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In each issue of It’s About Children, we highlight some
of our former patients who have overcome medical
challenges. To submit your story for future use, write to:
Wendy Hames, Children’s Hospital, P.O. Box 15010,
Knoxville, TN 37901-5010.
On May 23,1995, Brittany Rogers’ life changed
forever. Then two years old, Brittany was playing in
the yard of her family home in Kingsport, while her
father was mowing the lawn in another part of the
yard. Unaware that Brittany was approaching, her
father backed up the riding mower to mow a spot that
he had missed, and the mower hit Brittany. Her right
foot and leg were extensively damaged, including
partial amputation of her foot and soft tissue damage
to the rest of her leg.
Brittany was rushed to a local
hospital by ambulance and then
was flown by helicopter to
Children’s Hospital. She spent 18
days in the Pediatric Intensive Care
Unit on a ventilator, experiencing
several surgeries and life-
threatening infections; the open
wound had been exposed to an
incredible amount of dirt and
germs found outdoors.
Brittany RogersBrittany Rogers
Robert Madigan, M.D., pediatric orthopedic
surgeon, and Steven J. Smith, M.D., pediatric plastic
surgeon, performed the surgeries on Brittany’s foot.
Dr. Smith took muscle from her back and skin grafts
from her other leg to reshape her damaged leg and
create a “platform” large enough for her to walk on
where her toes had been.
In 1996, in recognition of her recovery from such
a serious injury, Brittany was selected as the first
Children’s Miracle Network Champion for the State of
Tennessee, representing East Tennessee Children’s
Hospital.
Although Brittany experienced a traumatic injury
and a partial amputation, this has not stopped her
from doing anything. Now 14 years old, she wears a
prosthetic on her right foot. Active in her church, she
has gone on several mission trips.
An excellent student in high school, she is
ranked in the top five in her class and is a
member of the National Science Honor Society.
Brittany participated in cheerleading in middle
school but found her niche – golf – when she
reached high school. She was nominated for
Homecoming Queen and served on the
Homecoming Court during the basketball and
football seasons this school year.
by Jessica Chambers,
Guest Relations Representative
&
B o a r d o f D i r e c t o r s
Dennis Ragsdale
Chairman
Jeffory Jennings, M.D.
Vice Chairman
Michael Crabtree
Secretary/Treasurer
Bruce Anderson
Debbie Christiansen, M.D.
Dawn Ford
Keith D. Goodwin
Steven Harb
Lewis Harris, M.D.
Dee Haslam
Bob Koppel
A. David Martin
Dugan McLaughlin
Christopher Miller, M.D.
Steve South
Bill Terry, M.D.
Laurens Tullock
Danni Varlan
M e d i c a l S t a f f
David Nickels, M.D.
Chief of Staff
John Buchheit, M.D.
Vice Chief of Staff
John Little, M.D.
Secretary
C h i e f s o f S e r v i c e s
Jeanann Pardue, M.D.
Chief of Medicine
Mark Cramolini, M.D.
Chief of Surgery
A d m i n i s t r a t i o n
Keith D. Goodwin
President/CEO
Bob Koppel
President/CEO Emeritus
Laura Barnes, R.N., M.S.N., C.N.A.A.,B.C.
Vice President for Patient Care
Paul Bates
Vice President for Human Resources
Joe Childs, M.D.
Vice President for Medical Services
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 pediatric
medical center that has served the East
Tennessee region for 70 years and is certified
by the state of Tennessee as a Comprehensive
Regional Pediatric Center.
Ellen Liston
Director of Community Relations
David Rule
Director of Development
Wendy Hames
Editor
Neil Crosby
Cover/Contributing Photographer
“Because Children are Special…”
...they deserve the best possible health care given
in a positive, child/family-centered atmosphere of
friendliness, cooperation, and support - regardless
of race, religion, or ability to pay.”
...their medical needs are closely related to their
emotional and informational needs; therefore, the
total child must be considered in treating any illness
or injury.”
...their health care requires family involvement,
special understanding, special equipment, and
specially trained personnel who recognize that
children are not miniature adults.”
...their health care can best be provided by a facility
with a well-trained medical and hospital staff whose
only interests and concerns are with the total health
and well-being of infants, children, and adolescents.”
Statement of Philosophy
East Tennessee Children’s Hospital
www.etch.com
2
On the cover: Children’s Hospital’s new President/CEO, Keith D. Goodwin, is
pictured with the Van Tol quintuplets - from left, Meghan, Ashley, Sean (in front),
Willem and Isabella. The three-and-a-half-year-old Van Tols are Tennessee’s first
surviving quintuplets and “graduates” of the Children's Hospital Neonatal Intensive
Care Unit. Read more about Children’s Hospital’s new president on pages 6-7.
NOWthen
Brittany today
Brittany on the
cover of It’s About
Children with
WBIR-TV’s Bill
Williams in 1996
Brittany on the golf course
3
Children’s Hospital’s Social WorkDepartment has expanded the SpanishInterpretation Service to include a secondfull-time in-house interpreter. ElenaSimpkins and Kerri Fox provideinterpretative services on the Children’sHospital campus Monday throughSaturday during most business hours,including early morning surgeriesbeginning at 5:30 a.m. and most eveningsuntil 9:30 p.m.
Additionally, Children’s Hospital is inthe process of developing a Spanishsection on its Web site, www.etch.com,which will include health informationalong with other hospital informationcurrently available on the main hospitalWeb site.
For more information aboutinterpretation services for patients atChildren’s Hospital whose primarylanguage is not English, visit theChildren’s Hospital Web siteat www.etch.com/interserv.cfm.
by Leslie Street, student intern
SS ee rr vv iicc iioo ss EE nn EE sspp aa ññoo ll AAmm pp llii aadd oo ss((SS pp aann ii ss hh SS ee rrvv ii cc eess EE xx pp aa nn dd eedd ))
CarePages service helps families stay in touch
Children’s Hospital continues to offer an innovative service for
the families it serves who have children with chronic or serious
illnesses and injuries. Called CarePages, the Internet-based
communications system offers an opportunity for families to
create simple web pages about a sick or injured relative who is a
patient at Children’s Hospital.
CarePages offers patient web pages that deliver emotional
support to Children’s Hospital patients and families by making it
easy for them to stay in touch during a hospital stay or any time
the child is receiving medical care. The service provides patient
families with an easier way to update relatives and friends
without the need for repeated phone calls or e-mails. CarePages
also makes it possible for relatives and friends to send messages
of encouragement, giving the patient and family much needed
emotional support. A patient’s CarePage can be updated as often
as the family chooses, and guests to the page can see the updates
about the patient any time they access the family’s web page.
CarePages also makes it possible for families to help the
hospital in return. Through CarePages, patients and families
can recognize staff members who have provided superior levels
of care.
Children’s Hospital’s CarePages can be accessed through
computers in the hospital’s Family Resource Center, in a patient
family’s home or from any computer by visiting www.etch.com.
CarePages are password-protected, secure, and comply with all
patient privacy regulations.
The service is offered free to Children’s Hospital patient
families, thanks to funds raised by the annual Star 102.1
Radiothon.
VVVA life preserver, knowledge of CPR, a first-aid
kit and constant adult supervision — all are at
the top of the checklist for East Tennessee
parents as they set out to enjoy area pools and
lakes with their children this summer.
Parents learned about these much-needed
safety items and skills during a month-long
water safety campaign from mid-May to mid-
June sponsored by Children’s Hospital,
Campbell’s Pool and Spa, Dollywood’s Splash
Country and Kohl’s Department Stores.
Beginning Memorial Day weekend, Children’s
Hospital staff and
representatives from the
campaign sponsors took to
the airwaves using area
television and radio station
interviews to remind
parents that adult
supervision is the key to
keeping children safe
around water this summer.
According to Dr. Lise
Christensen, Pediatric
Emergency Medicine
Specialist at Children’s
Hospital, most accidents
could actually be
prevented with increased
supervision. “Nothing, not even
swimming lessons or life preservers, takes the
place of good parental supervision around the
water. In my career, I have never seen a
drowning or near-drowning that could not have
been prevented with better supervision.”
As part of the campaign, two events gave
parents and children first-hand knowledge of
water safety. The events, hosted by Campbell’s
Pool and Spa on June 7 and by Dollywood’s
Splash Country on June 13, included CPR
demonstrations, safety tips for child-proofing a
pool, a checklist for essential safety items to take
to the pool or lake, information on chemical
safety and storage, and re-enactments by the
Splash Country safety team to show parents
how dramatic and frightening a rescue can be.
“We hope that parents never have to use
this information, but in an emergency, these
skills are truly lifesavers,” said Tony Campbell
of Campbell’s Pool and Spa.
Studies show an average of 1,000 children
nationwide die annually
due to drowning, and nine
out of 10 of these
drownings happened when
a child was “reportedly”
being supervised. It was
the goal of the campaign
to teach parents to be
vigilant water watchers.
“Accidents occur in
seconds. If you need to
leave the water, even just
to answer the phone or get
a towel, take your child
with you,” Christensen said.
For more information
about this year’s water
safety campaign and tips for keeping safe
around water this summer, visit the Children’s
Hospital Web site at www.etch.com.
by Seth Linkous
Associate Director for Public Relations
B u l l e t i n B o a r d
Water safety campaign educates East Tennessee’s parents
V
V
A simple call home from the school office
that Macie Hatmaker was not feeling well
turned into a major medical crisis for the 11-
year-old in September 2006.
Then in sixth grade, Macie had been
dealing with a mild cough over the weekend. A
typical preteen, she had experienced some
allergies and asthma problems throughout
childhood but was generally a very healthy girl.
On Monday, September 26, Macie headed
off to school in a new outfit that she was
excited to show her friends. She had been there
only about 30 minutes when she felt so ill that
the school called her mother, Leslie Hatmaker,
to come pick her up to go home. Macie was in
pain and even was having trouble walking to
the school office to wait for her mother.
Leslie was home with their younger
daughter, Abby, who was also sick. They picked
Macie up and took her to the pediatrician’s
office, and Leslie called her husband, Chad, to
come get Abby.
Their regular doctor at Knoxville Pediatric
Associates, Bob Barnes, M.D., was not available
so Macie was seen by one of his partners,
Joseph Peeden, M.D. Dr. Peeden examined
Macie, ordered X-rays and put her on oxygen.
He also called an ambulance to pick her up at
the office and transport her to Children’s
Hospital. Dr. Peeden, who called the hospital
Emergency Department to alert them about
Macie’s pending arrival, told Leslie that Macie
needed to go to the ED immediately. In the
rush to get Macie to the hospital, Leslie didn’t
ask questions and Dr. Peeden didn’t have time
to give a thorough explanation of what was
wrong.
“I was scared. I was not sure what was
happening,” Leslie said. “Macie was trying to
reassure me!”
Even at her young age, Macie handled the
crisis well. “I was stunned and didn’t know
what was happening, but I stayed calm,” she
said. “It was kind of weird and scary.”
When the ambulance arrived at Children’s,
pediatric emergency medicine specialist Heather
Edgley, M.D., was waiting in the ambulance
bay.
“I asked the doctor to explain everything to
me. I said I didn’t really know what was going
on,” Leslie said.
Dr. Edgley explained what Dr. Peeden’s
office had told the ED – Macie had
experienced a spontaneous pneumothorax,
commonly referred to as a collapsed lung.
Pediatric pulmonologist John Rogers, M.D.,
was waiting inside the ED to examine Macie.
“When I arrived, I was sent to the critical
side of the ER,” Chad said. There, he
discovered Dr. Rogers and Dr. Edgley already
preparing to insert a chest tube – right in
the Emergency Department. Dr. Rogers felt
the urgency of Macie’s situation demanded
the surgery take place immediately in the ED,
rather than taking time to move her to the
Surgery Department.
Chad described the surgery, which he was
allowed to watch, as “fascinating and scary
at the same time.” Dr. Rogers performed the
surgery while Dr. Edgley managed anesthesia
for Macie.
The lung had to be “reinflated.” The
chest tube removed the excess oxygen in
Macie’s chest that was keeping the lung
collapsed, allowing the lung to expand. A
small perforation in Macie’s lung had caused
the collapse – but it is unknown what caused
the perforation.
4
M a c i eM a c i e
5
“I didn’t expect surgery,” Macie said.
“After the surgery, I was sore and tired but
otherwise felt fine. I’m glad I’d gone to the
hospital – I don’t know if I’d be here now.”
“Everyone was very reassuring, very
calming,” Leslie said. “They walked us
through it step by step.”
The Hatmakers were highly impressed
with Dr. Rogers, calling their relationship
with the physician “exceptional.” He came to
see Macie every morning after she had daily
X-rays. He even walked Leslie down to
Radiology several times to show her the X-
rays and explain everything in detail. The
chest tube was in for several days, and later,
it appeared necessary to reinsert the chest
tube. Macie was being prepped for surgery,
this time in an operating room. Shortly before
the surgery was to begin, Dr. Rogers
determined it was unnecessary and literally ran
the halls to stop the procedure before it began.
“We were already big fans of Dr. Rogers,
but we were sold when he came running down
the hall, out of breath, to stop the second
surgery,” Chad said. “Tears were shed, we were
very happy – it was a big relief.”
After a week spent on the hospital’s Second
Floor general medical unit, Macie was able to
go home. A dancer for many years, she was not
allowed to dance, participate in physical
education classes with her fellow sixth graders
at West Valley Middle School or do anything
else active for about a month. But after that
time, she was able to resume all her regular
activities. Although the cause of the collapsed
lung remains unknown, Macie has no long-
term limitations.
Chad, an attorney, felt compelled to
formally thank Drs. Rogers and Peeden in
writing for their “absolutely outstanding
response” to Macie’s medical crisis. He praised
Dr. Peeden’s quick reaction to the seriousness
of Macie’s condition
in the pediatrician’s office and said Dr. Rogers
“really cares about Macie’s welfare.”
The Hatmakers had never seen one of their
children hospitalized overnight before, so it
was a new experience. “Seven or eight days in
the hospital was a long time for us to build a
new family or circle of friends,” Leslie said.
“Our other kids visited Macie, and the staff
was great to them, too. Children’s is just a first
class facility, and it was a lifesaving experience
for Macie.”
Chad added, “You hope you never need it,
but as we learned, you have no control over
that. It’s reassuring that we have that kind of
facility in Knoxville … Before this, I didn’t
donate to the hospital. I thought they had
plenty of support. Now, I’m on the other side
of the fence. It takes support from EVERYONE
to provide first class care with state-of-the-art
equipment.”
Macie describes Dr. Rogers as “a great
doctor. Everything was great, and it was great
care. Everyone was really nice; people came
to ask if I needed games, a snack or a drink.”
Now if her friends need to go to
Children’s, Macie said, “I tell them not to
worry – it’s a great place. They’ll take care
of you, and you’ll get better.”
Macie and her family, including
parents Chad and Leslie and
younger siblings Abby and Davis,
appeared on both the Children's
Miracle Network Telethon (top)
and the Star 102.1 Radiothon
(bottom) for the benefit of
Children's Hospital. On the CMN
telethon, the Hatmakers were
interviewed by Mike Witcher
from WBIR-TV Channel 10, and
they shared Macie's story with
Star 102.1 morning personalities
Marc and Kim at the Radiothon.
