vol. 21, no. 12 december 2018 - suny upstate medical ... · hematology/oncology, palliative care,...

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Vol. 21, No. 12 December 2018 http://www.upstate.edu/gch/academics/newsletter.php The Crier Turns 20! This December 1, 2018 issue of the Pediatric Crier marks the 20 th anniversary of the Crier from the date of its first issue. We thought we would start this issue with some Crier Trivia you may, or may not remember. Crier Trivia: 1. The “crier” in the current Crier logo is the son of Dr. Jodi Sima. Tyler was born on 2/16/07 and became the Crier’s official poster boy in May 2007. 2. The first issue came out on 12/1/98 and was called the “Communicator.” There was a contest for naming the newsletter. 3. The original editor was Karen Bilinsky up until April, 1999. 4. From 1998 through 9/09 the Crier was only available in hard copy (there is a file with all of the back issues in the Pediatric Offices). 5. The Crier went online exclusively with the opening of the GCH in Sept 2009. However, with the update of the Upstate website, you can currently only find past issues back to 2015. Attached to this issue, we have included a few somewhat random issues from the Crier’s first 10 years of publications. Two New Faculty We are excited to be able to introduce two of our newest faculty members to you: Welcome Jennifer Myszewski First, we welcome Dr. Jennifer Myszewski as one of our new hospitalists. “Hi everyone! My name is Jen Myszewski and I am very excited to join the pediatric hospitalist group at Upstate. I’ve taken an unusual path to get here. I’m originally from Milwaukee, WI (well, really the suburb of Wauwatosa) and received my bachelor’s degree from Penn State. As an undergrad, I spent summers working for the USDA Forest Service in Saguache, CO where I discovered my love of the great outdoors. I then pursued a master’s degree in Forest Resources from the University of Idaho and a Ph.D. in Forestry from Texas A&M, both with an emphasis in genetics and tree improvement. My goal was to breed disease and pest-resistant trees that also produced straight 2 x 4’s. After graduation, I worked for a couple of years as a quantitative geneticist for the Forest Service’s Southern Research Station in Sacier. MS. In 2005, that area was hit by a series of hurricanes, the most devastating of which was Katrina. After a lot of soul- searching, I decided to switch career fields. I returned to Texas, first working for Children’s Medical Center Dallas as a project manager, and then attending the Texas College of Osteopathic Medicine. From there, I moved to Long Island and completed residency at Good Samaritan Hospital Medical Center in West Islip, NY. I stayed on as an attending for about a year before accepting a position as a regional hospitalist with Seattle Children’s in Yakima, WA. I enjoyed living in the Pacific Northwest but missed teaching and being in an academic environment. I am so excited to be here at Upstate and look forward to working with you all!” Welcome, Jill Majewski The Dept of Pediatrics and Division of Peds Heme/Onc welcomes our new pediatric psycologist, Dr. Jill Majeski. Jill recently moved to the Syracuse area to pursue a career within peds heme/onc and palliative care. She is originally from Susquehanna, PA. Jill tells the Crier that she had this career path in mind since beginning college at Penn State, where she was a student volunteer for the Penn State Dance Marathon (THON), a student-run philanthropic organization that supports families affected by childhood cancer. Since then, she shaped her education and career to meet the needs of children and families in similar circumstances. She completed her residency in pediatric psychology at Cleveland Clinic Children’s focusing on chronic pain, gastrointestinal disorders, and psychological assessment. She completed a fellowship in pediatric psychology at Children’s Hospital of Pittsburgh of UPMC, focusing on hematology/oncology, palliative care, pain, and gastrointestinal disorders. Her clinical focus is offering evaluation and treatment for children experiencing challenges with medical coping as a result of difficult diagnoses, treatments, and hospitalizations. Fun fact: As a child, Jill lived in the same home as B.F. Skinner, one of the original behaviorists in psychology. For fun, Jill spends her time enjoying college football season. She is a Penn State alum/fanatic and often travels to State College, PA to visit friends and watch football games. In the summer, she loves to spend time fishing in Ontario with her family. She spends her free time watching all of the law, medical, and psych TV shows, especially if they are written by Shonda Rhimes. She lives for animals and just adopted a 5-year- old cat named Clyde (pictured below) and hopes to adopt a dog in the near future. Ottothon, 2018 The fourth Annual SU Ottothon took place on Saturday, Nov 3 rd . Hundreds of SU students danced for 12 hours straight to raise almost $200,000 for the GCH. As in the past, at one point in the day the students danced their way down to the Treehouse to entertain some patients and families looking down from the performance center. We are so thankful to the SU students for all they have done for our kids!

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Vol. 21, No. 12             December 2018           http://www.upstate.edu/gch/academics/newsletter.php    

The Crier Turns 20! This December 1, 2018 issue of the Pediatric Crier marks the 20th anniversary of the Crier from the date of its first issue. We thought we would start this issue with some Crier Trivia you may, or may not remember. Crier Trivia: 1. The “crier” in the current Crier logo is the son of Dr. Jodi Sima. Tyler was born on 2/16/07 and became the Crier’s official poster boy in May 2007. 2. The first issue came out on 12/1/98 and was called the “Communicator.” There was a contest for naming the newsletter. 3. The original editor was Karen Bilinsky up until April, 1999. 4. From 1998 through 9/09 the Crier was only available in hard copy (there is a file with all of the back issues in the Pediatric Offices). 5. The Crier went online exclusively with the opening of the GCH in Sept 2009. However, with the update of the Upstate website, you can currently only find past issues back to 2015. Attached to this issue, we have included a few somewhat random issues from the Crier’s first 10 years of publications. Two New Faculty We are excited to be able to introduce two of our newest faculty members to you: Welcome Jennifer Myszewski First, we welcome Dr. Jennifer Myszewski as one of our new hospitalists. “Hi everyone! My name is Jen Myszewski and I am very excited to join the pediatric hospitalist group at Upstate. I’ve taken an unusual path to get here. I’m originally from Milwaukee, WI (well, really the suburb of Wauwatosa) and received my bachelor’s degree from Penn State. As an undergrad, I spent summers working for the USDA Forest Service in Saguache, CO where I discovered my love of the great outdoors. I then pursued a master’s

degree in Forest Resources from the University of Idaho and a Ph.D. in Forestry from Texas A&M, both with an emphasis in genetics and tree improvement. My goal was to breed disease and pest-resistant trees that also produced straight 2 x 4’s. After graduation, I worked for a couple of years as a quantitative geneticist for the Forest Service’s Southern Research Station in Sacier. MS. In 2005, that area was hit by a series of hurricanes, the most devastating of which was Katrina. After a lot of soul-searching, I decided to switch career fields. I returned to Texas, first working for Children’s Medical Center Dallas as a project manager, and then attending the Texas College of Osteopathic Medicine. From there, I moved to Long Island and completed residency at Good Samaritan Hospital Medical Center in West Islip, NY. I stayed on as an attending for about a year before accepting a position as a regional hospitalist with Seattle Children’s in Yakima, WA. I enjoyed living in the Pacific Northwest but missed teaching and being in an academic environment. I am so excited to be here at Upstate and look forward to working with you all!”

