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Seasonal
Health Alert
Life-saving
strategies
Raising
“safe-smart”
kids
Bike Safety
TestyourI.Q.
continued on next page…
continued on next page…
Newsfor
Families
Summer1999
Vol.23, No.2
Whenyour
childlosesa
(permanent)
tooth
Emergenciesand
children
Achild is hit by a car...flames from
the grill ignite a child’s clothing...
another child falls from a tree. When
an emergency occurs,children need
specialized emergency care. Many
emergency care providers in the
MiamiValley area have received PALS
– pediatric advanced life support
training – and carry special “pedi-
bags” provided byThe Children’s
Medical Center (bags of first aid
supplies designed specifically for
children; different sizes of breathing
tubes, for example).In addition,
children should be transported to the
Prettypoison
Itcomesinflavorslikecranberry,
hollyberry,vanilla and cinnamon-
apple.It comes in bright shades of
blue,pink,yellow and green.Does
this sound like the latest brand of
juice or sports drink?Your child
maythinkitis,
but in fact,it’s
lamp oil.If your child drinks it,he
orshecouldendupinserioustrouble.
Lamp oil has many different brand
names and can be found in discount
stores and gift shops. It is the fuel
for various light sources, including
outdoor lamps and patio torches as
well as indoor decorative lamps and
candles.
In June,three Dayton-area chil-
dren under the age of two years were
hospitalized atThe Children’s Medi-
cal Center because they drank lamp
oil.While two of the children were
admitted only for observation, the
third got some of the oil in his lungs
and ended up on heart-lung bypass
for a week.
In the original containers,most
lamp oils are safe since they have a
childproof lid.It is when the oil is
actually in the lamp that it becomes
dangerous. Children can easily reach
nearest pediatric emergency depart-
ment as soon as they are stabilized.
Here’s how parents and caregivers
can prepare for a pediatric emergency:
● Know how to call and activate
your local EMS or EMSC (emergency
medical services for children) net-
work. In most communities, this
means calling 911.
● Poisoning emergencies require a
call to the nearest poison center. In
this area, the numbers are 222-2227
or 1-800-762-0727 (outside Mont-
gomery County).
●Adults should provide needed
first aid on the scene.This may be
anything from covering a child with
CouldYouHandleanEmergency?
3
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2
Pag
e
7
Page
Kids and
sports
Howyou
playthe
game
4
Page
Raising“safe-
smart”kids
With child abductions,high school
shootings and teen suicide pacts in
the news,parents and caregivers have
every right to be concerned about
their child’s safety.Fortunately,there
are steps you can take to raise your
child’s awareness of dangerous situa-
tions,keep the lines of communica-
tion open and encourage a healthy
self-esteem.
Dangerous situations
● Read Protecting the Gift – Keeping
Children andTeenagers Safe (and Parents Sane)
by Gavin de Becker ($22.95,The Dial
Press). Share his wisdom with your
children and teenagers. His book
includes chapters on seven survival
signals – how a stranger intending
to harm your child puts you and the
child at ease,12life-saving strategies
your children must know (Teach
your children how to talk to strang-
ers), safety at school, baby-sitters and
nannies,friends as enemies,trusting
your intuition and more.
● Let your children know it is OK
to say “no” to or defy an adult if they
are uncomfortable or afraid.
● Make sure you know where your
children are at all times;know what
they are wearing when they leave
the house.
Talking and sharing
● Communicating regularly with
your child helps him or her develop
a healthy personality and the skills
needed to relate to others.These
skills help your child make the right
choices when faced with peer pres-
sure or dangerous situations.
● Learn what’s going on in your
child’s life.It will help you feel closer,
know his or her needs,and manage
your stress and frustration.
● Set aside regular times to be avail-
able to your child.Even teenagers,
who may prefer to spend time with
their friends, need to know you are
available and interested. Children
who don’t get enough attention
at home are easy targets for child
predators.
● Besides being a good listener,you
need to be a good sender.This means
responding appropriately, positively
and compassionately when your
child shares information. Children
are very sensitive to long periods
of silence (hours or days). If you
are depressed or sick, let your child
know this is why you are not talking
and that you are working to get
better.
Identifying depression
● One study reports that 90 percent
of suicidal adolescents believe their
families do not understand them.
Many teens considering suicide are
depressed and suffer from unhappi-
ness, inner confusion, turmoil and
low self-worth. Hopelessness and
anger may also be present.
● Depressed teens may feel they have
no control over their lives.They are
sometimes drawn to others who also
feel isolated and hopeless.
● Depression and suicidal thoughts
are treatable mental disorders.The
first step is to listen.Get professional
help.
●Watch for changes in eating and
sleeping habits, violent or rebellious
behavior and withdrawal from family
and friends.
●Take any talk of suicide seriously.
Before committing suicide, people
often threaten to kill themselves.
More information is available from the
American Academy of Pediatrics, the
American Psychological Association
and other resources. Access their web
sites directly or through the “Web
Resources” section on Children’s web
site (www.cmc-dayton.org).
a blanket to providing CPR (cardio-
pulmonary resuscitation) or the
Heimlich maneuver.
● Before an emergency occurs,talk
to your pediatrician or family doctor
about the best facility to use if your
child is sick or injured.Make sure
your health insurance plan covers
that facility.
Call Children’s at 937/226-8332 or
visit its web site at www.cmc-dayton.
org for “Urgency or emergency.” This
article discusses urgent care vs emer-
gency care.
Children and emergencies
continued from page 1
*Inside Montgomery County
1-937-222-2227
Outside Montgomery County
1-800-762-0727
Poison control center
4
Seasonal
Health Alert
2
Pag
e
Are you
prepared?
During the warm
weather months,
there are more
accidental injuries
than other times
of the year. Are you
prepared to handle
an emergency?
The role of the
bystander is critical
in making sure an
injured person gets
care as quickly as
possible. Many
victims of trauma
die from interrupted
breathing or loss
of blood – not from
their injuries. Here
are some tips from
the American Aca-
demy of Pediatrics
and the American
Trauma Society:
● Make sure your
business or house
numbers are at least
four inches tall and
are clear and visible
from the street.
● When the emer-
gency dispatcher
answers your call,
answer questions
the best you can
and stay on the line
until you are told
to hang up.
● When help
arrives, stand to
the side of the
road. Stay out of
the way of emer-
gency vehicles
and ambulances.
● If you know the
victim, provide EMS
personnel with
important medical
information – does
the victim have
diabetes, allergies,
pacemakers, etc.
healthbeat
Do you have
a health or
safety topic
you would like
to see addressed
in HealthBeat?
