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					         22nd Annual Telethon raises more than $2.1 million



The 22nd annual ChildrenÕs                                    resonance imaging (MRI) scanner along        and money to make the 2004 CMN
Miracle Network Telethon                                      with other radiology and ultrasound          telethon so successful. ChildrenÕs Hospital
was a tremendous success                                      equipment, operating room equipment,         extends its gratitude to many area
again this year, raising                                      various equipment used in the NICU, and      companies, including GoodyÕs, Wal-Mart
more than $2.1 million for                                    Lifeline vehicles, which are mobile          and SamÕs Club, which presented the
ChildrenÕs Hospital. The live,                                intensive care units to provide neonatal     hospital with substantial donations they
two-day broadcast aired on WBIR-TV                            and pediatric transport. This equipment      raised throughout the year. Additionally,
Channel 10 June 5-6.                                          and technology enables the hospital to       the East Tennessee community raised
    The money raised on-air by this yearÕs                    continue providing the best available        $262,476 through telephone pledges
telethon will purchase Giraffe Omnibed                        pediatric health care to children            during the 22-hour broadcast, made
units for the hospitalÕs Neonatal Intensive                   throughout East Tennessee.                   possible by the more than 500 volunteers
Care Unit (NICU). These beds offer                               In 1983, ChildrenÕs Hospital became       who gave part of their weekend to answer
premature infants the specialized                             one of the 22 charter hospitals              phones during the telethon.
treatment they need in the best possible                      participating in the first CMN telethon.         ChildrenÕs Hospital is indebted to the
environment to support them during a                          In 22 years, the local telethon has raised   news team and production crew of WBIR-
critical growth period. The Giraffe                           more than $20 million, all of which has      TV Channel 10 for being a vital part of the
Omnibed helps control light, sound and                        remained at ChildrenÕs Hospital for the      telethon for each of the past 22 years.
unnecessary touch to the baby while                           direct benefit of the hospital and its       They once again demonstrated their
offering ideal warmth.                                        patients.                                    extraordinary support for ChildrenÕs
    Funds raised by previous telethons                           ChildrenÕs Hospital would like to thank   Hospital and the children of this region.
have been used to purchase a magnetic                         everyone who generously gave their time                     by Rupal Mehta, student intern




                                                                                                                                          NON-PROFIT
                          ChildrenÕs Hospital                                                                                            ORGANIZATION
                                                                                                                                          U.S. POSTAGE
                          2018 Clinch Ave. ¥ P.O. Box 15010
                          Knoxville, Tennessee 37901-5010                                                                                   PA I D
                                                                                                                                          PERMIT 433
                                                                                                                                         KNOXVILLE, TN




We always try to stay current with friends of the hospital.
If for any reason you should receive a duplicate issue,
please notify the hospital at (865) 541-8257.                                                                                                              Fall 2004
                                                                                                                     Board of Directors




