Celebrating P H O E N I X C H I L D R E N ’ S H O S P I TA L C E L E B R AT I N G 2 5 Y E A R S 1 Cover Photo: Richard Reznick, MD with a patient in 1985 EDITORIAL Hopes and Dreams is published three times each year by the Phoenix Children’s Hospital Foundation. To share your comments, call (602) 546-2668 or email [email protected] If you would like to receive additional issues of Hopes and Dreams call (602) 546-GIVE (4483). Senior Vice President and Chief Development Officer: Steve Schnall Editor: Cheriese Chambers Contributors: Jessica Catlin, Lauren Hitchcock, Debra Stevens, Mark Tsuchiya, and Jane Walton. A special thanks to those who provided an historical background of Phoenix Children’s, particularly Teresa Boeger, Melvin L. Cohen, MD, Cathy House, Wendy Pauker, and Heather Walton. Photography: Ben Arnold Photography and Tim Lanterman Photography Design: Scott Havice Printing: Commercial Communications, Inc. Phoenix Children’s Hospital Foundation Board of Directors Chairman - Richard Kuhle Treasurer - Alan Schnaid Secretary - Sheila Zuieback President and CEO, Phoenix Children’s Hospital – Robert L. Meyer Senior Vice President, Chief Development Officer - Steve Schnall 2 David G. Areghini Larry Clemmensen Pam Kolbe Greg Kruzel Keith Maio Manny Molina Frank Placenti Ben Quayle Paul J. Roshka, Jr. Julie Vogel Melani Walton Director Emeritus - Herbert J. Louis, MD Director Emeritus - Virginia Y. Dayton Phoenix Children’s Hospital Board of Directors Chairman – Ronald C. Brown Vice Chairman and Treasurer – David Cavazos Immediate Past Chairman – Dino R. Camuñez Secretary – Edwin E. Van Brunt Phoenix Children’s Hospital President and CEO – Robert L. Meyer Phoenix Children’s Medical Staff President - Bruce Morgenstern, MD Phoenix Children’s Medical Staff Immediate Past President – David Notrica, MD Rhet L. Andrews Mark Bonsall Kathleen Goeppinger, PhD Thomas F. Hartley, Jr. Joh Hulburd Rick Kuhle Orme Lewis, Jr. Ronald Matricaria Patricia G. Stark Phoenix Children’s Hospital Executive Leadership Robert L. Meyer – President and Chief Executive Officer Thomas J. Diederich – Vice President, Human Resources Betsy Kuzas, Vice President, Support Services and Construction Carmen Neuberger, Esq. – Vice President, General Counsel Murray Pollack, MD, MBA – Vice President, Chief Medical Officer Robert Sarnecki – Vice President, Chief Information Officer Steve Schnall – Senior Vice President and Chief Development Officer Larry J. Smith – Senior Vice President, Chief Financial Officer Ed Troell – Vice President, Professional Services Deborah Wesley, RN, MSN – Senior Vice President, Chief Operating Officer Phoenix Children’s Hospital Foundation 2929 East Camelback Road, Suite 122 Phoenix, AZ 85016 (602) 546-GIVE (4483) www.phoenixchildrens.com/ways-ofgiving A message from STEVE SCHNALL It’s difficult to believe that 25 years have passed since I came to Phoenix Children’s when the Hospital first opened its doors within Good Samaritan in 1983. Since that time, the Hospital has undergone extraordinary changes thanks to the vision of the doctors and community members who worked tirelessly to establish and build Arizona’s only hospital dedicated solely to the care of children. There is nothing more important than giving kids the opportunity to enjoy a full and healthy life, and the founders of Phoenix Children’s understood that. As a children’s hospital, we’ve been providing remarkable care to kids for a quarter of a century, investing in their futures by steadfastly planning for our own. In this celebratory issue of Hopes and Dreams we look back on some of the people who brought us here, the places inside our facility that make us unique, and the children and families who have inspired us along the way. By highlighting the moments that changed our history and made us who and what we are today, you’ll see – from A to Z – why Phoenix Children’s is so vital to our community. Of course, behind this Hospital there are thousands of individuals and organizations who have given so generously to Phoenix Children’s. There has been an amazing spirit of giving that has enveloped us from the very beginning. That same spirit will be imperative as our leadership prepares for the expansion of Phoenix Children’s that will transform us from a children’s hospital to one of the premier pediatric medical centers in the nation. As we reflect on all that has been accomplished over the past 25 years, there has never been a more exciting time here. We ask for your continued support as Phoenix Children’s prepares for the next 25 years and all that is yet to come. Sincerely, Steve Schnall Senior Vice President, Chief Development Officer 3 ANNIVERSARY F rom idea to reality This year marks 25 years of Phoenix Children’s Hospital serving Arizona’s kids and families. But getting here wasn’t always easy. The idea of a children’s hospital began as early as 1978, with practicing pediatricians working to convince the community that consolidating medical care for children wasn’t just a good idea – it was a necessity. It would be five more years before physicians from pediatric departments across the Valley would merge into one dedicated pediatric facility located within Good Samaritan (now Banner Good Samaritan). Another 20 years passed before the founding fathers of Phoenix Children’s realized their original - and ultimate goal - of a freestanding children’s hospital. In 1978, members of the Maricopa Pediatric Society began discussing the idea of a children’s-only hospital. Although only about 340,000 children were living in the Valley at the time, Phoenix was still the ninth largest metropolitan area in the country and the largest without a dedicated children’s hospital. And nationally, research findings were placing greater emphasis on the need for medical care devoted exclusively to children who have very specific and unique physical and emotional needs. “We felt it was necessary to establish an independent children’s hospital based on growth of the city and the development 4 of pediatrics as a subspecialty,” says Melvin L. Cohen, MD, medical director of Medical Education at Phoenix Children’s and one of the Hospital’s founding physicians. “We really were behind the times in developing a facility just for children.” Along with Dr. Cohen, a group of practicing pediatricians spearheaded the idea of a children’s hospital – a consolidation of pediatric medical services that would provide optimal and cost-effective medical care for children. By 1980, Phoenix Children’s became its own legal entity, expressly organized and incorporated to bring about the establishment of an independent, fullservice hospital. A Blue Ribbon Committee, comprised of influential community members, was established to determine the need for a children’s hospital, and more importantly, to determine where that hospital should be located. Several hospitals that already had pediatric departments were interested, and each was reluctant to relinquish their own programs to a competing hospital. Good Samaritan, St. Joseph’s, Phoenix Memorial, and Phoenix Baptist all submitted proposals. Competition for the children’s hospital created hurdles that neither the physicians nor the Blue Ribbon Committee members had foreseen. Paul S. Bergeson, MD, a founding physician says, “It was a lot trickier than I thought it would be. I naively thought a children’s hospital would unite everyone…that it would be something that everyone could agree on. But where [the children’s hospital] should be, and who should have control of it were issues.” In 1982, supporters of a children’s hospital presented their case before the Central Arizona Health Systems Agency. “We really were behind the times in developing a facility just for children.” If approved, a “Certificate of Need” would allow for an independent hospital that would sit apart from other adult facilities. At the time, Allen Rosenberg, founding director and then president of Phoenix Children’s said, “Never before in the history of the Phoenix metro area has a project been more comprehensively studied and soundly planned over so many years. Now the time has arrived to turn these years of work and planning into results. The time is now to open a children’s hospital.” After three long days of hearings, the Certificate of Need was denied. “It was a big blow…not just to us but to the whole community,” says Dr. Cohen. Good Samaritan offered to locate the children’s hospital within their own facility, providing the pediatricians with an operational base. Led by then CEO, Steve Morris, Good Samaritan spent more than $2 million to prepare and equip the hospital. In 1982, pediatricians employed by St. Joseph’s merged with those from Good Samaritan. But the group remained employed by Good Samaritan, unable to build a medical staff on their own, or create their own rules, regulations, and bylaws. Hospital slowly began to employ its own physicians, nurses, and staff, while sharing ancillary services with Good Samaritan. “It was a great sense of accomplishment,” says Dr. Cohen. Thanks to the visionaries who recognized the need for a medical home just for children, the “hospital that almost wasn’t” is now one of the largest and most respected children’s hospitals in the nation. Dan Cloud, MD, a pediatric surgeon who had practiced in Phoenix since 1955, and had also served as president of the American Medical Association, was CEO of Phoenix Children’s at the time. He convinced Morris that the children’s hospital should be independent from Good Samaritan, and negotiated with them to finally relinquish control over their pediatric beds. “It’s because of Dan Cloud that Phoenix Children’s became a licensed and independent hospital,” states Dr. Cohen. Dr. Cloud served as CEO of Phoenix Children’s for 10 more years, and is still active in the community. On September 18, 1983, with 71 beds, Phoenix Children’s Hospital became its own institution as a hospital within a hospital, where it remained for nearly 20 years. Occupying floors four and eight, the 5 BEDSIDE MANNER Caring versus curing Dr. Beyda, who is also a leading medical ethicist. “Doctors truly are partners with the parents, and should give them realistic Doctors don’t choose pediatrics because of the hours or the salary. It’s not a field of medicine they fall into merely by accident during medical school. Ask any physician why they chose pediatrics and they’ll tell you it’s because they like working with kids. The philosophy that guides care at a children’s hospital is inherently different. “Pediatricians are just a different breed,” says David Beyda, MD, a founding physician and critical care doctor at Phoenix Children’s. “I think they’re more sensitive to the emotional aspects of illness.” Paul S. Bergeson, MD, another founding physician agrees. “The most important thing is compassion. You can have technology, and expertise, and that’s all fine. But those things without compassion ring very hollow. That’s the difference of the select people who gravitate to a children’s hospital,” he says. “The most important thing is compassion. You can have technology, and expertise, and that’s all fine. But those things without compassion ring very hollow.” expectations of outcome. These are the aspects of the doctor/patient relationship that differ from the ‘contractual’ relationships that often dominate medical care today.” Nearly 20 years ago, Dr. Beyda led a research study to evaluate the aspect of touch and loving interaction with patients. He now travels around the country giving lectures about his findings to other doctors, reinforcing the idea of creating a balance between the use of technology and compassion. Pediatric care differs from adult care in many respects. The equipment and instrumentation is made for smaller bodies. Medications and dosages are different. Pediatricians must take into account growth and development patterns. But perhaps the single biggest distinction is the need to establish relationships with the child and family. It’s a dynamic that calls for a very different type of bedside manner. “Doctors who work with kids must build and develop a relationship with the patient and their parents based on trust, mutual respect, honesty, and shared values,” says 6 He admits that this doesn’t always come easy to some physicians who may not be comfortable providing that type of care, Dr. Beyda with patients at the old Hospital’s location within Good Samaritan. or who work in environments where a “contractual” type of relationship is customary. “When you’re working with children, providing this type of care is a given,” says Dr. Beyda. “But as a whole, we’ve become so engrossed with technology that modern clinicians are more comfortable treating the disease rather than the patient.” Dr. Beyda emphasizes his “high touch” philosophy of care while making rounds with new residents, making sure they understand the importance of knowing the