If so, please send
your suggestions
to HealthBeat,
c/o marketing
and commu-
nications at the
address below.
If you prefer, call
937/226-8332
and ask for Susan
Brockman.
Growing
Together is
published
quarterly for
parents and
families in the
Miami Valley
area by The
Children’s Medi-
cal Center, One
Children’s Plaza,
Dayton, Ohio
45404-1815.
Visit our web site
at www.cmc-
dayton.org
healthbeat
Pretty poison
continued from page 1
3
Page
a lamp on an end table or coffee table
and are intrigued by the sweet smell
and bright colors.To prevent tragedy,
Jodi Rogers, RN, a nurse educator at
Children’s,
recommends
that parents of
small children keep the oil out of
reach or out of the home entirely.
If you think your child may have
swallowed lamp oil, do not induce
vomiting. Call your doctor or the
poison control center*immediately.
Some symptoms of ingestion are
vomiting (which may cause the oil
to get into the lungs), coughing and
difficulty breathing. Check the lamp
or the lamp oil bottle to determine
how much your child has ingested –
less than one teaspoon can lead to
serious medical problems.
For more information on this topic, see
CMC’s web site at www.cmc-dayton.org.
Fireworksalert
Even though more than half of all
fireworks injuries occur during the
fourth of July week, fireworks are
popular on holidays and birthdays
throughout the year. Even though
sparklers and bottle rockets are
popular with children, these are not
toys and should not be used without
close adult supervision.
Remember:
● Never light fireworks indoors or
near any objects.
● Never put fireworks in a container.
The explosion could spray fragments
of glass or plastic on bystanders.
● Never use fireworks near dry grass
or leaves.
● Keep sparklers away from eyes,
skin and clothing.The sparks are
extremely hot.
● Make sure the fireworks do not
contain more than 50mg of gun-
powder. More than this amount
makes them illegal and dangerous.
● Keep a bucket of water handy in
case of malfunction or fire.
● Never relight fireworks that did
not ignite the first time.
TheAmericanAcademy of
Pediatrics urges parents to take their
families to official public fireworks
displays rather than to purchase
fireworks for home use.
If summer fun takes you into the
wilderness or off the beaten path,
certain basics are essential for a safe
camping experience. Be sure to pack
everything on the checklist above.
Whattoknow
aboutlightning
Although lightning strikes are
usually not fatal, serious injuries can
result. If lightning is in the area (if
you can hear thunder, it is), remem-
ber these safety tips:
● Don’t go near water.
● Don’t lie down on wet ground.
● Don’t go near tall or metal objects
such as flagpoles,fences and trees.
● If you’re inside,stay away from
electrical appliances and don’t use
the phone.These are good conduc-
tors of electricity.
● Don’t watch storms from an open
window or door. Stay away from the
fireplace – it is often a lightning
target.
●The safest place?A steel-framed
building or an enclosed automobile.
(Source:AmericanTrauma Society)
Whenyourchild
losesatooth
Lost baby teeth usually mean a visit
from the tooth fairy and a dollar for
the savings account.A lost permanent
tooth, however,is not cause for
celebration. Fortunately, permanent
teeth can be saved if you know what
to do and do it promptly.
If a permanent tooth is
knocked out...
● Hold the tooth by the top
(crown),not the root.
● Rinse the tooth immediately with
a saltwater solution or milk.
●Avoid chlorinated water since it
can damage the root.Do not scrub
the tooth.
●The best place to keep the tooth
on the way to the dentist is right
where it came from – the tooth
socket.If your child will cooperate,
replace the tooth gently in the socket.
Have your child bite down gently on
a piece of gauze to keep it in place.
● If you can’t put the tooth in your
child’s mouth, use your own mouth,
putting the tooth between your teeth
and the cheek.If this is not an op-
tion, put the tooth in milk.
● Give your child a handkerchief,
washcloth or gauze pad to bite down
on.This will help stop the bleeding
and ease the pain.
● Call your child’s dentist right away.
(Source:TheAmerican Medical
Association)
✓ first aid kit
✓ compass & map
✓ flashlight
✓ knife
✓ waterproof firestarter
✓ personal shelter
✓ whistle
✓ warm clothing
✓ high energy food
✓ water
✓ sun protection
✓ insect protection
Safetyinthewild
O
n the Sunday before
Thanksgiving 1998, Eric
Brandstetter was practic-
ing on an indoor field with
the Dayton Spirit Blue select soccer
team.What started out as a normal
day of practice ended when the
16-year-old Fairborn resident was
going after the ball.
5
Page
4
Page
When to
call the
doctor
Here are some
common sports
injuries that may
need a doctor’s
attention:
● Sprain. A
partial or complete
tear in a ligament
● Strain. A partial
or complete tear
of a muscle or its
attached tendon
● Bruise or
contusion.
Results from
bleeding within
a muscle after
impact to that
muscle. Minor
bruises are not
a problem. See
a physician for
major bruises
which result in loss
of function, severe
swelling or take a
long time to heal.
● Fractures.
These come in all
shapes and sizes
depending on
the sport. Spinal
fractures are
rare, but must be
diagnosed and
treated immedi-
ately to avoid
long-term
problems.
● Overuse
injuries. These
result from stress
on the bones or
joints by perform-
ing the same
activity over and
over. Common
names for these
are “tennis
elbow,” “runner’s
knee,” “swimmer’s
shoulder” or shin
splints. Talk to
your doctor to
decide what
needs to be done
for your child.
“I was getting ready to turn and
suddenly hit the ground,”Eric recalls.
Something had caused his leg to give
out and the athletic teenager had to
be helped off the field.
Orlando Sanders, a15-year-old
sophomore at Chaminade-Julienne
High School, played football and
basketball until he was sidelined by
a persistent and puzzling swelling
in his left knee.
Plagued by continual pain and
swelling,Orlando finally had to stop
playing after twisting his knee during
one practice and having his knee cap
slip out of place at another practice.
Because of their injuries, both
boys were temporarily sidelined and
referred by their family doctors to
the pediatric orthopedic specialists
atThe Children’s Medical Center in
Dayton.
“There is no injury-free sport,”
says BillAlbers,MD, the pediatric
orthopedic surgeon who is treating
healing are essential for minimizing
a repeat injury.In Eric’s case,Dr.
Albers first prescribed a program of
exercises to prepare the muscles for
surgery.After surgery,Eric began a
sports enhancement and strengthen-
ing program at a local gym.Today –
six months later – Eric is able to run
without any problem and hopes
to play with his soccer team in the
spring of 2000. Until then,Eric
stays active in soccer by coaching
his 13-year-old brother’s team
and helping with his11-year-old
sister’s team.
