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M A T T E R S The Newsletter of the Children’s Hospital at Dartmouth M A T T E R S The Newsletter of the Children’s Hospital at Dartmouth Fall 2004 CHaD Opens the Doors to a Grand New Space Look What’s New Look What’s New

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M A T T E R SThe Newsletter of the Children’s Hospital at Dartmouth

M A T T E R SThe Newsletter of the Children’s Hospital at DartmouthM A T T E R SThe Newsletter of the Children’s Hospital at Dartmouth

Fall 2004

CHaD Opens theDoors to a

Grand New Space

LookWhat’sNew

LookWhat’sNew

CM_Fall_04 10/29/04 6:48 PM Page 1

2 M A T T E R S2 M A T T E R S

Many young physicians whohave finished their residen-

cy and want to specialize inneonatal-perinatal medicinewould be thrilled to be accept-ed in CHaD’s neonatology fel-lowship program—a compre-hensive three-year program thatserves as the next step in theirsubspecialty training.

Fellows receive intensivetraining in four main areas: asclinicians caring for babies inthe NICU, as unit supervisorsof the nursery, as researchers,and as teachers, says Dr. RobertDarnall, a neonatologist whoruns the program.

“Dr. Laurie Hogden is ourmost recent graduate of the pro-gram, and we have two fellow-ship slots that are filled upthrough 2007,” says Darnall.“In addition, we’re adding anexciting new position in con-junction with the Center forEvaluative Clinical Sciences atDartmouth College. It will be afour-year position, where fel-lows will come out not onlyboard-eligible but also with aMasters in Public Health.”

CHaD welcomes Jen-nifer Rupp, a child life

specialist who joined thehospital’s child life teamin late August. She is pro-viding developmental andpsychosocial services topediatric patients inHematology/Oncology,on both an outpatient andinpatient basis. Fundingfrom the C & S GolfTournament is making itpossible to provide thesecritically important serv-ices to this vulnerable pop-ulation.

Prior to joining CHaD,Rupp worked as a child lifespecialist for five years at the Medical Universityof South Carolina Children’s Hospital. “My hus-band and I are from this area originally and had

been looking to get backto New England to becloser to our families,” shesays. “It’s nice to be home.”

“We’re very excited to

have Jennifer join the pro-gram,” says Jessica Laperle,child life specialist and in-terim coordinator for thechild life team at CHaD.

“She has a lot of experience working with adoles-cent support groups—an important area that wewant to focus more on in the future.”

Helping to Keep Kids Connected

When two teenagers were diagnosed with cancer earlier this year,a group of area professionals stepped in to help.

“There were two families who had teen sons who were comingto CHaD frequently for treatments,” says Anne Baird, a socialworker with the Pediatric Hematology/Oncology program. “Nei-ther had a computer of their own, and they were feeling discon-nected from their schools and their friends.”

Baird called Bill Hochstin, materials manager, who handles disposaland recycling of properties for Dartmouth College. “When Anne askedme if we could find a couple of computers, I said, ‘I think wecan do even better,’” says Hochstin, who located twolaptops and sent them to Paul Feeney,co-founder of Wincycle. “Oneof our missions is to refurbishused computers and donatethem to non-profit organi-zations, so we were happyto help,” explains Feeney.

Within a couple of weeks, the boys had their laptops.“They’re very ap-preciative,” saysBaird. “And, it’smaking life a littleeasier for them.”

CHaD NOTES New Child Life Specialist Joins CHaDPreparing Fellows toBecome Neonatologists

“She has a lot ofexperience workingwith adolescentsupport groups—animportant area thatwe want to focus moreon in the future.”

Tuning in to Keep KidsHealthy and SafeThrough this past summer and fall,CHaD and Clear Channel Radiostations teamed up to provide childhealth and safety messages for lis-teners in the region.

The 60-second “CHaD Minute”public service messages, featuringCHaD pediatrician “Dr. Kyle,” areaired several times per day, Mon-day through Friday, and cover a va-riety of health and safety issues.

“The topics are timed to the sea-son and cover many age groups,”says Nichole Romano, a senior ac-count executive with Clear ChannelRadio who helped develop the for-mat for the spots. “We’re pleasedto be working with CHaD to helpkeep parents informed about theseimportant issues, and we hope toexpand the program to other regionsof the state in the future.”

The messages can be heard on-line at www.xl92.com or by listen-ing to 92.3FM, 100.5FM, or1400AM/93.5FM.

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M A T T E R S 3M A T T E R S 3M A T T E R S 3

Friends, Family Pay Tribute to Banker“You look beautiful today.” That

was how David Banker al-ways greeted moms when theyentered the intensive care unit(ICN). “He truly had a gift formaking parents feel welcomewhen they came through thedoor,” says Tammy Lambert,unit leader of the ICN.

On September 12, a hugecrowd of friends and familygathered in the courtyard out-side the medical center’s maindining room for a tree plantingand bench dedication in hon-or of Banker, who died of can-cer last summer. Before he leftCHaD in 2003, the ICN staffpresented Banker and his daughter with a quilt they had made. Theunit is also creating a book of memories for his family.

In addition to being secretary for the ICN, over the years Bankerserved on the Board of Governors for David’s House, was a member ofthe Arts and Grievance Committees, and taught a wine class at DartmouthCollege. “He seemed to know everybody,” says Lambert. “He was justa great person who loved life and saw beauty in everything. On hisbench, there is a plaque that reads, ‘David invites you to sit and en-joy.’ That’s an idea that he would have liked very much.”

Helping Teens Become Leaders

In July, the STAR (StepsToward Adult Responsi-

bility) Program offered anew event—the STARSummer Leadership Insti-tute—to further help teensages 13 to 18 meet thechallenges of transitioningto adulthood while livingwith a chronic illness.

This intensive four-day program combinedinstructional sessions at Dartmouth Collegewith team-building and social activities in thecommunity at the College-owned Moosilauke

Lodge. Sessions were co-led by four Dartmouth College under-gratuate students and Dartmouth Medical School students.

“Our goal was to help the teens identify different leadershipstyles and learn how to apply them in their lives,” says Jessy LaVal-ley, STAR program manager. “We hope that the skills they learnedwill give them confidence and help them with some of the im-portant decisions they are beginning to make about their futures.”

Fifteen students from the tri-state area attended the event, ac-cording to Mindy Kendall, program coordinator. “Their chronicillnesses ranged from diabetes, Crohn’s disease, cystic fibrosis, hy-perthyroidism, and heart disorders,” she says.

Children’s Fund of the Upper ValleyHow does a newborn with severe breathing trouble translate,

six years later, into a new hotel and philanthropic support for chil-dren for the Upper Valley?