Welcome, Jill Majewski The Dept of Pediatrics and Division of Peds Heme/Onc welcomes our new pediatric psycologist, Dr. Jill Majeski. Jill recently moved to the Syracuse area to pursue a career within peds heme/onc and palliative care. She is originally from Susquehanna, PA. Jill tells the Crier that she had this career path in mind since beginning college at Penn State, where she was a student volunteer for the Penn State Dance Marathon (THON), a student-run philanthropic organization that supports families affected by childhood cancer. Since then, she shaped her education and career to meet the needs of children and families in similar circumstances. She completed her residency in pediatric psychology at

Cleveland Clinic Children’s focusing on chronic pain, gastrointestinal disorders, and psychological assessment. She completed a fellowship in pediatric psychology at Children’s Hospital of Pittsburgh of UPMC, focusing on hematology/oncology, palliative care, pain, and gastrointestinal disorders. Her clinical focus is offering evaluation and treatment for children experiencing challenges with medical coping as a result of difficult diagnoses, treatments, and hospitalizations. Fun fact: As a child, Jill lived in the same home as B.F. Skinner, one of the original behaviorists in psychology. For fun, Jill spends her time enjoying college football season. She is a Penn State alum/fanatic and often travels to State College, PA to visit friends and watch football games. In the summer, she loves to spend time fishing in Ontario with her family. She spends her free time watching all of the law, medical, and psych TV shows, especially if they are written by Shonda Rhimes. She lives for animals and just adopted a 5-year-old cat named Clyde (pictured below) and hopes to adopt a dog in the near future. Ottothon, 2018 The fourth Annual SU Ottothon took place on Saturday, Nov 3rd. Hundreds of SU students danced for 12 hours straight to raise almost $200,000 for the GCH. As in the past, at one point in the day the students danced their way down to the Treehouse to entertain some patients and families looking down from the performance center. We are so thankful to the SU students for all they have done for our kids!  

If you think the picture is good, check out the movie version: https://www.youtube.com/watch?v=EXCMjqpl7U8 http://upstateonline.info/static/November8-November152018/blog/story-2/index.html Corny Caption Contest Congrats! Last month, the Crier submitted the picture below and asked for your captions. There were several interesting entries (some of the best coming from the corn cob, himself). But we have a tie for first place since two people submitted the same caption: “You are what you eat” - This was submitted by both Dean Karahalios and Joe Nimeh (Dean and Joe, please stop by the Crier for your prize!) Honorable mention (pretty much exclusively for Beavis and Butthead fans) goes to Joe Nimeh: "I am the great Cornholio - I mean Karahalios". Sara: "Uhhhhh, hu hu hu hu hu". The 2018 AAP Experience The 2018 Annual AAP conference took place in Orlando, FL from Nov 2-6. Several members of the Peds Department were there. Dr. Pinnamaneni tells the Crier, “Winter Berry is the current secretary for New York Chapter I Distrcit II and soon to be Vice President (June 2019). Winter also had a poster presentation. I am the NY Chapter I, District II CATCH Facilitator and was attending the CATCH (Child Access to Community Health) Network Training in addition to the conference. Also pictured in the group photograph is Jacyln Sisskind who works at Upstate Pediatrics. Winter told the Crier, “Jaclyn was a wonderful roommate and I came home worth lots of clinical pearls in addition to having the opportunity to share our diaper bank in a resident clinic with other conference attendees.” Karen Teelin was also there giving a presentation. The residency program was also well represented as our official AAP rep, Kristin Hornick was able to go. It was clear from the picture she sent us that she found the conference to be extremely uplifting.

A Kenyan Sunset Dr. Ripal Patel was in the 2nd group of residents to go to Kenya this year. She shared a sunset over Lake Victora with the Crier as well as the following about her experience there: “It has been incredibly awesome! I think everyone should experience a global health rotation. It is eye opening and really shows us that we are privileged and have a lot more resources. We should also just appreciate the life we have, because no matter how bad our problems are, someone has it worse. It's a good place to do a procedures elective. We usually have multiple lumbar punctures and blood draws a day. We get to teach the medical students and run rounds. It's a great all rounded experience, and you get to go to another country + go explore. I love it!!”

In the News: The St Baldrick’s Grant Upstate Online reported that the GCH received a $59,075 grant from the St. Baldrick’s Foundation to support Peds Heme/Onc clinical research and, hence, help beat kids’ cancer. Several of our peds members have participated in the annual St. Baldrick’s head shaving at Kitty Hoynes here in Syracuse. It goes to show that a little hair goes a long way. http://upstateonline.info/static/November15-November222018/blog/story-3-2/index.html Two Halves Make a Whole The 7th running of the Syracuse Half Marathon took place on Saturday Nov.11th. While nearly 3,400 runners finished the Marathon, Syracuse.com happened to capture two Upstate runners in one picture.

We seriously debated having another caption contest for this one, with two speech bubbles, but resisted the urge. Congratulations to future pediatrician Nick Puoplo and Dr. Steve Blatt. A Typical October 31st The Crier received several interesting pictures taken at UPAC on 10/31.

Meanwhile, another rather rowdy looking crew also got together to celebrate.

December events – - Peds Dept Holiday Party – 12/13 - Resident/Faculty Luncheon – 12/20 Photo Bombing in Kenya

DECEMBER BIRTHDAYS 12/1 Gloria Kennedy 12/16 Kathie Contello 12/19 Carlee Lenehan 12/23 Robert Lebel 12/24 Linda McAleer 12/25 LaShaun Jones 12/28 Jennifer Nead 12/31 Nadya Dillon

COMMUIVCATORDepartment of Pediatrics

Introducing the Department of Pediatrics Monthly NewsletterIncreasing Mark Your

Communication Calendar Birthdays inIn order to increasecommunication betweenservices in the Department,the Social Committee hasdecided to circulate amonthly newsletter. In it youwill find announcements,birthdays, department newsand much more. To get offto a great start, we areholding a contest to find aname for our newsletter.The winner will receive a gift

December

certificateto the coffeebar in the mainlobby. Allthose havingsuggestionscan give themto Carol or Sherry by Dec,14.We encourage everyone toparticipate in making thisnewsletter a success.Please feelfree to drop offany news, announcementsor upcoming events to Carolor Sherry by the 15th ofeach month and they will beput in the newsletter for thenext month.Newsletter Author: Karen Bilynsky

The annual MidwinterDinner Dance will be heldJanuary 30 at 6:30 pm at theCarousel Sky Deck. Besure to bring your dancingshoes because Better Musicis providing the tunes. Forall concerned, there will notbe a strobe light this year.

The Department would liketo invite everyone to theannual Holiday Party onDecember 16 from 2-4 pmin the Crouse Cafeteria.

On Friday, December 18there will be a Pot LuckLuncheon for Housestaffand Faculty. lt will be heldin Room 5342 starting atnoon. Please bring adessert to pass.

Dec 1 Josh Kanter

Dec 4 Paul Fuller

Dec 9 Carol Colella

Dec 14 Vicki Meguid

Dec 16 Kathie Contello

New FacesKathryn Ryan joins us as aMedical Office Assistant forGl.

Patty Murray is a trans-criptionist for pulmonaryservices.

Mithila Hasan has joinedthe lD division as a fulltimesecretary.

Stacy Scafione, joined thePulmonary Division as anNurse Practitioner.