Orlando is also in the process
of healing after surgery and rehabili-
tation.His knee problem was cor-
rected with reconstructive surgery
on December16,1998. He is now
in therapy to strengthen his knee.
Although his knee is“still not back,”
Orlando has been playing basketball
at a local gym and hopes to play
again for Chaminade-Julienne.
While
doctors have
given Orlando
medical clearance to play sports
again,that’s not what concerns him
the most.
“The hardest thing for me will be
making the team.I’m a little nervous
about that since I missed a whole
season of basketball and football last
year,” Orlando says.As part of his
rehabilitation,Orlando plans to attend
summer basketball camp to help him
during the tryouts coming up.
Despite warnings from the
AmericanAcademy of Pediatrics,
the growth of organized competitive
sports for children continues without
any signs of letting up.The academy
and other experts feel that there
is often too much emotional and
physical stress for the growing child.
Unfortunately, physicians are seeing
more overuse injuries among children
due to more intense and frequent
practices and games.The involve-
ment of informed and concerned
parents and coaches, however, can
minimize these risks and maximize
the benefits of team sports.These
benefits include exercise, friendship,
perseverance, teamwork, performing
under pressure and learning the right
way to win and lose.
If you and your child decide that
he or she will participate in team
sports, talk to the coach. Find out if
his or her goals are shared by you
and your child.Is the team’s purpose
to have fun and learn new skills,
or to win at all costs? Make
sure your child’s coach
provides sufficient time
to warm-up and cool
down;has first-aid
training and an
emergency plan;
requires proper
equipment;
checks the field
for hazards;
allows for sufficient rehabilitation of
injured players; and understands the
physical and emotional needs of the
children he or
she coaches.
Despite all precautions and the
best intentions, children will
be injured. When an injury occurs,
make sure your child gets the treat-
ment he or she needs and is given
sufficient time to recover from the
injury.While many sports injuries
can be treated by your child’s pedia-
trician or family doctor, an ortho-
pedic specialist may be needed as
well. Eric and Orlando both required
that level of expertise.
Whether your child’s injury is
treated by specialists or the family
doctor,be sure your child follows
the doctor’s treatment and rehabili-
tation program. Eric Brandstetter
couldn’t agree more.
“Listen to what the doctors
tell you and stick with it,” says Eric.
“Dr.Albers was spectacular,” he adds.
“I’ve gone from not being able to
walk to running in less than six
months, so I’m very happy.”
If your child has sports-related injuries
or if you have any questions about your
child’s ability to participate in sports,
talk to your pediatrician or family
doctor. If necessary, he or she may refer
you to a pediatric specialist.
Howto
playthe
game.
Kidsandsports…
Orlando Sanders, 15, recovering
from knee surgery, looks forward
to resuming football and basket-
ball at Chaminade-Julienne High
School.
Eric Brandstetter,16, of Fairborn,
advises others with injuries to
“Listen to what the doctors tell
you and stick with it.”
both Eric and Orlando.“While
most kids are out to have fun play-
ing sports, parents need to realize
that injuries can be part of the
game as well.”
After x-rays and an MRI, Eric was
diagnosed with a tornACL – anterior
cruciate ligament.“This kind of
injury is fairly common in young
athletes,”says Dr.Albers. He explains
that physical differences put children
at a higher risk than adults for certain
types of injuries.
“A lot of kids have tight ham-
strings and heel cords, partly because
they are still growing.The ligaments
and tendons can be tight during
growth spurts,” he says. Because of
these differences, sufficient warm-up
time is particularly important for the
young athlete.
“I recommend at least10 minutes
of jogging in addition to stretching
before a practice or game.” Dr.Albers
encourages parents to work with their
child’s coach to make sure sufficient
warm-up and cool-down time is
provided. In addition, Dr.Albers and
other experts strongly recommend
a complete physical before a child
participates in sports.
“These can be performed by the
pediatrician or family doctor and
should include a complete medical
history,” he says. Particular aspects of
this history and exam include infor-
mation on previous injuries – espe-
cially head injuries,family history
of early heart disease, pulmonary
conditions such as asthma,immuni-
zation record,blood pressure,height,
weight, etc.
“Although a preparticipation
physical cannot detect every potential
problem, it can help minimize the
child’s risk in certain areas,” Dr.
Albers says.
If an injury
does occur,a
rehabilitation
program and
adequate time for
reg was bleeding pro-
fusely from two long cuts
on his head. He had not
been wearing a helmet.
Paramedics transported him toThe
Children’s Medical Center in Dayton
where he underwent three hours of
surgery to repair the cuts in his head.
Greg also had a CT scan and x-rays to
makesure there were no fractures,con-
cussion or internal bleeding.Fortu-
nately,these tests were negative and
Gregwas able to go home the next day.
Now a confirmed helmet user,
Greg will not ride his bike without
that protection. Not only that, but
Schooldaze
Are you always confused about
where you put your homework,
notebooks or favorite hat? One way
to make school mornings a little less
stressful is to create your own box
for just homework and other school
things.
You’ll need
Cardboard box
Crayons or markers, glue,stickers,
pictures from magazines
What to do
Make sure your box is large enough
and strong enough to hold note-
books and other school things.
Decorate it with pictures, words,
your name or your own artwork to
make it exclusively yours.
Talk to your mom or dad about
where to put the box.A spot near the
door that you leave by in the morn-
ings is a good place.
School things should go in the
box as soon as you get home from
school.After doing your homework,
put everything back in the box so
it’s easy to find in the morning.
Keeping all your school things
together shows your parents you
can be organized and are able to
plan ahead.This will help you later
in life when you go to college and
get a job.
Do you
know what
it takes to
be safe on
your bike?
Test your
bike IQ on
the next
page.
6
Page
ItwasadayMaryBettis
won’tforget.On March 27,
1999, Mary’s12-year-old
daughter dashed through
the front door of their
Fairborn home.“Greg’s
been hit!”Greg,Mary’s10-
year-old, had been riding his
bike.She looking across the
parking lot in front of her
house and could see her son
lying on the curb,his bike
crumpled nearby.“He was so
still when I came up,I didn’t
know if he was conscious
or not.As soon as he knew I
was there,though,he began
screaming,” Mary recalls.
he never hesitates to educate kids he
sees riding without helmets:“Wear a
helmet. Don’t end up like me!”
Nathaniel Goldstein is another
10-year-old who is an advocate for
wearing bicycle helmets.Although
he has always worn a helmet,
“Because my mom told me to,”
Nathaniel also had an accident
that made him aware of how easily
someone can be injured riding
a bike.
