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					           Star Chronicle
       A newsletter for the UMass Memorial Children’s Medical Center

                   The Children’s Medical
                                                                                                                                            Fall 2008

                   Center recently
                   engaged more than
                   100 faculty and staff in
                   a strategic planning
                   process. There were
                   five task forces, with
some including parents of our patients
and donors. The purpose of the strategic
planning process was to make sure that
the Children’s Medical Center’s goals over
the next three to five years are aligned
with the goals of the Medical Center and
the Medical School.

The task forces were charged with making
recommendations in the following five
areas: patient experience, philanthropy,
workplace of choice, academic excellence,

                                               Teddy Marous plays in his backyard.
and community improvement.

                                               PICU puts “team” in teamwork
Each task force submitted a report
describing key findings and deliberations.
Many creative and bold ideas were
presented and shared with Medical              A parent’s worse fear is that something terrible may happen to his/her child. Unfortunately for
Center and Medical School leaders so           the Marouses, this fear came true in March 2007, and adding to that fear was that Mr. and Mrs.
they can guide us in improving and             Marouse were almost 1,000 miles away from their son.
enhancing children’s services.
                                               Teddy Marous, 13-months-old, was staying with his grandparents when the three of them were
Ideas presented to them include:               in a car accident.While his grandparents sustained minor injuries,Teddy suffered severe head
• Improving wayfinding                         trauma.
• Expanding services                           Scot Bateman, MD, chief, Pediatric Critical Care, explains the first call to Teddy’s parents was
• Branding us both internally and              somewhat difficult, “It was a challenge trying to communicate with them in an effective way
  externally                                   since they were in an airport awaiting a flight home,” said Dr. Bateman.
• Consolidating services at one site
                                               When Teddy’s parents arrived at UMass Memorial, he was on a ventilator in the Pediatric
• Investing more resources in research
                                               Intensive Care Unit (PICU) with an orbital fracture, a brain injury and a neck injury. “When a
  and training
                                               child has this many serious injuries, it takes a huge team effort. His treatment required PICU
• Creating more outreach programs for
                                               physicians and nurses, specialists, pharmacists, respiratory therapists, nutritionists, physical
  community physicians.
                                               therapists, social workers and child life specialists,” says Dr. Bateman.
Some suggestions can be implemented
                                               After one week,Teddy was well enough to be transferred for rehabilitation of the left side of his
easily and others will take much thought
                                               body. “Anybody’s child being in the ICU is a family’s worst nightmare. Our job is to make it as
                                                                                                                             Continued on page 2
and planning. For example, we
                         Continued on page 6
                                                                                                                     Our Academic Partner
    Patients enjoy
    more privacy
    This summer, the pediatric
    inpatient unit reopened eight beds
    on the University Campus. The
    beds, formerly two rooms with
    four beds, are now two private
    rooms and three semi-private
    rooms. Pictured is patient Delylah
    Dominguez (bottom right), and
    members of the pediatric team
    at the ribbon cutting celebration.

    Children’s Medical Center                                                              PICU puts “team” in teamwork — Continued from page 1

    hosts Russian delegates                                                               comfortable as possible while they are here,” said Dr. Bateman.
                                                                                          Comfortable as possible is exactly what the team provided!
    A 12-member delegation from Pskov, Russia, saw firsthand how                          Kathryn Marous,Teddy’s mother, describes her experience with
    care is delivered to children in the United States when participants                  the PICU team as “extremely impressive.” Her two older children
    visited our Children’s Medical Center.                                                spent time in a Neonatal Intensive Care Unit, so she was familiar
                                          The group of physicians and                     with an intensive care setting.What she was not as familiar with
                                          other leaders toured pediatric                  was the high level of care families can receive outside of Boston.
                                          areas such as the inpatient floor,              “After hearing Teddy’s diagnosis, I spoke with a Boston
                                          Intensive Care Unit, Emergency                  physician I had dealt with on numerous occasions who told me
                                          Department, early intervention                  that he would consider coming to Worcester to consult Dr.
                                          facility and Newborn Intensive                  Oguz Cataltepe, pediatric neurosurgeon, had one of his own
                                          Care Unit.The visitors learned                  children sustained an injury like Teddy’s,” Mrs. Marous said.
                                          about infant care in hospitals,                 In addition to Teddy’s outstanding medical care, Mrs. Marous
                                          reproductive programs in the                    was also impressed by the level of family centered care that she
                                          community and how democracy                     received. She describes Dr. Bateman as “helpful, nice, responsive,
    works on the state level. Last fall, members of the Children’s                        compassionate and kind to her family.” Child Life staff were a
    Medical Center visited Pskov to share ideas on caring for                             “breath of fresh air” when it came to telling her two older
    hospitalized children.                                                                children about Teddy’s injuries.
    Pictured in the playroom of the inpatient unit are (left to right):                   “We could not have been more impressed and satisfied by
    Richard Moriarty, MD, pediatric infectious disease; Lyubov                            the care we received across the board from the Children’s
    Ignatushchenko, MD, Pskov City Children’s Hospital;Vladimir                           Medical Center,” explained Mrs. Marous.Teddy, after
    Novosyadlo, MD, Pskov City Children’s Hospital; and Chloe, a                          completing rehabilitation, is now as active and rambunctious
    Children’s Medical Center pet therapy dog.                                            as any 2-year old.