Sue Sheffield, a nursepractitioner, joins JimListman, M.D. in nephrologyservices.

Vol .2 No. 10 ocToBER 1999

Pediatric Crierry- Department of Pediatrics Newsletter

The Frank A. Oski, M.D.Dist inguished Visi t ingProfessor will be Lewis R. First,M.D. from October 4-6, 1999.Dr. First is Professor andChairman, Department ofPediatrics, University ofVermont. The complete scheduleof his visit is posted throughoutthe department.

Presidential RecognitionThe Crier has learned that ourown Dr. Dave Sadowitz receiveda personal letter from PresidentClinton. One of Dr. Sadowitz'spatients was invited to meet thepresident on his recent visit andthe patient asked Dr. Sadowitz tocome along. Dr. Sadowitz had theopportunity to speak with allthree members of the Clintonfamily and presented them withgifts and brochures describing theChildren's Cancer Center. Lessthan two weeks later he receiveda personal handwritten letterfrom President Clinton.

The Crier was given permissionto quote that letter in which hewrote, "Thank you so much foryour gifts to all of us, your niceletter, and your prayers. I needthem and daily add my own tothe messages allwhich God hears.Thank you too for your devotedservice to children and yourcommittment to your ownchildren and family. When all issaid and done, on this earth, thatmatters most. Sincerely, BillClinton." Dr. Sadowitz alsoreceived a note from Mrs.Clinton expressing her interest invisiting the Children's CancerCenter some dav.

Now on the World Wide Web at ht ://www.hscsvr.ed r.html

excursion was in jeopardy.Fortunately, the boat eventuallystraightened itself out and thepassengers were nothing morethan a little wet and shaken up.The only two non-swimmersdonned lifejackets for theremainder of the trip and theentire crew returned safely toshore. Dr. Trust informed theCrier that next year he is goingto screen the passengers to checkfor their "sea legs." But rumorhas it, he may not get as manytakers next year.

READING MATERIALSsouGHT FOR 4A,4N, & 4CThe Parent Advisory Council isestablishing a library of light readingmaterials for the families of 4A., 4N,and 4C. They are accepting donationsofused paperbacks, magazines andbooks. Donations may be brought tothe Pediahic Floor each Wednesdaymorning from 9:00 to 10:30 AM.

CANDLELIGHT VIGILIn recogrrition of Childhood CancerAwareness Month a Candlelight Vigilwas held in the University HospitalLobby on September 24th. Dr. RonDubowy and Joanne Ondrako led theceremony. The event was sponsoredby the Parent Reach Out Program(PROP) and the Center for Children'sCancer and Blood Disorders.

OCTOBER BIRTHDAYSI0/2 Farhana Amanullahl0/3 Amy Goldbergl0D2Howard Weinberger10/28 Parinda Mehtal0/31 Mithila Hassan

SEPTEMBER BIRTHS9/19 Anushka Maqbool (6Ib,2oz).

Congratulations, Farhana!

(ALMOST) LOST AT SEAWhat started out as a relativelytypical intern retreat nearlyturned into the sequel of Titanic.The PL-l's had their annualretreat on September 9-10 at theStella Maris Retreat Center inSkaneateles. Having heard theyhad spent the night practically inhis own backyard, Dr. StuartTrust showed up the nextmorning and invited anyone whowas interested for a ride acrossSkaneateles Lake on his24 footpontoon boat. Naturally,everyone wanted to go. The boatleft shore with 13 people andheaded to sea.In an exclusive interview withthe Crier Dr. Trust assured usthat his vessel is "exquisitely safeand sturdy" when operatingwithin its weight limitations.While there was seating for 15,apparently our current internsknow how to throw their weightaround. After viewing the homewhere the Clintons had stayed,the Trusts' regal lakesidemansion, and the RooseveltEstate, one of the interns was soexcited that he headed up to thefront of the boat to get a sodafrom the cooler. Suddenly, theboat listed violently forwardthrowing the intrepid sailorstoward the front. The bowdipped under the surface ofthewater and for a few dramaticmoments the outcome of the

Vol',3,,lt '16,,:,4 APRiI::itooc

Pediatric Crierof Pediatrics Newsletter

Now on the World Wide Web at zllwww, .ed .htmlThe Refugee CenterLindaMcAleer

CULTURE: "The way of life ofa group of people." Third grade

definition bv Leah McAleer.

Culture has many implications forus as healthcare professionals. Ourknowledge of people's culture impactsintersely on our health care detveryand its effectiveness. The Pediatricand Adolescent Center at UHCC(UPAC) has been culturally enrichedby the children ard families fromBosnia, Somalia" Ukraine, Kosovoand most recently the Congo.

About 70 people will be comingfrom the Congo within the next 2-3months. Marry of these people havebeen in a refugee camp in Africa forthe past 6 years and are leaving as aresult of the war conditions. Theadults have witnessed brutal killings.Typically families have manychildren The primary language of theCongo is French. Many of the newrefugees are educated people whoenjoyed a much higher standard ofliving prior to war.

The UPAC staffhas reaped thebenefits oflearning about thesecultures from the expefts: the familiesand the interpreters. UPAC has hostedthree meetings with the staff from theRefugee Center. This open dialoguebetrveen UPAC staff and theinterpreters has fostered a positiverapport and a collaborative workingrelationship between both groups.Development of this relationshipthrough enhanced communication isparamount to providing competent,efficient and culturally appropriatehealth care for these immigrant andrefugee families.

The interpreters tell us weAmericans ask too many personal

questions. This is viewed as aninvasion of privary. It is alsoassociated withfear of wtry we need somuch information. It is critical thatwe take the time to explain what is soobvious to us... "why" a test isneeded, "how" it is done, "what'' itis for and most importantly how thisintervention benefits their infant orchild. There is one consistentmessage we hear from all theinterpreters: When families andchildren are treated with respect andcompassiorl despite the enormouslanguage ba:riers, they will sense ourcorrcem for their children and respondto us in a cooperative manner.Compliance and trust will eventuallyfollow.

A note of recognition to ZaitaHackCoordinator of the RefugeeResettlement Program and all of theinterpreters. They work with us dailyto improve the process and facilitateprompt care for these diverse families.Without them our jobs would beextremely difficult.They have becomevalued members of our Team.

Additional resources at UPAC:Vaccine information statements onsite in Frenc[ Sefto-Croatian,Russian and Spanish.

TB and BCG literature available inArabic, French, Serbo-Croatia&Russian and Spanish.

Board books are given to children forwell visits up to age frve (tlrough ourROR Program) in Russiar;Se$o-Croatiarl Spanish and Frenctr"

Healthy Kids anticipatory guidanceinformation is available in Somali.Russian, Chinese and Korean.Sefto-Croatian is being developed.

UPAC Makes the SpotlightCongratulatiors to the entire staffatLJPAC forthe special mentiontheyreceived inthe CNY ImmunizationRegistry Report. The Registry praisedthem for the significant raise inimmunization xat€ s they achieved.The report stated, "Theimprovements were a result of severaloperational changes and vigorous staffeducation...The staff at UPAC hasdone an incredible job anfl desewesrecognition." A very proud Dr. Fullertells the Crier, "Our staffworked veryhard to achieve this."

