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Board of DirectorsJames S. Bush ChairmanRobert Madigan, M.D. Vice ChairmanRobert M. Goodfriend Secretary/TreasurerMichael CrabtreeDawn FordPeyton HairstonJeffory Jennings, M.D.Bob KoppelDonald E. Larmee, M.D.Dugan McLaughlinChris Miller, M.D.Alvin NanceDennis RagsdaleJ. Finbarr Saunders, Jr.William F. Searle IIIBill Terry, M.D.Laurens TullockDanni VarlanMedical StaffChris Miller, M.D. Chief of StaffLewis Harris, M.D. Vice Chief of StaffDavid Nickels, M.D. SecretaryChiefs of ServicesLise Christensen, M.D. Chief of MedicineCameron Sears, M.D. Chief of SurgeryDavid Birdwell, M.D. Chief of PathologyClifford J. Meservy, M.D. Chief of RadiologyMike Mysinger, D.D.S. Chief of DentistryMark Cramolini, M.D. Chief of AnesthesiologyAdministrationBob Koppel PresidentPaul Bates Vice President for Human ResourcesJoe Childs, M.D. Vice President for Medical ServicesRudy McKinley Vice President for OperationsJim Pruitt Vice President for FinanceBeckie Thomas, R.N. Vice President for Patient Care

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-profi t pediatric medical center which has served the East Tennessee region for more than 65 years and is certifi ed by the state of Tennessee as a Comprehensive Regional Pediatric Center.Ellen Liston Director of Community RelationsDavid Rule Director of DevelopmentWendy Hames, Katie Harvey EditorsNeil Crosby Cover/Contributing Photographer“Because Children are Special…”…they deserve the best possible health care given in a positive 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 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 staff whose only interests and concerns are with the total health and well-being of infants, children and adolescents.”

Statement of PhilosophyEast Tennessee Children’s Hospital

www.etch.com

Artwork by some of Children’s Hospital’s special patients

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On the cover: Sisters Brittney and Chelsea Osborne of Gate City, Va., are happy and healthy thanks to the care they found just 90 miles down the road at East Tennessee Children’s Hospital. Read their stories on pages 4-6.

– by John, age 8

Dear East Tennessee Children’s Hospital,

I took my daughter Catherine to your hospital with symptoms

similar to appendicitis. She was not in acute pain when we

arrived, but the staff checked on her in the waiting area and let us

know she could be taken back if her symptoms worsened.

When she was seen by the nurse in the Emergency Department

and then by Mick Connors, M.D., she was treated with the

dignity a 16-year-old girl deserves. Dr. Connors quickly evaluated

her, ruled out appendicitis and ordered an ultrasound to check for

torsion of the ovary. Her Surgery nurse, Monica Pace, R.N., was great. She didn’t

treat Catherine like a child but made her feel at ease even during

uncomfortable procedures. The ultrasound technician was also

kind to both of us. Dr. Connors’ diagnosis was exactly correct, and Catherine was

prepped for surgery. Roy Broady, M.D., operated on Catherine

and was excellent in every way. The Emergency Department

nurse even checked on us during surgery.

The nurses on the second fl oor were also very good. Karen

Selph, R.N., admitted Catherine at 4:30 a.m. and discharged her

later that day. I am so pleased that East Tennessee Children’s Hospital is

so committed to patient care. A hospital cannot run well unless

care is the center of everything it does. Thank you, Children’s

Hospital staff, for your excellent care of my daughter.

Rita Wooten

– by Ryan, age 8

– by Ann, age 10

To whom it may concern:

We would like to take a moment and thank you for all that the staff of Children’s Hospital did for our son, Seth, during his visit. We came to Children’s from another hospital, and the staff took great pains in seeing that the care Seth received was unmistakably above average. We will never take our children to another hospital for care. The Second Floor nurses, especially Nurse Bob (Robert Hunt, R.N.), really showed care and concern. As we were being released, he gave us detailed instructions for her care and helped us to set up Home Health visits. Everyone, down to the housekeeping department, is exceptional. We believe in giving fl owers when fl owers are due, and they are certainly due now. Thank you all for all the help, love and concern. Albert Martin, the night shift security offi cer, was also very kind and helpful. Thank you from the bottom of our hearts. May God continue to keep his hand upon each and everyone at Children’s Hospital.Jonathan and Penny Smith

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Brittney’s Story When a three-year-old stops responding to questions such as, “Do you want some ice cream?,” something is likely very wrong. Little Brittney Osborne’s parents, Mickey and Terry, immediately became concerned, and soon their fears were realized — Brittney had experienced sudden and significant hearing loss in her right ear. Brittney was born with normal hearing, and a cause for her childhood hearing loss has never been determined, although there were some questions regarding autoimmune problems, frequent ear infections requiring antibiotic treatment or even a possible connection to a childhood immunization. For a time, she retained normal hearing in her left ear. By the time Brittney reached school age, her left ear also was affected, and she was fitted with a hearing aid in that ear during her kindergarten year. To help her young classmates understand her hearing loss, she showed them the hearing aid and let them listen with it. From that point on, most of her classmates almost seemed to forget she was a little different. As her hearing loss progressed at a rather rapid pace, she finally underwent exploratory surgery at the University of Virginia in December of her second grade year in an unsuccessful attempt to find and perhaps correct or stop the problem. The Osborne family found Brittney’s Gate City, Virginia school system to be very supportive and helpful, although Brittney resisted the school’s attempt to teach her how to use sign language. Her family supported her in that decision, because Brittney did have partial hearing, had learned to speak before losing hearing and desired to be as much like her classmates as possible. Her family preferred for her to use her hearing aid and hone her lip-reading skills. Realizing she would have to function in a largely hearing world, Brittney became exceptionally adept at lip reading, to the degree that many people were unaware of her hearing loss even after knowing her for several years (she wore her hair long, which usually hid the hearing aid). And so her life progressed through elementary school and into high school — until July 1, 2002, when she suddenly lost the limited hearing she had retained, rendering the hearing aid useless. Brittney, who was then 16 years old, was fearful of how her sudden deafness would affect her life. She was a cheerleader who could no longer hear her own cheers, and she was enrolled in regular classes at school where she could no longer hear her teachers’ lectures. She also was afraid she wouldn’t be able to continue driving her car, a right of passage for all teens. Her mother, Terry, aware of the surgical procedure called cochlear implantation for