In January 1998, Chapin Leatherwood was born at Dartmouth-Hitchcock Medical Center in Lebanon, NH. Without warning, hestopped breathing just after he was delivered. He spent the nexteleven days in the Neonatal Intensive Care Unit (NICU) at CHaD,and emerged healthy. Today he is a thriving six-year-old boy. Buthis parents, Loretta and David Leatherwood, never forgot the ex-traordinary compassion and expert care their family enjoyed atCHaD. “We felt like Chapin was the only patient in the NICU,”David recalls. “Nurses would work twelve-hour shifts and then callin from home, two hours later, to check on him. And what we soonrealized was that there were twenty other infants in the NICU,every one as critically ill as Chapin, and each one got that sameintense, heartfelt care. The staff at CHaD give their hearts andsouls to every child there, and then at some point, hopefully whenthat child is recovered enough to go home, they say goodbye andwelcome another child with equal energy and unconditional love.”

Leatherwood immediately became involved with the hospital andwas later appointed President of the Friends of CHaD. In 2000, hewas invited by then-dean John Baldwin to become an inauguralmember of the Dean’s Council for the Future of the Medical School.The dean asked council members to “think outside the box” aboutfundraising. Leatherwood had a realization: many entrepreneurscan’t afford to write large checks to charity while growing their busi-nesses, but they can use their talents to support philanthropy by ded-icating a small percentage of their profits to charity.

And thus Community Partners Hotel Group (CPHG), a localgroup of investors and philanthropists, was born. Leatherwoodbegan conversations with Dartmouth to purchase a site in Center-ra to build a hotel. Leatherwood and his partner, Jenny Williams,also of Norwich, are now submitting a site plan to the PlanningBoard of the City of Lebanon for an upscale Courtyard by Marriotthotel. The design for the hotel will mirror the elegant architecturefound throughout Centerra Park and will feature a wireless data con-nection and state of the art technology. Leatherwood noted that “thisbeautiful, upscale hotel will compliment the businesses the City ofLebanon has been able to attract, like Glycofi, Fluent, Hypertherm,and Geographic Data Technologies. The presence of Dartmouth, oneof the premier educational institutions in the world, also demandsa topnotch facility which will cater to the needs of sophisticated busi-ness travelers and conference participants.”

One Million Over Ten yearsThrough their hotels, Leatherwood and Williams have establishedthe Children’s Fund of the Upper Valley with a pledge of at least $1million over the next ten years. Fifty percent of this funding will goto CHaD. The balance will support other projects that improve thelives of children in the local community, through quality health-care, child care, arts and educational initiatives.

“We hope other local businesses and entrepreneurs will followour example,” said Williams, who has spent much of her career inphilanthropy and fundraising. “We want to create a groundswell ofphilanthropic support for worthy local causes.” Williams will serveas Executive Director of the Fund and will lead a local advisorycommittee that will collaborate with the Upper Valley CommunityFoundation (UVCF) to review proposals and make annual grants.

Teen participants AurishaAlbright and Scott Impeywith institute counselorand Dartmouth MedicalStudent Eric Arehart.

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4 M A T T E R S

WAL-MART HAS LONG

been considered oneof the best CHaD

Champions, and this yearthey went overboard toprove it true. On Septem-ber 15, CHaD received acheck for $374,000 fromWal-Mart at the 4th annualWal-Mart “Help a ChildSmile” Golf Tournament atthe Green Meadows Coun-try Club in Hudson, NH.

ExtraordinaryFundraising EffortsThe tournament marks thecompletion of Wal-Marts’and Sam’s Clubs’ year-longfundraising efforts on behalfof CHaD. This year’s totalexceeded last year’s record by$124,000. Wal-Mart Regional Vice Presi-dent Paul Busby had thrown out a challengeto the New Hampshire and Vermont storesat their annual CHaD meeting last Novem-ber, to raise $360,000 for the children. Thelocal stores not only accepted the challenge,but they beat it!

Wal-Mart stores’ creative fundraisinghas included: hosting raffles, pot lucklunches for staff, and craft fairs; bombard-ing their managers with water balloons ($1a balloon for CHaD); dressing in holidaycostumes to attract attention to their ef-forts; marching in parades; and selling staffcook books, used books, and Krispy Kremedonuts by the vanload…all in support ofthe kids at CHaD. All the while, the verypopular blue CHaD-a-sauruses coin bankscontinue to collect change at every VT andNH Wal-Mart for CHaD.

Over the past years, Wal-Mart’s support forCHaD has provided start up funds forCHaD’s PainFree Unit, and funded the ChildLife Program and research for a cure for Dopa-responsive Dystonia. This year Wal-Martfunds have benefited CHaD’s Face of a Childprogram to coordinate the care for childrensuffering from cranial and facial deformities

such as cleft palates, skull de-formities which hinder braingrowth, and missing featuressuch as ears. Funds also sup-ported the construction ofthe new child-friendlyCHaD Outpatient Center,which opened in August.

Help a Child Smile Golf TournamentThis year’s “Help a ChildSmile” Golf Tournamentfeatured nearly 150 play-ers, Regional, District andStore Managers, employeesand representatives from 25of Wal-Mart’s top vendorsand suppliers. Paul Busbyflew in from Arkansas forthe event to thank all thestores and vendors for their

huge efforts on behalf of CHaD.“It is so exciting to see competing ven-

dors working side-by-side in support of thekids,” said CHaD Vice President Mary Os-eid. “Competitors like Coca Cola, Pepsi,Snapple, Dr. Pepper/7Up and Polar Bever-ages, or Nabisco and Keebler all had golfteams, provided auction items, and had greatfun bidding against each other at the tour-nament. Tomorrow they will be back com-peting for sales, but today they are workingtogether for the kids.”

Great OutcomesTournament guests included nine childrenwho have benefited from the supportCHaD has received from Wal-Mart. Threechildren from the Peets family of Epsom,NH—Hayden (5), Evan (1) and Jillian (3months)—all suffered from cleft pallets,but having undergone reconstructive sur-gery with Dr. Mitch Stotland at CHaD.Now they can now look forward to nor-mal lives and attractive smiles.

Another child, Olivia Garcia (8), fromNashua, NH, was born without a rightear. Dr. Stotland has been able to recon-struct a beautifully life-like new ear from

CHaD Champion: Wal-Mart Stores in NH & VT

Top: Dr. Mitch Stotland, right, happily accepts a$374,000 check from tournament organizersSkip Dykstar, Sean Petterson, and Tony Tiner.

Above: Wal-Mart Regional Vice President PaulBusby and CHaD patient Meghan Richardsonsignal the start of Wal-Mart’s “Help A ChildSmile” Golf Tournament.

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M A T T E R S 5

cartilage in other parts of her body. Gracie (11) and Harrison (13) Cole-

grove from Bedford, NH, returned thisyear for the tournament. Once relegatedto wheelchairs, suffering from Dopa-re-sponsive Dystonia, they are now leadingnormal lives thanks to the research andmedical care of Dr. James Filiano, directorof the CHaD’s Neurometabolic Program.

As a Wal-Mart Associate, Sue Richard-son from Merrimack, NH, was instru-mental in encouraging Wal-Mart to sup-port CHaD, where her daughter Meghanwas being treated for Cystic Fibrosis.Meghan has been an annual favorite at theWal-Mart tournament the past three years.This year the children took part in a puttingcontest with all the tournament players.