child, not just their medical chart. He routinely challenges the critical care residents to use technology only when it’s a medical necessity to the patient, not merely a convenience to the staff. He believes that 60 to 70 percent of technology used in critical care is used for convenience. For instance, a 24-hour monitor allows the staff to continuously check blood pressure, respirations, and heart rate. But by performing those functions manually, residents not only spend more time with the patient, they’re utilizing the powerful and healing nature of touch. “Technology has opened windows into the disease process that has allowed many human lives to be saved,” adds Dr. Beyda. “But technology can supersede caring, something children need, especially when they’re sick.” The Phoenix Firebirds helped kids play a unique version of baseball using medical equipment in the center pod of floor eight at the Hospital’s Good Samaritan location. CHILD LIFE H elping children and families cope There was a time when Friday mornings at Phoenix Children’s were serious business, and doctors and nurses knew better than to interrupt. While still located at Good Samaritan, patients would gather in the Hospital’s center pod to play medical bingo, which was organized by the Child Life staff. Children too sick to leave their beds played from their rooms, watching and listening on closed circuit televisions. The kids chose their prizes from a cart that was wheeled to the winner’s room. There were other ways the Child Life staff would help kids forget about their treatment and focus on fun. One day each month the patients operated on the doctors – a delicious form of retribution. Kids were often driven around the Hospital’s two floors in golf carts. Children too ill to attend regular camps in the Arizona high country attended “Camp Get-A-Wella” where the Hospital staff would carry the patients around in canoes. And since the kids couldn’t go to a zoo, monkeys, bears and tigers came to see them. “We always had patient safety in mind, but Good Samaritan never really knew what we were doing up there. They’d get wind of something and panic a little,” laughs Teresa Boeger, director of the Emily Center and Volunteer Services who started her 25-year career at Phoenix Children’s as a recreational therapist. “It was important for children to not feel like their hospitalization was causing them to miss out on something.” Cathy House, a Child Life assistant who has been with Phoenix Children’s for eight years, agrees that Good Samaritan didn’t always approve of the shenanigans. “I think that’s why they didn’t want us leaving those two floors,” she chuckles. Although stricter infection control standards put an end to some of the antics of yesteryear, it’s still the role of the Hospital’s Child Life specialists to help children cope with the fear and anxiety of hospitalizations, and sometimes even have a little fun. They coordinate activities and events, celebrate birthdays, and plan Halloween parties. They bring Santa, Mrs. Claus, and even reindeer at Christmas. They also supervise the “medical-free zone” playrooms and Teen/Preteen Lounge. For children too sick to leave their rooms, they bring the fun to them. In 1983, Phoenix Children’s was chosen to conduct a groundbreaking three-year national research project aimed at better understanding the value of a Child Life program. “The Phoenix Study,” as it’s known today, proved that children exposed to the program suffered less emotional distress during their hospital stay, better understood hospitalization and procedures, and physically recovered more quickly than patients not exposed to the program. Child Life specialists also work one-onone with children. They use medical play and other techniques to help children understand tests and procedures, and assist parents in talking to their children about their hospital experiences. They may explain an MRI to a pre-schooler using a barbie doll. Patients aren’t wheeled into surgery; they drive a Hummer. Specialists teach a young child recently diagnosed with diabetes to show where he wants his next injection by using his own needle-free syringe on a teddy continued >> 7 CHILD LIFE continued bear. They’ll have a more frank discussion with a teenager diagnosed with leukemia. “The families count on us for so many things,” explains Wendy Pauker, a Child Life specialist at Phoenix Children’s for 11 years. “We try to make it as positive an experience for the kids as we can, and sometimes they don’t want to leave. For the children who will have to return, it makes it easier for them to come back.” At the old Hospital location, one of Santa’s elves was brought each year from the North Pole via helicopter to meet patients and help them fax their letters to Santa. A quick reply was always made by Mr. Claus. DIALYSIS A hemodialysis unit just for kids The Phoenix Children’s Pediatric Dialysis Center opened in 2005. Now, kidney patients at Phoenix Children’s receive hemodialysis in the Hospital under careful medical supervision – where the staff and environment make dialysis as pain- and stress-free as possible. “We try to make it as positive an experience for the kids as we can, and sometimes they don’t want to leave. For the children who will have to return, it makes it easier for them to come back.” The Children’s Advisory Board is overseen by the Child Life staff. Made up of current and former patients and siblings, the board helps the Hospital make important decisions based on their own firsthand experiences. The first board (seen here) was formed in 1995. Phoenix Children’s was the first hospital in the nation to form such a group. 8 The center is the only one in the state dedicated exclusively to children who have virtually no kidney function – many of whom spend three to four hours receiving hemodialysis in the center three times each week. “Prior to the unit opening, all dialysis for children in Arizona was performed in adult centers, which can be a tough setting for a small child. It wasn’t very pleasant for the kids,” explains Melvin L. Cohen, MD. “It’s extremely disruptive to have a child on dialysis. But in addition, these kids also need care 24 hours per day seven days a week. They need a large multi-specialized group to support that.” Dr. Cohen established the division of nephrology in 1968 when the pediatric nephrology program at St. Joseph’s collaborated with the adult nephrology program at Good Samaritan. The pediatric program moved to Phoenix Children’s when the Hospital was founded 25 years ago. Today, it’s the largest treatment center in the Southwest for chil- Opening of the unit in April, 2005. Left to right, Raymond Adelman, MD, nephrologist, Bruce Morgenstern, MD, Division Chief of Nephrology, Robert L. Meyer, President and CEO of Phoenix Children’s, Carol Bombeck, Melvin Cohen, MD, Director of Medical Education; Bill Bombeck, and Mark Joseph, MD, Medical Director of the Hemodiaylsis Center. dren and adolescents with kidney disorders. The state’s only dedicated pediatric kidney transplant program is also housed at Phoenix Children’s. dren. Each station has its own television. Laptops are available, and teachers from 1 Darn Cool School help kids keep up with their classwork. Social workers and child life therapists are present to help The center’s staff is specially trained in the children and their families cope. pediatrics and has a 1:2 nurse to paThere’s even plenty of room for parents tient ratio. In adult units, that number and siblings who stay in the center during treatment. “There are very few chronic conditions that leave “There are very few chronic children essentially tethered to a conditions that leave children machine. That’s why it’s important that we provide these things,” essentially tethered to a machine. states Dr. Morgenstern. That’s why it’s important that we provide these things.” can be as high as 30 patients for every nurse. According to Bruce Morgenstern, MD, medical staff president and division chief of nephrology, the technical aspects and psychological impact of dialyzing a child in an adult unit can be overwhelming and intimidating for a child. “That’s why we gear both towards children here,” he states. Kids have access to PlayStations®, games, and toys that make the long hours of hemodialysis more tolerable for chil- Carol and Bill Bombeck funded the center. The cause is near and dear to their hearts. Bill’s first wife, Erma, the famous author and humorist, died in 1996 of complications following a kidney transplant. Carol, his second wife, lost two sons to kidney disease. The couple was committed to the idea of a creating a child-friendly unit at what would be the new Hospital’s campus after touring the Phoenix Children’s unit when it was located inside Banner Good Samaritan. “A lot of small children need dialysis,” says Bill. “But hospitals can be depressing, and for small children, a really scary situation. You want to give them the most benign situation possible.” Five-year-old Tony receives dialysis in the Kids Kidney Center as he watches SpongeBob SquarePants and reads a book. 9 A reputation for excellence in more than 40 areas of pediatric care to bring together all the necessary components to provide all the services to care for sick children.” ExCELLENCE In 1982, as founders of Phoenix Children’s were gearing up for the Certificate of Need hearing with the Central Arizona Health Systems Agency, Frederic L. Ruskin, MD, a pediatric anesthesiologist and member of the first board of directors of Phoenix Children’s argued, “Medical care is so specialized in this day and age that it requires a tremendous amount of equipment and personnel to perform the miracles people have come to expect. It makes medical and economic sense to combine critical functions in one first-class institute that is large enough to adequately do the job. Phoenix Children’s intends Today, Phoenix Children’s is home to more than 40 different medical and surgical specialties, and that number grows every year. Many of the finest pediatric specialists and sub-specialists in the country work collaboratively to meet the individual needs of each child. The Hospital boasts leadingedge technologies and treatments that effectively diagnose, evaluate, and manage a variety of diseases and disorders. Additionally, the Hospital’s six Centers of Excellence represent the best the state has to offer in pediatric medicine, including the Center for Cancer and Blood Disorders; Children’s Neuroscience Institute; Children’s Heart Center; the Julie and Tim Louis Newborn Intensive Care Unit; Center for Pediatric Orthopaedic Surgery; and the state’s only Level 1 Trauma Center exclusively for children. Phoenix Children’s Hospital Chief Executive Officers Dan Cloud 10 Leland G. Clabots Burl Stamp Robert L. Meyer (current) Phoenix Children’s Hospital Medical Staff Presidents Areas of specialty at Phoenix Children’s Hospital: Herb Winograd, MD 1983 — 1987 Charles Dries, Sr., MD 1988 — 1989 Richard Reznick, MD 1990 — 1993 Marshall Lustgarten, MD 1994 — 1995 Mark Rudinski, MD 1996 — 1997 John Raines, MD 1998 — 1999 Aubrey Maze, MD 2000 — 2001 Richard Leonard, MD 2002 — 2003 Mitchell Shub, MD 2004 — 2005 David Notrica, MD 2006 — 2007 Bruce Morgenstern, MD 2008 — 2009 Adolescent Medicine Allergy & Immunology Anesthesiology Cardiology Cardiothoracic Surgery Critical Care Dental and Oral Surgery Dermatology Developmental Pediatrics Emergency Medicine Endocrinology Family Practice Gastroenterology General Pediatrics Genetics and Dysmorphology Hematology/Oncology Hospitalists Infectious Disease Medical Education Neonatology Nephrology Neurology Neurosurgery Obstetrics/Gynecology Ophthalmology Orthopaedic Surgery Otolaryngology Pathology Pediatric Surgery Plastic Surgery Psychiatry Psychology Pulmonology Radiation Oncology Radiology Rheumatology Sports Medicine Toxicology Transplantation Trauma Urology 11 FOUNDERS Melvin L. Cohen, MD, was one of the first employed physicians of Phoenix Children’s Hospital. He’s one of the most important figures in the development of pediatric medicine in our community, and was awarded the Health Care Heroes Lifetime Achievement Award by The Phoenix Business Journal in 2007. “Mel is one of the most outstanding individuals I’ve ever met. He has made the single most important contribution to patient care in our community,” says Aubrey Maze, MD, another of the Hospital’s founding physicians. “He was truly instrumental in having the vision to do what was right for the pediatric patients in this community. He’s the reason I came to Phoenix. If there is one person I look up to it’s him.” There were many people involved in the creation of a dedicated children’s hospital. In fact, more than 65 physicians became part of the medical staff in 1983 and will be honored during the Hospital’s 25th anniversary celebrations. “It goes without saying that you can’t make a Hospital with a dozen people. We had the support of so many individuals,” adds Dr. Cohen. Below, he reflects on a handful of his very first colleagues who helped change the face of pediatric medical care in Arizona. Paul Baranko, MD “My longest associate. Without Paul there wouldn’t be the pediatric Cancer Center of the Southwest [now called the Center for Cancer and Blood Disorders].” John Beck, PhD “He was with us from the very beginning at St. Joseph’s and the pediatric psychologist of the original Phoenix Children’s group.” Paul S. Bergeson, MD “Paul was the residency program director of Good Samaritan when I came on board. He’s a very fine pediatrician and very dedicated and committed to pediatrics. Paul was one of the strongest supporters of Phoenix Children’s in its origins.” Terry S. Wood, MD “Terry came with us from St. Joseph’s and was the first associate of Baranko’s. Terry is the easiest guy in the world to get along with…very capable, unassuming, and a talented pediatric hematologist.” 