediatricmedical center that has served the East Tennessee region for 70 years and is certified by the state of Tennessee as a ComprehensiveRegional Pediatric Center.

Ellen Liston Director of Community Relations

David Rule Director of Development

Wendy Hames Editor

Neil Crosby Cover/Contributing Photographer

“Because Children are Special…”...they deserve the best possible health care given in a positive, child/family-centered atmosphere offriendliness, cooperation, and support - regardless of race, religion, or ability to pay.”...their medical needs are closely related to theiremotional 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 facilitywith a well-trained medical and hospital staff whoseonly 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: Claire Milner. Read her story on pages 4-5.

Lane Bryson WilsonOn October 4, 1997, the lives of former Lenoir Cityresidents Mike and Missy Wilson changed forever.Their second son, Lane Bryson Wilson, was born at 24weeks gestation (16 weeks premature). It is difficult,though not impossible, for a baby this premature tosurvive. Lane was extremely underdeveloped; weighingjust 1 pound, 4 ounces, he fit comfortably in the palmof his daddy’s hand.

Lane experienced many of the complicationscommon to premature infants during his stay in theChildren’s Hospital Neonatal Intensive Care Unit. Atsome point, he experienced a hemorrhage in his brainthat caused a severe case of cerebral palsy; this meant hemost likely would never be able to learn how to move,hold his head up or even eat.

Two weeks after birth, he suffered from a bowelperforation (a hole that developed in the bowel). Healso battled severe infections and a second bowelperforation that prevented him from receiving IV fluids.At one point,the only way toget vital fluidsinto Lane wasfor one of theneonatologiststo insert an IVinto the bonemarrow. Thisprocedure hadnever beendone on such asmall baby atChildren’sbefore, but it was Lane’s only hope. The procedure wassuccessful, but then Lane faced another challenge: hesuffered from a bronchospasm, which is when thepassageway that air travels through to the lungs closes.

The Wilson family also learned during his time inthe NICU that Lane was permanently blind due to acondition called retinopathy of prematurity. This newswould be a blow to many parents of otherwise healthychildren. But after so much difficult news, the Wilsonstook this news in stride; at that time, it was the onlyproblem Lane had that was not life threatening.

Finally, after months of antibiotics, challengingprocedures and continuous nursing care in theChildren’s Hospital NICU, Lane was able to go hometo be with his family.

Today Lane leads an extraordinary life in Franklin,Tenn., with his parents and brothers (10-year-oldDyllan and six-year-old Eli). He has defied thepredictions of the type of life he would be able to lead.He began attending the Tennessee School for the Blindwhen he was three years old; there he learned how tocommunicate with sign language and to use a walker.Lane is now in third grade at Trinity ElementarySchool, the same public school his brothers attend, andhe participates actively in music and physical educationclasses. He has developed a small spoken vocabularyand taught himself to play the piano by ear (he knows10-15 songs). In addition, he participates in horsebackriding therapy at the SaddleUp in Franklin; he placedsecond and third in the 2006 Spring SaddleUp SuperShow in his age division.

by Jessica Chambers,Guest Relations Representative

NOWthen

Lane at home

Lane (center) with his brothers, Dyllan and Eli

Lane in the NICU

Lane with WBIR-TV Channel 10’s Bill Williamson the Summer 1998 cover of It’s About Children

3

A visit to any hospital can be scary, especially

when the patient is a child. There are so many details

to understand in such a short period, and families

staying at Children’s Hospital often wonder

what to read or inquire about first.

A newly developed Family Resource

Guide assists patients and their families

with a variety of this information, thanks to

a generous donation from the Children’s

Hospital Volunteers. A guide will soon be

located in each inpatient room, as well as

at key locations throughout the hospital

and in hospital departments providing

outpatient services.Information about hospital services

and programs is detailed in the guides.

Details for families about their child’s

hospital stay, as well as information about

who is on a child’s health care team, pain

management information, and a list of

patients’ rights are included.

Families can also learn about the

services Children’s Hospital offers “just

for kids” and hospital policies on

visitation, parking and more. The

Family Resource Guide also explains

important information families should know and

understand when their child is released from

Children’s and is able to go home.

Hospital Web site features enhanced offeringsAs part of Children’s Hospital’s ongoing commitment to this

region, the hospital provides a wealth of free information on ourWeb site, www.etch.com.

We most recently added the CarePages service to help familiesstay in touch throughout the difficulty of a child’s illness. CarePages,an Internet-based communications system, offers an opportunity forfamilies to create simple web pages about a sick or injured relativewho is a patient at Children’s Hospital.

CarePages offerspatient web pages thatdeliver emotional supportto Children’s Hospitalpatients and families bymaking it easy for themto stay in touch during ahospital stay or any time the child is receiving medical care.The service provides patient families with an easier way to updaterelatives and friends without the need for repeated phone calls or e-mails. CarePages also makes it possible for relatives and friendsto send messages of encouragement, giving the patient andfamily much needed emotional support. A patient’s CarePagecan be updated as often as the family chooses, and guests to thepage can see the updates about the patient any time they accessthe family’s web page.

Children’s Hospital’s CarePages can be accessed throughcomputers in the hospital’s Family Resource Center, in a patientfamily’s home or from any computer by visiting www.etch.com.CarePages are password-protected, secure and comply with allpatient privacy regulations. The service is offered free to Children’s

Hospital patient families, thanks to funds raised by the annual Star 102.1 Radiothon.

Other site enhancements:• Visit our Web site to subscribe to our new E-Kids News, an

updated e-mailed newsletter that recently replaced Children’s E-News, a text-based e-mail. In addition to news aboutChildren’s Hospital and health news from KidsHealth, E-KidsNews features color, graphics and links to many topics.Subscribers can also partially customize the newsletter,according to their children’s ages and medical conditions.

• Now available is an enhanced version of New Parent E-News,an emailed newsletter geared to expectant parents as well asparents of newborns.

• KidsHealth, the provider of pediatric health information on theChildren’s Hospital Web site, has begun adding video segmentsto its library of articles, games and interactive tools. Two newvideos currently are available, with more coming in 2007.Current live segments include “Helping Sam Hear” (which

follows a boy and his family through cochlearimplant surgery and beyond) and “Kids AskCal” (children ask baseball Hall of Famer CalRipken Jr. about sportsmanship). Both videoscan be viewed by going to www.etch.com andclicking on Health Library.

To subscribe to either newsletter, visit our Web site at www.etch.comand look for “Newsletters” on the right side of the page.

Bulletin BoardV

Family Resource Guide to help patient families navigate

Children’s Hospital experience

VEach year, the Great Smoky Mountain Chapter of the Association of

Fundraising Professionals presents the Philanthropy Day awards. At the annualevent in November, Children’s Hospital honored Kohl’s at its Community Table.

The hospital’s recognition of Kohl’s Department Stores stated:“Kohl’s Department Stores are an important member of Knoxville’s Philanthropic

Community. Kohl’s commitment to children’s hospitals and education is madepossible through the Kohl’s Cares for Kids program, which raises funds through thesale of special merchandise. One hundred percent of the net profits from the sale ofthese items benefit health and educational opportunities in the communities Kohl’s

serves. Kohl’scommunityoutreach alsoincludes Kohl’sKids Who Care,an annual youthvolunteerrecognitionprogram;fundraising giftcards for localschools and non-profit youthgroups; and anassociate program

to encourage volunteerism. Locally since 1998, Kohl’s has provided East TennesseeChildren's Hospital with over $392,000. Based in Menomonee Falls, Wis., Kohl’s isa family-focused, value-oriented specialty department store. Kohl’s operates 674stores in 40 states and supports more than 127 children’s hospitals.”

By Amandalynn Thomas, student intern

Children’s Hospital honorsKohl’s Department Stores

V

Claire Milner looks like mostchildren her age and has lots ofinterests. She is the reigningspelling bee champion for three years at her middle school, has had her artpublished in a national magazineand plays soulful blues on herclarinet. But Claire says that shefeels kind of different sometimes.

Claire Milner was born after anormal pregnancy and delivery buther mom, Sally Bishop, soon noticedsomething was not right. Claire gotsick more than normal, and sinceClaire was a second child, Sally hadalready experienced what a healthychild’s behavior was like. Claire wasinitially diagnosed with asthma.Following her “mother’s intuition,”Sally sought more medical adviceand went to doctor after doctor inher New Jersey town.

