it's about children, issue 1, 2017

MeetJasmynethe healthy teen whoinspires others

10 easy tipsfor healthy snacking

Fletcher’s smile

NewsYour dollars at work

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Safe Sitter class for children ages 11 to 14

Car seat inspections

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9 a.m. to 3 p.m.Children’s Hospital’s Koppel Plaza BuildingClass costs $25.Visit www.etch.com/healthykids to register. Learn correct babysitting techniques, emergency responses and how to use babysitting as a business.

10 a.m. to 1 p.m.Knoxville Police Department, 917 East Fifth Ave., KnoxvilleIt’s free.You don’t have to register to attend. We’ll teach you everything you need to know to make sure your car seat is used and installed correctly. For information on other car seat inspections in the region, visit www.sittingsafer.com.

Mark Your Calendar

2 It’s About Children, Issue 1 • 2017

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18 Record Safety

Reasons to Smile

Dancing for Donations

Healthy Habits

East Tennessee Children’s Hospital’s Pediatric Intensive Care Unit (PICU) went three years without a central line-associated bloodstream infection (CLABSI). Here’s how they did it.

After eight weeks in the Neonatal Intensive Care Unit and two jaw surgeries, 14-month-old Fletcher is on the right track to recovery.

Local celebrities raised a record $184,000 for Children’s Hospital at the 2017 Star 102.1’s Dancing with the Knoxville Stars.

When Jasmyne was 11 years old, she was overweight. She turned to the Healthy Ways Clinic at East Tennessee Children’s Hospital for help.

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

East Tennessee Children’s Hospital.Editor: Leandra Wilkins

Designer: Deborah HostermanCover photo by Neil Crosby

Additional photos by Sally Sommerville

Connect with us:www.etch.com/ItsAboutChildren

[email protected]

Spotlight

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Butterfly Dash and Bash 5K/10K

CPR class for parents and teens age 14 and older

Safe Sitter class for children ages 11 to 14

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8 a.m. to 6 p.m.World’s Fair Park Race registration: $25 - $30Log onto www.etch.com/dashandbash to register. Proceeds go to East Tennessee Children’s Hospital.

6 to 10 p.m.Children’s Hospital’s Koppel Plaza BuildingClass costs $25.Visit www.etch.com/healthykids to register. Learn CPR so you can respond to emergencies in your home.

3Donate at www.etch.com/giving

Jasmyne, age 13


by Leandra Wilkins

When Jasmyne Simpkins was 11 years old, she had high blood pressure, high insulin levels, and

hypertension due to being overweight. But her biggest

problem was boredom.continued on page 6

HabitsHealthy

Jasmyne, age 11, at the Kuumba Festival

in Knoxville.

Jasmyne and her mother meet with the team at the Healthy Ways Clinic.

Kimberly Simpkins noticed her daughter’s weight gain one afternoon in 2015. Concerned for Jasmyne’s wellbeing, Kimberly turned to the Healthy Ways Clinic at East Tennessee Children’s Hospital. Healthy Ways is a family-centered, collaborative and interdisciplinary program that includes pediatric specialists in medicine, psychology, nutrition, physical therapy and nursing. The clinic was first formed in 2007, and in the past 10 years they have helped more than 750 children with weight and dietary issues. The clinic sees patients from 2 to 18 years of age and who have a body mass index (BMI) of 85% or greater. Studies show that children above this percentage are at greater risk for developing weight-related issues like diabetes, high blood pressure, and heart disease. After receiving a referral from her primary care physician, Jasmyne met with a consultation team consisting of a pediatrician, physical therapist, psychologist, and a dietitian. Together, these specialists asked the tough questions about Jasmyne’s home life, school, family, friends, meal times and activities—all to get better insight into Jasmyne’s particular situation. “A lot of Jasmyne’s setbacks came from convenience eating and not enough physical activity,” says psychologist Janis Neece, Ph.D. “I was bored,” Jasmyne says. “After school, I would come home and watch TV and eat.” By looking at her own behavior, Jasmyne was able to curb habits like eating as a result of boredom. Eating in front of the television is a common behavior for many Americans, and often leads to binge eating and weight gain. Jasmyne cut back her own screen time, which allowed her to change her associations between television and food. She also started eating cleaner and at regular times. As a working mom, Kimberly admits that her hectic schedule led to unhealthy dinners and irregular eating schedules for her and Jasmyne. By encouraging parents to assist in the process, the specialists at Healthy Ways empower families to make better choices. “Our focus is on healthy lifestyles, not just eating healthy or losing weight,” says Dr. Neece. “We plant seeds that grow into healthy choices.”