12 Dr. Melvin L. Cohen talks about his fellow physicians who helped establish Phoenix Children’s. David Beyda, MD “David came to Good Samaritan about six months before we became a hospital. He was the first intensivist here and developed the PICU [Pediatric Intensive Care Unit]. He’s a strength not only in critical care, but he’s a strong pediatric medical ethicist. He’s an extremely dedicated supporter of underserved nations and travels all over the world to provide medical care.” Ronald A. Christensen, MD “Christensen was with us at St. Joseph’s and was the only pediatric endocrinologist in the area. He’s not only a founding father of Phoenix Children’s, but a founding father of pediatric endocrinology in Phoenix. He’s a great guy, a great resource, and was a super practitioner.” Raun D. Melmed, MB, ChB “Melmed was the first developmental pediatrician at Phoenix Children’s, well-trained in Boston. He was always very thorough in developmental assessments. Our residents still train with him.” H onoring those who worked tirelessly to make P hoenix Children’s H ospital a reality Allen Kaplan, MD “He was the original pediatric neurologist here. Neurology is such an important part of pediatrics and we really needed him. He was an important part of the original faculty and a pillar in this field. He was also an excellent teacher…still is.” Aubrey Maze, MD “We needed a pediatric anesthesiologist and an intensive care specialist, and Aubrey was both. He started pediatric intensive care and pediatric anesthesiology in Phoenix. I remember vividly that he was staunch supporter of Phoenix Children’s. He’s a super guy and is highly regarded in the medical community.” Marian Molthan, MD “Dr. Molthan was the first pediatric cardiologist in Phoenix. She was an extremely fine clinician. Before the days of ultrasounds and angiograms, she could listen to a heart and tell you right then and there what the problem was. She was an important member of the original group.” Roxanne M. Hecht, MD “Hecht was the first gastroenterologist and a huge supporter of the concept of a children’s hospital. She was – and still is – an excellent practitioner. Our residents are still trained by her. She was really a pioneer as far as women practicing pediatrics here.” Dean Smith, MD and James Loomis, MD “Both were part of the founding members of anesthesia here and were very instrumental in the early development of pediatric anesthesia with Aubrey Maze.” Dan Cloud, MD “Dan was a very important figure in the development of Phoenix Children’s. He was an extremely successful practicing pediatric surgeon even before I came here. He ultimately became president of the American Medical Association. He was very prominent nationally and very well known. We needed a leader and negotiator and Dan was that person. He came on as the Hospital’s CEO before we were even a Hospital. He was very strong-willed and could argue his point convincingly.” Barry J. Fisher, MD “Fisher was a pulmonologist at Good Samaritan when we became a hospital. He was very capable and instrumental in establishing the cystic fibrosis program with Dr. Hernried and adding strength to that area. Fisher was an extremely hard worker. He had physical challenges, but he never let it hold him back.” Lucy S. Hernried, MD “Dr. Hernried was an excellent pulmonologist and made an important contribution as the only pediatric pulmonologist for several years before being joined by Barry Fisher. She was extremely capable and well liked by her colleagues and patients. She’s a super woman and is still a strong supporter of the Hospital.” Herbert J. “Tim” Lewis, MD “Tim developed the orthopaedics program at Maricopa Medical Center and was instrumental in training many orthopaedic surgeons. He was the chief orthopaedic surgeon for what was then called the Crippled Children’s Services. Even though bidding kept him from practicing exclusively at Phoenix Children’s, he always looked at the overall picture and supported pediatric orthopaedics and always did what was best for this community. He’s always been a huge supporter for Phoenix Children’s and is still an important contributor to pediatric care in the Valley.” continued >> 13 FOUNDERS continued Founding Board of Directors “This was a successful group of very influential people who felt that this city needed a children’s hospital. They volunteered a great deal of time and effort putting everything together. We needed a strong board to make this hospital happen – and they did.” - Melvin L. Cohen, M.D. Allen Rosenberg, President Virginia Dayton Ruth Ellbogen George Lee Orme Lewis, Jr. (currently on Board) Jerrry H. Lewkowitz Ellen Pillsbury George W. Reeve Frederic L. Ruskin, MD, Edwin E. Van Brunt, Jr. (currently on Board) Edward J. Wren Advisory board members to the original Blue Ribbon Committee Herb Winograd, MD Charles Dries, Sr., MD Richard Reznick, MD (Each later served as Phoenix Children’s Medical Staff President) Members of the Blue Ribbon Committee who Investigated the need for a children’s hospital Shirley Agnos Michael B. Bayless Rod McMullin Rose Mofford Carl Schneider William Shover Dallas Smith Jack Williams 14 GIVERS P eople making a difference During the first decade of Phoenix Children’s, volunteers contributed 113,576 hours of service. Today, volunteers exceed that number annually. They offer parents coffee as they make their morning rounds; assist visiting grandparents in finding their way to a room; play with children and read books to them. A special team of “cuddlers” holds the Hospital’s tiniest patients in the Newborn Intensive Care Unit. Volunteers register guests at events, or host their own to raise money for the Hospital’s programs and services. Junior volunteers are former patients who give children and families tours and explain what they can expect as they prepare for their own treatment or surgery. We appreciate all of our dedicated volunteers. It’s impossible to mention them all, but here are three who are helping our children and families in three very different ways. In 2007, volunteers provided 117,000 hours of service in 45 different service areas. Nearly 400 volunteers make a difference at Phoenix Children’s each day, interacting directly with the public or working behind the scenes. Martyl Reinsdorf Each child that comes to Phoenix Children’s is given a coloring book that is designed, printed, and collated by Martyl Reinsdorf in her own home. She made her first coloring books for her grandchildren in 1996. Today, “Grandma Martyl” (her pen name) makes more than 100,000 emergency room coloring books with crayons, and about 35,000 specialized coloring books with toys each year. It’s a team effort. Jerry and Martyl Reinsdorf, are majority owners of the Chicago White Sox and the Chicago Bulls, and live in the Valley part time. They distribute the coloring books not only to Phoenix Children’s, but to other hospitals and organizations in the Valley, the Chicago area, and even around the world. “Many people know about the books from their experiences at Phoenix Children’s,” adds Martyl. “It’s really a credit to your hospital. A good deal of training seems to have come from Phoenix Children’s.” They couple refuses to take donations, funding their own “publishing conglomerate” out of their own pocket. She says that it’s gotten difficult to keep pace with the interest she now has in the books, but never sees a place or a hospital where she would want to cut back. “I love putting the whole gift together, and I love getting the feedback from the kids. It’s so heartwarming. We just have boxes of these letters.” Max Marangella Max Marangella spent the first year of his life at Phoenix Children’s Hospital. Born with several congenital defects, he’s undergone more than 30 surgeries and procedures. As a way to give back to the Hospital, Max, his mom Patricia, and dad Michele, started Max’s Market. They provide the Hospital with every toy and gift imaginable: dolls, trucks, pajamas, portable CD players, nail polish, and more, that are then given to patients. Jackie Rosenberg Jackie Rosenberg is the team leader for the Hospital’s coffee cart. Delivering free coffee, tea, hot chocolate, and goodies to the parents and staff each morning is something that Jackie says puts a smile on all of their faces. “Some of these parents only leave their child’s bedside to use the restroom,” she says. “It’s really a special thing to do and gives the parents the TLC they need, and a break during their stressful time.” Word of mouth and media coverage of Max’s Market bring in so many donations that many of the toys now have to be stored in the Marangella’s garage. Patricia admits that she can often be found at toy stores, browsing the clearance sale items, and asking managers for a donation. “I’ll ask anyone for anything,” she laughs. “It’s gotten to the point that I have stores calling me to see if I want to go through their inventory.” Jackie is the daughter-in-law of the Hospital’s founding director and president, Allen Rosenberg, who passed away in 2001 at the age of 92. Jackie says it was her father-in-law’s devotion to Phoenix Children’s that gave her the encouragement and motivation to work with kids and volunteer at the Hospital. “He was just a wonderful, caring and thoughtful man,” she adds. One kid who never needs a toy is 7-yearold Max. When he comes to Phoenix Children’s and is asked if he wants to pick one out he proudly declines. “The toys are for the sick kids,” he says. Jackie Rosenberg is part of the “Lunch Bunch” a group of longtime volunteers who meet each Wednesday for lunch in the Hospital’s cafeteria. 15 Caring for children with HIV and AIDS HIV Care Bill Holt looks over a “Holtville City Limit” sign during a cross-country bike trip he took with his friend Phil Darrow, a former Phoenix Children’s Hospital Foundation board member who initiated funding for the clinic that bears his childhood friend’s name. In 1993, more than 40,000 people died from complications related to AIDS. One of those people was Bill Holt, who was an Eagle Scout, humanitarian, and community volunteer. He had been the student council president of his high school, and went on to earn an MBA and launch a successful healthcare consulting practice. This “quiet” activist passed away five short years after his diagnosis of AIDS in 1988. Darrow and his wife, Robin, wanted to honor their long-time friend and mentor, and initiated funding for the Bill Holt HIV Clinic at Phoenix Children’s, which opened in 1995. Bill’s parents, Elizabeth and Walter Holt, attended the dedication ceremony of the clinic and met Onyx, one of the eight patients already being treated for HIV at Phoenix Children’s. As the rest of the world was coming to grips with the devastating toll of HIV and AIDS, Onyx was already living it. He was born in 1990 in Philadelphia, the But Onyx takes it in stride. “I’m not going same year Ryan White died from AIDS, to lie. It can be hard. You can be made and one year before NBA legend Earvin “Magic” Johnson announced he was HIV fun of, especially when I was little. But I was always taught positive. Six months after “I’m not going to lie. It can be to go forth and do what I have to Onyx’s birth, hard. You can be made fun of, do and be careful he developed especially when I was little. with it.” AIDS-related pneumonia. It But I was always taught to go According to Jan was then that forth and do what I have to do Piatt, MD, mediOnyx’s mother cal director of the discovered that and be careful with it.” clinic, research and she was HIV new medication positive and had protocols continue to increase life expecpassed the disease on to her son. She was tancy. And fewer babies are born with told by doctors that her son would probthe disease. When HIV positive pregnant ably die within 24 hours. women are treated throughout their pregnancy, and their newborn baby is treated Today, Onyx is still a patient at Phoenix