MATCH RESULTSThe Crier is delighted to affnunceanotlrer great year for the departrnentin the National Resident MatchingProgram. We filled with a fine team of12 rrcw interns including three of ourown medical students. Special thanksto all the residents and faculty whotook part in the interview process. Wecouldn't have done it without you.The match list is posted throughoutthe department.

PUMPED UP!Margaret Nelts has asked the Crier tospread the word about our newdepartmental lactation room. It islocated in Room 4343 (U.H.) and isto be used by employees and mothersof pediatric patients who may benursing. It is available 24 hours aday. Keys are located at the 4A, 4C,4N and 8X nursing statiors.

APRIL BIRTMAYS4116Maggie Wason4/20 Monica Jones4/2I Mke Soeder4/21 CaroI Plumley4/25 lim Listman4/25 Shabib Alhadheri

Pediatric Crier , December 2002 - page 2

Pictured Above: Cowpokes Hakim, Rahme, Tfayli, ll/oodall-Rulf, Wakim, Zeidan, Blatt and Haidar

Housestaff on the Range To some, getting on top of the horse wasAs reported by Onlhe-scene (and on-the- like sitting on a bicycle, to others it washorse) Reporter, Steve Blatt more like riding a raging bull, but to all

it was a thrill. Soon, everyone( with few"On November 3, a cold & snowy exceptions) was comfortable on theirSunday, 17 brave souls, age 6 to pre- saddles.geriatrics, met at Quarry Ridge Stablesfor a roundup. Organized by UPAC Lined up in a chain of horses, we startednurse Toni Heer, an experienced moving towards the hill. In the woods,equestrian and horse owner, riders came bumping into trees was the rule, with afrom four continents. The group even twig in the hair and a branch in the knee,included a resident applicant from it was a fun chore to keep the horses onCleveland. The one hour ride took the the right track.cowboys and cowgirls across fields, uphills and through beautiful, snow covered Shortly after reaching the "forest" itwoods. Although each rider had their started snowing, and those of us withoutfavorite part of the trip, everyone seemed gloves experienced the nice weather ofto enjoy the entertainment provided by Syracuse. Holding on to the buckle onDr. Woodall-Ruff. No one would have the saddle as hard as you can in such aguessed that a person of such small weather can anesthetize your hands and itphysical stature could yell so loud or for might be difficult to tell whether theso long. The Crier has learned that after smeared blood on them comes from youthe ride, it took 4 days before her horse or from your horse, Legend! At leastonce again responded to noises. Look for that's what someone reported happeningfuture outings from the UPAC staff. there. Others were not comfortable on top

And now, the rest orthe story... ;:3HT:;#:lfilil:lt;r"T,Hil}.l;As reported by Roy Rogers Haidar hill. Amazingly, Mia (Dr Blatt's

daughter) on her little pony was riding"The sky was cloudy, but nothing like like a cowwoman in a Marlboro adthe snowy previous night that attempted (except that she would be giving theto threaten the whole plan. After a short wrong impression for kids).drive out of Syracuse, we were in thecountryside. It was a bit chilly but the air An hour passed in what seemed like 5was still and the scenery was gorgeous. minutes and we were back to the startingNurses, doctors, families, and even an point, getting offthe horses, everyoneapplicant for our residency program thinking about the next time they wouldcame. One by one the group of 20 be able to repeat that great experiencegathered on the field and after a brief they had.t'introduction to our new friends; Chaos,Duchess, Legend, etc, everyone mountedtheir horses in preparation for the briefbut exciting journey.

Star-Of-The-MonthThe Pediatric Star-of-the-Month goes toWendy Spadafore for her deft handling ofabizane early morning incident. Herbravery and quick thinking are mostappreciated! Bravo!

Emergent ExcellenceCongratulations to Richie Cantor whowas named the2002 Award forOutstanding Contribution in Eduactionby the American College of Emergency -

Physicians from a field of more than22,000 EM physicians.

DECEMBER BIRTHDAYSl2l4 Paul Fullerl2l9 Carol Cambareril2115 Jan Bachl2l14Yicki Meguidl2l16 Kathie Contellol2l18 Cary Qualia12126Tom Welch12130 AuonThaker

The entire staffof the Pediatric Crierwishes each of you in the departrnent amost blessed holiday season!

Vol.9. No. 10 : ociloBE ,2006

Pediatric CrierDepartment of Pediatrics Newsletter

Don't miss the full color online edition at www.upstate.edu/peds/crier.shtml1-2-3-Down! The Intern RetreatBy Embedded Reporter Nelsen

It's September and you know what thatmeans -- time to find coverage for thefloors and the clinics! The intems wereallowed out of the zoo for a day toconnect, reflect, and be merry. Weheaded out from the hospital en massearound 6 PM Thursday after everyonewas done with sign out and clinic.Even though Imad insisted that Amyshould have more judicious use of aturn signal as the lead vehicle, we allarrived at Stella Maris in one piece. Ifyou haven't been, it's a beautiful andlarge old homestead that's beenmeticulously kept by a group ofCatholic nuns and a handful of laypeople. We located our rooms,freshened up, and headed out for a nighton the town.

Now, what happens in Skaneatelesstays in Skaneateles. I will tell youthat it was great to have all thirteen ofus in the same spot for the frst timeand that our meal at the Blue WaterGrill was excellent. I won't, however,tell you how many bottles of wine orshots of tequila were consumed, or howmany times Bashar andHazar nied toteach us how to swear in Arabic. Afterour evening in the village, we walkedback to the retreat house in a light rain.We thought we lost JoJo but he wentinto stealth mode on us and came outof nowhere. We all put our pajamas on(I was faulted, however, for havingwom scrubs of all things) and retired toa screened porch. Ramzi attempted tostart an introspective discussion but itquickly deteriorated into a discussion offavorite cartoon characters. One by one,we retired to bed, looking forward towhat the next day would bring. Thenext morning lve enjoyed a breakfastprepared by some ofthe nuns before

(Intern Retreat continued on back\

Here Comes DialaEditor's Note: Diala Faddoul andHussein Yassine were married inCleveland. Ohio lqst month.Congratulations, Diala! Here's herfirsthand report:Saturday, Sept. 2nd was the mostbeautiful day of my life. Among awonderful group of friends andfamily, Hussein and I had theblessing of our maniage at theBoulevard Presbyterian Church inCleveland. Friends that I haven't seenin a long time flew from all over thecountry to celebrate this happy day.Mom, despite all the turmoil that washappening in Lebanon, could attendthe wedding and double my joy.After the church we all went for theparty where we danced "dabkeh" (thetraditional Lebanese dance) and ofcourse had tasfy Lebanese food. It's aday that I can never forget!

An Adirondack ChairJoan PellegrinoSunday, September 3rd was theannual Labor Day picnic for fourthyear medical students interested inpediatrics hosted by the Welchs attheir summer home in theAdirondacks. The weather wasovercast and drizzling but that did notdampen the spirits of the attendees orthe breathtaking views of the lakefrorii the Welch's home. There were 3medieal students in attendance, SarahFinnoehiarro, Caryn Kerman andJonathan Henderson. as well as the

Sveenls, the Dosa family, theWeiner's and the Pellegrino's. WithTom at the grill, we had a lovelyspread offood and enjoyed eating inthe boat house. Other highlightsincluded a tour of the lake by boat, agame of Monster badminton, andsearching for rocks and shells in thelake. It was a wonderful afternoon in abeautiful setting and a nice way to capoff the summer!