Mopping floors and picking up trash in
patient rooms as a part-time housekeeper seems
to be an inauspicious way to begin a career in
hospital management. But for new Children’s
Hospital President/CEO Keith D. Goodwin, it
provided a variety of life lessons as well as a
ladder to management success.
His housekeeping experience offered “a
tremendous amount of interaction with patients
and families, who were hungry for ‘normal’
conversation,” Goodwin said. “They saw me as a
‘safe’ person. Unlike the clinical staff, I was not
assessing, evaluating or treating. We just talked,
and for me it was fun. I enjoyed that.”
The biggest lesson Goodwin says he learned
from his experience as a housekeeper is that
“everybody needs to be valued for the work they
do. If you treat everybody with respect and make
them a part of the team, they will perform better
and have better outcomes,” Goodwin said.
Interviewed on just his second day on the
job, Goodwin said he was “incredibly impressed”
with the staff of Children’s Hospital. “The staff
are clearly committed to the children they care
for and to [retired President] Bob Koppel. He has
created a wonderful team.
“My challenge will be to build on his legacy,”
Goodwin continued. “It only takes a minute and
a half to realize he is a wonderful human being
and is very committed. This is not always present
in leadership.”
Goodwin found the hospital’s principles,
philosophy and commitment to care to mirror his
own views, making the move here a very easy
transition.
VISION
Goodwin said his vision for Children’s
Hospital in the coming days and years is to
continue to be the major resource for the care of
children in our service area – both to meet our
primary purpose of helping children who are sick
or injured, as well as to be advocates for the
prevention of sickness and injury.
Those areas of interest are what this
community has come to expect from Children’s
Hospital over the past 70 years. The specific
services will continue to change as they have
throughout the hospital’s history – beginning as
a polio hospital and evolving into the
comprehensive medical center it is today. The
challenge will be to anticipate and prepare for
the future needs of our community and to adapt
over time to those needs.
CHALLENGES
Goodwin identifies a variety of
challenges he expects to encounter as
President of Children’s Hospital:
How to continue to be true to the mission
of providing care to children regardless of
their families’ ability to pay – the Open Door
Policy – despite the financial challenges we face.
How to recruit and retain talent. Without
outstanding physicians and hospital staff,
we cannot continue to achieve our mission.
Building on the success of the past – “This
is a fun challenge, and one of the things that
attracted me” to the job.
WHY EAST TENNESSEE
CHILDREN’S HOSPITAL?
Columbus Children’s Hospital, where
Goodwin spent most of his career, is a 375-bed
pediatric medical center with about 6,000
employees. That is substantially larger than East
Tennessee Children’s Hospital, with its 152 beds
and 1,800 employees. CCH also offers a few
specialized services – such as organ transplants –
that are not offered here and has made a major
commitment to both clinical and bench related
research.
But otherwise, “the clinical care is very similar
and commitment to our patients and families is
exactly alike,” Goodwin said. “It’s a high-quality
institution. I was attracted by the quality of care
and by the synergy among the medical staff,
the hospital staff, the Board of Directors
and Administration.
“During my first interview, I was given
an unannounced tour of the hospital,” he
continued. “People looked so happy to be here,
happy in their work – you sensed that. I just left
a place where that wasn’t always the case.”
Goodwin notes that he also liked the idea
of working in a freestanding hospital rather than
a part of a larger hospital system, and he also
liked Knoxville, noting that it’s not TOO far
away from his 2-year-old granddaughter in
central Ohio.
INTEREST IN PEDIATRIC
HEALTH CARE
Goodwin didn’t seek a career in pediatric
health care management as much as it sought
him, but he quickly developed a passion for the
work. A friend referred him to Columbus
6
NEW PRESIDENT READY FOR OPPORTUNITIES,
Children’s Hospital for a temporary
housekeeping job during his college years.
Through the years he received various
promotions and had the opportunity to work
with clinical teams from all aspects of the
hospital: from the NICU to the operating rooms
to the outpatient clinics.
“I can’t do what a clinician does. I get too
emotionally involved,” Goodwin said. “But if I
do my job well, the clinical staff will have the
people and resources they need to be successful
in their work. We have the opportunity to
impact a child’s life for 80-plus years. I am
excited about our impact on children and this
long-term commitment we can have to them.”
PERSONAL EXPERIENCES WITH
PEDIATRIC HEALTH CARE
Goodwin had an early experience with
pediatric health care when, as a child, his older
brother was treated at Columbus Children’s
for polio.
Later, he experienced the hospital as a
parent. Goodwin said his own children were “so
accident-prone” when they were growing up,
especially his son, who once grabbed a curling
iron and sustained second degree burns.
Another time Goodwin’s son fell 15 feet out of
a tree, and Goodwin remembers sitting in the
Emergency Department waiting to learn if the
boy would be paralyzed. Seeing his feet move
was the happiest moment of Goodwin’s life,
after the birth of his children. Goodwin’s son
did sustain injuries from the fall and required
100 stitches, but the injuries were non-life-
threatening.
“Having been a parent and having gone
through that is terribly helpful,” Goodwin said.
“To see through the eyes of a parent – it’s not
just the next patient, but it’s someone you love
more than life itself.”
Goodwin says he has seen that same
passion reflected in the staff at Children’s and
knows that is what “makes this a special place.”
COMMUNITY INVOLVEMENT
Beyond his dedication to pediatric health
care, Goodwin has a history of supporting the
community in which he lives and works. He has
been actively involved with organizations
including Big Brothers and Big Sisters, Ronald
McDonald House, Juvenile Diabetes Board of
Central Texas, American Heart Association of
Central Ohio, and his two alma maters, Ohio
State and Capital University. He also
is a long-time proponent of the United Way.
At this time, Goodwin has no specific
community involvement plans for Knoxville but
said he hopes to look for any opportunities that
tie in to Children’s Hospital and especially to
the welfare of children. That will mesh well
with his desire to maintain Children’s Hospital’s
status as a community asset and a major local
employer.
LEGACY
When Goodwin left Columbus Children’s,
he told the staff, “I think leadership’s legacy
should be to leave the place better than they
found it.” Goodwin is not interested in personal
accolades, because “it’s not about me – it’s
about the work and the team.”
He likes the term “servant leader,” which he
feels is a good description of his philosophy of
management. He was pleased to know that the
term was already part of the management
culture at Children’s.
PERSONAL
Goodwin moved to Knoxville in late May,
followed a few weeks later by his wife of 30
years, Dianne Goodwin. She was a middle
school health and physical education teacher in
Ohio who remained there a few extra weeks to
complete her teaching obligations.
The Goodwins have three adult children,
son Ryan and daughters Regann and Rylie,
as well as one grandchild, 2-year-old Grace
Elizabeth, about whom Goodwin says,
“She’s fun and a joy in our life. We love her
unconditionally and spoil her continuously!”
Goodwin said he enjoys golf, working
around the house and reading. He perhaps has
“adult ADD” in that he is usually reading up to
five different books concurrently.
The Goodwins are looking forward to
exploring Knoxville and all of Tennessee,
including visits to Dollywood, Nashville,
Memphis and whatever other areas they learn
about.
“I like to play, to have fun in everything I
do. Laughter is therapeutic,” he said. “I have to
enjoy what I do. I think we all should. Life’s
too short to do otherwise.”
The Goodwin File
New Children’s Hospital President Keith
Goodwin spent most of his professional
career at Columbus Children’s Hospital (CCH),
a 375-bed pediatric medical center. During
his 26 years in management at CCH (1977-
96 and 1999-2006), he served in the
positions of Assistant Executive Director,
President and Chief Operating Officer
and Interim CEO. At Columbus Children’s,
Goodwin focused many of his efforts on
program/service development, strategic
planning, physician recruitment, children’s
advocacy, fundraising, health care access for
the region’s children, facility expansion and
a successful capital funds campaign.
Goodwin also served as administrator of
Children’s Hospital in Austin, Texas, from
1996-98 and most recently was president
of Doctors Hospital in Columbus, Ohio, a
222-bed hospital that is part of the
OhioHealth hospital system.
A graduate of The Ohio State University
with a Bachelor of Science as well as a
certificate from its Executive Program in
Health Care Financial Management,
Goodwin also holds a Master of Business
Administration from Capital University
in Columbus.
“Although we had four very strong
candidates from which to choose, we believe
Keith is the perfect fit for both our hospital
and the community,” said Jim Bush,
Chairman of the Board of Directors at the
time of Goodwin’s selection. “Throughout his
career, he has demonstrated a passion and
commitment to building an organizational
culture of service and support for sick and
injured children and their families. His
positive relationships with medical and
hospital staff, trustees and volunteers have
been a hallmark of his leadership. Keith’s
understanding of children’s health care,
coupled with his management style and
relationship-building skills, will allow for a
smooth CEO transition and ensure East
Tennessee Children’s Hospital will continue
on a road toward a very bright future.”
7
CHALLENGES
There is no such thing as a “typical” day in a
hospital. Day in and day out, patients enter our doors
for care, but each child is unique, and each experience
is different. However, within each day at Children’s
Hospital, there are some common threads. One
common thread is the training and experience of the
hospital’s staff — no matter what situation arises, our
staff is skilled and prepared to meet the challenge. For
the next several issues of It’s About Children, we are
profiling some of our staff and highlighting all our
clinical areas. We hope it will give you a glimpse into
life at Children’s Hospital.
CLINICAL NUTRITION
Children with medical conditions often have
related nutritional issues. Perhaps the child’s illness or
injury prevents him or her from eating enough. Or
perhaps the physician consults clinical nutrition for
assistance with a specialized tube feeding. Whatever
the reason for the nutritional issues patients may
have, Children’s Hospital’s clinical dietitians and
clinical nutrition specialists work to individualize a
plan of care and provide education for the child and
family.
At Children’s Hospital, dietitians provide medical
nutrition therapy for general pediatrics as well as
specialty areas such as oncology, weight management,
cystic fibrosis, celiac disease, failure to thrive, intensive
care, renal nutrition, metabolic disorders and diabetes.
The 10 members of the clinical nutrition staff
provide physician-ordered services for inpatient units,
outpatient clinics, the Children’s Hospital
Rehabilitation Center and Children’s Hospital Home
Health Care. It is the goal of the staff that, through
appropriate medical nutrition therapy, patients should
be able to recover more quickly and with fewer
complications. All of the staff are registered dietitians
and are licensed by the state of Tennessee.
SSaarraahh MMaatthhiiss,, RR..DD..,, LL..DD..NN..,, CC..DD..EE..
Sarah Mathis, a clinical nutrition specialist, entered
the field of dietetics because she loves working with
people. In nutritional counseling, there is a unique
blend of science, psychology, counseling and teaching.
It was this blend that made her interested in pursuing
a career in dietetics. Every day Mathis helps families
improve nutrition and understand that other aspects
of their lives affect their overall health and
happiness.
“Food and nutrition affect and are
affected by every aspect of our lives: our
families, our work, our emotions and the
things we do for fun,” she said.
Mathis received her undergraduate
education in Nutrition and Food Science at
Middle Tennessee State University with a
minor in Science and Psychology. She then
attended the University of Alabama at
Birmingham, where she completed a nine-
month internship in dietetics. After passing
the exam to become a registered dietitian,
Mathis developed interests in diabetes and
pediatrics. Since then, she has chosen continuing
education programs in these particular areas that
help her grow as a dietitian and learn how to best
help the patients she serves with diabetes.
A certified diabetes educator, Mathis says her
favorite part of this job is teaching children who
are newly diagnosed with type 1 diabetes and their
families and watching them accomplish the goals
they set for themselves.
“I love to teach parents and children skills
to cope with a new diagnosis and to help make
the transition to a new lifestyle easier,” she said.
“There is nothing more rewarding that teaching
a child and family a new concept and then
watching them learn and apply it with confidence.”
One of Mathis’ favorite stories of working in
food and nutrition is of a baby she began seeing
early in her career at Children’s. “It was a joy to
work with his mom and dad on feeding him and
coming up with nutritional recommendations that
would help him grow,” Mathis said. “It was
rewarding to see the baby’s weight increase
with each new day in the hospital and that my
recommendations could help put his parents
more at ease.”
Mathis continued to hear from the family
about the baby’s growth and development and was
able to answer follow-up questions after they went
home from the hospital.
Mathis says she chooses to work at Children’s
Hospital because she loves the opportunity to work
with children and families in an ongoing capacity.
“It’s great to have regular follow-up with
children over the years who may be toddlers at
their diagnosis with diabetes and grow to
teenagers who gradually have assumed more
responsibility in taking care of their own health,”
Mathis said.
After four years at Children’s Hospital, Mathis
said she loves working with a team of providers
who desire the best health and quality of life for
their patients and who strive to make the patient
and family a central part of the team.
MMyykkeell MMooooddyy,, RR..DD..,, LL..DD..NN..
As an athlete in high school, Mykel Moody
learned a lot about diet and how it influenced her
physical abilities. She became interested in nutrition
and continued to learn about the subject by enrolling
in nutrition classes at Eastern Kentucky University in
Richmond. After a few entry-level nutrition classes,
Moody knew she wanted to be a dietitian.
“I wanted to share my passion and knowledge
of nutrition with others,” Moody said. “As a dietitian,
that is exactly what I get to do.”
Moody received her bachelor’s degree in dietetics
from Eastern Kentucky University and later completed
a nine-month dietetics internship at the University of
Alabama at Birmingham (UAB). During the internship,
Moody worked with dietitians in various settings and
also took some graduate classes.
Currently, Moody is in the process of completing
a master’s degree in human nutrition from the
University of Alabama at Tuscaloosa. Most of her classes
are focused in science (chemistry and food science),
math and food/nutrition (clinical, community, food
prep/purchasing).
“Dietitians are required to have a good
understanding of food and the human body and
how the two interact with each other,” Moody said.
“Dietitians must also have good communication
skills to counsel patients and families.”
Moody has fond memories of her internship at UAB.
“Attending UAB allowed me to be exposed to a wide
variety of people and places which has made me a
much more open-minded individual,” she said. “I was
able to work with people from different cultures and
with individuals from low-income areas.” Moody
believes that working with various groups of people
has helped her to learn the importance of providing
individualized care.
Moody has been a clinical dietitian at Children’s
Hospital for nearly a year. “The work environment at
Children’s is the best,” she said. “Everyone here is so
friendly and enthusiastic.” According to Moody, the
employees at Children’s Hospital are genuinely
concerned about providing the best possible care to the
patients, and she is proud to a part of that group.
by Bethany Swann, student intern
A day in the of Children’s Hospital
8
Sarah Mathis
Mykel Moody
him in 2001 to
consider a seat on
the Board, “I already
had a love for
Children’s Hospital
at that time because
I saw the wonderful
work they did,”
Nance said.
Through his work
as Executive
Director/CEO of
Knoxville’s
Community
Development
Council (KCDC),
Nance had a unique
opportunity to help the region’s families in two
different ways. Through KCDC, he works for better
housing opportunities for lower income Knoxvillians,
and through Children’s Hospital, he has the chance
to help improve the health of those families.
Nance describes the hospital as “a well-oiled
machine.” He was particularly impressed with the
substantial amount of time the Board dedicated to
service delivery and the practice of medicine. “They
are always looking at these things and at how to
improve. It’s a strong customer-service oriented
organization,” Nance added.