            Star Chronicle
                                               Star Chronicle is published three times a year by the Marketing and Communications Department at UMass Memorial Medical Center.
                                               Questions, comments and feedback are welcome. Contact: Pam Deveny, Marketing and Communications Department, Hahnemann Campus,
                                               Grosvenor Building, 281 Lincoln Street, Worcester, MA 01605, Tel: 508-334-8291 or e-mail:
2                                              Contributing writers: Melanie Bonsu, Laurie Griggs, Briana Hall
                          Protecting children when they need it most
                                                               The name says it all — child protection.This UMass Memorial Children’s
                                                               Medical Center program evaluates children for concerns of physical abuse, sexual
                                                               abuse and neglect.
                                                               “Our team makes sure children are safe,” said Rebecca Moles, MD, chief of child
                                                               protection. “And we advocate for those who can’t do it for themselves.”
                                                               This was the situation for 2-year-old “Robby,”* who was brought to the
                                                               Emergency Department with burns over 15 percent of his body. During a bath,
                                                               his mother turned around to grab a toy. In the few seconds she was not looking,
                                                               the toddler turned on the hot water and was scalded.The next day, his mother
                                                               noticed blisters and redness and took him to UMass Memorial.
                                                               “In this case, the emergency physician contacted us with concerns about the boy’s
                                                               injuries and the story mom told,” explained Dr. Moles. “We evaluated the child,
                                                               which included a detailed history, a complete physical and developmental exam,
                                                               and photos of the injuries for diagnostic purposes.” In “Robby’s” case, the injuries
                                                               were consistent with the history provided, but the accident was used as an
                                                               opportunity to teach his mother about water safety and how to prevent burns.
                                                               The job does not stop there. “We work collaboratively with many other
                                                               organizations, including the district attorney’s (DA) office, police and the
                                                               Department of Children and Families (DCF), on a determination of the
                                                               likelihood of abuse,” Dr. Moles said.
                                                               Recently about 120 professionals, including representatives from DCF,Worcester
                                                               County DA’s office and Worcester County law enforcement jurisdictions, attended a
                                                               Central Massachusetts Child Abuse Investigation Summit, coordinated by the Child
                                                               Protection Program. Participants discussed how to interact with each other better,
Dr. Moles examines a patient* in the child protection office   ways to identify what was working/not working and ways to improve processes.
for signs of physical abuse.
*Fictitous patient

                           Research and clinical care are in harmony
Balancing patient care and clinical research is a challenge the               and comparing treatments for children with type 2 diabetes.
Division of Pediatric Endocrinology and Diabetes is mastering.                The team is also involved with the Barton Center for Diabetes
“Through our academic partnership with UMass Medical School                   Education in Oxford. Dr. Lee is a trustee and camp medical director,
and a team that has grown extensively, research is an important part          while other team members serve as camp physicians. Meanwhile, a
of our overall effort to provide excellent patient care,” explained           collaborative effort with Taniya de Silva, MD, adult endocrinologist,
Mary Lee, MD, chief of pediatric endocrinology.                               helps teens transition from pediatric to adult endocrinology care.
Currently, six pediatric endocrinologists follow more than 2,000              Michael Stalvey, MD, the newest addition to the team, is one of a
endocrinology patients; 600 are diagnosed with diabetes. “We offer            few pediatric endocrinologists in the country who specializes in
our patients a team approach to care and integrate a treatment plan           endocrine disorders affecting cystic fibrosis (CF) patients. “Because
that involves the child and family,” said Dr. Lee.                            endocrine disorders become more prevalent as CF patients grow
The focus on teamwork and family runs parallel in both hospital               older, it is critical that we study secondary conditions affecting
care and research. For example, current diabetes research initiatives         them,” said Dr. Stalvey.
include a screening and prevention trial for at-risk relatives of             Other research interests include vitamin D and inflammation in
children with type 1 diabetes, a sibling study on psychosocial family         obesity, effects of environmental chemicals on children, and newer
dynamics, a pilot program utilizing new tools to educate parents,             treatments for problems with growth and puberty.