patients with total hearing loss, searched the Internet for information about the procedure and surgeons trained to perform it. She found John Little, M.D., pediatric otolaryngologist at Children’s Hospital, about 90 minutes away from the Osbornes’ home in Southwest Virginia, not far from Kingsport, Tenn. The Osbornes also soon heard from an old family friend who now lived in Knoxville and had a daughter with a cochlear implant who was a patient of Dr. Little. The friend called specifically to recommend Dr. Little after learning about Brittney’s hearing loss. Brittney was not in favor of the procedure, in spite of her fears about living with deafness. The early versions of the cochlear implant included a box worn at the waist, and that was too obtrusive for Brittney’s comfort. She understood the implant would make voices sound “robotic,” which wasn’t appealing to someone who knew what voices should sound like. And like any appearance-conscious teen, she also was concerned about having her head shaved in the area of the implant. But after meeting with Dr. Little and his audiologist, Sherry Mendez, Brittney was reassured of her concern about the head shaving part — Dr. Little said it had to be done for sterilization of the area of surgery, but he would remove as little as possible. Further, Brittney learned the newer implant does not include the box — the exterior part is now tucked behind the ear with a small microphone that resembles an earring, and it is all easily covered by the patient’s hair. Dr. Little couldn’t do anything about the “robotic” sound that the implant would create, however, but Brittney decided to go ahead with the procedure anyway and accept that aspect of the surgery. Dr. Little performed Brittney’s implant surgery at Children’s Hospital on September 5, 2002, and the implant was activated a month later on October 8. Brittney had been completely deaf for four months. Brittney’s sister Chelsea was at Children’s Hospital herself at that time (Chelsea’s story appears on the next page). Following the implant activation, Brittney and Terry walked from Dr. Little’s office in the Medical Office Building across the street to the hospital to see Chelsea. Terry laughed at something — and Brittney heard the laughter. It was a monumental moment for the family. At the outset, sounds such as the air conditioning in the hospital gave Brittney a headache — the constant background noise was unfamiliar and annoying. She toughed it out, resisting the urge to have the volume lowered, and the discomfort lessened after just a day or two. Soon she realized that voices sounded normal, not at all “robotic”

as she expected. Sometime after the implant was activated, Brittney was outside at home with her two sisters (she also has an older brother, who lives in Knoxville), and she heard another unfamiliar sound — blowing wind. Her sisters were so thrilled that they cried. Brittney now can understand the words to music, can hear almost every word of a movie instead of having to watch movies with captions, can answer and talk on the telephone, and can order food at a restaurant drive-through. She can hear most tones, although deep male voices pose a challenge at times. She can wear a hat, be hugged or lie down on the side of her head where the implant is without encountering the sound problems of her earlier hearing aid. For Christmas 2002, she wanted nothing but hats — just because she can wear them now. She has always had a high degree of self-confidence but is now more comfortable than ever and is more outgoing when meeting new people. While Brittney has been a model patient, her adjustment to the implant has been rather comical at times. The implant includes a strong magnet — so strong that her umbrella once stuck to her head. Another time, she somehow managed to get her head stuck to a door at her school. She was knocked away when someone opened the door, but the exterior portion of the implant remained attached to the door. Brittney continues to cheer for the Gate City High School Blue Devils and has settled back into the regular classroom after having special accommodations at school from August until her implant activation in October. She loves her implant and the degree of normalcy it brings to her life.

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Chelsea’s Story Even before Brittney’s cochlear implant was activated, her family had been extremely pleased with the care at Children’s Hospital. It made them wonder whether Children’s Hospital could also help another of their daughters with her own unique medical condition. Chelsea, who was 14 when Brittney first came to Children’s Hospital last summer, was born with a deep indentation in her sternum that can crowd the heart and lungs and also caused her lowest ribs to flare outward. The defect was visible from birth but had little affect on Chelsea, so treatment was considered unnecessary. About three years ago, Terry learned about the minimally invasive Nuss procedure to correct the problem, and she filed it in the back of her mind for future reference, just in case. Chelsea has exercise-induced asthma but is also an athlete. In the spring of 2002, while pitching for her school’s softball team, she suffered severe breathing difficulty and became very agitated. The problem with the sternum can worsen with growth spurts common in adolescence, so her parents became concerned about whether her breathing problems might also increase. By the fall, the Osbornes were very familiar and comfortable with Children’s Hospital due to Brittney’s experience. Terry went online to the Children’s Hospital Web

site, www.etch.com, where she found the link to write an e-mail to the hospital. She asked in her e-mail if Children’s Hospital had any surgeons on staff trained in the Nuss procedure, and the hospital’s reply was that pediatric surgeon Konstantinos Papadakis, M.D., could perform the procedure. The Osbornes contacted Dr. Papadakis’s office, the East Tennessee Pediatric Surgery Group, P.L.L.C., and scheduled an appointment. After consultation, he fit her into his surgery schedule in early October, which was how Chelsea ended up in the hospital at the same time Brittney was having her implant activated. Terry said it just made sense to get it all done at once, since they would be in Knoxville with Brittney that week anyway. The surgery involves two small incisions on either side of the patient’s chest. A curved rod is inserted into one of the incisions and is attached to stabilizer bars on either side of the patient’s rib cage. The curved rod essentially

pops the indentation outward to a normal position. The surgery is considered minimally invasive because the incisions are so small, but it is a painful procedure that includes the use of an epidural for pain management. Chelsea spent six days recovering under close supervision in the Pediatric Intensive Care Unit (PICU) at Children’s Hospital. She was discharged directly from the PICU and only missed one additional week of school after she went home. The surgery is generally easier for children under age 10, so recovery was a little slower for 14-year-old Chelsea. She rebounded rapidly, though. Before the surgery, she couldn’t run a full lap on her school’s track without stopping to breathe. Not long after surgery, she ran a full two miles, stopping not because of breathing difficulties but because her legs were tired. She can also hold a note out when she sings, which was previously impossible. While Brittney has progressed with great success, Chelsea has encountered a few setbacks. In December, one of the wires connecting the rod to