The tournament was co-ordinated by Sean Peterson,Store Manager for the Man-chester Wal-Mart; Tony fromthe Amherst store; Deb

Tedesco, Community Involvement Coor-dinator from Epping; and Skip Dykstar, Re-gional Community Coordinator.

“Wal-Mart is committed to supportingthe local community. This isn’t just a case ofa large company handing out a huge check.The money the stores raised came from thehard work of the thousands of local Wal-Mart Associates. They held cookouts, raf-fles, potluck lunches, and other family ori-ented events at their stores. I have neverseen such dedication from employees,” saidSharon Brown, director of community re-lations for CHaD. “Wal-Mart employeestake a keen interest in their local commu-nity, and best of all they encourage theirvendors to join in the fun, all for the kids.”

CHaD Speakers Bureau Formed“At the request of our regional colleagues, the CHaD facultyhave created a Pediatric Speakers Bureau to support the con-tinuing medical education needs for community physicians, nurs-es, and other child health providers in Northern New Eng-land,” says Dr. Judith Frank, professor, Department of Pediatrics.

CHaD faculty, including regional leaders and national ex-perts, will travel to community hospitals for presentations. ThePediatric Speakers Bureau offers more than 40 faculty/clinicianscovering over 125 medical topics.

“We have received terrific response to date from across theregion, including several requests for our Manchester CHaDfaculty,” says Margaret Minnock, director of Planning andRegional Services. “It’s providing a great opportunity for us towork collaboratively with our colleagues to improve healthcare in our communities.”

As part of the only academic medical center in New Hamp-shire, CHaD provides advanced tertiary care and regionaleducation, and contributes nationally to improving the health ofall our nation’s children through multiple research endeavors.

DARTMOUTH-HITCH-cock’s high-risk ob-stetric service provides

specialized care for womenbefore and after pregnan-cy. But, when babies areborn too soon or have se-rious illnesses, CHaD’s In-tensive Care Nursery isready to treat the smallestand sickest patients fromall over the region.

“Because of our com-mitment to healthy babies and mothers,we work closely with physicians and nurs-es in all of the hospitals in Vermont andNew Hampshire to provide education onmaternal and child health issues,” says Vic-toria Flanagan, RN, MS, perinatal out-reach nurse for DHMC. “One of ournewest projects is the NH Birth Condi-tions Program.”

The project is a collaborative effort be-tween Dartmouth-Hitchcock, the NewHampshire Department of Health and Hu-man Services Office of Community andPublic Health, and the Centers for DiseaseControl and prevention.

“We are very excited about this new ini-tiative because New Hampshire is one of

the last states to get a birthconditions program up andrunning,” adds Flanagan.

The Goal: Healthy Babies“Once we gather enough in-formation, we expect we’llbegin to see patterns thatwill help us understand if,and how, environmentaland lifestyle factors impactNH birth outcomes,” says

Dr. John Moeschler, a pediatrician and di-rector of the NH Birth Conditions Program.

“If we begin to see a larger-than-normalnumber of women from the same geo-graphic region having infants with a specialbirth condition, and if they’re all drinkingwater from the same source, a red flag wouldgo up,” explains Moeschler. “Based on thosespecific findings, experts would investigateand hopefully understand any relation be-tween the exposure and outcome.”

The information will also help to iden-tify families who are eligible for supportservices in the future. “This is an importantopportunity to strengthen and expand cur-rent prevention activities and improve thehealth of babies,” says Moeschler.

res in NH & VT

Associates at theConcord Sam’sClub make fundraising fun, andcostumes are justthe beginning.

Birth Conditions Program Seeks to Improve Health of Babies

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6 M A T T E R S

IN AN ONGOING EFFORT TO PROVIDE THE

best care possible to newborn infants andtheir families, the Neonatal Intensive

Care Unit (NICU) at CHaD has been aleading participant in the Vermont-OxfordNetwork for more than 10 years.

“The network includes a group of about50 NICUs across the country that are co-ordinating research efforts to improve thequality and safety of medical care in theirunits,” explains Tammy Lambert, unitleader of the NICU.

Every two-to-three years, the units formexploratory groups and pick new qualityimprovement topics to work on. “Duringthat period, units team up with other cen-ters to do research, discuss their progressin monthly phone meetings, and try to im-plement better practices,” she says. “Wethen share our results with all of the othercenters at bi-annual conferences.”

Reducing Painful ProceduresAt the bi-annual conference in San An-tonio, TX, in October—which markedthe completion of the most recent cycle—team leaders from CHaD presented theirfindings and recommendations from aproject involving pain management forminor procedures.

“By developing more consistent guide-lines and basing our care on the indicationsthe baby is showing, we’ve been able to re-duce the number of painful procedures sig-nificantly,” says Caryn McCoy, RN, MSN,a clinical nurse specialist in the NICU.

Working closely with parents, the unithas also implemented non-pharmacologi-cal pain management techniques such asusing sucrose drops to alleviate pain for ba-bies undergoing mild procedures such asheel sticks to draw blood.

In a separate initiative, Lambert has beenpart of a subgroup that is using a patientsimulator to collect data and develop pro-tocols for the best way to handle emergencyc-sections. “We’re not finished yet,” she says.“We’ll continue working with our counter-parts in Minnesota, Illinois, Ohio, and Ore-gon to develop a database and teaching toolthat can be shared with other centers.”

A Culture of SafetyIn addition to sharing data at conferencesfrom the work that the exploratory groupsare doing, the units present results fromsafety projects. “We’ve worked very hardto develop a culture of safety at CHaDwhere people are encouraged to report er-rors and near misses,” she says.

“By instituting changes like a pre-print-ed physician order form which lists thedrugs most commonly used in the nurs-ery, we’ve been able to dramatically reducemedication error rates,” Lambert says.

When in San Antonio, the CHaD teamdid a poster presentation for one project onthe use of random safety audits. “We use acard system with each card containing a safe-ty question,” she explains. “We ask the stafftwo questions every day, track the resultsand chart them out, so people can see howwe’re doing with issues like hand hygieneand proper alarm settings on monitors.”

The unit also participated in the MER-IT (medication error reduction improve-ment team) project, a hospital-wide initia-tive they are sharing with the network. “Wemade a recommendation to use ‘tall man’—or larger size—lettering to help differenti-

ate medication names that look very simi-lar in print,” she says. “As a result, theDHMC pharmacy is going to make a hos-pital-wide change for these drugs.”

“Your Ideal NICU”As a new cycle begins in November,CHaD’s NICU is one of only 10 centersnationally to be part of a new research ini-tiative called Your Ideal NICU.

“Basically, the project is asking us, ‘ifyou could have the best NICU in theworld, what would it look like?’” says Lam-bert. “We’ll be looking at everything fromoutcomes to the right mix of staffing. Dr.Paul Batalden, director of the Center forthe Evaluative Clinical Sciences at Dart-mouth Medical School, is one of the facultyleaders directing the project.”

“This new project will be more time-intensive than those we’ve done before, butwe’re very excited to be participating,” shesays. “The work we’re doing with Vermont-Oxford is incredibly important, and willhelp us advance our mission of providingfamily-centered care through a coordinat-ed effort of research, education, and qual-ity-improvement projects.”