                           Events bring families and staff together
Celebrating Life                                                         Aiding in the healing process
Meeting families’ needs when it comes to the highs and lows of           For some parents, the annual Remembrance Ceremony, held for
having a child with a terminal illness is a priority of those involved   children who have passed away due to terminal illnesses, provides an
in caring for these children.Through two annual events, staff aids in    opportunity for continued healing and remembrance of the child
the healing process.                                                     whom they have lost.
Fighting cancer and winning is a good reason to celebrate. For five      More than 120 people attended this year’s event, including family
years, the Children’s Medical Center staff has planned a fun-filled      members and pediatric staff. Each year, families are asked to submit
event with food, music and games as a way to celebrate winning           a picture of their child as well as a song that reminds them of their
the battle.                                                              child.The planning committee presents a slideshow that integrates
The theme to this year’s survivor                                                                               the songs for the families.
event was “Fiesta.” Along with                                                                                 Jennifer Spencer, RN, CPNP,
making maracas, the children                                                                                   event coordinator, said, “The
danced to music and participated                                                                               ceremony is a beautiful event,
in arts and crafts activities. “The                                                                            allowing families and members
yearly pediatric cancer survivors’                                                                             of the health care team to
party affords children and                                                                                     reflect on the children in hopes
families the opportunity to                                                                                    of providing some emotional
celebrate life following the                                                                                   healing and bereavement
struggles of cancer treatment and                                                                              support.”
re-energizes the staff,” said
Christine Sullivan, RN, CPNP,
coordinator of the event.

                                                 Offering pain-free procedures
                                                  Can you imagine a child having a test or procedure and not having any discomfort?
                                                  This is the goal of the new Pediatric Sedation Program offered to pediatric inpatients
                                                  and outpatients.
                                                  “Oftentimes, procedures cause patients stress and can be uncomfortable. And sometimes
                                                  children may not be able to lie still,” said pediatric critical care specialist Carrie Armsby,
                                                  MD, director, Pediatric Sedation Service. “We want to provide care that is needed, and we
                                                  strive to make it pain-free, safe and effective.”
                                                  This is done through a multidisciplinary approach that includes specially trained pediatric
                                                  hospitalists, critical care physicians, nurses and child life specialists. Procedures include
                                                  lumbar punctures, bone marrow aspirations, dressing changes for burns, CT scans, MRIs,
                                                  and placing peripherally inserted central catheter or PIC lines.
                                                  After assessing the child, the team determines the best sedation method that allows the
                                                  procedure to take place in a pain-free way. “This service is important to the experience of
                                                  the child, and parents are reassured their child won’t have discomfort,” said Dr. Armsby.

        For a referral to a pediatric specialist or primary care physician,
             please call 800-431-5151 or visit                                                                              4
                                    Important Telephone Numbers
    Adolescent Medicine – 508-856-5624           Hematology/Oncology – 508-856-4225               Primary Care
    Asthma – 508-856-4155                        Immunology – 508-856-3947                           University Campus – 508-856-5545
    Cardiology – 508-856-4154                    Infectious Disease – 508-856-3947                Psychiatry – 508-856-1256
    Cystic Fibrosis – 508-856-4155               Nephrology – 508-334-2131                        Pulmonology – 508-856-4155
    Dermatology – 508-334-5979                   Neurology – 508-856-3279                         Rheumatology – 508-856-1572
    Developmental and Behavioral Pediatrics –    Neurosurgery – 508-334-7667                      Sleep Medicine – 508-856-4155
       508-856-3028                              Orthopedics – 508-334-2372                       Surgery – 508-856-2128
    Diabetes/Endocrinology – 508-856-4280        Otolaryngology – 508-856-4161                    Urology – 508-856-6504
    Gastroenterology/Nutrition – 508-856-3497    Plastic and Reconstructive Surgery –
    Genetics – 508-856-3949                          508-856-5299

