It's About Children - Issue 3 2014 by East Tennessee Children's Hospital

25

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Extra Life—a 24-hourgame marathon

Children’s Hospitallicense plate

Little Critter merchandise

FLETCH Savings Card

OCT.

NOW

Through

SEP.

NOW

Starts at 8 a.m.In your own homeFree to sign up. Ask your friends to sponsor you.Visit www.extra-life.org to register. Open to everybody—from hardcore gamers to Candy Crushers and role-playing adventurers. All local proceeds help provide training and purchase medical equipment for the hospital.

If you were one of the first 1,000 people to reserve a license plate or you’d like to get one, visit your local county clerk’s office to pick up your plate.

Kohl’s department storesBooks, plush toys and other gifts are $5 each.Visit www.kohls.com for more information. All net profits from local stores will help fund our helmet safety program.

Get the card by making a $40 donation to Children’s Hospital.Visit www.etch.com/FLETCHSavingsCard to find out how to get your card. Use it to save 20 percent at select retail stores and restaurants between Oct. 24 and Nov. 2. Your donation helps provide medical equipment for the hospital.

Mark Your Calendar

2 It’s About Children, Issue 3 • 2014

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Shock factor

Safer scans for children

The smile saver

Courageous Colemans

Brittany Overton is alive today thanks to an automated external defibrillator—and school staff trained to use it.

Our new CT scanner reduces exposure to radiation by up to 70 percent.

See how Joseph Peeden, M.D., solved one of our medical mysteries.

A Sweetwater family faces the challenges of a painful, potentially life-threatening disease.

It’s About Children is a publication of the Marketing Department at

East Tennessee Children’s Hospital.Editor: Paul Parson

Designer: Deborah HostermanCover photo by Michael Dayah

Connect with us:www.etch.com/ItsAboutChildren

Spotlight

5

813

MEDIC blood drive

Safe Sitter class for children ages 11 to 14

Little Critter merchandise

DEC.

NOV.

DEC.

7 a.m. to 4 p.m.Children’s Hospital’s Koppel Plaza Building (Meschendorf Conference Room)It’s free.Call 865-541-8165 for more information. All blood used at Children’s Hospital is provided through MEDIC. One donation can help up to three people. Donors must be at least 17 years old, weigh more than 110 pounds and have an ID.

9 a.m. to 3 p.m.Children’s Hospital’s Koppel Plaza Building (Meschendorf Conference Room)Class costs $25.Call 865-541-8165 to register. Learn correct babysitting techniques, emergency responses and how to use babysitting as a business.

3Donate at www.etch.com/ItsAboutChildren


Story by E. AndersonPhotos by Michael Dayah

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“Inoticedhe’dgonebacktocrawling—he’dstoppedwalking,”Connissaid.“Iunzippedhisonesie,andhisfootwasswollen.Iknewwhattolookfor,soIknewhehadtogotothehospital.” ThatwasthefirstofmanytripstoEastTennesseeChildren’sHospitalforJonavin.Hissicklecelldiseaseledtoseveralboutsofpneumoniaandpaincrisesinhisfirstyear. “WetakehimtoChildren’sHospital,andtheygivehimpainmedicineandfluids,”Connissaid.“It’sbeenaroughroadforhim.I’velostcountofhowmanytransfusionshe’shad.” Asamother,thepaincrisesarethehardest,Connissaid. “He’sinpain,andhe’lljuststartscreamingandsaying,‘I’mhurting.I’mhurting,’”shesaid.“It’sreallydifficulttowatchhimgothroughthatwhenthere’snothingIcando.”

A one-in-four chance ThreeyearsafterJonavinwasborn,ConnisgavebirthtoJuliana.TheColemanswerethrilledtodiscovertheirdaughterdidn’thavethedisease,butwasonlyacarrierofthesicklecellgene. Afewyearslater,Jenayahwasborn.ConnisandWillieknewtherewasaone-in-fourchanceshe’dhavesicklecelldisease,butwerehopefulbecausehersisterwasspared.TheyweredevastatedwhenJenayahwasdiagnosedwiththediseaseat2weeksold. “Thatonehitushard,”Connissaid. ButunlikeJonavin’sconstantvisitstoChildren’sHospital,Jenayah’ssicklecelldiseaseseemedtobeundercontrol.That

He’sjust11yearsold,butJonavinColemanalreadyhasaplanforhislife:Playfootball.Gotocollege.Becomeaprofessionalathlete. His5-year-oldsister,Jenayah,alsohasdreams—tocombineherfierypersonalitywithasetofpom-pomsandamegaphoneasshecheersforherbrotherandhisfutureteammates. ButJonavinandJenayah’smom,Connis,hasherownwish—acureforthepainful,life-threateningdiseasethatmaykeepherchildrenonthesidelines.