Improving the Quality and Safety of Care for Newborns “Basically, the project is

asking us, ‘if you could havethe best NICU in the world,what would it look like?’”

“Basically, the project isasking us, ‘if you could havethe best NICU in the world,what would it look like?’”

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M A T T E R S 7

THIS YEAR, THE CHAD CLAS-sic Golf Tournament andthe Quechee Lakes Land

Owners’ Association (QLLA)Charities reached some signifi-cant milestones. Not only didthe 2004 event mark a recordbreaking year of QLLA’s sup-port to CHaD, it also sur-passed $1 million in totalfunds raised.

“The generous resi-dents of the QLLA com-munity feel strongly abouttheir commitment tohelping meet the needs ofour youngest and mostvulnerable citizens,” saysSharin Luti, CHaD Clas-sic chairperson. “CHaD isthe perfect way to do this.We are deeply gratified to all who give oftheir time, energy, and dollars to make thisannual event so successful.”

A World Class EventThe 2004 event—held in June at the QuecheeClub—also met a single-year milestone. Incombination with a pre-tournament dinnerdance and auction, the event cracked the$100,000 mark for the first time. “TheCHaD Classic is a world-class and extremelywell-run tournament that I enjoy playing ineach year,” says James Varnum, president ofMary Hitchcock Memorial Hospital.

“We are extraordinarily grateful for theremarkable financial support and commit-ment the Quechee community has pro-vided to CHaD and DHMC over theyears,” says Varnum. “The funds they haveraised have allowed us to significantly en-hance the care we provide to the region’ssickest and most vulnerable children.”

A History of GivingQLLA’s support began in the 1980s—be-fore a children’s hospital was established atDHMC—and helped lay the groundworkfor the development of CHaD.

From 1984 to 1993, funding was di-rected to the Pediatric Oncology program

and the Intensive Care Nursery. Some ofthese funds paid for the Koala (QLLA)Suite—a private space off the Neonatal In-tensive Care Unit where parents can learnto care for their prematurely born child be-fore returning home.

Funds were allocated to a number ofimportant projects from 1994 to 1996, in-cluding the poison information display,chair beds for parents in each patient room,and support for the adolescent and childlife programs. “This support was criticalduring a time when we were just evolvingas a children’s hospital and we had manyneeds,” says Sharon Brown, director ofcommunity relations for CHaD.

From 1997 to 1999, QLLACharities pledged $100,000 tohelp build a state-of-the-art, free-standing Pediatric Intensive CareUnit, which recently expanded toa 10-bed unit and attends to themost critical pediatric cases in theregion. In 2000 and 2001, fund-

ing was directed to the con-struction of CHaD’sPainFree Center—whichhas now become a modelfor compassionate, pain-free care for children’s hos-pitals nationally.

New CHaDOutpatient Center Over the past two years, theCHaD Classic has pro-vided over half the funding

for the construction of the newly-openedCHaD Outpatient Center—a beautiful new,child-friendly space that features an inter-active waiting area and a pediatric center thatbrings together virtually all of CHaD’s pe-diatric specialities and subspecialties.

“Starting with Ginny and Tom Lane, theQuechee community has demonstrated re-markable generosity and caring for the youngpatients and families we serve,” says Brown.“If not for their vision, and for the countlesshours of hard work put in by volunteers likeBob Crowe, Senator John Campbell, JimKeighley, Lorraine Guile and Sharin Luti,so much of what we’ve been able to providewould not be possible.”

CHaD Program to Implement State Prenatal GuidelinesThe Regional Program for Women’s and Children’s Health recently received a grant from theHearst Endowment Fund to develop and implement state-wide prenatal clinical guidelines inpartnership with the New Hampshire Bureau of Maternal and Child Health.

“The rate of prematurity is rising nationally as well as regionally, and the causes are notyet known,” explains Victoria Flanagan, RN, MS, perinatal outreach nurse. “Coordinators fromthe New Hampshire Prenatal Programs—who have had to create guidelines on their own inthe past—have requested our leadership and clinical expertise in developing them.” Dr.Emily Baker, vice chair, Department of Obstetrics and Gynecology and division director ofMaternal Fetal Medicine, is the lead author of the guidelines.

“We’re excited to have the opportunity to work with all 14 clinics to promote consistentclinical practice throughout the state, in hopes of improving patient outcomes in the most vul-nerable prenatal population,” says Flanagan.

CHaD Classic and QLLA Charities MilestonesLeft: Senator John Campbellcongratulates Ginny Lane, who washonored at this year’s CHaD Classic,for founding the tournament insupport of CHaD over 20 years ago.

Below: Tournament co-chairs SharinLuti (left) and Nina Kurtz (far right)reveal the $100,000 check whileCHaD leaders Mary Oseid and KevinDonovan cheer.

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8 M A T T E R S

IN ADDITION TO TREATING VISITORS

to a physically beautiful environ-ment, featuring spacious waiting

areas filled with natural light,CHaD’s newly-opened OutpatientCenter is providing a host of benefitsto patients and their families.

To provide a fun and comfortingatmosphere for children, a numberof interactive play and viewing sta-tions—some the result of a collabo-ration with the Montshire Muse-um—are positioned throughout the

clinic’s main waiting areas. These in-clude: “I-spy” windows made of lu-micast materials, sea glass, and over200 objects provided by communitymembers; an Aeolian Landscape ma-chine that allows kids to create sandlandscapes; and post-mounted “hi-spy” viewing binoculars to inspire in-terest in the nature that surroundsthe medical center.

The Outpatient Center provides45 pediatric exam rooms, designed20 percent larger to better accom-modate families. The 37,000-square-foot facility provides five separatewaiting areas for sick children, wellchildren, children with chronic ill-nesses and conditions, adolescent andadult allergy patients, and childrenwith special needs who require a qui-

“Having most of our

pediatric specialists,

generalists, and staff

located on the same

floor encourages more

frequent interaction.”

CHaD’s New Outpatient Center: CM_Fall_04 10/29/04 6:49 PM Page 8

M A T T E R S 9M A T T E R S 9

et or restricted area. This year, theclinic expects to handle about 60,000outpatient visits.

Bringing Services TogetherOne of the biggest advantages of theOutpatient Center is that it bringstogether virtually all of CHaD’s med-ical and surgical services, offeringconvenient access to comprehensivecare for parents and families.

This consolidation of ambulato-ry services also benefits CHaDproviders. “Having most of our pe-diatric specialists, generalists, and stafflocated on the same floor encouragesmore frequent interaction,” says Dr.John Modlin, chair of pediatrics andmedical co-director of CHaD. “Thisenhanced communication betweenand amongst providers results in high-er quality care.”

Dr. Richard Dow, medical co-di-rector of CHaD and chair of the de-partment of surgery, agrees. “I’mpleased that the faculty from the var-ious disciplines can now enjoy thebenefits of contiguous office spaceto facilitate all the interactions thatbenefit patient care and program-matic development,” says Dow.