within hours of birth, only two percent of Children’s, defying the once dire progmothers will pass the virus to their unborn nosis given to his mom. The 18-year-old college student hopes to become a theater child. or history teacher. Phil Darrow, a former Phoenix Children’s Hospital Foundation board member, had grown up with Bill in Chicago. The two had planned a trip to the bottom of the Grand Canyon even as Bill was battling his disease. “The fact that we never made that trip no long matters. The very idea of it, exemplifying Bill’s courage and spirit, is part of what motivates me every day to this day,” states Darrow. “I don’t remember ever knowing anyone else like him.” 16 Onyx at 9-years-old. He was one of eight HIV positive patients treated by the Hospital in 1995. The patient load doubled in the first year. Today, the Clinic now treats nearly 270 children. HIV positive children and adults are living longer and healthier lives. But Onyx acknowledges that his life has been far from normal – and far different from the lives of his friends. He’s often sick and says he’s tired much of the time. “I never really had the opportunity to be a normal child. I was in and out of the hospital. There are certain things I can’t do. I have to worry if I took my meds on time,” he says. The staff assists patients and families in coping with the emotional aspects of the diagnosis. They also work with older patients like Onyx to make sure they are complying with their long-term daily medication schedule, which can include up to 15 pills each day. “They make sure I’m taking my meds, and taking them on time. It’s crucial I take care of myself,” adds Onyx. “I want to make sure I lead a full life.” INNOVATION K eeping pace with technology Anesthesiologist Aubrey Maze, MD began practicing in the Valley in 1979 after arriving from Stanford University, where Dr. Maze was on faculty. He’s been with Phoenix Children’s since the very beginning. Below he talks about the changes that innovation has had on pediatric medicine since the Hospital’s inception 25 years ago. go. and we were first to bring this technology to the Valley in the 1980s. MRI, ultrasound, endoscopies that allow us to non-invasively see more anatomy, and our ability to treat conditions with minimally invasive procedures are all ways in which technology has changed pediatric medicine. Of course, the individuals here are also very technically up-to-date. How rapidly dly has technology advanced over the past ast few years? Technology y has changed more in the last 10 years than an in the 50 years before that, and new advances dvances are still underway. It’s touched every very pediatric specialty and will continue nue to impact our diagnosis and treatment ment of children going forward. With regards ds to anesthesia, there’s been an exponential ponential increase in the available technology, echnology, equipment and pharmacology ogy that continues to improve anesthesia safety. What’s more important: technology or the people who use it? The people behind the technology are far more important than gadgets and techniques. Just because technology exists doesn’t ensure safe delivery and improved outcomes. We’re very committed to continued medical education which allows physicians to become competent with new pharmacology and technology. Hospitals can have the very best equipment in the world, but if the people don’t know how to use it, it’s a waste. How well has Phoenix Children’s kept pace with medical innovation? We’ve always ays been committed to providing the best equipment and modern technology. y. In many cases we’re ahead of the curve. e. The medical staff applies a cross specialty alty approach to keeping up ation and the Hospital supports with innovation advances inn all areas. For instance, we’re looking at Intraoperative MRI [a portable MRI that allows physicians to view MRI ring surgery] which will benefit images during ery, orthopedics and cancer neurosurgery, he cost is $7 million, but the surgery. The enefit will more than justify potential benefi e. the expense. Is there a technological advance that nds out in your mind? really stands y has truly touched every Technology aspect of medical care. There was a time tain amount of guessing went when a certain into care, and technology has changed that. From an anesthesia perspective, logies have improved patient few technologies safety moree than pulse oximetry, Has the philosophy of pediatric care changed? There was a time when adult care trickled down to pediatrics rather than pediatrics being looked at as its own entity. We understand that babies and children have unique physiology that requires specific attention and training. Our ability to touch, listen and care compassionately for our patients should never waver. We must never lose sight of our patients as individuals. Medicine is still an art…one that is strongly supported by science and technology. What about research? We have a long term commitment to clinical research. These efforts will require an expanded focus, funding, and collaboration. It’s significant to our future. We’re fortunate in Phoenix to have many opportunities for academic partnerships through the University of Arizona, Arizona State University, Mayo Clinic, TGen and others. Aubrey Maze, MD 17 JOBS Career paths paved from experience Molly Abrahams and Katie Bringe are two Phoenix Children’s nurses who view patient care from a very different perspective. Before they became employees, they were both childhood patients of the Hospital. As a child, Molly was treated at Phoenix Children’s for hydrocephalus, a condition where excessive fluids build up on the brain. During her five years as a patient, Molly endured six surgeries and several hospitalizations. Katie was diagnosed at age 3 with type 1 (or juvenile) diabetes and was treated by doctors and nurses at Phoenix Children’s for 15 years. At age 7, she began attending Camp AZDA, a weeklong camp for diabetics, and has gone back every year since. As a teen she became a diabetes counselor at the camp and has spent the past four years as a member of Camp AZDA’s medical staff. Phoenix Children’s clearly made a strong impact on both Molly and Katie. Their Molly Abrahams at age 6 following her first surgery at Phoenix Children’s. 18 experiences gave them the passion not only for a career in medicine, but also for the Hospital that treated them. Both Molly and Katie joined the Hospital staff shortly after completing nursing school. “I wanted to work at Phoenix Children’s from the time I was a patient here, specifically in the Pediatric ICU,” says Molly. “For a time, I considered being a doctor, but then decided that I wanted to be at the bedside and share the experience with each patient.” Katie agrees. “I love working with kids every day and with a staff that is truly amazing. I honestly look forward to coming to work every day.” - by Lauren Hitchcock Katie, a nurse who now works with diabetic patients, echoes Molly’s passion. “I love kids. I had such a great experience as a patient and really loved the staff. A lot of staff worked here when I was a patient here, and it’s so great to be able to work alongside them now.” Molly and Katie’s unique perspective allows them to relate to their patients in a special way. They know firsthand what their own families went through when they were hospitalized. Molly shares her own story when she feels that her experience can calm the parents and relieve a patient’s anxiety. “Parents usually appreciate hearing from someone who has experienced exactly what their child is experiencing,” explains Katie. Katie Bringe at age 4 shortly after her diagnosis of type 1 diabetes. Both nurses couldn’t be happier with the career paths they have chosen. “The best part about my job is that I’m able to create bonds with the patients and families that I work with,” Molly states. “It is so rewarding to help kids become healthier.” Molly, now a nurse at Phoenix Children’s, speaks at a Hospital event. Katie, now a nurse at Phoenix Children’s, at Camp AZDA, a week-long camp for kids with diabetes. She’s seen here with fellow camp counselor Brian Long who was diagnosed at age 3 with type 1 diabetes. A hospital goes to the dogs K9s children) from pain or discomfort. The animals can motivate children to get up and out of their rooms, eat, take their medications, or participate in therapy. Dog Sophie made one of the Hospital’s first “official” pet therapy visits. “Sometimes patients don’t even want to get out of bed until they have the chance to walk one of the dogs up and down the halls,” adds Jennings. Animals have always been an important part of the healing process at Phoenix Children’s. It all started with three rabbits: Leslie, Cocoa, and Thumper. “A veterinarian would bring the rabbits and we’d tell the kids they were going to get their exam at the Hospital,” says Teresa Boeger, director of Emily Center and Volunteer Services. “One time Thumper really did need Dr. Lustgarten to give him an X-ray. The kids got such a kick out of it.” It wasn’t until 2003 that animal-assisted therapy became an official program at Phoenix Children’s. It started with five dogs making a visit every three weeks. Today, 28 dogs are part of the program. Nearly every day one is making rounds and giving kids the unconditional love that only a canine can. Recreational therapists and child life assistants set out to convince administrators of the importance of a full-fledged pet therapy program at Phoenix Children’s. It wasn’t an easy task. Having four-legged caregivers walking the halls of a hospital was a relatively new concept. Committees were formed to Rigorous infection control standards are still followed. All dogs are trained and certified. No puppies, reptiles, birds, or “I’m not sure we’ll ever truly understand livestock are allowed inside the Hospital. just how much animals contribute to the Cats can be certified, but according to healing process with concrete, scientific Mary Lou Jennings, coordinator of the evidence,” says Jennings. “But I see every program, they aren’t as sociable and don’t day how valuable it is to our patients.” travel as easily. getting the program off the ground as they continued to eat through a fair share of telephone lines. In some instances of extended hospitalizations or terminal illnesses, families have been allowed to bring their own dogs inside the Hospital. If a patient is ambulatory, families can bring their own pets to visit with the children outside on Hospital grounds. When patients are confined to their rooms, Jennings says parents will sometimes bring their pets and hold them up to the windows just so the children can see them. “I’m not sure we’ll ever truly understand just how much animals contribute to the healing process with concrete, scientific evidence. But I see every day how valuable it is to our patients.” consider the value of pet therapy and how the Hospital could maintain infection control standards. “We even had to calculate how many hairs would be left on the bed by the dogs,” adds Boeger. The rabbits weren’t exactly helping in Physicians at Phoenix Children’s have long championed the program that has both physical and emotional benefits. Research has shown that petting an animal can lower a person’s blood pressure, heart rate, and skin temperature. Other studies have noted that animals can reduce stress, increase energy and well-being, and decrease the need for some medications by distracting patients (particularly Three rabbits started it all. Seen here is Leslie on the left and Thumper on the right accepting his “Special Person Award.” 