The Bottom Line
                                                                                                                     James S. Bush
                                                                                                                        Chairman
                                                                                                                     Robert Madigan, M.D.
                                                                                                                        Vice Chairman
                                                                                                                     Robert M. Goodfriend
                                                                                                                        Secretary/Treasurer
                                                                                                                     Michael Crabtree
                                                                                                                     Dawn Ford
                                                                                                                     Peyton Hairston
                                                                                                                                                                                      Dear ChildrenÕs Hospital,
                                                                                                                     Jeffory Jennings, M.D.
                                                                                                                     Bob Koppel
                                                                                                                                                                                     Thank you so much. My daughter
                                                                                                                     Donald E. Larmee, M.D.                                                                             MacKenna Allen was seen in
                Artwork by some of Children’s Hospital’s special patients                                            Dugan McLaughlin
                                                                                                                     Chris Miller, M.D.
                                                                                                                                                                                     your Emergency Department on
                                                                                                                                                                                                                     June 7. Your staff couldnÕt
                                                                                                                     Alvin Nance                                                     have been more caring or compa
                                                                                                                     Dennis Ragsdale
                                                                                                                                                                                                                     ssionate. I cannot believe the
                                                                                                                                                                                     level of commitment that your staff
                                                                                                                     J. Finbarr Saunders, Jr.                                                                            shows to children.
                                                                                                                                .
                                                                                                                     William F Searle III
                                                                                                                     Bill Terry, M.D.
                                                                                                                     Laurens Tullock                                                 I have been to my local hospital
                                                                         Lauren                                                                                                                                         before, but I drove an hour to
                                                                                                                     Danni Varlan                                                    ChildrenÕs, because MacKenna broke
                                                                                                                                                                                                                             her arm and was so
                                                                                                                     Medical Staff                                                   scared. I was so heartbroken for
                                                                                                                     Chris Miller, M.D.                                                                                her. She was met with smiles
                                                                                                                       Chief of Staff                                                and kind words from everyone. When
                                                                                                                     Lewis Harris, M.D.                                                                                        it was time for her arm
                                                                                                                                                                                    to be put in a splint, two of the friend
                                                                                                                       Vice Chief of Staff                                                                                   liest nurses came in to
                                                                                                                     David Nickels, M.D.                                            help. Everyone explained everyt
                                                                                                                       Secretary                                                                                       hing to her. I was so impressed
                                                                                                                                                                                    how they made sure that she under
                                                                                                                     Chiefs of Services                                                                                   stood what was happening,
                                                                                                                     Lise Christensen, M.D.                                         in terms she knew. When the staff
                                                                                                                       Chief of Medicine
                                                                                                                                                                                                                         came in, they told her what
                                                                                                                                                                                    had happened, not just me; they
                                                                                                                     Cameron Sears, M.D.                                                                               didnÕt talk down to her like                                      el, CEO,
                                                                                                                       Chief of Surgery                                             she was a child.                                                                        Dear Bob Kopp
                                                                                                                                                                                                                                                                                                                                           employees.
                                                                                                                                                                                                                                                                                                                      couple of your
                                                                                                                     David Birdwell, M.D.
                                                                                                                       Chief of Pathology
                                                                                                                                                                                                                                                                                                 comment on a                               ergency
                                                                                                                     Clifford J. Meservy, M.D.                                      Please let everyone in the ED know                                                         I would like to                        s seen in the Em
                                                                                                                                                                                                                          that it really does make a                                           itlyn E. Reed wa                           who saw her
                                                                                                                                                                                                                                                                            My daughter Ka
                                                                                                                       Chief of Radiology
                                                                                                                     Mike Mysinger, D.D.S.                                          difference. When a total stranger                                                                                             200   3. The doctor
                                                                                                                                                                                                                       shows such compassion and                                              December 18,                              ciation for her.
                                                                                                                                                                                                                                                                            Department on                          show my appre
                                                                                                                       Chief of Dentistry
                                                                                                                                                                                    love to your child, it touches you
                                                                                                                     Mark Cramolini, M.D.                                                                              more that I can express.                                               ll. I wanted to                r in an Emergenc
                                                                                                                                                                                                                                                                                                                                                   y
                                                                                                                       Chief of Anesthesiology                                      Thank you from the bottom of my
                                                                                                                                                                                                                        heart!                                              was Ameeta La                h a caring docto
                                                                                                                                                                                                                                                                                                n suc
                                                                                                                     Administration                                                                                                                                         I have never see                               for her patients.
                                                                                                                     Bob Koppel                                                                                                                                                                ore   . She truly cares                      of her
                                                                                                                                                                                        Trisha Couture                                                                      Department bef                               ction to some
                                                                                                                                                                                                                                                                                                       s having a rea
                                                                                                                       President
                                                                                                                                                                                                                                                                                                                                                      eeta
                                                                                                                     Paul Bates                                                         Sevierville                                                                              My daughter wa                                   t wasnÕt all; Am
                                                                                                                                                                                                                                                                                                              cerned, but tha                           le.
                                                                                                                                                                                                                                                                                       on. We were con                                l uncomfortab
                                                                                                                       Vice President for Human Resources
                                              Mauricesa                                                                                                                                                                                                                      medicati                                              fee
                                                                                                                                                                                                                                                                                                              never made me
                                                                                                                     Joe Childs, M.D.
                                                                                                                                                                                                                                                                                                cern and                                          we were OK
                                                                                                                                                                                                                                                                                                                               e making sure
                                                                                                                       Vice President for Medical Services
                                                                                                                                                                                                                                                                             shared this con
                                                                                                                     Rudy McKinley
                                                                                                                                                                                                                                                                                               t and     spent a lot of tim              th the Ben  edryl she
                                                                                                                       Vice President for Operations
                                                                                                                                                                                                                                                                              She was hones                          r improved wi
                                                                                                                     Jim Pruitt
                                                                                                                                                                                                                                                                                                le. My daughte                                       and happy
                                                                                                                                                                                                                                                                              and comfortab                                      ctor so relieved
                                                                                                                                                                                                                                                                                                            never seen a do
                                                                                                                       Vice President for Finance
                                                                                                                     Beckie Thomas, R.N.                                                Flu shot added to children’s shot list                                                was giv   en, and I have                          ld hav  e that bedside
                                                                                                                       Vice President for Patient Care
                                                                                                                                                                                                                                                                                                   I wish    all doctors cou                 daughter and
                                                                                                                                                                                                                                                                                                                                                              I
                                                                                                                                                                                                                                                                               as Dr. Lall was.                        far between. My
                                                                                                                                                                                            The Centers for Disease Control and Prevention has added the influenza                                 y are few and
                                                                                                                                                                                                                                                                                manner, but the                       for  years to come.
                                                                                                                                                                                        vaccination to the recommended immunization schedule for children.                                       remember her                                  s the following
                                                                                                                                                                                                                                                                                will definitely                            ence we had wa
                                                                                                                                                                                                                                                                                                        nderful experi
                                                                                                                     A quarterly publication of East Tennessee                                                                                                                                                                                              od
                                                                                                                                                                                                                                                                                                                                        to have some blo
                                                                                                                                                                                            The Advisory Committee on Immunization Practices decided to expand their
                                                                                                                     Children’s Hospital, It’s About Children is                                                                                                                    The second wo                lab. Kaitlyn had
                                                                                                                     designed to inform the East Tennessee                              flu shot recommendation to include children 6-23 months old for the 2004-2005                               19, in the                                      blood, Ryan
                                                                                                                     community about the hospital and the                                                                                                                        day, December                                an who took her
                                                                                                                     patients we serve. Children’s Hospital is a                        flu season. Previously the vaccination had only been recommended for children                              e tes  ts. The gentlem                   were in   the lab
                                                                                                                                                                                        over 2 years. Caregivers and all adults who have close contact with children,            drawn for som                          as Dr. Lall. We
                                                                                                                                                                                                                                                                                                  t as wonderful
                                                                                                                     private, independent, not-for-profit pediatric
                                                                                                                                                                                                                                                                                                                                                    th being
                                                                                                                     medical center that has served the East
                                                                                                                                                                                                                                                                                 Hillis, was jus                                  a hard time wi
                                                                                                                                                                                        such as school personnel and church workers, are also recommended to receive                                           y. Kaitlyn has                        to stick her
                                                                                                                                                                                                                                                                                          12 p.m. that da
                                                                                                                     Tennessee region for more than 65 years
                                                                                                                                                                                                                                                                                  around                                           . He managed
                                                                                                                                                                                        the vaccination. Vaccines should be given in the fall of each year.                                                     doctorÕs office
                                                                                                                     and is certified by the state of Tennessee as
                                                                                                                                                                                                                                                                                                    her own                                      experiences
                                                                                                                                                                                                                                                                                  stuck, even at
                                                                                                                     a Comprehensive Regional Pediatric Center.
                                                                                                                                                                                            "Recent studies show that children younger than age 2 and children with                                                           once. After the
                                                                                                                     Ellen Liston                                                                                                                                                                    did   not fight back                          ality and
                                                                                                                                                                                        chronic conditions like diabetes, asthma and HIV have a higher risk of                    twice, and she                               to be his person
                                                                                                                                                                                                                                                                                                         lab work, it had
                                                                                                                       Director of Community Relations
                                                                                                                                                                                                                                                                                                                                                             ted.
                                                                                                                                                                                                                                                                                   with her and the                                         much apprecia
                                                                                                                                                                                                                                                                                                                         s he was very
                                                                                                                     David Rule                                                         hospitalization for influenza and related complications, including severe
                                                                                                                       Director of Development
                                                                                                                                                                                                                                                                                                      hope he know                     s of stickers and
                                                                                                                     Wendy Hames                                                        pneumonia," according to a statement issued by the American Academy of                     mannerisms. I                 th visits with lot                             staff.
                                                                                                                       Editor
                                                                                                                                                                                        Pediatrics.                                                                                   My daughter lef
                                                                                                                                                                                                                                                                                                            t bo                             people on your
                                                                                                                     Neil Crosby                                                                                                                                                                                           ing these two
                                                                                                                                                                                                                                                                                                      ank you for hav                              in my eyes.
                                                                                                                       Cover/Contributing Photographer                                      Young children tend to also have a higher hospitalization rate for                      happiness. Th                            ild renÕs Hospital
                                                                                                                                                                                        flu-related illnesses than most healthy adults, for whom the vaccination has                                    tely assets to Ch
                                                                                                                                                                                                                                                                                    They are defini
                                                                                                                     “Because Children are Special…”
                                                                          Sarah                                      ...they deserve the best possible health care given in a
                                                                                                                                                                                        been recommended for many years.
                                                                                                                     positive, child/family-centered atmosphere of friendliness,
                                                                                                                     cooperation, and support - regardless of race, religion,               During the 2003-2004 flu season, ChildrenÕs Hospital treated more than 2,000
                                                                                                                     or ability to pay.”
                                                                                                                                                                                        cases of flu, an overwhelming increase compared to previous years. The flu
                                                                                                                                                                                                                                                                                     Thank you,
                                                                                                                     ...their medical needs are closely related to their
                                                                                                                     emotional and informational needs; therefore, the total            season not only affected more people, but it also began several months earlier               Donna Reed
                                                                                                                     child must be considered in treating any illness or injury.”
                                                                                                                     ...their health care requires family involvement, special          than usual. Typically flu is more prominent in the months of January through                 Knoxville
                                                                                                                     understanding, special equipment, and specially trained
                                                                                                                     personnel who recognize that children are not miniature
                                                                                                                                                                                        March; last year ChildrenÕs Hospital saw the majority of its cases in November
                                                                                                                     adults.”                                                           and December.
                                                                                                                     ...their health care can best be provided by a facility
                                                                                                                     with a well-trained medical and hospital staff whose                   For more information about when and where to obtain the flu vaccination,
                                                                                                                     only interests and concerns are with the total health and          contact your childÕs primary care physician or the ChildrenÕs Hospital
                                                                                                                     well-being of infants, children, and adolescents.”
                                                                                                                                                      Statement of Philosophy           Community Relations Department at (865) 541-8165. To find our more about
                                                                                                                                            East Tennessee Children’s Hospital          influenza recommendations, visit www.etch.com or www.aap.org.

                                                                                                                                                                                                                                          by Casey LaMarr, student intern

On The Cover: Twins David and Tony Restaino had neurosurgery at ChildrenÕs Hospital. Read their story on pages 4-5

                                                                                                                                       www.etch.com
            2                                                                                                                                                                                                                                                                                                                                                 3
                                                                                                                                 great care of the boys in the operating      visitors in their room, which included       was that they would recover
                                                                                                                                 room and just as good care of us in the      their older brother, Joe. As Tony and        immediately. The end result was the
                                                                                                                                 waiting room." Before Tony and David         David focused on recovery, Joe wanted        best-case scenario; the brain had moved
                                                                                                                                 left the recovery room, Diane and Mike       to help by picking movies from the           away and the fluid was coming out of
                                                                                                                                 were informed that the boys would go         hospital video cart and video games for      their spines.
                                                                                                                                 to the Pediatric Intensive Care Unit         them to play.                                    Tony and David are back to doing
                                                                                                                                 (PICU) immediately afterward.                    During the recovery process in the       all the things that they enjoy in school,
                                                                                                                                     "Before David, who was second for        hospital and after the boys came home,       they are back swimming and diving,
                                                                                                                                 surgery, was even in recovery, the           Joe was concerned about the pain his         they have their same senses of humor,
                                                                                                                                 hospital staff came to tell us about the     younger brothers were experiencing.          and they are bickering with one
                                                                                                                                 PICU," Diane said. "They told us where       "I was very nervous and scared that          another and older brother Joe just like
                                                                                                                                 we could sleep if we wanted to stay, the     they might not be able to hang out with      before the surgery.
                                                                                                                                 cafeteria hours, and how we could            me again," Joe admitted. Mike and                "It is hard for us to believe that our
                                                                                                                                 enter the PICU when we visited; there        Diane noticed JoeÕs concerns. "We knew       children had brain surgery just over a




                    Tony David
                                                                                                                                 were no questions left unanswered."          it disturbed him to see the boys be          year ago, and today they are just like
                                                                                                                                     Tony and David spent slightly more       totally bed ridden and obviously in a        any other kids," Mike said. "It is
                                                                                                                                 than a day in the PICU after surgery.        great deal of pain," Mike said.              remarkable; no one would ever
                                                                                                                                 Their entire swimming and diving                 Tony and David seem to be                know it."
                                                                                                                                 teams came to visit Diane and Mike           "frequent flyers" to childrenÕs hospitals,       "As far as ChildrenÕs Hospital goes,
                                                                                                                                 and to check on them. "The hospital          having been patients at the childrenÕs       they really do put their arms around




