It's About Children - Fall 2010 Issue by East Tennessee Children's Hospital

April 7, 2010
Dear Children’s Hospital,
I would like to thank all the ER personnel who helped my sonJeremiah with a broken arm on Friday, 4/2/10. Dr. Ryan Redmanwas so nice and helped me as a mom relax and let them do theirjob. KOC’s doctor John Crawford was impressed with how wellJeremiah’s arm had been set and casted.I would also like to mention the nurses and support staff werewonderful in helping our family during this time and their care ofmy son. God bless you all for the work you do.
Tabitha Cannon
Knoxville
Dennis Ragsdale, Chairman • Jeffory Jennings, M.D., Vice Chairman
Michael Crabtree, Secretary/Treasurer • Debbie Christiansen, M.D. • Dawn Ford
Keith D. Goodwin • Steven Harb • Lewis Harris, M.D. • Dee Haslam
A. David Martin • Larry Martin • Christopher Miller, M.D. • Steve South
Bill Terry, M.D. • Laurens Tullock • Danni Varlan • Jim Bush, Chair Emeritus
Don Parnell, Chair Emeritus • William G. Byrd, M.D., Chair Emeritus
John Buchheit, M.D., Chief of Staff • Lise Christensen, M.D., Vice Chief of Staff
Mark Cramolini, M.D., Secretary
Lori Patterson, M.D., Chief of Medicine
Cameron J. Sears, M.D., Chief of Surgery
Keith D. Goodwin, President/CEO • Bruce Anderson, Vice President for Legal
Services & General Counsel • Laura Barnes, R.N., M.S.N., C.N.A.A., B.C., Vice
President for Patient Care • Joe Childs, M.D., Vice President for Medical Services
Zane Goodrich, CPA, Vice President for Finance & CFO • Rudy McKinley, Vice
President for Operations • Sue Wilburn, Vice President for Human Resources
Ellen Liston, APR, Fellow PRSA, Director of Community Relations
Wendy Hames, APR, Editor • David Rule, Director of Development
Neil Crosby, Contributing Photographer
www.etch.com
Board of Directors
Medical Staff
Chiefs of Services
Administration
It’s About Children Staff
“Dear
Children’s”
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. East Tennessee Children’s Hospital’s vision is Leading
the Way to Healthy Children. Children’s Hospital is a private, independent,
not-for-profit pediatric medical center that has served the East Tennessee region
for nearly 75 years and is certified by the state of Tennessee as a Comprehensive
Regional Pediatric Center.
“Because Children are Special…”
…they deserve the best possible health care given in a positive, family-centered
atmosphere of friendliness, cooperation and support -- regardless of race, religion
or ability to pay.”
…their medical needs are closely related to their emotional and informational
needs; therefore, the total child must be considered in treating any illness or
injury.”
…their health care requires family involvement, special understanding, special
equipment and specially trained personnel who recognize that children are not
miniature adults.”
…their health care can best be provided by a facility with a well-trained medical
and hospital staff whose only interests and concerns are with the total health and
well-being of infants, children and adolescents.
Statement of Philosophy
East Tennessee Children’s Hospital
April 13, 2010
Hello. My son, Michael, visited your
emergency room Sunday evening, April 11. He
received excellent care and told me that the “lady
who did his x-ray was really nice.”We came back
for a follow-up on Monday morning. We were
quickly processed and put into a room.
Everyone we met was friendly and helpful.
Our discharge instructions were clear.Thanks
to Dr. Morgan for her kindness and careful
explanation of Michael’s injury. She even took
time to show Michael his x-ray and gave him
a short lesson. So “thanks” seems like such
a small word in comparison to the excellent
care we received and the kindness of
the staff.
Sheri Burns
Knoxville
June 4, 2010
I wanted to write in reference to your Radiology Department. Over the past
two years, my family has become all too familiar with Children’s Hospital. My
daughter, Arianna, suffers from Central Precocious Puberty, a Benign Optical
Tumor and a new diagnosis of Neurofibromatosis. At the age of 4, she has had
to have an Ultrasound done in April, an MRI in April of the Adrenal Glands
and in May an MRI of the brain. I can’t say enough about your Radiology
staff -- from the warm greeting I receive when I see Susan (I feel like I know
her personally) to the wonderful Anesthesia Group and then the Radiologist.
During such a stressful time in my daughter’s life, I can tell you I wouldn’t want
anyone else treating her!
I wish to compliment your Lab Department as well. Arianna has to come
in for labs every three months, and sometimes a visit in between. Although she
knows as soon as we enter the building and begins to freak out in the room
when it comes time for her lab work, the staff is always amazing. I can’t
remember one time when the staff has had to stick her a second time.They
make an uncomfortable visit as comfortable as they possibly can. Although no
one likes having labs, I know that when I bring her in, my daughter is getting
the best care possible! Once again, I love Children’s Hospital, and I’m grateful
that we live here in Knoxville and wouldn’t want to take my children anywhere
else! Thank you for all that you do for our children!
Angela Dixson
Knoxville
2

Children’s Hospital NOTES
Volunteers receive awards for service to Children’s Hospital
Goodwin joins Knoxville Chamber Board
East Tennessee Children’s Hospital
President/CEO Keith Goodwin recently
joined the Board of Directors for the
Knoxville Chamber of Commerce for
the 2010-2011 year.Goodwin will serve
with 15 Knoxville area professionals; the
board helps direct the organization,create
its budget and set policies that uphold
the Chamber’s mission: driving regional
economic prosperity.
The Knoxville Chamber of
Commerce unites business,industry and service professionals by
hosting events,working with other local chambers for business
development and is dedicated to Knoxville’s economic prosperity.
“I am excited to become a member of the Chamber Board,”
Goodwin said. “The work of the Chamber is essential to the long-
term growth of the greater Knoxville community.Children’s Hospital
is a great selling point to businesses coming to or expanding within
our community. Serving on this board provides me with a great op-
portunity to educate others about Children’s Hospital’s impact on and
importance to our community.”
As a member of the board,Goodwin will attend bi-monthly
meetings that focus on current business issues and the development of
long-range goals and objectives to help Knoxville area businesses thrive.

by Claire Quinn, student intern
Children’s Hospital presented awards to several volunteers
at its annual Volunteer Appreciation Dinner on April 20.This
event celebrated the many volunteers who dedicate their time and
talents to Children’s Hospital on a regular basis.
      The first group of awards was given to volunteers who had
achieved their hour milestones.In addition to these awards,
special awards were presented to four outstanding volunteers for
Children’s Hospital.
      The first special award,presented by Keith Goodwin,
Children’s Hospital President/CEO,was the Edna H.Duncan
Award.This award is given each year to a volunteer who displays
“personal and professional excellence through service to the
hospital.”Established in 1991,this award was first given to
Duncan,who accumulated more than 28,000 volunteer hours
during her 16 years of service to the hospital.
      This year’s recipient was Jan East,who has been greeting
families and visitors at the Information Desk for more than seven
years.Remarkable for her calm demeanor and sweet disposition,
East has served on the Volunteer Council and has helped with
Fantasy of Trees as well as many other hospital events.She is
always willing to help and give support to others.
      The second special award was presented by Elizabeth Thomas,
Director of Volunteer Services and Resources.She presented the
Anne D.Regas Award,which was established in 1988.This
award is presented to a volunteer who displays “exemplary
commitment,courage and perseverance in volunteer service
to Children’s Hospital.”
      This year,the Anne D.Regas Award went to
Jean Gangaware,who began her volunteer service in 1995 by
helping with the Toy Cart in Child Life.With more than 3,700
hours of service to Children’s Hospital,Gangaware continues
to work at the Information Desk today.She has participated in
Fantasy of Trees,holiday greeting card sales,the Valentine kisses
sale and many other fundraising events for the hospital.
      Cheryl Allmon,Volunteer Coordinator,presented the third
special award of the night,the “24 Karat”Award.Established in 1982,
this award is given to a volunteer who demonstrates “enthusiastic
participation in volunteer service to Children’s Hospital.”
      The recipient of this year’s “24 Karat”Award was“Papa”Joe
Wilson,who is a relatively new volunteer at Children’s Hospital.
Since he began in 2009,Wilson has already served in a variety of
volunteer roles.His desire to provide a “Grandpa”experience to
patients and their families is one of the many ways he cares for and
enriches the lives of others.
      The Shining Star Award,presented by Judy Caudill,Associate
Director of Volunteer Services,was the last special award presented at
the Appreciation Dinner.Established in 1993,this award is given to a
volunteer who is dedicated to evening or weekend volunteer services
at Children’s Hospital.
      This year’s recipient was Jeff Stevenson,whose passion for
easing the fears of children facing surgery won him the award.For
more than 11 years,Stevenson has used his enthusiasm to organize,
promote and participate in many fundraising efforts for Children’s
Hospital.He embraces any challenge because of his love of children.
He especially enjoys helping children -- who often come to
Children’s Hospital worried and apprehensive -- to leave relaxed and
ready for surgery.
      Children’s Hospital extends its appreciation to these individuals
and all of our dedicated volunteers who help to brighten the lives of
many patients,families and staff every day.
byTaylor Griffin, student intern
2010 Children’s Hospital
Volunteers honorees (left to
right): Jan East, Joe Wilson, Jean
Gangaware and Jeff Stevenson.
3

It just took two months for Courtney Charland’s life to be
changed forever.
Two years ago, Courtney was an active sixth grade
student at West Valley Middle School in Knoxville. Courtney
challenged herself everyday by running track, competing in
gymnastics and excelling in academics. She loved to be on the
lake with her family in the summer and on the ski slopes in
the winter. Courtney, now 14, was the picture of a healthy,
driven girl.