Last October, Nathaniel and his
bike went head over wheels when
the chain broke going down a steep
hill.“The hill was grassy and he
was wearing his helmet, so his head
wasn’t hurt,”Sarah Goldstein,
his mother, recalls.“But because
he was doubled over and com-
plaining of stomach pains,he
was taken to Children’s to make
sure there were no internal inju-
ries.”After a thorough evaluation,
Nathaniel went home.
“Across the nation, bicycles are
associated with more childhood
injuries than any other consumer
product except the automobile,” says
Paul Gresham, MD,a pediatrician on
staff at Children’s. Dr. Gresham has
been a tireless advocate for bicycle
safety by working to enact bicycle
helmet regulations in Centerville.
Bicycle-related crashes have sent
more than 350,000children ages
14 and under to emergency depart-
ments every year. Of these,130,000
children suffer head injuries. Last
summer, two children in the Miami
Valley were killed riding bicycles.
Children like Greg and Nathaniel
were lucky. Nathaniel,who is a fifth-
grader at Cline Elementary School in
Centerville,is back to bike riding and
spreading an important safety mes-
sage.“I know a kid who doesn’t wear
a helmet,” he says.“I tell him,if you
crash, you could hurt yourself really
bad or even get killed.”The experts at
Children’s couldn’t agree more.
Road
munchies
If you’ll be taking
car trips this
summer, make the
trip less “bumpy”
with these bumpy
treats.
No-bake bumpy
peanut butter
nuggets
1/2 cup natural
peanut butter
1/4 cup nonfat
dry milk powder
1/4 cup shredded
coconut, unsweet-
ened
1/4 cup raisins
1/3 cup rolled
oats
1/2 teaspoon
cinnamon
1/4 cup wheat
germ
1/4 cup apple
juice concentrate,
thawed
Combine all
ingredients in a
large mixing bowl.
Mix thoroughly.
Shape into one-
inch balls. Place
on a cookie sheet
and chill thor-
oughly. Store in
refrigerator.
Makes 30 balls.
Specialdaysto
celebrate
Be creative and come up with fun
ways for your family to celebrate
these special days.You may also learn
about something new.
August
Children’s Vision and Learning Month
Have you had your eyes checked
lately? If you can’t see the black-
board, you’ll have trouble learning.
Correctanswers:1.youcannotturnorstop.2.alwaysusehandsignals.3.atstreetcornersand
driveways.4.totheright.5.STOPsignsandthecurb.6.watchoutforpeople.7.weartheirhelmets.
Bike safety is important year around,but during back-to-school time,it’s
good to remind yourself of some important safety rules.Take the following
test to see how smart you are.
Directions Draw a line from the first part of the rule to the correct ending
to complete the sentence.We did the first one for you.
Test your bike safety IQ
Good riders always try to be
safe. Never go so fast that
When turning or stopping,
LOOK both ways,
Always ride
Always STOP at
When you ride on the sidewalk
Smart riders always
1
2
3
4
5
6
7
at street corners and driveways.
you cannot turn or stop.
STOP signs and the curb.
wear their helmets.
watch out for people.
always use hand signals.
to the right.
National Inventors Month
Find out who invented something
you use everyday.Do you know who
invented the pop top can? Learn more
about your favorite inventor; share
that information with your family.
September
Baby Safety Month
Is there are new baby at your house?
Take a few minutes to learn about
safety at home.
Children’s Eye Health & Safety Month
Do you wear eye protection when
you play sports? If you don’t,you
should.
Library Card Sign-up Month
If you don’t have a library card,
get one.
Safe...notsorry
G
Greg Bettis (L) and
Nathaniel Goldstein are
outspoken advocates for bicycle
helmets. They were among the
350,000 children injured last year
in bicycle-related crashes. (Note:
The experts at Children’s recom-
mend that helmets be worn lower
on the forehead than shown.)
kidspace
7
Page
Finding your way…
TheChildren’sMedicalCenter
OneChildren’sPlaza
Dayton,Ohio45404-1815
Pleasedelivertocurrentresident.NonprofitOrganization
U.S.PostagePaid
PermitNumber323
Dayton,Ohio
CMN Champions sets record
The CMN Champions raised
$867,675 locally,setting a new
telethon record.This money will
be used for patient care services at
Children’s.Thanks for your support.
Help for children with food
allergies A new support group
for parents of children with food
allergies has been formed. FEAST
or Food EducationAllergy Support
Team provides support in the daily
challenges of raising and feeding
children with medically diagnosed
food allergies.The group meets
monthly. For more information, call
TracieAtkinson at 937/885-1339.
Children’s ambassadors
named The four new ambassadors
forThe Children’s Medical Center
have been named.They are: Amber
Rollins,15, of Dayton is a sopho-
more at Dixie High School. Allen
Cochran,16, of Medway is a junior
atTecumseh High School.Tommy
Webster,10, of Springboro is home
schooled.Trent Miles,seven,of
Dayton attends Carlson Elementary
School.The ambassadors are current
or former patients and represent
Children’s at various hospital
functions throughout the year.
Pediatric specialists join
Children’sLubabatuAbdurrahman,
MD, is a pediatric cardiologist atThe
Children’s Medical Center and will
be part of Dayton Children’s Cardiol-
ogy,Inc.,which is located at Children’s.
Michael S.Bloom,MD,is a pediatric
ophthalmologist atThe Children’s
Medical Center. Dr. Bloom joins
Robert Bloom,MD, in his practice
located at Children’s.AnneL.Calkins,
MD,is a pediatric radiologist who
joined radiology and nuclear medi-
cine atThe Children’s Medical Center.
The radiology division uses state-of-
the-art equipment designed to per-
form diagnostic examinations with
a minimum of radiation exposure
to patients. Jennifer M.deVries,MD,
is a pediatric anesthesiologist atThe
Children’s Medical Center. Every year
over 9,000 children of all ages who
require anesthesia for surgical or
special diagnostic procedures are
cared for by the pediatric anes-
thesiologists at Children’s.
Y2K – Children's is ready
CMC has been working since1997 to
ensure that all systems run smoothly
into the year 2000. Experts have
checked and verified the safety of
patient care equipment.We continue
to work with experts in the commu-
nity and on our staff to ensure pa-
tient safety and quality of care asY2K
issues are identified and corrected.
newsbriefsGrowing Together is
published quarterly
for parents and
families in the
Miami Valley area
by The Children’s
Medical Center
(CMC). The purpose
of GrowingTogether
is to show how
CMC and families
are working
together to keep
all children healthy
and safe. Addi-
tional copies of
Growing Together
are available by
writing to CMC
c/o marketing and
communications,
One Children’s
Plaza, Dayton,
Ohio 45404-1815
or by calling 937/
226-8332. Your
suggestions and
comments are also
appreciated.