                                                       &
                                                                                                                                 was so understanding of the situation        hospitals in Boston and Dallas for other     the entire family," Mike said. "It is so
                                                                                                                                 and welcomed our visitors," Diane said.      health care needs. "We believe this is by    obvious that when you walk in the
                                                                                                                                 "We never felt alone or removed from         far the best childrenÕs hospital we have     door, you can understand that their
                                                                                                                                 our world of friends and family. They        ever been in, without a doubt," Mike         goal is very simple; their goal is to take
                                                                                                                                 were all welcome, and ChildrenÕs             said.                                        care of your child, and hopefully when
                                                                                                                                 Hospital never made us feel like our             Tony and David were expected to          you leave, your children are healthier
                                                                                                                                 calls, visitors or children were a bother    stay at the hospital for a week but were     than when they came in. There is no
                                                                                                                                 at all."                                     able to leave after four days and were       question that from the volunteers to the
                                                                                                                                     "I thought the nurses and staff in the   at home on July 3, 2003. After getting       (clinical) staff to the doctors, ChildrenÕs
                                                                                                                                 PICU were incredible," Mike said. "Not       home, it took the boys two weeks to          HospitalÕs mission is very simple Ð to
   Eleven-year-old twins Tony and         Harris asked him many questions:            the top of their spinal cords."            only did we observe the great way they       begin to move around. "IÕd say the           serve the children and families in the
David Restaino spend most of their        "What are your symptoms?" "When are            TonyÕs and DavidÕs lives changed        were taking care of Tony and David,          whole recovery period was six weeks,         community."
days diving off springboards or           you experiencing these things?" "How        immediately at that point. Not only did    but they also were giving such great         and then they didnÕt do any activity
swimming at the University of             often do they occur?" Dr. Harris wanted     Dr. Harris recommend brain surgery for     care and attention to all of the children    until they went back for their checkup       by Janya Marshall, Associate Director for
Tennessee Recreation Center. However,     to do a spinal MRI on Tony, and once        both boys, but he also wanted Tony to      (in the unit). It was amazing how they       with Dr. Harris the end of August,"          Public Relations
when Tony began struggling with           he learned that Tony had an identical       quit diving and David to quit              continued to be positive and calm            Diane said.
double vision last summer, the board      twin brother named David, he wanted         swimming until they had the surgery        under circumstances like buzzers going           That checkup proved the surgery
and the water didnÕt come into focus      David to have an MRI as well.               and had successfully recovered. Dr.        off and being surrounded by very sick        worked the way it was supposed to.
like before, and each dive became             Once Dr. Harris saw the results, he     Harris explained that not correcting the   and injured children."                       The brain had been moved away, the
harder and more dangerous. He first       explained to Tony and David and their       problem could have led to spinal cord          The Restainos were grateful that Dr.     fluid was moving properly, and Tony
complained to his dive coach about the    parents that both boys had a Chiari         damage and future problems.                Harris spoke with Tony and David on          and David were able to go back to
problem and then to his parents, Diane    malformation. A Chiari deformity or            On June 30, 2003, Tony and David        their level and shared the truth about       doing anything they wanted to do. The
and Mike.                                 malformation is a condition in which        came to ChildrenÕs Hospital for surgery.   exactly what the family could expect         family will always remember those six
   "We definitely wanted to investigate   the most inferior part of the cerebellum    Each surgery required Dr. Harris to        from the surgery, recovery and possible      weeks of recovery as the longest six
the double vision, because we knew        (part of the brain) is displaced            open the back of the skull and pull the    outcomes. "He was wonderful and so           weeks of their lives.
that Tony couldnÕt dive with that         downward through the base of the            bone away from the spine and spinal        good with each of them," Diane said.             "We had no idea how it was going to
problem," Diane said. "We couldnÕt        skull into the upper spine. Even though     cord. Each surgery lasted about four       "He came to visit the boys in the PICU       turn out," Diane said. "When we made
understand where the problem was          David was not experiencing the              hours, with TonyÕs lasting a little        and laughed, telling them he knew that       the decision about surgery, we had no
coming from, but we wanted to make        symptoms that Tony was feeling, the         longer. Even though each boy was in        he wasnÕt their favorite person              idea if it would fix the problem, and it
sure that he was not only safe diving     MRI revealed the condition was present      surgery for that amount of time, their     anymore. He learned their senses of          was a very risky surgery for both boys.
but in his every day life as well."       in both twins.                              parents were in the waiting room for       humor and their personalities, and he        We are really thankful Dr. Harris was in
   Tony had an MRI to see if something        "The results came back on both of       over eight hours, knowing that one of      treated them like he had always known        Knoxville to take care of Tony and
in his brain might be causing the         the boys, and they both had fluid           their sons was undergoing major            them."                                       David."
double vision. After meeting with         collecting in their spines," Diane said.    surgery.                                       After spending time in the PICU,             When the Restainos first met with
pediatric neurologist Dr. Christopher     "At that point, Dr. Harris recommended         "When we were in the waiting room,      Tony and David were moved to the             Dr. Harris, he told them the worst-case
Miller, the Restainos were referred to    we do surgery on both of the twins,         they called us every hour and let us       Second Floor Inpatient Unit until they       scenario was the possibility it would
pediatric neurosurgeon Dr. Lewis          because their brains were actually          know what was happening," Diane            were able to go home. While on the           take two years for the twinsÕ problem
Harris. When he first met Tony, Dr.       slipping out of their skulls and blocking   said. "The surgery department took         second floor, they were able to have         to be fixed, but the best-case scenario      The Restaino Family




         4                                                                                                                                                                                                                                                             5
Subspecialist Prof iles
Pediatric cardiologist developed love for medicine as a child                                                              Physician treats variety of urological needs
                      Yvonne A. Bremer, M.D.                                                                                                   David Hill, M.D.
                      B.S. Ð Cornell University, Ithaca, NY, 1994                                                                              B.A. Ð University of Tennessee, Knoxville, 1976
                      M.D. Ð State University of New York at Buffalo School of Medicine and Biomedical Sciences,                               M.D. Ð University of Tennessee Medical School, Memphis, 1980
                      Buffalo, N.Y., 1998                                                                                                      Internship and first year of residency (general surgery) Ð University of Texas
                      Internship and residency (pediatrics) Ð Medical College of Virginia Hospitals, Virginia                                  Southwestern Medical School, Dallas, 1980-82
                      Commonwealth University Health System, Richmond, Va., 1998-2001                                                          Residency (urology) Ð UT Memphis, 1982-85
                      Fellowship (pediatric cardiology) Ð Medical College of Virginia Hospitals, Virginia                                      Fellowship (pediatric urology) Ð Mayo Clinic, Rochester, Minn., 1988-89
                      Commonwealth University Health System, 2001-04                                                                           Other education Ð spent two months working at the Great Ormond Street Hospital in
                      Family Ð Husband, Richard L. Bremer, an internal medicine physician and hospitalist who                                  London in 1985
                      will be practicing at Baptist Hospital                                                                                   Family Ð Wife, Carolyn; sons, Matt (deceased) and Reid (age 18)
                      Interests Ð outdoor activities including skiing, canoeing, hiking, biking and kayaking                                   Interests Ð family, hunting, fishing, flying airplanes