In May 2008, Courtney
and her family spent a day at the lake tubing and enjoying the
hot weather. When Courtney took off her life jacket, her family
immediately knew
something was wrong; Courtney’s back did not look normal
– it was “twisted.” Courtney’s parents, Mike and Melissa,
asked themselves how they could have missed such an obvious
problem. “Two months ago we were at the beach and we didn’t
notice anything abnormal,” Melissa said. “How could it change
that quickly?” Her spine had changed dramatically in a short
period of time.
Mike and Melissa took Courtney to her pediatrician right
away, who immediately sent her to Children’s Hospital for an
x-ray. Within a week, Courtney was sent to see an orthopedic
surgeon, Dr. Jay Crawford, M.D, at Knoxville Orthopedic
Clinic. He explained to Courtney and her family that she
had a diagnosis of Idiopathic Scoliosis. Rather than being
straight, her spine was curved three times into what looked
like an extended “S” shape. Idiopathic scoliosis is a condition
that causes abnormal curvature of the spine; its cause is not
known but is usually associated with growth during puberty.
Dr. Crawford then explained that the curvatures in her spine
were significant and would require spinal surgery at Children’s
Hospital. “Finding out I had
scoliosis was the worst part
for me. After I was diagnosed
with scoliosis, I just focused
on the operation,”
Courtney said.
Courtney’s case is not
uncommon, as scoliosis is
only outwardly apparent in
moderate to severe cases. In
hindsight,the only warning
signs the Charlands could
remember were that
Courtney would sometimes
complain of being
uncomfortable while sitting
in the stands at track meets.
She had also complained of
pain in her back while doing
gymnastics. Courtney was
such an active, healthy girl,
it seemed impossible that
suddenly she could have such a
significant medical condition.
Mike and Melissa wanted
a second opinion on Courtney’s
diagnosis and treatment plan.
“We located a doctor at
Vanderbilt who was well
regarded in pediatric
orthopedics, and even
though we felt comfortable
with Dr. Crawford, we
thought we should get a
second opinion on such
a significant operation,”
Mike said.The Charlands
traveled to Nashville and
met with the doctor;
after reviewing the
X-rays and examining
Courtney, he gave them
exactly the same
diagnosis and treatment
plan as Dr. Crawford.
Courtney
4

a lil about Courtney
Name: Courtney Alexis Charland
Age: 14
School and grade: Bearden
High School, ninth grade
Personality traits:
Trustworthy, driven,
hard-working
Favorite color: Red
Foods I wanted after my
surgery: Chicken fingers
and guacamole
Favorite food: Stroganoff
Favorite school subject:
Math
Favorite place to visit:
ANY beach
Dislikes: brussel
sprouts, bacon
What I want to be
when I grow up:
Maybe a doctor
Favorite things
to do: volleyball,
tubing on lakes, snow
skiing, snorkeling,
beach, hiking
Board game:
Monopoly
Candy: Twix
5

When the Charlands said they lived in Knoxville, the
Vanderbilt surgeon said, “You have one of the best pediatric
spine surgeons in Knoxville. What are you doing here?”
The Charlands knew exactly what they wanted to do at
that point; there was no question in how they would proceed.
They talked to Dr. Crawford and had the surgery scheduled as
soon as possible.
Courtney enjoyed the rest of the summer with family and
friends while preparing for her big surgery. “I was very nervous.
I was ready for the surgery and waiting all summer was scary. I
just wanted to get it over with,” Courtney said.
During the summer, Courtney became familiar with
the medical staff and Children’s Hospital in preparation for
surgery. Doctors and nurses walked Courtney and her family
through the entire surgery process to reassure them. “The time
spent to prepare us was priceless.They gave us a walk through,
explained everything in detail and even got our cell phone
numbers so they could give us updates when the surgery took
place,” Mike said.
Courtney had her surgery on August 6,2008.The procedure
required two pediatric orthopedic surgeons, Drs. Crawford and
Cameron Sears, as well as clinical neurophysiologist Dr. Ron
Leppanen and a team of nurses and anesthesiologists in the
operating room.The surgery involved fusing Courtney’s spine
and inserting two steel rods,many screws and two rod connectors
in Courtney’s back to correct the deformity, a procedure that
takes several hours.
“During her surgery, we received updates from the OR
about every 30 minutes.The environment was great,” Mike
said. Courtney spent five days in the hospital sleeping, making
friends with her nurses and beginning to walk again. “I didn’t
want to go home when Dr. Crawford told me I could. I had so
much support from the medical staff and Child Life
Department,” Courtney said.
When Courtney returned home, her family moved her
bed downstairs into the den while she regained her strength.
Courtney recovered at home for two weeks before returning
to school for half days.Courtney is proud of her accomplishment
since Dr. Crawford said normal recovery time was four to six
weeks.Two weeks after that, she was back to school full-time,
only needing a pillow to support her back.
Courtney’s ultimate goal was to ski in December, as the
Charlands had a ski trip planned over the holidays. Courtney
worked very hard to recover and was skiing down the most
difficult slopes a couple days before Christmas. “It was such a
great feeling to be completely back to normal again. I felt like I
had accomplished something really great,” Courtney said.
After the holidays, Courtney played volleyball for the K2
competitive travel team and ran track for West Valley Middle
School. During one track meet, Courtney fell while trying to
avoid a penalty during a relay race. Many in the crowd, aware
of Courtney’s recent surgery, were afraid that Courtney had
injured herself and were concerned. Courtney was not hurt but
remembers that moment well.
“After her surgery, Dr. Crawford indicated that Courtney
may break everything else but she wasn’t going to hurt anything
on her back. It was very secure,” Melissa said.
Courtney started school at Bearden High School in
August and has already made the Bearden High School
volleyball team.This summer, Courtney volunteered at
Children’s Hospital. “It is cool to give back to the hospital.
They took such good care of me, and I am glad I have an
opportunity to help out and give back,” Courtney said.

Since the surgery, Courtney’s spine has healed properly,
and she is back to her normal, active self. The Charlands are
thankful for Children’s Hospital and everything the hospital
was able to do for Courtney. “We have moved seven times. We
came to Knoxville to raise our children, and this event really
made us realize that this is the place to settle down. It is a great
thing to know that just in case something happens, and it’s
going to, Children’s Hospital has really great doctors,” Mike
said. “These are people that look at their work not as a job,
but as an opportunity to help people. You ought to walk into
Children’s Hospital and see what it is like, because someday, if
you have kids, you are going to need Children’s Hospital.
“The hospital, to us, made Knoxville an even better place
to live.”
by Hayley Martin, Public Relations Specialist
Courtney
While volunteering at
Children’s Hospital as
a Volun“teen” during
the summer of 2010,
Courtney places
temporary tattoos on
children’s arms in the
main lobby.
6