19 LANDSCAPE A hospital that doesn’t feel like one As the Hospital was preparing to move to its own freestanding facility, an innovative community art program was created to provide the more than 800 pieces of original artwork (valued at $300,000) for the new campus. Children created, inspired, or worked in cooperation with artists on more than 90 percent of the artwork. More than 150 professional artists were involved, working directly with the children or elaborating upon ideas that were conceived in classrooms across the Valley. The artwork that now lines the bright walls of Phoenix Children’s not only makes the Hospital a more inviting and Braeden’s Playground Very few hospitals – even children’s hospitals – have their own playground. Braeden’s Playground, complete with a play structure, putting green, and Phoenix Suns basketball court, was named 20 less frightening place, it helps ease the pain of illness and disease. Interactive pieces keep active children occupied in waiting areas. Textured art is used as a therapeutic sensory tool for children who are sightimpaired, and “story-telling” art in procedural rooms provides a distraction for kids coping with pain or fear. But the décor isn’t the only thing that is aesthetically pleasing. A research firm was hired to help choose the color schemes for the Hospital. Using biofeedback technology, the study measured the physiological reactions to different colors by adults and children. after Braeden, a patient who was born premature and passed away after nine days. His parents, former professional PGA golfer and current Golf Channel analyst Brandel Chamblee and his wife, Karen, wanted to create a playground where children (and their siblings) could Based on their findings, primary hues were chosen for the new campus. The Hospital was also designed with a child’s height in mind. The water feature at the front of the Hospital, the square cutouts by the cafeteria entrance, and even desks at the nurse’s stations were all built at elevations where even the smallest of children would still have a bird’s eye view. The cafeteria has kid-friendly fare, and children can also order menu entrees and have them delivered to their rooms. run around and forget that they’re in a Hospital. The Chamblee family and friends, other PGA golfers, and generous Valley organizations raised $400,000 in just three short years to fund the playground. Peace Room The Hospital’s Peace Room was the brainchild of former patient Josh Porter, who wanted a place of solitude where children could vent their emotions. The soundproof room includes audiovisual equipment that patients control. In moments they’re swept away to a beach, a forest, or can watch a peaceful sunset. ^ The tic-tac-toe interactive artwork board in the surgery waiting area was created by Remo Saraceni, an Italian-born artist who also created the walking piano seen in the movie Big. ^ The 64 paintings that hang in the admitting waiting area were drawn by fourth graders at Orangewood Elementary and painted by an advanced art class at Moon Valley High School. The phrases are actual quotes made by the younger children. Garrett Widner and his big smile at age 2. “Garrett really did teach our family how precious life is and how quickly it can turn. He was a wonderful addition to our family and taught us to appreciate every day.” seemed as sick as he really was.” Koi Pond The 800,000 gallon fish pond near the Pediatric Intensive Care Unit (PICU) was donated to Phoenix Children’s by the Widner family in honor of their son and brother Garrett who passed away at age two. Garrett, who was born with a congenital heart disease, loved fish. “He had such a magnetic personality. He was very funny,” says his dad Ken. “He never But the family’s willingness to help other patients and parents didn’t end with the fish pond. Garrett was also a fan of stuffed bears. Each year in celebration of their son’s birthday, Ken and his wife Sharon come to Phoenix Children’s and hand out bears to all of the patients. To commemorate his passing, they come each year on August 15 and hand out gift cards to the Hospital’s staff. The Widners have also helped out families with financial needs, paid for the DVD players used in the cardiac unit of the PICU, and funded the Hospital’s mascot, Dudley the Dinosaur. “Garrett really did teach our family how precious life is and how quickly it can turn. He was a wonderful addition to our family and taught us to appreciate every day,” says Ken. Child Life specialist, Wendy Pauker, feeds fish in the Hospital’s koi pond. 21 LANDSCAPE continued The Emily Center Emily Anderson was one of the first patients of Phoenix Children’s in 1983. Her parents, Tom and Kathy, brought her to the Hospital when she started bruising. At age 3, she was diagnosed with a rare form of leukemia. “We wanted to learn as much as we possibly could,” says Kathy. “The only way to find information was at a public library or through medical journals. It was extremely frustrating because by the time something was in print at the library it was already outdated. And when reading a medical journal you had to use a dictionary just to understand it. It might as well have been in a foreign language.” Kathy says that from the time Emily was born she hardly slept, squeezing as much into every day as she possibly could. She loved her family, her animals, her friends, as well as the doctors and nurses who cared for her. Even while battling her disease, she was alw always on the go. But Emily’s symptoms po pr progressed rapidly and she passed away sho shortly before her seventh birthday. Aft Emily’s passing, the family, After wit the help of individuals and the with com community, founded The Emily Center t a sits in the very heart of Phoenix th that C Ch Children’s. It’s the largest pediatric me medical library in the Southwest and is use by nearly 50,000 people each year. used “ n some respects it’s bittersweet,” says “I “In Ka Kathy. “Our child had to die for this par particular program to be established. B t the sweetness outweighs the bitter Bu But b c be because we know that it’s being used to hel other families who are walking the help sam path that we did.” same Emily Anderson in her first grade school photo. 22 MIRACLE BOY A teenager beats the odds Ricky with part of his medical team at Phoenix Children’s. From left to right, Dr. Kim Manwaring, neurosurgeon, A.J. Pratt, physical therapist, Ricky, and Lori Schweighardt, a former Phoenix Children’s Child Life specialist. Over the past 25 years, perhaps no patient received more media attention than Ricky Barker. Dubbed the “miracle boy” by local, national, and even international media, the teen wasn’t expected to live, much less walk again. But after a nearly three-month stay following a violent collision, Ricky walked out of Phoenix Children’s with only the help of a cane. As Ricky was riding his bike in Glendale, he was struck by a car that was estimated at going more than 50 miles per hour. The impact caused an “internal decapitation” – severing virtually every bone and ligament that was holding Ricky’s skull to his spine. “Basically, the only thing holding his head on his shoulders was his skin,” said his mother, Amanda Barker Nielsen. Within seconds of the accident, an off-duty paramedic was able to hold Ricky’s head perfectly still with one hand and intubate him with the other. Even surviving the transport to Phoenix Children’s was considered a spectacular feat. When Ricky arrived at Phoenix Children’s, neurosurgeon Kim Manwaring, MD, had seen a small twitch in Ricky’s arm, and knew there was a small connection between the brain and spinal cord. While Ricky was still deep in a coma, Dr. Manwaring and a team of surgeons began reattaching his cranium to his spine using metal rods, plates, and screws. He used a micro-needle dissecting tool, which he had created. The needle uses electric currents to cut the skin and the area around nerves. It stops bleeding without scarring deep tissue and causing more damage. Thirty-six hours later, the 13-year-old who had survived an almost universally fatal injury, began to move his right leg. Over the next few weeks, feeling gradually returned to all his extremities. An image of the rods, plates and screws holding Ricky’s cranium to his spine. by the Children’s Miracle Network. But having Ricky walk out of Phoenix Children’s – every step applauded by the Hospital’s staff – was Dr. Manwaring’s greatest reward. Paramedics, the emergency department, Today, Ricky still needs a ventilator to neurosurgeons, the Pediatric Intensive help him breathe, and he still doesn’t Care Unit, psychiatrists, psychologists, speech therapists, occupational therapists, have full use of his left arm. But this “miracle boy” had more than luck and a and recreational therapists all aided great team of surgeons on his side. His in Ricky’s recovery. “This was a very will to survive and sheer determination long and complex hospitalization,” Dr. Manwaring says. “I can’t think of another to recover amazed the staff. “His kid who benefited more from coordinated coping skills served him well,” adds Dr. Manwaring. “He could have simply care in one site.” withdrawn, which would have made his recovery so much more difficult. His Because of his work with Ricky, Dr. personality really paid off.” Manwaring was honored with the Children’s Miracle Achievement Award 23 NURSES An extended family In 1983, as Arizona celebrated the Fourteen years later, Jeremy returned to opening of its first children’s hospital, the Hospital when a severe deterioration another longtime partnership took root: in his heart required open-heart surgery. The bond between a patient and his nurse. “When I came back, she was my nurse again,” Jeremy recalls. “As I came Jeremy Keck was born with only one out of surgery, there were so many functioning ventricle in his heart. At four complications, and I nearly lost my life. months of age, he made his first trip to Among the doctors and nurses working through the night and fighting for my life, Liv was there and at the center of those efforts.” Phoenix Children’s. It was the first time his parents met cardiac nurse Liv Lowry, who had come to work for the new Hospital. The connection was immediate. “Liv was by my bedside when I returned from the operating room,” Jeremy says. “Over the next three weeks, she spent much time comforting my parents and ensuring my quick recovery.” Liv recently attended the Friends of Phoenix Children’s Wine Tasting Event, where Jeremy was honored. “Who knew that 25 years later the two of us would be sitting at that table together. From the bottom of our hearts, we’re both very grateful to Phoenix Children’s from two very different perspectives,” she adds. When Jeremy was first diagnosed as a baby, his prognosis was grim. His parents, Terri and Jeff Keck were told that Jeremy would probably live to This year the Hospital celebrates a age 13 or 14. The quarter century, Jeremy celebrates his now 25-year-old has 25th birthday and Liv earns her 25-year endured three openservice award from Phoenix Children’s – heart surgeries, two a remarkable milestone for each. thoracotomies, and — by Jessica Catlin six other procedures. He’s healthy and living a normal life. And his nurse has been there every step of the way. “I think I’ve been with Jeremy every surgery he’s had,” she says. “He’s such a special person. He has that twinkle in his eye.” For Jeremy and his family, Liv has often been their rock. “It was her special attention and care that made me feel comfortable and safe. She would even visit on her days “From the bottom of our hearts, off. She went above and we’re both very grateful to Phoenix beyond in caring for my recovery and my pursuit Children’s from two very different of life – she’s like a family perspectives.” member,” says Jeremy. 24 More than 880 nurses are employed by Phoenix Children’s. They deliver highly specialized care based on a child’s diagnosis. But they’re also the people who – day in and day out – give children and families support and comfort when they need it most. “I think the reason we have such a special environment is we’re all here for one goal, and one purpose, and that’s the greater good of our patients and their families,” Liv notes. OUTREACH P rograms aimed at prevention Phoenix Children’s has a long history of advocating for children and creating and collaborating on programs that ensure the overall health and well-being of Arizona’s kids. Two years after Phoenix Children’s was established, the Hospital developed “Project Prevention” – an innovative live theater program that helped kids make important decisions about behavior that could lead to life-long implications. The plays dealt with the consequences of drug and alcohol abuse, teen pregnancy, AIDS, review process. The program also helped focus attention on the large number of children who were not properly immunized. Today, the Hospital, along with the Phoenix Fire Department, immunizes more than 1,800 children each year. By 1998, the Hospital had created the Injury Prevention and Research Center. In 2000, the Department of Community Outreach was started with programs focused on promoting positive parenting skills and meeting minority outreach healthcare issues in the community. Today, the center provides an extensive outreach program that reaches hundreds of thousands of Valley families. Core focus areas include injury prevention and safety, healthy children and families, and healthcare outreach. The goal is to prevent Susan Bookspan, injury prevention specialist, fits a helmet on a child at the Annual children from ever Helmet Your Brain design contest in 2000. In 2007, more than 4000 people were reached becoming patients during 20 events where “Helmet Your Brain” information was distributed. by addressing issues such as obesity, water and sexual abuse. By 1991, the program safety, bike and helmet safety, child was reaching more than 350,000 kids abuse, sexual abuse, car/booster seat each year. safety, and more. The “Children’s Health Initiatives” advocacy campaign was developed by Phoenix Children’s physicians and nurses in 1990, giving public-policy makers insight into the health problems that were affecting Arizona children. That year the campaign helped support successful measures including expansion of the “Health Start” prenatal care program and establishment of a statewide child fatality 2007 Community Outreach by the Numbers 250: Number of Arizona schools that used the “Water Safety is For You” curriculum. 