Claire continued to suffer from frequentbouts with pneumonia and digestive problems.At times she would be so congested that hermom would hold her upright throughout thenight so she could breathe. Despite this, Clairebegan developing into a very smart, funnytoddler with a huge imagination and a flair forthe dramatic. “I think that imagination helpedher get through the bad times when she felt sosick,” Sally said.

After three successive bouts of pneumoniawhen she was three years old, Claire was testedfor and diagnosed with cystic fibrosis. Cysticfibrosis (CF) is an inherited disease that causesthe body to produce mucus that is extremelythick and sticky. The two organs that are mostaffected are the lungs and pancreas, where thethick mucus causes breathing and digestiveproblems. The test often used to test a personfor CF is called a sweat test. In this test, thedoctor looks for heightened levels of chloride (a chemical in salt), as this indicates a possibilitythe patient has CF. In some states in the UnitedStates, all newborns are checked for this diseasewith a blood test. Claire was born in New Jersey,one of the states that did not have CF testingincluded in newborn screenings.

Upon learning of her daughter’s diagnosis,Sally experienced a variety of feelings, includingguilt. “I felt that I should have done somethingmore,” she said. One of Claire’s physicians

pointed to a seven-foot long sheet of paperlisting Sally’s repeated inquiries and requestsconcerning Claire to illustrate that Sally haddone everything right. “They told me I haddone all I could do and now it was time to look realistically and positively at the future,”Sally said.

Claire began her treatment at Robert WoodJohnson Hospital in New Brunswick, N.J.,before moving with her family to her mom’shometown, Oak Ridge, about six years ago.Claire’s mom and stepdad are both teachers in the Knoxville area, while her father andstepmom are scientists in New Jersey.

Once in Oak Ridge, Claire began seeing Dr. John Rogers and Dr. Eduardo Riff atPediatric Pulmonology at Children’s Hospital.“Dr. Riff has this larger-than-life personalitythat is magnificent,” says the extremelyarticulate, now 13-year-old Claire. “And Dr. Rogers keeps us all balanced and is veryencouraging.” Pediatric Pulmonology has beendedicated to treating Claire as a whole person,realizing the psychological aspects of dealingwith a chronic illness as a young person. Bystaying up-to-date on the latest studies andtreatments available for CF patients, PediatricPulmonology has been applauded by the CysticFibrosis Foundation for showing some of themost impressive results for the treatment of CFin the country.

While Claire’s case has been deemed“moderate,” she has a strict daily regimen thatshe follows to stay functional and healthy. Hertreatment begins the minute she wakes up eachday. It’s a good thing Claire is a morning personbecause she has a lot to take care of before shecan even think about getting ready for herschool day at Jefferson Middle School. Clairespends 20 minutes twice a day breathing in twoinhalers; using a hyper tonic saline nasal rinse;swallowing oral drugs; digestive enzymes,vitamins and probiotics to help with digestion;all while wearing a vest that rapidly shakes hertorso to loosen the mucus build-up in herlungs. Throughout the month, additionalmedicines are used including Zithromax as ananti-inflammatory and Singulair and Pulmicortto aid in respiratory health.

In addition to these “standard” treatments,Claire also eats a diet high in active bacterialike yogurt. Her favorite food is sushi, whichSally has brought into Children’s Hospital forClaire during one of her “tune-ups.” Tune-upsare necessary at times for children with CF andgenerally consist of more intensive breathingtreatments, inserting PICC lines for IVantibiotics and sometimes a bronchoscopy.Depending on the child’s health and severity ofCF, these tune-ups can last two weeks. Clairehas never had a stay at Children’s Hospitallonger than four days completing her “tune ups”

4

ClaireClaire

5

at home, a statistic for which her family anddoctors are quite proud. With the help of theChildren’s Home Health Care program, Sallyand her husband are able to conduct Claire’sfollow-up care confidently and in the comfortof their own home.

“We have never received care like we haveat Children’s Hospital- we are so spoiled,”Sally said. “Every single doctor, nurse, labtech, radiologist, anesthetist, child lifespecialist, chaplain and person we have comein contact with has been wonderful.” It seemsthe feelings are mutual. Children’s Hospitalchaplain Shirley Bunting said, “Claire is aremarkable young lady, and everyone knowsit. She is one of those people who just can’tbe pigeon-holed because she is so unique andspecial.”

Children’s Hospital staff respect Claire’smaturity and knowledge and speak to her inan appropriate manner. It is this same kindof maturity and respect that radiates fromClaire herself. “I recognize the importance of things now. Everybody at PediatricPulmonology and Children’s Hospital hashelped me develop a sense of responsibility,and I have found that my endurance andpatience are precious gifts,” said Claire.

It is this kind of perseverance and attitudethat allows Claire to take life by the reignsand not be inhibited by CF. She recentlywowed her parents and physicians by goingon an eighth grade class trip to Williamsburg,Va., where she took full responsibility foradministering all of her medications. The tripwas a great success in more ways than one.Not only did Claire prove to be totallyindependent with her medical needs, but sheis now considering becoming an historicalreinactor. Whatever she chooses, the future islooking very bright for Claire.

By Joanna Simeone,Public Relations Specialist

What is cystic fibrosis?Cystic fibrosis occurs because of mutations in

the gene that makes a protein called CFTR(cystic fibrosis transmembrane regulator). Aperson with CF produces abnormal CFTRprotein. People who are born with CF have twocopies of the CF gene. In almost all people bornwith CF, one gene is received from each parent.This means that the parents of children with CFare usually both CF carriers (that is, they haveone normal and one defective gene) but theparents do not have CF themselves because theirnormal gene is able to “take over” and make thenecessary CFTR protein.

Each child born to parents who are both CFcarriers has a one in four chance of having the

disease. Cystic fibrosis occurs most frequently inCaucasians of northern European descent, in whomthe CF gene is most common, although people ofother heritages can have the disease, too. Peoplewho have a close relative with CF are also morelikely to carry the CF gene; approximately 12 millionAmericans, or one in every 20 people living in thiscountry, is a CF carrier. And most of them don’tknow it.

About 30,000 people in the United States have adiagnosis of CF. It affects both males and females.

While there is currently no cure for CF, there ishope. In the last fifteen years, the life expectancy forthose living with CF has doubled, with more thanhalf living into their 30s. Statistics now show thatnearly 40 percent of the people living with CF in theUnited States are 18 years or older, and new researchis leading to the possibility of a cure.

Common symptoms of cystic fibrosis

• Frequent lung infections or pneumonia• Persistent wheezing • Persistent cough with thick mucus• Failure to gain weight, even though

the child eats normal amounts• Very salty sweat• Poor height growth• Nasal polyps (small growths of tissue

inside the nose)• Frequent sinus infections• Fatigue• Rounded or enlarged toes and fingers

Did You Know….Cystic fibrosis is sometimes called “65 roses.” The

nickname came from a little boy who overheard hismom talking about the condition on the phone. Hethought that each time his mom said “cysticfibrosis,” she was talking about 65 roses. This termhas now become a widely used tool when teachingchildren about the disease and how to pronounce thename of the disease.

Safe SitterDates: March 10 (at the Knoxville Convention Center as part of the

Women Today Expo), March 24, April 14 and 28, May 5 and 19,and June 2

Time: 9 a.m. to 3 p.m. (lunch is provided)Safe Sitter is a national organization that teaches young adolescents safe andnurturing babysitting techniques and the rescue skills needed to respondappropriately to medical emergencies. Instructors are certified through SafeSitter nationally. Participants must be ages 11-14. This course is $18 per person.

I Can!Date: March 28, April 18, May 16 and June 7Time: 6 p.m.I Can! is a new Healthy Kids class series for families about making healthychoices. Children’s Hospital’s Healthy Kids program is introducing this classfocusing on food and fitness choices for families. Beginning in late March, thefirst class will focus on making healthy food choices and the next three months’classes will highlight fun and fitness, cooking choices and shopping ideas.Families can join the series of classes at any time.

CPRDates: March 26, April 16, May 14 and June 4Time: 6-9 p.m.This class will teach caregivers cardiopulmonary resuscitation and chokingmaneuvers for children and adults. This class also gives general home safetyadvice and tips, and participants must be at least 14 years old. This course is $18per person.

Class size is limited, so preregistration is required. All classes are offered in theKoppel Plaza at Children’s Hospital, unless otherwise noted. For more information orto register for any of these classes or to receive our free Healthy Kids parentingnewsletter, call (865) 541-8262.