History shows that dogs have been “man’s best friend”
for more than 15,000 years, with much recorded history
showing dogs and humans living close together and acting
as companions.
At Children’s Hospital, man’s best friend has become
child’s best friend through Human-Animal Bond in
Tennessee (HABIT), a program that takes dogs to visit
patients while they are staying at the hospital or visiting
as outpatients.
When this program was first introduced more than
15 years ago, it wasn’t immediately obvious how successful
it would become. There was only one dog that visited the
former Children’s Hospital Intensive Psychiatric Services
(CHIPS) unit, until it expanded to the Hematology/Oncology
Ambulatory Care Clinic in 1995. Now, 10 dogs make up the
Children’s Hospital HABIT team.These dogs visit outpatient
clinics and also spend time with children in their rooms on
the Second and Third floors. The expansion of the HABIT
program to the inpatient units was the result of extensive
research by Mary Pegler, Director of Child Life.
“We have seen some amazing results,” Cheryl Allmon,
Volunteer Services Coordinator said. “Children have agreed
to go through difficult procedures because the HABIT dogs
have been there with them.”
Patients at Children’s Hospital have the opportunity to
play with the dogs that come to visit. This provides them
with the psychological benefits of improved social and
communication skills, and reduction of stress that results
from spending time with a pet. Sometimes patients will
respond to the dogs, even when they are not responding
much to other visitors or staff.
Volunteers and their dogs come to the hospital on a
regular basis.The 10 dogs and their owners that participate in
the HABIT program at Children’s Hospital include Amber
Alesse and her greyhound, Arnold; Liza Bengston and her
golden retriever, Aidan; Joan Cohn and her cocker spaniel,
Sophie; Janet Craig and her black Labrador retriever, Harley;
Suzie Ferguson and her German shepherd, Apachi;
Phyllis Hirsh and Maggie, a golden retriever from the
Leading the Way
HABIT dogs help patients find happiness during hospital stay
HABIT loaner program;
Stephanie James and her
blue tick hound, Leo; Jean
LaRocca and her
Pomeranian, Kayla; and
Dawn Meek and her shel-
ties, Sierra and Sasha.
These volunteers have
seen the close bond that
patients develop with
these dogs. “Often a
parent will tell me their
child was very unhappy
when they knew they
were coming to the
clinic, but once they got
to visit with a HABIT animal,
the child started looking forward to coming,” said Cohn, a
HABIT volunteer since the early 1990s.
Founded in 1986, the HABIT program is an
animal-assisted therapy organization affiliated with the
University of Tennessee College of Veterinary Medicine.
There are more than 300 dogs, cats and rabbits that serve
area hospitals, nursing homes, schools and other facilities
with HABIT volunteers.
To become a volunteer with HABIT, animals must go
through a behavioral assessment to evaluate how they will
respond to people in the facilities they visit. Medical
evaluations and history forms must also be completed. The
human volunteer must attend an Information Meeting, as
well. After finishing this process, HABIT dogs and
volunteers assigned to Children’s Hospital are ready to
bring a smile to patients’ faces and to ease the nerves of
children dealing with hospitalization.
To learn more about becoming a HABIT volunteer
with your pet, please visit www.vet.utk.edu/habit or call
(865) 974-5633.
by Taylor Griffin, student intern
Children’s Hospital’s vision statement is “Leading the Way to Healthy Children.” In this series in It’s About Children, we
are sharing with our readers some of the many ways we are “Leading the Way.” Outstanding practices by Children’s Hospital
departments are highlighted – things that are, although quite commonplace at our pediatric medical center, actually rather
unique. This series showcases the exceptional work done at Children’s Hospital and demonstrates how the hospital is a great place
to work.
7

Subspecialist Profile:
John Stephen Corns, D.O.
About Dr. Corns
Family - Wife, Akiko; twin 13-month-old daughters, Ellie
and Emma
Personal Interests - Friends and family, church, golf, film
and art
Academic Background
B.S. (Aerospace Engineering with a Mathematics Minor) –
Virginia Tech, Blacksburg, Va., 1990
D.O. – University of North Texas Health Science Center,
Texas College of Osteopathic Medicine, Fort Worth,
2004
Residency (General Pediatrics) – Carolinas Medical
Center, Levine Children’s Hospital, Charlotte, N.C.,
2004-07
Fellowship (Pediatric Hematology/Oncology/Bone Marrow
Transplantation) – Nationwide Children’s Hospital,
Columbus, Ohio, 2007-2010
Approaching each medical school
rotation with the view that it was
the specialty he could focus an entire
career on, John Stephen Corns, D.O.,
found his niche in pediatric
hematology/oncology.
“I found myself liking working
with kids the most,” Dr. Corns said.
“And I found hematology/oncology
the most interesting. I really liked the
families I met in the hematology/
oncology rotation, as well.”
In July, Dr. Corns joined the pediatric hematology/oncology
practice of Ray Pais, M.D.; Victoria Castañeda, M.D.; Leo
Hamilton, M.D.; and Shahid Malik, M.D. at Children’s Hospital.
The increasing volume of patients of this practice led to the expansion
of the service and the addition of Dr. Corns to the staff.
The pediatric hematology/oncology group at Children’s Hospital
is a member of the Children’s Oncology Group.This organization
of more than 200 member institutions worldwide conducts clinical
trials and performs research to identify cancer causes and pioneer
treatments and cures. Because of this affiliation, Children’s is able
to offer the same treatment regimens as other Children’s Oncology
Group institutions for most types of childhood cancer. Among the
more well-known of the COG member institutions are Memorial
Sloan-Kettering Cancer Center in New York City; Mayo Clinic in
Rochester, Minn.; St. Jude Children’s Research Hospital in Memphis;
and Monroe Carell Jr. Children’s Hospital at Vanderbilt in Nashville.
Dr.Corns most recently was in fellowship training at Nationwide
Children’s Hospital in Columbus, Ohio, where he focused on
pediatric hematology/oncology/bone marrow transplantation. He and
his wife were interested in relocating to a place “halfway between the
grandparents” for the benefit of their twin toddler daughters, Ellie
and Emma. Dr. Corns is a Virginia native, and his parents still reside
in that state, while his wife, Akiko, has family in Columbus.
“We love this area,” he said. “It’s closer to my home, and it
puts us close to the mountains. I also loved the people I met when I
interviewed here.The opportunity seemed like a really good fit.”
Dr. Corns enjoys the full spectrum of cases he treats with his
young patients. While he said the “whole field is interesting,” if he
had to choose a special interest, he would identify the hematology
side of his profession, in particular anemia (low red blood cell count),
neutropenia (low white blood cell count) and isolated thrombocy-
topenia (low platelet count).These are some of the predominant
referrals to his practice, along with evaluation and management for
blood clots and bleeding disorders.
Diagnoses for patients referred to a pediatric hematologist/
oncologist include all types of cancers and blood problems, such
as hemophilia, thalassemia and sickle cell disease. Common adult
cancers of the lung, breast, prostate and colon are not seen in
children. Instead, children are most commonly diagnosed with
leukemias, lymphomas, brain tumors and other solid tumors; less
common pediatric cancers include sarcomas.
Pediatric cancer treatment progressed rapidly for a number of
years, leading to greatly improved survival rates. In the last several
years, there has been less of a change in survival rates, so oncologists
such as Dr. Corns focus on improving other aspects of cancer
treatment. “There have not been huge leaps recently in cancer
treatment, and progress is slower than it had been 20 or so years
ago. It can be frustrating,” he said.
For this reason, the focus has shifted to better chemotherapy.
“There is a lot of pushing the envelope to come up with the ideal
chemotherapy regimen. We want to successfully treat the cancer but
also decrease the side effects,” he said.
Side effects to chemotherapy are notoriously significant and
unpleasant, so any improvement in this area is a welcome benefit for
patients. “Biologic agents, such as antibodies, are where we are seeing
the most advances,” Dr. Corns said. “These are targeted therapies used
in conjunction with traditional chemotherapy.”
Treating children with life-threatening conditions like cancer
is a daily challenge. “The outcomes are sometimes disappointing, but
better than they were in years past. You have good and bad days,” Dr.
Corns said. “But it’s rewarding to be able to help patients and their
families through these challenges. Even when the treatment course is
difficult, you can still see rewards along the way.”
Children’s Hospital welcomes Dr. Corns to our pediatric referral
center and looks forward to working with him in providing
hematology/oncology care to this region’s children.
8