                          Growing up, Yvonne A. Bremer, M.D., knew she wanted to be a doctor. "In high school, I                                   Always interested in working with children, David Hill, M.D., considered pursuing
                      rotated with a pediatrician who was my mentor," she said. "I was goal-oriented early on."                                a specialty in pediatrics while he was in medical school. But he also knew he had a
                      When she reached medical school, Dr. Bremer decided to schedule pediatrics as her last                                   significant interest in surgery.
                      rotation because deep down she knew that was where her interests were. "I wanted to keep                                     Two of his mentors in Memphis, Drs. Butch Noe and Gerald Jerkins, were pediatric
                      an open mind, but nothing else caught my interest."                                                                      urologists who encouraged him to consider the subspecialty of pediatric urology as a
                          But she was also looking for a challenge, and she found that in cardiology. "It was very                             means to combine his two interests.
                      rewarding and stimulating, as well," she said. She chose to combine the two interests and                                    A native of Milan in West Tennessee, Dr. Hill most recently practiced in Nashville,
                      completed her fellowship in pediatric cardiology in June.                                                                and he joined the Children's Hospital-based practice of Drs. Preston Smith and David
                          A native of Buffalo, N.Y., Dr. Bremer joined the pediatric cardiology practice of Dr. Jeffory                        Riden in the spring. The busy and growing practice had a need for an additional
                      Jennings at Children's Hospital in July. She and her husband, also a physician, found the                                pediatric urologist to better serve this regionÕs children.
                      Knoxville location to be ideal because of their interest in outdoor activities, and they also fell                           Pediatric urologists treat a broad spectrum of medical and surgical problems.
                      in love with the city when they visited. "We could see living here, raising a family here and                            Among the most common conditions are hernias and hydroceles, and pediatric
                      working here," she said.                                                                                                 urologists also frequently perform circumcisions.
                          As a pediatric cardiologist, Dr. Bremer treats children with a wide range of heart                                       More complex conditions include congenital anomalies such as bladder exstrophy
                      problems, including heart murmurs, chest pain, syncopy (passing out), high blood pressure                                (a rare but very serious condition in which the bladder is outside the body),
                      and congenital heart disease (for example, ventricular septal defects, atrial septal defects,                            neurogenic bladder in children with spina bifida, and kidney stones. "WeÕve begun
                      patent ductus arteriosis and pulmonary stenosis). These problems can either correct                                      seeing more and more kidney stones in children in recent years," Dr. Hill said.
                      themselves, require medication or require surgery; more complicated congenital heart                                         Some of the conditions require extensive reconstructive surgery. Children with
                      conditions include hypoplastic left heart syndrome, transposition of the great arteries and                              spina bifida, for example, may need reconstructive surgery to help them gain bowel
                      Tetralogy of Fallot that may require multiple surgeries.                                                                 and bladder continence.
                          "Pediatric cardiology has come a long way over the past 50 years," she said. "We are able                                Dr. Hill is particularly interested in the treatment of hypospadias (an abnormal
                      to save so many more lives. But itÕs hard to tell a parent that his or her child has congenital                          opening of the urethra on the penis) and kidney tumors (primarily WilmsÕ tumor).
                      heart disease, and itÕs even harder to tell a parent the child will need open heart surgery."                            Hypospadias is one of the conditions that has been impacted greatly by the current
                          Dr. Bremer also noted that pediatric cardiologists are unusual from other pediatric                                  trend toward outpatient surgery.
                      specialties in that they also treat adults who have heart problems that developed in childhood.                              "The move toward outpatient surgery is probably the biggest change in pediatric
                      Adult cardiologists treat adult-onset problems, not problems that appeared in childhood.                                 urology since I began practicing. When I was a resident, surgery for hypospadias
                          She has a special interest in echocardiography, a noninvasive way to study the heart, and                            required a four-day hospitalization," he said. "Now, itÕs an outpatient procedure.
                      is especially interested in fetal echo, which examines the heart of a fetus before birth. Dr.                            Vesicoureteral reflux also was a three- or four-day stay, and now itÕs usually a 23-hour
                      Bremer also is trained in transesophageal echo, which goes through the esophagus to look                                 inpatient stay or even an outpatient procedure."
                      behind the heart. Both of these types of tests have helped to improve care for babies and                                    Outpatient surgery is an important improvement in the health of children for many
                      children with heart problems, because the problems can be diagnosed early (in the case of                                reasons. Hospitalization is disruptive to a childÕs routine and emotional well-being,
                      fetal echo) and more thoroughly (in the case of transesophageal echo).                                                   and it is clear that children recover more quickly when in the comfortable
                          Dr. Bremer says she especially enjoys the counseling component of her specialty. "Telling                            environment of their own homes.
                      a parent, Ôhere is the problem, here is what weÕll do,Õ and being able to prepare them,                                      Working in concert with Drs. Smith and Riden, Dr. HillÕs presence will benefit the
                      sometimes even before the childÕs birth, about what to expect. ItÕs scary for the parent, but                            areaÕs children by helping to expand the availability of pediatric urological care in the
                      itÕs not the end of the world because there is so much we can do."                                                       East Tennessee region.
                          Dr. Bremer is looking forward to entering into practice with Dr. Jennings at Children's
                      Hospital and helping provide the specialized cardiology care needed by an increasing
                      number of children in this region.

     6                                                                                                                                                                                                                                7
                                                                                                                                                                                               and then took on additional duties in the     Information Desk. She started
                                                                                                                                                   Children’s Hospital


Children’s News...
                                                                                                                                                                                               Hematology/Oncology Outpatient Clinic         volunteering in 1998 with the video cart
                                                                                                                                                   honors volunteers                           in 1997. In the past, she has served on the   and in the Hematology/Oncology
                                                                                                                                                                                               Auxiliary board and numerous                  Outpatient Clinic. Smith can also be
                                                                                                                                                                                               committees and has assisted with many         found volunteering for the Fantasy of
                                                                                                                                                                                               fund-raising efforts. She currently chairs    Trees, the ChildrenÕs Miracle Network
                                                                                                                                                                                               the Board of Directors for HOPP               Telethon, and the ChildrenÕs Hospital

