Focus on Pediatrics, Winter 2023

FOCUS on Pediatrics

Taking a journey through the body

INSIDE

Third inpatient unit opens RESET sets to ease chronic pain

Meet our new providers

Children’s Hospital.

Medical editor

James Stallworth, MD

Managing editor

Jeanine Halva-Neubauer

Photographers

Field Brabham

Alan Francis

Art director

Jenny Farquharson

Editorial board

Nichole Bryant, MD

Bill Cooke

Carl Cromer, MSN, FNP-BC

Ann Faulks

Jennifer Hudson, MD

Robin LaCroix, MD

Jonathan Markowitz, MD, MSCE

Kelly Melton, MSN, RNC-OB

Brenda Rankin, MHA, BSN, RN, NEA-BC

Janine Sally, MS, CCC-SLP

Kerry Sease, MD, MPH

R. Caughman Taylor, MD

Elizabeth Tyson, MD

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The information contained in the Focus is for educational purposes only – it should not take the place of medical advice or diagnoses made by healthcare professionals.

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“Prisma Health” and Prisma Health symbol design are trademarks of Prisma Health.

© 2023 Prisma Health

22-2385

FROM THE MEDICAL DIRECTORS

The crisis in pediatric hospital beds

Prisma Health Children’s Hospital and satellites provide almost 50% of the pediatric beds in our state. However, the state’s pediatric population continues to grow – 40,000 more than a decade ago. Children now account for 21.5% of South Carolina’s population, yet the number of pediatric beds has dropped 23% according to the S.C. Hospital Association.

This decline started before the pandemic, as general hospitals closed pediatric units. Closures were due, in part, to a shift from inpatient to outpatient care. These closures disproportionately occur in under-resourced areas, and our state is a prime example because many community hospitals have either closed or cut pediatric services.

COVID-19 further reduced pediatric beds due to the need to convert them for adult use. Unfortunately, many of these beds have not been able to return to pediatrics.

Increased incidence of some illnesses, such as diabetes, and improvements in healthcare have led to a growing complexity and increased acuity of pediatric patients who often need hospital care, further increasing demand for hospital beds and expertise. These patients typically require greater care and resources than those without chronic conditions.

Added pressure comes in neonatology, where the number of infants born prematurely and who need the NICU is increasing. Reasons why are many, including women deferring pregnancy to an older age, health factors in the woman placing her pregnancy at higher risk, the

move to age of viability to 22 weeks – all leading to the need for more beds and longer NICU stays.

The Children’s Hospital Collaborative has voiced these needs to the state legislature and received funding to expand the infrastructure for children. But expansion projects take time – we are indeed fortunate at Prisma Health to have satellite facilities in Greer, Seneca and Sumter (see Page 4) that offer pediatric inpatient care close to home.

We have experienced an extremely busy RSV and flu season, resulting in all areas that care for children being stretched very thin, as was the case last year with COVID-19 and other factors discussed above. Hence, we keep advocating for more funding to expand care, as regionalization of pediatric inpatient care continues to evolve. To best plan for that future, we must partner with our ambulatory practices, state agencies, other children’s hospitals, our communities, Prisma Health and – most important –our patients.

Robin N. LaCroix, MD, Chair, Department of Pediatrics, Prisma Health Children’s Hospital–Upstate

R. Caughman Taylor, MD Chairman, Department of Pediatrics, Prisma Health Children’s Hospital—Midlands

CONTENTS

Inspire health. Serve with compassion. Be the difference. 2 Bringing the Prisma Health purpose to flight.

Inpatient Unit opens in Greer 4

Greer joins Seneca and Sumter in offering satellite unit for children.

View a ‘healthy body’ of work 6

Children’s museum serves up super-sized exhibit.

Departments

What’s new? 8

Check out our website, new practices and awards

Special program 10

RESET Program is first in the Southeast

In memoriam 12

Remembering Dr. Derrick

Medical Staff spotlight 14

Meet the new members of our clinical team

Academic news 18

Congratulations, new and graduating residents!

Clinical case report 20

Can you solve this mystery?

Quality counts 21

ImproveCareNow helps those with IBD

Leadership profile 22

Get to know Drs. Liz Tyson and Melanie Blackburn

Bulletin from the Bradshaw Institute 23

FY22 accomplishments and noteworthy honors

In the community 24

Unity Park, holiday highlghts and Kenishia Golden-Brown

Celebrations 26

Philanthropic news

Camps return 30

Camp Heart-to-Heart debuts

Phone directory 31

A handy guide for both Children’s Hospitals

This publication was created with COVID-19 precautions in mind.

On the cover: “Your Healthy Body,” now open at EdVenture Children’s Museum in Columbia, takes youngsters on an interactive journey of the heart, lungs, brain and digestive system. The exhibit is sponsored by Prisma Health.

Field trip reaps happiness

It was the middle of summer when the Thomas family got the devastating news that their 10-yearold son, Baxter, would need surgery for a brain tumor. They were at Prisma Health’s Children’s Emergency Center (CEC) inside Richland Hospital, where he was immediately admitted to the pediatric ICU.

There, the team discovered that Baxter loves helicopters. The day before his surgery, they made this request: “What are the chances of us bringing Baxter down to take a field trip to the helipad?”

Lindsay Dowd, CEC nurse manager, said, “We instantly responded with, ‘Of course we can do that!’ Dr. Amanda Stratton then worked her magic and communicated the patient’s wishes to the Comm Center to make a dream come true.”

Child Life Specialist Jordan Parker and RN Taylor Rizzetta soon wheeled Baxter to the CEC, with his mom and dad in tow, and met up with Dowd, Charge Nurse Kelsey Rutter, Dr. Stratton and Child Life Specialist Catie Stallworth. The team escorted Baxter and his parents to the helipad.

“I cannot express how much it meant to us as parents to see how the nursing staff went out of their way to make Baxter feel comfortable, safe and cared for.” -Baxter’s mom

Doors open to an ‘awesome day’

“The smile on his face was priceless as the elevator doors opened to the helipad,” Dowd recalled. “A huge thank-you to the LifeNet crew and director for stopping what they were doing and taking the time to make a huge impact on a kiddo’s dream!”

Baxter’s mother said the family was beyond grateful for Baxter’s self-proclaimed “awesome day.”

“I cannot express how much it meant to us as parents to see how the nursing staff went out of their way to make Baxter feel comfortable, safe and cared for,” she said. “To be able to have such a positive experience through such a terrible time made all the difference in his processing and mental health stamina.”