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Jasmyne with her mom Kimberly“Healthy Ways

helped me see what I was doing right, and how to improve

upon that,” Kimberly says.

After an initial evaluation, the program offers two phases. First, families meet with the clinic team five to eight times over 16 weeks to discuss nutrition and exercise. Then, families follow up every three months over the next year. During her visits, Jasmyne learned how to create new, healthier habits. In addition to moderation and exercise, she learned how to read food labels, and to pay attention to things like added sugars and portion sizes. “It’s a habit now,” says Jasmyne. “Whenever I go to buy something, I check how much sugar is in it.” Jasmyne continued to work on her own after her sessions ended. She took up African dancing and more cardio-intense exercises. To keep her interest, Jasmyne had to constantly change her workout routine. She admits that she didn’t want to do the

work at first; she would grow bored with regular workouts and give up. But she eventually found dance videos on YouTube that she could do at home. Now, she says, instead of coming home from school and watching TV, she’ll clear out a space in the living room and dance. After a year of hard work and dedication, the results are as evident as the smile on her face. When she came in for her follow-up appointment, Jasmyne had lost 30 pounds. “It was amazing,” says Dr. Neece. “And she did it all on her own.” “She can do whatever she wants to,” says Kimberly. “She’ll accomplish whatever she puts her mind to.” Jasmyne says losing the weight made her feel more confident and comfortable with her body image. “There’s nothing wrong with being bigger,” she says. “What’s

important is getting healthier.” This is advice she has passed on to her parents over the past year. Kimberly says Jasmyne has made her more aware of her own lifestyle. “Every time I grab food out instead of cooking at home, Jasmyne tells me, ‘Mom, that’s not healthy for you.’ It’s really eye-opening,” she says. Jasmyne’s continued success relies entirely on her own drive. She is motivated to keep exercising and eating right. This summer, she plans to go to a three-week African dance camp, and eventually she wants to try out for her school dance team. She hopes that her story inspires other kids to make better decisions when it comes to living healthy lives. “If I can do it, you can,” she says. “Just work hard for what you want and don’t beat yourself up.”

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Jasmyne’s team of specialists includes (left to right):clinical nutrition specialist Sarah White, M.S., R.D., L.D.N., psychologist Janis Neece, Ph.D., Charlotte Sutton, M.D.,

and physical therapist Danielle Robinson, P.T., D.P.T.

The family that snacks together Experts agree that meal times should be family time. As a working mom, Kimberly Simpkins has a busy schedule that doesn’t always allow her to cook and eat meals with her daughter. But when Jasmyne started attending sessions at East Tennessee Children’s Hospital’s Healthy Ways Clinic, the pair learned that balanc-ing healthy eating with hectic schedules is sometimes as simple as grabbing a snack together. “Your child really does pay attention to the way you eat,” says Sarah White, a clinical nutrition specialist at East Tennessee Children’s Hospital. “As they grow up, they’ll most likely eat the way you do. So take a break and eat a healthy snack with your child.” White encourages parents to be selective in their snacking options. Choosing satisfying snacks for your children is easy. Here are some of her recommendations:


Mix it upFor older school-age kids, mix dried fruit, unsalted nuts, and popcorn in a snack-size bag for a quick trail mix. Put fat-free yogurt, 100% fruit juice, and frozen peaches in a blender to make a tasty smoothie.

Grab a glass of milkA cup of low-fat milk or fortified soy beverage is an easy way to drink a healthy snack.

Go for great whole grainsOffer whole-wheat breads, popcorn, and whole-oat cereals that are high in fiber and low in added sugars, saturated fat, and sodium. Limit refined-grain products such as snack bars, cakes, and sweetened cereals.

Snack on protein foodsChoose protein foods such as unsalted nuts and seeds, hummus or other bean dips, and hard-cooked (boiled) eggs for a healthy, easy snack.