A journey is often a long and winding path.For Children’s Hospital,
the journey to the Electronic Medical Record is a five-year,nearly $6.4
million project that will enhance technology at our pediatric medical center.
But the completion of the journey will yield a faster,easier and safer way to
deliver health care to our patients.
What is an Electronic Medical Record,or EMR? It is a patient’s
medical record in a digital format on a secure computer database.The record
includes the patient’s medical history,documentation,physician notes,
medication allergies,radiology images and other related health information.
It is an alternative to traditional paper medical records.
“Development of the electronic medical record for Children’s Hospital
is a very important and strategic decision,”said Keith Goodwin,President/
CEO. “This technology will provide us with the opportunity to improve
care to our patients,facilitate communications between care providers and
provide us with more consistent information from which to help us
improve services. Of all the health care reform issues debated over the last
two years,there has been absolute consensus around the need to automate
our information systems.The federal government has provided the potential
for significant funding support to both hospitals and physicians to achieve
automation and connectivity. We are very excited about the opportunity to
improve care and enhance decision making and communications through
development of the EMR.”
Today,when a patient is seen by a physician at Children’s Hospital,the
following steps occur: the physician sees the child,then writes (on paper)
orders for the child’s care.Next,a nurse or unit secretary inputs the
physician’s orders into a computer; the nurse may need to verify aspects of
the handwritten order before it is entered into the computer.If the order is
for medication,it is sent to the Pharmacy,where a pharmacist must enter the
information into the computer system.In either case,it is quite a few steps,
creating the possibility for errors at any point,as well as creating a delay for
the child to receive the order.With an EMR,the steps would be reduced
to the following for a medication order: the physician sees the patient and
enters an order into the computer.The step of the nurse or the pharmacist
entering the order is skipped.The pharmacist only has to verify the order
once it is received.This significantly reduces the possibility of errors,
decreases needed staff time and speeds up the process.
An EMR offers a number of benefits:
The medical record is available by computer at the point of care – a
nurse or doctor can quickly access information from a laptop or tablet
computer (such as an iPad) from the patient’s bedside,rather than needing
to track down – and then search through – a thick file folder.
Patients and parents do not have to be asked the same questions
repeatedly,such as “What medications is the child allergic to?”Because
some locations,such as the Emergency Department,currently rely on paper
records and their own computer system,staff in other departments may ask
questions that parents already answered in the ED.Now,the ED staff will
be able to input the information immediately,making it accessible for staff in
other departments if/when the patient is transferred to a different unit.Since
66 percent of Children’s Hospital’s inpatients first come to the Emergency
Department,there is much repetition.
Past test results and other medical information from previous
hospital visits are easily accessible for comparison with new results to look
for changes in a patient’s condition.
Evidence-based protocols are put in place to offer the recommended
standard of care for a diagnosis such as asthma.Physicians will be able to
check which steps are appropriate and necessary for each patient according
to individual need,but the protocol will help to ensure no steps are missed.
Physicians can see patient test results no matter where they are in the
hospital – so they can order medication or other treatment as soon as they
see results,even if they are not at the patient’s bedside.This expedites care.
Multiple care providers all have access to a patient’s record at the
same time – unlike a paper record that can be viewed by only one person at
a time.This is especially important for patients with serious or multiple
medical issues who see numerous physicians.
Electronic medical records are securely stored online and backed up
so that they cannot be lost,unlike paper records.
Providers can immediately enter orders (for tests,medications,etc.)
and staff can quickly see the orders and process them.
Computer data entry is safer than handwritten orders – handwriting
is sometimes difficult to read and understand,and computer systems have
built-in “checks and balances”to make sure an order is correct.For example,
a physician can order a medication online,and the system can double check
the dose against the patient’s weight and other medications to make sure it is
the proper dose and won’t cause interactions.
An EMR requires limited storage space,whereas paper files can take
up a great deal of physical space.EMRs are also environmentally friendlier
because they significantly reduce paper use.
John Williams,M.D.,pediatric emergency medicine specialist,said,
“The biggest change for physicians will be moving from a paper record to
an electronic record.Both physician charting and placement of medical
orders will be done within the EMR.Physicians will have quicker and more
direct access to patient information while maintaining a secure environment
regarding all medical records.“The greatest benefit to patients will be an
even higher commitment to improvement in quality of care.The EMR will
contain many checks and balances to ensure the highest quality possible is
given to our patients.”
The project at Children’s Hospital is now well underway,according
to Rudy McKinley,Vice President for Operations.The in-house computer
system,called MEDITECH Magic,has been in place since 1992 (with
occasional updates to keep up with technology enhancements); however,it is
not compatible for a hospital-wide EMR with broader information-sharing
capabilities.A new MEDITECH product,6.0,will meet the hospital’s needs
at a reasonable cost,and it will be launched in August 2011.For the past
several months and continuing into next year,Information Systems staff,
along with teams of clinicians including physicians,nurses,pharmacists and
technologists in a number of other disciplines,will work diligently to prepare
and upgrade a variety of hospital systems for the MEDITECH 6.0 platform
launch next summer.
While Children’s Hospital set the EMR as a strategic goal several
years ago,federal stimulus funds recently made available will offset part of
the Information Systems infrastructure costs to implement the EMR.The
hospital has contracted with InfoPartners as a management partner both to
help reach the goal of the EMR and to secure federal stimulus funding.
The American Recovery and Reinvestment Act – valued at $790 billion
– includes a large block of funds dedicated to the improvement of health care
in some form.The Health InformationTechnology for Economic and Clinical
Health Act (“HITECH”) includes a net appropriation of $19 billion
specifically for health information technology.Certain requirements must
be met to qualify for any of this funding; it is hoped the hospital can receive
back about half of the total $6.4 investment.
Journey to the Electronic Medical Record
9

What’s New at
“Art of Healing” program enriched by two local artists
When walking through the halls of Children’s Hospital, it is
hard to ignore the warmth radiating from the new art covering
the walls. Patients, families and visitors stop to take in the sight of
the inspirational artwork donated by professional artists, hospital
patients and school children from throughout the Knoxville area.
The artwork, acquired through the new “Art of Healing”program,
brings smiles to many faces, and in a small way, helps patients
through an often difficult healing process.
Elizabeth Thomas, Director of Volunteer Services, says this
initiative was created “to transform visual culture and have more
artwork in a whimsical fashion that enlivens the hospital.”Two
local artists are among those who have made generous donations
of their own artwork to help fulfill this mission.
Whimsical artist Gigi Wright built 3-D figurines called
“jeetles”that were painted by children at her studio.Twelve
children, ages 5-12, designed an animal, insect or human, and
Wright built them accordingly.The children then attended classes
where they helped assemble and decorate the figurines.This is
the hospital’s first encounter with 3-D artwork, which adds a new
dimension to the visual appeal within the facility.
Wright hopes to someday turn these figurines into plush dolls
to hand out to patients. As a child amputee and cancer survivor,
she understands how children feel when they are in the hospital.
“My goal is to bring joy and delight to children of all ages through
my whimsical art,”Wright said.
Another artist,RaRa Schlitt,created and donated 50 paintings
that display words of encouragement for patients. Schlitt is a folk
artist who specializes in paintings with inspirational phrases. She
has collected hundreds of quotes over the 20 years she has been
making these paintings. According to Schlitt, the two most
important messages found in all the quotes are to serve others
and to love.
When choosing what to paint for Children’s Hospital, she
decided that animals with these phrases would make children
smile. One of the paintings is of sunflowers with the saying,“It
takes courage to grow up and become who you really are.”Another
inspirational message is seen in her painting of a peaceful angel
with the phrase,“The smallest act of kindness is worth more than
the grandest intention.”
Many children from local schools have been adding even
more flair to the hallways through paintings and drawings.These
art project donations are especially interesting for patients to look
at because they have been made by their peers.
(Top) Gigi Wright helps a student working on his “jeetle” during a
recent art class.
(Middle) Wright and participants in one of her art classes.
(Bottom) RaRa Schlitt with some of the paintings she donated to
10

What’s New at
Children’s Hospital adds Board member, says goodbye to retiree
With many years of experience
on the board of Covenant Health,a
Knoxville-based hospital system,Larry
Martin brings a tremendous amount of
knowledge and understanding of health
care to his new role on the Children’s
Hospital board.
“When I was approached for the
board of Children’s Hospital,it was an
easy decision,”Martin said.“I have served
on several different boards and have
enjoyed that.This is a special place,and
I’m grateful for the opportunity.
“Children’s Hospital is well run,”
Martin continued.“It has an outstanding
staff,both physicians and employees.It also has a very good Board of
Directors.I hope to help wherever I can be beneficial.”
Throughout his career in Knoxville,Martin sometimes crossed paths
with retired President/CEO Bob Koppel,for whom he has an enormous
amount of respect.“I was impressed with his passion for Children’s Hospital
and for pediatric health care,his organizational skills,his unflappable
personality,”Martin said.
“I’m equally impressed with Keith Goodwin [current President/CEO].
Being asked to join the Children’s
Hospital Board of Directors in July 1994
was a tremendous honor for Dugan
McLaughlin. “I’ve had a really long
relationship with Children’s Hospital,”he
said.“I’ve always had a soft spot for the
hospital.I lost two brothers,who both
died at the hospital.”
McLaughlin was 9 and then 11
when the two boys died.First,Michael
died of an illness as an infant.Then two
years later,9-year-old Tighe was seriously
injured in a baseball accident.He was
taken from the ball field to Children’s
Hospital,where he died a few days later.
Following Tighe’s death,the family asked for donations to be made in his
memory to Children’s Hospital,and a plaque was dedicated in his honor.
Those two deaths certainly had an impact on a young Dugan,so “to me it’s
an honor to serve”Children’s Hospital for so many years on the Board of
Directors.
McLaughlin and his wife,Stephanie,have three children: Shelley (24),
who lives in Manhattan; Reid (22),a University of Tennessee student; and
Hailey (15),a high school student.All three of the children have been pa-
tients at Children’s Hospital at one time or another.“We’ve been there more
times than I can count,”he laughed.
Since the Board of Directors instituted term limits several years ago,it
was McLaughlin’s time to leave the board.But during the past 15 years,he
chaired such committees as Development and Community Involvement,
and he focused his efforts on fundraising for the hospital.His major areas of
He was a great find who had to step into big shoes but who has done so
with style and grace,and he has done a really good job,”Martin said.“I look
forward to the opportunity to work with him.”
Martin,who retired from the Covenant Board in late 2006,also had
a significant personal experience with Children’s Hospital in the late 1980s.
His younger daughter,Meg,became ill,and the Martins checked in with
their neighbor,pediatrician William Terry,M.D.Dr.Terry,a longtime
member of the Children’s Hospital Board of Directors,suspected – correctly
– that she had a ruptured appendix.The Martins took Meg to Children’s
Hospital,where pediatric surgeon John Maddox,M.D.,operated.
“It was unfortunate to need the hospital,but we were fortunate it was
there,”Martin said.
Martin,who is Deputy to the Mayor for the City of Knoxville,holds a
bachelor’s degree from UT-Knoxville.He and his wife,Jane,are the parents
of two adult children: Hope Martin,who lives in North Carolina; and Meg
Brereton,who lives with her husband in Colorado.Martin describes his work
with the City of Knoxville as a second career; he is retired from the finance/
banking business.
Other community organizations with which he currently serves are
East Tennessee Foundation Board of Directors,First Tennessee Bank
advisory board,Project Graduation,Knoxville and Boy Scouts.Besides
Covenant Health,other past projects included the United Way and the
Chamber of Commerce.
involvement have been the Center Stage celebrity gala,the Children’s Hospital
Invitational Golf Tournament and the Fantasy of Trees.He also recently
began taking part in the Children’s Miracle Network Telethon each January.
“I was involved with Center Stage from the beginning.It was fun from
the first year.Because of Bobby [Goodfriend,former Board member and
founder of the Center Stage event] and because of the hospital’s
reputation,it has always been so easy to secure sponsors for the event,”
McLaughlin said.“It’s always so organized and such a good event.
“Being able to introduce the hospital to prospective donors and
centers of influence has always been easy because I know how good the
‘product’is,”he said.“As a fundraiser,you sometimes have to cross your
fingers that what you promise a prospective donor will be delivered on by the
organization you are soliciting support for.I have never had that worry with
While McLaughlin’s skills and community contacts made him a
natural fit for fundraising for Children’s Hospital,he has also had a front row
seat to the challenges of health care in recent years.
“Changes in the health care landscape in Knoxville and nationwide
will never go away and will continue to be a challenge,”he said.“We’ve been
in a recession nationally for the past two years,and the Board has had many
active and energetic discussions.We have really had to be engaged.
McLaughlin,who holds a bachelor’s degree in finance from the
University of Tennessee at Knoxville and is private banker with Merrill
Lynch in Knoxville,has a long history of community involvement beyond
Children’s Hospital.He served on the board of the Boys & Girls Club
and United Way for many years,was a member of Nucleus Knoxville
(an under-40 business professionals group),cochaired the Knoxville
Open Golf Tournament,and has donated his time and efforts to many
other organizations.
The face of the Children’s Hospital Board of Directors has changed this summer,as the Board has added a new member and said goodbye to a longtime supporter.
The new Board member is Larry Martin,who replaces the term-limited Dugan McLaughlin.“Changes to the hospital’s Board of Directors,which occur every year or
two,are bittersweet,”said Keith Goodwin,Children’s Hospital President/CEO.“We always look forward to working with new Board members like Larry Martin,who
brings valuable knowledge to our Board and will undoubtedly contribute much to the hospital’s ongoing success and growth.At the same time,Children’s Hospital
extends a tremendous thanks to Dugan McLaughlin for his many years of service to the Board of Directors and for his dedication to the children of this region.We are
grateful for all he has done to help Children’s Hospital grow into the pediatric medical center that it is today,and we’ll miss his presence on the board.”
11