Announcements about upcoming classes can be seen on WBIR-TV 10 and heardon area radio stations. Or visit our Web site at www.etch.com and click on “HealthyKids Education and News.”

Children’s Hospital’s Healthy Kids Campaign, sponsored by WBIR-TV Channel10 and Chick-Fil-A, is a community education initiative of the hospital’s CommunityRelations Department to help parents keep their children healthy.

Upcoming Community Education ClassesUpcoming Community Education Classes

Cindy Hoffman, M.D.

Age – 37Family – Fiancé, Marty HooverName of Pediatric Practice –

Maryville Pediatric GroupPersonal Interests – Running, biking,

horseback riding, spending time with family and friends

Academic Background/Prior ExperienceB.S. – David Lipscomb University,

Nashville, 1991M.D. – University of Tennessee,

Memphis, 1997Internship and Residency – Indiana

University School of Medicine, Riley Children’s Hospital, Indianapolis,1997-2000

Other: Board certified in pediatrics, 2000

Why Pediatrics?I love to see kids healthy, happy and smiling.They are so resilient and inspiring.

Greatest Influence:My mother, Gay Fitzgerald, who was always ahard worker and who encouraged andsupported me in my educational endeavors.Also, my family physician, Dilip Joshi, M.D.,who still practices in my hometown ofJamestown, Tenn.

Philosophy:To treat each family with respect and eachchild as an individual, and to set a goodexample of a healthy lifestyle.

Proudest Moment as a Pediatrician:No one particular moment stands out, but I truly enjoy getting to know the children andtheir families and watching them grow anddevelop.

Jeff Lin, M.D.

Age – 38Family – Wife, Mary Combs

Lin; children, Katie (6),Abby (4), Emily (4) and Nicholas (3 months)

Name of Pediatric Practice – Knoxville Pediatric Associates,Farragut office

Personal Interests – fly fishing, deep sea fishing, golf,skiing, activities with mychurch (First Farragut UnitedMethodist Church)

Academic Background/Prior ExperienceB.S. – University of Alabama, Tuscaloosa, 1990M.D. – University of Alabama School of Medicine, Birmingham, 1995Internship – University of Florida, Pediatric Residency at Sacred Heart,

Pensacola, 1995-96Residence – University of Florida, Pediatric Residency at Sacred Heart,

Pensacola, 1996-98Other – Co-chief resident, 1997-98; won the Reed Bell Intern of the Year

Award in 1996 and the Reed Bell Resident of the Year Award in 1998.Board certified in Pediatrics in 1998.

Why Pediatrics?During medical school, I had decided to do primary care and consideredfamily practice but found it enjoyable only when seeing a pediatric patient.I found this true with all the other rotations during medical school, as well.

Greatest Influence:Personally, my father, the late Yung-lo Lin, would be my greatest influence.He grew up as a farmer’s son in Taiwan and came to the U.S. to study atPrinceton University. He always stressed the importance of working hardand being humble. Professionally, Robert Wilson, M.D., FAAP (alsoknown as “Dr. Bob”) would be my greatest influence. Dr. Bob was myresidency program director in Pensacola. He taught and practiced medicinewith great humility and faith in God. He taught me as much about life ashe taught me about pediatrics.

Philosophy:My basic philosophy is that being a physician and taking care of children isa blessing and a privilege.

Proudest Moment as a Pediatrician:Three and a half years ago, while in practice in Florida, I was called to theER to tend to 24-week twins. One was born at home in a toilet and theother was born in the ambulance. They were in respiratory distress,hypoxic [lacking adequate oxygen] and hypothermic, and for much of thetime I had one ventilator to my access. I was fortunately able to stabilizethem and get them transported to the Children’s Hospital. They eventuallybecame patients of my practice, doing well with minor developmentalissues. The parents were grateful, and I was proud and blessed to have beena part of their lives.

Pediatrician Profiles

6

7

We’ve all seen the pictures many times on TV, inmagazines, in Children’s Hospital’s own publications andon Web sites – a doctor or nurse practitioner viewing anX-ray on a light box or even holding the X-ray up to aceiling light.

The image is so common that it is almost a cliché inhealth care photography.

And in 2007 at Children’s Hospital, it is also obsolete.Radiology has gone filmless!

Last fall Children’s Hospital stepped into a new era oftechnology with the installation of PACS – a PictureArchiving and Communications System. PACS is acomputer network designed for the transmission, display,storage and retrieval of digital medical images.

In simple terms, PACS can be compared to a digitalcamera that you use for personal photographs, accordingto Clifford Meservy, M.D., pediatric radiologist withVista Radiology and Medical Director of Radiology atChildren’s Hospital. With a film camera, you take thepictures, take the roll to a store to be developed, wait awhile, go back, pick up the pictures and finally get tolook through them. With a digital camera, you can seethe picture on the camera instantly or you can plug thecamera into a computer and view the images in alarger size – you eliminate a step or two and savesignificant time.

PACS presents an innovative change for physicians,hospitals and patients. With PACS, Children’sHospital can distribute radiology images (X-rays, MRIand CT scans and other forms of imaging) digitally bycomputer to any location in Children’s Hospital or tomany of the pediatric subspecialists’ offices without theneed for manually handling or storing film.

The arrival of PACS took place in November in theRadiology Department, the Emergency Department andthe patient floors. In December it was placed in theSurgery Department. It will be added this spring inCardiology for echocardiograms.

Meservy said the new system offers some significantbenefits for radiology at Children’s Hospital. PACS willincrease productivity and streamline workflow for theRadiology Department staff, as well as for Children’sHospital’s radiologists, surgeons, cardiologists and otherphysicians, who have access to the scans via computernetwork.

Having a new digital network also eliminates the riskof misplaced films. Under the old system, a single copy ofa patient’s X-ray, for example, could be filed in Radiologybut needed by a physician in another office. So at anygiven time, a film might be removed from the files andcarried between locations. Although care was always usedwith films, they were occasionally misplaced or misfiled.However, with PACS, all films are digitally stored andbacked up on a computer network, so a copy is alwaysavailable online.

Meservy said that a significant benefit to the system isthe ability to compare old and new films side-by-side ondual computer screens. It is often necessary to comparescans to look for changes in a patient’s condition, andPACS enables the radiologist to immediately call up anyold studies stored in the system. With old film, someonewould have to go to the file room to retrieve the patient’sfile, then the radiologist would compare it with the newfilm, and finally it would have to be refiled.

With this new software, Children’s Hospital physicianshave the ability to easily view their patients’ filmsthemselves from sites other than the hospital’s RadiologyDepartment. The new system allows immediate access todiagnostic images, provides improved interpretation timeand ultimately improves patient care. EmergencyDepartment physicians also can leave detailed voicemessages on the system to enhance communication withthe radiologist and compare information about a particularpatient’s films.

PACS also allows radiologists to do much more thanjust view and store images. For example, the sophisticated

system enables physicians to easily measure anglesand sizes of tumors and bones seen on the films. Inaddition, some images can be viewed in threedimensions. All images can be reduced or enlargedfor better viewing; one feature replicates the actionof a magnifying glass to enable very closeexamination of a section of scan. For CT and MRIstudies, physicians can even double-click on aparticular spot on one scan to see the same locationon other pictures (“planes”) of the patient’s study.

Speed of scanning at Children’s Hospital alsoimproves with PACS. After the PACS installation,the hospital is purchasing a new CT scanner. Thetechnology of this new multi-slice CT scanner willallow more data to be acquired in a much shorteramount of time. According to Meservy, the

hospital’s current 10-year-old CT is a single-slicescanner, which essentially takes one picture (or“slice”) every second. The new scanners beingconsidered are 64-slice scanners, which means theytake 64 pictures each second. The result is a muchfaster, more detailed scan. The new CT generates somany images that it would use a significant amountof film; however, PACS will be able to easily storethe data, Meservy said.

The new CT scanner will offer some additionalbenefits to patients. First, while both the current CTand the new technology scan on a single plane, thenew scanners do an excellent job of reconstructingimages in other planes, unlike the hospital’s currentCT. Depending on the type of test, current patientssometimes have to lie in a rather uncomfortableposition (such as on the stomach) for their scan tobe in the correct plane. Because the new CT canreconstruct the image in other planes, patients canbe tested while in a more comfortable position lyingon their back.