80,000: Purple ribbons distributed throughout the community for Drowning Impact Awareness Month. 10: Children who drowned in Maricopa County, down from 20 in 2006. It was the lowest rate since recordkeeping began in the late 1980s. 600: Number of child passenger seats distributed to parents in targeted school communities. 50: Community events where “Bike boxes”- bike safety education packages were distributed. 20,000: Parents reached with information regarding Shaken Baby Prevention. 120,000: SAFE (Supporting a FamilyFriendly Environment) child abuse prevention educational pamphlets distributed throughout the community. 800+: individuals who completed SAFE training. 90,000: Phone calls triaged for valley pediatricians answering family’s health concerns. 100: Infants served by the Healthy Steps NICU project to assist families with babies born prematurely. 33: Children’s hospitals and pediatric centers from across the country who sent instructors to Phoenix Children’s for medical interpreter training. 210: Bilingual people in our community who completed the medical interpreter training program at Phoenix Children’s. 125: Families completing intensive parenting education in Glendale, Ariz. The first Water Watchers Day held in 2000. In 2007, more than 2,200 first graders, parents, teachers and volunteers participated in the annual event. 25 PHILANTHROPY A committed community In 1982, $500,000 was donated to Phoenix Children’s by founding donors to create a hospital dedicated to the treatment of children. And so began philanthropy at Phoenix Children’s Hospital. In 1985, the Phoenix Children’s Hospital Foundation was officially established. Since then, nearly $180 million has been raised through contributions made by dedicated philanthropists, community members, businesses, foundations, and organizations committed to making a tangible and lasting difference in the health and lives of Arizona’s children. But community support has been much more than a financial investment in Phoenix Children’s. Dedicated individuals have sat on our committees, hosted events, and opened doors for us. Leaders in the community have served on our capital campaigns. Parents of patients have become our voice in the community, and often our greatest fundraising allies. Guests have attended our events. Elected officials have supported our programs and initiatives. Businesses have held their own promotional events and encouraged their employees to champion Phoenix Children’s. The Foundation thanks all of the generous people who have donated their time, their talents, and their financial resources into making Phoenix Children’s Hospital what it is today…and what it will become tomorrow. > In 1994, Phoenix Children’s held its first Home of Miracles, raffling off a luxurious home at the Pointe Tapatio. When Willard Scott came to Phoenix to promote the event on The Today Show, nearly 5,000 tickets were sold by the end of the day from places as far away as Japan, Saudi Arabia, Germany, and Hong Kong. The event set a record as the largest single fund-raising venture in Arizona’s history, raising more than $1.4 million. > The Holiday Art Project was established in 1986, with patients from the Children’s Cancer Center (now called the Center for Cancer and Blood Disorders) creating their own artwork that was made into holiday cards and sold at Valley businesses. By 1993, the Project was raising $286,000 annually. 26 The Foundation’s longest-running fundraising event is the Emily Center Fashion Show, benefiting the Hospital’s pediatric resource library. > > The first Beach Ball Gala, the Hospital’s largest event fundraiser, was held in 1994 at the Scottsdale Princess and raised $140,000. The attire was island wear, formal wear, or a combination of the two. The dress code hasn’t changed. The amount raised each year has. In 2008, $1.1 million was raised during Beach Ball. > In 1990, the Foundation sponsored its annual Heroes Luncheon, a star-spangled event where Arizona Congressional Medal of Honor recipients honored patients at Phoenix Children’s who were bravely battling an illness or injury. That year the event raised $60,000. The keynote speaker was Bob Keeshan, better known as Captain Kangaroo. > The first Children’s Miracle Network Telethon raised $210,000. In 1991, the Telethon raised more than $543,000. Today, the Miracle Marathon is hosted by KMLE Country 108 and is broadcast live from Phoenix Children’s, consistently raising more than $1 million each year. > In 1999, the Foundation raised more than $5 million. It was a banner year, aided by the Circus Under the Stars event hosted by Sen. John McCain and his wife Cindy. More than 800 people attended the event that raised $30,000, and featured circus acts under a big top set up in the McCain’s front yard. The now presidential hopeful and his wife have been long time supporters of the Hospital. Two of their children were cared for at Phoenix Children’s. Upcoming Signature Foundation Events Call (602) 546-4483 (GIVE) for more information Casino Night October 4 Sixth Annual Davy Luna/Zach Stalls Memorial Golf Tournament October 11 10th Annual PCH Golf Tournament November 21 Russo and Steele Car Auction Gala January 14, 2009 Friends of Phoenix Children’s Wine Tasting Event February 8, 2009 16th Annual Beach Ball Gala February 28, 2009 20th Annual Emily Center Fashion Show and Luncheon May 9, 2009 27 QUADRUPLETS Caring for the H ospital’s tiniest patients Since 1985, Phoenix Children’s has cared for 80 sets of quadruplets, 10 sets of quintuplets, and two sets of sextuplets – more multiple births than any other Hospital in the nation. The Newborn Intensive Care Unit (NICU) of Phoenix Children’s consists of 30 beds at the Hospital’s main campus and 76 private rooms at the Julie and Tim Louis NICU that is housed on the third floor of Banner Good Samaritan. The unique relationship between the two hospitals offers the very best in perinatal and neonatology care available anywhere in the world. The Masche sextuplets born in 2007. Two years after the inception of the Hospital, then CEO, Dan Cloud, MD, petitioned Good Samaritan to relinquish their 59-bed pediatric nursery to Phoenix Children’s. Today, approximately 1,300 babies throughout Arizona and the Southwest are admitted to the NICU each year, some weighing barely one pound. Cutting-edge technology at Phoenix Children’s has improved survival rates for these babies. The Hospital’s NICU was the first in the state to introduce – and is now a regional leader in – Extracorporeal Membrane Oxygenation (ECMO) technology that mimics the functions of the heart and lungs. In 2008, the Hospital became the first in Arizona to offer Cool-Cap treatment to critically ill newborns with brain injuries, which decreases the risk of disability due to lack of oxygen to the brain. 28 The Collins quintuplets born in 1996. But many of the advancements made in neonatology over the years have less to do with technology, and more to do with providing an environment that helps babies thrive. In 1992, nurses in the NICU received a grant to study and analyze the importance of touch and interaction of parents and caregivers. The two-year study was the first of its kind and reinforced the importance of those factors in the care of newborns. And many of those same nurses are still providing that same loving attention. Of the 41 Hospital employees who have worked for Phoenix Children’s since it opened in 1983, nearly half of them work in the NICU. Phoenix Children’s continued this commitment to providing a calm and less chaotic environment for babies. In 2008, renovation of the Julie and Tim Louis NICU was completed, making it not only the largest NICU in the nation, but arguably the most state-of-the-art as well. The new NICU has all private rooms with individual thermostats to regulate RIBBON CUTTING The hospital we all built The Lindberg quadruplets admitted to Phoenix Children’s in 1986 room temperature, adjustable light levels, sound-dampening doors, floors, and ceilings. Each room incorporates technologies that allow the staff to monitor patients from anywhere in the unit. Nurses are able to instantly connect with patients, receive patient alerts directly from the “We’re now able to individualize the baby’s support and environment for what the baby’s needs are.” room, and even check if the patient is suffering from an acute or dangerous condition through telemetry. “We’re now able to individualize the baby’s support and environment for what the baby’s needs are,” explains Laurie Vasquez, director of the NICU. “Babies do better when we can manage the environment like this. They have a shorter length of stay and achieve milestones more quickly. Parents also feel more welcomed in this environment and spend more time here with their babies.” In 2002, after occupying two floors at the Good Samaritan Campus for nearly 20 years, the patients of Phoenix Children’s were loaded into “kidbulances” and taken to their new home on 20th Street and Thomas Road. Even when talk of a children’s hospital first began, the need for a freestanding facility was always understood. By 1999, the move was inevitable. The Hospital had outgrown its space on the Good Samaritan campus and there were not enough beds for children requiring care. The Valley was in the midst of a population explosion. Nearly 2,000 kids in both 1999 and 2000 were waitlisted for care. By 2001 that number had grown to nearly 4,000. In addition, services for pediatric care had become fragmented, inconvenient, and confusing for families. “Phoenix Children’s did well at Good Samaritan, but we were boxed in and couldn’t expand our programs physically or with regards to staff,” explains Melvin L. Cohen, MD. Paul Roshka, the Foundation’s board chairman at the time, agrees. “Kids wanted to get in but couldn’t. Some were forced to leave the state for treatment. We had a wonderful relationship with Good Samaritan, continued >> 29 RIBBON CUTTING continued were created for the neonatal, critical care, and general pediatric units to finalize decisions regarding space configurations, equipment, and furnishings. Robosaurus, a 40-foot-tall electrohydromechanical dinosaur helped with the Hospital’s 2000 “Ground Shaking” event. The metal-eating, fire-blowing robot demolished an old sign, kicking off the official start of construction of the state’s first freestanding children’s hospital. but they had their own needs and we couldn’t count on having our own space when we needed it.” The Board considered purchasing real estate and building from the ground up - an option that would have taken at least three years longer at a significantly higher cost. In 1999, Phoenix Children’s chose to purchase the 22-acre site that was originally occupied by the Phoenix Regional Medical Center. Paul S. Bergeson, MD, one of the Hospital’s founding physicians, called the move a leap of faith saying, “We had to move forward, not backward.” Roshka says the focus was on developing a hospital that would not only save the lives of children each day, but also be a place where children and parents would feel welcome. With 230 beds, it would make Phoenix Children’s one of the 10 largest children’s hospitals in the nation and increase capacity by 30 percent. Construction and renovation began in 2000. Project blueprints were said to weigh more than a Chevrolet Metro Coupe car. The new campus included 6,439 individual pieces of equipment; 500,000 pieces of furniture and accessories; 22 miles of new data cable; 64 miles of communication cable; and 5,000 light fixtures. All new technologies and systems were integrated at once – an incredible undertaking. Mock up patient rooms 30 In May, 2002, Arizona’s only freestanding children’s hospital opened its doors. To celebrate the grand opening, several community events were held. An open house was attended by more than 10,000 people who lined up to take a tour of the new facility. But just a few months after the staff and patients settled in, something very out of the ordinary in Phoenix happened – rain. A microburst hit right above the Hospital blowing out a pipe in the ceiling. Leigh McGill, MD, was in the middle of surgery when it happened and water began to flood the operating room. “I finished as quickly as I could, and we waded out in six inches of water.” Almost the entire ground floor of the Hospital had some form of damage. It was a huge setback for the Hospital. Other Valley medical facilities, including Good Samaritan and St. Joseph’s, offered to provide space for surgeries until the Hospital could recover. tient