RMDH Homecoming Party(from Dr. Welch)The department is again sponsoring atable at the Ronald McDonald Houseannual reception, which this year ishonoring the pediatric nurses ofSyracuse. The event will be onFriday, 10/27, from 6:30-10:00 PM.Please let Sheni know if you areinterested in attending; it will be"first come--frst crack at the tickets"!

Coming this Month:The Oski Visiting Professor, AlanLake, M.D. - October 16 - l8ttr

Pediatric Star of the MonthThe Crier is pleased to report thatthere are TWO Pediatric All-Stars thismonth. These honors go to AnnBotash for covering the Friday noonconference so brilliantly at the verylast minute, and to ManikaSuryadevara for the two nominationsshe received for going above andbeyond the call of duty. These lovelywomen should be an inspiration to usall. Manika and Ann, please contactLisa (4-7600, [email protected])to select your Star-of-the-Month Prize(or see Patty for help in doing this).

Intern Retreat, contt

the day's festivities. Drs. Andrake andDuca arrived around 9 to guide usthrough the remainder of our retreat.We started offby playing a board gamecalled lnfection, courtesy ofour friendsin the ID department. It's a gamewhere players (or in our case, teams)journey around the board catching andgiving all sorts of diseases (and somesurgical conditions, apparently). Thereare medical stations where you can payfor cures and even a Medicaid spacewhere you collect money for all thediseases you have. The team ofRoopa,JoJo and Bashar was unfortunate tohave contractedjock itch early on butcured it with a trip to the voodoodoctor. Theteam ofHazar andDerektried to stump the team of Kirti,Lubbna and Beth by describing thetreatrnent for a hemia but ended upbeing the victim of one when hemiawas conectly guessed. While Kirti'steam jumped out to an early lead bygetting an all-important vaccination, theteam of Sharon, Imad and Amyeventually won after being cured oftheir cholera.

Next, we took some time to considerhow our lives have changed sincebecoming interns (and in some cases,since becoming doctors). We werestunned into a collective silence at theprospect of having to think on a dayoff. After about l0 minutes ofreflecting and writing, we started todiscuss both professional and personalaspects that have been altered sinceJune 26th. Surprisingly, there weresome very cornmon themes. We feelthat our level of responsibility hasincreased exponentially and that we arenow being required to do things that wehave never neededto do before. Insome instances, we feel inept becausewe don't understand the system or theprocedures involved even though this isexpected of us and has thus made thetransition from medical student tointern difficult. We also agreed that

there's not enough time in the day toaccomplish everything we'd like toget done, whether that means laundryand grocery shopping or spendingtime with family or reading a novel.Perhaps the most important thing wefound was that we as a group are ourown finest resource, our closestcolleagues, and best friends. Weresolved to never let teach other forgetwhat it's like to be an intern (evenwhen we're old and jaded PL-3s) andthat we definitely need to hang outmore.

Rather than getting in a group hugand having a good cry, we had lunchof roasted turkey, mashed potatoesand gravy and then moved the partyoutside for one more team buildingexercise and group photos. Dr. Ducaintroduced us to the helium stick.We lined up in two parallel rowsfacing each other and stuck out ourhands with index fingers pointed facedown. She layed a long, thin rod onthe tops ofour fingers and gave us thetask of lowering the stick to theground. Initially, we had somedifficulties in coordinating but we gotit together with the phrase of thereteat: "I-2-3-DOWN!" We had tostart over once or twice because thestick kept going up instead of downbut we eventually succeeded. Thetrick is that the collective upwardpressure created by everyone's furgerstends to be greater than the weight ofthe stick and if the effort isuncoordinated, the stick will rise(hence the helium moniker). We tooksome more photos down by the lakeand called it a day. Most of usheaded back into the village for icecream and window shopping beforegoing back to Syracuse, and in thecase of Angelle and I, back to work.

thank you goes to Drs. Andrake andDuca and to anyone else who assistedin planning and arranging our day.An intern retreat is a uniqueexperience irmong all programs, notjust at our own institution but acrossthe country and we feel very fortunateto have had our day together. It wasbeneficial, influential, and above all,it was a great deal of fun.

A 1000 Words and a DiamondBy Joe Nimeh"A picture is worth a thousand words,so this short paragraph will serve as acaption only. I'm the dude on oneknee. The woman (Amy) nearly inshock is my fantastic girlfriend...andfortunately, now, fiancee. Thebalcony and table are part oftherooftop bar at the Boathouse, a greatseafood place situated on an inlet(seen behind the dude and the woman)and within view of the Atlantic.There was a fantastic sunset, and therewere dolphins (not pictured here)hanging out eating dinner andsurfacing in the bay for about an houras we had wine, became engaged, andcelebrated with champagre. I gavethe camera to the guy sitting next tous when Amy wasn't looking and toldhim what was about to happen. Hedid a greatjob, and I have no ideawhat his name is."

Citizen AtallahCongratulations to Nader Atallah,who officially became a US citizen on9/2U06.

OCTOBER BIRTHDAYSl0l4 Ron Dubowyl0/l I Sue Sheffieldl0/15 Subhashini Subramanian

Alicia Pakarskyl0/16 Vicki Keelerl0 / 22 How ar d Weinberger10/23 Frank Smithl0/24 Adrienne Tedeschi

A big thank you goes to the PL-2sand PL-3s for keeping the place afloatwhile we were gone. Another big

.Vdl,1l0;,.NOrl* AF'HIH fifiH7

Pediatric CrierDepartment of Pediatrics Newsletter

Don't miss the full color online edition at www.uAdventures in El SalvadorJoe Domachowske

Dwing February break, I had theprivilege ofjoining 23 high schoolstudents and 5 adults from local YoungLife and Youth Ministries on the trip ofa lifetime. Destination: Bajo Lempe-located in a rural area of El Salvador.We each carried a small personalbackpack and two large suitcases ofschool and medical supplies to donateto the people of the region. When wearrived, at one a.m. local time, theentire community was up and waitingto welcome us. Including the chickens,turkeys, pigs, and cows. We settled in,got some rest and woke the nextmorning ready to get to work.

The tasks of the week includeddistributing the school and medicalsupplies, painting the school, teachingsome English, and building chickencoops. The community rallied aroundus. They quickly taugbt us the thingswe needed to know to help with theprojects---+ven though 25 members ofour group didn't speak any Spanish!The projects came along well. Chickencoop construction is hardwork---especially in the l05o heat. Alltogether, we put up l8 of them. Thegrateful families offered various treatsto us when each coop was finished. Iwatched as a 40 year old womenshimmied up a coconut tee to retrieve abunch offruit hop back down andproceed to use a machete to open onefor each of us. All of the livestockseemed to roam free-I discovered laterthat chicken coops are necessary toprotect the birds from coyotes andmountain lions. 250 chickens weredonated, and arrived a week before wedid, so the next task was to retrievethem. Chickens can ntn pretty fast! Alltogether, we found (and caught) enoughof the chickens to fill every coop withat least t hens and 2 roosters.