He did not realize before joining the Board just
how extensive the hospital’s reach was; he viewed it
as a Knoxville asset but now realizes many families
travel two to three hours to reach the hospital for
the services their children need. “A local hospital may
not be the best for children, and the need for
pediatric health care is critical,” he said.
Nance said he has many good memories of his six
years on the Board but notes he will especially miss
retired President Bob Koppel (now President and CEO
Emeritus). “Although I have known Bob only six
years, he is a great individual, and it feels like I’ve
known him much longer. He can genuinely connect
to people.”
James
S. Bush
James S. Bush
joined the
Children’s Hospital
Board of Dierctors
in 1985 and has
served as Board
Chairman for the
past eight years.
See page 16 for
more about Bush,
his years on the
Board, and the
hospital area
which will soon
bear his name.
by Bethany Swann, student intern, and
Wendy Hames, Associate Director for Publications
The face of the Children’s Hospital Board of
Directors has changed this summer, as the Board has
added two new members and said goodbye to two
others. New Board members are Bruce Anderson and
Dee Haslam, while departing Board members are James
S. Bush and Alvin Nance.
With these Board changes also comes a change in
the Board officers. Bush has been succeeded as Board
Chairman by Dennis Ragsdale, who most recently was
Vice Chairman. Jeffory Jennings, M.D., is the new Vice
Chairman, while Michael Crabtree continues as
Secretary/Treasurer.
“Children’s Hospital expresses its appreciation to Jim
Bush and Alvin Nance for their service to the Board
and their dedication to the children of this region. We
are grateful for all they have done to help Children’s
Hospital grow into the pediatric medical center that it
is today,” said President Keith Goodwin.
“At the same time, we look forward to working with
new Board members Bruce Anderson and Dee Haslam,
who both already had longstanding relationships with
the hospital,” Goodwin said. “They bring valuable
knowledge to our Board and will undoubtedly
contribute much to the hospital’s ongoing success and
growth.”
Bruce Anderson
Bruce Anderson,
an attorney with
Anderson, Reeves
and Herbert, has
been sharing his
legal expertise with
Children’s Hospital
for a decade and
will now continue
to be a part of the
hospital’s future as
a new member of
the hospital Board
of Directors.
Anderson has acted
as one of Children’s
Hospital’s lawyers
for the past 10-12
years and is excited to serve the hospital from a
director’s side on the Board.
Anderson and his wife, Monique, have brought their
two children — James, 21, and John, 16 — to
Children’s Hospital for minor issues over the years and
recognize how many families benefit from the hospital.
“I am very honored and excited to have this
position on the Board because of what Children’s
means not only to my family but also to the entire
community,” Anderson said.
One of Anderson’s goals for his time on the board
involves the hospital’s quality management program.
Anderson is interested in being involved with the
board’s responsibility in quality management. “To me,
the quality of service to our patients is, and should be,
our highest priority. Hopefully, my legal background
will add an additional perspective to quality
management,” Anderson said.
Other goals for Anderson involve the Board’s
strategic planning. “I have always had a strong interest
in this area of business management. Long range
planning is critical to the viability of the hospital,
and I hope my experience in this area will be a
valuable asset to the Board and to the hospital,”
Anderson said.
“My representation of Children’s Hospital has
enabled me to experience many of the day-to-day
activities of the hospital. I am coming to the Board
with experience in health care from both a practical
side as well as a business point of view,” Anderson
said. “I’ve always been very proud of the job that
Children’s Hospital has done in this community and
am excited about the opportunity to be involved in
the future of the hospital.”
Dee Haslam
The Haslams
have always been
strong supporters
and benefactors
for Children’s
Hospital, and
now Dee Haslam,
CEO of RIVR
Media, will
support the
hospital from a
new position: as
a member of the
Board of
Directors.
Dee Haslam
and her husband,
Jimmy Haslam III,
have three children: James, Whitney and Cynthia.
The Haslams have a great respect and appreciation
for Children’s Hospital because of personal
experience: daughter Cynthia was hospitalized in
the Children’s Hospital Neonatal Intensive Care Unit
as a newborn. She was treated there for several
weeks before being discharged home, and she is
now a healthy young adult.
The Haslam family name is synonymous with
philanthropy in East Tennessee. In 2006 the
expanded Neonatal Intensive Care Unit was named
the Haslam Family NICU after the extended family’s
joint $1 million pledge to the hospital’s capital
funds campaign.
The family’s history of support for Children’s
Hospital encouraged Dee Haslam to use her
expertise in media and marketing to help further
the hospital’s community reach on the Board. “I
have always appreciated the organization, staff and
wisdom of the hospital. I hope to contribute to the
best of my ability, to learn from the experience and
to enjoy the fellowship of working with the rest of
the Board,” she said.
Alvin Nance
Personal experiences with his children instigated
Alvin Nance’s relationship with Children’s Hospital.
Both his son, A.J. (age 19), and daughter, Jessica
(age 23), had surgery at the hospital when they
were younger.
When former Board member Julia Tucker invited
9
Hospital adds Board members,
says goodbye to retirees
Bruce Anderson
Dee Haslam
Alvin Nance
James S. Bush
SubspecialistProfiles
10
SubspecialistProfiles
B.S. – University of California, Davis, 1995
M.D. – St. Georges University School of
Medicine, Grenada, West Indies, 1999
Internship and Residency – University of
Medicine and Dentistry of New Jersey,
Newark, 1999-2002
Fellowship (Pediatric Cardiology) – Children’s
Hospital of Pittsburgh, 2002-2005
Fellowship (Pediatric Interventional Cardiology) –
University of Texas, 2005-06
Family – Wife, Dimple; daughter Asha (age 5)
and son Rohin (age 2)
Personal interests – family, basketball,
traveling, cooking and eating
“Your priorities change as you get older,” he
explained. “The practice here offered a good
balance between work and personal life.”
As a pediatric cardiologist, Dr. Sharma treats
conditions such as heart murmurs, chest pain, heart
rhythm issues, children who pass out, “blue babies,”
and infants with heart defects or lesions. He also
increasingly provides sports physicals for student-
athletes; there is a great deal of media attention
when young athletes die, and parents often seek
reassurance that their children are healthy enough
for competitive sports.
Dr. Sharma’s skills are a good complement to the
pediatric cardiologists he joined, Drs. Jeffory
Jennings and Yvonne Bremer, at Knoxville Pediatric
Cardiology, P.C. Dr. Bremer has expertise in
diagnosing prenatal heart defects, and Dr. Jennings
also is an interventional cardiologist. The three
together can diagnose and treat a variety of cardiac
conditions.
A significant challenge of pediatric cardiology,
according to Dr. Sharma, is “the unexpected. No
matter how much science we have, there is always
the art of medicine. No two patients or cases are
alike,” he explained. “We never take anything for
granted because we don’t know what might
happen. Most cases follow an expected course, but
there are always cases that don’t.”
Another challenge is giving bad news to a
family. “How to give it is the hardest thing,” he said.
“The family will remember HOW they are told and
how it is handled. They appreciate you being open
and honest, and it is important to remember as the
doctor that it is normal for the family to be mad at
the person giving the news. How you express the
news is part of the family’s closure.
“Sometimes we can tell parents not to worry and
put their mind at ease,” he said. “Parents want to
know if their child’s problem is the heart or not.
“My philosophy is that treating the patient is
first and foremost. A close second is the family of
the patient — I do not forget them, ever,” he said.
Working in conjunction with Drs. Jennings and
Bremer, Dr. Sharma will continue to provide the best
in pediatric cardiac care to the children of East
Tennessee and neighboring states.
Pediatric cardiologist
wants to promote
healthy habits
Teaching young patients healthy habits, when
they are impressionable and more easily influenced,
can help them to be healthy adults. New Children’s
Hospital pediatric cardiologist Sumeet Sharma,
M.D., maintains that goal as one of his focuses in
caring for his patients.
“As a pediatrician, I interact with children who
are both well and sick,” Dr. Sharma said. “Children
do not have a choice with their diseases. Their
pathology is usually due to something they are
born with, not a manifestation of their lifestyle
choices. One of our goals is to give a child who
has congenital heart disease as normal a lifestyle
as possible.”
Pediatric cardiology is interesting because it is
“hands-on and visual,” according to Dr. Sharma,
requiring the physician to see and think in three
dimensions when viewing a two-dimensional
image. Pediatric cardiologists routinely use multiple
types of imagery to recreate a model of the heart.
Dr. Sharma also specializes in and is fellowship
trained in pediatric interventional cardiology. Using
the Cardiac Catheterization Lab at UT Medical
Center, Dr. Sharma is able to repair some heart
defects in a less invasive manner. “It is fun and
technically demanding,” he said. “A heart is very
small [in a pediatric patient], and it is challenging
maneuvering catheters in the heart.”
Interventional cardiology includes closing holes
in the heart, stenting arteries, opening or relieving
valve obstructions and closing abnormal blood
vessel connections.
Dr. Sharma visited Knoxville in early 2006 while
looking for a practice in need of an additional
pediatric cardiologist, and he was impressed with
the staff of Knoxville Pediatric Cardiology, P.C.,
and the working environment at the hospital.
(Interestingly, his first visit to the city had been as
a young boy in 1982 for the World’s Fair.) Dr.
Sharma and his wife, Dimple, a Kentucky native,
thought Knoxville seemed a good place to raise
their two young children, daughter Asha (age 5)
and son Rohin (age 2).
Sumeet Sharma, M.D.
Cardiology offices have moved
Knoxville Pediatric Cardiology, P.C.,
has moved to a new office location.
Drs. Jennings, Bremer and Sharma are
now seeing patients at the Children's
Hospital Koppel Plaza, Fourth Floor. Koppel
Plaza is located at the corner of Clinch
Avenue and 21st Street, next door to the
Medical Office Building where the practice's
office formerly was located. For information
or directions, call Knoxville Pediatric
Cardiology at (865) 522-0420.
11
B.S. – University of Buffalo, Buffalo, N.Y., 1995
M.S. (Exercise Physiology) – Syracuse University,
1997
M.D. – Upstate Medical University, Syracuse,
N.Y., 2001
Internship and Residency – Winthrop University
Hospital, SUNY Stonybrook, Mineola, N.Y.
– 2001-03
Fellowship (Pediatric Pulmonology) –
Childrens Hospital Los Angeles, 2003-07
Family – Wife, Michelle N. Simpson;
daughter Sierra Noelle (age 2 months)
Personal interests – global traveling, hiking,
camping, cooking, fighting childhood
obesity
Pulmonologist seeks
to improve children’s
lung health
Children’s Hospital’s newest pediatric
pulmonologist, Sterling W. Simpson, M.D., M.S.,
has an interest in childhood obesity. That
typically is a problem for a pediatric
endocrinologist and not really in the realm of a
pulmonologist. However, Dr. Simpson is
concerned about the many negative effects of
obesity on a child’s lung health.
“Childhood obesity encompasses a lot of
psychosocial issues, and it’s both an endocrine
issue and a pulmonary issue,” Simpson
explained. “Although many people are aware of
the risks and dangers of diabetes because of
obesity, many people don’t realize that a
primary health problem related to obesity is
obstructive sleep apnea. Obesity can cause an
array of other subtle pulmonary symptoms that
parents may miss, such as pulmonary
first child, daughter Sierra, was born just two
months ago.
Dr. Simpson, in his search for a practice to
join, learned of the opportunity at Children’s
Hospital and found himself drawn to the
hospital and its staff. “A main reason for
choosing Knoxville during my nationwide job
search was how impressed I was with the
hospital, its staff, the Administration’s
reputation, and finally, the first class
pulmonary department,” he explained. Having
grown up in upstate New York, with its lakes,
rolling hills and great camping and hiking, Dr.
Simpson was also drawn to this area’s
mountains.
As a pediatric pulmonologist, Dr. Simpson
treats a variety of conditions. One example is
chronic lung disease in infants: “graduates” of
the Neonatal Intensive Care Unit are usually
followed by a pediatric pulmonologist for their
first few years of life. Dr. Simpson said this is a
rewarding component of his specialty — his
care of these patients offers him the
opportunity to affect their development in
their early years and, he believes, throughout
their lifetime.
Other common diagnoses he treats are
cystic fibrosis, sleep apnea (as mentioned
earlier, often secondary to obesity), other sleep
disorders, congenital malformations of the
airway, uncontrolled asthma, recurring
pneumonia, chronic respiratory failure, chronic
cough and exercise intolerance.
Cystic fibrosis is one of the more serious
conditions for a pediatric pulmonologist to
treat, but “CF care has greatly improved in
even just the last five years, and it has
extended life spans into the late 30s,” Dr.
Simpson said. New therapies and medications
are greatly benefiting children with this
disease, for which there remains no cure.
Other advances in medicine are enabling
physicians to better control asthma through
inhaled steroid treatment; diagnose conditions
more easily with better MRI and CT scans; help
children with various sleep disorders through
the newer field of pediatric sleep medicine;
and improve the quality of life for children
requiring chronic ventilation assistance.
“Home mechanical ventilation is a big
advance,” he said. “These kids would
essentially live in a hospital before this became
available. Now these children are taken care
of at home” in a more comfortable setting.
Children’s Hospital welcomes Dr. Simpson
to our medical staff and looks forward to
working with him and his colleagues in
pediatric pulmonology in providing care to
this region’s children.
hypertension” (increased blood pressure to the
lungs that makes it difficult for the lungs and
heart to provide enough oxygen to the body).
Although he is quick to point out that he is
not an expert on childhood obesity, Dr. Simpson
does have significant knowledge and training in
the pulmonary complications that can arise in an
obese child. “If I can do anything to raise
awareness of the problem of childhood obesity, I
will,” he continued. “I have seen children reverse
severe symptoms of apnea by losing weight.”
Dr. Simpson jokes that his wife, Michelle,
calls him the “anti-juice doctor,” because he
believes children drink far too much juice,
resulting in too many calories — which
ultimately contributes to obesity. “Children with
weight problems are typically drinking four to
five glasses of juice a day. There is nothing in
juice that they cannot get from a healthy diet,”
he said.
He suggests a good replacement is a low-
calorie beverage such as Crystal Light, which
comes in a variety of flavors, tastes good (so it
appeals to children) and has almost no calories.
By making this simple switch, some overweight
children could begin to lose as much as a pound
a week — ultimately leading to an overall
improvement in health, including a reduced risk
of diabetes and a reduced risk of lung
complications.
Dr. Simpson’s concern about the childhood
obesity issue stems from his interest in helping
children. He discovered early in his medical
career that he was able to connect with children
on a personal level. “There is no greater gift
than to be able to help a child become healthy
or to help a child cope with a chronic illness,”
he said.
Later he found he enjoyed caring for children
with more complex problems and felt he had a
skill in dealing with children in life or death
situations: “Dealing with chronically ill children
can be challenging. You’re dealing with the
family unit as a whole, and it’s very important.
“I also really like pulmonary physiology, so
these things all steered me to my specialty,” Dr.
Simpson said.
“I believe that when a patient and his or her
family truly understand the child’s specific
disease process, anxiety is reduced and
compliancy [with recommendations and
treatment] is elevated,” Dr. Simpson said.
“Children are smarter than most understand.”