Second, another key benefit for patients is thereduced need for sedation. CT scanning requires apatient to remain still for the duration of the scan.For a younger child, this can be difficult, if notimpossible. So sometimes it is necessary to sedate apatient for a good scan. When the hospitalpurchased its current CT scanner 10 years ago, theneed for sedation dropped by about 50 percent fromwhat was needed with the previous scanner. Meservysaid the new scanner will hopefully lead to another50-percent reduction in sedation. This will bepossible because of the change in scanning speed: atypical scan of an abdomen of a five-year-old childcurrently takes about 45 seconds, while the samescan with the new CT scanner will take only about 6 seconds, which is a much more realistic length oftime for a child to be still.

And third, Meservy said that sometimes thehospital staff settle for a bit of motion in a scaninstead of sedating some patients. Because of thefaster speed of scanning, scans should be relativelyfree of motion even without sedation.

A new digital radiography (X-ray) machine also

will be installed soon to take advantage of the PACStechnology. Digital radiography is much faster andmore efficient than the hospital’s current radiographyequipment because it eliminates a step or two in the process of taking a patient’s X-ray.Currently, a tech takes an X-ray, removes the cassettewith the image and takes it to a reader, which “reads”the image and sends it to the PACS system. Withdigital radiography, there is no cassette or readerrequired to see the image – instead, the reader is builtinto the machine itself. As soon as an X-ray is taken,the image is available on a computer monitor. The newtechnology also produces a higher quality image forthe radiologist to view as well as provides a reductionin the radiation exposure to the patient.

PACS will also be a space-saver for Radiology,Meservy said. The traditional light boxes used to viewfilm eventually will be removed and replaced bycomputer workstations. And the large file room inRadiology, which houses literally thousands of films,and the dark room used for developing film will beconverted into more functional space.

The cost of the new PACS system for Radiologyand Cardiology is $1.8 million, and the CT scanner isanother $1.5 million. After the initial investment, thePACS system is expected to save the hospital annuallyon the costs of film, processing and file folders.

Although Children’s Hospital Radiology has gonefilmless, old hard-copy films will be kept on file forfive years. For the most part, these old films will not bescanned into the digital system. The major exceptionwill be films of children who visit the hospitalfrequently for serious or chronic conditions, such ascancer. Physicians caring for children with these typesof conditions often must compare old and new films,so eventually most hard-copy films of these chronicpatients will be scanned into the PACS system for easyand quick physician access at any time.

By Amandalynn Thomas, student intern, and Wendy Hames, Associate Director for Publications

New radiologist practicesfrom his Hawaiian home

The clichéd image of a physician looking at a hardcopy X-ray at Children’s Hospital is even moreinaccurate these days because the physician looking atour patients’ films might not even be in Tennessee.

Children’s Hospital’s radiologists are associated withKnoxville-based Vista Radiology, which providesradiologists to various hospitals in the area. Last yearVista hired a new radiologist to provide overnightcoverage at several hospitals, including Children’s.

George Ainge, M.D., is an innovative addition toVista’s team because he works and lives in Hawaii. Heis on call five nights a week from 10 p.m. to 6:30 a.m.Eastern standard time to read images for all thehospitals Vista serves, including Children’s. He worksout of his home office using multiple computers andhigh speed Internet to view images online.

Because of the six-hour time differencebetween Knoxvilleand Hawaii, Dr.Ainge’s schedule isessentially an eveningjob – 4 p.m. to 12:30a.m. his time. Thisallows him to enjoythe benefits of livingin Hawaii, whileproviding a valuableservice to the peopleof East Tennessee.George Ainge, M.D.

Clifford Meservy, M.D.

A new era of technology: Radiology has gone filmless

8

There is no such thing as a “typical” day in a hospital.Day in and day out, patients enter our doors for care,but each child is unique, and each experience isdifferent. However, within each day at Children’sHospital, there are some common threads. One commonthread is the training and experience of the hospital’sstaff — no matter what situation arises, our staff isskilled and prepared to meet the challenge. For the nextseveral issues of It’s About Children, we will profilesome of our staff and highlight all our clinical areas.We hope it will give you a glimpse into life atChildren’s Hospital.

LABORATORYMedical testing is a vital component of the

health care process. Test results help physiciansdiagnose medical conditions or monitor treatment;results also serve as health screenings duringroutine checkups.

The Clinical Laboratory at Children’s Hospitalis responsible for diagnostic testing, which includesthe following areas: hematology, chemistry,microbiology, immunology, serology and bloodbank. To put it simply, the lab performs testing onall body fluids, tissues and waste products, as wellas maintains the hospital’s in-house blood bank.The lab is open 24 hours a day, seven days a week,and staff include techs, phlebotomists, secretariesand management/supervisory staff.

Cheriya ScottA phlebotomist at Children’s Hospital, Cheriya

Scott always knew she would work in health care.Many of her family members worked in healthcare, and she wanted to follow their footsteps intowhat she knew would be a rewarding field.Scott chose phlebotomy for several reasons. As achild, she remembered her fears of having blooddrawn and how the technician relieved her fears bybeing very gentle.

“Needles are something nobody desires toexperience, but if it is necessary, we all hope for askilled and gentle phlebotomist,” she said. Scott’sability to do her job and perform it well easeschildren’s and parents’ fears and helps to providethem with an easier experience.

Phlebotomy training prepared her for the fieldby teaching simple anatomy in understandingblood vessels and their locations. The training alsohelped her to be more proficient in obtainingblood samples and to keep patients safe andcomfortable by preventing painful sticks. Afterworking as a phlebotomist for six years, shedeveloped the courage to work with children and ayear later found herself working at Children’sHospital.

“I was a little fearful, as children can be achallenge with smaller veins, squirming arms andanxious parents, but I love children, so I put myfears aside,” Scott said. She finds inspiration everyday in her patients’ strength and laughter througheach tough diagnosis. The children at Children’sHospital continue to teach Scott that life isprecious and to cherish each moment.

One of Scott’s favorite memories working inphlebotomy was a three-year-old boy who begankicking and crying as soon as he entered thedrawing room. Mother and child were both visiblyupset, so Scott had a talk with the child to explainwhat would happen. She explained every step ofthe process from the tightening of the tourniquetto the “pinch” he would experience. After lettingthe child stretch out the tourniquet and pick hisfavorite color of bandage, he was much more calm,as was his mother.

“What made me feel good is when the childreturned about a month later for more labs with nofighting or crying. His mom was so grateful for afacility that caters to children,” Scott said.

John RitterSince grade school, John Ritter has been

fascinated by the sciences, especially laboratory

sciences. In college, Ritter was a microbiologymajor, but one day the director of theuniversity’s Medical Technology program talkedto his class about clinical laboratory science.From that moment on, he was hooked.

Ritter graduated with a Bachelor of Sciencedegree in Medical Technology after four yearsof course work including classes such as organicchemistry and immunology, as well as one yearof clinical study and lecture at a universityhospital laboratory. He also received his licenseas a Medical Laboratory Technologist/Supervisor from the state of Tennessee and theAmerican Society of Clinical Pathology. Bothagencies require earning 12 hours of continuingeducation per year in laboratory andmanagement skills to maintain licensure.

Ritter has fond memories of the fast-pacedworkload and coworker camaraderie during hisyears on night shift. His profession requires theability to maintain both a high quality andquantity workload under stressful conditions.“It was very satisfying to know that our teamserved so many patients well withoutcompromising our professional standards,regardless of the obstacles that we faced,”Ritter said.

Ritter has worked as a laboratory supervisorin Hematology and Phlebotomy since March2005 and as a medical technologist/generalist

Cheriya Scott

John Ritter

lifeA day in the of Children’s Hospital

9

since October 1998 at Children’s. He enjoys hiswork at Children’s Hospital because of thisregion’s pediatric patients’ need for high qualityhealth care and because Children’s does asuperior job in fulfilling that need.

RADIOLOGYLike the Children’s Hospital Laboratory, the

Radiology Department performs vital tests. TheRadiology Department serves as an "imaging"center for children: these images includeradiography (X-ray), fluoroscopy, computedtomography (CT), nuclear medicine, magneticresonance imaging (MRI), echocardiography andultrasonography. The high-quality images areused by the hospital’s radiologists to interpret for diagnosis and treatment of a variety ofmedical conditions.

X-ray services are available 24 hours a day,while other services are offered during thedaytime with staff on call for emergency needsnights and weekends. Technologists, nurses,aides and secretaries staff the department.