CHaD Family CenterFor those families who desire a placeto unwind in between appointments,search the Internet and other re-sources for health information or pro-vide children a place to play, theCHaD Family Center is located justinside the entrance to the clinic.

Created by parents who saw theneed for greater access to communityresources to help them manage chron-ic conditions, the CHaD Family Cen-ter provides a play area and an activi-ty center where kids can participatein art projects and story hours.

The Center also has a teen cornerand two computer stations, and is in

the process of expanding its pediatricconsumer health library. “Our libraryoffers web-based health informationand a specialized collection of bookson chronic illnesses and disabilities,”says Robin Goodrich, resource spe-cialist and coordinator for the CHaDFamily Center.

In addition to offering one-on-one assistance from Goodrich, theCenter is providing a communityspace for support group meetings aswell as a place for parents to meetwith local resource agencies. In aneffort to further promote and en-hance family-centered pediatric careand services, the hospital is formingthe CHaD Family Advisory Coun-cil which will work in partnershipwith CHaD administration and staffto improve the delivery of family-centered care.

Turning a Goal into a Reality Only through remarkable commu-nity support was creation of theCHaD Outpatient Center possible.Over the past two years, QuecheeLakes Land Owners Association(QLLA) Charities, through its an-nual CHaD Classic Golf Tourna-ment, has provided more than halfof the funding for the new clinic.

“The generosity of QLLA Chari-ties and the Quechee community,and their passion for the children’shospital has been just incredible,”says Sharon Brown, director of com-munity relations for CHaD.

“Their long-term commitment,together with all of the corporate, lo-cal business, and individual partici-pation and support we receivethroughout the year for importantevents like the Ski and Ride Chal-lenge, the XL92 Wishing Well forKids, and the Sam’s Club & Wal-Mart Campaign—have made thisbeautiful new facility a reality.”

Meeting the Needs of Children and Their Families ent Center:

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10 M A T T E R S

TO PEDIATRICIAN DR. LESLIE FALL, THERE

is an important difference betweenteaching and education. “As physicians

practicing in an academic medical center,we’re all expected to teach—whether it’s bysharing our knowledge in a didactic session,during rounds, or at the bedside,” she ex-plains. “It’s part of our job to train the nextgeneration of physicians and investigators.”

“Then there are educators—those of uswho think about what’s being taught, howto teach it well, and how to know if stu-dents are learning it,” says Fall.

In her new role as Vice Chair of the De-partment of Pediatrics with oversight forthe Office of Medical Education, Fall is fo-cusing on doing just that. Along with Drs.Norman Berman, Carol Stashwick, andDiane Kittredge, she is overseeing trainingand curriculum development for medicalstudents, residents, and faculty.

Teaching the TeachersOne of Fall’s main areas of responsibilitywill be attending to the educational needs

of faculty. “Along with making sure thatfaculty receives their continuing medicaleducation, we need to attend to their pro-fessional development requirements—tohelp them sharpen not only their teach-ing skills but also skills in other areas theywant to improve in such as grant writing

and public speaking,” she says. Another key area of focus for Fall will

involve developing tools for measuringnew residency competencies. “In recentyears, there has been a dramatic shift inmedical education nationally,” she ex-plains. “Rather than being accreditedbased on our capacity and ability to teach,we are now going to be accredited basedon our learner outcomes—the competen-cy of our resident graduates to practicemedicine.” Residents will need to showcompetencies in areas like communica-tion, practice improvement, and func-tioning in complex healthcare systems.

A Coordinated ApproachAccording to Fall, creating the Pediatric Of-fice of Medical Education provides severaladvantages to CHaD. “Now we have a co-hesive group,” she says. “We’re able to shareresources, work on solving problems to-gether, and identify areas for improvement.”

“We’re very pleased to have Leslie in thisnew leadership role,” says Dr. John Modlin,chair of pediatrics and co-medical directorof CHaD. “The wealth of experience andexpertise that she brings as a physician andeducator will be of great benefit to ourmedical students, residents and faculty, andwill result in better patient care.”

Improving Medical Education forMedical Students, Residents & Faculty

Juggling Residencywith MotherhoodIf you think working 80 hours a week as a first-yearresident can be challenging, try doing it with a 4-year-old daughter…and 9-month-old twin boys! Such is thelife of Dr. Anna Hankins, who joined CHaD as apediatric intern in June.

How is she managing to juggle everything? “Myhusband has put his career on hold, to stay home full-time with the kids,” she says. “And the staff herehas been incredibly supportive—from treating myfamily like their own whenever they visit, to helpingme secure space to breast-feed during breaks, togiving me hand-me-downs.”

Still, the life Hankins and her family are lead-ing is a hectic and stressful one. “It’s not easy,” sheadmits. “I think my daughter—who has been act-ing out more lately in a bid for attention—has felt allof the changes of this past year just as acutely as the rest of us.”

But Hankins is sure that she’s chosen the right profession. “I’m enjoying my time here at CHaD,and I really love what I’m doing,” she says. “Becoming a doctor and a mom at the same time hasbeen challenging but wonderful, and I think a somewhat unique experience. I definitely think it’smade me a better pediatrician.”

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M A T T E R S 11

THE DEPARTMENT OF PSYCHIATRY AT

CHaD recently received a $1 milliongrant from the National Institutes of

Health (NIH) to lead a multi-site, three-year study of treatment for Autism.

The collaborative effort brings togethertop investigators from STAART (Studiesto Advance Autism Research and Treat-ment) centers across the country—includ-ing UCLA, Yale, University of North Car-olina, and Mt. Sinai School of Medicine.Dartmouth is the treatment arm of theSTAART Center at Boston University.

“To be part of this network is of tremen-dous importance to CHaD and for the re-

gion,” says Dr. Bryan King, principal in-vestigator and director of Child andAdolescent Psychiatry at CHaD. “We areworking with a group of ‘who’s who’ ofAutism researchers nationally. Beginningwith this effort, we hope to launch a num-ber of studies that will help us both betterunderstand Autism and measure the effec-tiveness of different treatment modalities.”

Targeting Autistic BehaviorsAutism—a complex developmental dis-ability that impacts the normal develop-ment of the brain in the areas of social in-teraction and communication skills—affectsan estimated one in 250 births in the US.The focus of the research will be to study theeffectiveness of a particular medication—Citalopran or Celexa—on behaviors thatare commonly seen in children with Autism.

“They include repetitive motor man-nerisms, an insistence on sameness, lowtolerance for frustration, and anxiety—allbehaviors that can make life very difficultfor kids with Autism,” explains King.

Citalopran—used to treat disorders suchas depression, anxiety, and obsessive com-pulsive disorder—works to influence theactivity of serotonin in the brain. “One of

the advantages of this drug is that it ap-pears to be more selective than others, andit can be administered in a small dose,”King says. “We’re quite confident that we’regoing to be able to determine whether thedrug is helpful at doses that are least likelyto cause problems or side effects.”

King and his colleagues began enrollingsubjects for the study last March and arescheduling potential participants as far outas January. “Our goal is to enroll 30 to 35kids from our region and we’re nearly a thirdof the way there,” he says. “We’re hoping tostudy 144 kids—from age 5 to 17—acrossall of the sites over the three-year period.”