Baxter’s mom said: “For Baxter to meet ‘Pilot Stan’ and tour the helicopter helped keep a smile on his face through the trauma and shock of his diagnosis and surgery. Stan spoke with him at length and treated him like a friend. As Baxter’s mother, I will never forget that kindness.”

New inpatient unit increases access to care

Prisma Health Children’s Hospital opened a satellite location at Greer Memorial Hospital in June. The four-bed unit offers specialized care for a broad range of diagnoses, including respiratory illnesses, asthma flare-ups, dehydration, fever in young infants, jaundice and skin infections for children ages newborn to 18 who do not require ICU or subspecialty care.

Satellite pediatric units are already open at Prisma Health Tuomey Hospital in Sumter (three years running) and Prisma Health Oconee Memorial Hospital in Seneca (which recently celebrated its second anniversary; see sidebar). Prisma Health also has full-scale Children’s Hospitals in Columbia and Greenville.

“Creating these satellite units in Greer, Seneca and Sumter makes it possible for us to offer exceptional child-oriented care for common pediatric illnesses, only closer to home,” said Robin LaCroix, MD, medical director of Prisma Health Children’s Hospital–Upstate. “A child is more than just a small adult and requires unique care and expertise; we will provide that in these special hospitalization units.”

The Greer unit houses pediatric hospitalists, specially trained pediatric nurses and pediatric respiratory therapists. It also offers telehealth consultations and Child Life Services, which help children and their families cope with potential stress during a hospital stay. Greer Memorial Hospital is already home to a Level II nursery that helps support the nearly 1,000 babies born there each year.

The team is led by Teresa Williams, MD, who is board certified in both internal medicine and pediatrics. Dr. Williams has worked at Greer Memorial Hospital for the last five years caring for newborns and adults, and she now serves as the hospital’s director of Pediatrics.

“I’m thrilled to bring the Children’s Hospital care commitment to the families in Greer,” said Dr. Williams (pictured). “Knowing that our specially trained team will be available around-the-clock to help children will hopefully be a real comfort to families who may have previously had to travel farther for that extra level of treatment.”

It’s ‘twotti-frutti’ time

Prisma Health Children’s Hospital celebrated the two-year anniversary of the opening of its satellite location at Oconee Memorial Hospital with a “twotti-frutti” theme.

The 10-bed unit opened July 2020 and delivers high-quality, around-the-clock pediatric care convenient for families in the Seneca area. It is led by Allison Ranck, MD, medical director for Oconee Pediatric Services.

In addition to the specialized care provided at the Sumter and Greer satellites, the Seneca site features a dedicated pediatric infusion center – one of two such centers in the Upstate – and offers outpatient care for children receiving regular intravenous infusion treatments.

Satellite units are designed to replicate the design and themes found in the main campuses of Prisma Health Children’s Hospitals, which not only feature expertise and leading-edge technology but also child-sized furniture, soothing colors and the friendly face of mascot Buddy the Bear.

‘Your Healthy Body’ exhibit opens at EdVenture museum

Prisma Health has sponsored a unique exhibit at EdVenture Children’s Museum in Columbia that debuted at year’s end. The Prisma Health Children’s Hospital–Midlands exhibit features an anatomy center with super-sized organs, including the heart, brain, lungs and stomach. Each organ also contains interactive components for learning and imaginative play, such as tracing the journey a broccoli floret takes through the digestive system. Plus, images and references to Buddy the Bear, mascot for the Children’s Hospital, appear throughout the display.

This exhibit was designed to teach visitors about the human body, excite children about taking care of their bodies and pique interest in healthcare careers in a fun, dynamic way. Children can experience a healthcare environment in a stress-free space in hopes of reducing anxiety when they visit clinic settings in real life, too. A similar exhibit, also sponsored by Prisma Health, is on display in Greenville.

In sum, the kid-friendly exhibit offers an example of the Prisma Health purpose: Inspire health. Serve with compassion. Be the difference.

Concussion Clinic makes headway in Sumter

Prisma Health’s Pediatric Concussion Clinic now offers services at 100 N. Sumter St., Suite 200. This location allows patients to receive concussion-related medical care in their own community, reducing travel time and costs.

An extension of the Pediatric Concussion Clinic, part of Prisma Health Children’s Hospital in Columbia, the clinic is led by Jeffrey Holloway, MD, medical director, and staffed by Jacob Kay, PhD, concussion specialist, and Alexander Wagner, MD, pediatrician.

“Typically, most concussions resolve in three to four weeks, but up to one in four concussed children may develop post-concussion syndrome or have a complex condition,” said Dr. Holloway. “For these patients to be able to return to school and activities, it is necessary for them to receive a proper evaluation and treatment to avoid any further issues. Our clinic can evaluate patients and treat concussion-related injuries near their home, helping prevent more serious issues from developing.”

To better treat all concussion-related symptoms, the clinic offers the expertise of pediatric sports medicine physicians, the University of South Carolina Concussion and Neuroscience Laboratory, and Prisma Health Rehabilitation services, which include physical, occupational, and speech therapy.

The clinic also provides care for those with musculoskeletal or sports medicine conditions or injuries. Through a partnership, the clinic offers services to students and athletic trainers at area high schools. If an athlete is injured at a school sporting event, the athletic trainer has access to the clinic to evaluate and treat the injured student for potential head injuries, including concussion.

“Partnering with the local high schools and their athletic trainers allows students to receive high-level medical care from professionals familiar with the injuries they may face,” said Dr. Wagner. “This will allow us to treat the patients before they face more severe complications and symptoms.”

To schedule an appointment, call 803-434-7995

Hemophilia Treatment Center recognized

The Bleeding Disorders Association of South Carolina –the state’s only nonprofit advocacy group serving those with bleeding disorders – recognized Prisma Health’s Hemophilia Treatment Center with the 2022 Making a Difference Award. This award is given to an individual, corporation, agency, business, healthcare organization or nonprofit whose efforts have produced a positive impact for patients with bleeding disorders.

With locations in Columbia and Greenville, the Hemophilia Treatment Center was noted for enhancing the lives of patients by providing access to comprehensive treatment. By expanding its outreach and services into the Upstate last year, the center has greatly increased the availability of care for patients of all ages. The association commended Prisma Health for its partnership, too, which has led to easier patient referrals and more patient-centric care.