What’s New at
Hospital honors first DAISY winner
In celebration of Nurses Week (May 6-12), Children’s Hospital
implemented the DAISY Award, which recognizes nurses for the
education, training and skill they put in their work and the compassion
with which they deliver care.
Children’s Hospital’s first DAISY award recipient was Amy Hill,
RN, a nurse on the third floor inpatient unit. Her colleagues
nominated her for this award and stated in their entry that Hill is “a
diligent, dedicated nurse whose expertise is very valued on our floor.”
She has also received many compliments from patients and colleagues
commending her on the kindness and patience she displays on a
daily basis.The DAISY Award and DAISY Foundation were founded in
2001 to honor J. Patrick Barnes, who died of complications of Idiopathic
Thrombocytopenic Purpura (ITP), a bleeding disorder in which the
blood doesn’t clot as it should.
Now, nurses in more than 500 health care organizations throughout
the country have been given this award for their hard work and
dedication to the nursing profession. Children’s Hospital is the first
hospital in the Knoxville area to honor nurses with this award. DAISY
award winners receive a plaque proclaiming her or him an “Extraordinary
Nurse,”a DAISY award pin and a unique stone sculpture hand-carved by
the Shona people in Zimbabwe titled “A Healer’s Touch.”
DAISY Award winner Amy Hill (second from left) with Karyn Cole, ERAssistant Nurse Manager; Laura Barnes,Vice President for Patient CareServices; Nancy Camp, Nursing Director of Medical Services; and LorettaMaples, Nursing Director of Support Services.
Construction underway on hospital lobby project
After almost 40 years,Children’s
Hospital’s main lobby is experiencing
an extensive $1 million makeover
and expansion, funded in part by a
$500,000 donation from the Regal
Foundation (part of the Regal
Entertainment Group).This project
also involves a much-needed
renovation of the lower main lobby.
The first phase began May 24
with the construction of temporary
walls around the first-floor atrium,
which will be enclosed as part of
the expansion.Volun“teens”
(teenage volunteers) could be seen at the
construction project soon after it began, digging through the dirt and
rock of the former atrium pond to collect coins that had been tossed in
over time. Children’s Hospital is grateful to the Volun“teens”for taking
on this messy and lengthy task.The hospital also thanks adult volunteer
Janice Davis, a manager for Regions Bank, who arranged to have the
thousands of coins shipped to the U.S. Mint to be exchanged for their
cash value.
To make the drab temporary walls around the atrium more interesting,
Children’s Hospital Family Advisory Council members were asked to
bring their children to the renovation area to add colorful, kid-friendly
art to the walls. About 20 children of all ages wore aprons and “hard hats”
while using markers to add their artistic drawings on the walls.
Once demolition of the atrium was completed -- which included
removal of the overhead structure, walls and outdoor flooring -- a new
roof with two six-foot skylights was installed in that space.
Workers are currently putting in new flooring and completing
rough-in work for the walls and columns in the former atrium area. In
the hospital’s main entrance lobby off 21st
Street, ceiling work is now
underway. The lobby work does not interfere with use of the elevators,
which will remain accessible for the duration of the project.
Scheduled for completion in January 2011, the lobby renovations
have been a source of excitement at the hospital that will result in a
comforting atmosphere for patients and families.
The Regal Foundation’s gift to the hospital last fall totaled $750,000
for facility improvements.The remaining $250,000 was used to remodel
and expand the Pre-Operative Holding and Family Waiting Areas in
the Children’s Hospital Surgery Department.This holding area provides
a place for families and patients to stay together until a few moments
before surgery. The area also
is where families usually meet
with their child’s surgeon and
anesthesia staff prior to surgery.
For more information,
visit www.etch.com/lobbyren.cfm.
12

What’s New at
Acute & Emergency Care Pediatrics conference set
Children’s Hospital will host the ninth annual Update in Acute &
Emergency Care Pediatrics Conference at Wilderness at the Smokies
Hotel & Waterpark Resort in Sevierville on October 1-2.
The conference will feature three tracks: Acute Care, Pediatric
Office and Pre-Hospital/Field.Topics will include pre-hospital pain
control, office emergencies, non-trauma surgical emergencies, pediatric
sedation, communicating with children, child abuse, social media and
health care, disaster planning in pediatrics and much more. The
conference is designed for pediatricians, nurses, emergency physicians,
family practitioners, nurse practitioners, physician assistants, EMS
professionals, health care students, intensivists, residents, fellows and
other health care professionals.
Following the conference, participants should be able to:
• Discuss clinical practice guidelines related to multiple acute and
pediatric emergency conditions.
• Identify available resources to assist them with the care of
pediatric patients.
• Describe specific strategies they will utilize to change their
clinical practice of acute and emergency pediatric care.
The 2010 conference will take place in Sevierville at the Wilderness
at the Smokies Resort, which features Tennessee’s largest year-round
water park and is just 30 miles from Knoxville. Special resort rates for
conference participants include lower rates for early arrivals on Thursday
or for guests staying after the conference’s Saturday activities end.The
stay includes tickets to the resort’s water park.
Early bird registration fees are $250 for nurse practitioners,
physicians and physician assistants; $150 for nurses, RTs, residents and
fellows; and $100 for pre-hospital providers and EMS professionals.The
early registration deadline is September 15; after September 15, rates
increase by $25 per person.The registration fee includes course material,
continental breakfast, lunch on Friday and snacks during breaks.
Sponsors include the Tennessee Chapter of the American Academy
of Pediatrics (www.tnaap.org) and Tennessee Emergency Medical
Services for Children (www.tnemsc.org). Cosponsors are T.C.Thompson
Children’s Hospital in Chattanooga; LeBonheur Children’s Hospital in
Memphis; and Monroe Carell Jr. Children’s Hospital at Vanderbilt in
Nashville.
Register online at www.tnemsc.org or for more information, call
(865) 541-8618 or (615) 343-3672.
Julie L.Bacon, R.N.C., BA, CPEN, C-NPT, All Children’s Hospital, St. Petersburg,
Fla.; Florida Emergency Medical Services for Children; and Southlake Hospital
Women’s Centre, Clermont, Fla.
Greg Blackmon, M.D., FAAP, Blackmon Pediatrics, Knoxville
Lee Blair, R.N., CEN, EMT-P, Monroe Carell Jr. Children’s Hospital at Vanderbilt,
Nashville
Angela M.“Angie”Bowen, R.N., BSN, CEN, CPEN, NREMT-P, East Tennessee
Children’s Hospital
Mary Palmer Campbell, M.D., East Tennessee Children’s Hospital
J.Michael“Mick”Connors, M.D., East Tennessee Children’s Hospital; Pediatric
Analgesia and Sedation Specialists, PLLC, Knoxville; and Society of Pediatric
Sedation
Christy Cooper, R.N., MSN, CEN, CPEN, NREMT-P, East Tennessee Children’s
Hospital
Commander Kimberly Elenberg, M.S., R.N., United States Public Health Services,
Office of the Surgeon General
James W.“Trey”Eubanks III, M.D., FACS, LeBonheur Children’s Hospital,
Memphis
Marvin Hall, M.D.,T.C.Thompson Children’s Hospital and University of Tennessee
College of Medicine, Chattanooga
Z.Leah Harris, M.D.,Vanderbilt University Department of Pediatrics, Nashville
Melissa Lashock, R.N., BSN, Monroe Carell Jr. Children’s Hospital at Vanderbilt,
Nashville
Robert B.Lembersky, M.D., Children’s Anesthesiologists, P.C., Knoxville
Michael R.Liske, M.D., FACC, East Tennessee Pediatric Cardiology, Knoxville; and
Vanderbilt University, Nashville
Rakesh Mistry, M.D., M.S., Children’s Hospital of Philadelphia and University of
Pennsylvania School of Medicine, Philadelphia
Jay Pershad, M.D., FAAP, FACEP, LeBonheur Children’s Hospital and University of
Tennessee Health Sciences Center, Memphis; and Pediatric Emergency and
Sedation Specialists, PC, Ellendale,Tenn.
Ryan Redman, M.D., FAAP, East Tennessee Children’s Hospital
E.Steven Roach, M.D., Ohio State University College of Medicine, Columbus, Ohio
Joseph A.Skeleton, M.D., M.S.,Wake Forest University School of Medicine,
Winston-Salem, N.C.
Rick Slaven, NREMT-P CC, BS, I/C,Walters State Community College,
Morristown,Tenn.; and Claiborne County EMS,Tazewell,Tenn.
Tammy VanDyk, R.N., MSN, East Tennessee Children’s Hospital
Faculty for the conference include:
13