Fruits are quick and easyFresh, frozen, dried, or canned fruits, such as applesauce, frozen grapes, or raisins, can be easy “grab-and-go” options that need little preparation. Offer whole fruit and limit the amount of 100% juice served. Choose canned fruits that are lowest in added sugars..

Keep an eye on the sizeSnacks shouldn’t replace a meal, so look for ways to help your kids understand how much is enough. Store snack-size bags in the cupboard and use them to control serving sizes.

Consider convenienceA single-serving container of low-fat yogurt or individually wrapped string cheese can be just enough for an afterschool snack.

Swap out the sugarKeep healthier foods handy so kids avoid cookies, pastries, or candies between meals. Add seltzer water to a ½ cup of 100% fruit juice instead of offering soda.

Prepare homemade goodiesFor homemade sweets, add dried fruits like apricots or raisins and reduce the amount of sugar in the recipe. Adjust recipes that include fats like butter or shortening by using unsweetened applesauce or prune puree for half the amount of fat.

Save time by slicing veggiesStore sliced vegetables in the refrigerator and serve with hummus. Top half of a whole-wheat English muffin with spaghetti sauce, chopped vegetables, and low-fat shredded mozzarella and melt in the microwave.


30 years ago children had 1 snack per day; today they have 3

60% of children ages 5-17 have at least 1 risk factor for heart diseaseand 20% have 2

obese children are more likely to experience discrimination, bullying, low self-esteem, eeating disorders & depression

14-18% of Tennessee children spend 4+ hours per day in front of a screen

75% of childrenare physicallyactive less than1 hour per day

1in31 in 3 Tennessee children

is overweight

1 in 5 is obese

Childhood Obesity in Tennessee240,000 children have at least 1 chronic obesity-related health condition

such as diabetes, hypertension or high cholesterol

The CDC reports the rate of preschool-age obesity is improving nationwide

Tennessee is 1 of 3 states where it got worse

Obesity costs Tennessee $1.8 billion per year

Obese children cost 3x as much as average-weight children

Source: BlueCross BlueShield of Tennessee

obese children are twice as likely to have sleep apnea and 10 times as lilikely to get type 2 diabetes

asthmadiagnosesincreased 85%for Tennesseestudents in thepast 10 years


Fletcher plays at Children’s Hospital Rehabilitation Center


Reasons to Smile

On a sunny afternoon in May, the sounds of spring fill the playground, and a gentle breeze rustles Fletcher’s strawberry locks. The 14-month old sits chewing on his thumb, feeling for his two new teeth. His father speaks softly to him and Fletcher smiles. After eight weeks in the neonatal intensive care unit, two jaw surgeries, and countless procedures to help his breathing and swallowing, Fletcher’s smile means he is on the right track to recovery. Annie Henry was 33 weeks pregnant when she suffered a placental abruption, which is when the placenta separates from the uterus and causes major internal bleeding. The blood quickly flooded into Fletcher’s nose and mouth. Shortly after birth, he was rushed to the Neonatal Intensive Care Unit

Fletcher with his home health nurse

(NICU) at East Tennessee Children’s Hospital, where his lungs were suctioned out. Soon after, staff noticed he was having trouble with his gag reflex. After seven weeks in the NICU, Fletcher had reached full term, or the original due date for his birth. His doctors considered him healthy enough to receive an external G-tube, which would allow his parents to feed him through a pump into his stomach. His parents spent the next week learning everything they needed to know about G-tube home care. Then, after eight long weeks, Fletcher and his family were able to go home. “That was the best day,” Austin says. “Being able to bring him home, and letting his sisters be able to hold their baby brother—that was a really good day.”


by Leandra WilkinsPhotos by Sally Sommerville

teeth, which his father admits was a nice growing pain to have. “It feels normal to just worry about teeth for a change,” Austin says with a shy smile. Fletcher’s road to normalcy will be long. For now, he will rely on the G-tube for feedings until he is able to swallow without complications. While planning ahead for long term care, the Henrys say returning to the hospital is like returning to a family. “It’s nice to walk in and everyone remembers you,” Austin says. As we sit at the playground, Austin hooks Fletcher up to his feeding pump. Fletcher lies on his back on the picnic table and chews on his fingers as his stomach fills up with lunch. His home health nurse fusses to provide shade, while Austin talks to him. Fletcher doesn’t stay still for long, though. Like any growing boy, he’s ready to explore.