In July, Dr. Simpson joined the Children’s
Hospital-based pediatric pulmonology practice
of Drs. John Rogers and Eduardo Riff. Dr.
Simpson’s family lives in the neighboring state
of North Carolina, and he and his wife were
interested in the southeast region of the country
as a good place to raise a family. The couple’s
S t e r l i n g W. S i m p s o n , M . D . , M . S .
Donors throughout U.S. make IRA gifts to
Children’s and other charities
Include Children’s Hospital in your estate plans.
Join the ABC Club. For more information, call (865) 541-8441.
Please send the FREE planning booklet, “Personal Financial Affairs Record.”
Name______________________________ Address__________________________________________
City___________________________ State_______ Zip_____________ Phone#(______)___________
¨ Please call me at the phone number below for a free confidential consultation concerning planned giving.
¨ Please send me more information about deferred giving.
¨ I have already included Children’s Hospital in my estate plan in the following way:
__________________________________________________________________________
¨ Please send me information about the ABC Club.
Children’s Hospital Development Office • (865) 541-8441
Special tax provision
expires December 31
In a previous issue of It’s About Children,
we highlighted the new Individual Retirement
Account giving option available to donors ages
70 years and older.
This Charitable Rollover Provision was
enacted to allow individuals to donate funds
from their IRA to the charity of their choice,
and it has been very effective. Recent statistics
from the National Committee on Planned Giving
indicate that from August 2006 through early
June 2007, over $75 million has been given to
charities across the nation via this method.
There have been over 4,100 IRA gifts averaging
nearly $18,000 each.
The special tax provision was temporary and
expires on December 31. However, there is still
time for you to help Children’s Hospital by
making a gift from your IRA. Time is short, and
planning is important. Here are the key details:
• The donor must be at least age 70
at the time of transfer.
• The transfer must pass directly from the IRA
custodian to the qualifying charity.
• The transfer is limited to no more than
$100,000 per tax year.
• The transfer is not limited to
50 percent of adjusted gross income (AGI)
like other cash gifts.
Bob Koppel, who retired June 30 after 31
years as President/CEO of Children’s Hospital,
was honored recently by gifts made to the
hospital in his honor. Many hospital physicians,
employees, members of the Board of Directors
and other hospital supporters chose to
recognize Koppel’s dedication to Children’s
Hospital by making a financial donation to
the hospital in his name.
To date, 116 donors have given more than
$18,570 in Koppel’s honor. From those funds,
a bronze “Butterfly Bridge” sculpture was
purchased for placement in a flower garden
outside of the Koppel Plaza hospital office
building. The remaining funds have been
placed into a new restricted fund, “The
Koppel Fund,” which will be used to benefit
our patients.
Koppel expressed his thanks to the many
donors. “I have been honored to be a part
of Children’s Hospital for 31 years, and I am
grateful to the many individuals who have
so generously honored me through their
donations to help the patients of Children’s
Hospital,” Koppel said.
Koppel will continue to serve Children’s
Hospital for the next two years as President/
CEO Emeritus, focusing on strategic planning,
physician recruitment, fund-raising strategies,
donor relationships and advocacy of
Children’s Hospital’s interests to promote
quality children’s health care.
Estate Planning...
continued on page 15
Donations honor retiring presidentDonations honor retiring president
Bob and Ianne Koppel with the Butterfly Bridge Sculpture
UUPPCCOOMMIINNGG EEVVEENNTTSS ttoo
BBEENNEEFFIITT CCHHIILLDDRREENN’’SS
calendar of events
13
ETPMI Golf Tournament
The East Tennessee Chapter PMI Golf
Tournament is scheduled for Friday, September
14, at Willow Creek Golf Club in Knoxville. The
entry fee of $100 includes breakfast, lunch, green
and cart fees, range balls, golf shirt, golf balls
and eligibility for contest prizes. Teams will be
composed of four people who will play in a
scramble format with a shotgun start at 8:30
a.m. Prizes will be awarded for the top three
teams, hole-in-one, closest to the hole and
longest drive.
All proceeds from the tournament will benefit
the Celiac Disease Support Group at Children’s
Hospital.
For more information about the ETPMI Golf
Tournament, contact the Children’s Hospital
Development Office at (865) 541-8608.
Tino Holiday Print Sale
With the holiday season just around the
corner, many people’s thoughts are turning to
their shopping lists. Children’s Hospital is offering
a great place to find unique gifts for friends and
family at the 11th Annual Tino Holiday Art Sale.
On November 1-2, nationally known artist
Robert Tino of Sevierville will host a sale of his
work at Children’s Hospital in the Meschendorf
conference room. The sale will feature items for
all price ranges including note cards, matted 8x10
prints, art tiles, framed limited edition prints and
many more items featuring his artwork. Tino and
his wife, Mary John, will donate a portion of the
proceeds from the sale to Children’s Hospital.
For more information, contact the Children’s
Hospital Development Office at (865) 541-8441.
RM Technologies
Golf Tournament
The Rodefer Moss Technologies Golf
Tournament will be September 20 at River
Islands Golf Club in Kodak, Tenn. Teams will
be composed of four players. The entry fee of
$150 per person (or $500 for a team of 4)
includes 18 holes of golf, cart and greens
fees, practice range, lunch, a goody bag, polo
shirt and eligibility for prizes.
All proceeds from the tournament will
benefit the Pediatric Intensive Care Unit at
Children’s Hospital.
For more information about the RM
Technologies Golf Tournament, please contact
the Development Office at (865) 541-8745.
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.
Fantasy of Trees
The 23rd annual Fantasy of Trees will take
a trip through the country to highlight many
different holiday traditions of the Southern
states. Held at the Knoxville Convention Center
on November 21-25, this event will feature the
theme of “Holiday Cheer Down South” and will
showcase traditions ranging from an East
Tennessee Big Orange “Vol-iday” to the Jingle
Bells and Jazz of New Orleans. New children’s
activities and shops will also reflect this year’s
warm theme.
The Fantasy of Trees features more than
300 beautifully decorated holiday trees and
other designer items; a variety of festive and
colorful decorations including an entire village
made of gingerbread houses; holiday gift shops
with items for all ages; daily live entertainment
at the “Fantast Theater”; special events
including the Babes in Toyland Parade, Santa’s
Senior Stroll and Kris Kringle’s Children’s Party;
and dozens of children’s activities and crafts
such as Gingerbread Kids Ornaments,
Tennessee Angel Deely-Bobbers and visits
with Santa.
For more information on Fantasy of
Trees, visit www.etch.com/Fantasy.cfm or
call (865) 541-8385.
by Leslie Street and
Bethany Swann, student interns
14
With young people spending more time on the
Internet, a new form of bullying has emerged that
can be just as hurtful and damaging as physical
aggression. This “cyberbullying” goes easily
unnoticed by onlookers and makes it simple for the
bully to hide his or her identity. Parents need to be
vigilant observers of their children’s computer use to
make sure they do not fall victim to online
harassment. In this issue of It’s About Children,
Dr. Nicole Swain, pediatric psychologist at Children’s
Hospital discusses ways to protect your children
from various Internet dangers.
Q: What are some of the methods cyberbullies use
to pick on others? Is it limited to Instant
Messaging?
A: While anonymous instant messages are one of
the main avenues of cyberbullying and online
predators, they can also use e-mail, cell phones,
photos, videos and social sites like Facebook,
MySpace and YouTube to humiliate or threaten
others. To help your children keep safe from
online bullies and predators, encourage them to
never share their password with anyone nor give
out personal or contact information on public
Web sites.
Many online networking sites like Facebook
have privacy settings to keep users safe from
unwanted share of information. Every user has
the ability to set their level of privacy depending
on who they want to be allowed to view
personal information like their interests or
pictures and who will be allowed to
communicate with them.
Q: Even though I try to monitor my pre-teen
daughter’s instant messaging on our computer,
I can’t understand any of the acronyms she
uses! How can I decode this new “net lingo,”
and are there any terms I should be particularly
worried about?
A: You are not the only parent who has been
baffled by their child’s secret computer
language. All of those acronyms are called
cyberslang, and understanding it can help
you protect your child from potential online
bullies and sexual predators. Netlingo.com
has a dictionary of online jargon that is
updated daily. Some important cyberslang
terms every parent should know include:
9 ASL: age/sex/location
9 POS: parent over shoulder
9 LMIRL: let’s meet in real life
9 PAL: parents are listening
9 MorF: male or female
9 SorG: straight or gay
9 KPC: keeping parents clueless
9 ADR: address
9 P911: parent alert
Q: I’ve heard stories recently about children
getting in trouble for staging online fights.
Can you tell me more about this?
A: A trend that has recently surfaced involves
children videotaping their fights and posting
the footage online. Besides the obvious
danger that comes from being in a fight, the
person behind the camera can get in serious
trouble as well. Anyone discovered filming a
fight can be charged with aiding and
abetting. If your child participates physically,
the charges increase to assault. If you ever
see your child watching an online fight, turn
off the computer and explain the
consequences of online brawls.
Q: My nine-year-old son spends a lot of time
on the computer surfing the Internet and
instant messaging his friends. But I worry
about him getting into trouble with strangers
online. What can I do to protect him?
A: Simple surfing and instant messaging with
friends are common activities for kids—and
generally safe, if you have discussed some
rules of use with them. Chatting with
strangers, however, may be a different story.
Keep the computer in a common room (such
as a family room) rather than a bedroom so
that you can monitor Internet activity.
Although there’s no way to know the actual
risk, the FBI cautions that children whose
Internet activity isn’t monitored are most at
risk for being exploited.
Take an interest in the sites your child is
visiting and the people with whom he is
chatting (sometimes adults pose as kids or
teens in chat rooms to seem less threatening).
Warn him NEVER to give out his personal
information (phone number, name, address,
school name, etc.), agree to meet in-person
anyone he meets in a chat room, or share any
photographs.
Cyberbullying & other Internet Dangers
Urge your son to introduce you to any new
“friends” he meets online and to tell you if he ever
feels uncomfortable about conversations that take
place. Keep constant open communication with
your child so that he feels comfortable coming to
you with this type of information. It is just as
important to discuss Internet safety as it is to
discuss the dangers of drugs, alcohol, sex and
smoking. Most important, talk to him about the
dangers of interacting with strangers online and
remind him that people online often do not tell
the truth.
Finally, blocking and filtering software is available
if you want to make the financial investment for
this added safety.
Q: Are there any federal laws in place to help keep my
child safe while on the Internet?
A: Yes. A federal law has been created to help protect
children while they are using the Internet. It is
designed to keep anyone from obtaining children’s
personal information without you knowing about
it and agreeing to it first.
The Children’s Online Privacy Protection Act
(COPPA) requires Web sites to explain their privacy
policies on the site and get parents’ consent before
collecting or using a child’s personal information,
such as a name, address, phone number or Social
Security number. The law also prohibits a site from
requiring a child to provide more personal
information than necessary to play a game or
contest.
But even with this law, your child’s best online
protection is you. By talking to your child about
potential online dangers and monitoring his or her
computer use, you will be helping your child to
surf the Internet safely.
compiled by Leslie Street and
Bethany Swann, student interns
15
Nicole Falvo Swain, Psy.D.
CCPPRR
Dates: August 20, September 17,
October 15, November 12
and December 3
Time: 6-9 p.m.
This class will teach caregivers
cardiopulmonary resuscitation and choking
maneuvers for children and adults. This
class also gives general home safety advice
and tips, and participants must be at least
14 years old. This course is $20 per person.
II CCaann!!
Dates: September 19, October 25,
November 3 and 19, December 12
Time: 6 p.m.
I-Can! is a Healthy Kids class series for
families about making healthy choices.
Four different classes focus on making
healthy food choices, fun and fitness,
cooking choices and shopping ideas.
Families can join the series of classes at
any time. This course is $10 per session
per family.
SSaaffee SSiitttteerr
Dates: August 25, September 15 and 29,
October 13 and 20, November 3
and December 15
Time: 9 a.m. to 3 p.m. (lunch is provided)
Safe Sitter is a national organization
that teaches young adolescents safe
and nurturing babysitting techniques
and the rescue skills needed to respond
appropriately to medical emergencies.
Instructors are certified through Safe
Sitter nationally. Participants must be
ages 11-14. This course is $20 per person.
Class size is limited, so preregistration
is required. All classes are offered in the
Koppel Plaza at Children’s Hospital,
unless otherwise noted. For more
information or to register for any of
these classes or to receive our free
Healthy Kids parenting newsletter,
call (865) 541-8262.
Announcements about upcoming
classes can be seen on WBIR-TV 10 and
heard on area radio stations. Or visit our
Web site at www.etch.com and click on
“Healthy Kids Education and News.”
Upcoming Community Education ClassesUpcoming Community Education Classes
• The Act applies only to
traditional, rollover and Roth IRAs,
not to other types of plans like
401(k), 457, 403(b), etc. However,
it is possible to roll funds over
from one of the other types of
retirement plans into a traditional
IRA to make the gift.
• The transfer cannot be made to
a donor advised fund or a
supporting organization.
• The transfer cannot be used to
fund a charitable gift annuity or
a charitable remainder trust.
If you or someone you know
would like to help the children
entrusted to our care by making a
gift from an IRA, we encourage you
to act now. The window of
opportunity for these gifts will close
on December 31.
Please call David Rule, Children’s
Hospital Director of Development, at
(865) 541-8172, or Teresa Goddard,
Senior Development Officer, at
(865) 541-8466 if you have questions
or would like additional information.
The hospital’s Development staff will
work with you and your advisors on
an IRA gift.
Estate Planning...
c o n t i n u e d f r o m p a g e 1 3
Children’s Hospital
2018 Clinch Ave. • P.O. Box 15010
Knoxville, Tennessee 37901-5010
We always try to stay current with friends of the hospital.
If for any reason you should receive a duplicate issue,
please notify the hospital at (865) 541-8257.
NON-PROFIT
ORGANIZATION
U.S. POSTAGE
PA I D
PERMIT 433
KNOXVILLE, TN
Bush honored upon board retirementBush honored upon board retirement
Jim Bush, retiring Chairman of the
Children’s Hospital Board of Directors, has
dedicated himself to the hospital for more
than two decades and is now being honored
for his service. The new Third Floor outpatient
clinic, set to open this fall, will be named the
James S. Bush Outpatient Care Center, and a
plaque will be installed there in his
honor.
The plaque reads, “For his tireless
commitment and dedication to our
hospital, mission and the children
entrusted to our care, we dedicate
this healing facility in honor of
James S. Bush. ‘Jim’ faithfully served
on Children’s Hospital’s Board of
Directors from May 1985 to June
2007 and held the office of Board
Chairman from December 1999 to
June 2007.”
New Board Chairman Dennis
Ragsdale presented Bush with this
honor during a board meeting on
June 19. “I am fortunate to have had
the opportunity to work with Jim
throughout the years and can think
of no one who is more deserving of
this honor,” Ragsdale said.
Bob Koppel, President/CEO
Emeritus of Children’s Hospital, said,
“Jim Bush and I have worked together
during his entire tenure on the Board of
Directors, and I have continually been
impressed with his dedication to our medical
center. He has been a great asset to the
Children’s Hospital Board of Directors and has
served with distinction in the position of
Chairman for the past eight years. Children’s
Hospital is fortunate to have Jim continue in
his service to our medical center as he joins Dr.