Safe Kids of the Greater Knox Area, along with lead
organization Children’s Hospital, continues to expand its reach
throughout East Tennessee by hosting and participating in
child safety events around the region.
The mission of the local Safe Kids coalition is to reduce
unintentional injuries in children up to age 14 in the East
Tennessee region by promoting awareness and implementing
prevention initiatives.The local Safe Kids is part of Safe Kids
Worldwide, a network of coalitions whose primary purpose
is to prevent unintentional injuries in children by providing
children and adults caring for them with information about
how to stay safe.
These are some of Safe Kids’ recent activities:
Tennessee Smokies Safe Kids Health and
Awareness Days
April 27-28 and May 11

Through a continuing partnership with the Tennessee
Smokies Baseball Team, Safe Kids was able to reach more
than 15,000 students and nearly 700 teachers in Knox, Sevier,
Cocke, Grainger, Greene, Hamblen, Jefferson, Hawkins and
Blount counties with events on three separate days at the
Smokies ballpark sponsored by Safe Kids and Children’s
Hospital.
The two key messages were about helmet safety and sports
safety, and Safe Kids distributed information on these two
Helping be
safety areas to teachers in attendance. Students participated in
a safety relay on the field during the event, which included the
children properly putting on a life jacket, correctly putting on a
bike helmet and placing a stuffed bear into a five-point harness
child restraint.
State Farm Child Safety Day
Harriman
May 22

Through a continuing partnership with State Farm
Insurance, Safe Kids hosted a National Child Passenger Safety
Technician Certification course in Harriman on May 17-20.
This course allowed 16 participants from Harriman Fire
Department, Harriman Police Department,Tennessee
Highway Patrol, Oak Ridge Police Department and Tellico
Plains Police Department to become Child Passenger Safety
technicians and take those skills back to their communities to
make children safer when riding in motor vehicles.
State Farm Insurance awarded a grant to Safe Kids to
pay for the training; as part of the grant, Safe Kids also hosted
a State Farm Child Safety Day along with State Farm agent
Scotty Dykes in Harriman.
During the Child Safety Day, 18 car seats were checked,
and all had some type of misuse indicated.Ten car seats were
14

in East Tennessee
replaced after being deemed to be unsafe by the event’s child
passenger safety technicians for transporting a child. As a result
of this training, Harriman Fire and Police Department are now
hosting a monthly car seat checkpoint at the local Regions
Bank.
Water Safety Day
Dollywood’s Splash Country
June 9
On June 9, Safe Kids of the Greater Knox Area and
Children’s Hospital partnered with Kohl’s Department Stores,
Dollywood’s Splash Country and Knoxville Pediatric Associates
for Water Safety Day at Splash Country.
Demonstrations and activities at Splash Country included
a rescue demonstration by staff lifeguards; information on CPR
and how to be prepared for an emergency from Children’s
Hospital; safety tips from Safe Kids, the Pigeon Forge Fire
Department, the Pigeon Forge Police Department and
American Red Cross; and opportunities to win great water
safety items and Splash Country merchandise.
Shoney’s KidCare ID program set for August 27-29
A parent’s number one concern is his or her child’s safety.
To help parents keep their children as safe as possible,Shoney’s
Restaurants and the National Center for Missing and Exploited
Children are teaming up for the program’s 15th
year to sponsor
three KidCare ID events in East Tennessee.
The KidCare ID program provides an opportunity for parents
to obtain photo identification of their children that can be used
if one of their children were to go missing.A KidCare ID can
dramatically speed up the process of finding a missing child.At
the events,parents can also have their children fingerprinted by
the Knoxville Police Department.All services are provided free
of charge.
Representatives from Children’s Hospital,Safe Kids of the
Greater Knox Area and the Knoxville Police Department will also be
at these events to provide additional information on children’s safety.
Working with Shoney’s Restaurants,co-sponsors include Children’s
Hospital,Star 102.1 radio,WVLT-TV 8/Volunteer TV,the Knoxville
News Sentinel,the Knoxville Police Department and Safe Kids of the
Greater Knox Area.
The KidCare event times and locations are as follows:
• Friday,August 27,1-7 p.m.at Knoxville Center Mall (Knoxville)
• Saturday,August 28,11 a.m.-5 p.m.at West Town Mall (Knoxville)
• Sunday,August 29,12-6 p.m.at Foothills Mall (Maryville)
For more information,contact Annie LaLonde at Shoney’s
at (865) 690-6331.
Whenever possible, Safe Kids of the Greater Knox Area
partners with pediatric offices associated with Children’s
Hospital and coalition member agencies. If you are interested
in hosting an event, please contact Susan Cook, Coordinator
for Safe Kids of the Greater Knox Area, at (865) 541-8622 or
srcook@etch.com.
15

More than 15 years before
Children’s Hospital opened
its doors, an event occurred in
Chattanooga,Tenn., that later
led to the enhancement of the
hospital’s diagnostic capabilities
and will benefit thousands of East
Tennessee children for many years
to come.
On March 12, 1922, Nathan
and Goldie Cloogman had a baby
they named Harold; they raised
him with care and love. After
graduating from Chattanooga
High School, Harold came to Knoxville, where he completed an
agriculture degree at the University of Tennessee. He then turned
his sights west to Memphis, where he attended the UT College of
Dentistry and received his D.D.S.
Dr. Cloogman returned to Knoxville to open his practice and
capably served his patients for 55 years until his death in the spring
of 2005.
Dr. Cloogman’s caring and philanthropic nature, evident
throughout his life,led him to carefully plan his estate,providing
generous bequests to friends, his synagogue, his college and
His gift to Children’s Hospital was used to bring digital X-ray
technology to our pediatric facility, reducing the radiation to which
patients are exposed and producing high-resolution images that can
quickly be shared electronically throughout the hospital.
Dr. Cloogman’s generosity will benefit thousands of children
each year. His gift has helped purchase technology that was in its
infancy when he began practicing dentistry.
No one can predict the helpful medical advances that will take
place over even the next decade, but you can be certain your bequest
will be put to excellent use helping area children treated at Children’s
Hospital. Every bequest – large or small – is important.
Call the Development Office at (865) 541-8244 today for
information on how to help. As Dr. Cloogman did, you can make
an enormous impact on the children of today and on generations
to come.
David Rule, Director of Development
dsrule@etch.com, (865) 541-8172
Teresa Goddard, CFRE,
Senior Development Officer-Grants Manager
tgoddard@etch.com, (865) 541-8466
Joe Brandenburg, Major Gifts Officer
jwbrandenburg@etch.com, (865) 541-8467
Planned giving
Cloogman bequest enhances diagnostic capabilities for children
Mark your calendars NOW for several upcoming events to
entertain families and benefit Children’s Hospital.Thanks to the
generous people of East Tennessee who host and participate in
these events, Children’s Hospital can continue to provide the best
pediatric health care to the children of this region.
Bowen Engineering Charity Golf Tournament
Golfers are invited to play 18 holes at the third annual Bowen
Engineering Charity Golf Tournament benefiting Children’s
Hospital.The tournament will take place at Gettysvue Country Club
on Monday, September 27, beginning at 9 a.m. Participants will
receive refreshments, a chance to win prizes and a meal following
the tournament. For registration or sponsorship information, contact
Thomas Lawlor at (865) 293-4042 or tlawlor@bowenengineering.com.
Bluegrass Festival
The 2010 Bluegrass Festival is set for Saturday, October 2, from
10 a.m. to 6 p.m. at Union Cumberland Presbyterian Church in
Farragut. Admission is $5 per person, and children under 12 are
admitted free. Parking is also free.
Calendar of Events
Championship barbeque, arts and crafts, and other
merchandizing vendors from all over Tennessee will be at this event.
The featured Bluegrass bands are Barry Scott & Second Wind; Darin
and Brooke Aldridge; Still-House; Will Tate and 6ix Mile; Logan
Murrell; Southern Gospel – Bethel University; and Bluegrass –
Bethel University. A portion of the proceeds will benefit Children’s
Hospital.For more information, contact Gaye Clingingsmith at
(865) 966-9040.
Phonathon
Children’s Hospital will host its 19th
annual Phonathon during
September and October to ask previous donors to consider renewing
their pledges for the upcoming year. Last year, the Phonathon raised
over $70,000 with the help of various businesses, professional
organizations and University of Tennessee student groups who donated
their time to call donors.
To volunteer to make calls this year, call the Development
Department at (865) 541-8441.
16