The first diagnosis Jonavinwasjustamontholdwhenhisnewbornscreeningconfirmedhehadsicklecelldisease.Connisandherhusband,Willie,wereoverwhelmed. “Iwasupset.Iwascrying.IwentontheInternetandreadaboutsicklecelldisease,”shesaid.“Myhusbandhasacousinwhohaskidswithit,butotherthanthat,weknewnothingaboutit.” Sicklecelldiseaseisaninheritedblooddisorderinwhichtheredbloodcellsareabnormallyshaped.Insteadoftheirnormalroundshape,thecellsareshapedlikesickles,whichcanresultinseriousinfections,chronicanemia,damagetoorgansandextremelypainfulepisodes—oftenreferredtoaspaincrises. Jonavinwasanactivebaby.Hesurprisedhisparentswhenhepulledhimselfoutofhiscribat4monthsoldandwaswalkingatjust9monthsold.That’swhenhehadhisfirstpaincrisis.

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allchangedwhenshewas4. “She’dbeeninpreschoolalldayandwasfine.Ipickedherup,andshewasfinewhenwegothome,”Connissaid.“Thenshecameuptomeandsaid,‘Mama,Iwant…’andjuststartedbabbling.Icouldn’tunderstandwhatshewassaying,andIthoughtshewastryingtobefunny.” Connisrealizedquicklyitwasnolaughingmatter.Jenayah’stonguewasrollinginhermouth,whichwastwitchinguncontrollably. TheColemansrushedJenayahtotheirlocalhospitalinSweetwater,Tenn.,wheredoctorstoldthemJenayahhadhadaseizure.Whenanti-seizuremedicationsdidn’talleviatethemouthtwitching,JenayahwastransportedbyambulancetoChildren’sHospital,wheredoctorsconfirmedConnisandWillie’sworstfear.Their4-year-olddaughterhadhadastroke. “Weknewthatstrokeswereapossibility,butJenayahwasdoingfine.ItwasJonavinwhowashavingallthecrises,

sothiswasreallyunexpected,”Williesaid.

In good hands ConnisdescribesthestaffatChildren’sHospitalasinvaluabletoher. “ItwasscarytowatchJenayah’sstroke,butIknewshewasingoodhands.Thedoctorsandnurseswerereallygoodaboutkeepingmecalm,”shesaid.“Iftheyhavetobeinthehospital,I’drathertheybeatChildren’sHospitalthananywhereelse.”

Jenayahhassincerecovered,butwillneedabloodandmarrowtransplant.They’recurrentlytryingtofindamatchingbonemarrowdonor.Inthemeantime,JenayahgoestoChildren’sHospitalformonthlyexchangetransfusions,duringwhichherbloodisremovedandreplacedwithdonorblood.AndJonavingoestoChildren’sHospitaleveryothermonthfortestingandregularlytotreathispaincrises. “Therehavebeenacoupleoftimeswe’vehadtogetadoubleroombecausetheywerebothadmitted,”Connissaid.“Butthey’realwayssosweetatChildren’sHospital.Thekidsloveitthere.” ForConnis,thehardestpartofwatchingherchildrenbattlesicklecelldiseaseistheworrying. “I’monedgeallthetime.IfeellikeIcan’tenjoythehappythingsbecauseI’malwaysafraidtheothershoewilldrop.IworrythatJenayahwillhaveanotherstrokeorJonavinwillhaveanotherpaincrisis,”shesaid.“It’shardtoenjoylife.” Still,bothsheandWilliearegratefulforthesupportoftheChildren’sHospitalstaff,who’vegottentoknowtheColemanswell. “They’vedoneagreatjobwiththekids,”Williesaid.

“They’vebecomelikeasecondfamilytous.”

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What is it?

Sicklecelldiseaseisaninheritedblooddisorderinwhichthebodymakessickle-shapedredbloodcellsinsteadofnormallyroundcells.Becausethosecellsaren’tsmooth,theybecomestuckinthebody,leadingtoextremelypainfulepisodes.Symptomscanrangefrommildtosevere,includinginfections,swellingofthehandsandfeetandstrokes.