A GRAND EVENT!                                                                                                                                    Award Winners left to right: Tom Elsen,
                                                                                                                                                                                               (Hematology/Oncology Patients and
                                                                                                                                                                                               Parents support group) and supports
                                                                                                                                                                                                                                             Invitational Golf Tournament, as well as
                                                                                                                                                                                                                                             leading preschool groups on tours of the
                                                                                                                                                  Katty Smith, Nancy Finley and Susan Bascom
Creative writing element introduced for 5th annual program                                                                                                                                     Camp EagleÕs Nest.                            hospital. She also serves as Program
                                                                                                                                                   The success of ChildrenÕs Hospital is          Tom Elsea received the Edna H.             Chair of the ChildrenÕs Hospital Auxiliary.
    As A Grand Event enters its 5th year         in the room, and you will be a writer, I        free blood pressure check, all while their     due in large part to the countless hours of    Duncan Award for professional and                Susan Bascom received the 2004
this fall, a new element has been added          promise!"                                       grandchildren enjoy a variety of games         hard work by the hospitalÕs volunteers.        personal excellence during his years of       Shining Star Award for dedication to
to the Grand Legacy program that was                 The final session of "Tell The Story Only   and activities.                                Their smiling faces can be found               volunteer service. This award was named       evening and weekend service. Bascom
such a success during last yearÕs event.         You Can Tell" on September 28 will tie all         Grandparents can sign up with               throughout the hospital assisting with a       in memory of a 10-year volunteer who          started volunteering at ChildrenÕs
    Sponsored by ChildrenÕs Hospital and         the elements of each grandparentÕs special      BaptistÕs Senior Plus program and enjoy        number of duties, from helping in the Gift     donated more than 25,000 hours of service     Hospital in August 2002 and is an
Baptist Senior Services, A Grand Event and       story together by uniting the written           the zoo for just $2 if tickets are purchased   Shop to pushing the video and toy carts        to ChildrenÕs Hospital. Elsea began his       Auxiliary member. She now leads a local
its Grand Legacy program have an                 stories with photographs from each person       in advance and $3 if bought at the event.      by patientsÕ rooms.                            volunteer service in 1993 at the Fantasy of   group of volunteers with HOPE, a
objective to bring grandparents and              illustrating these special life experiences.    Tickets for accompanying grandchildren            Four of the hospitalÕs volunteers were      Trees and became a volunteer at the           national organization, who have adopted
grandchildren together to create their           Neil Crosby, a professional photographer        12 years and younger are also only $3          recently honored for their dedication and      hospital in 2000. Today you will find him     the video cart service. She is in charge of
history, both individually and together.         with Neil Studios in Knoxville, will offer      each, and any other person attending           hard work during the Volunteer                 at ChildrenÕs two days a week, one day        recruiting, training and scheduling HOPE
It urges grandparents to commit to taking        tips and techniques for using photography       with the Senior Plus member will receive       Appreciation Luncheon April 17 at the          greeting visitors at the Information Desk,    volunteers to staff the cart. When she
the time to record their own legacy --           as a way to enhance the gift of memories        $1 off the regular admission price to the      Knoxville Convention Center.                   the other day staffing the video cart. In     began this effort, she noticed there was a
not only to preserve their legacy for their      to children and grandchildren.                  zoo (not valid with any other discount or         The Anne D. Regas Award, named in           the last four years, he has accumulated       need for more volunteers on Sundays.
grandchildren but also to bridge the                 Other events for this yearÕs                coupon). For more information, call            memory of the founder of the ChildrenÕs        nearly 2,000 hours of service.                Presently, she and the other HOPE
generations with the importance of history       A Grand Event will include:                     (865) 632-5170.                                Hospital Auxiliary, was awarded to Nancy          The 24 Karat Award, given to a             volunteers can be found working the cart
and traditions.                                  Walk on the Wild Side                           Walk on the Cultural Side                      Finley for her exemplary service and           volunteer who illustrates enthusiastic        on Sunday afternoons and Monday
    Ina Hughs, award-winning columnist           Saturday, September 11                          Tuesday, October 5                             commitment in volunteer service. Finley        participation, was presented to Katty         evenings.
for the Knoxville News Sentinel, will lead           Take a "Walk on the Wild Side" during          Grandparents and grandchildren can          began volunteering in 1993 on the toy cart     Smith, who volunteers with the                      by Suzann Hollingsworth, student intern
this yearÕs new Grand Legacy program Ð a         A Grand Event, a fun-filled day at the          take a "Walk on the Arts Side" together
creative writing workshop that will              Knoxville Zoo for seniors and their             during a special evening, beginning at
"Tell The Story Only You Can Tell," which        grandchildren from 8 a.m. to noon.              6 p.m., at the Knoxville Museum of Art,
                                                                                                                                                Auxiliary gives record donation to Children’s Hospital
will concentrate on family stories and           This recreational event is a great way for      where there will be opportunities to learn         One of the AuxiliaryÕs most popular services for patients at      hospital supporter which placed VCRs in each patient room.
beliefs that define who we are and what is       grandparents to bring their grandchildren       more about and experience a variety of         ChildrenÕs Hospital is undergoing a major change. The "video          We have continued to purchase videos and loan them to
important. Hughs said the session will           to enjoy the zoo, take advantage of seeing      cultural arts experiences from throughout      cart" of loaned movies will change to a new closed-circuit            patients and families in the hospital for more than a decade
"use specific assignments to jump-start our      the animal exhibits and, most importantly,      Knoxville and East Tennessee.                  digital television system in the hospitalÕs new patient rooms.        now, all free-of-charge," Mason said.
Ômuse,Õ and we will look back to those           exercise. Each Baptist Senior Plus member          More information about ÒA Grand             In anticipation of this growth and change, the Auxiliary has             Fund-raising efforts have included the AuxiliaryÕs annual
people and places, events, circumstances,        will receive a free gift, a snack bag and a     EventÓ is available on www.etch.com.           diligently raised funds through the last few years, and on May        holiday greeting card sale, plant sales and other special events.
experiences and ideas that shaped us and                                                                                                        18, the group presented a check for $75,000 to the hospital.             With this substantial donation from the Auxiliary, ChildrenÕs
remain as part of our family lore."                                                                                                                According to Auxiliary President Nancy Mason, this is the          Hospital will be able to offer pre-programmed movies 24 hours
    The series will begin September 7, and                                                                                                      largest single contribution ever made to ChildrenÕs Hospital by       a day to patients, as well as provide educational programming
each assignment will include examples                                                                                                           the Auxiliary. "The Auxiliary funded the establishment of the         for parents regarding care for their childÕs injury or illness.
from other writers as a guideline. In a non-                                                                                                    video lending library some 12 years ago, following a gift from a                                           by Rupal Mehta, student intern
threatening environment, participants will
be inspired and encouraged to begin a
collection of story "pictures" and picture
                                                                                                                                                Planning continues for 20th annual Fantasy of Trees
"stories" that will become part of a book, a                                                                                                        The 20th annual Fantasy of Trees to        throughout the five-day event as children     income is spent, while the principal remains
gift of life, to those they love and who love                                                                                                   benefit ChildrenÕs Hospital is fast            add their artwork to the unique display.      secure and untouched -- therefore
them. "It is, after all, our stories that bind                                                                                                  approaching. This year the event will take        Adults and children alike will enjoy a     guaranteeing that care is always available
families together and through which its                                                                                                         place November 24-28 at the Knoxville          nightly Christmas tree lighting ceremony      to the uninsured children of East Tennessee.
members live on in the eyes and hearts of                                                                                                       Convention Center and will feature the         as well as three new designer categories,         Volunteers are needed to help at the
the next generation," Hughs said.                                                                                                               theme, "Where Your Heart Finds Christmas."     new holiday shops and a new "Hobbies for      five-day holiday event, and sponsors and
    Hughs, whose career as a writer of non-                                                                                                         Co-chairs Becky Vanzant and Karen          the Holidays" area from Scripps Networks.     designers are currently being recruited.
fiction and family stories spans 35 years,                                                                                                      Waldbauer, assistant co-chair Linda               Net funds from the 2004 Fantasy of             For more information about the 2004
will help participants focus on specific                                                                                                        Redmond and dozens of volunteer leaders        Trees will be placed in the Open Door         Fantasy of Trees and how to volunteer,
assignments and offer suggestions and                                                                                                           are planning many new activities for this      Endowment Fund. This fund will provide        contact the ChildrenÕs Hospital Volunteer
inspiration. "DonÕt worry if you are not a                                                                                                      yearÕs 20th anniversary show.                  greater security to the families of East      Services and Resources Department at
Ôwriter,Õ" she says. "A writer, just                                                                                                                Some of the new childrenÕs activities      Tennessee by ensuring the hospital            (865) 541-8385, send an e-mail to
remember, is a person who writes --                                                                                                             include holiday aprons, necklaces, wooden      ALWAYS is able to provide care to children    fot@etch.com, or visit
nothing more, nothing less. Five minutes                                                                                                        ornaments and tote bags, while a 20-foot-      whose families cannot afford the care they    www.etch.com/fantasy.cfm.
                                                                                                                                                long, six-foot-tall Holiday Mosaic featuring   need. With an endowment fund, only the              by Suzann Hollingsworth, student intern
                                                                                                                                                a festive holiday scene will take shape