Q&A
Part 3 of 4
The Impact of Concussions
Some sports injuries are obvious — a fracture, a torn ligament,
a swollen joint. But concussions can be harder to detect and care
for. Because the treatment of concussions relies heavily on symptom
reporting by those who incur them rather than more obvious signs,
many athletes have been encouraged to “play through” head injuries.
This is especially troubling for younger athletes, in whom repeat
concussions can be serious.
So it’s important to prevent concussions from happening in
the first place and, if they do, to know the signs and how to make
sure a child recovers completely.The brain needs time to heal after a
concussion, so it’s important to wait until all symptoms have ended
before returning to normal activities.They shouldn’t participate in
sports or other physical activities until a doctor says it’s safe, even
if they insist they feel fine or are urged by competitive coaches or
teammates to play.
The term concussion conjures up the image of a child knocked
unconscious while playing sports. But concussions — temporary loss
of brain function — can happen with any head injury, often without
any loss of consciousness. Children who sustain concussions usually
can recover within a week, without lasting health problems, by
following certain precautions and taking a breather from sports. But a
child with an undiagnosed concussion can be at risk for brain damage
and even disability.The brain is made of soft tissue and is cushioned
by spinal fluid. It is encased in the hard, protective skull.The brain
can move around inside the skull and even bang against it. If the
brain does bang against the skull — for example, if a child hits his or
her head on the sidewalk — the brain can get bruised, blood vessels
can be torn, and the nerves inside the brain can be injured.These
injuries can lead to a concussion, which is the temporary loss of brain
function.
Head injuries that result in concussions can be caused by car,
bike and motorcycle accidents; falls; assaults; and contact sports
(football, ice hockey, volleyball, lacrosse, basketball, wrestling, field
hockey, rugby, soccer, softball, baseball, etc.).
Few issues are closer to our hearts or more crucial to our
future than the health of children. As an abundance of children’s
health issues hit the media spotlight last year, it was a challenge for
many parents to keep track of them all or determine which matter
most. From financial turmoil to immunization challenges, 2009
turned out to be a year of reflection and reaction.
In 2010, Children’s Hospital is highlighting 10 important
children’s health issues to watch. Each issue of It’s About Children
this year will focus on two or three topics.This Top 10 list is not
meant to be comprehensive, nor does it suggest that other health
issues aren’t also important. But we think these 10 subjects will
have a lasting impact on children’s health well into the future.
There are three different types, or grades, of concussions.The
severity of a concussion determines the length of time needed before
a player can safely return to sports activities:
• Grade 1 concussions involve no loss of consciousness
and cause a temporary change in mental state, like
confusion, disorientation and trouble focusing, which
resolves within about 15 minutes.
• Grade 2 concussions are similar but the change in
mental state lasts longer than 15 minutes.
• Grade 3 concussions include a loss of consciousness,
regardless of how long they last.
Other signs of a concussion include:
• feeling confused and dazed
• temporary amnesia
• blurred vision
• headache
• slurred speech or saying things that don’t make sense
• difficulty concentrating, thinking or making decisions
• difficulty with coordination or balance (such as being
able to catch a ball or other easy tasks)
• vomiting
• trouble remembering things, such as what happened
right before or after the injury
• feeling anxious or irritable for no apparent reason
Call an ambulance or go to Children’s Hospital or the nearest
hospital emergency department right away if, after a head injury,
your child:
• can’t be awakened
• has one pupil — the black part of the eye — that’s
larger than the other
• has convulsions or seizures
• has slurred speech
• seems to be getting more confused, restless or agitated.
Though most children recover quickly from concussions, some
symptoms — including memory loss, headaches and problems
with concentration — may linger for several weeks or months. It’s
important to watch for these symptoms and contact your doctor if
they persist.
Texting & Driving: Just Say No
Does your teen brag about her mad texting skills without so
much as a glance up from her keypad? Does your son live to upload
cell-phone pictures and videos to YouTube? As irritating as such
proficiencies can be for “old-school” parents, they can be far more
than just annoying.
On the road, these distractions can be deadly. One report
estimates that teens are four times more likely than adult drivers to get
10for‘10
17

into an accident related to cell-phone use. Another report found that
texting was, by far, the most potentially dangerous and lethal activity
related to cell phone use on the road.
Traffic crashes are the leading cause of teen fatalities,accounting
for 38 percent of all teen deaths in the United States. Joining
inexperience and drunk driving as top concerns are the numbers of
teens with cell phones who, more and more, use them while driving.
Many lawmakers are trying to curb texting behind the wheel,
but parents need to jump in, too. If your state doesn’t have laws
banning cell phones, ban them yourself in your teen’s car. And be
a good role model yourself.That means no texting or talking (even
hands-free) on the phone while driving, especially when your
children are in the car.
According to the Governors Highway Safety Association, seven
states (California, Connecticut, Maryland, New Jersey, New York,
Oregon and Washington), the District of Columbia and the Virgin
Islands prohibit all drivers from using handheld cell phones while
driving. No state bans all forms of cell phone use (even hands-free
use) for all drivers, but many prohibit all cell phone use by novice
drivers and school bus drivers.
Text messaging laws are tougher than those pertaining to
general cell phone use.Twenty-eight states as well as the
District of Columbia and Guam ban text messaging for all drivers.
Laws vary by state as to whether the offenses are primary or
secondary (a primary offense means an officer can cite a driver for
that violation only; for a secondary offense, a driver must be stopped
first for another traffic violation, such as speeding, running a red
light, etc.).
In Children’s Hospital’s service area, no state has a law banning
all forms of cell phone use. According to the Governors Highway
Safety Association the laws are as follows:
• Kentucky – Cell phone use of any kind is prohibited for
school bus drivers and drivers under age 18; texting is banned for
ALL drivers.These are all primary offenses.
• North Carolina – Cell phone use of any kind is prohibited
for school bus drivers and drivers under age 18; texting is banned for
ALL drivers.These are all primary offenses.
• Tennessee – Cell phone use of any kind is prohibited for
school bus drivers and drivers with a learner’s permit or intermediate
license; texting is banned for ALL drivers.These are all primary
offenses.
• Virginia – Cell phone use of any kind is prohibited for school
bus drivers (primary offense) and drivers under age 18 (secondary
offense).Texting is banned for ALL drivers and is a secondary
offense for most drivers (but is a primary offense for school
bus drivers).
According to a recent study, when parents set firm rules about
driving and car usage in a helpful, supportive way, it lessened by 30
percent teens’ likelihood of talking or texting on a cell phone while
driving. It also drastically reduced the odds of other dangerous
driving behaviors and boosted good habits (for instance, doubling the
odds that teens would wear a seatbelt).
When your teen gets a driver’s license, it’s important to set some
rules of the road beyond the relevant driving laws. By clearly defining
your expectations before you hand over the car keys, you’ll reduce the
risk of frustrating conflicts, costly accidents and other problems. And
most important of all, you’ll feel more confident about your teen’s
safety.
The rules you establish may cover a wide range of factors such as
seatbelts, passengers, curfews and dealing with distractions like cell
phones.Try to involve your teen in the process of creating the rules
and consequences. A few areas to consider include:
Distractions
It’s wise to prohibit multitasking while behind the wheel,
whether it’s text messaging, making phone calls or operating MP3
players. Give your teen alternatives to these bad habits, like pulling
into a parking lot to answer and make calls, and getting directions
before leaving for an unfamiliar place.
Passengers
Many states restrict the number or ages of passengers that
teens can have when they first get their license. Learn the rules in
your state and consider adding others based on your child’s driving
experience, temperament and the driving situations likely to occur.
You may want to start by prohibiting your teen from driving with
peers, then loosening the restriction as your teen gains experience
and comfort.
Nighttime Driving
Ease teens into driving after dark. While many states’
provisional licenses don’t require teens to be home until midnight,
you might want to set an earlier curfew, then extend it as you see fit.
Speeding
Make sure your teen driver understands the consequences of
speeding — how it can lead to accidents, costly tickets, demerit
points associated with tickets and revoked driving privileges. You
might want to make your young driver responsible for paying
speeding tickets and any insurance rate hikes they cause.
Seatbelts
Studies show teens are the least likely age group to wear safety
belts, so it’s important to stress the importance of wearing them.
Make buckling up a rule for your teen and all passengers. Nearly
every state fines drivers and passengers for not wearing seatbelts,
sometimes as much as $200.
Drinking and Driving
Teens should understand that driving under the influence of
drugs or alcohol — or getting in the car with someone who is —
could be a fatal mistake. Encourage teens to call for a ride, regardless
of the time or whether they’re somewhere off-limits, when in a
situation where the driver has been drinking — and promise to
withhold punishment and questions.
Other Considerations
• Consider whether you want to make driving privileges
contingent on maintaining a certain GPA or other responsibilities,
like doing chores.
• Teach your teen basic car maintenance that will keep the car
safe and prevent breakdowns.
18