Laurence P.
Harkness
President and Chief
Executive Officer
Vicki Giambrone
Vice President,
Marketing and
Government Affairs
Susan A.
Brockman
Editor
Bev Bacon
Rashidah El’Amin
Photographers
From the North Take I-75 south to Route 4
(exit 54C); Route 4 to the Troy/Valley Street
exit; left on Valley Street.
From the South Take I-75 north to Route 4
(exit 54C); Route 4 to the Troy/Valley Street
exit; left on Valley Street. Or I-675 north to
Route 35; west on Route 35 to the Keowee
Street exit; north on Keowee to Valley Street;
right on Valley Street.
From the East Route 35 west to the Keowee
Street exit; Keowee Street north to Valley
Street; right on Valley Street. From I-70
Exit 41, take Route 4 south to Stanley Ave./
Findlay Street exit. Turn right at bottom of exit,
then left at the first light on Stanley Avenue.
This is Valley Street.
From the West Third Street east to Keowee
Street; left on Keowee Street to Valley Street;
right on Valley Street.

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  • 1. 4 Seasonal Health Alert Life-saving strategies Raising “safe-smart” kids Bike Safety TestyourI.Q. continued on next page… continued on next page… Newsfor Families Summer1999 Vol.23, No.2 Whenyour childlosesa (permanent) tooth Emergenciesand children Achild is hit by a car...flames from the grill ignite a child’s clothing... another child falls from a tree. When an emergency occurs,children need specialized emergency care. Many emergency care providers in the MiamiValley area have received PALS – pediatric advanced life support training – and carry special “pedi- bags” provided byThe Children’s Medical Center (bags of first aid supplies designed specifically for children; different sizes of breathing tubes, for example).In addition, children should be transported to the Prettypoison Itcomesinflavorslikecranberry, hollyberry,vanilla and cinnamon- apple.It comes in bright shades of blue,pink,yellow and green.Does this sound like the latest brand of juice or sports drink?Your child maythinkitis, but in fact,it’s lamp oil.If your child drinks it,he orshecouldendupinserioustrouble. Lamp oil has many different brand names and can be found in discount stores and gift shops. It is the fuel for various light sources, including outdoor lamps and patio torches as well as indoor decorative lamps and candles. In June,three Dayton-area chil- dren under the age of two years were hospitalized atThe Children’s Medi- cal Center because they drank lamp oil.While two of the children were admitted only for observation, the third got some of the oil in his lungs and ended up on heart-lung bypass for a week. In the original containers,most lamp oils are safe since they have a childproof lid.It is when the oil is actually in the lamp that it becomes dangerous. Children can easily reach nearest pediatric emergency depart- ment as soon as they are stabilized. Here’s how parents and caregivers can prepare for a pediatric emergency: ● Know how to call and activate your local EMS or EMSC (emergency medical services for children) net- work. In most communities, this means calling 911. ● Poisoning emergencies require a call to the nearest poison center. In this area, the numbers are 222-2227 or 1-800-762-0727 (outside Mont- gomery County). ●Adults should provide needed first aid on the scene.This may be anything from covering a child with CouldYouHandleanEmergency? 3 Page 2 Pag e 7 Page Kids and sports Howyou playthe game 4 Page
  • 2. Raising“safe- smart”kids With child abductions,high school shootings and teen suicide pacts in the news,parents and caregivers have every right to be concerned about their child’s safety.Fortunately,there are steps you can take to raise your child’s awareness of dangerous situa- tions,keep the lines of communica- tion open and encourage a healthy self-esteem. Dangerous situations ● Read Protecting the Gift – Keeping Children andTeenagers Safe (and Parents Sane) by Gavin de Becker ($22.95,The Dial Press). Share his wisdom with your children and teenagers. His book includes chapters on seven survival signals – how a stranger intending to harm your child puts you and the child at ease,12life-saving strategies your children must know (Teach your children how to talk to strang- ers), safety at school, baby-sitters and nannies,friends as enemies,trusting your intuition and more. ● Let your children know it is OK to say “no” to or defy an adult if they are uncomfortable or afraid. ● Make sure you know where your children are at all times;know what they are wearing when they leave the house. Talking and sharing ● Communicating regularly with your child helps him or her develop a healthy personality and the skills needed to relate to others.These skills help your child make the right choices when faced with peer pres- sure or dangerous situations. ● Learn what’s going on in your child’s life.It will help you feel closer, know his or her needs,and manage your stress and frustration. ● Set aside regular times to be avail- able to your child.Even teenagers, who may prefer to spend time with their friends, need to know you are available and interested. Children who don’t get enough attention at home are easy targets for child predators. ● Besides being a good listener,you need to be a good sender.This means responding appropriately, positively and compassionately when your child shares information. Children are very sensitive to long periods of silence (hours or days). If you are depressed or sick, let your child know this is why you are not talking and that you are working to get better. Identifying depression ● One study reports that 90 percent of suicidal adolescents believe their families do not understand them. Many teens considering suicide are depressed and suffer from unhappi- ness, inner confusion, turmoil and low self-worth. Hopelessness and anger may also be present. ● Depressed teens may feel they have no control over their lives.They are sometimes drawn to others who also feel isolated and hopeless. ● Depression and suicidal thoughts are treatable mental disorders.The first step is to listen.Get professional help. ●Watch for changes in eating and sleeping habits, violent or rebellious behavior and withdrawal from family and friends. ●Take any talk of suicide seriously. Before committing suicide, people often threaten to kill themselves. More information is available from the American Academy of Pediatrics, the American Psychological Association and other resources. Access their web sites directly or through the “Web Resources” section on Children’s web site (www.cmc-dayton.org). a blanket to providing CPR (cardio- pulmonary resuscitation) or the Heimlich maneuver. ● Before an emergency occurs,talk to your pediatrician or family doctor about the best facility to use if your child is sick or injured.Make sure your health insurance plan covers that facility. Call Children’s at 937/226-8332 or visit its web site at www.cmc-dayton. org for “Urgency or emergency.” This article discusses urgent care vs emer- gency care. Children and emergencies continued from page 1 *Inside Montgomery County 1-937-222-2227 Outside Montgomery County 1-800-762-0727 Poison control center 4 Seasonal Health Alert 2 Pag e Are you prepared? During the warm weather months, there are more accidental injuries than other times of the year. Are you prepared to handle an emergency? The role of the bystander is critical in making sure an injured person gets care as quickly as possible. Many victims of trauma die from interrupted breathing or loss of blood – not from