As the region’s only Comprehensive Regional Pediatric Center, East Tennessee Children’s Hospital provides superior pediatric health care to children from East Tennessee, southwest Virginia, southeast Kentucky and western North Carolina. But the helping and healing hands of the doctors, nurses and other staff at Children’s Hospital often reach much farther than that. Several members of the Children’s Hospital medical staff have extended their care beyond this community and even beyond the country by taking “medical missions” trips through various external programs. Here’s a look at two of the places around the world touched by Children’s Hospital’s staff.

Haiti During his first medical mission trip to Haiti in December 2000, pediatric neurologist Chris Miller, M.D., contracted an infectious disease — the volunteer bug. Since then, Dr. Miller has returned to Haiti twice, and he is planning a fourth trip sometime within the next year. “Once you go the first time and see and understand the problems,” he said, “you want to go back with a plan to fix them.” The province of Boucan-Carre, Haiti, undoubtedly has its problems. Located in the center of the poorest country in the Western Hemisphere, the health of its people is equally destitute. However, Dr. Miller and the others who have been to Haiti with him (including Nancy Timm, R.N., and Karen Herbstritt, R.N., from Children’s Hospital) have made tremendous progress toward meeting the medical needs of this region. On the first trip, they set up a clinic in a portion of the local

school. They were inundated with people — some who walked more than 20 miles — because it was the only opportunity they would have to receive health care until the next medical mission trip. So during Dr. Miller’s second stay in October 2001, the group established a self-sustaining clinic staffed by two full-time Haitian physicians, and now their trips are meant more to supplement the clinic. They are also in the process of purchasing a building that can serve as a hospital. “I see a direct impact each time we go back,” Dr. Miller said. “I see children who are healthier as well as improved sanitation and hygiene overall.” Traveling to an underdeveloped country evokes a new appreciation for conveniences and possessions often taken for granted back home, Dr. Miller said. He also said his experiences in Haiti have caused him to form a new level of respect for his colleagues at Children’s Hospital who participate in medical missions trips. “We are especially blessed to have an institution like this with people who give of themselves to children every day and then also help others on their own time,” he said. “The care they show in taking medical missions trips is the same care they manifest every day at Children’s Hospital.”

Suriname Joe Childs, M.D., returned from his third trip to Suriname, South America, on June 3, 2003. Dr. Childs’ brother-in-law, who is a full-time missionary in Suriname, initially asked him to bring a medical mission team there in 1999. Based on a survey done of the medical needs in Suriname, the emphasis of the trip was to provide eye care for a particular rainforest tribe — the

Aukan tribe. In 2001, after an initial trip to work on some building projects, Dr. Childs took a team of ophthalmologists, optometrists and other medical and non-medical assistants “into the jungle” with him. Camille Brooke, social worker for the Children’s Hospital Pediatric Intensive Care Unit (PICU), and Sally Crockett, an R.N. in the PICU, both accompanied Dr. Childs on his most recent trip (Camille also went in 2001). The work Dr. Childs’ group does is extremely important to the Aukan tribe. There are an unusually high number of people with cataracts among these descendents of former slaves, and they do not have access to any kind of eye care. “Eye care is especially critical,” Dr. Childs said. “Improving vision can make a lasting difference in people’s lives.” On their last trip, the group made a difference in the lives of about 350 people by prescribing and providing eyeglasses for them. They also performed about 40 cataract surgeries in a tiny, screened operating room cooled by a window fan using state-of-the-art equipment powered by a generator. “We were in one of the most primitive regions doing one of the most advanced surgeries,” Dr. Childs said. Although the trips he organizes help hundreds of people to see better, Dr. Childs says his eyes are the ones that have been opened by doing so. “My perspective of the world is different now,” he said. “These trips truly help me see what is eternally important and what is not.”

Left to right: Sally Crockett, R.N., Joe Childs, M.D., and Camille Brooke bond with a group of children in Suriname.

a stabilizer broke. Dr. Papadakis fixed the broken wire in surgery on December 30, this time double-wiring the rod to the bar. But in early March, it happened again as she pitched in a softball game (she’s a freshman starter for the Gate City High School Blue Devils), this time breaking one of the two wires on the double-wired side. She can sometimes feel the wire poking inside her body, but it is not causing any problems and the stabilizer is holding in place, so she chose not to have it repaired at this time — she didn’t want surgery to keep her off the softball field for any amount of time during the spring season! Chelsea, like Brittney, is thrilled with the changes surgery has brought to her life and would choose to have it done again even had she known ahead of time about the setbacks she would encounter. She is pleased with the physical appearance she now has, which is important for any teen, and she is also delighted at her greatly improved breathing capacity. Technology changes at a rapid pace, and those changes have meant a lot to the Osborne family. The online world helped them to learn about highly advanced medical procedures that could help their daughters, and then the Internet helped them again in their search for surgeons who could perform those procedures — just a short 90 minutes down the road from home.

Karen Herbstritt (center) and Nancy Timm (right), both nurses at Children’s Hospital, demonstrate their love for children all over the world.

Chris Miller, M.D., examines a Haitian baby in the clinic he helped establish.