Who gets sickle cell disease? Itaffects90,000to100,000Americans.ItespeciallyaffectstheAfrican-Americanpopulation—occurringinoneofevery500births.

Is there a cure? Abloodandmarrowtransplantistheonlyknowncureforsicklecelldisease,butitcanberisky,especiallyforyoungchildren.Mostpatientswithsicklecelldiseasemanagetheirsymptomswithregularfluids,painmedicationandtransfusions.

Key points:Sickle cell disease

How red blood cells move through blood vessels

Normal red blood cells Sickle-shaped red blood cells

It’s About Children, Issue 3 • 2014


continued on page 10

Joseph Peeden, M.D., solves medical mysteries.

“It’s not like on television, where the ants in the

walls are the cause of the problem. It’s boring and a

lot of hard work,” he said. “But it’s important because

at the end of the day you get to help the child.”

Story by Cassidy Duckett

Photos by Michael Dayah


Itwasn’t.Jordancouldnolongeropenhermouthwideenoughtofitmorethanonefrenchfryinside.Themiddleschoolcheerleaderandpageantwinnerwaslosinghersmile. “Itgotworseandworse,”Sherisaid.

An explanation Throughoutherlife,Jordanhasbecomefamiliarwithtripstothehospital.Shehasanautoimmunediseaseandathyroiddiseaseinadditiontoherarthritis.Whenshewasinfourthgrade,Dr.Peedendiscoveredacystinthecenterofherbrain. “She’sbeenthroughsomuchandalwaysdoesitwithasmile,”Sherisaid.“Itwasincrediblypainfultowatchherlosethat.” ButJordanknewshecouldrelyonDr.Peeden. “She’ssoconfidentinhim,sosheneverseemedworried.Shesaid,‘Don’tworry,Mom.Itrusthim.He’llfigureitout,’”Sherisaid. Dr.PeedenquicklydiscoveredthatJordan’sjawjoint—themandibularcondyle—hadcompletelydisintegratedduetoherrheumatoidarthritis.He’donlyseenoneotherchildwhohadthesamesymptomssincehebecameadoctorin1975.“It’sacommondiagnosis,butJordanhadararemanifestation,”hesaid.

AstheleaderoftheDiagnosticClinicatEastTennesseeChildren’sHospital,Dr.Peedentakesasecondlookatcomplexcasesthatseemtohavenoclearanswer.HeworkswithSuAnneCobb,carecoordinator,andMeghanBuckner,socialworker,toagreeonaunifyingdiagnosis.Ifthesmallteamcan’tdetermineasolution,theyfindsomeonewhocan. For14-year-oldJordanHenegar,Dr.Peeden’spersistenceresultedinmorethanadiagnosis. “Hewasabletosavehersmile,”saidSheriHenegar,Jordan’smother. Literally.

The discovery “OnemorningIwasfixingJordan’shairforschoolwhenIheardherjawpopbackintoplace,”Sherisaid.Therightsideofherdaughter’sfacewasdroopingdownward.Hersmilewascrooked.“Jordansaid,‘Ithappensallthetime,Mom.Ijustpopitbackin.’” SherirealizedthatJordanhadn’tbeeneatingherfavoritefoods,butinsteadrequestingsoftmealslikesoupandmashedpotatoes. “Istartedself-restrictingmydiet,”Jordansaid.She’dbeendiagnosedwithjuvenilerheumatoidarthritisasaninfant.“Ifigureditwasjustanotherflare-up.”


Visit www.etch.com/ItsAboutChildren

to experience Jordan Henegar’s journey.

A solution AfterherappointmentwithDr.Peeden,Jordan’slifequicklychanged.Thebowtie-wearingdoctorsearchedthecountryforatreatmentanddiscoveredgelinjectionsbeingtestedatCincinnatiChildren’sHospitalMedicalCenter. “HeimmediatelycalledHermineBrunner,M.D.,andcashedinhisfavor,ashelikestosay,”Jordansaidwithalaugh. TheOakRidgeteentraveledtoOhioforthetreatment,whichwasinjectedintoallofherjointsincludingherjaw. “Theysayit’smoreintensethanbrainsurgery,”Jordansaid.“Youhavetohit1millimeterofspacewiththegelorthemusclestopsresponding.”