Building a Core of ResearchIn addition to offering patients state-of-the-art treatments, investigators hope thestudy will provide other lasting benefits.

“In the short term, we’re building a lev-el of expertise that will hopefully benefit

kids who suffer from this disorder,” saysKing. “At the same time, we hope to be aresource to the field, providing informa-tion about how to treat behaviors that oc-cur commonly in kids with Autism spec-trum conditions. This is already beginningto happen with how we’re training futurechild psychiatrists in terms of their under-standing and approach to the diagnosis andtreatment of the disease.”

This and related networks will be theplatform from which follow up studies willbe launched. “We’ll be meeting in the nextcouple of months to talk with others in thenetwork about novel studies that will in-volve younger kids and combine both amedication and a behavioral intervention.”

“The real excitement of being part ofthis network is going to be seeing if over thelong term we can actually do somethingto alter the course of the disorder, or per-haps even prevent it,” says King.

Research Grant Offers Hope for Treatment of Autism

Rosemary Affeldt, STAARTClinical Coordinator, with patient

“We are working with a groupof ‘who’s who’ of Autismresearchers nationally.”

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12 M A T T E R S

Expanding Orthopedic Services for ChildrenPediatric orthopedist Brian Carneywas drawn to CHaD through a specialconnection. He completed his fel-lowship at the University of Iowa withStuart Weinstein, brother of Dr. JamesWeinstein who is the chairman of theDepartment of Orthopedic Surgeryat DHMC.

“As it turned out, my personal in-terests were in line with Jim’s goal to

expand access for pediatric orthopedic evaluation,” says Carney,who joined CHaD in August. In addition to his duties in Lebanon,Carney will spend two days a week in Manchester.

Dr. Carney attended medical school at the University of Cal-ifornia Irvine and completed his residency at the University ofCalifornia Los Angeles. After fulfilling his military commit-ment—which included sports medicine at the Air Force Acad-emy and deployment to Saudi Arabia during Desert Storm—heserved as attending physician at the Shriners Hospital for Chil-dren in Lexington, KY.

“My purpose is to initiate evaluation and then direct additionalstudies and treatment for the whole spectrum of orthopedic concernsthat present to the primary care provider,” Carney explains.

Assuring Well Siblings They Matter TooFor senior scientist Dr. Joanna Fanos,research psychologist, joining CHaDin October was a bit like cominghome. “I grew up in the Berkshires inWestern Massachusetts, so I feel likeI’m returning to my roots,” she says.

Dr. Fanos earned a PhD in humandevelopment at the University of Cal-ifornia San Francisco. She has spentthe last 12 years at the Research Insti-

tute of California Pacific Medical Center (CPMC), investigatingthe impact of serious pediatric illnesses—often with genetic im-plications—on families. While at CPMC, Fanos established TheSibling Center, which focuses on meeting the needs of well chil-dren and adolescents.

“Parents naturally tend to focus on the needs of their ill child,while the well siblings’ psychosocial needs often go unrecognizedand unmet,” explains Fanos, who as a faculty member in theDepartment of Pediatrics at Dartmouth plans to continue herresearch on other pediatric illnesses such as diabetes. “I also hopeto create a sibling center here, to complement the other greatfamily-centered programs that CHaD already offers.”

Treating the “Allergic March”Pediatric allergist Dr. Marcus Shakerjoined CHaD in October after spend-ing a year in private practice in Mary-land. Shaker is a graduate of the Uni-versity of Virginia School of Medicine(UVSM), and completed his residen-cy and fellowship at UVSM.

Dr. Shaker—whose special interestsinclude food allergies, childhood wheez-ing and hives—will focus on treating

pediatric patients who are in the “allergic march.” “What startsoff as eczema or food allergies may progress to asthma and allergiesagainst pollens and other environmental proteins,” he explains.

It’s important for parents to realize the seriousness of some foodallergies, says Shaker. “They deserve a complete evaluation, andavoidance is not always as easy as it seems,” he says. “And, with asth-ma, parents may not recognize symptoms because they can be sub-tle. That’s why it’s important to have an allergist involved in thesecases—with early detection and treatment, symptoms for manyof these conditions can be made less severe for kids as they grow up.”

Pediatric Cardiology Services Extend to the SeacoastFor more than six years, Dr. NaomiGauthier has been providing pediatriccardiology care to the children ofSouthern Maine, Seacoast New Hamp-shire and Northeastern Massachusettsunder the Seacoast Children’s Cardi-ology name in Newington, NewHampshire. Today, the breadth of re-sources now available to her and herpatients has just increased through the

affiliation between the Dartmouth-Hitchcock Manchester divi-sion of CHaD and Seacoast Children’s Cardiology.

“I am so pleased to be able to offer personalized local care herein the Seacoast while also now having the advanced resources of theDartmouth-Hitchcock system available for our patients,” Gauthiersays. In addition to seeing patients in Newington, Gauthier willspend time at other sites throughout the Seacoast as well as two daysper month at Dartmouth-Hitchcock Manchester.

Dr. Gauthier received her medical degree from the Universi-ty of Massachusetts Medical School. She completed her pedi-atric internship and residency at the University of California,Davis Medical Center and her pediatric cardiology fellowship atthe University of Virginia Health Sciences Center. She is an ac-tive youth advocate and community volunteer, and has also beenon the board for the New England American Heart Association.

I N T R O D U C I N G

Four New CHaD Doctors

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M A T T E R S 13

Kristen’s Gift Sets Sights on Pediatric Cancer Research

Few things are as devastating as having a child diagnosed with alife-threatening illness. “It’s the most difficult thing for a parent andfamily to go through,” says John Xiggoros, who lost his 15-year-old

daughter Kristen to cancer a few years ago.In memory of his daughter, Xiggoros established Kristen’s Gift, a re-

stricted fund designed to provide financial support to CHaD’s PediatricOncology Center. “I saw what a lot of families have to go through emo-tionally and financially when my daughter was being treated for can-cer at CHaD, and I wanted to do something to help,” he explains.

Making Kids ComfortableFor the past several years, Kristen’s Gift has provided items like toysand books for pediatric patients being treated in the hospital’s infusionsuites, as well as for siblings and other family members in the waitingrooms. “The goal is to make the experience as comfortable as possi-ble for kids and their families,” says Xiggoros.

Kristen’s Gift has also provided support to families with specialneeds. “For example, a single mom who needs to travel frequently tobring her child to the hospital for treatments may really be strug-

gling to make ends meet,” he says. “She may need snow tires, a win-ter jacket, or assistance to pay her fuel bill. The fund is there to helpin those cases.”

To support the fund, Xiggoros organizes several Manchester-areaevents throughout the year, such as the Bonneville and Son CelebrityGolf Tournament, the Warren Miller Radical Ski Film, and the Kristen’sGift Ski Day—which will be held at Cannon Mountain this March.“Through the generosity of many individuals, as well as corporatesupporters like Atomic Ski and Comcast New England, we’ve been ableto raise more than $200,000 over the past five years.”