Maureen FlanaganMaureen Flanagan has always loved the

medical profession. She found her interest inhealth care after spending time with her auntwho was a physical therapist at a pediatrichospital in Richmond, Va. Maureen never forgotthe love and care expressed to the patients by heraunt when she visited her at that hospital. Littledid she know that her experience would bringher full circle to her career in radiology.

Flanagan received two years of training inanatomy, positioning, radiation physics, radiationprotection and chemistry at Anne ArundelGeneral Hospital in Annapolis, Md. She also

received training in ultrasound at the Universityof Maryland Hospital and training in CTscanning at Children’s Hospital. As a registeredtechnologist, Flanagan is required to continueher education to maintain her competency level.Every two years, 24 hours of educational creditsare required to keep licensure.

Flanagan’s favorite memory in hercareer as a staff technologist is whenshe came to work at Children’sHospital 31 years ago. She wasinspired by the dedication of retiredDirector of Radiology Earleene Lyle,the chief technologist at that time,to the patients in the RadiologyDepartment. “Her care and leadershipwere what made our departmentexceptional,” Flanagan said.

The choice to work for Children’sHospital was an easy one forFlanagan because of her love forchildren and the wonderful peopleshe would be working with.

“It is so great to see the babies youX-rayed years ago coming back toChildren’s with babies of their own.What better reward could you ask for than a smile,” Flanagan said.

After spending half of her life working atChildren’s Hospital, Flanagan said she cannotimagine being anywhere else.

Mark UnderwoodMark Underwood chose a career as a

registered CT and radiologic technologistbecause CT scanning is on the cutting edge oftechnology, and he knew he wanted to be a partof that.

“I knew it would be interestingand the fast pace suited me,”Underwood said. He hascontinued his education over theyears by completing challengingeducational requirements thatbring the latest technologicalupdates to the RadiologyDepartment.

Underwood’s favorite memoriesfrom working at Children’s centeraround the multiple miracles hehas seen where children havebeaten the odds and gone on to

lead a happy life. “My memories are of thefriendships I build with those youngsters andthe personal strength their struggles haveimparted to my own life experiences. I amalways awed by the courage and faith of thechildren I meet,” Underwood said.

After having children of his own,Underwood realized how far he would go tohelp someone else’s child. He is remindedevery day how blessed he is to have healthychildren. “That fact makes me rich beyondimagination,” he said.

Underwood said the people he works withat Children’s Hospital feel like family; herespects the leadership and vision of theleaders at Children’s. “I am happy to be apart of a team of wonderful people whomake up this hospital. People who make theconscious decision to help children, I havefound, are the most loving, giving anddedicated people around,” Underwood said.After 22 years at Children’s Hospital,Underwood feels it is the ultimate charity togive of himself to help children and makethem feel secure while in his care in theRadiology Department.

“When you connect with these childrenand they express gratitude to you for caringabout them … that can be the best day ofyour life,” Underwood said.

by Bethany Swann, student intern

Maureen Flanagan

Mark Underwood

Children’s News...

10

Rounding initiative designed to improve patient, staff satisfactionChildren’s Hospital is proud of its long history

of quality health care in a child and family-friendly environment. But we recognize that wemust always be open to change – becauseimprovements can always be made.

A new process – “Rounding for Outcomes” –at Children’s seeks to improve overall satisfactionwith our hospital.

Children’s Hospital is following the model ofseveral other hospitals that have initiated roundingwith great success. A Studor Group survey ofhospitals found that the usage of patient room calllights dropped 40 percent within just four weeksof the start of rounding on patients, and patientsatisfaction surveys showed greatly increasedsatisfaction.

“Rounding for Outcomes” began for Children’sHospital staff in December with in-serviceprograms for staff in all nursing departments toeducate them about the process. Then in mid-December, Phase 1 began: assistant nursemanagers, charge nurses and shift leaders began“rounding” as a way to make Children’s Hospital

an even better place to work. All these leadersmake rounds with every employee on every shiftevery day to ensure effective communication and toenhance employee satisfaction; they also round onevery patient once daily. In addition, nursemanagers round weekly with all staff and patients,and Nursing Directors round to all units monthly.

“By implementing this strategy, the nursingdepartments hope to gain important informationnecessary for smooth operations and happyemployees,” said Sheri Smith, Nursing Director forCritical Care Services.

“Research shows that employees all have needsrelated to their jobs,” Smith continued. “Some ofthese needs include having a relationship with theirsupervisor, having access to the tools andequipment they need to do their job, efficientsystems, appropriate training and appreciation fromtheir supervisor. Rounding on employees assistsleaders in meeting all of these needs and also buildsrelationships. Used correctly, this strategystrengthens relationships, encourages teamworkand fosters accountability.”

Phase 2 of “Rounding for Outcomes” beganJanuary 1. Nurses and patient care assistants have

begun rounding on patients. These staff roundon patients every hour during the day andevery two hours at night.

“This does not entail disrupting patients’rest, as we will never wake a sleeping patient orfamily, but it will better meet the needs of ourpatients by attending to requests while we arethere,” Smith said.

While rounding, staff will assess thepatient’s pain level and comfort; givemedications as needed; change diapers or offertoileting assistance; ensure the call light,telephone, trash can, tissues, remote controland tray table are within reach; ask if there isanything else they can do for the patient orfamily; and tell the patient and family who willreturn within the next hour, so they knowwhen to next expect assistance.

“By focusing on these items, we address themost common reasons patients call forassistance,” Smith explained. “We alsoencourage patients to think about their needswhile we are there with them, allowing us toprovide better care by partnering with ourpatients.”

Hospital adds psychology servicesSince its founding in 1937, Children’s Hospital

has continually sought ways to further enhance thecare provided to our patients. As we celebrate our70th year, we have added a new service staffed by apediatric psychologist to provide mental healthservices to our patients and their families.

Nicole Falvo Swain, Psy.D., joined the hospital’sstaff in January to provide psychological services tomedically ill and injured patients. The new service is under the direction of Laura Barnes, R.N., VicePresident for Patient Care Services.

Because the service is a new one for the hospital,Dr. Swain is starting essentially from scratch. “We’reinitially focusing on implementing psychologicalservices within the inpatient setting and determininghow psychology can be an effective and valuableservice to the treatment team here,” she explained.

Dr. Swain will provide consultation services witheach patient’s treatment team (physicians and nurses,as well as rehab therapists, social workers, child lifespecialists and other staff involved in each patient’scare) as well as emotional support and education topatients and their families.

Initially Dr. Swain will focus on two patientpopulations at Children’s Hospital:

• Rehabilitation patients – children who have had concussions and more serious brain injury,strokes, near-drownings, neuromusculardisorders (such as spina bifida and Guillain-Barre Syndrome) and burns.

• Chronic pain patients – children who havegastrointestinal pain (such as irritable bowelsyndrome), juvenile fibromyalgia syndrome,migraines or other severe headaches, pain causedby chronic diseases and other general pain.

“One of my primary focuses is to help patientsadapt, adjust and increase the quality of their life,” Dr.Swain said. “There may be no cure or no easy answers,and that takes an emotional toll on the child and thefamily.”

As a psychologist, Dr. Swain does not prescribemedications for her patients. Instead, she providesservices in addition to the medical procedures andmedications the patient already receives through otherhealth care providers. The goal is not to eliminate theother care but to work collaboratively in helping thepatient manage his or her condition. Dr. Swainprovides emotional support; teaches coping skills;monitors the patient for clinical depression, significantanxiety or other mental health issues; provides focusedcognitive-behavioral treatment on a short-term basis;and provides referrals to community psychiatrists orpsychologists for patients being discharged.

At this time, Dr. Swain will only see inpatients inthe hospital setting. As the service develops and addspsychologists, the hope is to expand to include patientsin the Outpatient Clinics and even offer outpatientpsychological assessment and therapy. “For now, I willfocus on tracking patient need,” she said. “It will be awork in progress.”

Before Dr. Swain joined Children’s Hospital,psychological and psychosocial services were availablethrough consults with some community mental healthprofessionals and informally through the hospital’sChild Life, Social Work and Pastoral Caredepartments. “They have been helping with thissignificant need, but some of what they are asked to dois really not their role and takes time away from theirmany other responsibilities,” she added. “I am lookingforward to working collaboratively with these servicesto provide the best psychological and psychosocial careto our children and families.