A happy ending Aweeklater,Jordancouldcheerandeatherfavoritefood,steak,again.ShehasreturnedtoOhioonetimesince2011foranotherroundofinjections. Thehonorrollstudentdoesn’ttakehersuccessforgranted.Shesaid,“Iwasn’tsupposedtobeabletowalkwhenIwaslittle,butnowIcancheeranddoanythingIwanttodo.”

ShericitesDr.PeedenasthedifferenceinJordan’slife. “He’sbrilliant,”shesaid.“Idon’thaveanydoubtthatJordanwouldbeinawheelchairnowifitweren’tforDr.Peeden.Hedoesn’tjustgetpatientstreated,hewantsthemtohaveahighqualityoflife.” Asthemotherofachildwhofrequentlycomestothehospital,SherifindssolaceinDr.Peeden’sunfailingfocusonfindingananswer. “Oncehe’sinvolved,youfeellikehe’smovingasquicklyashecantogettherighttreatmentsforyourchild—likeit’shispriorityinlife,”shesaid.“Ican’timaginegoingthroughthiswithoutsomeoneyoutrustlikeItrustDr.Peeden.Howwonderfultohavethatinourbackyard.”


Brittany Overton (center) with April and Travis Freeman—two of the Anderson County High School staff members who helped save the teen’s life

Story by Cassidy Duckett Photos by Michael Dayah


Anderson County educators save student’s life with AED

BrittanyOvertonhadbeenatschoolforabout15minutesonJan.14,2014.TheAndersonCountyHighSchoolfreshmanwaschattingwithafriendwhenshesuddenlyfelltothegroundinthecourtyard.Herclassmates,teachersandfamilydidn’tknowitthen,butBrittany’sheartwasincardiacarrest. “Myheartwentintoanirregularbeat,”Brittanysaid.“Iwasn’tgettingenoughbloodintomybrain.” Luckily,staffmembersatherschoolhadbeentrainedtouseanautomatedexternaldefibrillator(AED)—twoofthemhungonthewallsaroundtheschoolatthetime. TravisFreeman,anassistantprincipal,wasclosetoBrittanyanddidCPRwithotherschoolstaffuntilBenDowns,anotherassistantprincipal,retrievedanAEDfromaschoolhallway.Freeman’swife,April,who’saregisterednurseandteacherattheschool,gaveBrittanytwoshockswiththemachine.Herpulsereturned. BecauseBrittanyhitherheadwhenshefell,shewastransportedtotheUniversityofTennesseeMedicalCenter’sEmergencyandTraumaCenter.Afteraninitialexamination,BrittanywasbroughttothePediatricIntensiveCareUnit(PICU)atEastTennesseeChildren’sHospitalforfivedays. “Iwasincompleteshockatthehospital,”saidKimSmith,Brittany’smother.“EverybodyinthePICUwasgreatandexplainedeverythingthatwasgoingoneveryday.Itwassonicetoknowwhattoexpect.” BrittanywasdiagnosedwithLongQTsyndrome.Itcausedherhearttogointoventricularfibrillation,whichisanirregularheartbeat.Thoughshe’dpassedouttwoothertimesinherlife,shedidn’thaveanywarningsignsorotherhealthproblems.

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Visit www.etch.com/ItsAboutChildren to see if your child’s school is heart-safe.

for these vital machines. Toward the end of the 2013-2014 school year, a group at her school created a video project that included Brittany’s story to apply for an additional AED. They won, and a third lifesaving machine now sits on the sprawling Anderson County High School campus. During her time in the PICU, Brittany was given a defibrillator that monitors her heart rhythm and gives her an automatic shock if it becomes abnormal. Other than going to her six-month checkups with Dr. Sharma, the 15-year-old has settled back into normal school days. She hopes to take a class during her junior year that will allow her to ride along with emergency medical technicians. “I’ve always wanted to be a first responder,” she said. In May, Brittany’s heart rate jumped beyond 200 beats per minute while she was shooting hoops in the driveway. “Her defibrillator shocked her, so we took her to the Emergency Department at Children’s Hospital,” Kim said. “The cardiologist on call had beat us there and already gotten us a room, so when we arrived they brought us right to him where everyone was ready and waiting. They were wonderful.”