Tuomey Hospital redesignated as Baby-Friendly

Prisma Health Tuomey Hospital has been recertified by the accrediting body and national authority for the BabyFriendly Hospital Initiative. Tuomey Hospital first received Baby-Friendly designation in 2015. All eight Prisma Health birthing centers have Baby-Friendly Hospital designation.

Elizabeth Patel, director of Nursing for Women and Children at the hospital, said, “We are honored to receive our redesignation as a Baby-Friendly Hospital. This renewal further demonstrates the continued commitment and hard work of our team at Tuomey Hospital in providing support, education, and quality care for breastfeeding mothers and babies.”

The Baby-Friendly Hospital Initiative is sponsored by the World Health Organization and United Nations Children’s Fund. Based on the 10 Steps to Successful Breastfeeding, the global program recognizes hospitals that offer optimal care for breastfeeding mothers and their babies.

“Our focus is on how we can help our community live their healthiest lives,” said Joe DiPaolo, CEO of Tuomey Hospital. “This designation helps us support mothers and babies during an important time of their lives where we can help give them the best possible start.”

In addition to Tuomey Hospital, Oconee Memorial Hospital was recently recertified as a Baby-Friendly Hospital.

Dr. Holloway

Dr. Wagner

Dive into our new website

Have you noticed that our Children’s Hospital website looks a little brighter? We’ve recently updated just about everything, making it simple to find what you’re looking for, whether it’s specialties, information, locations or more.

• Updated, colorful style brings the site more in line with the Prisma Health look

• Search for the right provider for your child by specialty, site or doctor name

• Scroll through services and programs for information on camps and other ways we engage with patients and our community

• Find quick links to MyChart, contact information and emergency locations at the top of the page

The new site makes it easier than ever for parents and caregivers to search for information on childhood diseases, the closest pediatrician’s office or children’s hospital, which specialists can provide care for your child’s unique needs and more. Check us out here!

Primary care access expands

Prisma Health has opened a pediatric and internal medicine office at 500 Squires Pt., Suite A, in Duncan (near Greer). Carrie Johnson, MD; Katherine Spinx, MD; and Amber Stroupe, DO, all practice there and are trained in Internal Medicine-Pediatrics. Prisma Health Pediatrics and Internal Medicine–Squires Point is accepting new patients and can be reached at 864-968-5126

Also opened is Prisma Health Pediatrics & Internal Medicine–Stone & Main at 1 E. Stone Ave. (near downtown Greenville). Anthony Petruso, MD (see Page 17), is among the providers there, along with Walt Roberts, MD, and Rebecca Leicht, FNP. The practice is accepting new patients and can be reached at 864-522-6500

It’s working!

• The new website has a bounce rate under 38%; the national average is 45–60%, meaning fewer people leave our site before viewing other pages or taking an action, such as clicking on a link or filling out a form.

• 74% of users are engaged (scrolling, clicking, downloading, etc.) during their website visit, compared to a national average of 55%.

• We are on pace for 60,000 pageviews a month.

Dr. Roberts cuts the ribbon inside Prisma Health Pediatrics & Internal Medicine–Stone & Main, flanked by Dr. Petruso and Rebecca Leicht, FNP.

RESET takes on chronic pain

The Restorative Self-Management Training and Functional Rehabilitation (RESET) program – the first of its kind in the Southeast – helps fill this need.

Pain is an intensely personal experience. Whether it’s short-term and acute or a chronic, ongoing issue over a longer period, pain is inextricably connected to biological, psychological and social/environmental factors that influence mood/stress response, thoughts, physical ability and general well-being (biopsychosocial).

For those who struggle with chronic pain, performing everyday activities can seem insurmountable. Someone fighting chronic pain might also struggle with depression, anxiety or feelings of hopelessness. On top of that, adolescents with chronic pain may feel as though they are falling behind their peers, who are developing increasing independence while they are not.

In fact, those with chronic pain and severe functional disability typically miss lots of school or must switch to alternative methods, don’t see friends as often or engage in many of their previously preferred leisure activities, and spend much time at various medical appointments.1 For these patients, the annual economic burden is upward of $19 billion. 2

“Despite it impacting one in four youth, 3 there is a general lack of knowledge in the medical and lay communities regarding pediatric chronic pain and its treatment, which lends itself to limited resources for patients and providers,” said Kate Gamwell, PhD, director of Pediatric Pain Psychology and Rehabilitation at Prisma Health Children’s Hospital in the Upstate, and a Clinical Assistant Professor in Pediatrics at the University of South Carolina School of Medicine Greenville. “It’s difficult for patients to find the gold standard of care, which is comprehensive, evidencebased and brings together multiple specialties to help restore the patient’s functional abilities and quality of life. For youth with chronic pain accompanied by severe disability whose functioning hasn’t significantly improved through prior multidisciplinary outpatient treatment, an intensive interdisciplinary pediatric pain treatment, or IIPT, program may be necessary.”4

RESET is an IIPT program housed in Prisma Health’s Roger C. Peace Rehabilitation Hospital in Greenville. The program, designed for patients ages 12–19, recently treated its first pilot patient – with positive results.

From struggling to looking happily ahead

The program’s pilot patient was admitted to RESET for a four-week stay for amplified musculoskeletal pain. At admission, the patient was unable to perform daily chores at home and found favorite activities, such as baking, too difficult to manage given the pain and physical deconditioning. In addition, the patient lacked healthy habits (sleep hygiene, diet, exercise, hydration) and struggled with online school due to a lack of stamina.

RESET sample schedule

During the program, the patient (who requests anonymity) stayed at Roger C. Peace and followed a highly structured schedule requiring involvement from 8 a.m.–5 p.m. This planned daily routine involved working with the RESET team, which included a physician, nurse practitioner and psychologist who specialize in pain management; occupational, physical, recreational, and speech therapists; and other holistic/complimentary interventionists such as nutrition, acupuncture, spiritual care and massage therapists. This collaborative group’s goal was to increase strength, mobility and selfmanagement while recovering daily functions for the patient.

RESET stands for Restorative Self-management Training and Functional Rehabilitation.

The RESET program is the first of its kind in the Southeast.

RESET also engages parents or caregivers in the patient’s ongoing treatment, including parent pain psychology and parent yoga sessions, and the ability to shadow some physical therapy, occupational therapy, pain psychology or other sessions. Caregivers can also see the patient routinely throughout the stay, which enables the patient to receive support and encouragement from loved ones. Caregivers are trained how to be coaches of their child, while also encouraging independent self-management of pain.