Fletcher with his father, Austin Henry

Photo credit: Shain Rievley at Bloom Photography

But his road to recovery would be a long one.

At home, Fletcher faced complications due to the position of his bottom jaw. It was set so far back that he had trouble breathing. This created a type of apnea that put him at risk of suffocating, especially at night. During a routine surgery to put tubes in his ears, Fletcher’s physician noticed that his tongue was obstructing his breathing. Otolaryngologist Mark Ray, M.D. quickly realized surgery was the only option to help Fletcher breathe. So, at eight months old, Fletcher was admitted to East Tennessee Children’s Hospital Pediatric Intensive Care Unit (PICU), where he underwent a bilateral mantibular extraction. This surgery requires two screws be inserted into the patient’s jaw. The screws stick out of the jaw line on either side of the neck, and are turned

over time, gradually pushing the jaw bone forward. After being released from the PICU, it was up to Austin and Annie to turn the screws each day. For Fletcher, this process took less than two months. Once Fletcher’s jaw was repositioned, Dr. Ray performed a second surgery to remove the screws from Fletcher’s jaw. The benefits from this surgery were almost immediate. Fletcher was no longer at risk for apnea, so he didn’t need breathing equipment at night. He was no longer using all his energy trying to breathe, so he began to gain much-needed weight. At 11 months old, Fletcher only weighed 15 pounds. “There were three-month-olds at our church who weighed more,” Austin says. “Since the surgery, Fletcher has increased his body weight by nearly 40 percent.” By eating more and gaining weight, Fletcher is doing better at physical therapy. He can sit up on his own, and is attempting to crawl. He also recently cut his first two

“being able to bring him home, and letting his sisters be able to hold

their baby brother—that was a really good day.”

—austin henry


Fletcher, 14 months



Record safety

East Tennessee Children’s Hospital reached a major patient safety milestone: its Pediatric Intensive Care Unit (PICU) went three years without a central line-associated bloodstream infection (CLABSI). Here’s how the hospital reached zero.

Destination Zero A CLABSI is a serious infection that occurs when germs enter the bloodstream through the central line. A central line is a long tube that is used to give medicine, fluids and nutrients to patients. Central line infections can be very serious. The CDC reports that CLABSIs result in thousands of deaths each year at hospitals across the nation. These infections are preventable, and East Tennessee Children’s Hospital’s intense infection control practices have kept their PICU CLABSI-free for more than three years. “Being a patient in the PICU means that a child is already in a vulnerable state of health,” said Pam Myers, PICU Nurse Manager. “Parents are counting on us to protect their child from additional problems.” Children’s Hospital employs a program called Destination Zero, a campaign committed to do zero harm to patients. At the unit level, Myers said each team mem-ber is empowered to speak up when they spot a situation that could potentially be harmful to a patient. “We use 200 percent accountability,” said Myers. She added that the hard work at each bedside has saved lives.

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Focused on the goal East Tennessee Children’s Hospital is not the first to reach this safety milestone. The St. Paul campus of Children’s Hospitals and Clinics of Minnesota celebrated two years without a CLABSI in their PICU earlier this year. But three years is the longest East Tennessee Children’s Hospital has gone without a CLABSI. Infection Control Manager Sandra Hardin credited the CLABSI- free run to the hard work and commitment of every hospital employee. “No one person can accomplish a goal this important,” said Hardin. “Every single department within the hospital has ownership in this success.” What’s more, the staff wasn’t even aware of their success. “They did not even know the total of line days without an infection until we researched it,” Hardin said. “They are focused on what they are doing for the kids in their care.” She added that this accomplishment “is a reflection of our commitment to ensure the best and safest possible care to our children and families.” The PICU reached a total of 3,931 days CLABSI-free. Hospital leadership would like to keep the focus on patient safety and celebrate and recognize the amazing outcomes and successes of the staff. “As we move forward, we need to involve families and include them in the care team. We cannot lose our focus on the goal and keep ZERO a priority,” said Myers.