accounting – stretched the Hospital’s resources. “It was evident that the issues could be fixed,” says Bob Meyer, current Phoenix Children’s president and CEO who joined the Hospital shortly after the move. “We were a fundamentally sound hospital with tremendous physician and community support.” Hospital administrators responded quickly. Under the direction of Meyer and his senior leadership team, in just one year’s time Phoenix Children’s went from a $48 million loss in 2002 to a $3 million profit in 2003. The new freestanding facility would change pediatric care in Phoenix with a critical mass of physicians, all under one roof, all dedicated to the care of children. A larger facility would accommodate the growing number of kids in the community. A singular place dedicated to pediatrics would allow for the growth of programs and services. More visibility brought even more families to the hospital where the sole focus was on children. But what did the Hospital’s toughest and most important critics think? Kelsey Gillis, a former patient who received her treatment at the old location said, “This Hospital is a lot nicer. It’s more colorful with more things to do. The food tastes better and it even smells better here.” Mission accomplished. In addition to the flood, the construction phase of the Hospital was more expensive than originally thought. And creating numerous departments from scratch – from operating rooms and radiology, to information technology and paThe first patient to be transported to the new Phoenix Children’s Hospital location. SCHOOL A “Darn Cool School” When children come to the hospital, they need more than just great medical care. They also need to keep up with their schoolwork. That premise lead to the Phoenix Children’s “Genius Club,” founded in 1987, which became the Hospital’s first in-house classroom. At the time of the opening, the “Genius Club” represented one of the first hospital schools in the nation. Billy Truman was one of the first patients to use the Hospital’s Genius Club. Born with gastroschisis, Billy spent the first full year of his life at the Hospital. Now at age 21, Billy remembers the school and his first teacher, Charlie Schneider. “I remember that he was very kind and loved to get kids to learn.” the one thing parents and kids can agree on is the need to feel normal. School is the structure all kids know as normal. It helps kids look beyond their illnesses and helps them feel just like any other kid.” The program has been especially important to middle and high school students who can continue earning credits towards graduation - a long term goal that no patient should have to give up. Phoenix Children’s is still one of the few hospitals in the nation to employ its own teaching staff, with four fulltime accredited teachers, all Master’s The school grew over the years and level prepared in Special Education, reopened in 1999 as “1 Darn Cool School.” a classroom assistant, and a team of Through the evolution, one very important volunteers with backgrounds in education. Teachers work with “When a child is in the hospital and all of children year-round and also offer special life is out of whack, the one thing parents programs, including and kids can agree on is the need to feel a “Summer Camp” and theme-based normal. School is the structure all kids enrichment programs know as normal. It helps kids look beyond for patients and their Each spring their illnesses and helps them feel just like siblings. they have a prom, any other kid.” and each fall a backto-school dance. For aspect remained the same: The school children who can’t make it to the classroom, allows kids to maintain a sense of normalcy the teachers provide bedside instruction. in a situation that is anything but normal for a child. It also provides a distraction, giving The school’s staff also kids something to think about other than works with a patient’s why they’re in the Hospital. home school to determine the individual educational Today, 1 Darn Cool School is a certified needs of each child. And K-12 program that helps patients keep up once a child leaves the with their class work – something that is Hospital, a re-entry critical for kids. Many of them can spend program assists the children months – or even years – at the Hospital. in transitioning back to According to Billy’s mom, Carla, her their regular schools, a son spent four to five years of his life program first implemented at Phoenix Children’s. “The programs by the Hospital’s Cancer offered by the Hospital help the parents Center (now the Center for Cancer and because they don’t have to negotiate so Blood Disorders) in 1985. much,” she says. “When a child is in the — by Lauren Hitchcock hospital and all of life is out of whack, Patients cut a rug at the annual back-to-school dance. Billy Truman, seen here as a patient at the old Hospital’s location with Teresa Boeger, director of The Emily Center and Volunteer Services, and graduating from Moon Valley High School. 31 TOMORROW’S Doctors Training the next generation of pediatricians Long before there was Phoenix Children’s Hospital, there was pediatric residency training in Phoenix. To put things in perspective, pediatric residency training in the Valley began the same year the Salk Vaccine was developed against polio – in 1954. At that time, individual programs were instituted at various hospitals around the Valley. In 1974 the programs were combined and called the Phoenix Hospitals Affiliated Program. Once Phoenix Children’s was established, the pediatric residency program moved to the Hospital and integrated with Maricopa Medical Center, and affiliated with the University of Arizona College of Medicine. The program began providing core pediatric training for one-third of Arizona’s medical students. By 1991, 20 new residents were joining the program each year. The graduating class of 2007. “Phoenix Children’s has long been a place where women were pioneers in medicine,” says Melvin L. Cohen, MD. That holds true with his residents. Of the Hospital’s 21 newest residents, 16 are female. residents who join community practices,” says Grace Caputo, MD The Hospital also provides GAPP, a 14-week curriculum for newly graduated nurses; Grand Rounds, ongoing medical education for physicians; monthly conferences related to the healthcare of children; and Basic/Advanced Life Support classes. Today, 57 pediatric residents, seven chief residents, and 29 combined internal medicine/pediatric residents are currently enrolled in the Hospital’s residency program. Residents complete three years of training in general pediatrics. The Hospital also provides three-year fellowships in endocrinology, emergency medicine, and dermatology, with more fellowships planned for the future. Another 220 residents from across the state and country receive some part of their education at Phoenix Children’s – including residents from Maricopa Medical Center’s four year program who are specializing in adult medicine, but do a rotation in pediatrics at Phoenix Children’s. “Residency training has a tremendous impact on our community. Many children receive care from current and former 32 Attendings and residents of the Good Samaritan residency program in 1970, including founding physicians and important figures in the development of Phoenix Children’s and pediatric medicine in the Valley. Ken Tollackson, MD (top row, second from left); Herm Lipow, MD (middle row, center); Marian Molthan, MD (bottom row, third from left); Lucy Hernried, MD (bottom row, fourth from left); Paul S. Bergeson, MD, (bottom row, far left); Clarence Laing, MD, (middle row, far left) Michael Arias in 1998 following his bone marrow transplant. The “Every Kid Counts” water bottle program is named in Michael’s honor, who served as their spokesperson. Proceeds benefit the Center for Cancer and Blood Disorders. UPSIDE DOWN F amily-centered care For all of the families who have found themselves at Phoenix Children’s over the past 25 years, it’s safe to say that not one of them imagined they’d be here. When a child’s illness or injury is lifethreatening it’s confusing and frightening for kids. For parents, it’s surreal and heartbreaking. Overnight, a future full of promise can turn to uncertainty. When worlds are turned upside down, it’s the time when the family-centered care at Phoenix Children’s is most important. In 1997, Carla and Joseph Arias brought their son Michael to Phoenix Children’s thinking he had an obstructed bowel. Within hours doctors had removed a mass the size of a grapefruit. A biopsy revealed that their 3-year-old son had neuroblastoma, a solid tumor cancer that was spreading quickly. “I can’t even describe the emotions we were feeling,” says Carla. Michael’s body succumbed to the cancer shortly before his sixth birthday. As he courageously battled his disease, the Hospital became a second home to Michael, his parents, his siblings Stephen and Gabrielle, and his Grandma Mary who moved from Texas to support the family. “We lived our lives in the Hospital and the infusion center,” adds Carla. “But he smiled through everything. He was such a special, amazing kid.” The Hospital staff understands that when a child is diagnosed with a disease, the entire family is affected. Child Life specialists ensure the patient understands and feels comfortable with their Hospital experience. Recognizing that families need the same care, the Hospital provides social services to help them deal with family stress, behavioral health issues, basic needs like transportation and housing, as well as community resources and referrals that may aid the family. The Hospital also provides round-the-clock pastoral services. Week-long camps for kids with chronic illnesses like cancer, hemophilia, diabetes, and kidney disease are hosted by the Hospital. The camps give children an opportunity to spend time outside of the hospital setting where they can kayak, swim, and rock climb with kids who are just like them. Michael (right) with his brother Stephen in 1999, less than one month before his body succumbed to cancer. He also left behind sisters Caroline and Gabrielle. he created with the help of former Child Life specialist Renee Hunte, and school teacher Carla Woyak. It was a place he could go where there were no pokes, no sticks, and no chemotherapy. “Bumble Bee Planet was essential to Michael and his ability to cope with the horrific things he was going through,” says his mom. Terry Wood, MD, his team of nurses, the Child Life staff and teachers at 1 Darn Cool School helped provide a feeling of normalcy to Michael. They explained his disease and treatment in ways that both he and his family would understand. Michael jokingly referred to Dr. Michael Sapozink in Radiation Oncology as “Dr. Zapperzink” because he was “zapping” him with radiation. The staff helps all children understand their diagnosis and treatment in age-appropriate ways. For children diagnosed with cancer or other life threatening illnesses, it’s critical that the staff work with the children and families in coping emotionally with what they’re going through. They also helped Michael develop coping mechanisms to deal with his treatment. Michael liked to imagine he was on “Bumble Bee” planet, an imaginary place “Kids can often think they’re here because they did something wrong,” says Kari Brackin, a Child Life specialist who works with kids diagnosed with cancer. continued >> 33 UPSIDE DOWN continued >> VISITS The first Camp Rainbow (seen here) was held in 1985, just two years after the establishment of Phoenix Children’s. That year 27 children diagnosed with cancer journeyed to Prescott for a week of summer fun with the Hospital’s medical staff. By 1993, more than 145 kids were attending the camp. The Hospital also hosts annual camps for kids diagnosed with diabetes, hemophilia, and kidney failure. “Adolescents and teenagers understand more, but they’re also struggling with loss of control and independence. But I always find it amazing though how resilient they all are. It’s such a difficult situation, but most cope extremely well.” Despite the interruption in everyone’s life, Carla says she’s grateful that the family was able to share so much quality time together at the Hospital. Stephen, Michael’s brother and best friend, was a constant at Michael’s “The people at Phoenix Children’s really go above and beyond. One of the many things that we learned was to expect the unexpected.” side. He would spend the nights with Michael, sharing his bed and the toy cars Michael would receive after his treatments. “It’s still hard for Stephen to talk about it, but even now he really relishes how close they were. There were so many things that Michael was able to do at the Hospital,” says Carla. “There was so much familial bonding considering how much time Michael was away from the house.” Even today, the Arias Family is grateful for not only the medical care they received at Phoenix Children’s, but the emotional support given to them by the staff. “The people at Phoenix Children’s really go above and beyond. One of the many things that we learned was to expect the unexpected.” 