After the monthlong program ended, RESET’s pilot patient could walk the length of two football fields independently and had the strength and stamina to engage in physical activity for two or three hours each day. The patient developed new organizational habits and a healthy sleep routine; met hydration and healthy eating goals; and gained a better understanding of how pain interacts with internal thoughts, feelings, behaviors and body responses, as well as how to function and live a fulfilling life despite the presence of pain. The patient’s severe chronic painrelated disability status, in effect for more than a year, was in the low-to-moderate range at discharge and considered minimal at the outpatient follow-up visit.

These new skills allowed the patient to increase strength and mobility, decrease sensory sensitivities, and use a schedule and planner to stay organized. Since discharge, the patient has been successful in dual enrollment and attends in-person college courses; has the time, energy and strength to engage in leisure activities such as cooking; and reports feeling like the goal of pursuing a career in the food and beverage industry is now a reality.

Treating pain holistically

RESET’s strength lies in its science-backed, all-hands-ondeck approach. The program brings together a diverse team with a holistic view of how pain affects the brain and body and how changes made to multiple aspects of daily life can help patients develop self-management skills and increase their ability to attend school and social functions, along with reducing ongoing medical needs and specialty care.

Eligibility requirements for patients

• Age 12–19 (those age 10–21 will be considered on a case-by-case basis)

• Motivated to change their circumstances

• Medically, psychologically and nutritionally stable

• Have seen no significant improvement when using outpatient multidisciplinary care for at least three months

• Have no active or pending lawsuits

• Are not seeking new workups or diagnoses

• Are not seeking disability status

• Have had no seizures or similar events for at least a week before admission

• Have a mental developmental status of at least a 10-year-old

Continued on Page 13.

Patient outcomes

BPI 5 = Brief Pain Inventory, a pain intensity subscale, that rapidly assesses severity of pain in the past week and in the moment

FDI 6 = Functional Disability Inventory, a common measure of physical functioning and disability in youth with chronic pain

PCQ 7 = Pain Coping Questionnaire, dealing with pain subscale, gauges patients’ self-assessment of their confidence in their ability to cope with pain

PSEQ 8 = five items from the Pain Self-efficacy Questionnaire, a measure of patients’ confidence in their ability to live a fulfilling life across domains despite pain

Remembering Dr. Derrick

The field of pediatrics sustained a great loss June 5, 2022, with the passing of Dr. C. Warren Derrick Jr., at age 86.

A native South Carolinian, Dr. Derrick graduated from Wofford College in 1958. He then graduated from the Medical College of South Carolina in 1962 and completed a rotating internship at Greenville Memorial Hospital. He subsequently was inducted into the U.S. Army as a captain in the Medical Corps and stationed in Germany, serving for two years as a battalion surgeon.

Upon discharge and returning stateside in 1965, he accepted a job at Western Michigan University in Kalamazoo as a physician in the student health center for one year. In 1966, he started a two-year Pediatric residency at the University of Alabama Medical Center in Birmingham (UAB) followed by a three-year fellowship in Pediatric Infectious Disease at the Children’s Hospital of Alabama. Following completion of his fellowship, he was appointed assistant professor of Pediatrics at UAB. He rose to associate professor in 1975 and served as director of Outpatient Services at the Children’s Hospital.

After these 10 years in Birmingham, he returned to South Carolina to begin working at Sumter Pediatrics in Sumter in January 1977. Ten months later, he joined the faculty of the University of South Carolina’s fledgling medical school in Columbia as chair of the Department of Pediatrics. Dr. Derrick held this position for 29 years, growing the faculty and establishing South Carolina’s first freestanding children’s hospital. It was often said that “this was Dr. Derrick’s Medical School” and certainly, if so, then this was his Children’s Hospital.

Under his leadership, the department developed a national reputation for educational excellence and patient care. During Dr. Derrick’s career, he taught two generations of students and residents as well as mentored scores of faculty members. Even after stepping down as department chair in 2006 – the first and longest serving chairman – he remained active as an emeritus faculty member; member of the Admissions Committee; and advisor to many of the medical school’s leaders, faculty and students.

His honors were legion, including the MUSC Presidential Merit Award, William Weston Distinguished Service

Award and Order of the Palmetto (the state’s highest civilian honor, which was presented in 2006). The medical school recognized him with the Career Achievement Award in 2017 and a Luminary Leader in Medicine and Science Award in 2021. He also received distinguished alumni/service awards from the Children’s Hospital of Alabama and from Wofford College.

Memorials may be made to the C. Warren Derrick Jr. Bicentennial Scholarship, University of South Carolina School of Medicine, 6311 Garners Ferry Rd., Columbia, SC 29209, or Prisma Health Children’s Hospital–Midlands, c/o Prisma Health Midlands Foundation, 1600 Marion St., Columbia, SC 29201.

“Not only a visionary, Dr. Derrick was also a servant leader for more than 30 years and an outstanding teacher, clinician and child advocate.”

– Caughman Taylor, MD, chairman of Pediatrics, Prisma Health Children’s Hospital–Midlands

“More than any other individual, he defined excellence in pediatric healthcare for our state over a period of three decades. I have frequently heard others describe Dr. Derrick as a gifted clinician, an outstanding educator, a servant leader and a role model. His legacy will endure for many years.”

– Les Hall, MD, dean of USC School of Medicine Columbia

“Dr. Derrick, my boss for 30 years, was an excellent physician and leader. But more importantly, he was unselfish, a person of immense integrity and an individual who always would do the right thing.”

– James Stallworth, MD, professor of Pediatrics, USC School of Medicine Columbia

RESET program (continued from Page 11)

Potential patients receive a questionnaire that they, their caregivers at home and teachers complete so that the treatment team can get a better sense of presenting concerns and current level of functioning. They will also be scheduled for a half-day clinic evaluation with a team that includes a multidisciplinary assessment from a pediatric pain physician, psychologist, physical and occupational therapists.

Generally, patients take about one month to move from initial evaluation to admission, with the possibility of “prehab” if needed. A preadmission screen is conducted one week before admission to help with final preparations for the patient’s arrival. Patients are encouraged to bring equipment for leisure activities they want to re-engage in after discharge (soccer ball, dance shoes, etc.). PT and OT will incorporate proper form and strength training to set up patients for success in these activities following program completion.

“Dr. Derrick was the embodiment of all that our program is and aspires to always be. That is because of the man that he was, the love he had for the residents in our program, and the confidence he had in training people to go on to provide love, compassion and care for kids and their families.”