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The success of Children’s Hospital is due in large part to the countless hours of hard work by the hospital’s volunteers. Their smiling faces can be found throughout the hospital assisting with a number of duties, from helping in the Gift Shop to pushing the toy and video carts by patients’ rooms.

Five of the hospital’s volunteers were recently honored for their dedication and hard work during the Volunteer Appreciation luncheon Saturday, April 26 at the Orangery.

The Anne D. Regas Award, named in memory of the founder of the Children’s Hospital Auxiliary, was awarded to Virginia Simmons for outstanding commitment, courage and determination in volunteer service. Simmons began volunteering at Children’s Hospital in 1973 in the Therapy Department, soon to be renamed the Rehabilitation Center. She now works at the

Information Desk. Virginia has also served as treasurer for the Auxiliary.

Ann Tipton received the Edna H. Duncan Award for professional and personal excellence during her years of volunteer service. This award was named in memory of a 10-year volunteer who donated more than 25,000 hours of service to Children’s. Tipton began her volunteer service in the Gift Shop in November 1994. In January 1997, she became corresponding secretary of the Auxiliary, and in 1999, she was appointed chairwoman of the Gift Shop. She was elected vice president of the Auxiliary in 2000, followed by president in 2001. Throughout this time she has continued to volunteer in the Gift Shop and at Fantasy of Trees.

Volunteers honored for their dedication to Children’s Hospital

The 24 Karat Award, given to a volunteer who illustrates enthusiastic participation, was presented to John Jack, who volunteers with the video cart. He has also worked at the Information Desk and was ready, willing and able to help in any way needed at the 2002 Fantasy of Trees.

Millie Dunkel and Diane Pack received the 2003 Shining Star Award for their dedication to evening and weekend service. Dunkel and Pack work at the Information Desk every Tuesday evening.

Volunteer award winners included (left to right): Diane Pack, Millie Dunkel, John Jack, Ann Tipton and Virginia Simmons.

The Fantasy of Trees has been a holiday tradition in East Tennessee since 1985. In 2003, this special holiday event will showcase a theme of “Fa La La La La... Let the Holidays Begin,” highlighted with musical decorations and melodic symbols heralding the arrival of the Christmas season. The Fantasy of Trees will begin Wednesday, November 26 and continue through Sunday, November 30, when hundreds of Christmas trees and colorful, festive decorations will adorn the Knoxville Convention Center. There will be a variety of new children’s activities to refl ect this year’s harmonious and festive theme. Each child can make the sounds of the season come alive by decorating their own fl ute at Fa La La Flutes, and the smallest holiday decorators can trim a tree just their size at Itsy Bitsy Trees. Jingle Buddies will give little musicians a chance to personalize their own jingle bell, and kids can make their own stockings that Santa will love to fi ll with goodies at My Very Own Stocking. There is also a new children’s area debuting at this year’s event. Santa’s Jazzy Band is an activity that will give children the opportunity to be part of a special holiday band and watch their “show” on a big screen TV.

There are also three new shopping experiences debuting at this year’s Fantasy of Trees, featuring holiday accessories for the home, decorations with a rustic, mountain holiday theme and gifts with a musical theme. Special events during this year’s Fantasy are the Opening Night Gala on Tuesday, November 25; the Babes in Toyland Parade sponsored by Dollywood on Wednesday, November 26; Call Home Free sponsored by Sprint on Thanksgiving Day, November 27; and a special holiday event just for seniors, Santa’s Senior Stroll sponsored by Baptist Senior Services, on Friday, November 28. Also on Friday, the Teddy Bear Breakfast and Lunch, sponsored by Comcast, are two special parties for children and their teddy bears that include a delicious meal, children’s activities, entertainment and a visit with Santa. Funds from this year’s Fantasy of Trees will be used to purchase new and replacement equipment for the larger space and expanded services at the new Children’s

“Fa La La La La... Let the Holidays Begin” heralds the arrival of the Fantasy of Trees

Fantasy of Trees co-chairs Karen Waldbauer and Belinda Ford and assistant co-chair Becky Vanzant are busy planning and preparing for this year’s event.

Hospital Rehabilitation Center, which is scheduled to open in early 2004. Look for more details about the Fantasy of Trees in the next issue of It’s About Children. For more information on how you can be involved in the 2003 Fantasy of Trees, contact the Children’s Hospital Volunteer Services and Resources Department at (865) 541-8385 or send an e-mail to fot@etch.com. or visit www.etch.com/fantasy.cfm.

by Genny Kirchner, Communications Specialist

The number of grandparents raising their grandchildren in East Tennessee continues to grow, as do their needs for resources and interaction with those in similar circumstances. Since its inception in fall 2000, Baptist Senior Services and East Tennessee Children’s Hospital have worked together on “A Grand Event” to identify and implement innovative programs that meet the needs of this special group of caregivers.

As “A Grand Event” enters its fourth year this fall, this special grandparenting program will launch a new program called “Grand Legacy.” The main objective of this unique program is to bring grandparents and grandchildren together to create their history, both individually and together. It will urge all grandparents to take the time to record their legacy, preserving it for their grandchildren and bridging the generation gap with the importance of history and traditions. In our fast-paced society, there is a need for a program like “Grand Legacy” that reminds grandparents to take the time to remember the generations before them and preserve their memory for generations to come. This program will be presented through a four-week series of workshops featuring expert speakers.

Walk on the Wild Side Saturday, September 13, 8 a.m. – noon Knoxville Zoo

Kick-off this year’s “A Grand Event” with a “Walk on the Wild Side,” a fun-fi lled day at the Knoxville Zoo for seniors and their grandchildren from 8 a.m. to noon. This recreational event is a great way for grandparents and their grandchildren to enjoy the

zoo, take advantage of seeing the animal exhibits and, most importantly, exercise. Each Baptist Senior Plus member will receive a free gift, a snack bag and a free blood pressure check — all while their grandchildren enjoy a variety of games and activities. Grandparents who are Baptist Senior Plus members can enjoy the zoo foor just $2 if tickets are purchased in advance and $3 if bought at the event. Tickets for accompanying grandchildren 12 years

and younger are also $2 in advance and $3 each at the event, and any other person attending with the Senior Plus member will receive $1 off the regular admission price to the Knoxville Zoo. For ticket purchases or for more information about Walk on the Wild Side, call (865) 632-5170.