34 Celebrity sightings at P hoenix Children’s Nothing gets the Hospital buzzing more than a visit from someone famous. Patients and families are always surprised – and sometimes a little star struck – by gracious stars who have stopped by to give patients an unexpected pick-me-up. Beauty queens, television stars, famous politicians, superheroes, and iconic sports figures have all come through our doors, with many of the visits fascinating the parents more than the kids. When word got out that boxing legend Muhammad Ali was on the premises, hundreds of adults had gathered in the lobby of the old Hospital hoping to get a glimpse. “Most of the kids didn’t know who Muhammad Ali was. But the adults went crazy. We couldn’t even get him off the elevator,” says Teresa Boeger, director of The Emily Center and Volunteer Services. Team members from the Phoenix Suns, Arizona Diamondbacks, Arizona Cardinals, and Phoenix Coyotes are regular visitors and always patient favorites. “Charles Barkley always made it clear that he was here for the kids,” adds Boeger. “We’d typically tell visitors that we’d help them move along quickly. We never had to do that with Charles. He made his own way.” One of the most memorable visits was Sylvester the Cat. The person inside the suit was overheated in the costume and fainted in front of the kids. “We didn’t want to take off the head of the mascot in front of the kids so we drug him into the bathroom and called for a doctor. Kids were standing outside the bathroom and knocking on the door to see if Sylvester was okay,” laughs Boeger. Tony Hawk Thumbelina Mr. T Jonathon Taylor Thomas The Backstreet Boys The Stanley Cup Brett Favre Spiderman Willard Scott The Rockettes Barney Sen. John McCain Beethoven Star Wars cast Phil Simms Muhammad Ali Sen. Joe Lieberman Harlem Globetrotters Charles Barkley Patch Adams Annette Funicello, Mickey Mouse, and Rose Mofford 35 WHEELS M obile medical units take to Valley streets In 2001, shortly after the 9/11 attacks in New York and Washington D.C., the Crews’n Healthmobile caused a small uproar in downtown Phoenix when it ran out of gas in front of the Naturalization and Immigration Building. Local police and FBI agents surrounded the van, demanding to know who was inside and why they had stopped. “It literally came to a dead stop on Central Avenue right in front of the building. The gas gauge didn’t work so we never really knew how much gas we had,” laughs Jan Putnam, a nurse practitioner and part of the Crews’n staff. “I thought they were going to arrest me. Then one of the officers asked if I could push it off to the side of the road. We’re talking about a 35-foot van!” Putnam recalls another time when she was driving the Crews’n Healthmobile through a narrow alley and nearly ripped off the wheelchair lift. Another of the mobile health units was renamed the “Mobile Sweatbox” because the staff never knew if the air conditioning was going to work. So maybe providing healthcare from a 12ton RV hasn’t always been pretty. But no one can argue that it hasn’t been effective. Since 2000, the Crews’n Healthmobile has been providing medical care to homeless and at-risk children and young adults across the Valley. The program was formed through an innovative partnership with Children’s Health Fund and HomeBase Youth Services. In 2007, the 36 Crews’n staff provided examinations, immunizations, medications, and health education to more than 2,275 kids and teens. On any given day it is estimated that 5,000 Arizona youth are homeless, with the vast majority located in Maricopa County. The mobile medical unit offers clinic visits on-site at centers, shelters, schools, and the streets of Tempe where this population congregates. Partners of Crews’n Healthmobile include Children’s Health Fund, Homebase Youth Services, UMOM Family Shelter, Tumbleweeds and Health Care for the Homeless. A grant that originated with American Idol and Idol Gives Back enabled the Children’s Health Fund to provide a second Crews’n Healthmobile to Phoenix Children’s in 2007. The current unit is the most sophisticated yet with a state-of-the-art tracking dish that makes the van wireless capable anywhere in the world – a necessity when the van is used as a response vehicle for national disasters. In 2005, the Crews’n Healthmobile staff assisted with Hurricane Katrina relief efforts. “It’s been quite a journey. Although we’ve seen thousands of kids, we long for the day when we no longer need a mobile unit out there providing healthcare to homeless children and adolescents,” says Randy Christensen, MD, medical director of the Crews’n Healthmobile. “Until that day comes we’ll be out there with our team and partners.” The Crews’n Healthmobile isn’t the Hospital’s only mobile medical unit that takes to Valley streets. The Breathmobile travels to inner-city schools in Phoenix, providing asthma care, treatment, and follow-up for up to 70 patients each week. There is no fee or need for referral. Once diagnosed, children receive an asthma action plan that includes education for asthma self-management, follow-up appointments, and evaluations, as well as a 24-hour phone number in case questions arise. “The Breathmobile has had a huge impact,” says Judy Harris, director of Breathmobile. “A large percentage of the population we’ve treated didn’t even know they had asthma. Many others who did were very limited with their activities. Now they can run, play and lead a normal life.” More than 140 children with asthma attended the inauguration of the Breathmobile (seen here) in 2000. Among patients treated by the Breathmobile, there has been a greater than 40 percent drop in missed school days due to asthma related problems, greater than a 73 percent drop in emergency room visits due to asthma, and a greater than 70 percent drop in hospital stays due to asthma. Partners of the Breathmobile include Wal-Mart, Sam’s Club, GlaxoSmithKline, Merck Pharmaceuticals, and the Arizona Department of Health Services. X-RAY Marshall Lustgarten, MD, was the Hospital’s first pediatric radiologist when he began practicing at Good Samaritan Hospital in 1971. He came on board with Phoenix Children’s in 1983 where he has served as both medical staff president and division chief of radiology. Below, he talks about the ever-changing field of radiology and how it has transformed patient care. You began your career as a pediatric radiologist at an adult hospital. What is the difference in care? At Banner Good Samaritan Hospital the radiology group was strongly oriented towards adult radiology and they provided excellent care with state-of-the-art equipment. The major deficiency in this relationship was our inability to provide family-centered care to our children in an adult setting. How much has the field changed since you started practicing medicine? When I began my radiology practice 38 years ago, modalities like CT and MRI were nonexistent. In fact, a person probably wouldn’t recognize the equipment – or for that matter – the images we had back then. The potential usefulness of ultrasound, nuclear medicine and interventional radiology were just being realized. Technology changes so quickly in this field that five years from now much of what we’re using will be outdated. That also means that a large portion of any Hospital’s capital budget goes towards radiology. But it’s really a pivotal department and such an important aspect of overall patient care. How has technology changed patient care since the Hospital opened 25 years ago? All modalities were available and moderately sophisticated 25 years ago. Now the extraordinary technological advancements in our specialty allows for diagnostic sensitivity and specificity, greatly impacting patient care. Now we’re able to be far more specific and can detect even the most subtle changes. Twenty-five years ago a trauma patient would need a number of diagnostic tests that could take a day or two. Now we have that information in a matter of minutes with far more diagnostic information. It’s almost frightening to see what we can do now, and look back at what we couldn’t do then. More importantly, radiation exposure to our patients has been markedly reduced. How has interventional radiology improved care? It’s allowed us to treat children in a nonsurgical way with better outcomes and faster recovery times. The interventional radiology section is under the direction of our new department chairman Dr. Richard Towbin. Interventional radiology is complementary to the other sections of our department, including CT, MRI, ultrasound, and nuclear medicine. The advancement in all of these areas has improved patient care and outcomes applicable to all care areas at Phoenix Children’s. How has technology helped you share information with other doctors? Computerization of our department permits us to share images with our colleagues immediately. Voice recognition technology allows us to dictate, edit, and send reports within minutes to our referring physicians. 37 YOUR HOSPITAL, YOUR HOME A place to stay There’s no place like home. For out-of-town patients with extended stays at Phoenix Children’s, the next best thing is the new $3.2 million Ronald McDonald House located within mere steps of the Hospital. The 18 apartmentstyle homes were decorated, painted and furnished by an army of volunteers from area businesses and organizations, as well as families with ties to Phoenix Children’s. Each room has a full service kitchen, television, and DVD player. Families also have access to a reception entry, social dining area, activity room, laundry facilities, and full-service business offices with computers. There are no “visiting hours” for family here. It’s understood that an important part of a child’s healing process is being among family and friends. Families are invited – and even encouraged – to stay with their children in their rooms. The Family Center provides families with additional sleeping quarters, a full-size kitchen, showers, washers and dryers, and a family room complete with a big-screen television. It gives families a place to relax and get some reprieve. Even for families not staying at the Ronald McDonald house, Phoenix Children’s offers an environment that makes parents and siblings feel welcome. Phoenix Children’s is also bringing specialized pediatric care closer to home. The Specialty and Urgent Care Center – East Valley, opened in 2007. Offering comprehensive specialty care by the Hospital’s staff on weekdays, as well as urgent care in the evenings and weekends, the Center will serve as a prototype for similar centers that will be developed in other high-growth areas of the Phoenix metropolitan area. 38 ZOOMING FORWARD Rendering of the new Phoenix Children’s Hospital patient tower that will be completed in 2012. D ear F riends: Mark Twain once said, “The past does not repeat itself, but it rhymes.” As we celebrate the faces and places that have transformed pediatric medical care in Arizona over the past 25 years, we are also preparing for the future of our Hospital, and the future of the children and families of our state. A multi-year phased expansion of Phoenix Children’s is underway that will allow the Hospital to meet the needs of a burgeoning pediatric population, offer our patients and families an even wider range of services and specialists, amplify the Hospital’s research efforts, and allow Phoenix Children’s to evolve with the ever-changing face of pediatric medicine. Although so much has changed at Phoenix Children’s over the past quarter of a century, our singular focus has remained the same: to provide hope, Bob Meyer, President and CEO of Phoenix Children’s unveils plans for the Hospital’s expansion during the “Most Important Day” community luncheon event. healing, and the very best healthcare available to children and their families. Please join Phoenix Children’s as we embark on our journey into the next 25 years. Sincerely, Robert L. Meyer President and CEO Phoenix Children’s Hospital - more information on the Hospital’s expansion in the next issue of Hopes and Dreams 39 As our Hospital celebrates elebrates 25 years, we invite you to explore ore the many ways you can touch the life of a child by giving to Phoenix Children’s ’s Hospital. 1919 East Thomas Road Phoenix, AZ 85016 (602) 546-1000 (888) 908-5437 (KIDS) West Valley: (602) 863-0864 Scottsdale: (480) 314-1144 Emergency Department: (602) 546-1900 Specialty and Urgent Care Center East Valley: (480) 833-5437 Foundation: (602) 546-GIVE (4483) Michael Joseph Arias (story on page 33) 2929 East Camelback Road, Suite 122 | Phoenix, Arizona 85016 Permit number 961
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