           8                                                                                                                                                                                                                                                                            9
Relocation, construction continue at Children’s Hospital
                                                                                                                                        Medicine specialists, started Pediatric       patients. The new service also addresses      50 states in compliance with car seat
                                                                                                                                        Analgesia and Sedation Specialists, PLLC      a change in the Joint CommissionÕs            laws, but now the new law is one of the
                                                                                                                                        (PASS). PASS provides the pediatric           credentialing process that requires           most stringent in the country.
                                                                                                                                        sedation service at ChildrenÕs Hospital,      hospitals to address sedation services.           The Alliance believes promoting
                                                                                                                                        offering improved patient safety and a           Physicians who are members of              research, formulating new policies, and
                                                                                                                                        family-centered, consistent sedation          Pediatric Analgesia & Sedation                training health care professionals will
                                                                                                                                        practice in strict compliance with policies   Specialists, PLLC, the service offered at     allow CHAT to foster development of
                                                                                                                                        of ChildrenÕs Hospital and the Joint          Children's Hospital, are: J. Michael          childrenÕs hospitals and better promote
                                                                                                                                        Commission for the Accreditation of           Connors, M.D.; Robert Lembersky, M.D.;        the health and well being of children in
                                                                                                                                        Healthcare Organizations.                     Lise Christensen, M.D.; and John              Tennessee. CHAT will work with the
                                                                                                                                           The service is available Monday            Williams, M.D. These Pediatric                Tennessee Legislature on such issues as
                                                                                                                                        through Friday from 7 a.m. to 4 p.m. for      Emergency Medicine specialists already        TennCare, childhood immunization, child
                                                                                                                                        patients undergoing certain tests in the      were certified to perform sedation in the     passenger safety, healthy food vending in
                                                                                                                                        Radiology Department (especially CT           Emergency Department but now can              schools and use of lottery funds to help
                                                                                                                                        and MRI scans that require children to        extend their services to other areas of the   keep children healthy.
                                                                                                                                        remain still for extended periods of time),   hospital. They have performed more                Mary Nell Bryan has been named
                                                                                                                                        as well as for patients in the                than 400 sedation procedures just since       CHAT President and CEO. She has an
                                                                                                                                        Hematology/Oncology Outpatient Clinic         beginning the service at the start of 2004.   extensive background in legislation and
                                                                                                                                        and in the Gastroenterology Lab.                 Drs. Connors and Lembersky have            government relations and has spent 15
                                                                                                                                           The need for sedation depends on the       communicated with and/or visited              years lobbying with a concentration in
                                                                                                                                        age of the child, the length of the           several sedation services in other areas of   health care and not-for-profit issues.
                                                                                                                                        procedure and the degree of discomfort it     the country and have researched               Bryan will advocate on the state and
                                                                                                                                        might cause, Drs. Connors and                 protocols to ensure that the service at       national levels for the interests and policy
                                                                                                                                        Lembersky explained. Any child under          Children's Hospital performs sedation in      positions to drive the quality of childrenÕs
                                                                                                                                        age 5 will need sedation for an MRI           the best manner. After attending a recent     health care. SheÕll also develop and
                                                                                                                                        because the test requires the child to        conference on the subject in Denver, Dr.      implement programs and services of the
                                                                                                                                        remain still for about 45 minutes. An         Connors noted,"We were delighted to see       association.
                                                                                                                                        older child or teen probably can undergo      that our service at Children's Hospital is        CHATÕs Board of Directors is made up
                                                                                                                                        an MRI without sedation but may need it       far more advanced than most other             of two representatives from each hospital;
                                                                                                                                        for an uncomfortable procedure in the GI      pediatric sedation services around the        ChildrenÕs HospitalÕs representatives are
                                                                                                                                        Lab.                                          country."                                     Bob Koppel, President and CEO, and Dr.
    ChildrenÕs Hospital is in the midst of   open in August and September                is available on our website at                    PASS utilizes some newer sedation                                                        Joe Childs, Vice President for Medical
major construction as a 115,000-square-      ¥ New areas of Second and Third             www.etch.com/attractions.cfm. Click on         medications that may be administered          State children’s hospitals                    Services.
foot, seven-story patient tower is being     inpatient medical floors open in            "WeÕre Growing."                               only by certain specialists. These drugs                                                        Koppel said the alliance will enable
                                                                                                                                                                                      form alliance
added at the corner of Clinch Avenue         September and October                           This $31.8 million expansion and           are more effective and safer but are                                                        the four hospitals to work together and
and 20th Street. After working around        ¥ New area of Fourth surgical patient       renovation of ChildrenÕs Hospital will         administered in a different manner,              East Tennessee ChildrenÕs Hospital is      with other agencies to better address the
unpredictable spring weather, the tower      floor opens in October                      allow more space and comfort for               making it necessary for a doctor solely       one of four Comprehensive Regional            needs of children. "Whether it relates to
is now fully enclosed, and work is           ¥ New Kitchen and Dining areas open         patients and families. Features of the         responsible for sedation to be present.       Pediatric Centers in Tennessee that           state or federal legislation, TennCare or
underway on the interior of the              in October and a new servery area opens     expansion include 95 private patient           The drugs work quickly and wear off           recently joined forces to form a new          legal issues, for each of us, itÕs about our
building. After the tower is complete,       in December                                 rooms with full baths, an expanded 13-         quickly and also can put patients into a      advocacy group for pediatric healthcare.      young patients, their families and their
the hospital will undergo renovation on      ¥ New Pediatric Intensive Care Unit         bed Pediatric Intensive Care Unit and an       deeper state of sedation for a shorter        Called the ChildrenÕs Hospitals Alliance      quality of life," he said.
most of the existing facility. The           opens in November                           expanded 44-bed Neonatal Intensive             amount of time. This enables the child to     of Tennessee, or CHAT, ChildrenÕs is             All four CHAT member hospitals are
renovation will continue until               ¥ New Post-Anesthesia Care Unit and         Care Unit. The hospitalÕs licensed beds        be motionless for the test. While any         joined in the new organization by Le          certified as Comprehensive Regional
September 2005, when the entire three-       Endoscopy Suite open in November.           will increase from 122 to 152, and a           sedation ensures the child doesnÕt            Bonheur ChildrenÕs Medical Center in          Pediatric Centers, which is the highest
year project should be complete.                The hospital is also adding an in-       larger Emergency Department will               remember the discomfort of a test, a          Memphis, TC Thompson ChildrenÕs               level of certification for pediatric care in
    The hospital hopes to start moving       house television system, more               increase from 18 to 35 beds. In addition,      milder level of sedation would not            Hospital in Chattanooga and Vanderbilt        the state of Tennessee. Each of the
into the following spaces in the new         comfortable family areas and a laundry      the Surgery and Radiology departments,         necessarily keep the child still enough to    ChildrenÕs Hospital in Nashville.             pediatric institutions is equipped to care
tower by fall 2004:                          area for patient families that will be in   cafeteria, support services and storage        ensure the most accurate test results.           The goal of the alliance is to address     for seriously ill children in a unique
¥ New area of the Emergency                  place by November.                          will be expanded.                                 In the past, sedation drugs were often     gaps in health care for children caused by    pediatric environment separate from
Department, Neurology and Phlebotomy            An Expansion/Renovation Timeline                    by Amber Birdwell, student intern   administered by the physician                 inadequate state laws and complexities in     adult care areas. Comprehensive centers
                                                                                                                                        performing the test, as the test was being    the health insurance system. Tennessee        also provide training to help community
                                                                                                                                        conducted. Now, a sedated patient is          has ranked for many years near the            hospitals meet pediatric medical
New sedation service offers greater safety, comfort to patients                                                                         under the eye of the "sedation doctor"        bottom for childrenÕs health care under       requirements.
                                                                                                                                        while a second physician focuses entirely     some criteria.
   In early 2004, a pediatric sedation       anesthesia is not necessary.                procedures and stricter requirements for       on conducting the test, ensuring a safer         But according to Jim Schmerling, CEO                by Kathryn DeNovo, student intern
service was created at ChildrenÕs               More hospitals across the country are    providing sedation.                            test for the child.                           of Vanderbilt ChildrenÕs Hospital and
Hospital to offer greater safety and         developing pediatric sedation services         At ChildrenÕs Hospital, Dr. Mick               Pediatric hospitals like Children's are    chair of CHAT, TennesseeÕs new car seat
comfort for patients for medical             due to an increasing number of children     Connors and Dr. Robert Lembersky, both         utilizing these new services on an            legislation is one example of how that
procedures and tests when general            requiring sedation for painful or lengthy   board certified Pediatric Emergency            increasing basis to improve care for their    will change. Tennessee ranked 50th out of

          10                                                                                                                                                                                                                                                                11
Estate Planning...
                ÒYour            will, the foundation of your estate planÓ                                                                                         UPCOMING                         EVENTS                  TO BENEFIT CHILDREN’S
                                                                                                                                                                       Mark your calendars now for several upcoming events to entertain families and benefit ChildrenÕs Hospital.
                                                                                                                                                                     Thanks to the generous people of East Tennessee who host and participate in these events, ChildrenÕs Hospital can
                                                                                                                                                                                    continue to provide the best pediatric health care for all the children of this region.