Grand Legacy Workshop: Capturing Life Memories through Stories Tuesday, September 16, 6:30 p.m. Candy Factory

Join WBIR-TV Channel 10 Anchor Emeritus Bill Williams as he begins our series of workshops and discusses the importance of sharing a grandparent’s legacy with their grandchildren through stories.

Grand Legacy Workshop: Capturing Life’s Memories through Recipes Tuesday, September 23, 6:30 p.m. Baptist Hospital West

Most people remember a favorite dish that has been served at every family holiday dinner. Kitchen Consultant Amy Williams will provide insight on how to pass along cherished family recipes as well as special techniques that might be used in preparation of these classic dishes.

Grand Legacy Workshop: Capturing Life’s Memories in Photos Tuesday, September 30, 6:30 p.m.Candy Factory

Photographs are an excellent way to capture and preserve your most important life moments. Area photographer Neil Crosby of Neil Studios will offer tips and techniques for using photography as a way to give the gift of memories to children and grandchildren.

Grand Legacy Workshop: Capturing Life’s Memories through Favorite Items Tuesday, October 7, 6:30 p.m. Baptist Hospital West

The values of family heirlooms such as quilts, furniture pieces, and silver and china pieces are priceless. Local appraiser and WSJK-TV personality Joe Rosson will discuss the importance of remembering the stories behind these special keepsakes as well as provide tips for keeping them in pristine condition.

Grandparenting event introduces ‘Grand Legacy’ program this fall

WBIR-TV Channel 10 Anchor Emeritus Bill Williams spends time in the park with his grandchildren, Billie and Riley.

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The latest news concerning the ongoing construction at Children’s Hospital is exciting. The construction of the new 115,000-square-foot, seven-story patient tower, which will be located on Clinch Avenue and 20th Street, is making tremendous progress despite some delay on foundation work; factors for the delay are heavy spring rains and diffi culty with drilling through rock. One of the elevator shafts has been erected, and work is continuing on the other one. The structure should be enclosed and under roof by early 2004. Work will then begin on the interior, with all seven fl oors scheduled for completion in early 2005.

Construction of the third-fl oor addition over the existing Emergency Department and Outpatient Clinic area has also begun. Parking on White Avenue from 20th Street to 21st Street has been blocked to allow the builders to start the placement of panels and brick. Once construction is complete, renovations will begin on approximately 72,000 square feet of existing hospital space, including extensive renovation of all semi-private patient rooms with half baths into private rooms with full baths. This process is scheduled to start in late 2004. Ultimately, Children’s Hospital will have 95 private patient rooms with full baths; a larger Emergency Department; an expanded 13-bed Pediatric Intensive Care Unit; an

expanded 44-bed Neonatal Intensive Care Unit; an expanded Surgery Department; an expanded Radiology Department; more space for support services, families, staff and storage; additional elevators; and a larger

cafeteria and Food and Nutrition Services Department. The hospital’s licensed beds will increase from 122 to 152. The cost for the hospital expansion, including construction and furnishings, is $31.8 million.

At Children’s West, just off Interstate I40’s Westland Drive exit, the new Children’s West Surgery Center (pictured left) has been open for several months now. With more than 12,000 surgeries being done at Children’s Hospital in the fi scal year 2002-2003, the new facility, which is one of only 10 outpatient pediatric surgery centers in the country, enables Children’s Hospital to help even more children throughout the East Tennessee area. In addition, construction of the new Children’s Hospital Rehabilitation Center (pictured below), which also will be located on the West campus, is well underway. The building shell is up, and it should be under roof by late July. The facility is scheduled to open in early 2004. In fi scal year 2003, the Children’s Hospital Rehabilitation Center provided physician-directed rehabilitation services to more than 1,500 of this region’s children. The new facility will have more space and expanded services to ensure each child reaches his or her greatest potential and can live as independently as possible.

While many teens spend the summer around a pool or traveling to a variety of destinations, dozens of teens choose to devote much of their summer vacation time to Children’s Hospital. More than 100 Junior Volunteers, who range in age from 14 to 18, help one day a week during the eight-week program, resulting in more than 5,000 volunteer hours worked. They can be seen in their signature yellow shirts and smocks doing various tasks around the hospital, including taking the toy and video carts to patients’ rooms, helping in the clinics, answering phones at the Information Desk and assisting with miscellaneous offi ce duties. Junior Volunteers also conduct a fundraiser each summer for Children’s Hospital. Last summer, Junior Volunteers sold teddy bears that could be purchased by employees or visitors as gifts for a friend or loved one. Participating in the Junior Volunteer program has changed Candace Qualls. Candace, who is 18 and attends Walters State Community College, is in her fi fth and fi nal year as a Junior Volunteer. “I have grown so much as a person by being a Junior Volunteer,” she said. “I don’t look at myself the same way anymore because of this experience. I have learned to accept more things.” Candace, who is planning on becoming a nurse, enjoys getting to know the young patients and seeing things from their perspective. “I like to make them smile,” she said. “If you love to work with children, I would recommend being a Junior Volunteer.” Volunteering helps build character and work ethic in teenagers, not to mention that some college and scholarship applications often ask teenagers about previous volunteer experience. Children’s Hospital offers its Junior Volunteers a chance to work in a unique learning environment while gaining important community service skills. Some Junior Volunteers initially come to complete the volunteer requirements for high school graduation, while others participate because of personal experiences as patients here. Lindsay McBee is one of these people. Hospitalized at Children’s Hospital for leukemia when she was 13, Lindsay wanted

to give back to the people who took such good care of her. “Being a Junior Volunteer has been such a good experience,” she said. “I am considering a career in medicine, and I feel more prepared after participating in this program.” Lindsay, who is now 15 and fi nished with her treatment, is one of the high school students required to complete volunteer hours for her graduation. However, she believes she’s gained much more from the experience. “In addition to gaining practical work experience, I have also gained self-confi dence,” she said. “I have made lots of friends and would encourage any teenager who is thinking about applying to be a Junior Volunteer.” To become a Junior Volunteer, teens must be at least 14 years of age, and they must submit an application with a letter of recommendation. Previous experience working with children is not necessary, but Junior Volunteers must be interested in helping others and meeting new people. If a volunteer meets these requirements, then he or she must attend orientation before volunteering.