Bill Byrd and Don Parnell in the capacity of
Board Chairman Emeritus.”
Bush expressed his appreciation for the
honor, noting that it has been a pleasure to
work for so many years with the
Administration, the other members of the
Board of Directors, the medical staff and the
hospital staff. “I want to commit my time
where it can be most effective, and it’s been a
joy and an honor to be involved with
Children’s Hospital. It’s a valuable asset to the
community,” Bush said. “Children’s Hospital
has and will continue to do much for this
community.”
The continual process of working to make
Children’s Hospital a better place is what is
most significant to Bush during his 22 years of
service to the Board. “I have enjoyed the
Board,” he said. “It’s a great group of people
who are all there for the right purpose, which
makes it very gratifying.”
Bush said he is constantly impressed with
the hospital’s culture: “What it’s there for is
serving kids. It doesn’t matter who they are or
where they came from.
“Succeeding in the hospital
business is not easy,” Bush
continued, noting that Children’s
has managed to grow, add
specialties, purchase the latest
equipment and maintain a solid
financial status. “A wonderful
staff helps to make it all
happen.”
As a non-voting Board
Chairman Emeritus, Bush will
continue to attend Board
meetings, where he will no doubt
enjoy visits with Koppel. “It’s
been a treat working with Bob,”
he said. “But I’ve been there long
enough, so I am excited about
Dennis” [Ragsdale, the new Board
Chairman].
Beyond Children’s Hospital,
Bush has had significant
community involvement in other
programs that benefit children,
including his current interests: the
Boys and Girls Clubs and the Wee Course golf
course and its character development program
for inner city children, First Tee.
Bush and his wife, Mary, have three
daughters (Ellen Fowler, Susan Bacon and
Jamie Litton) and six grandchildren.
by Bethany Swann, student intern, and
Wendy Hames, Associate Director for
Publications
President Keith Goodwin and Jim Bush, Board Chairman Emeritus

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It's About Children - Fall 2007 Issue by East Tennessee Children's Hospital

  • 1.
  • 2. In each issue of It’s About Children, we highlight some of our former patients who have overcome medical challenges. To submit your story for future use, write to: Wendy Hames, Children’s Hospital, P.O. Box 15010, Knoxville, TN 37901-5010. On May 23,1995, Brittany Rogers’ life changed forever. Then two years old, Brittany was playing in the yard of her family home in Kingsport, while her father was mowing the lawn in another part of the yard. Unaware that Brittany was approaching, her father backed up the riding mower to mow a spot that he had missed, and the mower hit Brittany. Her right foot and leg were extensively damaged, including partial amputation of her foot and soft tissue damage to the rest of her leg. Brittany was rushed to a local hospital by ambulance and then was flown by helicopter to Children’s Hospital. She spent 18 days in the Pediatric Intensive Care Unit on a ventilator, experiencing several surgeries and life- threatening infections; the open wound had been exposed to an incredible amount of dirt and germs found outdoors. Brittany RogersBrittany Rogers Robert Madigan, M.D., pediatric orthopedic surgeon, and Steven J. Smith, M.D., pediatric plastic surgeon, performed the surgeries on Brittany’s foot. Dr. Smith took muscle from her back and skin grafts from her other leg to reshape her damaged leg and create a “platform” large enough for her to walk on where her toes had been. In 1996, in recognition of her recovery from such a serious injury, Brittany was selected as the first Children’s Miracle Network Champion for the State of Tennessee, representing East Tennessee Children’s Hospital. Although Brittany experienced a traumatic injury and a partial amputation, this has not stopped her from doing anything. Now 14 years old, she wears a prosthetic on her right foot. Active in her church, she has gone on several mission trips. An excellent student in high school, she is ranked in the top five in her class and is a member of the National Science Honor Society. Brittany participated in cheerleading in middle school but found her niche – golf – when she reached high school. She was nominated for Homecoming Queen and served on the Homecoming Court during the basketball and football seasons this school year. by Jessica Chambers, Guest Relations Representative & B o a r d o f D i r e c t o r s Dennis Ragsdale Chairman Jeffory Jennings, M.D. Vice Chairman Michael Crabtree Secretary/Treasurer Bruce Anderson Debbie Christiansen, M.D. Dawn Ford Keith D. Goodwin Steven Harb Lewis Harris, M.D. Dee Haslam Bob Koppel A. David Martin Dugan McLaughlin Christopher Miller, M.D. Steve South Bill Terry, M.D. Laurens Tullock Danni Varlan M e d i c a l S t a f f David Nickels, M.D. Chief of Staff John Buchheit, M.D. Vice Chief of Staff John Little, M.D. Secretary C h i e f s o f S e r v i c e s Jeanann Pardue, M.D. Chief of Medicine Mark Cramolini, M.D. Chief of Surgery A d m i n i s t r a t i o n Keith D. Goodwin President/CEO Bob Koppel President/CEO Emeritus Laura Barnes, R.N., M.S.N., C.N.A.A.,B.C. Vice President for Patient Care Paul Bates Vice President for Human Resources Joe Childs, M.D. Vice President for Medical Services 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 pediatric medical center that has served the East Tennessee region for 70 years and is certified by the state of Tennessee as a Comprehensive Regional Pediatric Center. Ellen Liston Director of Community Relations David Rule Director of Development Wendy Hames Editor Neil Crosby Cover/Contributing Photographer “Because Children are Special…” ...they deserve the best possible health care given in a positive, child/family-centered atmosphere of friendliness, cooperation, and support - regardless of race, religion, or ability to pay.” ...their medical needs are closely related to their emotional and informational needs; therefore, the total child must be considered in treating any illness or injury.” ...their health care requires family involvement, special understanding, special equipment, and specially trained personnel who recognize that children are not miniature adults.” ...their health care can best be provided by a facility with a well-trained medical and hospital staff whose only interests and concerns are with the total health and well-being of infants, children, and adolescents.” Statement of Philosophy East Tennessee Children’s Hospital www.etch.com 2 On the cover: Children’s Hospital’s new President/CEO, Keith D. Goodwin, is pictured with the Van Tol quintuplets - from left, Meghan, Ashley, Sean (in front), Willem and Isabella. The three-and-a-half-year-old Van Tols are Tennessee’s first surviving quintuplets and “graduates” of the Children's Hospital Neonatal Intensive Care Unit. Read more about Children’s Hospital’s new president on pages 6-7. NOWthen Brittany today Brittany on the cover of It’s About Children with WBIR-TV’s Bill Williams in 1996 Brittany on the golf course
  • 3. 3 Children’s Hospital’s Social WorkDepartment has expanded the SpanishInterpretation Service to include a secondfull-time in-house interpreter. ElenaSimpkins and Kerri Fox provideinterpretative services on the Children’sHospital campus Monday throughSaturday during most business hours,including early morning surgeriesbeginning at 5:30 a.m. and most eveningsuntil 9:30 p.m. Additionally, Children’s Hospital is inthe process of developing a Spanishsection on its Web site, www.etch.com,which will include health informationalong with other hospital informationcurrently available on the main hospitalWeb site. For more information aboutinterpretation services for patients atChildren’s Hospital whose primarylanguage is not English, visit theChildren’s Hospital Web siteat www.etch.com/interserv.cfm. by Leslie Street, student intern SS ee rr vv iicc iioo ss EE nn EE sspp aa ññoo ll AAmm pp llii aadd oo ss((SS pp aann ii ss hh SS ee rrvv ii cc eess EE xx pp aa nn dd eedd )) CarePages service helps families stay in touch Children’s Hospital continues to offer an innovative service for the families it serves who have children with chronic or serious illnesses and injuries. Called CarePages, the Internet-based communications system offers an opportunity for families to create simple web pages about a sick or injured relative who is a patient at Children’s Hospital. CarePages offers patient web pages that deliver emotional support to Children’s Hospital patients and families by making it easy for them to stay in touch during a hospital stay or any time the child is receiving medical care. The service provides patient families with an easier way to update relatives and friends without the need for repeated phone calls or e-mails. CarePages also makes it possible for relatives and friends to send messages of encouragement, giving the patient and family much needed emotional support. A patient’s CarePage can be updated as often as the family chooses, and guests to the page can see the updates about the patient any time they access the family’s web page. CarePages also makes it possible for families to help the hospital in return. Through CarePages, patients and families can recognize staff members who have provided superior levels of care. Children’s Hospital’s CarePages can be accessed through computers in the hospital’s Family Resource Center, in a patient family’s home or from any computer by visiting www.etch.com. CarePages are password-protected, secure, and comply with all patient privacy regulations. The service is offered free to Children’s Hospital patient families, thanks to funds raised by the annual Star 102.1 Radiothon. VVVA life preserver, knowledge of CPR, a first-aid kit and constant adult supervision — all are at the top of the checklist for East Tennessee parents as they set out to enjoy area pools and lakes with their children this summer. Parents learned about these much-needed safety items and skills during a month-long water safety campaign from mid-May to mid- June sponsored by Children’s Hospital, Campbell’s Pool and Spa, Dollywood’s Splash Country and Kohl’s Department Stores. Beginning Memorial Day weekend, Children’s Hospital staff and representatives from the campaign sponsors took to the airwaves using area television and radio station interviews to remind parents that adult supervision is the key to keeping children safe around water this summer. According to Dr. Lise Christensen, Pediatric Emergency Medicine Specialist at Children’s Hospital, most accidents could actually be prevented with increased supervision. “Nothing, not even swimming lessons or life preservers, takes the place of good parental supervision around the water. In my career, I have never seen a drowning or near-drowning that could not have been prevented with better supervision.” As part of the campaign, two events gave parents and children first-hand knowledge of water safety. The events, hosted by Campbell’s Pool and Spa on June 7 and by Dollywood’s Splash Country on June 13, included CPR demonstrations, safety tips for child-proofing a pool, a checklist for essential safety items to take to the pool or lake, information on chemical safety and storage, and re-enactments by the Splash Country safety team to show parents how dramatic and frightening a rescue can be. “We hope that parents never have to use this information, but in an emergency, these skills are truly lifesavers,” said Tony Campbell of Campbell’s Pool and Spa. Studies show an average of 1,000 children nationwide die annually due to drowning, and nine out of 10 of these drownings happened when a child was “reportedly” being supervised. It was the goal of the campaign to teach parents to be vigilant water watchers. “Accidents occur in seconds. If you need to leave the water, even just to answer the phone or get a towel, take your child with you,” Christensen said. For more information about this year’s water safety campaign and tips for keeping safe around water this summer, visit the Children’s Hospital Web site at www.etch.com. by Seth Linkous Associate Director for Public Relations B u l l e t i n B o a r d Water safety campaign educates East Tennessee’s parents V V
  • 4. A simple call home from the school office that Macie Hatmaker was not feeling well turned into a major medical crisis for the 11- year-old in September 2006. Then in sixth grade, Macie had been dealing with a mild cough over the weekend. A typical preteen, she had experienced some allergies and asthma problems throughout childhood but was generally a very healthy girl. On Monday, September 26, Macie headed off to school in a new outfit that she was excited to show her friends. She had been there only about 30 minutes when she felt so ill that the school called her mother, Leslie Hatmaker, to come pick her up to go home. Macie was in pain and even was having trouble walking to the school office to wait for her mother. Leslie was home with their younger daughter, Abby, who was also sick. They picked Macie up and took her to the pediatrician’s office, and Leslie called her husband, Chad, to come get Abby. Their regular doctor at Knoxville Pediatric Associates, Bob Barnes, M.D., was not available so Macie was seen by one of his partners, Joseph Peeden, M.D. Dr. Peeden examined Macie, ordered X-rays and put her on oxygen. He also called an ambulance to pick her up at the office and transport her to Children’s Hospital. Dr. Peeden, who called the hospital Emergency Department to alert them about Macie’s pending arrival, told Leslie that Macie needed to go to the ED immediately. In the rush to get Macie to the hospital, Leslie didn’t ask questions and Dr. Peeden didn’t have time to give a thorough explanation of what was wrong. “I was scared. I was not sure what was happening,” Leslie said. “Macie was trying to reassure me!” Even at her young age, Macie handled the crisis well. “I was stunned and didn’t know what was happening, but I stayed calm,” she said. “It was kind of weird and scary.” When the ambulance arrived at Children’s, pediatric emergency medicine specialist Heather Edgley, M.D., was waiting in the ambulance bay. “I asked the doctor to explain everything to me. I said I didn’t really know what was going on,” Leslie said. Dr. Edgley explained what Dr. Peeden’s office had told the ED – Macie had experienced a spontaneous pneumothorax, commonly referred to as a collapsed lung. Pediatric pulmonologist John Rogers, M.D., was waiting inside the ED to examine Macie. “When I arrived, I was sent to the critical side of the ER,” Chad said. There, he discovered Dr. Rogers and Dr. Edgley already preparing to insert a chest tube – right in the Emergency Department. Dr. Rogers felt the urgency of Macie’s situation demanded the surgery take place immediately in the ED, rather than taking time to move her to the Surgery Department. Chad described the surgery, which he was allowed to watch, as “fascinating and scary at the same time.” Dr. Rogers performed the surgery while Dr. Edgley managed anesthesia for Macie. The lung had to be “reinflated.” The chest tube removed the excess oxygen in Macie’s chest that was keeping the lung collapsed, allowing the lung to expand. A small perforation in Macie’s lung had caused the collapse – but it is unknown what caused the perforation. 4 M a c i eM a c i e
  • 5. 5 “I didn’t expect surgery,” Macie said. “After the surgery, I was sore and tired but otherwise felt fine. I’m glad I’d gone to the hospital – I don’t know if I’d be here now.” “Everyone was very reassuring, very calming,” Leslie said. “They walked us through it step by step.” The Hatmakers were highly impressed with Dr. Rogers, calling their relationship with the physician “exceptional.” He came to see Macie every morning after she had daily X-rays. He even walked Leslie down to Radiology several times to show her the X- rays and explain everything in detail. The chest tube was in for several days, and later, it appeared necessary to reinsert the chest tube. Macie was being prepped for surgery, this time in an operating room. Shortly before the surgery was to begin, Dr. Rogers determined it was unnecessary and literally ran the halls to stop the procedure before it began. “We were already big fans of Dr. Rogers, but we were sold when he came running down the hall, out of breath, to stop the second surgery,” Chad said. “Tears were shed, we were very happy – it was a big relief.” After a week spent on the hospital’s Second Floor general medical unit, Macie was able to go home. A dancer for many years, she was not allowed to dance, participate in physical education classes with her fellow sixth graders at West Valley Middle School or do anything else active for about a month. But after that time, she was able to resume all her regular activities. Although the cause of the collapsed lung remains unknown, Macie has no long- term limitations. Chad, an attorney, felt compelled to formally thank Drs. Rogers and Peeden in writing for their “absolutely outstanding response” to Macie’s medical crisis. He praised Dr. Peeden’s quick reaction to the seriousness of Macie’s condition in the pediatrician’s office and said Dr. Rogers “really cares about Macie’s welfare.” The Hatmakers had never seen one of their children hospitalized overnight before, so it was a new experience. “Seven or eight days in the hospital was a long time for us to build a new family or circle of friends,” Leslie said. “Our other kids visited Macie, and the staff was great to them, too. Children’s is just a first class facility, and it was a lifesaving experience for Macie.” Chad added, “You hope you never need it, but as we learned, you have no control over that. It’s reassuring that we have that kind of facility in Knoxville … Before this, I didn’t donate to the hospital. I thought they had plenty of support. Now, I’m on the other side of the fence. It takes support from EVERYONE to provide first class care with state-of-the-art equipment.” Macie describes Dr. Rogers as “a great doctor. Everything was great, and it was great care. Everyone was really nice; people came to ask if I needed games, a snack or a drink.” Now if her friends need to go to Children’s, Macie said, “I tell them not to worry – it’s a great place. They’ll take care of you, and you’ll get better.” Macie and her family, including parents Chad and Leslie and younger siblings Abby and Davis, appeared on both the Children's Miracle Network Telethon (top) and the Star 102.1 Radiothon (bottom) for the benefit of Children's Hospital. On the CMN telethon, the Hatmakers were interviewed by Mike Witcher from WBIR-TV Channel 10, and they shared Macie's story with Star 102.1 morning personalities Marc and Kim at the Radiothon.