– Scott Carney, MD, director of Prisma Health Pediatric Residency Program in the Midlands

“Dr. Derrick’s leadership at the helm of the Department of Pediatrics at the University of South Carolina School of Medicine Columbia for 30 years is legend – for the scope of his impact, for his tenacity, for his scholarship, for his steady demeanor and for his gentle nature.”

– Robert Saul, MD, SCAAP president

“Research has consistently demonstrated this kind of program’s ability to restore function and quality of life, thus altering the rest of these patients’ lives, in a matter of weeks,” said Dr. Gamwell. “Patients who previously missed school, felt unable to engage socially and who couldn’t participate in sports or leisure activities are ideally able to return to brick-and-mortar school, have a social life, engage in leisure activities and spend less time in the doctor’s office. None of this was possible without the interdisciplinary coordination of care. It is truly an honor that our team has the opportunity to change lives for the better via the RESET program.”

For more information about this program or to refer a patient, call Dr. Gamwell at 864-522-4880

References

1. Palermo TM. Impact of recurrent and chronic pain on child and family daily functioning: a critical review of the literature. J Dev Behav Pediatr. 2000;21(1):58–69.

2. Groenewald CB, Wright DR, Palermo TM. Health care expenditures associated with pediatric pain-related conditions in the United States. Pain. 2015;156(5):951–957.

3. King S, Chambers CT, Huguet A, et al. The epidemiology of chronic pain in children and adolescents revisited: A systematic review. Pain. 2011;152:2729–2738.

4. Hechler T, Kanstrup M, Holley AL, et al. Systematic review on intensive interdisciplinary pain treatment of children with chronic pain. Pediatrics. 2015;136:115–127.

5. Cleeland CS, Ryan KM. Pain assessment: Global use of the Brief Pain Inventory. Ann Acad Med. 1994;23:129–38.

6. Walker LS, Greene JW. The Functional Disability Inventory: Measuring a neglected dimension of child health status. J Pediatr Psychol. 1991;16:39–58.

7. Reid GJ, Gilbert CA, McGrath PJ. The Pain Coping Questionnaire: Preliminary validation. Pain. 1998;76:83-96.

8. Nicholas MK. The Pain Self-efficacy Questionnaire: Taking pain into account. Euro J Pain. 2007;11(2):153–163.

“Research has consistently demonstrated this kind of program’s ability to restore function and quality of life, thus altering the rest of these patients’ lives, in a matter of weeks.”

- Kate Gamwell, PhD

Meet our new providers

Welcome to these new members of our clinical team in the Midlands and Upstate. The physicians are or will be in the process of being approved for faculty appointments at the University of South Carolina Columbia or Greenville – an academic health center – depending on their location.

MIDLANDS

Child Abuse Pediatrics

Jennifer Sabo, MD, MS, received both her medical and MS in medical science degrees from Drexel University College of Medicine in Philadelphia. Dr. Sabo completed her Pediatric residency at Indiana University School of Medicine in Indianapolis and then a fellowship in Child Abuse at Center for Miracles, associated with University of Texas Health Science Center in San Antonio. Special interests include resident medical education and researching imaging techniques that best identify fractures related to abuse. She can be reached at 803-434-3950

Sarah Wilson, PPCNP, completed her master’s degree in nursing at the University of Colorado. Wilson is the author of a children’s book called “Sofia and the Shot,” which helps youngsters understand why vaccines are given. She can be reached at 803-434-3950

General Pediatrics

Gabrielle LaFata, DO, received her medical degree from West Virginia School of Osteopathic Medicine in Lewisburg and completed her Pediatric residency at Prisma Health–Midlands. Dr. LaFata is working as a pediatrician at the Children’s Hospital Outpatient Center in Prisma Health Richland Hospital. She can be reached at 803-434-6155

Pediatric Cardiology

Jessica Schumaker, PPCNP, received medical training from the University of Central Florida in Orlando, where she earned a master’s degree in nursing. Schumaker is a boardcertified Pediatric Primary Care Nurse Practitioner. Her background includes pediatric critical care and

general pediatrics. Active in the National Association of Pediatric Nurse Practitioners and an affiliate member of the American Academy of Pediatrics, she can be.reached at 803-434-7940

Pediatric Gastroenterology

Kara Kwiatkowski, DO, received her medical degree from Ohio University Heritage College of Osteopathic Medicine in Athens and completed her residency in Academic Pediatrics at Akron Children’s Hospital. Dr. Kwiatkowski then completed a fellowship in Pediatric Gastroenterology at University of Michigan Health System in Ann Arbor. A specialist in digestive, liver and nutritional problems in newborns through teens, she can be reached at 803-434-8450

Pediatric Hematology/Oncology

Evangeline (Angie) Brown, MD, specializes in sickle cell disease, hemoglobinopathies and thalassemia. Dr. Brown earned her medical degree from the University of South Carolina (USC) School of Medicine Columbia. She then completed her Pediatric residency at Prisma Health–Upstate in Greenville and a Pediatric Hematology/Oncology fellowship at Medical University of South Carolina in Charleston. She most recently directed the pediatric comprehensive sickle cell center in Savannah, Georgia. She can be reached at 803-434-3533

Anna Hoppmann, MD, MPH, earned her medical degree from USC Carolina School of Medicine Columbia. She then completed her residency in Pediatrics and fellowship in Pediatric Hematology and Oncology at the University of Alabama at Birmingham, where she also completed a National Cancer Institute post-doctoral training program in Cancer Prevention and Control. Special interests include leukemia and health disparities research. She can be reached at 803-434-3533

Tara Rose, PsyD, is a licensed psychologist who completed her postdoctoral fellowship at Nemours Children’s Health in Jacksonville, Florida. Before her fellowship, Dr. Rose completed her internship at Jackson Health System/Holtz Children’s Hospital in Miami and her doctoral training at the PGSP-Stanford PsyD Consortium in Palo Alto, California. She provides psychosocial support for patients and their families throughout cancer treatment. She can be reached at 803-434-3533

Pediatric Intensive Care

Emily Foreman, MD, earned her medical degree from the University of Alabama School of Medicine in her hometown of Birmingham. Dr. Foreman completed her Pediatric residency at University of Alabama at Birmingham/Children’s of Alabama, followed by a Pediatric Critical Care fellowship at UC San Diego/Rady Children’s Hospital. She is board certified in Pediatrics by the American Board of Pediatrics. Clinical interests include traumatic brain injury, multi-organ dysfunction and resident medical education. She can be reached at 803-434-4603