Once the summer is over, Junior Volunteers are honored at a special dinner with their parents. Interested students are encouraged to apply early because of the growing popularity of the program. Applications are accepted throughout the year, but due to the popularity of the program, all the spaces are usually fi lled by early April. For more information on the Junior Volunteer program, contact Judy Caudill in the Children’s Hospital’s Volunteer Services and Resources Department at (865)541-8136 or visit the Junior Volunteer page on the Children’s Hospital Web site at www.etch.com/voljr.cfm.

by Genny Kirchner, Communications Specialist

Teens spend summervolunteering at Children’s Hospital

Medical Staff UpdateChildren’s Hospital is pleased to welcome the expertise of the following new medical

staff members who have joined our staff in recent months:

Steven Addonizio, M.D. radiology;

Suneetha Mooss, M.D., pediatrics;

Darren Wirthwein, M.D., pathology;

Charles Stephen Perry, M.D., pediatrics;

Michael Whitson, M.D., pathology;

Clarisa Cuevas, M.D., pediatric gastroenterology;

Robert Santee, M.D., radiology.

Junior Volunteers brighten childrens’ days by bringing the toy and video carts by their rooms.

Progresscontinues onconstructionprojects

Please send the free brochure titled “Personal Financial Affairs Record”

Name_________________________________ Address _________________________________________

City ____________________ State _____ Zip ____________ Phone #___________________________ Please call me at the above phone number for a free confi dential 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 Offi ce (865) 541-8441

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IncludeChildren’s Hospital

In Your Estate Plans.Join The ABC Club.For More Information,Call (865) 541-8441

1312

U p c o m i n g e v e n t s t o b e n e f i t C h i l d r e n ’ sIf you are looking for something new to do this fall, or if you are interested in helping Children’s Hospital, there

are several upcoming events that accomplish both. Through the support of sponsors and participants, these events help Children’s Hospital provide the best pediatric health care for East Tennessee’s children. For more information about any of these events, contact the Children’s Hospital Development Department at (865) 541-8441 or visit the

calendar of events on the Children’s Hospital Web site at http://www.etch.com/attractions.cfm.

Because the few dollars you spend on professional fees for a properly prepared will are truly miniscule compared to the expense and heartache of failing to plan. By preparing a will, you are telling those you leave behind how to care for your minor children and how to dispose of all you have accumulated during your lifetime. Not only is this very important, but putting it in a valid will also eliminates speculation about your intentions. Every family has its own horror stories about the problems an aunt or cousin or parent encountered when someone from the previous generation failed to prepare a properly executed will. At many family reunions you will hear about “what granddad really wanted” to happen to the family farm or his coin collection. Or there is talk about the greedy sibling, cousin or nephew who took advantage of someone’s failure to plan and took funds or personal property not meant for them. You can prevent this from happening to your heirs. You can also save time and money by focusing your efforts and “doing your homework” before visiting your attorney.

1. Sit down with your spouse and have that diffi cult discussion about who should raise your children if you should both die in a common accident. Then both of you should meet with the people you select to make certain they will agree to accept the responsibility. Choose an alternate in case

your fi rst choice is deceased or unable to take your children. Specify who is to manage any money left for your children’s benefi t and consider having someone separate involved with overseeing those funds.

2. Pull together a listing of the people to whom you will give your belongings. List their name, current address and phone number and their relationship to you — son, daughter, niece, nephew, grandson or granddaughter, neighbor, friend. List what you would like them to have and be specifi c.

3. List all of your assets: house, land, securities, retirement plans, IRA, jewelry, art, collectible items, bank accounts, vehicles and other personal property. Make a list of your favorite charities. List the location of your safe deposit box. Consider attaching a letter to the will indicating any wishes you may have for a funeral and the location of cemetery lots and information about any prepaid funeral arrangements you may have made.

4. Choose an executor. This is especially important to determine which of your relatives and friends is wise and honest enough to serve as executor of your estate. This is the person whom the court will hold accountable for carrying out your wishes as listed in your will. Then spend some time with your spouse discussing what you would like to do.

4. Write all of this information down.

5. Select an attorney. Choose someone

who has experience in estate planning and feel free to discuss fees in advance. Make an appointment, and then follow through by mailing the attorney a copy of your information well in advance. The attorney will appreciate dealing with a well-prepared client and will also be delighted not to waste time serving as a referee between you and your spouse on matters such as custody of children and selection of an executor.

6. Sign your will, give a copy to the executor and keep the original in your safe deposit box. Then sit back and enjoy the security that comes from knowing you have made all the necessary arrangements to prevent unnecessary expense and family strife after your death.

For more information on wills and estate planning, including a copy of our free planning booklet, “Personal Financial Affairs Record”, please send your name and address to us via the reply form below. Or you may call or e-mail David Rule, Director of Development, dsrule@etch.com or Teresa Goddard, CFRE, Senior Development Offi cer, tgoddard@etch.com at (865) 541-8162.