  • 6. Mopping floors and picking up trash in patient rooms as a part-time housekeeper seems to be an inauspicious way to begin a career in hospital management. But for new Children’s Hospital President/CEO Keith D. Goodwin, it provided a variety of life lessons as well as a ladder to management success. His housekeeping experience offered “a tremendous amount of interaction with patients and families, who were hungry for ‘normal’ conversation,” Goodwin said. “They saw me as a ‘safe’ person. Unlike the clinical staff, I was not assessing, evaluating or treating. We just talked, and for me it was fun. I enjoyed that.” The biggest lesson Goodwin says he learned from his experience as a housekeeper is that “everybody needs to be valued for the work they do. If you treat everybody with respect and make them a part of the team, they will perform better and have better outcomes,” Goodwin said. Interviewed on just his second day on the job, Goodwin said he was “incredibly impressed” with the staff of Children’s Hospital. “The staff are clearly committed to the children they care for and to [retired President] Bob Koppel. He has created a wonderful team. “My challenge will be to build on his legacy,” Goodwin continued. “It only takes a minute and a half to realize he is a wonderful human being and is very committed. This is not always present in leadership.” Goodwin found the hospital’s principles, philosophy and commitment to care to mirror his own views, making the move here a very easy transition. VISION Goodwin said his vision for Children’s Hospital in the coming days and years is to continue to be the major resource for the care of children in our service area – both to meet our primary purpose of helping children who are sick or injured, as well as to be advocates for the prevention of sickness and injury. Those areas of interest are what this community has come to expect from Children’s Hospital over the past 70 years. The specific services will continue to change as they have throughout the hospital’s history – beginning as a polio hospital and evolving into the comprehensive medical center it is today. The challenge will be to anticipate and prepare for the future needs of our community and to adapt over time to those needs. CHALLENGES Goodwin identifies a variety of challenges he expects to encounter as President of Children’s Hospital: How to continue to be true to the mission of providing care to children regardless of their families’ ability to pay – the Open Door Policy – despite the financial challenges we face. How to recruit and retain talent. Without outstanding physicians and hospital staff, we cannot continue to achieve our mission. Building on the success of the past – “This is a fun challenge, and one of the things that attracted me” to the job. WHY EAST TENNESSEE CHILDREN’S HOSPITAL? Columbus Children’s Hospital, where Goodwin spent most of his career, is a 375-bed pediatric medical center with about 6,000 employees. That is substantially larger than East Tennessee Children’s Hospital, with its 152 beds and 1,800 employees. CCH also offers a few specialized services – such as organ transplants – that are not offered here and has made a major commitment to both clinical and bench related research. But otherwise, “the clinical care is very similar and commitment to our patients and families is exactly alike,” Goodwin said. “It’s a high-quality institution. I was attracted by the quality of care and by the synergy among the medical staff, the hospital staff, the Board of Directors and Administration. “During my first interview, I was given an unannounced tour of the hospital,” he continued. “People looked so happy to be here, happy in their work – you sensed that. I just left a place where that wasn’t always the case.” Goodwin notes that he also liked the idea of working in a freestanding hospital rather than a part of a larger hospital system, and he also liked Knoxville, noting that it’s not TOO far away from his 2-year-old granddaughter in central Ohio. INTEREST IN PEDIATRIC HEALTH CARE Goodwin didn’t seek a career in pediatric health care management as much as it sought him, but he quickly developed a passion for the work. A friend referred him to Columbus 6 NEW PRESIDENT READY FOR OPPORTUNITIES,
  • 7. Children’s Hospital for a temporary housekeeping job during his college years. Through the years he received various promotions and had the opportunity to work with clinical teams from all aspects of the hospital: from the NICU to the operating rooms to the outpatient clinics. “I can’t do what a clinician does. I get too emotionally involved,” Goodwin said. “But if I do my job well, the clinical staff will have the people and resources they need to be successful in their work. We have the opportunity to impact a child’s life for 80-plus years. I am excited about our impact on children and this long-term commitment we can have to them.” PERSONAL EXPERIENCES WITH PEDIATRIC HEALTH CARE Goodwin had an early experience with pediatric health care when, as a child, his older brother was treated at Columbus Children’s for polio. Later, he experienced the hospital as a parent. Goodwin said his own children were “so accident-prone” when they were growing up, especially his son, who once grabbed a curling iron and sustained second degree burns. Another time Goodwin’s son fell 15 feet out of a tree, and Goodwin remembers sitting in the Emergency Department waiting to learn if the boy would be paralyzed. Seeing his feet move was the happiest moment of Goodwin’s life, after the birth of his children. Goodwin’s son did sustain injuries from the fall and required 100 stitches, but the injuries were non-life- threatening. “Having been a parent and having gone through that is terribly helpful,” Goodwin said. “To see through the eyes of a parent – it’s not just the next patient, but it’s someone you love more than life itself.” Goodwin says he has seen that same passion reflected in the staff at Children’s and knows that is what “makes this a special place.” COMMUNITY INVOLVEMENT Beyond his dedication to pediatric health care, Goodwin has a history of supporting the community in which he lives and works. He has been actively involved with organizations including Big Brothers and Big Sisters, Ronald McDonald House, Juvenile Diabetes Board of Central Texas, American Heart Association of Central Ohio, and his two alma maters, Ohio State and Capital University. He also is a long-time proponent of the United Way. At this time, Goodwin has no specific community involvement plans for Knoxville but said he hopes to look for any opportunities that tie in to Children’s Hospital and especially to the welfare of children. That will mesh well with his desire to maintain Children’s Hospital’s status as a community asset and a major local employer. LEGACY When Goodwin left Columbus Children’s, he told the staff, “I think leadership’s legacy should be to leave the place better than they found it.” Goodwin is not interested in personal accolades, because “it’s not about me – it’s about the work and the team.” He likes the term “servant leader,” which he feels is a good description of his philosophy of management. He was pleased to know that the term was already part of the management culture at Children’s. PERSONAL Goodwin moved to Knoxville in late May, followed a few weeks later by his wife of 30 years, Dianne Goodwin. She was a middle school health and physical education teacher in Ohio who remained there a few extra weeks to complete her teaching obligations. The Goodwins have three adult children, son Ryan and daughters Regann and Rylie, as well as one grandchild, 2-year-old Grace Elizabeth, about whom Goodwin says, “She’s fun and a joy in our life. We love her unconditionally and spoil her continuously!” Goodwin said he enjoys golf, working around the house and reading. He perhaps has “adult ADD” in that he is usually reading up to five different books concurrently. The Goodwins are looking forward to exploring Knoxville and all of Tennessee, including visits to Dollywood, Nashville, Memphis and whatever other areas they learn about. “I like to play, to have fun in everything I do. Laughter is therapeutic,” he said. “I have to enjoy what I do. I think we all should. Life’s too short to do otherwise.” The Goodwin File New Children’s Hospital President Keith Goodwin spent most of his professional career at Columbus Children’s Hospital (CCH), a 375-bed pediatric medical center. During his 26 years in management at CCH (1977- 96 and 1999-2006), he served in the positions of Assistant Executive Director, President and Chief Operating Officer and Interim CEO. At Columbus Children’s, Goodwin focused many of his efforts on program/service development, strategic planning, physician recruitment, children’s advocacy, fundraising, health care access for the region’s children, facility expansion and a successful capital funds campaign. Goodwin also served as administrator of Children’s Hospital in Austin, Texas, from 1996-98 and most recently was president of Doctors Hospital in Columbus, Ohio, a 222-bed hospital that is part of the OhioHealth hospital system. A graduate of The Ohio State University with a Bachelor of Science as well as a certificate from its Executive Program in Health Care Financial Management, Goodwin also holds a Master of Business Administration from Capital University in Columbus. “Although we had four very strong candidates from which to choose, we believe Keith is the perfect fit for both our hospital and the community,” said Jim Bush, Chairman of the Board of Directors at the time of Goodwin’s selection. “Throughout his career, he has demonstrated a passion and commitment to building an organizational culture of service and support for sick and injured children and their families. His positive relationships with medical and hospital staff, trustees and volunteers have been a hallmark of his leadership. Keith’s understanding of children’s health care, coupled with his management style and relationship-building skills, will allow for a smooth CEO transition and ensure East Tennessee Children’s Hospital will continue on a road toward a very bright future.” 7 CHALLENGES
  • 8. There is no such thing as a “typical” day in a hospital. Day in and day out, patients enter our doors for care, but each child is unique, and each experience is different. However, within each day at Children’s Hospital, there are some common threads. One common thread is the training and experience of the hospital’s staff — no matter what situation arises, our staff is skilled and prepared to meet the challenge. For the next several issues of It’s About Children, we are profiling some of our staff and highlighting all our clinical areas. We hope it will give you a glimpse into life at Children’s Hospital. CLINICAL NUTRITION Children with medical conditions often have related nutritional issues. Perhaps the child’s illness or injury prevents him or her from eating enough. Or perhaps the physician consults clinical nutrition for assistance with a specialized tube feeding. Whatever the reason for the nutritional issues patients may have, Children’s Hospital’s clinical dietitians and clinical nutrition specialists work to individualize a plan of care and provide education for the child and family. At Children’s Hospital, dietitians provide medical nutrition therapy for general pediatrics as well as specialty areas such as oncology, weight management, cystic fibrosis, celiac disease, failure to thrive, intensive care, renal nutrition, metabolic disorders and diabetes. The 10 members of the clinical nutrition staff provide physician-ordered services for inpatient units, outpatient clinics, the Children’s Hospital Rehabilitation Center and Children’s Hospital Home Health Care. It is the goal of the staff that, through appropriate medical nutrition therapy, patients should be able to recover more quickly and with fewer complications. All of the staff are registered dietitians and are licensed by the state of Tennessee. SSaarraahh MMaatthhiiss,, RR..DD..,, LL..DD..NN..,, CC..DD..EE.. Sarah Mathis, a clinical nutrition specialist, entered the field of dietetics because she loves working with people. In nutritional counseling, there is a unique blend of science, psychology, counseling and teaching. It was this blend that made her interested in pursuing a career in dietetics. Every day Mathis helps families improve nutrition and understand that other aspects of their lives affect their overall health and happiness. “Food and nutrition affect and are affected by every aspect of our lives: our families, our work, our emotions and the things we do for fun,” she said. Mathis received her undergraduate education in Nutrition and Food Science at Middle Tennessee State University with a minor in Science and Psychology. She then attended the University of Alabama at Birmingham, where she completed a nine- month internship in dietetics. After passing the exam to become a registered dietitian, Mathis developed interests in diabetes and pediatrics. Since then, she has chosen continuing education programs in these particular areas that help her grow as a dietitian and learn how to best help the patients she serves with diabetes. A certified diabetes educator, Mathis says her favorite part of this job is teaching children who are newly diagnosed with type 1 diabetes and their families and watching them accomplish the goals they set for themselves. “I love to teach parents and children skills to cope with a new diagnosis and to help make the transition to a new lifestyle easier,” she said. “There is nothing more rewarding that teaching a child and family a new concept and then watching them learn and apply it with confidence.” One of Mathis’ favorite stories of working in food and nutrition is of a baby she began seeing early in her career at Children’s. “It was a joy to work with his mom and dad on feeding him and coming up with nutritional recommendations that would help him grow,” Mathis said. “It was rewarding to see the baby’s weight increase with each new day in the hospital and that my recommendations could help put his parents more at ease.” Mathis continued to hear from the family about the baby’s growth and development and was able to answer follow-up questions after they went home from the hospital. Mathis says she chooses to work at Children’s Hospital because she loves the opportunity to work with children and families in an ongoing capacity. “It’s great to have regular follow-up with children over the years who may be toddlers at their diagnosis with diabetes and grow to teenagers who gradually have assumed more responsibility in taking care of their own health,” Mathis said. After four years at Children’s Hospital, Mathis said she loves working with a team of providers who desire the best health and quality of life for their patients and who strive to make the patient and family a central part of the team. MMyykkeell MMooooddyy,, RR..DD..,, LL..DD..NN.. As an athlete in high school, Mykel Moody learned a lot about diet and how it influenced her physical abilities. She became interested in nutrition and continued to learn about the subject by enrolling in nutrition classes at Eastern Kentucky University in Richmond. After a few entry-level nutrition classes, Moody knew she wanted to be a dietitian. “I wanted to share my passion and knowledge of nutrition with others,” Moody said. “As a dietitian, that is exactly what I get to do.” Moody received her bachelor’s degree in dietetics from Eastern Kentucky University and later completed a nine-month dietetics internship at the University of Alabama at Birmingham (UAB). During the internship, Moody worked with dietitians in various settings and also took some graduate classes. Currently, Moody is in the process of completing a master’s degree in human nutrition from the University of Alabama at Tuscaloosa. Most of her classes are focused in science (chemistry and food science), math and food/nutrition (clinical, community, food prep/purchasing). “Dietitians are required to have a good understanding of food and the human body and how the two interact with each other,” Moody said. “Dietitians must also have good communication skills to counsel patients and families.” Moody has fond memories of her internship at UAB. “Attending UAB allowed me to be exposed to a wide variety of people and places which has made me a much more open-minded individual,” she said. “I was able to work with people from different cultures and with individuals from low-income areas.” Moody believes that working with various groups of people has helped her to learn the importance of providing individualized care. Moody has been a clinical dietitian at Children’s Hospital for nearly a year. “The work environment at Children’s is the best,” she said. “Everyone here is so friendly and enthusiastic.” According to Moody, the employees at Children’s Hospital are genuinely concerned about providing the best possible care to the patients, and she is proud to a part of that group. by Bethany Swann, student intern A day in the of Children’s Hospital 8 Sarah Mathis Mykel Moody