Cocoon of care Baby showers are normally held in the eighth or ninth month of a pregnancy, but they may never happen for parents whose babies arrive much, much earlier. That’s why every three months East Tennessee Children’s Hospital’s Neonatal Intensive Care Unit (NICU) throws a baby shower for the tiny ones, their family and friends. Created by Friends of Tennessee’s Babies with Special Needs, this new idea places a cocoon of care around babies and their families and gives everyone on the NICU team a way to focus their energy and work together toward positive outcomes. “I wish they did this all the time,” says Rosalynn, mom of a NICU graduate and staunch advocate for local families who have premature babies. “It’s such a great idea to be able to give people hope and support who are now in our same exact shoes. Our family loves attending each baby shower. We meet new friends along the way and I love seeing them thrive.” The baby showers include all the usual decorations, refreshments, and gifts. They are also an opportunity for the parents to meet all the members of their team and learn all the ways they can collaborate on the baby’s care. Shower activities include a game for NICU families that helps parents become a strong part of the Neonatal Intensive Care Unit team. By playing the game parents learn how to become involved and informed advocates for their baby. Parents are encouraged to ask questions, write things down, develop a working relationship with the NICU staff and participate in their baby’s care. They are also taught how to prepare for uncertainty and how to deal with new situations as they arise.

“The baby shower gives a feeling of community,” says Tracie Savage, nurse manager at East Tennessee Children’s Hospital’s Neonatal Intensive Care Unit. “Parents are meeting other families and hearing the success stories from people who have experienced almost the exact same thing, had the same feelings,” she continues. “The baby shower is a place where they can draw strength to make it another day, another week, or another month or two in the NICU while their baby sometimes fights for their life. The baby showers are one of the most rewarding events I have been a part of

in my nursing career.” The first NICU baby shower at Children’s Hospital was held on January 26, 2016, and has become a quarterly event. People who routinely attend the baby showers include parent mentors whose children are NICU graduates, social workers, lactation specialists, infant massage therapists, transition experts, transport nurses, volunteer services,

cuddlers and members of Friends of Tennessee Babies with Special Needs. Members of the March of Dimes have also contributed vital support and a welcome presence at these showers. “We are thrilled to partner with Friends of Tennessee’s Babies with Special Needs at our quarterly baby showers. Their family-centered mission is completely aligned with the care we provide to our babies and their families.” says Keith D. Goodwin, President of East Tennessee Children’s Hospital. If you would like more information, or to contribute, please contact East Tennessee Children’s Hospital’s Devel-opment Office at etch.com/giving, or call 865-541-8441.

by Mary Donnet Johnson, contributor

Dr. John Buchheit speaks to parents at a NICU baby shower in January 2017.

The Children’s West Surgery Center.

From left are Elisha, Dr. Little, Krystle Easterly, 2-year-old Ezra Easterly, Michael Easterly and 4-year-old Noah Easterly.


Fifty thousandand counting

Children’s West Surgery Center celebrated a mile-stone in December: its 50,000th surgery. The center is a joint venture between East Tennessee Children’s Hospital and 14 area pediatric surgeons and dentists. The surgery center is located in West Knoxville and is the only pediatric-specific freestanding ambulatory surgery center in Tennessee. “Everything is catered to working with children here,” pediatric otolaryngologist and surgeon John Little, M.D., explained. “We provide pediatric anesthesia from Children’s Hospital anesthesiologists.” The 50,000th surgery patient was 7-year-old Elisha Easterly. John Little, M.D. removed his tonsils and adenoids because they were causing some difficulties, affecting Elisha’s quality of sleep and causing him to snore. “The surgery will help him breathe better, particularly

News

Elisha talks with pediatric otolaryngologist and surgeon John Little, M.D.


at night,” Dr. Little explained. “It prevents any obstruction.” Dr. Little has worked at Children’s Hospital for 18 years. “Dr. Little is great with kids and easy to talk with,” Elisha’s father Michael said. His mother Krystle agreed. “I feel completely comfortable putting my little boy in Dr. Little’s hands.” Children’s West Surgery Center saw its first patient in 2003. “Fifty thousand patients later, we’re excited things are going well,” Dr. Little said. “Our next goal is to take great care of our next patient.” The 9,822 square-foot surgery center houses three operating rooms; pediatric surgeons there perform surgeries in the following pediatric specialties: otolaryngology, dental, urology, orthopedic, gastroenterology, ophthalmology and plastic surgery.