“I am very excited to be here and to have thisopportunity,” Dr. Swain said. “I am looking forwardto starting the work here and meeting my colleaguesin the mental health community.”

Nicole Falvo Swain, Psy.D.B.S. (psychology) – Otterbein College,

Westerville, Ohio, 1993M.A. – Xavier University, Cincinnati, Ohio, 1997Predoctoral Internship (child clinical psychology

and pediatric psychology) – Children’s Hospital,Columbus, Ohio, 2001

Psy.D. (clinical psychology) – Xavier University,2001

Postdoctoral Fellowship (pediatric psychology and pain management) – Cincinnati Children’sHospital Medical Center, 2003

Family – Husband, Scott SwainPersonal interests – exercise (especially aerobics

and cardio), movies, family

Nicole Swain, Psy.D.

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New officers of the Children’s HospitalMedical/Dental Staff took office on January 1,following elections last fall. Officers are electedfor a two-year term, continuing through the endof 2008.

David Nickels, M.D., who most recentlyserved as Vice Chief of Staff, is the new Chief ofStaff. Dr. Nickels, a pediatric endocrinologist, isresponsible for a variety of tasks, includingserving as a standing member of the Children’sHospital Board of Directors; enforcing MedicalStaff bylaws, rules and regulations; reporting tothe hospital’s Board of Directors on theperformance and maintenance of quality of theMedical Staff ’s provision of medical care;receiving and interpreting the policies of theboard to the Medical Staff; and representing theviews, policies and needs of the Medical Staff tothe board.

The new Vice Chief of Staff is neonatologistJohn Buchheit, M.D. The Vice Chief of Staff isresponsible for assuming the Chief of Staff ’sduties in his absence and also attends meetings ofthe Board of Directors in preparation of assumingresponsibilities as Chief of Staff in 2009.

The other 2007-08 Medical/Dental Staffofficers are: Secretary, John Little, M.D.; Chiefof Medicine, Jeanann Pardue, M.D.; and Chiefof Surgery, Mark Cramolini, M.D.

In addition to the new Medical Staffofficers, Children’s Hospital is pleased towelcome the expertise of the following newmedical staff members who have joined ourstaff in recent months: Bond Almand, M.D.,otolaryngology; George Ainge, M.D.,

radiology; Carlos Angel, M.D., pediatricsurgery; Mary Beaver, M.D., otolaryngology;Scott Brice, M.D., pediatrics; Melissa Chiles,M.D., pathology; Fredrico Dixon, D.D.S.,general dentistry; Mohammad Farkhondeh,M.D., pediatrics; Carol Fowler, M.D.,pediatric surgery; Claude Frazier, D.O.,dermatology; Leo Hamilton, M.D., pediatrichematology/oncology; Aleshia Lunsford,M.D., pediatrics; Mark McColl, M.D.,pediatrics and internal medicine; MatthewMeigs, M.D., otolaryngology; Joshua Miller,M.D., neurosurgery; Laurentia Nodit, M.D.,pathology; Ellen Pappano, M.D., pediatricemergency medicine; Dante Pappano, M.D.,pediatric emergency medicine; Amir Patel,M.D., pediatrics; Darryl Phillips, D.D.S.,pediatric dentistry; Christopher Rathfoot,M.D., otolaryngology; Ryan Redman, M.D.,pediatric emergency medicine; James Stafford,M.D., radiology; and Bryan Tigner, M.D.,otolaryngology.

By Amandalynn Thomas, student intern

New Medical/Dental Staff officers installed, new physicians added to staff

22nd annual Fantasy of Trees is a sweet treat

David Nickels, M.D.

On January 1, the Children’s HospitalAuxiliary changed its name to Children’s HospitalVolunteers, and all volunteers are automaticallymembers of the organization.

The Volunteers are committed to providingspecial services for patients and families, such asthe Clothing Closet, children’s books for hospitalwaiting areas and support for the Child LifeDepartment and the Children’s Hospital

For the 22nd year, the Fantasy of Trees inNovember ushered in the holidays in EastTennessee with a festive event that delighted acrowd of over 58,000 guests to the KnoxvilleConvention Center.

Highlighting a theme of “O Christmas Treats,”the show featured a Fantasy Forest ofscrumptious-looking trees and designer-decoratedholiday items, continuous entertainment, children’sactivities, decorating demonstrations, specialevents and holiday shops. A variety of newchildren’s activities joined more than a dozen other interactive “fun stations,” includingdecoration making, face painting and a giant“talking” snowman.

The funds raised at the 2006 Fantasy of Trees –estimated at more than $315,000 – will equip twonew surgery suites at Children’s Hospital.

Plans are already well under way for the 2007show, which will feature the heartwarming theme“Holiday Cheer Down South.” As always, the realstars of the Fantasy of Trees were the 9,979volunteers who donated 150,694 hours throughoutthe last year to make the event such a success.Children’s Hospital extends its many thanks to allthe volunteers and visitors to the 2006 show.

The Fantasy of Trees has raised more than $4 million for Children’s Hospital since it began in 1985.

By Amandalynn Thomas, student intern

Rehabilitation Center. Throughout the year thevolunteers operate the hospital Gift Shop, hostvarious sales and coordinate an annual holidaygreeting card sale, their largest fund-raiser, to raisefunds to support their various services for patientsand families.

The group recently made some adjustments intheir by-laws, policies and procedures, including thename change, to strengthen the organization.

The Volunteers recently named their newVolunteer Leadership Council. Donna Hoadleyis the chair, Verna Bollin is vice-chair, andcouncil members are Chris Eblen, JenniferGerbasi, Nancy Mason, Phil Mason, AnnePalmer, Elaine Parkin, Kathy Payne, AnnTipton and Jane Walker.

By Bethany Swann, student intern

Auxiliary changes name to Children’s Hospital Volunteers

Three Dog Night to take‘Center Stage’

The classic sounds of rock and roll willtake “Center Stage” as legendary group ThreeDog Night highlights the 15th annual benefitfor Children’s Hospital April 14 at theKnoxville Convention Center.

From 1969-1974, nobody had more Top10 hits, moved more records or sold moreconcert tickets than Three Dog Night.During this period, the group was the mostpopular band in America with 21 consecutiveTop 40 hits and 12 straight gold albums. Bylate 1975, they had sold nearly 50 millionrecords.

The group’s hits can be found throughout

pop culture today -- on the radio, in TVcommercials or in major motion pictures.Their hit songs, including “Joy to the World,”“An Old Fashioned Love Song,” “One” and“Black and White,” continue to be popularwith audiences today. In 2006, Three DogNight released a new disc – “ExtendedVersions – Live” — giving fans both new andold a chance to experience their live show ofinstantly familiar tunes with the group’scustomary harmonies and signature sound.

The Center Stage benefit will begin at 6 p.m. with cocktails and hors d’oeuvres,followed by dinner and Three Dog Night’sperformance. A dance band will performfollowing the concert.

Children’s Hospital extends a specialthanks to Bob and Wendy Goodfriend, whowill serve as co-chairs for the 15th year. TheGoodfriends, Pilot Corporation and LandAirwill provide underwriting support for CenterStage.

Benefactor and Corporate tables arecurrently being reserved, and individualtickets may be available if space allows for $350 per person. Call the Children'sHospital Development Department at (865) 541-8244 for table and ticketavailability.

Center Stage has raised more than $2.3million for Children’s Hospital since itsinception in 1993.

12

Estate Planning...Help children by using your IRA

IncludeChildren’s Hospitalin your estate plans.Join the ABC Club.For more information,call (865) 541-8441.

Please send additional information about IRA rollover gifts.

Name______________________________ Address__________________________________________

City___________________________ State_______ Zip_____________ Phone#(______)___________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

AA ssppeecciiaall ggiivviinngg ooppppoorrttuunniittyy ffoorrffrriieennddss 7700 aanndd oollddeerr..

For a number of years, Children’s Hospitaland other charities have received questions fromcertain of our more senior donors about makinggifts from their Individual Retirement Accounts(IRAs).

They have asked if it was possible to makegifts from an IRA without incurring income taxand, until late 2006, the answer was “no.” Butthrough December 31, 2007, the answer is “yes.”

Toward the end of last year, Congress passedand President Bush signed into law the PensionProtection Act of 2006. This bill includes anIRA Charitable Rollover provision. It allowspeople age 70 or older to donate up to $100,000during a taxable year for gifts made directly

rollover and Roth IRAs, not to other types of plans like 401(k), 457, 403(b), etc.However, funds from the other types ofretirement plans may be rolled into atraditional IRA to make the gift.