Pediatric Neurology

Matthew Khayata, MD, earned his medical degree from Florida State University College of Medicine in Tallahassee. Dr. Khayata then went on to Duke University Medical Center in Durham where he completed his Pediatric residency and a fellowship in Child Neurology. He can be reached at 803-434-7961

Matthew Lustig, MD, MBA , earned his medical degree from Medical College of Georgia–Augusta University in Augusta and his MBA from University of Georgia in Athens. Dr. Lustig then went to University of Alabama at Birmingham where he completed his Pediatric residency and a fellowship in Pediatric Neurology. He can be reached at 803-434-7961

Pediatric Pulmonology

Judy Neff, DNP, PPCNP, received her medical training at Maryville University in suburban St. Louis, Missouri. Dr. Neff is a board-certified Pediatric Primary Care Nurse Practitioner. She has worked in a variety of roles at Prisma Health for more than 15 years, including nearly eight in the PICU. She is now the Cystic Fibrosis Clinic Coordinator/Nurse Practitioner and CF Research Coordinator. She can be reached at 803-434-2505

UPSTATE

Developmental Pediatrics

Amy Clark, FNP, received her master’s degree from Vanderbilt University in Nashville, Tennessee. Clark is board certified by the American Academy of Nurse Practitioners. She can be reached at 864-454-5115

Sara Lilly, MD, received her medical degree from Marshall University School of Medicine in Huntington, West Virginia. Dr. Lilly then completed a Pediatric residency at Penn State Milton S. Hershey Medical Center in Hershey, Pennsylvania, followed by a fellowship in DevelopmentalBehavioral Pediatrics at Prisma Health–Upstate. She can be reached at 864-454-5115

Juli Windsor, PA-C, received her medical training from South University in Savannah, Georgia. Windsor is board certified by the National Commission on Certification of Physician Assistants. She can be reached at 864-454-5115

General Pediatrics

Yasmin Deliz, DO, FACOP, CAQSM, is a board-certified pediatrician and sports medicine physician with added interests in pediatric dermatology. Dr. Deliz completed her medical degree from Rowan University School of Osteopathic Medicine in Stratford, New Jersey, followed by a Pediatric residency at Cooper University Medical Center in Camden. Her fellowship in Primary Care Sports Medicine

took place at Jersey Shore University Medical Center in Neptune, New Jersey. She is a pediatrician with the Center for Pediatric Medicine. Reach her at 864-220-7270

Raquel Denis, MD, completed her medical degree from USC School of Medicine Greenville, followed by a Pediatric residency at Indiana University School of Medicine in Indianapolis. Dr. Denis is a pediatrician with the Center for Pediatric Medicine. Reach her at 864-220-7270

Ariel Martin, DO, completed her medical degree from Edward Via College of Osteopathic Medicine–Carolinas Campus, followed by a Pediatric residency at Prisma Health–Upstate. Dr. Martin is working as a pediatrician with the Center for Pediatric Medicine. She can be reached at 864-220-7270

Saylor McCartor, DO, completed his medical degree from Campbell University School of Osteopathic Medicine in Buies Creek, North Carolina, followed by a Pediatric residency at Prisma Health–Upstate in Greenville. Dr. McCartor is working as a pediatrician with the Center for Pediatric Medicine. He can be reached at 864-220-7270

Inpatient Pediatrics

Megan Griffis, MD, received her medical degree from the University of Tennessee Health Science Center in Memphis, followed by a Pediatric residency at Prisma Health–Upstate. Dr. Griffis works at AnMed Health in Anderson, South Carolina, as part of Prisma Health Children’s Hospital. Reach her via email at Megan.Griffis@PrismaHealth.org

Amauri Latham, MD, completed his medical degree from Virginia Commonwealth University School of Medicine in Richmond, followed by an Internal Medicine-Pediatrics residency at Prisma Health–Upstate. Dr. Latham can be reached at 864-455-4411

Netochukwu Okafor, MD, earned a bachelor’s degree in medicine/surgery from the University of Port Harcourt in Nigeria. Dr. Okafor completed his residency at Driscoll Children’s Hospital in Corpus Christi, Texas, and is board-certified in Pediatrics. He has a special interest in newborn care. Dr. Okafor can be reached at 864-455-4411 .

Pediatric Endocrinology

Ryan Dyess, MD, MBA, FAAP, whose first career was as a computer programmer, earned his medical degree from Ross University School of Medicine. Afterward, Dr. Dyess matched into a Pediatric residency at the University of Tennessee School of Medicine in Chattanooga at Erlanger Medical Center. A fellowship followed at University of Louisville School of Medicine and Norton’s Children’s Hospital in Kentucky. His MBA was also earned at the University of Louisville. He has a special interest in diabetes and can be reached at 864-454-5100

Pediatric Gastroenterology

Douglas Johnston, DO, graduated from NYIT College of Osteopathic Medicine in Old Westbury, New York. Dr. Johnston completed an Internal Medicine residency at NYU Long Island School of Medicine in Mineola, New York, followed by a fellowship in Allergy and Immunology at University of Alabama Medical Center in Birmingham. He has a special research interest in eosinophilic esophagitis. He can be reached at 864-454-5125

Pediatric Hematology/Oncology

Chandni Dargan, MD, earned her medical degree from Louisiana State University School of Medicine in New Orleans, followed by a Pediatric residency at Prisma Health–Midlands in Columbia and a fellowship in Pediatric Hematology/Oncology at Children’s Mercy Kansas City Hospital in Missouri. Dr. Dargan can be reached at 864-455-8898

Pediatric Intensive Care

Jonathan Boyd, MD, earned his medical degree from East Tennessee State University in Johnson City, followed by a Pediatric residency and Pediatric Critical Care fellowship at Monroe Carell Jr. Children’s Hospital at Vanderbilt University in Nashville. Reach him at 864-455-7146

Jen Walker, MD, earned her medical degree from USC School of Medicine in Columbia, followed by a Pediatric residency at Atrium Health Levine Children’s Hospital in Charlotte and a Pediatric Critical Care fellowship from Monroe Carell Jr. Children’s Hospital at Vanderbilt University in Nashville. Reach her at 864-455-7146.