their injuries. Here are some tips from the American Aca- demy of Pediatrics and the American Trauma Society: ● Make sure your business or house numbers are at least four inches tall and are clear and visible from the street. ● When the emer- gency dispatcher answers your call, answer questions the best you can and stay on the line until you are told to hang up. ● When help arrives, stand to the side of the road. Stay out of the way of emer- gency vehicles and ambulances. ● If you know the victim, provide EMS personnel with important medical information – does the victim have diabetes, allergies, pacemakers, etc. healthbeat Do you have a health or safety topic you would like to see addressed in HealthBeat? If so, please send your suggestions to HealthBeat, c/o marketing and commu- nications at the address below. If you prefer, call 937/226-8332 and ask for Susan Brockman. Growing Together is published quarterly for parents and families in the Miami Valley area by The Children’s Medi- cal Center, One Children’s Plaza, Dayton, Ohio 45404-1815. Visit our web site at www.cmc- dayton.org healthbeat Pretty poison continued from page 1 3 Page a lamp on an end table or coffee table and are intrigued by the sweet smell and bright colors.To prevent tragedy, Jodi Rogers, RN, a nurse educator at Children’s, recommends that parents of small children keep the oil out of reach or out of the home entirely. If you think your child may have swallowed lamp oil, do not induce vomiting. Call your doctor or the poison control center*immediately. Some symptoms of ingestion are vomiting (which may cause the oil to get into the lungs), coughing and difficulty breathing. Check the lamp or the lamp oil bottle to determine how much your child has ingested – less than one teaspoon can lead to serious medical problems. For more information on this topic, see CMC’s web site at www.cmc-dayton.org. Fireworksalert Even though more than half of all fireworks injuries occur during the fourth of July week, fireworks are popular on holidays and birthdays throughout the year. Even though sparklers and bottle rockets are popular with children, these are not toys and should not be used without close adult supervision. Remember: ● Never light fireworks indoors or near any objects. ● Never put fireworks in a container. The explosion could spray fragments of glass or plastic on bystanders. ● Never use fireworks near dry grass or leaves. ● Keep sparklers away from eyes, skin and clothing.The sparks are extremely hot. ● Make sure the fireworks do not contain more than 50mg of gun- powder. More than this amount makes them illegal and dangerous. ● Keep a bucket of water handy in case of malfunction or fire. ● Never relight fireworks that did not ignite the first time. TheAmericanAcademy of Pediatrics urges parents to take their families to official public fireworks displays rather than to purchase fireworks for home use. If summer fun takes you into the wilderness or off the beaten path, certain basics are essential for a safe camping experience. Be sure to pack everything on the checklist above. Whattoknow aboutlightning Although lightning strikes are usually not fatal, serious injuries can result. If lightning is in the area (if you can hear thunder, it is), remem- ber these safety tips: ● Don’t go near water. ● Don’t lie down on wet ground. ● Don’t go near tall or metal objects such as flagpoles,fences and trees. ● If you’re inside,stay away from electrical appliances and don’t use the phone.These are good conduc- tors of electricity. ● Don’t watch storms from an open window or door. Stay away from the fireplace – it is often a lightning target. ●The safest place?A steel-framed building or an enclosed automobile. (Source:AmericanTrauma Society) Whenyourchild losesatooth Lost baby teeth usually mean a visit from the tooth fairy and a dollar for the savings account.A lost permanent tooth, however,is not cause for celebration. Fortunately, permanent teeth can be saved if you know what to do and do it promptly. If a permanent tooth is knocked out... ● Hold the tooth by the top (crown),not the root. ● Rinse the tooth immediately with a saltwater solution or milk. ●Avoid chlorinated water since it can damage the root.Do not scrub the tooth. ●The best place to keep the tooth on the way to the dentist is right where it came from – the tooth socket.If your child will cooperate, replace the tooth gently in the socket. Have your child bite down gently on a piece of gauze to keep it in place. ● If you can’t put the tooth in your child’s mouth, use your own mouth, putting the tooth between your teeth and the cheek.If this is not an op- tion, put the tooth in milk. ● Give your child a handkerchief, washcloth or gauze pad to bite down on.This will help stop the bleeding and ease the pain. ● Call your child’s dentist right away. (Source:TheAmerican Medical Association) ✓ first aid kit ✓ compass & map ✓ flashlight ✓ knife ✓ waterproof firestarter ✓ personal shelter ✓ whistle ✓ warm clothing ✓ high energy food ✓ water ✓ sun protection ✓ insect protection Safetyinthewild
  • 3. O n the Sunday before Thanksgiving 1998, Eric Brandstetter was practic- ing on an indoor field with the Dayton Spirit Blue select soccer team.What started out as a normal day of practice ended when the 16-year-old Fairborn resident was going after the ball. 5 Page 4 Page When to call the doctor Here are some common sports injuries that may need a doctor’s attention: ● Sprain. A partial or complete tear in a ligament ● Strain. A partial or complete tear of a muscle or its attached tendon ● Bruise or contusion. Results from bleeding within a muscle after impact to that muscle. Minor bruises are not a problem. See a physician for major bruises which result in loss of function, severe swelling or take a long time to heal. ● Fractures. These come in all shapes and sizes depending on the sport. Spinal fractures are rare, but must be diagnosed and treated immedi- ately to avoid long-term problems. ● Overuse injuries. These result from stress on the bones or joints by perform- ing the same activity over and over. Common names for these are “tennis elbow,” “runner’s knee,” “swimmer’s shoulder” or shin splints. Talk to your doctor to decide what needs to be done for your child. “I was getting ready to turn and suddenly hit the ground,”Eric recalls. Something had caused his leg to give out and the athletic teenager had to be helped off the field. Orlando Sanders, a15-year-old sophomore at Chaminade-Julienne High School, played football and basketball until he was sidelined by a persistent and puzzling swelling in his left knee. Plagued by continual pain and swelling,Orlando finally had to stop playing after twisting his knee during one practice and having his knee cap slip out of place at another practice. Because of their injuries, both boys were temporarily sidelined and referred by their family doctors to the pediatric orthopedic specialists atThe Children’s Medical Center in Dayton. “There is no injury-free sport,” says BillAlbers,MD, the pediatric orthopedic surgeon who is treating healing are essential for minimizing a repeat injury.In Eric’s case,Dr. Albers first prescribed a program of exercises to prepare the muscles for surgery.After surgery,Eric began a sports enhancement and strengthen- ing program at a local gym.Today – six months later – Eric is able to run without any problem and hopes to play with his soccer team in the spring of 2000. Until then,Eric stays active in soccer by coaching his 13-year-old brother’s team