(continued on back)

Welcome, Richie and IreneThe Dept of Pediatrics welcomes ournew dynamic duo, Richie and IreneSills to our faculty. Richie is the newdirector of the Division Section ofHeme/Onc. Irene will be working inpeds diabetes and qlso the director ofour nauly reestablished peds endofellowship. But, then, you alreadyknew all that. Now, here's the insidescoop cts reported by Mr* Dr. Sills:

Richie and I started quite early in ourmarriage to hike and backpack. Wethen realized that the best way to dothat in the winter was on skis, so wegot into back county skiing. Wehave been to many US National Parksin the winter - which is a great timeto visit these parks if you don't likecrowds! We have also skied in theCanadian Rockies and BritishColumbia in beautiful snow.However, anything we go down wemust climb up on skis with climbingskins. We have especially likedskiing in a remote area that requires ahelicopter ride to get to.

Richie adores cooking and eatinggood food. He shops carefully andwill travel distances for greatingredients. The folks that sell fish,chocolate, cheese, great balsamicvinegar, and excellent produce are hisheroes. The only good thing thatRichie can say about the Bushadministration is that it is allowingthe export of Alphonso mangoes tostart next year from India.

I love to read novels, do theSunday NY Times crossword puzde(I "cheat" and google some clues...),and have learned to knit. We spent1976-1978 in Syracuse and have greatmemories of much outdoor fun. Weare really looking forward toreturning.

Editor's Note: Andwe're lookingforward to havingyou back!

Mid Winter Royaleby Caitlin SgarlatThis year's Pediatric Dinner was

truly a glamorous event with the spinof a James Bond twist. It was held atthe Genesee Grande on a snowyFebruary evening. The typical frigidweather did not stop anyone fromputting on their best fancy threads andcoming out for a flazz.llagparty. Therewere even several James Bondtuxedos as well as beautiful BondGirl look-alikes.

The night began with guestsentering the Casino Royale-themedroom decorated with poker chips,playing cards, and sparkling oversizedmartini glass table centerpieces.While all of the James Bonds andBond Girls mingled prior to dinner,cocktails were sipped including thedrink of choice-- martinis, shaken notstirred ofcourse.

After a scrumptious dinner andsome dancing the ganes began. Bondthemed trivia questions were handedout to guests at each table and thenscored. The big winner of the evening(by a landslide) was the deparhnent007 himself- Dr. Cunningham! Thehighlight of the night came with theannouncement of the winner of thebest Bond. It was a very tight count,but the James Bond of the event wasJoe Nimeh with Dr. Andrake as aclose second (both stunners in theirclassic tuxes)! All of the winnersreceived prizes, new nicknames, and alicense to kill! Cameras also wereplaced secretly at a few tables andwere used by those who found themto capture the event for yet anothercontest (winner announced below).The rest of the party was spent either

dancing to "GoldfingeC' and"Diamonds are Forever", or joiningthe authentic poker game started bythe Texas hold'em fanatics of thethird year resident class. CasinoRoyale was a truly royal affair!

In our spare time, we were able tohelp the families with some of theirmedical needs. Most of the 'clinic' timewas used to administer first aid. I wasstruck by ttre srength of even theyoungest children there. I cleaned upwounds on 5 years olds that wouldrequire conscious sedation here! Andthese kids barely winced! We also hadthe opportunity to promote nutition,with an emphasis on the youngestchildren and the pregnant and nursingmothers.

For me, a highlight of the trip wasthe food. The locals eat mostly beansand rice. Meat is reserved for veryspecial occasions-they need thechickens for the eggs, and the cows forthe milk. We were lucky to have athree-person kitchen staff to preparehealthy food for us while we were there.They were San Salvadorans, so theykept the meals authentic to the region(beans and rice, tamales, pupusas andlots ofcorn-based dishes). The last daywe were there, the families arranged fora huge banquet so we could all celebratetogether. Each family donated corn toprepare masa (the dough used to makethe corn tortillas). Some of us helpedthe women ofthe commumty makeabout 600 tortillas that afternoon! Theyalso honored us by slaughtering one oftheir calves for the banquet. This time,there was plenty of food for everyone.The locals absolutely insisted that owgroup eat first. When we finished, itwas our pleasure to serve them.

One of the things people tell me thatthey love about the counbry is the peaceand quiet. Don't get me wrong, BajoLempe is a very peaceful place, butevery morning, starting around 4 a.m.,the roosters begin to crow. And it isLOUD. Good thing we were getting tosleep shortly after dark (there was noelectricity, so nighttime activities werelimited to what you could do with aflashlight).

The people of Bajo Lempe aredelightful. Without money or things,they are among the happiest people I

have ever met. When asked what theywant, they tell me education andhealth. The state of education is thatchildren attend school for about anhow a day-there are only twoteachers and two classrooms. Thestate of their health is even worse.They are chronically malnourishedwith very poor dentition. There is noaccess to safe, clean drinking water. Ahealth care promoter visits once every18 months. Vaccines are not used andmedications are not available. Theysee a doctor or nurse 3 or four timesduring their lifetime. I did see oneman in his 60's, but was struck byhow young the rest oftheirpopulation was. Very few peoplesurvived to their late 40s.

Bajo Lempe has no plumbing.Sewage and ground water aresynonymous. Bathing is via wellwater or a trip to the river. Conditionsare absolutely filthy. I could not haveimagined the squalor of this place,even after seeing photos. Until lastweek, it was even more unimaginableto me that people who live their livesunder these conditions can be sointensely happy.

I was cwious about how the 23high school students were interpretingthis experience and had manyopportunities to talk to them (my sonJames included!). I was veryimpressed with their articulatedescriptions of their observations. Iwas overwhelrned by their reactions tothe experience. Many wanted to staylonger, and most want to return nextyear. Collectively, they were mostimpressed by the ability of an entirecommunity to be content without theamenities that we take for granted.

I think the happiness of the peoplein rural El Salvador comes from theirhearts, their families, and theirfreedom. I'll always refer to our tripto Bajo Lempe as a weekJong visitto the Kingdom of God. I learned somuch from them. For that I amgrateful. (Editor's Note: Foradditional pictures see online Crier).

Mid Winter Photo ContestFour cameras were distributed at theDinner Dance and were used by threedifferent secret agents to capture theircolleagues (photographicallyspeaking). All other agents whoattended the dance were polled as to

which set ofphotos best captured theevent. It was a close call, but tlewinner is Secret Agent WeinbergerlCongratulationsl You will bereceiving aspecial prizeshortly (shouldyou choose toaccept it). SeeCrier online forthe winningphotos).

Jody BabyCongratulations to former residentJody (Davis-Connelly) Sima on thebirth of Tyler Joseph Sima on Febl6th at Tlbs 15.5 oz.

Pediatric Star of the MonthThe Pediatric All-Star for this monthis Tracey Rheaume. Her story was soremarkable the Crier has decided toreprint it below. Congratulations,Tracey. Please contact Lisa Blystone(4-7600) to pick out your prize.