“She was just feeling normal at school on a normal day,” said Sumeet Sharma, M.D., Brittany’s pediatric cardiologist at Children’s Hospital. “For most people, their first episode is their last. She’s lucky her school had an AED and the staff was trained to use it.” “AEDs are most often used in schools during physical activity—on the playground or during a game or field day—but cardiac arrest can happen any time as in Brittany’s case,” said Karen Smith, Project ADAM Tennessee coordinator at Children’s Hospital. “Up to 25 percent of our population is in school on a regular day, so having this lifesaving equipment available is a very wise investment.” Staff members who are trained and not afraid to use an AED in emergency situations are essential to saving the lives of children in school. Nationally, 70 percent of people feel helpless to act in an emergency like Brittany’s due to lack of training. However, when staff members are trained, their intervention significantly increases the chance of survival. Though Brittany didn’t think much about the AEDs hanging on her school’s walls before, her experience has spread awareness among her fellow students about the need

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To increase awareness about sudden cardiac arrest in children and improve school staff’s ability to respond to it, Children’s Hospital has offered the Project ADAM Tennessee program since 2011. The initiative places automated external defibrillators (AEDs) in local schools, helps train and coordinate staff to prepare for emergencies and provides information about emergency best practices. Schools that participate in Project ADAM Tennessee are offered support at no cost and are considered heart-safe upon completion of training. Since 2011, Children’s Hospital has placed AEDs in more than 80 schools, with more on the way.


Every day, between one and three children or teens suffer sudden cardiac arrest in the United States. In cases like Brittany’s, having an automated external defibrillator (AED) and trained staff in school means the difference between life and death. The portable, lightweight device can deliver an electric shock to the heart to return it to normal rhythm if delivered within three to five minutes of the emergency. By having an AED on site and knowing how to use it, school staff may increase a child’s chance of surviving sudden cardiac arrest by 30 percent. Otherwise, students would have to wait for emergency personnel to arrive. Every minute that passes means a 10 percent drop in survival rates. Because sudden cardiac arrest can occur in children and teens with no history of heart conditions and no warning signs, training staff to use an AED anytime,

anywhere in the school is essential. Staff members are given specific roles when an AED is in use, including crowd control, coordinating emergency personnel, providing CPR and using the AED. Not all schools are equipped with an AED or have staff trained to use it. Children’s Hospital places AEDs, trains staff and establishes emergency plans in local schools through the Project ADAM Tennessee program.

Ben Downs, an assistant principal, who retrieved the AED used to save Brittany Overton’s life

1. Electrodes, or sticky pads, are put on the chest of the person who’s having sudden cardiac arrest.2. The automated external defibrillator (AED) sends information about the person’s heart rhythm to a computer in the AED to determine if a shock is needed.3. If the person’s heartbeat is irregular and a shock is needed, the AED will charge its internal capacitor to give a shock.4. An automated voice tells the user when to give a shock.5. The shock hopefully restores normal heart rhythm to the patient.

His career-making touchdown wouldn’t be possible without your life-changing donation.

Every dollar you give to East Tennessee Children’s Hospital helps save a life.

Help expand our services to include a new surgery center, a new 44-bed Neonatal Intensive Care Unit and more space to treat children with chronic conditions.

Visit www.etch.com/expansion or call 865-525-GIVE to donate or learn more about the $75 million expansion.



Safer scans for children Children’sHospitalisnowusinganewcomputedtomography(CT)scannerthatcutsexposuretoradiationbyupto70percent.Itnotonlyincreasesyourchild’ssafety,butitalsodecreasestimespentatthehospital. TheToshibaAquilionPRIME80scannerusesspecialsoftwaretodeterminethelowestpossibleradiationdosewhilemaintainingimagequality.Thissoftwareallowseachscantobetailoredtoeachchild. Inadditiontosaferscans,thenewCTscanneris20percentfasterthanthepreviousscanner.Becausethe

machinehasawiderscanningarea,scansarecompletedquickerandthereisadecreasedchanceofpatientmotion.Theincreasedspeedinscanningmayreducetheneedforsedation,whichinvolvesmedicinethatrelaxeschildrenduringmedicalproceduresthatmaybestressful,painfulorrequireachildtoholdstill. “Forourpatientsandtheirfamilies,thisgroundbreakingtechnologymeansaquickerandsafertriptothehospital,withthesamehigh-qualitytestresults,”saidBarryPayne,radiologymanageratChildren’sHospital.