Because restoring the health of sick and injured children is our mission, the fi rst installment in our “Why Bother” series on wills and estate planning focused on the need to plan for custody of minor children. Copies are available if this topic is of interest to you. We hope this installment will be both useful and informative for our readers. Our next issue will discuss the problems in using “canned wills” or “will software” to prepare your will.

’ll only have to pay a big fee to a lawyer, so why bother?

Estate Planning...Who needs a will? Why bother?

by David Rule,Director of Development

II• Cool 93.1 Boomsday will take place on Labor Day, Monday, September 1. Thousands of people will come together for daytime entertainment and a spectacular 25-minute fi reworks show that will light the night sky. Boomsday will again be held along Neyland Drive and the downtown riverfront. Children’s Hospital will receive proceeds from the sale of soft drink products as well as the “Buck in a Bucket” program during the festival. Other events at the annual Boomsday festival will include live karaoke, skateboarding demonstrations, a children’s fun land, a climbing wall, exhibits and much more.

• The 11th annual Kappa Delta War of the Wings is set for Saturday, September 27, three hours before the kick-off of the Tennessee vs. South Carolina football game. Knoxville businesses and UT fraternities will participate in a cook-off at Fiji Island on the University of Tennessee campus to see who makes the best wings in the city. For $6 per person, guests can sample as many wings as they can eat. Proceeds from the event will benefi t Children’s Hospital, and the guests’ votes will help determine the 2003 Kappa Delta War of the Wings champion.

• Families can enjoy the fall season by visiting two unique Halloween events in mid-October: the Oakes Farm Haunted Corn Maze and Gibbs Haunted Forest. The Corn Maze will provide hours of fun and frights as people search to fi nd their way through the maze, while the Gibbs Haunted Forest will produce chills and thrills as people wander through the “haunted” landscape. Dates for these events will be announced soon, and both will offer additional Halloween activities.

• Steinway, considered the “Mercedes” of pianos in the musical world, celebrates 150 years of operation in 2003. Piano enthusiasts will have the opportunity to see these beautiful instruments at a Steinway Selection Event October 23-25 at the Knoxville Convention Center. The event will feature the display of many Steinway models, artwork of the hand-crafted pianos, and a special reception to

benefi t East Tennessee Children’s Hospital. The Steinway Selection Event will be held at the Knoxville Convention Center in the main foyer. Times for the show are from 10 a.m. until 6 p.m. on Thursday, October 23; 10 a.m. until 8 p.m. on Friday, October 24; and from 10 a.m. until 5 p.m. on Saturday, October 25. For more information, contact Bill Jones of Bill Jones Music at (865)690-6465, by email at blljns@aol.com, or call the Children’s Hospital Development Department at (865)541-8467. For more information about Steiway Pianos and the instrument’s history, visit www.steinway.com.

• If you’re looking for a unique gift for someone special this holiday season, you might want to visit Children’s Hospital November 13-14 for a special holiday art sale. Nationally-known artist Robert Tino of Sevierville will be at the hospital on Thursday, November 13 from 8 a.m.- 5 p.m. and again on Friday, November 14 from 7 a.m. – 2 p.m. Everyone is invited to attend this seventh annual art sale at the hospital, and Tino and his wife Mary John will donate a portion of the proceeds from the sale to Children’s Hospital. Tino will bring a variety of his work in all price ranges to the two-day event, including notecards featuring Tino art, matted 8x10 prints, art tiles, framed limited edition prints and much more.

SeptemberCool 93.1 Boomsday

September 1Tunnel Thunder Ride

September 13Kappa Delta War of the Wings

September 27

OctoberSteinway Selection Event

October 24 & 25Gibbs Haunted Forest

Late OctoberOakes Farm Corn Maze

Late October

NovemberTodd Helton Celebrity Golf Tournament

November 3Robert Tino art sale

for Children’s HospitalNovember 13 & 14Fantasy of Trees

November 26 – November 30

Dates to RememberUpcoming Events to benefi t

Children’s Hospital

For more information about any of these events, call (865) 541-8441 or

visit our Web site at www.etch.com and click on “Coming Attractions.”

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Q&A

sure your child knows you’re proud of his or her efforts, not just victories.

3. Don’t force dreams of your “glory days” onto your child. Sometimes a parent who played sports as a kid wants to see their child excel at sports, too. Conversely, parents who weren’t great athletes might want their child to be the player they never were. Find out if your child really enjoys the sport or if he or she is just playing to please you. The signs are usually there--a tendency to miss practice or fake injuries, for example.

4. Encourage your child to play his or her best, but make sure there’s no unnecessary pressure on your child — either from you, from the coaches or from your child. Some children practice

to the point of exhaustion or injury, while others can’t complete school assignments because every spare moment is taken up with sports. Sports should enhance your child’s physical and emotional health, not compromise it.

5. Practice good sports behavior yourself. Don’t carry on to the point of embarrassing your child. Never “boo” the other team or verbally humiliate any player. Show respect for coaches and referees, even if you disagree with a call. Acknowledge good plays made by both teams. Shake hands with competitors and expect the same behavior from your child. If your child exhibits bad sportsmanship, there should be consequences for his or her behavior.

Good sports are winners:How to teach your children sportsmanshipThere’s no doubt that youth sports have become more competitive in recent years. No longer just an after-

school activity or a fun Saturday pastime, youth sports have reached elite levels in many communities. There are travel teams with schedules that rival the pros and high-pressure all-star teams. There is

newspaper publicity and talk of potential college scholarships. There’s speculation over which local “heroes” will have a shot at a professional career and a multimillion-dollar contract.

But what’s the cost of this “winning is everything” attitude? For one thing, a decline in sportsmanship among players and parents. Studies show that over the past decade, parental rage and violence has become more commonplace at children’s sporting events. In fact, one recent study reported that 57 percent of

child athletes have seen an adult lose control at their games. Jeanann Pardue, M.D., Director of Children’s Pediatric Group inpatient service and an Emergency Department physician, offers the following tips to parents for teaching children the unbeatable benefi ts of sportsmanship:

Upcoming Community Education Classes

For more information or to register for any of these classes, to be added to the Healthy Kids mailing list for announcements of upcoming classes or to receive our

free Healthy Kids parenting newsletter, please call (865) 541-8262.Announcements about upcoming classes can be seen on WBIR-TV 10 and heard

on area radio stations. Or visit our Web site at www.etch.com and click on “Healthy Kids Education and News.”