• Set ground rules about driving under poor weather
conditions. Explain that if he or she is driving and a strong storm
starts, it makes sense to pull over and wait it out.
• From time to time, get in the passenger seat while your
teen drives to get a sense of his or her driving skills.
The Toll of Constant Social Networking
Does it seem like your children are always online? Are their
status updates on Facebook seemingly a matter of life and death?
If so, you’re far from alone. And what was once the domain of
older children and teens is skewing younger and younger.
Facebook and MySpace users are required to be at least
13 years old, but with no real way to verify ages, both sites are
popular with young users who say they’re older when creating
their profiles (two recent studies report that 38 percent of
respondents ages 12 to 14 said they had an online profile).
Are children mature enough to make good decisions about
their online privacy? Most experts think that children are smart
enough by their early teens to know what, and who, to avoid.
Younger children, though, need more parental supervision — for
instance, parents should make sure that children’s accounts are
set to provide as little personal information as possible, and that
their activity can be seen only by confirmed friends.
In today’s Internet-connected world, many parents mourn
the loss of face-to-face family time and worry their children
are spending too much time online. In 2000, researchers at
the Center for the Digital Future reported that 11 percent of
respondents said family members under 18 spent too much time
online, a figure that jumped to 28 percent in 2008.
If you’re troubled by all the online activity in your house,
consider setting ground rules. For instance:
• Limit screen time (especially on school nights),
including not just computer time but also television
and video games.
• Keep the computer in a high-traffic area where you
can monitor who’s doing what; avoid putting a
computer in your child’s bedroom.
• Shut down electronics well before bedtime so children
can wind down and you can spend some time just
hanging out together and catching up.
• Share an email account with younger children. That
way, you can monitor who is sending them messages.
• Bookmark your child’s favorite sites. Your child will
have easy access and be less likely to make a typo that
could lead to inappropriate content.
• Spend time online together. Teach your children
appropriate online behavior.
• Monitor children’s use of chat rooms. Be aware that
posting messages to chat rooms reveals a child’s email
address to others.
• Find out about online protection elsewhere. Find
out what, if any, online protection is offered at
school, after-school centers, friends’ homes, or any
place where children could use a computer without
your supervision.
It’s also wise to become computer-literate, if you’re not already.
Learn how to block objectionable material and recognize an unsafe
website. Check out the sites that are most popular with children and
teens. And in case you haven’t heard, social networking is a hit with
adults, too.
In fact, the number of adult Internet users with a profile on
a social networking site has more than quadrupled in the past few
years, with four out of five adults using social media at least once a
month. If you’ve joined the online crowd yourself, make sure your
own screen time isn’t crowding out the quality time you could be
spending with your children and your family.
It’s also important to make sure children have a wide variety
of free-time activities like reading, playing with friends, and sports,
which can all play a vital part in helping them develop a healthy body
and mind.
Upcoming community education classes
CPR Certification Course
Dates: August 23,September 13,October 18 and November 8
Time: 6-10 p.m.
This certification course teaches the American Heart Association
chain of survival -- from when to call 911 to how to effectively
administer CPR to an infant, child or adult.This course is designed
for anyone who may be expected to respond to emergencies at
home or in the workplace. Participants must be at least 14 years old.
Following the course, participants will receive an American Heart
Association Heartsaver certification card.This course is $25 per person.
Safe Sitter
Dates: August 28,October 9,October 16,November 6
Time: 9 a.m. to 3 p.m. (lunch is provided)
Safe Sitter is a national organization that teaches young adolescents
safe and nurturing babysitting techniques and the rescue skills
needed to respond appropriately to medical emergencies. Instructors
are certified through Safe Sitter nationally. Participants must be ages
11-14.This course is $25 per person.
Class size is limited, so preregistration is required. All classes are
offered in the Koppel Plaza at Children’s Hospital unless otherwise
noted. For more information, to register for any of these classes or
to receive our free Healthy Kids parenting newsletter, call
(865) 541-8262.
Announcements about upcoming classes can be seen on WBIR-
TV 10 and heard on area radio stations. Or visit our web site at
www.etch.com and click on “Healthy Kids Education and News.”
Children’s Hospital’s Healthy Kids Campaign, sponsored by
WBIR-TV Channel 10 and Chick-Fil-A, is a community education
initiative of the hospital’s Community Relations Department to help
parents keep their children healthy.
Content edited and abridged from the KidsHealth section of www.etch.com.
© 2010 The Nemours Foundation/KidsHealth. Used under license.
19

2018ClinchAve.•P.O.Box15010
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KNOXVILLE,TN
Artist creates “River Ride”
for Children’s Hospital
A new
painting by
nationally-known
artist Robert A.
Tino of
Sevierville will help
the patients who
make more than
155,000 visits
to East Tennessee
Children’s Hospital
each year.
Tino will
donate a
portion of the
proceeds from
the sale of his
latest work, titled
“River Ride,”to
the hospital.The
fund-raising effort
will benefit the
endowment for the Children’s Hospital Special Services Fund, which
assists patient families with special needs immediately after a patient’s
illness for the benefit and recovery of that child.
“River Ride”features a trio of children enjoying a summer afternoon
“tubing”lazily along the Pigeon River amid the backdrop of the Emert’s
Cove Covered Bridge in Pittman Center near the Greenbriar entrance to
the Great Smoky Mountains National Park.
“The painting reflects the fun children are able to have when they
are well, enjoying a ‘ride’down the river as they approach a rustic covered
bridge, surrounded by the beauty of their mountain home,” Tino said.“It
represents the carefree days of childhood, and I think we all want children
to be carefree and not have to worry about illness.”
This latest painting to benefit Children’s Hospital again features
children having fun--set against the backdrop of East Tennessee’s
abundant natural beauty.“One thing I like about ‘River Ride’is that it
shows the simple joys to be found in childhood and the rich memories
created by doing activities together outdoors,” Tino said. “As a child, I
always loved tubing, and now it is part of the summer fun I enjoy with
my own children. It seems once you hop on your tube and start your
journey downriver, all of life’s cares drift away.”
Tino has previously donated funds from four prints to Children’s
Hospital, in 1990, 1995, 2000 and 2005. Since 1995, he and his wife,
Mary John Tino, have had two children, events that have altered his
perspective quite a bit.
“It’s even more special now to do something for Children’s Hospital,
because I understand even more that children are special.When our
children, or any family’s children, get sick, it’s almost the end of the world
for me – I have to do something to help them get better,”Tino said. “We
are so aware of how lucky all of East Tennessee is to have our Children’s
Hospital; it’s something our family is proud to be part of and contribute
what we can. When Mary John and I hear about the positive experiences
our friends and families have had at Children’s Hospital, it makes us even
more glad that we can be a small part of this wonderful place that impacts
so many children and family’s lives.
“It’s hard to see children sick, and it’s unfair that some children
have to go through serious or chronic illness. My wife and I want to do
anything we can to help.We believe strongly in what Children’s Hospital
does, and that’s why we want to do this,”he added.
“River Ride”will be unveiled to the public in early September
through the Knoxville News Sentinel and will be available beginning
October 1 at the Tino Fall Homecoming event at the Tino Gallery in
Sevierville and at galleries throughout East Tennessee. All prints will be
signed and numbered and can be pre-ordered beginning in early September
by visiting www.etch.com or www.robertatinogallery.com.
The release of “River Ride”consists of 25 Artist’s Proofs, 25 Giclee
Canvas Premiere prints, 95 Giclee Canvasses, 125 Premiere Edition
prints and 500 Limited Edition prints.The Premiere Edition and Artist’s
Proof Editions of “River Ride”will also include a smaller companion
piece that is still untitled.
The Knoxville News Sentinel is the exclusive sponsor of the Tino
print release to benefit Children’s Hospital.

It's About Children - Fall 2010 Issue by East Tennessee Children's Hospital

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It's About Children - Fall 2010 Issue by East Tennessee Children's Hospital