M
                                               should both die together in an accident.                 some time with your executor to discuss
                                               Then both of you should meet with the                    your wishes and make certain they will                BOOMSDAY                                      OAKES FARM CORN MAZE                              NEILL SANDLER FORD LINCOLN
        aking a will is one of                 people you select to make certain they                   agree to serve.                                           Traditionally, Journal Broadcast Group       What do you get when you combine 12            MERCURY SALE
                                               will agree to accept the responsibility.                     5. Write all of this information                  holds its Star 102.1 Boomsday celebration     acres of corn stalks, 5.3 miles of trails, over      If youÕre looking for a new vehicle,
the most important activities                  Choose an alternate in case your first                   down.                                                 on Labor Day (Monday), but this year the      960,000 stalks of corn, and three different       consider buying from Neill Sandler Ford
                                               choice is deceased or unable to take                         6. Select an attorney. Choose                     event has been moved to Saturday,             mazes? Fall family fun at the Oakes Farm          Lincoln Mercury on the Airport Motor
you will ever undertake.                       your children. Specify who is to                         someone who has experience in estate                  September 4.                                  Corn Maze in Corryton, located at 8240            Mile and benefit ChildrenÕs Hospital. The
    It need not be difficult or unpleasant,    manage any money left for your                           planning, and make an appointment.                        Star 102.1 Boomsday is the largest        Corryton Road. And for a few weeks                auto dealership began a yearlong fund-
but it is very important. A will is the only   childrenÕs benefit and consider having                   Feel free to discuss fees in advance, and             Labor Day weekend celebration in the          around Halloween when the maze                    raiser for the hospital in May and will
legal document that records your final         someone separate involved with                           follow through by mailing the attorney                Southeast. Over 250,000 guests are drawn      becomes "haunted," Oakes Farm donates             donate $50 to the hospital after the sale of
wishes. Your family members will already       overseeing those funds.                                  a copy of your information well in                    annually to Neyland Drive on the banks        proceeds from the maze to ChildrenÕs              new or used vehicles through March 8,
be under a great deal of stress simply             2. Pull together a listing of the                    advance. The attorney will appreciate                 of the Tennessee River for a day of food,     Hospital. This year, those dates are              2005.
because you have passed away, and you          people to whom you will give your                        dealing with a well-prepared client and               entertainment and fun. After the sun sets,    October 6-30 (excluding Sunday nights).              Proceeds from this program will be
can significantly reduce their burden by       belongings. List their name, current                     will also be glad not to waste time                   a spectacular fireworks show is presented        During the day, the maze is a fun              presented at TKÕs Breakfast for ChildrenÕs
leaving a properly executed will.              address and phone number and their                       serving as a "referee" between you and                from the Henley Street Bridge.                challenge for the whole family, while at          Hospital on March 12, 2005
    People have many excuses for not           relationship to you Ð son, daughter,                     your spouse on important matters such                     Volunteers will be at the event to sell   night, it becomes a haunted adventure                For more information, contact Gene
planning or writing a will. Some               niece, nephew, grandson or                               as custody of children and selection of               soft drinks to the thirsty crowd to benefit   amid the cornstalks. In addition to the           Wishon or Michael Borkman at Neill
express concern over paying a lawyer           granddaughter, neighbor, friend. List                    an executor.                                          ChildrenÕs Hospital. Last yearÕs event        maze, visitors can take a hayride, stroll         Sandler Ford Lincoln Mercury at (865)
to prepare their will. This should not be      what you would like them to have and                         7. After your will is finalized, sign it,         raised more than $12,000.                     through the pumpkin patch, and enjoy              970-2500 or the ChildrenÕs Hospital
a consideration; the few dollars you           be specific.                                             give a copy to the executor and keep                      Call (865) 541-8567 to volunteer.         many other fall activities.                       Development Office at (865) 541-8437.
spend on professional fees for a                   3. List all of your assets: house, land,             the original in your safe deposit box.                                                                 For more information about visiting the                      by Casey LaMarr, student intern
properly prepared will are truly               securities, retirement plans, IRA, jewelry,              Then sit back and enjoy the security                  TUNNEL THUNDER VI                             maze, call (865) 688-6200 or visit
miniscule compared to the expense and          art, collectible items, bank accounts,                   that comes from knowing you have                          Tunnel Thunder VI will take place         www.oakesfarm.com. If you are interested in
heartache of failing to plan. By
preparing a will, you are telling those
                                               vehicles and other personal property.
                                               Make a list of your favorite charities.
                                                                                                        made all the necessary arrangements to
                                                                                                        prevent unnecessary expense and avoid
                                                                                                                                                              September 11 at Jaycee Park in Clinton.
                                                                                                                                                              The ride is a poker run to the Cumberland
                                                                                                                                                                                                            volunteering with the "haunted" corn
                                                                                                                                                                                                            maze, call (865) 541-8745.
                                                                                                                                                                                                                                                               Dates to Remember
                                                                                                                                                                                                                                                              Upcoming events to benefit Children’s Hospital
you leave behind how to care for your          List the location of your safe deposit box.              family strife after you are gone.                     Gap Tunnel and then back to the park.
minor children and how to dispense of          Consider attaching a letter to the will                      For more information on wills and                 The first bike out will be at 11 a.m., and    GIBBS HAUNTED FOREST                                                  August
all you have accumulated during your                                                                                                                                                                                                                                      Karaoke in the Park
                                               indicating any wishes you may have for                   estate planning, including a copy of our              the last bike out at noon. Cost is $10 per        Families can enjoy a safe and spooky
                                                                                                                                                                                                                                                                               August 28
entire lifetime. Putting your                  a funeral and the location of cemetery                   free planning booklet "Personal                       person, and lunch will be provided at the     night of fun at the Gibbs Haunted Forest                   Sons of Thunder Fun Ride
instructions in a valid will eliminates        lots and information about any prepaid                   Records," please send your name and                   end of the ride. The event also features a    in late October. The haunting begins the                           August 28
any room to speculate about your               funeral arrangements you have made.                      address to us via the reply form below.               silent auction, door prizes and a $250        weekend of October 15 and continues                       SamÕs Club Golf Tournament
intentions.                                        4. Choose an executor. It is especially              Or you may email David Rule, Director                 grand prize. The event is presented by the    through Halloween night, Sunday,                          At Cedar Hill in Lenoir City
    You can save time and money by                                                                                                                                                                                                                                             August 28
                                               important to determine which of your                     of Development, at dsrule@etch.com                    Volunteer Road Riders. For more               October 31; the event opens each evening
focusing your efforts and "doing your          relatives or friends is wise and honest                  or Teresa Goddard, CFRE, Senior                       information, call the Children's Hospital     at sundown and closes at 11 p.m. on most                            September
homework" before visiting with your            enough to serve as executor of your                      Development Officer, at                               Development Department at (865) 541-8441.     nights. On the walking tour of the                                 Boomsday
attorney.                                      estate. This is the person whom the                      tgoddard@etch.com, or call them                                                                     Haunted Forest, visitors will encounter a                         September 5
    1. Sit down with your spouse and           court will hold accountable for carrying                 at (865) 541-8441.                                    WAR OF THE WINGS                              haunting collection of monsters, ghosts,                      Tunnel Thunder Ride
                                                                                                                                                                                                                                                                             September 11
have that difficult discussion about           out your wishes as listed in your will.                                                                            This event gives the term "hot wings" a   goblins and ghouls. There is also a
who should raise your children if you          You and your spouse should spend                                                                               whole new meaning. The University of          childrenÕs Halloween activity area for                               October
                                                                                                                                                              TennesseeÕs Kappa Delta sorority will         younger visitors to enjoy while older                       Oakes Farm Corn Maze
                                                                                                                                                                                                                                                                      October 6-30 (except Sundays)
                                                                                                                                                              present the 12th annual "War of the Wings"    children and adults tour the forest.
                                                                       Please send the free brochure titled ÒPersonal RecordsÓ                                                                                                                                           Gibbs Haunted Forest
                 Include                                                                                                                                      on Saturday, September 18, before the             The Haunted Forest has been a                                 October 15-31
        Children’s Hospital                     Name______________________________ Address__________________________________________                          Tennessee-Florida football game. Event        tradition for Susan and Robby Taylor over
                                                                                                                                                              visitors can vote for their favorite wings    the last 10 years; they help sponsor the                            November
       in your estate plans.                     City___________________________ State_______ Zip_____________ Phone#(______)___________                      prepared by local restaurants and UT          event to raise money for ChildrenÕs                  Todd Helton Celebrity Golf Tournament
        Join the ABC Club.                       r Please call me at the above phone number for a free confidential consultation concerning planned giving.   fraternities.                                 Hospital in honor of their daughter
                                                                                                                                                                                                                                                                              November 8
        For more information,                                                                                                                                                                                                                                                  Tino Sale
                                                 r Please send me more information about deferred giving.                                                         Football fans are encouraged to stop by   Stephanie, a long-time patient. In 2003,                        November 10-11
         call (865) 541-8441.                                                                                                                                 Fiji Island any time three hours before the   the event raised more than $8,000 for
                                                 r I have already included ChildrenÕs Hospital in my estate plan in the following way:                                                                                                                                   Fantasy of Trees Gala
                                                                                                                                                              8 p.m. kickoff and enjoy "All You Can Eat     the hospital.                                                    November 23
                                                     __________________________________________________________________________                               Wings." In 2003, the "wing fest" raised          Admission to Gibbs Haunted Forest is                         Fantasy of Trees
                                                 r Please send me information about the ABC Club.                                                             more than $3,000 for ChildrenÕs Hospital.     $7, and children 6 and under are admitted                       November 24-28