Leadership change Children’s Hospital’s Assistant General Counsel Cathy Shuck has been promoted to Vice President for Legal Services and General Counsel. Former General Counsel Bruce Anderson has moved to a part time role working as assistant general counsel. Shuck is originally from Ohio. She studied law at University of California, Berkeley, before moving to Knoxville with her husband in 2003. Shuck was a judicial clerk for the Tennessee Supreme Court from 2004 – 2006, an adjunct law professor at University of Tennessee Knoxville from 2006 – 2015, and a senior associate for Wimberly Lawson Wright Daves & Jones, PLLC from 2009 – 2016. Shuck first became involved with East Tennessee Children’s Hospital after her second daughter was born 16 weeks early. Unfortunately, after 221 days in Children’s Hospital’s Neonatal Intensive Care Unit (NICU), Shuck’s daughter passed away, but her legacy inspired Shuck to take an active role in pediatric medicine. “She’s the reason I am here,” says Shuck. “I know I am not unique in feeling a strong pull of affection and gratitude to East Tennessee Children’s Hospital, even though my child did not survive.” In 2008, Shuck joined the first Children’s Hospital Family Advisory Council, a volunteer position she held until 2013. She also joined the hospital’s Institutional Review Board in 2010, and continues to serve today. In 2013, she officially joined Children’s Hospital staff as assistant general counsel, before accepting the position of Vice President for Legal Services and General Counsel this past January. Her primary focus will be with contracts, employment, compliance and policies.

Your Dollars at Work

Dancing for donations

Local celebrities laced up their dancing shoes this April to raise money for Children’s Hospital. Star 102.1’s Dancing with the Knoxville Stars 2017 featured 10 local celebrities performing a variety of dances with professional partners from Dance Tonight studio. Hosted at the Knoxville Convention Center, more than 750 people came out to support the dance-off. By the end of the night, the event had raised more than $184,000, which is a record for the event’s history. WATE 6 meteorologist Trent Magill and his professional dance partner Emily Norris secured first place in the dancing competition with a vintage black-and-white themed swing dance. Philanthropist and artist Shohreh “Nazzy” Hashemian, who was partnered

with professional dancer Jeremy Norris, claimed the top fundraising prize; she raised more than $75,000. Children’s Hospital thanks this year’s dancers for their time and efforts and the generous donors like you who supported them. Proceeds from the 2017 Star 102.1’s Dancing with the Knoxville Stars will be used for new equipment in the neonatal intensive care unit (NICU). State-of-the-art technology will enable NICU staff to treat premature babies who might have complications like neonatal abstinence syndrome, breathing problems, or congenital birth defects. More than 750 of East Tennessee Children’s Hospital’s smallest patients are treated in the NICU every year.


The Smoky Mountain Opry presents East Tennessee Children’s Hospital

with a check for $100,000.

Smoky Mountain Opry shows support

In April, the Smoky Mountain Opry, the area’s largest musical variety show, presented East Tennessee Children’s Hospital with a $100,000 donation. Children’s Hospital employees were invited to the Pigeon Forge theatre for a special afternoon performance, featuring music from Big Band Swing through today’s country. After the performance, Children’s Hospital CEO Keith Goodwin was on hand to receive the check from Jim Hedrick, co-owner of Smoky Mountain Opry and its parent company, Fee/Hedrick Family Entertainment.

Par for patients

This June, Scripps Networks Interactive presented the Children’s Hospital Golf Classic, a golf tournament to benefit East Tennessee Children’s Hospital. The 2-round tournament, held at Cherokee Country Club, raised more than $100,000, which will purchase VS monitors and vein eliminators for inpatient surgery. Throughout the day, 180 golfers enjoyed breakfast, lunch and a reception. Drew Scott, star of HGTV’s Property Brothers was on hand to play a round and meet with golfers and Children’s Hospital patient ambassadors.

Major sponsors:Scripps Networks Interactive

Cellular Sales

Delta Dental of Tennessee

Republic Plastics, Ltd.

United Networks of America


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

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it's about children, issue 1, 2017

Healthcare