Pediatric Otolaryngology

Gustavo Rangel, MD, is a pediatric otolaryngologist-head and neck surgeon with clinical and research interests that include endoscopic skull base surgery, endoscopic sinus surgery, head and neck oncology, and pediatric cochlear implants. Dr. Rangel earned his medical degree from the Federal University of Rio de Janeiro in Brazil. He completed a Pediatric Head and Neck Oncology fellowship at St. Jude Children’s Research Hospital in Memphis; before that, he was trained in Pediatric Otolaryngology at Nationwide Children’s Hospital and in Skull Base Surgery at The Ohio State University Wexner Medical Center in Columbus. He also served in the army medical corps. Reach him at 864-454-4368

Pediatric Pulmonology

Victoria Stevens, PPCNP, received her medical training from the University of Texas at Arlington. Stevens then served as an RN in the PICU and in the pediatric CVICU. She is board certified as a Pediatric Primary Care Nurse Practitioner and can be reached at 864-454-5530

Pediatric Rheumatology

Matthew Clark, MD, earned his medical degree at Florida State University College of Medicine in Tallahassee. He completed his Pediatric residency, chief residency and Pediatric Rheumatology fellowship at Monroe Carell Jr. Children’s Hospital at Vanderbilt University in Nashville, Tennessee. Dr. Clark can be reached at 864-454-5004

Pediatric Sleep Medicine

Heike Minnich, PsyD, HSPP, DiplPsych, is a licensed psychologist who completed her Dipl-Psych degree in psychology with a double concentration in clinical and health psychology at Johannes Gutenberg University in Germany. Dr. Minnich earned her doctorate in clinical psychology (concentration in child and adolescent psychology) at the University of Indianapolis in Indiana. Her pre-doctoral internship was in pediatric psychology at Children’s Health of Orange County in California. Dr. Minnich was a psychologist and faculty member at Riley Hospital for Children/Indiana University School of Medicine for 10 years; she then worked in Psychiatry & Behavioral Health at Prisma Health for eight years. She can be reached at 864-454-5660

UPSTATE COMMUNITY PEDIATRIC CLINICIANS

Jaqwiana Baker, MD, has joined Prisma Health Pediatrics–Greer. Dr. Baker can be reached at 864-797-9100

Lauren Clayton, MD, has joined Prisma Health Pediatrics–Maxwell Pointe. Dr. Clayton can be reached at 864-522-1340

Diane Lai, MD, has joined Prisma Health Pediatrics–Spartanburg. Dr. Lai can be reached at 864-582-8135

Anthony Petruso, MD, has joined the new Prisma Health Pediatrics & Internal Medicine–Stone & Main practice in Greenville. Dr. Petruso can be reached at 864-522-6500. (See also Page 9.)

Monica Silva, MD, has joined Prisma Health Pediatrics–Seneca. She can be reached at 864-888-4222

New and graduating residents

Welcome, new Pediatric residents!

Midlands

Kalyani Arnipalli, MD: Siddhartha Medical College, Vijayawada, India

Charlotte Colt, MD: University of South Carolina School of Medicine, Columbia, South Carolina

Katie Downes, DO: Edward Via College of Osteopathic Medicine, Spartanburg, South Carolina

Shelby Droege, DO: Oklahoma State University College of Osteopathic Medicine, Tulsa, Oklahoma

Annalise Edan, MD: University of Tennessee College of Medicine, Memphis, Tennessee

Alex Gaudin, MD: University of Mississippi School of Medicine, Jackson, Mississippi

Kayla Hamdan, DO: Lincoln Memorial University DeBusk College of Osteopathic Medicine, Knoxville, Tennessee

Hala Hasan, MD: Virginia Commonwealth University School of Medicine, Richmond, Virginia

Laura Mann, MD: University of Missouri–Kansas City School of Medicine, Kansas City, Missouri

Juliana Mavellia, DO: Edward Via College of Osteopathic Medicine, Spartanburg, South Carolina

Megan McLelland, DO: Edward Via College of Osteopathic Medicine, Spartanburg, South Carolina

Brittany McWatters, MD: Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia

Krista Young, DO: Michigan State University College of Osteopathic Medicine, East Lansing, Michigan

Upstate

Alexi Adams, MD: Mercer University School of Medicine, Macon, Georgia

Isaac Baum, MD: University of South Carolina School of Medicine Greenville, Greenville, South Carolina

Olivia Baumgarten, MD: University of South Carolina School of Medicine Greenville, Greenville, South Carolina

Anna Cerrati, DO: Lincoln Memorial University DeBusk College of Osteopathic Medicine, Knoxville, Tennessee

Samm Chandler, DO: Edward Via College of Osteopathic Medicine, Blacksburg, Virginia

Caroline Clark, DO: Alabama College of Osteopathic Medicine, Dothan, Alabama

Brooke Criddle, MD: Medical University of South Carolina, Charleston, South Carolina

Zack Dunn, DO: Lincoln Memorial University DeBusk College of Osteopathic Medicine, Knoxville, Tennessee

Alex Parler, MD: Medical University of South Carolina, Charleston, South Carolina

Cori Steele, DO: The University of North Texas Health Science Center, Texas College of Osteopathic Medicine, Fort Worth, Texas

Brittany Walker, MD: University of South Carolina School of Medicine Greenville, Greenville, South Carolina

Welcome, new Internal Medicine-Pediatrics residents!

Upstate

Kory Cablay, MD: Virginia Tech Carilion School of Medicine, Roanoke, Virginia

Gabrielle Chamlee, MD: University of Kentucky College of Medicine, Lexington, Kentucky

Sarah Heisey, MD: Geisinger Commonwealth School of Medicine, Scranton, Pennsylvania

Sarah Strandholm, MD: University of South Carolina School of Medicine Greenville, Greenville, South Carolina

Chris Williams, MD: Mercer University School of Medicine, Macon, Georgia

New and graduating fellows

Developmental-Behavioral Pediatrics

Incoming: Paige Nettles, MD

Medical school: University of South Carolina School of Medicine Greenville, Greenville, South Carolina

Pediatric residency: Prisma Health Pediatrics, Greenville, South Carolina

Graduating: Sara Lilly, MD

Prisma Health Developmental-Behavioral Pediatrics (Upstate) Faculty, Greenville, South Carolina

Congratulations, Pediatric graduates!