Tracey's Daring RescueStar submitted by Joan Pellegrino

Tracey Rheaume, a nurse in theCenter for NeurodevelopmentalDisabilities at 550 Harrison, went tothe lab with a patient of mine. Themother had a newborn (who I wasseeing) and two sons aged 2 and4.The older children got away from themother, ran in opposite directionsdown the hallway and then one ofthem ran out the door and ACROSSADAMS STREET! Tracey droppedeverytling and chased the child acrosstraffrc, scooping him up on the otherside of the street. She canied himback despite his kicking andscreaming and then, he bit her! Thiscould have been a disaster butTracey's quick action saved the child.Thanks, Tracey.

APRIL BIRTHDAYS4/4 Nick Bennett4/ll Carie B.Greene4/21Carol Plumbley,4/25 Jim Listnan4129Kirrr Kandalkar

Vol. 12, No.9 September 09

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The Grand OpeningObviously, thethoughtforemost onalmosteveryone'sminds here inthe Department

of Pediatrics this month is the grandopening of the Upstate GolisanoChildren's Hospital. Hence, much of thisissue will be dedicated to the celebrationof this most historic occasion.

A Note From Our ChairmanThomas Ll/elch, M.D.

"September marks a milestone in thehistory of child health care in Syracuse.For many years, we had the distinction ofbeing the largest city in the United Stateswithout a dedicated children's hospital.For a city which otherwise rightly pridesitself on many great features, this was anembarrassment.

As we went to the community to gathersupport for this project, we promised thatwe would devise something of which theentire community could be proud--in away, making up for decades of lacking.Once you have a chance to visit the newhospital, I hope that you will agree that we'delivered' on this promise. I have visitedscores of children's hospitals in the pastseveral years, and honestly believe that wecan hold up the Golisano Children'sHospital to any of them. We have alwaysbeen proud ofthe care we have been ableto deliver. Now, we can be proud of theplace where we deliver it."

Upstate Golisano Children's HospitalCelebration Weekend At A GlanceThursday" September 10l2:00 - 3:30 PM - Staff Celebration andUpstate Family4:00 - 6:00 PM - CommuniW Dedicationwith State VIPS/Media

Friday. September I I8:00 AM - 2:00 PM - Special Donors andCorporations (Invitation Only)

Don't miss the full color online edition at www.upstate.edu/pediatrics/crier.letterhead and database first designed and

Our former Chair, Dr. HowardWeinberger, contributed the followingrecollections of the road to a Children'sHospital:

Some Reflections on the Opening of theUpstate Golisano Children's HospitalHowqrd L. Weinberger

To paraphrase President John F.Kennedy, "Success has many parents... "

As we approach the opening of theUpstate Golisano Children's Hospital, it isworth recalling the long history of theefforts of many in this community whodreamed and labored for this day.

As early as the 1970's, the late FrankOski (Chair of our Department firm 1972to 1984) and his good friend, Al Berne(Chief of Radiology at Crouse-lrvingMemorial Hospital) spoke of thepossibil i ty of a Children's Hospital inSyracuse. When Frank left to chair theDepartment of Pediatrics at JohnsHopkins, he often spoke of the highquality ofcare our faculty in Syracuseprovided the children of Central NewYork, What was missing was a singlestructure within which everyone whoworked would be dedicated exclusively tothe care of children and their families.

Dr Warren Grupe came to Upstate fromBoston Children's Hospital to serve asChair from 1987- 1991. Warren advocatedfor the development of a Children'sHospital from the beginning of his tenurehere, along with faculty in the Departmentand supporters in the greater community.People such as Claude Incaudo (then,President of P&C and first honorary chairof the Children's Miracle Telethon), MaryAnn Shaw, Maureen Zupan and othersmet with the administration of Crouse andUniversity Hospitals.

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7:30-3:00 PM - Pediatric Teaching Day:New Heights in Pediatrics - OnCenter.4:00 - 5:30 PM - Pediatric Teaching Day(Children's Hospital)5:30 - 9:00 PM - Opening Celebration/Ribbon Cutting (Major Donors-lnvitation)Saturday. September l29:00 AM - l2 :00 PM - Specia l DonorsTours/Reception (lnvitation On ly)l:00 - 5:00 PM - Public ToursSunday. September l39:00 AM - l2 :00 PM - Specia l DonorsTours/Reception (lnvitation Only)l2 :00 - 5:00 PM - Publ ic Tours(Full Schedule Online)

General Design (online)The Multisensory Room (online)Treehouse Trivia (online)

Treehouse TimelinesIt seemed important to review some of theevents that led up to today. While thereare several different timelines that havebeen put together marking the countdownto the Children's Hospital, this is the onlyone we know of that goes all the way backto 1834.htto:// l ib ra rv. u pstate.edu/collections/h isto rvlinstitution/h istorv-of-hsc.nh p

A more recent t imeline was published inthe Upstate Clinical Update in July,2008(online).

What neither of the two timelines abovedocument are any of the rumblings thathad been going on within the departmentfrom as far back as the days ofFrank Oskiin the 1970's.

The Upstate community also expressedinterest in a hospital for its children. ln1997 the Syracuse Newspaper also printedan editorial in support of a Children'sHospital. (l ink)

And of course no Children's Hospitaltimeline is complete without mention ofNeal Seidberg's Children's Hospital

During this period, we reached thepoint where a nationally recognizedhospital architecture group was contractedto develop a physical plan for a free -standing Children's Hospital. For anumber of reasons, the time was just notquite right. Economic factors, Inter-hospital politics and a variety of Issues putthe plans on hold.

The goal of combining all children'sInpatient services Ina single institutionremained high on the agenda of theDepartment faculty, commun itypediafficians, nurses and many laymembers of the Syracuse communitythroughout the 1990's while I served asChair of the Department.

Many meetings were held with strongsupport of Mike Ratner, our Cardiologistcolleagues (especially Winston Gaum andFrank Smith), our Vice Chairs, LenWeiner and Bob Kanter, Ben Moore (thenCEO of University Hospital) and manyothers, It became clear that the best optionfor Syracuse would be the model of a"Hospital within a Hospital" rather than afreestanding Children's Hospital.

One major question remainedunresolved at that time was the actual sitefor the facility. Strong arguments weremade for siting the Children's Hospital ateither Crouse Hospital or UniversityHospital.

In 2001, Dr Thomas Welch wasrecruited to be the next Chair of theDepartment. Tom came from a nationallyrecognized Children's Hospital inCincinnati and I think it is safe to say thathis recruitment could not have beensuccessful without the firm commitmentto develop the Children's Hospital atUniversity Hospital.

With support from the State of NewYork Construction Fund and anoutstanding fundraising campaign in thelocal community, we were on our way. StJoseph's Hospital agreed to close itsInpatient Children's service as did CrouseHospital (effective June 30 of this year).A wonderful Tribute Evening was held onJuly I to acknowledge the history ofoutstanding care by Crouse Hospitalnurses for children in our communiqr,dating back over a century.

As we look forward to "Opening Day",our commitment to provide the bestpossible medical and surgical care forchildren and their families remains thecornerstone of our mission. "Success hasmany parents..." Many people dreamedand worked for this day. (I apologize if I

Crier, page 2omitted unintentionally others whocontributed constructively to thediscussion during those years.) TomWelch and the current administration ofUpstate Medical University andUniversity Hospital deserve the credit forbringing these dreams to reality.