  • 9. him in 2001 to consider a seat on the Board, “I already had a love for Children’s Hospital at that time because I saw the wonderful work they did,” Nance said. Through his work as Executive Director/CEO of Knoxville’s Community Development Council (KCDC), Nance had a unique opportunity to help the region’s families in two different ways. Through KCDC, he works for better housing opportunities for lower income Knoxvillians, and through Children’s Hospital, he has the chance to help improve the health of those families. Nance describes the hospital as “a well-oiled machine.” He was particularly impressed with the substantial amount of time the Board dedicated to service delivery and the practice of medicine. “They are always looking at these things and at how to improve. It’s a strong customer-service oriented organization,” Nance added. He did not realize before joining the Board just how extensive the hospital’s reach was; he viewed it as a Knoxville asset but now realizes many families travel two to three hours to reach the hospital for the services their children need. “A local hospital may not be the best for children, and the need for pediatric health care is critical,” he said. Nance said he has many good memories of his six years on the Board but notes he will especially miss retired President Bob Koppel (now President and CEO Emeritus). “Although I have known Bob only six years, he is a great individual, and it feels like I’ve known him much longer. He can genuinely connect to people.” James S. Bush James S. Bush joined the Children’s Hospital Board of Dierctors in 1985 and has served as Board Chairman for the past eight years. See page 16 for more about Bush, his years on the Board, and the hospital area which will soon bear his name. by Bethany Swann, student intern, and Wendy Hames, Associate Director for Publications The face of the Children’s Hospital Board of Directors has changed this summer, as the Board has added two new members and said goodbye to two others. New Board members are Bruce Anderson and Dee Haslam, while departing Board members are James S. Bush and Alvin Nance. With these Board changes also comes a change in the Board officers. Bush has been succeeded as Board Chairman by Dennis Ragsdale, who most recently was Vice Chairman. Jeffory Jennings, M.D., is the new Vice Chairman, while Michael Crabtree continues as Secretary/Treasurer. “Children’s Hospital expresses its appreciation to Jim Bush and Alvin Nance for their service to the Board and their dedication to the children of this region. We are grateful for all they have done to help Children’s Hospital grow into the pediatric medical center that it is today,” said President Keith Goodwin. “At the same time, we look forward to working with new Board members Bruce Anderson and Dee Haslam, who both already had longstanding relationships with the hospital,” Goodwin said. “They bring valuable knowledge to our Board and will undoubtedly contribute much to the hospital’s ongoing success and growth.” Bruce Anderson Bruce Anderson, an attorney with Anderson, Reeves and Herbert, has been sharing his legal expertise with Children’s Hospital for a decade and will now continue to be a part of the hospital’s future as a new member of the hospital Board of Directors. Anderson has acted as one of Children’s Hospital’s lawyers for the past 10-12 years and is excited to serve the hospital from a director’s side on the Board. Anderson and his wife, Monique, have brought their two children — James, 21, and John, 16 — to Children’s Hospital for minor issues over the years and recognize how many families benefit from the hospital. “I am very honored and excited to have this position on the Board because of what Children’s means not only to my family but also to the entire community,” Anderson said. One of Anderson’s goals for his time on the board involves the hospital’s quality management program. Anderson is interested in being involved with the board’s responsibility in quality management. “To me, the quality of service to our patients is, and should be, our highest priority. Hopefully, my legal background will add an additional perspective to quality management,” Anderson said. Other goals for Anderson involve the Board’s strategic planning. “I have always had a strong interest in this area of business management. Long range planning is critical to the viability of the hospital, and I hope my experience in this area will be a valuable asset to the Board and to the hospital,” Anderson said. “My representation of Children’s Hospital has enabled me to experience many of the day-to-day activities of the hospital. I am coming to the Board with experience in health care from both a practical side as well as a business point of view,” Anderson said. “I’ve always been very proud of the job that Children’s Hospital has done in this community and am excited about the opportunity to be involved in the future of the hospital.” Dee Haslam The Haslams have always been strong supporters and benefactors for Children’s Hospital, and now Dee Haslam, CEO of RIVR Media, will support the hospital from a new position: as a member of the Board of Directors. Dee Haslam and her husband, Jimmy Haslam III, have three children: James, Whitney and Cynthia. The Haslams have a great respect and appreciation for Children’s Hospital because of personal experience: daughter Cynthia was hospitalized in the Children’s Hospital Neonatal Intensive Care Unit as a newborn. She was treated there for several weeks before being discharged home, and she is now a healthy young adult. The Haslam family name is synonymous with philanthropy in East Tennessee. In 2006 the expanded Neonatal Intensive Care Unit was named the Haslam Family NICU after the extended family’s joint $1 million pledge to the hospital’s capital funds campaign. The family’s history of support for Children’s Hospital encouraged Dee Haslam to use her expertise in media and marketing to help further the hospital’s community reach on the Board. “I have always appreciated the organization, staff and wisdom of the hospital. I hope to contribute to the best of my ability, to learn from the experience and to enjoy the fellowship of working with the rest of the Board,” she said. Alvin Nance Personal experiences with his children instigated Alvin Nance’s relationship with Children’s Hospital. Both his son, A.J. (age 19), and daughter, Jessica (age 23), had surgery at the hospital when they were younger. When former Board member Julia Tucker invited 9 Hospital adds Board members, says goodbye to retirees Bruce Anderson Dee Haslam Alvin Nance James S. Bush
  • 10. SubspecialistProfiles 10 SubspecialistProfiles B.S. – University of California, Davis, 1995 M.D. – St. Georges University School of Medicine, Grenada, West Indies, 1999 Internship and Residency – University of Medicine and Dentistry of New Jersey, Newark, 1999-2002 Fellowship (Pediatric Cardiology) – Children’s Hospital of Pittsburgh, 2002-2005 Fellowship (Pediatric Interventional Cardiology) – University of Texas, 2005-06 Family – Wife, Dimple; daughter Asha (age 5) and son Rohin (age 2) Personal interests – family, basketball, traveling, cooking and eating “Your priorities change as you get older,” he explained. “The practice here offered a good balance between work and personal life.” As a pediatric cardiologist, Dr. Sharma treats conditions such as heart murmurs, chest pain, heart rhythm issues, children who pass out, “blue babies,” and infants with heart defects or lesions. He also increasingly provides sports physicals for student- athletes; there is a great deal of media attention when young athletes die, and parents often seek reassurance that their children are healthy enough for competitive sports. Dr. Sharma’s skills are a good complement to the pediatric cardiologists he joined, Drs. Jeffory Jennings and Yvonne Bremer, at Knoxville Pediatric Cardiology, P.C. Dr. Bremer has expertise in diagnosing prenatal heart defects, and Dr. Jennings also is an interventional cardiologist. The three together can diagnose and treat a variety of cardiac conditions. A significant challenge of pediatric cardiology, according to Dr. Sharma, is “the unexpected. No matter how much science we have, there is always the art of medicine. No two patients or cases are alike,” he explained. “We never take anything for granted because we don’t know what might happen. Most cases follow an expected course, but there are always cases that don’t.” Another challenge is giving bad news to a family. “How to give it is the hardest thing,” he said. “The family will remember HOW they are told and how it is handled. They appreciate you being open and honest, and it is important to remember as the doctor that it is normal for the family to be mad at the person giving the news. How you express the news is part of the family’s closure. “Sometimes we can tell parents not to worry and put their mind at ease,” he said. “Parents want to know if their child’s problem is the heart or not. “My philosophy is that treating the patient is first and foremost. A close second is the family of the patient — I do not forget them, ever,” he said. Working in conjunction with Drs. Jennings and Bremer, Dr. Sharma will continue to provide the best in pediatric cardiac care to the children of East Tennessee and neighboring states. Pediatric cardiologist wants to promote healthy habits Teaching young patients healthy habits, when they are impressionable and more easily influenced, can help them to be healthy adults. New Children’s Hospital pediatric cardiologist Sumeet Sharma, M.D., maintains that goal as one of his focuses in caring for his patients. “As a pediatrician, I interact with children who are both well and sick,” Dr. Sharma said. “Children do not have a choice with their diseases. Their pathology is usually due to something they are born with, not a manifestation of their lifestyle choices. One of our goals is to give a child who has congenital heart disease as normal a lifestyle as possible.” Pediatric cardiology is interesting because it is “hands-on and visual,” according to Dr. Sharma, requiring the physician to see and think in three dimensions when viewing a two-dimensional image. Pediatric cardiologists routinely use multiple types of imagery to recreate a model of the heart. Dr. Sharma also specializes in and is fellowship trained in pediatric interventional cardiology. Using the Cardiac Catheterization Lab at UT Medical Center, Dr. Sharma is able to repair some heart defects in a less invasive manner. “It is fun and technically demanding,” he said. “A heart is very small [in a pediatric patient], and it is challenging maneuvering catheters in the heart.” Interventional cardiology includes closing holes in the heart, stenting arteries, opening or relieving valve obstructions and closing abnormal blood vessel connections. Dr. Sharma visited Knoxville in early 2006 while looking for a practice in need of an additional pediatric cardiologist, and he was impressed with the staff of Knoxville Pediatric Cardiology, P.C., and the working environment at the hospital. (Interestingly, his first visit to the city had been as a young boy in 1982 for the World’s Fair.) Dr. Sharma and his wife, Dimple, a Kentucky native, thought Knoxville seemed a good place to raise their two young children, daughter Asha (age 5) and son Rohin (age 2). Sumeet Sharma, M.D. Cardiology offices have moved Knoxville Pediatric Cardiology, P.C., has moved to a new office location. Drs. Jennings, Bremer and Sharma are now seeing patients at the Children's Hospital Koppel Plaza, Fourth Floor. Koppel Plaza is located at the corner of Clinch Avenue and 21st Street, next door to the Medical Office Building where the practice's office formerly was located. For information or directions, call Knoxville Pediatric Cardiology at (865) 522-0420.
  • 11. 11 B.S. – University of Buffalo, Buffalo, N.Y., 1995 M.S. (Exercise Physiology) – Syracuse University, 1997 M.D. – Upstate Medical University, Syracuse, N.Y., 2001 Internship and Residency – Winthrop University Hospital, SUNY Stonybrook, Mineola, N.Y. – 2001-03 Fellowship (Pediatric Pulmonology) – Childrens Hospital Los Angeles, 2003-07 Family – Wife, Michelle N. Simpson; daughter Sierra Noelle (age 2 months) Personal interests – global traveling, hiking, camping, cooking, fighting childhood obesity Pulmonologist seeks to improve children’s lung health Children’s Hospital’s newest pediatric pulmonologist, Sterling W. Simpson, M.D., M.S., has an interest in childhood obesity. That typically is a problem for a pediatric endocrinologist and not really in the realm of a pulmonologist. However, Dr. Simpson is concerned about the many negative effects of obesity on a child’s lung health. “Childhood obesity encompasses a lot of psychosocial issues, and it’s both an endocrine issue and a pulmonary issue,” Simpson explained. “Although many people are aware of the risks and dangers of diabetes because of obesity, many people don’t realize that a primary health problem related to obesity is obstructive sleep apnea. Obesity can cause an array of other subtle pulmonary symptoms that parents may miss, such as pulmonary first child, daughter Sierra, was born just two months ago. Dr. Simpson, in his search for a practice to join, learned of the opportunity at Children’s Hospital and found himself drawn to the hospital and its staff. “A main reason for choosing Knoxville during my nationwide job search was how impressed I was with the hospital, its staff, the Administration’s reputation, and finally, the first class pulmonary department,” he explained. Having grown up in upstate New York, with its lakes, rolling hills and great camping and hiking, Dr. Simpson was also drawn to this area’s mountains. As a pediatric pulmonologist, Dr. Simpson treats a variety of conditions. One example is chronic lung disease in infants: “graduates” of the Neonatal Intensive Care Unit are usually followed by a pediatric pulmonologist for their first few years of life. Dr. Simpson said this is a rewarding component of his specialty — his care of these patients offers him the opportunity to affect their development in their early years and, he believes, throughout their lifetime. Other common diagnoses he treats are cystic fibrosis, sleep apnea (as mentioned earlier, often secondary to obesity), other sleep disorders, congenital malformations of the airway, uncontrolled asthma, recurring pneumonia, chronic respiratory failure, chronic cough and exercise intolerance. Cystic fibrosis is one of the more serious conditions for a pediatric pulmonologist to treat, but “CF care has greatly improved in even just the last five years, and it has extended life spans into the late 30s,” Dr. Simpson said. New therapies and medications are greatly benefiting children with this disease, for which there remains no cure. Other advances in medicine are enabling physicians to better control asthma through inhaled steroid treatment; diagnose conditions more easily with better MRI and CT scans; help children with various sleep disorders through the newer field of pediatric sleep medicine; and improve the quality of life for children requiring chronic ventilation assistance. “Home mechanical ventilation is a big advance,” he said. “These kids would essentially live in a hospital before this became available. Now these children are taken care of at home” in a more comfortable setting. Children’s Hospital welcomes Dr. Simpson to our medical staff and looks forward to working with him and his colleagues in pediatric pulmonology in providing care to this region’s children. hypertension” (increased blood pressure to the lungs that makes it difficult for the lungs and heart to provide enough oxygen to the body). Although he is quick to point out that he is not an expert on childhood obesity, Dr. Simpson does have significant knowledge and training in the pulmonary complications that can arise in an obese child. “If I can do anything to raise awareness of the problem of childhood obesity, I will,” he continued. “I have seen children reverse severe symptoms of apnea by losing weight.” Dr. Simpson jokes that his wife, Michelle, calls him the “anti-juice doctor,” because he believes children drink far too much juice, resulting in too many calories — which ultimately contributes to obesity. “Children with weight problems are typically drinking four to five glasses of juice a day. There is nothing in juice that they cannot get from a healthy diet,” he said. He suggests a good replacement is a low- calorie beverage such as Crystal Light, which comes in a variety of flavors, tastes good (so it appeals to children) and has almost no calories. By making this simple switch, some overweight children could begin to lose as much as a pound a week — ultimately leading to an overall improvement in health, including a reduced risk of diabetes and a reduced risk of lung complications. Dr. Simpson’s concern about the childhood obesity issue stems from his interest in helping children. He discovered early in his medical career that he was able to connect with children on a personal level. “There is no greater gift than to be able to help a child become healthy or to help a child cope with a chronic illness,” he said. Later he found he enjoyed caring for children with more complex problems and felt he had a skill in dealing with children in life or death situations: “Dealing with chronically ill children can be challenging. You’re dealing with the family unit as a whole, and it’s very important. “I also really like pulmonary physiology, so these things all steered me to my specialty,” Dr. Simpson said. “I believe that when a patient and his or her family truly understand the child’s specific disease process, anxiety is reduced and compliancy [with recommendations and treatment] is elevated,” Dr. Simpson said. “Children are smarter than most understand.” In July, Dr. Simpson joined the Children’s Hospital-based pediatric pulmonology practice of Drs. John Rogers and Eduardo Riff. Dr. Simpson’s family lives in the neighboring state of North Carolina, and he and his wife were interested in the southeast region of the country as a good place to raise a family. The couple’s S t e r l i n g W. S i m p s o n , M . D . , M . S .