Setting Sights Higher Now, Xiggoros is setting a new goal—to make Kristen’s Gift a $1 mil-lion Fund. “We are so fortunate to have CHaD and the Norris CottonCancer Center right here in our region,” he says. “By reaching our newgoal, we can continue to help children and families in need, andsupport the critical research efforts that are ongoing to find bettertreatments and perhaps a cure for pediatric cancers.” For more information about Kristen’s Gift, visit www.kristensgift.com.

AT AN INTERNATIONAL CONFER-ence in Boston last year, CHaDreceived special recognition for

its family-centered care approach.Still, upon returning to Lebanon,conference attendees began dis-cussing ways in which CHaD couldfurther improve its practices.

“We all agreed that we needed todevelop a more formal mechanismfor families to participate in the pol-icy and decision-making process,”says Toni LaMonica, director of theBoyle Pediatrics Program at CHaD.“Dr. Bill Boyle presented the ideaof creating a family advisory coun-cil to CHaD leadership, and we re-ceived their full support.”

Laying the GroundworkTo help develop the framework forthe Council, team members usedguidance materials provided by theInstitute for Family Centered Carein Washington, DC. They also helda series of parent focus groups.

“We talked to a number of par-ents, asking them about the care theyhad received at DHMC and how itcould be improved, if they thoughtforming a family advisory councilwas a good idea, and how they woulddo it,” explains LaMonica. “We thenput together a parent task force tohelp us create our mission statement,

goals, membership responsibilities,and membership selection criteria.”

Several of the parents from thetask force have agreed to stay on tobe part of the Council. The team hasalso been recruiting new parents.“We’re trying to create a council thatreflects the population that CHaDserves,” says LaMonica. The Coun-cil will include up to 12 parents, alongwith Dr. Boyle, and CHaD leadersKevin Donovan and Aden Henry.Two parents from the Council willattend CHaD executive meetings.

Partnering with Parents“Having parents at the table to listenand share their different points ofview in support of our mission willprovide a wonderful opportunity tostrengthen communication and col-laboration between families andCHaD staff,” says LaMonica.

Wherever possible, the Councilwill assist in identifying specific pro-grams, services, and policies whereit can work in partnership withCHaD administration and staff toenhance family-centered pediatriccare and services.

“This is a complex environment,so we anticipate spending time to-gether this first year understandinghow CHaD works and how to bestmake an impact,” LaMonica says.

CHaDEstablishes

FamilyAdvisory

Council

CHaDEstablishes

FamilyAdvisory

Council

CM_Fall_04 10/29/04 6:49 PM Page 13

14 M A T T E R S

CHaD GalaThe Third Annual CHaD Gala—An Evening inVerMonte Carlo—was held on September 18.The event raised over $32,000, and proceedswill help support a variety of services and pro-grams at CHaD made possible only through thegenerosity of philanthropy.

Dancing the night away to the Al Alessi Bandand playing their favorite games atthe Casino sponsored by Dean HillMotors, guests were also enthralledand astounded by the close-upmagic of Marko the Magician.

A highlight of the evening wasthe jewelry raffle—three gorgeouspieces of designer jewelry wereup for grabs! VonBargen’s Fine Di-amonds & Jewelry generously do-nated the pieces, adding a touchof glamour to an exciting evening!

Marty Candon andPenny Cunninghamenjoy the Gala.

Marko the Magician delights Lynnand Peter Fusco with his tricks.

Governor’s Breakfastguest speaker KylePetty and honored

guest Ray Evernhamreceive their own

autographed t-shirts atthe breakfast

fundraiser. CHaDpatients signed the

shirts for theseNASCAR heroes.

Nextel Cup Driver ScottWimmer visited the kids in thecomplementary NHIS VIP suite,making sure each child had anautographed car and photo.

Racing to Victoryat the Governor’sBreakfastOn July 23, Governor Craig Benson presided at the 12thAnnual Governor’s Breakfast at New Hampshire Interna-tional Speedway. NASCAR Driver, Kyle Petty was the fea-tured speaker, telling the nearly 300 race fans about theVictory Junction Gang Camp—a camp built by Petty inmemory of his son Adam Petty, as a haven for children withchronic illnesses. Petty’s appearance helped to raise near-ly $30,000 for CHaD and David’s House through ticketsales and corporate sponsorships. Many thanks to ourlead sponsors Morgan Stanley, Fleet Bank, and MascomaBank. As part of the day’s festivities, the Speedway spon-sored 75 CHaD and David’s House children and familiesin VIP Suites during the day’s races and practice rounds forSunday’s Siemens 300.

Bonneville and Sons hostsCelebrity Golf TourneyThe prestigious Manchester CountryClub was the setting for the First AnnualBonneville and Son Celebrity Golf Tour-nament for Kristen’s Gift. Despite near-ly record breaking heat and humidity,golfers, celebrities and volunteersturned out to support Kristen’s Gift, afund for pediatric cancer at CHaD.Golfers joined with various sportscelebrities such as former Red Soxgreat Rico Petrocelli, former Bruinscoach and players Robbie Ftorek, GlenFeatherstone and Bob Sweeney, NFLstars Steve Schubert and Chris Sanders,NASCAR driver Sean Caisse and others for an awesome day of golf. Theday culminated in a successful silent and live auction of sports memorabilia,dinner with live entertainment and finally the check passing. A check for$45,000 was presented to the Xiggoros family in honor of their daughterKristen, for whom the designated fund is named.

Mr. Ed Bonneville, event leadsponsor, and Red Sox greatRicco Petrocelli.

Mike Gorton,CHaD Classic’sLong Drive Hitter

One huge bonus of the CHaDClassic Golf Tournament hasbeen the friendship that hasdeveloped between CHaDand long drive hitter MikeGorton. Mike recently made avery generous pledge to do-nate 5 percent of his longdrive tournament winnings toCHaD. Since making hispledge at the Classic in June,Mike won the PennsylvaniaLong Drive Championship,came in third at LDA eventsin Toronto and Rochester, andsecond in Long Island. Thenon August 29, he hit a 411yard drive, beating the sec-ond place drive by 22 yards

to win the LDA Tour Championship and to earn him the“Senior Player of the Year” honors. As of the middle of Oc-tober, Mike Gorton has donated a generous $1,184 toCHaD. Thank you, Mike!

Long Drive hitter MikeGorton(left) compares clubs at the CHaD Classic.

Fun & Activities at CHaDFun & Activities at CHaDCM_Fall_04 10/29/04 6:49 PM Page 14

M A T T E R S 15

Circus SmirkusThis summer the Friends of CHaD and Friendsof Norris Cotton Cancer Center teamed up topresent Circus Smirkus as a joint fundraiser. Tothe delight of everyone who attended, Smirkusunfurled their big top in two NH locations thissummer—Lebanon and Manchester.

Circus Smirkus, a Vermont-based youth cir-cus, tours throughout New England each sum-mer and this year’s performances were basedon an Alice through the Looking Glass theme.Over the past few years, we’ve been fortunate

enough to watch a number of local teensparticipate in Smirkus as performers.