    Welcome to our new physicians
                Negar Behshti, MD – Child Psychiatry                                Gregory Owens, MD – Pediatric Hospital Medicine
                UMass Memorial Medical Center – University Campus                   Milford Regional Medical Center
                55 Lake Avenue North, Worcester, MA 01655                           14 Prospect Street, Milford, MA 01757
                Tel: 508-856-6013                                                   Tel: 508-422-2987

                Rachel Coleman, MD – Pediatric Primary Care                         Anne Powell, MD – Adolescent Medicine
                UMass Memorial Medical Center – University Campus                   UMass Memorial Medical Center – University Campus
                55 Lake Avenue North, Worcester, MA 01655                           55 Lake Avenue North, Worcester, MA 01655
                Tel: 508-334-2853                                                   Tel: 508-334-2853

                Jessica Edwards George, PhD – Child Psychology                      Kim Schwartz, MD – Child Protection
                UMass Memorial Medical Center – University Campus                   UMass Memorial Medical Center – University Campus
                55 Lake Avenue North, Worcester, MA 01655                           55 Lake Avenue North, Worcester, MA 01655
                Tel: 508-856-6580                                                   Tel: 508-856-6629

                Michael Fahey, MD – Pediatric Cardiology                            Michael Stalvey, MD – Pediatric Endocrinology
                UMass Memorial Medical Center – University Campus                   UMass Memorial Medical Center – University Campus
                55 Lake Avenue North, Worcester, MA 01655                           55 Lake Avenue North, Worcester, MA 01655
                Tel: 508-856-4154                                                   Tel: 508-856-5695

                Bonnie Matthews, MD – Pediatric Emergency                           David Tapscott, MD – Pediatric Primary Care
                Medicine                                                            Tri-River Family Health Center
                UMass Memorial Medical Center – University Campus                   281 East Hartford Avenue, Uxbridge, MA 01569
                55 Lake Avenue North, Worcester, MA 01655                           Tel: 508-278-5573
                Tel: 508-334-2599
                                                                                    Jennifer Thompson, MD – Pediatric Critical Care
                Pradeep Nazarey, MD – Pediatric Surgery                             UMass Memorial Medical Center – University Campus
                UMass Memorial Medical Center – University Campus                   55 Lake Avenue North, Worcester, MA 01655
                55 Lake Avenue North, Worcester, MA 01655                           Tel: 508-856-2164
                Tel: 508-856-2128

                                            To improve the health of infants, children and adolescents within Central New England
      CMC Mission Statement                 through the delivery of family-centered care, excellence in education and research, and the
5                                           advocacy, support and promotion of children’s health.
            55 Lake Avenue North
            Worcester, MA 01655

New chief of pediatric                                                 Dr. Felice letter — Continued from page 1

cardiology announced                                                   recognized that the Children’s Medical Center has grown
                                                                       immensely in faculty and patient services in the past few years.
                                Darshak Sanghavi, MD, has been         This growth spurt may require us to develop a better
                                named chief of pediatric cardiology.   organizational structure so that everyone is aware of our goals
                                Dr. Sanghavi, who joined the           and activities. We can begin working on that recommendation
                                Children's Medical Center in 2005,     right away. Improving way finding may take more thought
                                received his medical degree from       and time.
                                Johns Hopkins School of Medicine.
                                                                       These are exciting times for our organization, and the Children’s
                                He completed his residency and
                                                                       Medical Center is ready to take on the challenges and
                                fellowship at Children's Hospital in
                                                                       opportunities that lie ahead. We look forward to continuing our
                                Boston and a research fellowship in
                                                                       role as the major site for comprehensive health services for
                                immunology and cell biology at
                                                                       children in Central Massachusetts.
                                Johns Hopkins. Board certified in
pediatrics, Dr. Sanghavi is an assistant professor at the Medical      Marianne E. Felice, MD
School. He is a nationally known pediatric author and                  Professor and Chair, Department of Pediatrics,
commentator.                                                           University of Massachusetts Medical School
                                                                       Physician-in-Chief, UMass Memorial Children’s Medical Center
“He has distinguished himself as an excellent clinician and teacher
and he has educated all of us about using the media to educate
families and patients about medical matters,” says Marianne Felice,
MD, physician-in-chief, Children’s Medical Center.

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