6. The transfer cannot be made to a donor-advised fund or to a supporting organization.

7. The transfer cannot be used to fund acharitable gift annuity or a charitableremainder trust.

If you or someone you know - age 70 or older -is interested in assisting our work with children by making a gift from an IRA, please call TeresaGoddard, Senior Development Officer, or DavidRule, Director of Development, at (865) 541-8162.We would be delighted to work with you and youradvisers.

from a traditional or Roth IRA to a qualifiedcharity such as Children’s Hospital.

This temporary tax provision for IRA giftsremains in effect only through December 31,2007, so if you are interested in making such a donation, it is important to act soon.

Here are some key details:1. The donor must be at least 70 at the

time of transfer.2. The transfer must pass directly from the

IRA custodian to the qualifying charity.3. The transfer is limited to no more than

$100,000 per tax year.4. The transfer is not limited to 50 percent

of adjusted gross income (AGI) likeother cash gifts.

5. The act applies only to traditional,

C e n t e r S t a g eC e n t e r S t a g e

CCAALLEENNDDAARR OOFF EEVVEENNTTSS

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Star 102.1 RadiothonStar 102.1 presents its sixth annual

Radiothon to benefit Children’s HospitalMarch 1-2. The event, hosted by Star 102.1morning radio personalities Marc, Kim andFrank from 6 a.m. to 6 p.m. each day, willfeature inspirational patient stories and localcelebrities. The hosts will encourage listenersto visit West Town Mall during the two-dayevent and make a personal pledge toChildren's Hospital. You can also donate tothe hospital by making a purchase at theRadiothon silent auction, which will feature avariety of items from local and nationalcompanies and retailers.

The funds raised during the Star 102.1Radiothon will benefit Children's HospitalHome Health Care and the CarePages service.

“Cutest Little Baby Face”Contest

The 17th annual “Cutest Little Baby Face”contest will kick off March 10 at Belz FactoryOutlet World in Pigeon Forge. The contest isopen to children ages 6 and younger, withGary Woods Photography in Sevierville takingphotos of participating children. Contestantsmay preregister by completing a registrationform at the outlet mall or by calling theChildren’s Hospital Development Departmentat (865) 541-8745.

The entry fee for preregistration is $5, andregistration at the event is $7. The fee includesa 5x7 portrait of the participating child.Pictures will be taken March 19, 9 a.m.-6 p.m., and March 11, 12-5 p.m. Voting willtake place at Belz on March 23 and 24; each $1 donation to Children’s Hospital will countas 100 votes. The child with the most voteswins and will be announced March 24 duringthe “Baby Face Parade.”

Food City Family Race NightMeet some of your favorite Nextel Cup and

Busch series NASCAR drivers at the KnoxvilleEXPO Center on Clinton Highway on March 21. The drivers will be on hand to signautographs, pose for pictures and talk with fans.There will also be fun family activities and freefood compliments of Food City. Tickets can bepurchased in advance for $4 at any Knoxville FoodCity or for $5 at the door. Children 5 and underare admitted free.

TrideltathonTriathletes should make plans to compete at

the 22nd Annual Delta Delta Delta “Trideltathon”on April 22. Participants will compete in themini-triathlon’s 3-mile run, 6-mile bike ride and400-meter swim while raising money forChildren’s Hospital.

Registration is limited to the first 400 entries.A registration fee (amount to be announced) forindividuals and groups will include registrationand a goodie bag.

Race packet pick-up and day-of-raceregistration will take place at the UT AquaticCenter April 21, 3-6 p.m., and race day,6:30-7:30 a.m.

Nancy Hayes BaseballTournament

Knock one out of the park May 3-6 at the fifth annual Nancy Hayes Memorial BaseballTournament. The Hayes family of New Marketsponsors the event in memory of their daughter,Nancy Elizabeth Hayes. Games will be held atPowell field, Caswell field, Fountain City field andKarns Sports Park. Proceeds from the event willbenefit Children’s Hospital. For more information,contact Lenny Hayes at (865) 382-1133 or by e-mail at lhayes22@earthlink.net.

U P C O M I N G E V E N T S T O B E N E F I T C H I L D R E N ’ S

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.

CCAALLEENNDDAARR OOFF EEVVEENNTTSS

Children’s Hospital Invitational Golf Tournament

The 24th annual Children’s HospitalInvitational Golf Tournament will take place atFox Den Country Club in Knoxville on May 14.The tournament will start with a morninground, followed by an afternoon tee time. Theentry fee for a two-man team is $225 per player,which includes green and cart fees, breakfast,lunch, refreshments, participation in the 19thhole and an official tournament goodie bag. Aportion of the participant entry fee is taxdeductible.

Ruby Tuesday is the event’s signaturesponsor.

Helicopter Awareness DayVisitors to Sevier County can enjoy a spring

afternoon outdoors and help Children's Hospitalat the same time. Scenic Helicopter Tours andHalson’s Helicopter Museum in Sevierville willhost the sixth annual Hal Haynes HelicopterAwareness Day to benefit Children's Hospitaland the Church of God Home For Children inSevierville and raise awareness of the importanceof helicopters in society.

All riders enjoying a trip on April 21 onScenic Helicopter Tours’ helicopters near theGreat Smoky Mountains will be charged normalride fees ($10 and up per person, depending onride length), and 100 percent of the day's ridefees will be donated to Children's Hospital andthe Church of God Home for Children. ScenicHelicopter Tours will also accept cash donationsfor Children's Hospital. Over $14,000 wasraised at this event in 2006.

In addition to rides, Helicopter AwarenessDay will feature five to 10 helicopters fromthroughout East Tennessee that visitors can see.Free food and drinks will also be available at theheliport from 10 a.m. to 4 p.m.

During the evening of April 21, a galarooftop event at Halson’s Helicopter Museumwill also raise funds for the hospital andchildren’s home. The next day, April 22, themuseum will host Helicopter Awareness Dayfrom 10 a.m. to 4 p.m., and that day’s revenueswill be donated to the hospital and children’shome.

For more information, contact ScenicHelicopter Tours at (865) 428-6929.

To learn more about any of these events, contactthe Children's Hospital Development Office at (865) 541-8441.

by Bethany Swann, student intern

The 2006 Cutest Little Baby Face, Madelaine Grizzell,appeared on the 2007 Children's Miracle Network telethon.With Madelaine are (left to right), Norm Kallemeyn with theKiwanis Club of Sevierville; Julya Johnson of WBIR-TVChannel 10; Amy Kingery, president of the Kiwanis Club ofSevierville; and Sarah Grizzell, Madelaine's mother.

Marc, Frank and Kim from Star 102.1 will host theupcoming sixth annual Radiothon to benefitChildren's Hospital.

14

There are so many things a parent can do to keep achild healthy and safe. In this issue of It’s AboutChildren, Ryan Redman, M.D., pediatricemergency medicine specialist at Children’sHospital, discusses some of the best ideas parentscan use to help their children stay safe and healthy— and hopefully out of the EmergencyDepartment.

QQ :: My child seems to bring home every germfrom school. What can we do?

AA :: The number one thing parents can do isteach their children the proper way to washhands and help them understand WHENto wash – after using the bathroom, beforeand after eating, after coughing or sneezing,after touching a pet, etc. Children tend totouch their mouths, so germs on the handshave an easy route into the child’s body –and before you know it, he or she is sick.Here, in simple terms that your child willunderstand, is how to wash properly:

• Use soap, and then lather for 10-15seconds. Make sure to wash between fingersand under nails where germs can hide.

• Rinse and dry well with a clean towel, thenturn off the water with the towel to keepfrom getting germs from the faucet ontoclean hands.

• Sing a favorite song while washing hands.By the time the song is over, those germsshould be washed away.

Having your child immunized againstcommon diseases is also extremelyimportant for keeping him or her healthy.See your child’s primary care physician tomake sure all shots are up to date; if not, thedoctor can put your child on a catch-upschedule. If you have concerns about thesafety of vaccines, ask your child’s doctor for

TToopp ttiippss ffoorr ssaaffee && hheeaalltthhyy kkiiddssadvice. The vaccines do come with somerisks, but the diseases that these vaccinesprotect against are far more serious thanthe risk of side effects.