and helping with his11-year-old sister’s team. Orlando is also in the process of healing after surgery and rehabili- tation.His knee problem was cor- rected with reconstructive surgery on December16,1998. He is now in therapy to strengthen his knee. Although his knee is“still not back,” Orlando has been playing basketball at a local gym and hopes to play again for Chaminade-Julienne. While doctors have given Orlando medical clearance to play sports again,that’s not what concerns him the most. “The hardest thing for me will be making the team.I’m a little nervous about that since I missed a whole season of basketball and football last year,” Orlando says.As part of his rehabilitation,Orlando plans to attend summer basketball camp to help him during the tryouts coming up. Despite warnings from the AmericanAcademy of Pediatrics, the growth of organized competitive sports for children continues without any signs of letting up.The academy and other experts feel that there is often too much emotional and physical stress for the growing child. Unfortunately, physicians are seeing more overuse injuries among children due to more intense and frequent practices and games.The involve- ment of informed and concerned parents and coaches, however, can minimize these risks and maximize the benefits of team sports.These benefits include exercise, friendship, perseverance, teamwork, performing under pressure and learning the right way to win and lose. If you and your child decide that he or she will participate in team sports, talk to the coach. Find out if his or her goals are shared by you and your child.Is the team’s purpose to have fun and learn new skills, or to win at all costs? Make sure your child’s coach provides sufficient time to warm-up and cool down;has first-aid training and an emergency plan; requires proper equipment; checks the field for hazards; allows for sufficient rehabilitation of injured players; and understands the physical and emotional needs of the children he or she coaches. Despite all precautions and the best intentions, children will be injured. When an injury occurs, make sure your child gets the treat- ment he or she needs and is given sufficient time to recover from the injury.While many sports injuries can be treated by your child’s pedia- trician or family doctor, an ortho- pedic specialist may be needed as well. Eric and Orlando both required that level of expertise. Whether your child’s injury is treated by specialists or the family doctor,be sure your child follows the doctor’s treatment and rehabili- tation program. Eric Brandstetter couldn’t agree more. “Listen to what the doctors tell you and stick with it,” says Eric. “Dr.Albers was spectacular,” he adds. “I’ve gone from not being able to walk to running in less than six months, so I’m very happy.” If your child has sports-related injuries or if you have any questions about your child’s ability to participate in sports, talk to your pediatrician or family doctor. If necessary, he or she may refer you to a pediatric specialist. Howto playthe game. Kidsandsports… Orlando Sanders, 15, recovering from knee surgery, looks forward to resuming football and basket- ball at Chaminade-Julienne High School. Eric Brandstetter,16, of Fairborn, advises others with injuries to “Listen to what the doctors tell you and stick with it.” both Eric and Orlando.“While most kids are out to have fun play- ing sports, parents need to realize that injuries can be part of the game as well.” After x-rays and an MRI, Eric was diagnosed with a tornACL – anterior cruciate ligament.“This kind of injury is fairly common in young athletes,”says Dr.Albers. He explains that physical differences put children at a higher risk than adults for certain types of injuries. “A lot of kids have tight ham- strings and heel cords, partly because they are still growing.The ligaments and tendons can be tight during growth spurts,” he says. Because of these differences, sufficient warm-up time is particularly important for the young athlete. “I recommend at least10 minutes of jogging in addition to stretching before a practice or game.” Dr.Albers encourages parents to work with their child’s coach to make sure sufficient warm-up and cool-down time is provided. In addition, Dr.Albers and other experts strongly recommend a complete physical before a child participates in sports. “These can be performed by the pediatrician or family doctor and should include a complete medical history,” he says. Particular aspects of this history and exam include infor- mation on previous injuries – espe- cially head injuries,family history of early heart disease, pulmonary conditions such as asthma,immuni- zation record,blood pressure,height, weight, etc. “Although a preparticipation physical cannot detect every potential problem, it can help minimize the child’s risk in certain areas,” Dr. Albers says. If an injury does occur,a rehabilitation program and adequate time for
  • 4. reg was bleeding pro- fusely from two long cuts on his head. He had not been wearing a helmet. Paramedics transported him toThe Children’s Medical Center in Dayton where he underwent three hours of surgery to repair the cuts in his head. Greg also had a CT scan and x-rays to makesure there were no fractures,con- cussion or internal bleeding.Fortu- nately,these tests were negative and Gregwas able to go home the next day. Now a confirmed helmet user, Greg will not ride his bike without that protection. Not only that, but Schooldaze Are you always confused about where you put your homework, notebooks or favorite hat? One way to make school mornings a little less stressful is to create your own box for just homework and other school things. You’ll need Cardboard box Crayons or markers, glue,stickers, pictures from magazines What to do Make sure your box is large enough and strong enough to hold note- books and other school things. Decorate it with pictures, words, your name or your own artwork to make it exclusively yours. Talk to your mom or dad about where to put the box.A spot near the door that you leave by in the morn- ings is a good place. School things should go in the box as soon as you get home from school.After doing your homework, put everything back in the box so it’s easy to find in the morning. Keeping all your school things together shows your parents you can be organized and are able to plan ahead.This will help you later in life when you go to college and get a job. Do you know what it takes to be safe on your bike? Test your bike IQ on the next page. 6 Page ItwasadayMaryBettis won’tforget.On March 27, 1999, Mary’s12-year-old daughter dashed through the front door of their Fairborn home.“Greg’s been hit!”Greg,Mary’s10- year-old, had been riding his bike.She looking across the parking lot in front of her house and could see her son lying on the curb,his bike crumpled nearby.“He was so still when I came up,I didn’t know if he was conscious or not.As soon as he knew I was there,though,he began screaming,” Mary recalls. he never hesitates to educate kids he sees riding without helmets:“Wear a helmet. Don’t end up like me!” Nathaniel Goldstein is another 10-year-old who is an advocate for wearing bicycle helmets.Although he has always worn a helmet, “Because my mom told me to,” Nathaniel also had an accident that made him aware of how easily someone can be injured riding a bike. Last October, Nathaniel and his bike went head over wheels when the chain broke going down a steep hill.“The hill was grassy and he was wearing his helmet, so his head wasn’t hurt,”Sarah Goldstein, his mother, recalls.