Speaking of history...perhaps you canhelp (From Dr. Welch's newsletter -

online)

Alaskan Adventures (online)

St. Agatha CAREsLinda Mqrkell

The CARE Program is excited to havereceived a $25,000 award from The SaintAgatha Foundation. The grant project willaddress the need to help childrensuspected ofabuse to heal, and the need toprevent abuse by raising awareness aboutcoping with normal childhooddevelopmental phases.

The Saint Agatha Foundation,philanthropy established by LaurieMezzalingua, has distributed over twomill ion dollars in four years. Lauriebattled breast cancer for l2 years from theage of 29 unti l she died this year on July4. Her long struggle with breast cancercaused her to refocus her career in orderto effectively help others, especiallywomen and children. Laurie requestedthat this award be used to provide comfortto children in the central New Yorkcommunity who are suspected of beingabused. The CARE program offersmedical exams and forensic evidencecollection for suspected abuse victims l8years old or younger as well as assistancewith referrals to community agencies thatprovide victim advocacy services forfamilies in a time of crises.

Dr. Ann Botash, Medical Director ofthe CARE Program, said, "Laurie'sgenerosity makes it possible to tackleprojects that were well beyond the reachofour budget. One project is to supportthe creation ofprevention booklets toaddress key phases ofnormal childhooddevelopment that put children at risk ofharm." The booklets will have practicaltips about difficult behaviors that canfrustrate parents and guardians, provokeangry confrontation and trigger emotionalor physical abuse. Understanding keychildhood phases helps parents toanticipate difficult phases, plan behaviormodification and prepare to cope withfrustration. A planned approach can offer

relieffor caregivers, bring about positivechanges in the child, and keep a child safefrom abuse.

Saint Agatha funding will also be usedto purchase supplies, such as activity kitsand books, to give to children referred tothe CARE program from the Central NewYork catchment area.

Karen Teelin's BabyCongratulations to Karen Teelin on thebirth of beautiful baby girl Nora MaureenTeef in on 7128109 at 6 lbs; l4 oz.

In the News:ln case you missed it, our very ownMargaret Nellis (Child Life) was recentlyfeatured in a wonderful article in theAugust issue of the Post Standard'sHealthy CNY. (online)

A Note From PamEditor's Note: We received the followingnote from Pamulq Picciano whose lqstday was 8/6/09.Dear pediahic friends,I can't tellyou all how much I am going tomiss you and the work we do here. I havefound myself needing to dedicate moretime to taking care of myself right now,and have been unable to do that and meetthe needs of the units I work on. I amdeeply saddened to not be here for the bigday that we have all been waiting for, buthope I can join you again sometime downthe road. I want to thank everyone whohas supported me through my journeywith metastatic breast cancer and knowthat I couldn't have done it without thathelp. Some of you are directly responsiblefor saving my life (more than once). Goodluck and good-bye for now and rememberif you want to be happy for life, love whatyou do. You are a great team.Love, PamulaIfyou would like to send Pam a note, herhome address is:501 Curtain Road, Tully, NY l3 I 59.

Infectious Pool Party (online)

SEPTEMBER BIRTHDAYS9/l Lisa Blystone9/4 Mabel Yew9/6 Sarah El Yaman9/10 Wendy Holz9/l I Brad Olson9/28 Barb Delaney

Vol. 12. No. l0

The Grand Opening, Continues.Editor's Note: It has been an excitingmonth since we reported the upcomingUpstate GCH celebration weekend onSeptember I 0 - I 3. The event was astunning success as multiple ribbons werecut, ceremonies held. and the Central NewYork community was introduced to theirvery own Children's Hospital.

On Sieptember 23, 2009, the dreambecame a reality as patients were moved

from the floors and PICU at Upstate intothe new Golisano Children's Hospital.The beautifully decorated qnd state-of-the-art equipped rooms suddenly camealive with the bustle of nurses, residents,attendings and, of course, kids! We aregrateful to Leola Rogers for this insider'sreporti

Mov in 'On UpLeola Rogers, MPHOn Wednesday, September 23, Pediatricsgave a whole new meaning to "Movin' OnUp to the East Side" with the moving of48 patients from all over UniversityHospital to the new Upstate GolisanoChildren's Hospital. The move was aculmination of more than 30 years ofplanning and design of a children'shospital, an extraordinary capitalcampaign and a dedication weekendheretofore not ever seen in Syracuse.

The day started a little slow and tepid withthe plan to move a potential of 56 patientsf'om7 am thru 3:30 pm. The order of11 -lv€s wos 44,7H,8P/8K and finally4Cl4N. There were over 50 volunteersnot including stafffrom otherdepartments. The logistics of the move

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was fine tuned with theexperience of movingalmost 100 adultpatients on July 8. Itincluded public safetyand physical plant staffmanning the Gold,Blue and Yellow

elevators ensuring that while patients andfamilies were moved to the I lth or l2thfloors in the Blue elevators. theirbelongings and overbed tables weremoved at the same time in yellowelevators. So many of our patients wereon isolation precautions; which, requiredanother level of logistics in terms ofcommunication of patient status to thoseassisting in the move to ensure infectioncontrol standards are maintained. Themove of 4A, was complete by 7:45 am,almost 45 minutes ahead of schedule. TheIncident Command group gathered andthe decision was made to move theschedule up with 7H moving by 8:15.The move plan timeline was acceleratedas we continued to improve upon the timeit took a unit to complete a move until thefinal patient was moved at I :10 pm. lnessence the move was completed almost 2% hours ahead ofschedule. There were somany stories to be told, one included achild and family who indicated that wecould not make them leave the hospital aswe attempted to discharge them from oneof the older units, they wanted to bemoved to the new hospital and thendischarged. The compromise...give thema tour of the new hospital!

Communication was essential from thepoint of when a unit was ready to moveand began moving the first patient, entryto the first set of elevators, placement onthe floor and then the next patient. Whatpatients arrived on the right unit and whatroom they were going in as well as fittingin patients frorn the ED and Center forChildren's Surgery. Another criticalcomponent of the move were the staff andphysicians. They were everywhere andwith their patients to ensure patients were

October 09

Don't miss the full color online edition at www.upstqte.edu/pediatrics/crier.safe and comfortable and to ease any fearsor concerns of the patients and families.

The work continued with the settling ofpatients and families in their rooms. TimHorton's again was one of the heroes ofthe day, providing coffee, donuts andmuffins for the families and staff in theFamily Lounges. It was amazing to seesome of the technological advancementsin place and working, especially theceil ing booms in the PICU. In each roomyou could see where the patient beds werelocated at different angles and sections ofthe room to allow greater visibility by thenurses at the charting stations; but, alsovisibility and access by the parents. Thesubdued artificial lighting in the patientrooms allowed greater natural lightingfrom the large windows in the patientrooms. Stories abounded from the parentsand staff of their new home and all thepossibil i t ies. I knew it had all cometogether the next morning when MikeVivlemore, Manager for l2E generalPediatrics indicated that a father said heslept all night. This is just a part of whatit is all about and what it was meant to be.

The Upstate GCH in Pictures and in theNews:

The Upstate Photo Gallervhttp : //www.upstate.edu/nubl icaffairs/med iagallery I main.oho? 92 itemld: 1 27 3

Upstate GCH - a Youtube Hit!http : //www.youtube.com/watch ?v:sW I JOoc DNO&feature=pla),er-embedded