  • 12. Donors throughout U.S. make IRA gifts to Children’s and other charities Include Children’s Hospital in your estate plans. Join the ABC Club. For more information, call (865) 541-8441. Please send the FREE planning booklet, “Personal Financial Affairs Record.” Name______________________________ Address__________________________________________ City___________________________ State_______ Zip_____________ Phone#(______)___________ ¨ Please call me at the phone number below for a free confidential consultation concerning planned giving. ¨ Please send me more information about deferred giving. ¨ I have already included Children’s Hospital in my estate plan in the following way: __________________________________________________________________________ ¨ Please send me information about the ABC Club. Children’s Hospital Development Office • (865) 541-8441 Special tax provision expires December 31 In a previous issue of It’s About Children, we highlighted the new Individual Retirement Account giving option available to donors ages 70 years and older. This Charitable Rollover Provision was enacted to allow individuals to donate funds from their IRA to the charity of their choice, and it has been very effective. Recent statistics from the National Committee on Planned Giving indicate that from August 2006 through early June 2007, over $75 million has been given to charities across the nation via this method. There have been over 4,100 IRA gifts averaging nearly $18,000 each. The special tax provision was temporary and expires on December 31. However, there is still time for you to help Children’s Hospital by making a gift from your IRA. Time is short, and planning is important. Here are the key details: • The donor must be at least age 70 at the time of transfer. • The transfer must pass directly from the IRA custodian to the qualifying charity. • The transfer is limited to no more than $100,000 per tax year. • The transfer is not limited to 50 percent of adjusted gross income (AGI) like other cash gifts. Bob Koppel, who retired June 30 after 31 years as President/CEO of Children’s Hospital, was honored recently by gifts made to the hospital in his honor. Many hospital physicians, employees, members of the Board of Directors and other hospital supporters chose to recognize Koppel’s dedication to Children’s Hospital by making a financial donation to the hospital in his name. To date, 116 donors have given more than $18,570 in Koppel’s honor. From those funds, a bronze “Butterfly Bridge” sculpture was purchased for placement in a flower garden outside of the Koppel Plaza hospital office building. The remaining funds have been placed into a new restricted fund, “The Koppel Fund,” which will be used to benefit our patients. Koppel expressed his thanks to the many donors. “I have been honored to be a part of Children’s Hospital for 31 years, and I am grateful to the many individuals who have so generously honored me through their donations to help the patients of Children’s Hospital,” Koppel said. Koppel will continue to serve Children’s Hospital for the next two years as President/ CEO Emeritus, focusing on strategic planning, physician recruitment, fund-raising strategies, donor relationships and advocacy of Children’s Hospital’s interests to promote quality children’s health care. Estate Planning... continued on page 15 Donations honor retiring presidentDonations honor retiring president Bob and Ianne Koppel with the Butterfly Bridge Sculpture
  • 13. UUPPCCOOMMIINNGG EEVVEENNTTSS ttoo BBEENNEEFFIITT CCHHIILLDDRREENN’’SS calendar of events 13 ETPMI Golf Tournament The East Tennessee Chapter PMI Golf Tournament is scheduled for Friday, September 14, at Willow Creek Golf Club in Knoxville. The entry fee of $100 includes breakfast, lunch, green and cart fees, range balls, golf shirt, golf balls and eligibility for contest prizes. Teams will be composed of four people who will play in a scramble format with a shotgun start at 8:30 a.m. Prizes will be awarded for the top three teams, hole-in-one, closest to the hole and longest drive. All proceeds from the tournament will benefit the Celiac Disease Support Group at Children’s Hospital. For more information about the ETPMI Golf Tournament, contact the Children’s Hospital Development Office at (865) 541-8608. Tino Holiday Print Sale With the holiday season just around the corner, many people’s thoughts are turning to their shopping lists. Children’s Hospital is offering a great place to find unique gifts for friends and family at the 11th Annual Tino Holiday Art Sale. On November 1-2, nationally known artist Robert Tino of Sevierville will host a sale of his work at Children’s Hospital in the Meschendorf conference room. The sale will feature items for all price ranges including note cards, matted 8x10 prints, art tiles, framed limited edition prints and many more items featuring his artwork. Tino and his wife, Mary John, will donate a portion of the proceeds from the sale to Children’s Hospital. For more information, contact the Children’s Hospital Development Office at (865) 541-8441. RM Technologies Golf Tournament The Rodefer Moss Technologies Golf Tournament will be September 20 at River Islands Golf Club in Kodak, Tenn. Teams will be composed of four players. The entry fee of $150 per person (or $500 for a team of 4) includes 18 holes of golf, cart and greens fees, practice range, lunch, a goody bag, polo shirt and eligibility for prizes. All proceeds from the tournament will benefit the Pediatric Intensive Care Unit at Children’s Hospital. For more information about the RM Technologies Golf Tournament, please contact the Development Office at (865) 541-8745. 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. Fantasy of Trees The 23rd annual Fantasy of Trees will take a trip through the country to highlight many different holiday traditions of the Southern states. Held at the Knoxville Convention Center on November 21-25, this event will feature the theme of “Holiday Cheer Down South” and will showcase traditions ranging from an East Tennessee Big Orange “Vol-iday” to the Jingle Bells and Jazz of New Orleans. New children’s activities and shops will also reflect this year’s warm theme. The Fantasy of Trees features more than 300 beautifully decorated holiday trees and other designer items; a variety of festive and colorful decorations including an entire village made of gingerbread houses; holiday gift shops with items for all ages; daily live entertainment at the “Fantast Theater”; special events including the Babes in Toyland Parade, Santa’s Senior Stroll and Kris Kringle’s Children’s Party; and dozens of children’s activities and crafts such as Gingerbread Kids Ornaments, Tennessee Angel Deely-Bobbers and visits with Santa. For more information on Fantasy of Trees, visit www.etch.com/Fantasy.cfm or call (865) 541-8385. by Leslie Street and Bethany Swann, student interns
  • 14. 14 With young people spending more time on the Internet, a new form of bullying has emerged that can be just as hurtful and damaging as physical aggression. This “cyberbullying” goes easily unnoticed by onlookers and makes it simple for the bully to hide his or her identity. Parents need to be vigilant observers of their children’s computer use to make sure they do not fall victim to online harassment. In this issue of It’s About Children, Dr. Nicole Swain, pediatric psychologist at Children’s Hospital discusses ways to protect your children from various Internet dangers. Q: What are some of the methods cyberbullies use to pick on others? Is it limited to Instant Messaging? A: While anonymous instant messages are one of the main avenues of cyberbullying and online predators, they can also use e-mail, cell phones, photos, videos and social sites like Facebook, MySpace and YouTube to humiliate or threaten others. To help your children keep safe from online bullies and predators, encourage them to never share their password with anyone nor give out personal or contact information on public Web sites. Many online networking sites like Facebook have privacy settings to keep users safe from unwanted share of information. Every user has the ability to set their level of privacy depending on who they want to be allowed to view personal information like their interests or pictures and who will be allowed to communicate with them. Q: Even though I try to monitor my pre-teen daughter’s instant messaging on our computer, I can’t understand any of the acronyms she uses! How can I decode this new “net lingo,” and are there any terms I should be particularly worried about? A: You are not the only parent who has been baffled by their child’s secret computer language. All of those acronyms are called cyberslang, and understanding it can help you protect your child from potential online bullies and sexual predators. Netlingo.com has a dictionary of online jargon that is updated daily. Some important cyberslang terms every parent should know include: 9 ASL: age/sex/location 9 POS: parent over shoulder 9 LMIRL: let’s meet in real life 9 PAL: parents are listening 9 MorF: male or female 9 SorG: straight or gay 9 KPC: keeping parents clueless 9 ADR: address 9 P911: parent alert Q: I’ve heard stories recently about children getting in trouble for staging online fights. Can you tell me more about this? A: A trend that has recently surfaced involves children videotaping their fights and posting the footage online. Besides the obvious danger that comes from being in a fight, the person behind the camera can get in serious trouble as well. Anyone discovered filming a fight can be charged with aiding and abetting. If your child participates physically, the charges increase to assault. If you ever see your child watching an online fight, turn off the computer and explain the consequences of online brawls. Q: My nine-year-old son spends a lot of time on the computer surfing the Internet and instant messaging his friends. But I worry about him getting into trouble with strangers online. What can I do to protect him? A: Simple surfing and instant messaging with friends are common activities for kids—and generally safe, if you have discussed some rules of use with them. Chatting with strangers, however, may be a different story. Keep the computer in a common room (such as a family room) rather than a bedroom so that you can monitor Internet activity. Although there’s no way to know the actual risk, the FBI cautions that children whose Internet activity isn’t monitored are most at risk for being exploited. Take an interest in the sites your child is visiting and the people with whom he is chatting (sometimes adults pose as kids or teens in chat rooms to seem less threatening). Warn him NEVER to give out his personal information (phone number, name, address, school name, etc.), agree to meet in-person anyone he meets in a chat room, or share any photographs. Cyberbullying & other Internet Dangers
  • 15. Urge your son to introduce you to any new “friends” he meets online and to tell you if he ever feels uncomfortable about conversations that take place. Keep constant open communication with your child so that he feels comfortable coming to you with this type of information. It is just as important to discuss Internet safety as it is to discuss the dangers of drugs, alcohol, sex and smoking. Most important, talk to him about the dangers of interacting with strangers online and remind him that people online often do not tell the truth. Finally, blocking and filtering software is available if you want to make the financial investment for this added safety. Q: Are there any federal laws in place to help keep my child safe while on the Internet? A: Yes. A federal law has been created to help protect children while they are using the Internet. It is designed to keep anyone from obtaining children’s personal information without you knowing about it and agreeing to it first. The Children’s Online Privacy Protection Act (COPPA) requires Web sites to explain their privacy policies on the site and get parents’ consent before collecting or using a child’s personal information, such as a name, address, phone number or Social Security number. The law also prohibits a site from requiring a child to provide more personal information than necessary to play a game or contest. But even with this law, your child’s best online protection is you. By talking to your child about potential online dangers and monitoring his or her computer use, you will be helping your child to surf the Internet safely. compiled by Leslie Street and Bethany Swann, student interns 15 Nicole Falvo Swain, Psy.D. CCPPRR Dates: August 20, September 17, October 15, November 12 and December 3 Time: 6-9 p.m. This class will teach caregivers cardiopulmonary resuscitation and choking maneuvers for children and adults. This class also gives general home safety advice and tips, and participants must be at least 14 years old. This course is $20 per person. II CCaann!! Dates: September 19, October 25, November 3 and 19, December 12 Time: 6 p.m. I-Can! is a Healthy Kids class series for families about making healthy choices. Four different classes focus on making healthy food choices, fun and fitness, cooking choices and shopping ideas. Families can join the series of classes at any time. This course is $10 per session per family. SSaaffee SSiitttteerr Dates: August 25, September 15 and 29, October 13 and 20, November 3 and December 15 Time: 9 a.m. to 3 p.m. (lunch is provided) Safe Sitter is a national organization that teaches young adolescents safe and nurturing babysitting techniques and the rescue skills needed to respond appropriately to medical emergencies. Instructors are certified through Safe Sitter nationally. Participants must be ages 11-14. This course is $20 per person. Class size is limited, so preregistration is required. All classes are offered in the Koppel Plaza at Children’s Hospital, unless otherwise noted. For more information or to register for any of these classes or to receive our free Healthy Kids parenting newsletter, call (865) 541-8262. Announcements about upcoming classes can be seen on WBIR-TV 10 and heard on area radio stations. Or visit our Web site at www.etch.com and click on “Healthy Kids Education and News.” Upcoming Community Education ClassesUpcoming Community Education Classes • The Act applies only to traditional, rollover and Roth IRAs, not to other types of plans like 401(k), 457, 403(b), etc. However, it is possible to roll funds over from one of the other types of retirement plans into a traditional IRA to make the gift. • The transfer cannot be made to a donor advised fund or a supporting organization. • The transfer cannot be used to fund a charitable gift annuity or a charitable remainder trust. If you or someone you know would like to help the children entrusted to our care by making a gift from an IRA, we encourage you to act now. The window of opportunity for these gifts will close on December 31. Please call David Rule, Children’s Hospital Director of Development, at (865) 541-8172, or Teresa Goddard, Senior Development Officer, at (865) 541-8466 if you have questions or would like additional information. The hospital’s Development staff will work with you and your advisors on an IRA gift. Estate Planning... c o n t i n u e d f r o m p a g e 1 3
  • 16. Children’s Hospital 2018 Clinch Ave. • P.O. Box 15010 Knoxville, Tennessee 37901-5010 We always try to stay current with friends of the hospital. If for any reason you should receive a duplicate issue, please notify the hospital at (865) 541-8257. NON-PROFIT ORGANIZATION U.S. POSTAGE PA I D PERMIT 433 KNOXVILLE, TN Bush honored upon board retirementBush honored upon board retirement Jim Bush, retiring Chairman of the Children’s Hospital Board of Directors, has dedicated himself to the hospital for more than two decades and is now being honored for his service. The new Third Floor outpatient clinic, set to open this fall, will be named the James S. Bush Outpatient Care Center, and a plaque will be installed there in his honor. The plaque reads, “For his tireless commitment and dedication to our hospital, mission and the children entrusted to our care, we dedicate this healing facility in honor of James S. Bush. ‘Jim’ faithfully served on Children’s Hospital’s Board of Directors from May 1985 to June 2007 and held the office of Board Chairman from December 1999 to June 2007.” New Board Chairman Dennis Ragsdale presented Bush with this honor during a board meeting on June 19. “I am fortunate to have had the opportunity to work with Jim throughout the years and can think of no one who is more deserving of this honor,” Ragsdale said. Bob Koppel, President/CEO Emeritus of Children’s Hospital, said, “Jim Bush and I have worked together during his entire tenure on the Board of Directors, and I have continually been impressed with his dedication to our medical center. He has been a great asset to the Children’s Hospital Board of Directors and has served with distinction in the position of Chairman for the past eight years. Children’s Hospital is fortunate to have Jim continue in his service to our medical center as he joins Dr. Bill Byrd and Don Parnell in the capacity of Board Chairman Emeritus.” Bush expressed his appreciation for the honor, noting that it has been a pleasure to work for so many years with the Administration, the other members of the Board of Directors, the medical staff and the hospital staff. “I want to commit my time where it can be most effective, and it’s been a joy and an honor to be involved with Children’s Hospital. It’s a valuable asset to the community,” Bush said. “Children’s Hospital has and will continue to do much for this community.” The continual process of working to make Children’s Hospital a better place is what is most significant to Bush during his 22 years of service to the Board. “I have enjoyed the Board,” he said. “It’s a great group of people who are all there for the right purpose, which makes it very gratifying.” Bush said he is constantly impressed with the hospital’s culture: “What it’s there for is serving kids. It doesn’t matter who they are or where they came from. “Succeeding in the hospital business is not easy,” Bush continued, noting that Children’s has managed to grow, add specialties, purchase the latest equipment and maintain a solid financial status. “A wonderful staff helps to make it all happen.” As a non-voting Board Chairman Emeritus, Bush will continue to attend Board meetings, where he will no doubt enjoy visits with Koppel. “It’s been a treat working with Bob,” he said. “But I’ve been there long enough, so I am excited about Dennis” [Ragsdale, the new Board Chairman]. Beyond Children’s Hospital, Bush has had significant community involvement in other programs that benefit children, including his current interests: the Boys and Girls Clubs and the Wee Course golf course and its character development program for inner city children, First Tee. Bush and his wife, Mary, have three daughters (Ellen Fowler, Susan Bacon and Jamie Litton) and six grandchildren. by Bethany Swann, student intern, and Wendy Hames, Associate Director for Publications President Keith Goodwin and Jim Bush, Board Chairman Emeritus