                                                                                                                                                              Tickets are $5 in advance and $6 on game      free; all proceeds benefit ChildrenÕs              For more information about any of these events,
                                                             ChildrenÕs Hospital Development Office (865) 541-8441                                                                                                                                               call (865) 541-8441 or visit our Web site at
                                                                                                                                                              day. For tickets or more information,         Hospital. For more information on the              www.etch.com and click on “Coming Attractions.”
                                                                                                                                                              call (865) 541-8437.                          event, call (865) 541-8437.
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                                                                                                                                                                                                 who is age 4-8 and less than 5 feet       Q : Do you recommend secondhand car
                                                                                                                                                                                                 tall (regardless of weight).              seats?
                                                                                                                                                                                              8. Using a seat that has been recalled or    A : Here are some things that you should
                                                                                                                                                                                                 is outdated.                              consider if it is absolutely necessary to
                                                                                                                                                                                              9. A child under the age of 12 riding in     use a secondhand car seat:
                                                                                                                                                                                                 the front seat.                           ¥ Is the seat more than 10 years old?
                                                                                                                                                                                              10. The belts positioned incorrectly on      Look on the label for the date it was
                                                                                                                                                                                                 the child; remember "belts over bones."   made. If it is more than 10 years old, it
                                                                                                                                                                                               If you still have questions about           should not be used. Some manufacturers
                                                                                                                                                                                            proper installation, consider going to a       recommend that car safety seats only be
                                                                                                                                                                                            safety seat checkpoint.                        used for 5-6 years. Check with the
                                                                                                                                                                                                                                           manufacturer to find out the companyÕs
                                                                                                                                                                                            Q : How can a caregiver find a safety seat     recommendation.
                                                                                                                                                                                            checkpoint?                                    ¥ Was it ever in a crash?
                                                                                                                                                                                            A : Checkpoints, which are free, are           ¥ Does the seat have any visible cracks in
                                                                                                                                                                                            organized twice a month by the SAFE            the frame?
                                                                                                                                                                                            KIDS Coalition of the Greater Knox Area        ¥ Are there any parts missing?
                                                                                                                                                                                            and the Knoxville Police Department.           ¥ Has the seat been recalled?
                                                                                                                                                                                            They are staffed by NHTSA-trained and          If you answered yes to any of the
                                                                                                                                             Dr. Mick Conners                               AAA-certified child passenger safety           questions above, you should NOT use the
                                                                                                                                                                                            technicians who will check the                 secondhand car seat.
                                                                                                                                             available that will hold a child who           installation of your seat(s) and teach you     Other questions to consider include:
                                                                                                                                             weighs more than 100 pounds, regardless        proper installation techniques.                ¥ Does it have a label with a date of
  Seat belts,booster seats and car seats: Do you know the law?                                                                               of height. Currently, there is only one
                                                                                                                                             booster seat that is designed for children
                                                                                                                                                                                                Checkpoints are offered the FIRST          manufacture and model number?
                                                                                                                                                                                            Saturday of each month at Rodgers              ¥ Does it have the original instructions?
 Parents, grandparents and child care professionals place children in cars, vans and other vehicles every day.                               taller than 4 feet 9 inches (it is intended    Cadillac at 8360 Kingston Pike in              ¥ Is it less than 1 year old?
Where in the car should children of different ages ride? Should children be in car seats, booster seats or seat belts?                       for children up to 5 feet tall). It is         Knoxville. Hours are 9 a.m. to noon.               If these questions are not clearly
                                                                                                                                             available only at Babies R Us, and we          Remaining dates for 2004 are July 3,           answered, I would recommend getting a
    Many caregivers have had training in      pediatricians, it is very simple: putting a   of a crash. Any child under 1 year old           understand the model may soon be               August 7, September 4, October 2,              new seat. If you have questions or
the appropriate way to install a car seat     child properly in a car or booster seat can   (even if he or she weighs more than 20           discontinued.                                  November 6 and December 4.                     concerns, visit a Safety Seat Checkpoint
or a booster seat, while others try to        be the difference between life and death if   pounds) or any child weighing 20                     If your child weighs more than 100             Checkpoints are offered the SECOND         or call the local law enforcement agency
follow the instructions on the box, and       the child is involved in a wreck.             pounds or less must be in a rear-facing          pounds or is between 4 feet 9 inches and       Saturday of each month at Rusty Wallace        in your area to have the seat inspected
others remain unclear on these issues.                                                      car seat.                                        5 feet tall, you need to follow the booster    Honda on Callahan Road in Knoxville.           and properly installed before you begin
Not only do many people not understand        Q : What are the specific changes to the      ¥ Convertible seats Ð These seats can be         seat manufacturersÕ guidelines.                Hours are 10 a.m. to 1 p.m., and               using it.
the proper way to restrain a child, nor the   child passenger restraint law in              used from birth until about age 4, or a          Remember that the law was created for          remaining dates for 2004 are July 10,
importance of doing so for a childÕs          Tennessee?                                    weight of about 40 pounds. Infants ride          safety, not for punishment. So if your         August 14, September 11, October 9,            Q : What if my children donÕt like safety
safety, but caregivers of children should     A : Here are the law's provisions:            backward; later the seat can be converted        child is under age 9 but is above the          November 13 and December 11.                   seats or safety belts?
also know that the current state of           ¥ Any child under 1 year old (even if he      into a forward-facing seat for toddlers.         weight and/or height guidelines for                For additional information, call the       A : It really is not their choice. Children
Tennessee law on child restraints is          or she weighs more than 20 pounds) or         ¥ Toddler seats Ð This type of seat is used      booster seats, use the following tips to       SAFE KIDS office at (865) 215-5175 or the      simply canÕt understand the risks of a
changing.                                     any older child weighing 20 pounds or         for children 20-40 pounds who are able to        ensure your child is safe if you choose        Knoxville Police Department at (865) 215-      motor vehicle crash and the benefits these
    Dr. Mick Connors, Emergency               less must be in a rear-facing car seat and    sit without support. The childÕs size            not to put him or her into a booster seat:     8633.                                          devices provide. As an adult and parent,
Department physician at East Tennessee        should be placed in the back seat, if         should be such that the ears are below           ¥ The seat belt should be positioned over          If you live outside the Knoxville area,    you must insist on children and all
ChildrenÕs Hospital, offers the following     available.                                    the top of the seat and shoulders are            the child's pelvis and across the              check with your local police department        passengers using proper restraints for
information on the proper installation        ¥ Children should be in car seats until       below the seat strap slots.                      collarbone and sternum (the child must         for assistance.                                their own safety and protection. DonÕt
and importance of using a child               they are 4 years old and weigh 40             ¥ Booster seats Ð These seats are used           ride in a seat with both a lap and                                                            start the car until everyone (including
passenger safety seat and the new             pounds. Again, they should sit in the         when a child has outgrown a toddler or           shoulder belt).                                Q : ArenÕt car restraint systems expensive?    yourself) is buckled up. If you make it a
Tennessee law on this important child         back seat.                                    convertible seat but is still too small to fit   ¥ Have the child sit closer to the seat belt   A : The cost of a new child restraint          habit and start practicing when your
safety issue.                                 ¥ All children ages 12 and under should       properly in a vehicle safety seat.               buckle so that the shoulder strap will not     device varies according to type, model         children are young, buckling up and
                                              ride in the back seat (when available).       All of these seats are required by law in        go across his or her neck.                     and place of purchase. The least               getting in a booster seat will not be
Q : Why is the current law changing?          ¥ Children ages 4-8 who are less than 5       Tennessee as of July 1, 2004.                    ¥ The childÕs legs should bend                 expensive devices are the nonconvertible       something "odd" or "not coolÓ; it will
A : The old law was outdated and not          feet tall, regardless of weight, are                                                           comfortably at the edge of the carÕs seat      infant restraint devices and the harness       simply be part of the ride.
accurate to current safety standards. The     required to ride in a belt-positioning        Q : Why booster seats? Are they really so        when he or she is sitting all the way back     restraint device. In general, the more             Trust me, if you havenÕt seen someone
state of Tennessee and its lawmakers are      booster seat, located in the rear seat (if    important that the state made their use a        in the seat.                                   features a device has, the more it will        injured in a motor vehicle crash, you
working hard to keep our children safer.      available). Previously, children ages 4 and   law?                                                 If you have additional questions or        cost, although a higher price does not         donÕt want to. Buckle up and be safe.
The current changes basically followed        older were not required to be in a booster    A : Absolutely. The reason for booster           concerns regarding this issue, please visit    necessarily mean a safer device. I would           LetÕs all work to lower the high
the child passenger safety                    seat.                                         seats is simply to better position the child     a car seat checkpoint or contact your local    recommend a car seat with a five-point         mortality on Tennessee roads. Parents
recommendations of the National               ¥ Every child and teenager under age 18       in his/her seat belt. Children less than 5       police department.                             restraint. These generally range from $40      should start the trend of seat belt wearing
Highway Traffic Safety Administration.        must use a seat belt.                         feet tall, when wearing their seat belt,                                                        to $100.                                       by setting an example for the entire
                                              ¥ If you need to take the child out of the    will typically have the shoulder portion         Q : What are some common mistakes                  Booster seats needed for children ages     family, friends, and neighbors. Make it a
Q : What are the dangers of not placing a     restraint, you must stop the vehicle.         across their neck and the lap portion of         that someone should avoid with car             4-8 can range in price from $15 to $50 and     routine for everyone in the car to be
child in a car or booster seat correctly or   ¥ The driver of the car is responsible for    the belt over their belly button area. If the    safety restraints?                             are available at most area retailers such as   properly restrained and use car seats,
in a restraint completely?                    ensuring children under age 16 are            belt is in this position in a crash, the child   A : The following common mistakes can          Wal-Mart, Babies R Us and Toys R Us.           booster seats and lap shoulder belts.
A : More children in the United States are    properly restrained. If a childÕs parent or   could suffer severe neck injuries and            easily be avoided by taking extra time         Visit the American Academy of                  Make sure you use them properly. If you
killed and injured in car crashes than        guardian is in the car but is not the         internal abdominal and spine injuries.           and care in placing your children in a         Pediatrics' Car Safety Seats Guide at          donÕt make sure your child is safe when
from any other cause of injury, and traffic   driver, the parent or guardian is             This common injury is called "lap belt           restraint seat:                                www.aap.org/family/carseatguide.htm for a      riding in a car or van, unfortunately your
crashes are the number one killer of          responsible, rather than the driver. Fines    syndrome." By using a booster, the                 1. Car seat is too loose in the seat.        detailed explanation about seats and a list    next trip with your child might be to a
children ages 1-5. Even with current          are issued for violation of the laws.         shoulder strap will go across the chest            2. The harness is too loose on the child.    of available seats, including type, price      hospital emergency department.
legislation related to car seats, more than                                                 and the lap belt will be over the child's          3. The infant has been turned forward        and weight/height the seat will
1,000 infants and toddlers die and            Q : What are the basic types of child         bony pelvis, thus preventing these                    facing too soon.                          accomodate (scroll down the page to find                      Compiled by Janya Marshall,
another 40, 000 are seriously injured each    restraint devices?                            serious injuries.                                  4. The rear-facing seat has not been         the list).                                           Associate Director for Public Relations
year because they aren't properly             A : There are four types of child restraint                                                         placed at a 45-degree angle.                  These costs are tiny compared to the
restrained, according to the National         seats:                                        Q : What if I canÕt find a booster seat that       5. The retainer clip is used incorrectly.    medical costs and the pain and suffering
Safety Council. Shockingly, TennesseeÕs       ¥ Infant seats Ð These should be used         will accommodate my larger child?                  6. The harness straps are placed             of a child who is improperly restrained
fatality rate is 50 percent higher than the   from birth until 12 months to reduce the      A : This is a concern for many parents.               through the wrong slots.                  and who suffers an injury in a motor
national average. To me and other             risk of cervical spine injury in the event    Unfortunately, there is NO booster seat            7. Not using a booster seat with a child     vehicle crash.

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