The Lebanon performances includeda special outing for all children and families who receive servicesthrough the Norris Cotton Cancer Center including children withpediatric cancers, hemophilia, and HIV. Thanks to the generosi-ty of many donors to our special campaign, we were able toprovide a complimentary trip to the circus and a family andtrouper picnic for nearly 150 people prior to the benefit show.

A highlight of the Lebanon performances was the trouper vis-it to the Pediatric Inpatient Unit at CHaD. Hospitalized childrenwho were not able to attend the circus in person were able to ex-perience some circus excitement first-hand as troupers enter-tained them with acrobatics and juggling. This visit was as mem-orable for the troupers as it was for the patients—they trulyenjoyed one another’s company. Kyle Petty Visits CHaD

On September 16, CHaD’s Pediatric Inpatient Unit lookedlike the infield of the New Hampshire International Speed-way on a NASCAR race day—complete with check-ered flags, matchbox cars racing down an incline, andwild remote control cars and trucks smashing into eachother. In the middle of the fun was NASCAR great KylePetty. Kyle, who was visiting the kids at CHaD, jumpedright into the racing action organized by CHaD’s ChildLife team. In addition to racing toy cars, signing auto-graphs for everyone, and visiting the rooms of kids whowere too ill to join the activities, Kyle told the crowd of theVictory Junction Gang Camp, a 72-acre summer camp forchildren with chronic illnesses he has built in North Car-olina. He hopes to have children from CHaD come nextsummer. Kyle also announced that he will be leading acharity motor cy-cle ride in supportof CHaD andcamp sponsor-ships next year.

Kyle Pettyvisits a patient during hisvisit to CHaD a few days before theSeptember NASCAR race at Loudon, NH.

Kyle Petty tellspatients, family

members andCHaD staffabout the

Victory JunctionGang Camp.

CHaD Board Member Bruce Macdonald andEric Larsen accept a check from Phil Crowleyand Red Sox pitching great Jim Lomborg.

Circus trouper TroyWunderle entertainspatients at CHaD.

Curtain call at the circus.

For seven years C&S Wholesale Grocers’ have gen-erously supported CHaD through their annual C&SCharity Golf Tournament. On August 3rd, Mt. Snowand Haystack Golf Courses were overflowing withhundreds of grocery store owners, food vendorsand C&S staff, all enjoying a perfect day of golf insupport of the Pediatric Oncology program at CHaD.Coordinated by Ron Wright and Phil Crowley ofC&S, the day ended in a lobster and roast beeffeast, a lively auction and finally the presentation ofa check for $75,000 by C&S owner, Perry Cohen,to Dr. Eric Larsen, director of CHaD’s oncology unit.To date C&S has raised $387,000 for CHaD, mak-ing them a true CHaD Champion.

Pepsi Bottling Group Pepsi Bottling Group has been a long-standing supporter of CHaDthrough Wal-Mart’s annual golf tournament. This year Pepsimoved their fundraising support of CHaD to a whole new levelwith cook outs and kids pitching booths at Wal-Mart stores allthrough the summer. They held ski days at Gunstock Mountainwith all the support going to CHaD. But, the crowning piece oftheir campaign was a guitar raffle. At all 34 concerts at Meadow-brook Musical Arts Center in Gilford this summer, Pepsi sold raffle tick-ets for a $3,000 Gibson guitar. Almost every performer of the summerconcert series signed the guitar, making it a very rare collector’s prize.The winner Robert Heinrich, from Laconia, was so pleased that hewrote an extremely generous check for CHaD. Pepsi raised over $11,000through the guitar raffle and over $20,000 for the year for CHaD.

C & S—a true Champion

at CHaDat CHaDCM_Fall_04 10/29/04 6:49 PM Page 15

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One Medical Center DriveLebanon, New Hampshire 03756

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CHaD Events Schedule

CHaD Matters is published by the Children’s Hospital at Dartmouth. Please address correspondence to: SharonBrown, CHaD, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756.

Photo Credits: Mark Austin-Washburn and CHaD staff. Design & layout: The Proper Pup Studio.

November 4 – December 10: 2004 WishingWell for Kids Campaign Please join this excitingcampaign by listening to XL92.3 FM from No-vember 4 – December 10. Remotes and specialfeatures announced throughout the month. Join ourWishing Well for Kids Radiothon 8am and 7pmon November 30 to December 3. You can callin your pledge to (603)298-7027, or stop by ourradiothon location in the Powerhouse Mall, WestLebanon. Please make a wish to makes kidswell and remember…every dollar counts. Tomake an advance pledge or to get involved,contact Sarah Salo at (603)650-3431. January 29: Join us for the 6th Annual CHaD Skiand Ride Challenge, at the Dartmouth Skiway in

Lyme, NH. $25 minimum pledge plus $15 for alift ticket gets you FREE breakfast and lunch, en-tertainment, goodie bags, prizes, raffles and somuch more! All for a great cause CHaD, theChildren’s Hospital at Dartmouth. It’s not too ear-ly to start gathering pledges! For more information,contact Terri Eastman at (603)650-3435 or checkout our web site at www.chadchallenge.org.

SAVE THE DATES:June 11 Rock for the Kids, Quechee, VermontJune 13 CHaD Class, Quechee VermontFor more information, contact DavidMcWilliams at (603)650-3432.

Join the CHaD Ski and Ride Challenge

Make some turns for a great causeJanuary 29, 2005

Dartmouth Skiway, Lyme, NHRegistration 8AM

$25 minimum pledge plus $15 lift ticketgets you prizes, free lunch and a goodies bag. Get a head start and start raising pledges now. Great prizes for the person, team and family

who raise the most.

For more information call Terri Eastman (603)650-3435or download a pledge form from www.chadchallenge.org

January 29, 2005Dartmouth Skiway

CHaD’s ICN Featuredon “NH Chronicle”

All babies are miracles of life. But ababy born far too early, who fits inyour palm and weighs less than a

cup of coffee, is a miracle of survival.These babies’ unrelenting struggle tomake it, and the advanced technologythat gives them a chance at life, createsa current of hope that runs through Dart-mouth-Hitchcock Medical Center’s Intensive Care Nursery.

WMUR’s Emmy award winning NH Chronicle featured CHaD’s ICNat DHMC in a special report: “Before Their Time: Fighting for Miraclesin the ICN.” Normally a half-hour overview of news items around the state, the programspotlights DHMC exclusively, and runs for an hour (scheduled to air November 15 at 7PM).

Award-winning WMUR reporter Erin Fehlau and videographer Chris Shepherd vis-ited with three families staying in the ICN during a 48-hour period in May, and then againfor a follow-up in October. With over 10 hours of video filmed, Erin and Chris were ableto put together a powerful and emotionally charged glimpse into the roller-coaster ridethat is often the norm for families in the ICN.

The show highlights the team approach and family-centered care of the ICN, whosestaff work together to give these children the best chance at survival, and teach the fam-ilies how to care for their fragile newborns.

Jason andChristina Huckinswith baby Casey.

CM_Fall_04 10/29/04 6:48 PM Page 16