QQ :: My son loves to play outside – especiallyriding his bike or scooter. What are somesafety tips for those activities?

AA :: Outdoor activities are great for children —the fresh air and physical activity promoteoverall health and fitness. But somefavorite activities can have a significant riskof injury. For kids on bikes, scooters, rollerskates and skateboards, a bike helmet isvital to protect the brain from injury. I alsorecommend knee, elbow and wrist pads foruse with scooters, skates and skateboardsto help protect from cuts and scrapes aswell as more serious sprains and fractures.Some children may not like thisrequirement, but parents should makesafety equipment non-negotiable: childrenwear the protective gear or they don’t ride.And remember, bike helmets are requiredby law, so your children really have nochoice in the matter.

In addition to using safety equipment,children also need a safe place to ride. If asidewalk is available, it is the safest place.Many neighborhoods don’t have sidewalks,however, so children naturally head to thestreet. Even the quietest streets are not safefrom a driver going too fast or one who isdistracted. And sometimes children justaren’t paying attention and enter the streetright in front of a moving vehicle. So makesure your children have the safest possibleplace to ride, and also teach them safetyrules of the road if you decide to let them ride in the street.

QQ :: Our neighbors’ children recently received atrampoline for a holiday gift. Now mychildren have asked for their own trampoline,but I have heard they can be unsafe. What isyour advice?

AA :: The best way to keep children safe with atrampoline is to not use one. Trampolineinjuries such as broken bones and head traumaare common and can be quite serious.Trampolines that have the netting aroundthem may prevent a child from falling off butwill not prevent other injuries.

If you choose to have a trampoline or to letyour children use a friend’s trampoline, hereare some basic guidelines:

• Only one person should be on the trampoline at a time.

• Children should be at least six years old beforeusing a trampoline.

• Do not allow somersaults because landing onthe head or neck can lead to very seriousinjury.

• Adult supervision is a must at all times.• Make sure the trampoline has protective

padding on the springs, hooks and frame, aswell as a net enclosure to help prevent falls.

QQ :: We are going to the beach during springbreak. How often should I apply sunscreen onmy children?

AA :: Sunscreen is very important to a child’s overallhealth. A sunburn may just be mildlyuncomfortable now, but each sunburndamages the skin, which can mean seriousproblems, such as skin cancer, later in life.Serious sunburn at any age can land theperson in the Emergency Department. Anddon’t forget that protection from the sun alsomeans wearing the right kind of clothing aswell as hats and sunglasses.

Use these tips for sun safety:

• Avoid the sun when it is highest overhead(about 10 a.m. to 4 p.m.) as much aspossible.

• Apply sunscreen for any outdoor activity –not just at the pool or beach but also forbackyard play. Apply sunscreen even on cool,cloudy or overcast days. UV rays can travelthrough the clouds and reflect off surfaces,causing an unexpected sunburn.

• Apply sunscreen 30 minutes before goingoutside and reapply every 2-3 hours. Reapplymore frequently if your child is swimming orsweating, and choose a waterproof formula.And apply it generously for good coverage.

• Select sunscreen with an SPF (sunprotection factor) of at least 15 that alsoprotects against both UVA and UVB rays(often referred to as a “broad-spectrum”sunscreen).

• Choose clothing with fabric that is thickenough to screen out harmful UV rays (ifyou can see your hand through the fabric,the sun’s rays will also be able to get throughthe fabric).

• Do not apply sunscreen to children under sixmonths of age – just keep them out of thesun as much as possible. When that is notpossible, dress the baby in a wide-brimmedhat and in clothing that covers the body. Youcan even use an umbrella to shade the baby.

As parents and caregivers, we have aresponsibility to take care of our children,and that does take some effort. Hopefullythese tips will get you started. For morehealth and safety information, visit theChildren’s Hospital Web site atwww.etch.com and click on “Health Library.”

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Ryan Redman, M.D.

New CPR guidelines make learning easier “Push hard, push fast” are words that will be repeated over and over in upcoming

Healthy Kids CPR (cardio-pulmonary resuscitation) classes.This is due to the new, easier CPR guidelines from the American Heart Association that

put emphasis on chest compressions rather than mouth-to-mouth resuscitation. The newtechnique calls for 30 chest compressions – rather than 15 – for every two rescue breaths.

These updated guidelines should make it easier for “everyday people” to learn CPR.Earlier rules were different for adults and for children and called on untrained rescuers tostop pushing the chest periodically to check for signs of circulation. Now the advice is thesame for all ages – 30 compressions for every two rescue breaths.

“What is important for anyone giving CPR is to keep the blood flowing,” said LorisaWilliams, Director of Education at Children’s Hospital. “Valuable time is lost when rescuerswho are not medical professionals try to check for signs of circulation or try to reposition avictim’s head for each rescue breath.”

Studies show that continual chest compressions create more blood flow through the heart and to the rest of the body, buying time until a defibrillator can be used or the heartcan pump blood on its own. Studies have also shown that blood circulation increases witheach chest compression and must be built back up after an interruption, such as to giverescue breaths.

“Every parent should know CPR,” said Joanna Simeone, Healthy Kids programcoordinator and public relations specialist for Children’s Hospital. “This skill can save achild’s life by providing breathing and circulation until advanced care can be given.”

Other changes in the updated CPR techniques can only be taught in a classroom setting.CPR classes are offered monthly as part of Children’s Hospital’s Healthy Kids program,which serves as an educational resource for parents by offering classes and literature forlearning more about a variety of children’s health issues.

For more information about learning CPR, call the Healthy Kids Hotline at (865) 541-8262. Class listings are also available on Children’s Hospital’s Web site at www.etch.com.

by Seth Linkous, Associate Director for Public Relations

It’s time to buy a Children’s Hospital license plate!The Children’s Hospital specialty license

plate is in danger of being abolished by thestate due to low numbers of purchasers.

The minimum number to maintain aspecialty plate formerly was 500 licenseplates, but the state increased the minimumin 2005 to1,000. At thistime, only 800Children’sHospital platesare registered.

Children’sHospital mustreach andmaintain at least1,000 activeregistrations(plates) by July 1, 2007, or our plate will beabolished. If this happens, the hospital willhave to wait three years before it can pursueanother specialty plate through a very lengthyprocess.

If you have purchased one of the plates, wehope you’ll renew the plate when it comesdue. This is an easy way to help Children’sHospital on an ongoing basis.

If you have been thinking aboutpurchasing the hospital plate, there hasnever been a better time! The plate isavailable continuously through eachCounty Clerk’s office, and the cost of theplate is $35 in addition to each county’s

renewal fee. Fifty percent of the revenuegenerated from the specialty platesdirectly benefits Children’s Hospital.

If you have any questions about thespecialty Children’s Hospital licenseplate, contact your local County Clerk’soffice or the Children’s HospitalDevelopment Department at (865) 541-8441.

The 25th annual Children’s Miracle Network Telethon was again a great success forChildren’s Hospital. Although it was broadcast earlier in the calendar year and featureda different format, the telethon raised $1.9 million through pledges and corporatedonations.

Traditionally a two-day event the weekend after Memorial Day, the telethon wasmoved earlier in the season for the first time in 2006. The 2007 telethon took placeSunday, January 28, and aired live on WBIR-TV 10 from 3:30-11:30 p.m. Thetelethon’s success reflects the outstanding support of many generous volunteers,individuals and corporate sponsors including Wal-Mart, Sam’s Club, Goody’s,Star 102.1 radio and other community organizations.

Children’s Hospital was a charter member of the Children’s Miracle Network in1983, becoming one of only 22 hospitals nationally to participate in the first telethon,which was broadcast locally on WBIR-TV 10.

Since that first telecast, the hospital has raised about $25 million to meet the healthcare needs of area children who make more than 141,000 visits to Children’s Hospitaleach year. Proceeds from this year’s telethonwill buy new and replacement equipment formany areas of the hospital so that eachpatient can receive the best care possible.

Children’s Hospital extends its sinceregratitude to all who participated in this year’stelethon, including WBIR-TV for its 25years of dedication to making a difference inthe lives of East Tennessee’s children.

Children’s Hospital2018 Clinch Ave. • P.O. Box 15010Knoxville, Tennessee 37901-5010

We always try to stay current with friends of the hospital.If for any reason you should receive a duplicate issue,please notify the hospital at (865) 541-8257.

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KNOXVILLE, TN

25th Annual CMN Telethon raises $1.9 Million