Children’s Hospital’s Healthy Kids Campaign is a community education initiative of the hospital’s Community Relations Department to help

parents keep their children healthy.

6. Talk with your child about the bad sportsmanship that can be seen on TV. For example, if a pro baseball player spits at an umpire, or a basketball player verbally abuses a coach, or football fans throw bottles onto the fi eld in response to a bad call, make sure he or she knows it’s still not OK — not even in the pros. Of course, talk about the good examples of sportsmanship, too.

7. Start early. Even the youngest children can learn the basics of good sportsmanship — that the game stops when someone gets hurt, for example, or that you never make fun of someone who’s having a bad game.

8. If your child is playing for a coach whose philosophy doesn’t promote good sportsmanship, fi nd another program. It’s not worth having your child infl uenced by unhealthy ideas.

9. If you fi nd that you or your child are getting “caught up” in the intensity of youth sports and are losing your perspective, take a “time out.” A good book to read to help you refocus on the positive benefi ts of sports is “Raising a Team Player” by Harry Sheehy.

Sports are fun: they promote exercise and good health, they teach the value of commitment and discipline, and they encourage social interaction and friendships. But sports are only as good as the people involved. Sports, in and of themselves, do not build sportsmanship — parents, coaches,

teammates, and competitors do. Sports may provide opportunities for children to learn important lessons about winning and losing and playing by the rules, but how these messages are perceived is often shaped by the people kids look up to — especially parents. Your child learns how to behave, on and off the fi eld, by watching you. The decision to promote

good sportsmanship ultimately rests with the parents.

For more information on youth sports and sportsmanship, visit Children’s Hospital’s Web site at www.etch.com.

Compiled by Seth Linkous,Public Relations Specialist

1. “It’s not whether you win or lose, it’s how you play the game.” It’s an old saying, but it’s never been more true. Our culture is so focused on winning that we often seem to forget the real benefi ts of sports: learning new skills, getting along with others, trying hard, personal improvement, having fun, and playing fairly. Focus on the process rather than the outcome and have realistic expectations. Not every child will be voted MVP, but every child has a talent to bring to the game.

2. Watch how you react to defeat. When your child comes home from a game, is the fi rst thing you ask, “Did you win?” If so, try a new approach. Ask your child to tell you what he or she enjoyed about the game and about some of the good plays made by both teams. Make

Jeanann Pardue, M.D.Infant & Child CPR

Monday, August 18 • Monday, Septbember 22Monday, October 20, 6:30-9 p.m.

Children’s Hospital Koppel Plaza — Cost: $18This class will teach caregivers cardio pulmonary resuscitation (CPR)

and choking maneuvers for children ages eight and younger. This class also teaches home safety. Participants must be at least 14 years old to attend. Class sizes are limited, so preregistration is required.

Making Healthy ChoicesThursday, August 28 • Tuesday, October 14, 4:30 p.m.

Children’s Hospital Koppel Plaza — Cost: FreeWith one’s food habits often being family-centered, it is important to recognize certain habits as unhealthy and take steps to correct them.

A registered dietitian will discuss with your family how to make appropriate healthy food choices, provide substitutes for

foods that promote weight gain and suggest methods for increasing activity into your daily routine. Class sizes are

limited, so preregistration is required.

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The 21st annual Children’s Miracle Network Telethon was once again a tremendous success for Children’s Hospital. More than $1.9 million was raised during the live, two-day broadcast, which aired May 31 and June 1 on WBIR-TV Channel 10.

The money raised on-air by this year’s telethon will purchase two different pieces of equipment: pulse oximeters and cardiac monitors.

Pulse oximeters measure the amount of oxygen in the patient’s blood. Instead of a needle stick, all it requires is something that looks like a band-aid wrapped around the patient’s fi nger. This piece of equipment is utilized on patients who require home oxygen, have severe asthma or are ventilator-dependant.

Cardiac monitors measure a patient’s blood pressure and pulse rate. Every baby who arrives at the Neonatal Intensive Care Unit (NICU) is on a cardiac monitor. As they develop and become healthier, they are gradually taken off these monitors. With the funds from this year’s telethon, the hospital was able to purchase 34 new monitors for the NICU. Children’s Hospital is one of the 21 charter hospitals that participated in the fi rst CMN telethon, which took place May 28 and 29, 1983. Since 1983, the local telethon has raised almost $19 million, all of which has remained at Children’s Hospital for the direct benefi t of the hospital and its patients.

Funds raised by previous telethons have been used to purchase a magnetic resonance imaging (MRI) scanner along with other radiology and ultrasound equipment, operating room equipment, and Lifeline vehicles, which are mobile intensive care

units that provide neonatal and pediatric transport. This equipment and technology enables the hospital to continue providing the best pediatric health care available to children in this region. Children’s Hospital would like to thank everyone who generously gave their time and money to make the 2003 telethon so successful. Children’s Hospital extends its gratitude to many area companies, including Goody’s, Wal-Mart and Sam’s Club, who presented the hospital with substantial donations they raised throughout the year. In addition, the East Tennessee community raised a record-breaking $268,823 through telephone pledges during the 22-hour broadcast, made possible by the more than 516 volunteers who gave part of their weekend to answer phones during the telethon. Children’s Hospital is indebted to the news team and production crew of WBIR-TV Channel 10 for being a vital part of the telethon for 21 years. They once again demonstrated their extraordinary support for Children’s Hospital and the children of this region.

by Genny Kirchner, Communications Specialist