News

At the Knoxville spring Color Me Rad 5K, the most enthusiastic participants weren’t all seasoned athletes or experienced runners. According to 2-year-old Grayer Morgan’s parents, the 3-foot-tall tyke stole the show. “He did the whole race,” said Misty Morgan, Grayer’s mother. “Then afterward he was dancing and wanted to be close to the stage so he could hear the music. He loved it.” For the Morgan family, the colorful race was more than a test of endurance. They gathered a team of family

and friends to raise money for Children’s Hospital, which the race benefits and where Grayer is treated for acute lymphoblastic leukemia. “We spread the word and told everyone that if you’re going to run a race, this should be the one,” she said. Thanks to donors like you, the spring event raised $15,074 for Children’s Hospital and splattered thousands of runners—including Grayer—in bright pink, purple, yellow, orange and blue.

Your Dollars at Work

Rad race


Your Dollars at Work

Cruising for a cause With engines roaring and revving, the Good Fellas motorcycle group blazed down East Tennessee’s roads this summer to raise money for Children’s Hospital. The Maryville-based club created T-shirts featuring artwork by two hospital patients for the ride. The event raised $695, which will be allotted toward Children’s Hospital’s most immediate need. Sponsors included Buffalo Wild Wings Café, Cruzes Tint and Tune, Bi-Lo Markets and Gary Underwood Construction.

Newlyweds Lindsey Crosnoe-Shipley and Adam Shipley didn’t revel in registering for new dishes and silverware during their engagement.

Instead, they chose to forego traditional wedding gifts altogether. Guests invited to their May nuptials and reception were encouraged to

make a donation to East Tennessee Children’s Hospital.

Adam and Lindsey raised $885 for Children’s Hospital, which will help provide social work-related services for patients and

their families. Lindsey is a medical student at Quillen College of Medicine in

Johnson City, Tenn., and Adam works for the U.S. government in Washington, D.C.

Saying “I do” to giving


Hitting the jackpot After selling a winning Tennessee Lottery ticket worth $259.8 million, the Kroger at 6702 Clinton Highway received $25,000 of the winnings—and gave it all away. Children’s Hospital was one of five local causes to receive $5,000 from the Kroger. The donation will be used toward the purchase of much-needed medical equipment for the hospital. Kroger was the first Tennessee Lottery retail winner to give all of its winnings to charity. Kroger has long been a supporter of Children’s Hospital and has raised thousands of dollars for it through the Children’s Miracle Network Hospitals.

Pey-ing it fore-ward Fox Den Country Club was packed with more than 230 golfers and one NFL quarterback this June to raise money for Children’s Hospital and the PeyBack Foundation. Thanks to participants like you, the 17th annual Peyton Manning Golf Classic raised more than $165,000 that will be split between the two causes. Children’s Hospital will use its half to purchase much-needed equipment to safely lift and transport patients, high-tech infant monitors and special machines to keep newborns warm. In between swings, the golfers visited with Manning, who’s the quarterback for the Denver Broncos. All of the money raised for PeyBack, Peyton’s own foundation, will be used for causes in our region, including leadership programs and opportunities for disadvantaged youth. Gold sponsors of the tournament were Cellular Sales, Knoxville News Sentinel and Republic Plastics Ltd.



Enjoy something for the entire family—from designer trees and holiday gift shops to children’s activities and live entertainment.

Wednesday, Nov. 26, to Sunday, Nov. 30, at the Knoxville Convention Center

30th anniversary ticket prices: $8 for adults; $4 for children ages 4 to 12; free for children age 3 and younger; $20 for a family four-pack (online only)

Buy tickets at www.fantasyoftrees.org or at the door. Proceeds go toward the purchase of medical equipment atEast Tennessee Children’s Hospital.

Nothing puts a smile on aNothing puts a smile on a child’s face quicker than getting a gift— child’s face quicker than getting a gift

Get useful news and information about your child’s health.

2018 Clinch Ave. • P.O. Box 15010Knoxville, Tennessee 37901-5010RETURN SERVICE REQUESTED

For questions about the magazine, email [email protected]. If you receive a duplicate issue or need to update your address, call 865-541-8723 or email [email protected]. Visit www.etch.com/ItsAboutChildren to sign up to receive this magazine electronically.

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It's About Children - Issue 3 2014 by East Tennessee Children's Hospital

Health & Medicine

Transcript of It's About Children - Issue 3 2014 by East Tennessee Children's Hospital