“But because he was doubled over and com- plaining of stomach pains,he was taken to Children’s to make sure there were no internal inju- ries.”After a thorough evaluation, Nathaniel went home. “Across the nation, bicycles are associated with more childhood injuries than any other consumer product except the automobile,” says Paul Gresham, MD,a pediatrician on staff at Children’s. Dr. Gresham has been a tireless advocate for bicycle safety by working to enact bicycle helmet regulations in Centerville. Bicycle-related crashes have sent more than 350,000children ages 14 and under to emergency depart- ments every year. Of these,130,000 children suffer head injuries. Last summer, two children in the Miami Valley were killed riding bicycles. Children like Greg and Nathaniel were lucky. Nathaniel,who is a fifth- grader at Cline Elementary School in Centerville,is back to bike riding and spreading an important safety mes- sage.“I know a kid who doesn’t wear a helmet,” he says.“I tell him,if you crash, you could hurt yourself really bad or even get killed.”The experts at Children’s couldn’t agree more. Road munchies If you’ll be taking car trips this summer, make the trip less “bumpy” with these bumpy treats. No-bake bumpy peanut butter nuggets 1/2 cup natural peanut butter 1/4 cup nonfat dry milk powder 1/4 cup shredded coconut, unsweet- ened 1/4 cup raisins 1/3 cup rolled oats 1/2 teaspoon cinnamon 1/4 cup wheat germ 1/4 cup apple juice concentrate, thawed Combine all ingredients in a large mixing bowl. Mix thoroughly. Shape into one- inch balls. Place on a cookie sheet and chill thor- oughly. Store in refrigerator. Makes 30 balls. Specialdaysto celebrate Be creative and come up with fun ways for your family to celebrate these special days.You may also learn about something new. August Children’s Vision and Learning Month Have you had your eyes checked lately? If you can’t see the black- board, you’ll have trouble learning. Correctanswers:1.youcannotturnorstop.2.alwaysusehandsignals.3.atstreetcornersand driveways.4.totheright.5.STOPsignsandthecurb.6.watchoutforpeople.7.weartheirhelmets. Bike safety is important year around,but during back-to-school time,it’s good to remind yourself of some important safety rules.Take the following test to see how smart you are. Directions Draw a line from the first part of the rule to the correct ending to complete the sentence.We did the first one for you. Test your bike safety IQ Good riders always try to be safe. Never go so fast that When turning or stopping, LOOK both ways, Always ride Always STOP at When you ride on the sidewalk Smart riders always 1 2 3 4 5 6 7 at street corners and driveways. you cannot turn or stop. STOP signs and the curb. wear their helmets. watch out for people. always use hand signals. to the right. National Inventors Month Find out who invented something you use everyday.Do you know who invented the pop top can? Learn more about your favorite inventor; share that information with your family. September Baby Safety Month Is there are new baby at your house? Take a few minutes to learn about safety at home. Children’s Eye Health & Safety Month Do you wear eye protection when you play sports? If you don’t,you should. Library Card Sign-up Month If you don’t have a library card, get one. Safe...notsorry G Greg Bettis (L) and Nathaniel Goldstein are outspoken advocates for bicycle helmets. They were among the 350,000 children injured last year in bicycle-related crashes. (Note: The experts at Children’s recom- mend that helmets be worn lower on the forehead than shown.) kidspace 7 Page
  • 5. Finding your way… TheChildren’sMedicalCenter OneChildren’sPlaza Dayton,Ohio45404-1815 Pleasedelivertocurrentresident.NonprofitOrganization U.S.PostagePaid PermitNumber323 Dayton,Ohio CMN Champions sets record The CMN Champions raised $867,675 locally,setting a new telethon record.This money will be used for patient care services at Children’s.Thanks for your support. Help for children with food allergies A new support group for parents of children with food allergies has been formed. FEAST or Food EducationAllergy Support Team provides support in the daily challenges of raising and feeding children with medically diagnosed food allergies.The group meets monthly. For more information, call TracieAtkinson at 937/885-1339. Children’s ambassadors named The four new ambassadors forThe Children’s Medical Center have been named.They are: Amber Rollins,15, of Dayton is a sopho- more at Dixie High School. Allen Cochran,16, of Medway is a junior atTecumseh High School.Tommy Webster,10, of Springboro is home schooled.Trent Miles,seven,of Dayton attends Carlson Elementary School.The ambassadors are current or former patients and represent Children’s at various hospital functions throughout the year. Pediatric specialists join Children’sLubabatuAbdurrahman, MD, is a pediatric cardiologist atThe Children’s Medical Center and will be part of Dayton Children’s Cardiol- ogy,Inc.,which is located at Children’s. Michael S.Bloom,MD,is a pediatric ophthalmologist atThe Children’s Medical Center. Dr. Bloom joins Robert Bloom,MD, in his practice located at Children’s.AnneL.Calkins, MD,is a pediatric radiologist who joined radiology and nuclear medi- cine atThe Children’s Medical Center. The radiology division uses state-of- the-art equipment designed to per- form diagnostic examinations with a minimum of radiation exposure to patients. Jennifer M.deVries,MD, is a pediatric anesthesiologist atThe Children’s Medical Center. Every year over 9,000 children of all ages who require anesthesia for surgical or special diagnostic procedures are cared for by the pediatric anes- thesiologists at Children’s. Y2K – Children's is ready CMC has been working since1997 to ensure that all systems run smoothly into the year 2000. Experts have checked and verified the safety of patient care equipment.We continue to work with experts in the commu- nity and on our staff to ensure pa- tient safety and quality of care asY2K issues are identified and corrected. newsbriefsGrowing Together is published quarterly for parents and families in the Miami Valley area by The Children’s Medical Center (CMC). The purpose of GrowingTogether is to show how CMC and families are working together to keep all children healthy and safe. Addi- tional copies of Growing Together are available by writing to CMC c/o marketing and communications, One Children’s Plaza, Dayton, Ohio 45404-1815 or by calling 937/ 226-8332. Your suggestions and comments are also appreciated. Laurence P. Harkness President and Chief Executive Officer Vicki Giambrone Vice President, Marketing and Government Affairs Susan A. Brockman Editor Bev Bacon Rashidah El’Amin Photographers From the North Take I-75 south to Route 4 (exit 54C); Route 4 to the Troy/Valley Street exit; left on Valley Street. From the South Take I-75 north to Route 4 (exit 54C); Route 4 to the Troy/Valley Street exit; left on Valley Street. Or I-675 north to Route 35; west on Route 35 to the Keowee Street exit; north on Keowee to Valley Street; right on Valley Street. From the East Route 35 west to the Keowee Street exit; Keowee Street north to Valley Street; right on Valley Street. From I-70 Exit 41, take Route 4 south to Stanley Ave./ Findlay Street exit. Turn right at bottom of exit, then left at the first light on Stanley Avenue. This is Valley Street. From the West Third Street east to Keowee Street; left on Keowee Street to Valley Street; right on Valley Street.