Midlands

Rachel Azevedo, MD: Pediatric Endocrinology Fellowship, Vanderbilt University, Nashville, Tennessee

Neicey Baxter, MD: Neonatal-Perinatal Fellowship, Rush University Medical Center, Chicago, Illinois

Jeremiah Carew, DO: Pediatric Cardiology Fellowship, UH Cleveland Medical Center/Rainbow Babies and Children’s Hospital, Cleveland, Ohio

Mason He, DO: White Oaks Pediatrics, Raleigh, North Carolina

Gabrielle LaFata, DO: Grace Steell-Hawes’ Fellowship, Prisma Health, Columbia, South Carolina; Prisma Health Children’s Hospital Outpatient Center, Columbia, South Carolina

Diane Lai, MD: Prisma Health Pediatrics–Spartanburg, Spartanburg, South Carolina

Megan Lilley, MD: Pediatric Hematology/Oncology Fellowship, St. Jude Children’s Research Hospital, Memphis, Tennessee

Jaya Ruffin, MD: Pediatric Emergency Medicine Fellowship, Medical University of South Carolina, Charleston, South Carolina

Hannah Rugg, MD: Outpatient General Pediatrics Private Practice, The Green Clinic, Ruston, Louisiana

Emma Segal, MD: Novant Health Matthews Children’s Clinic, Charlotte, North Carolina

Jessica Shriver, MD: Pediatric Hospitalist, LaRabida and Central DePage Children’s Hospital, Northwestern University Medicine, Chicago, Illinois

Keith Williams, MD: Atrium Suburban Pediatrics, Davidson and Kannapolis, North Carolina

Upstate

Lauren Clayton, MD: Prisma Health Pediatrics–Mills Avenue/Maxwell Pointe, Greenville, South Carolina

Sarah Evins, MD: Parkside Pediatrics, Greenville, South Carolina

Megan Griffis, MD: Pediatric Hospitalist, AnMed Health, Anderson, South Carolina

Heather Jones, DO: Pediatric Emergency Medicine Fellowship, Children’s Hospital of Richmond at VCU, Richmond, Virginia

Ariel Martin, DO: Chief Resident/Assistant Program Director, Prisma Health Children’s Hospital–Upstate, Greenville, South Carolina

Saylor McCartor, DO: Chief Resident/Assistant Program Director, Prisma Health Children’s Hospital–Upstate, Greenville, South Carolina

Caroline Moorman, MD: Children’s Medical Center, Greenville, South Carolina

Paige Nettles, MD: Developmental-Behavioral Pediatrics Fellowship, Prisma Health, Greenville, South Carolina

Sahar Rahim, DO: Tufts Children’s Hospital, Boston, Massachusetts

Megan Smith, MD: Parkside Pediatrics, Greenville, South Carolina

Brittany Williams, MD, MPH: Northwest Permanente, Portland, Oregon

Congratulations, graduating Internal Medicine-Pediatrics residents!

Upstate

Kevin Applegate, MD: Hospitalist, Brunswick Medical Center, Bolivia, North Carolina

Phillips DeRidder, MD: PICU Fellowship, Children’s Hospital Los Angeles, Los Angeles, California

Amauri Latham, MD: Med-Peds Hospitalist, Prisma Health Greer Memorial Hospital, Greer, South Carolina

Jordan Nickols, MD: Internal Medicine Hospitalist/ Residency Faculty, East Alabama Medical Center, Auburn, Alabama

Kimberly Okafor, MD: Med-Peds Infectious Disease Fellowship, Vanderbilt University, Nashville, Tennessee

What’s the diagnosis?

A previously healthy 8-week-old male born at term by vaginal delivery presented with a history of a temperature of 101 F. There were no constitutional symptoms such as cough, cold, vomiting, etc. There were also no known infectious exposures. On admission to the ED, a COVID-19 test was negative.

The only other complaint was a peeling rash that had been present for one week. It began on the head, spread to the trunk and was now desquamating, leaving hypopigmented areas of epidermis (see figures).

There were no pustules, vesicles or other skin findings. The mother denied any abnormal prenatal labs. She was GBS negative and was known sickle trait positive. The baby’s newborn screens were normal.

On physical exam, the vital signs revealed a temperature of 100.5 F rectally, pulse rate of 175, respiratory rate of 64 and normal blood pressure. Oxygen saturation was 97% on room air. The baby did not appear toxic but did appear pale. Pertinent findings on the exam included a small umbilical hernia, generalized desquamating rash, mild edema noted pretibially and mild hepatomegaly.

Lab results included a CBC with a WBC of 12,300 with a left shift. Hemoglobin was 5.1g/dL, hematocrit 19% and platelet count 308k. On peripheral blood smear, polychromasia and nucleated RBCs were noted. A serum albumin was 1.9g/dL. CRP was 157mg/L and procalcitonin 2.3ng/mL. A cath urine revealed moderate blood with 3+ protein. Urine microscopy was positive for 32 WBC/ hpf and 34 RBC/hpf.

What’s your diagnosis?

A. Autosomal recessive polycystic disease (ARPD)

B. GBS bacteremia

C. Congenital syphilis

D. Langerhan’s histiocytosis

E. Listeriosis

Have you figured out the diagnosis?

See Page 29 for the answer.

Jonathan Markowitz, MD, FAAP, NASPGHAN-F

James Stallworth MD, FAAP

ImproveCareNow advocates for children with IBD

Improve CareNow™ is an international consortium of pediatric gastroenterologists, clinicians, researchers, patients and parents whose goal is to improve the care of children with inflammatory bowel disease (IBD). Prisma Health Children’s Hospital–Upstate, a consortium member since 2013, is one of more than 100 care centers globally with almost 1,000 pediatric gastroenterologists taking part in collaborative efforts to continuously improve the care we deliver to patients with Crohn’s disease and ulcerative colitis. Since its inception in 2007, the network has increased the number of children in clinical remission from 55% to 82% – all without the development of new IBD medications!

As part of this quality work, the consortium developed IBD Model Care Guidelines to provide consistent and reliable care throughout the network. Guidelines include several metrics deemed important in caring for our pediatric patients with IBD. Some of these include satisfactory nutrition, growth and steroid-free remission.

In Greenville, we have exceeded the network target in all these measures, according to physician leader Liz Dancel, MD, a pediatric gastroenterologist at Children’s Hospital–Upstate. Dr. Dancel also notes that educational materials are

provided to all patients with IBD, particularly to anyone newly diagnosed.

Our multidisciplinary team not only includes physicians, but also our dietitian, psychologist, nurses and medical and research staff. All are involved in delivering the best “whole child” care possible.

Before the COVID-19 pandemic, Dr. Dancel said that there was a very active and engaged Parent Working Group led by several of the families our IBD team have had the pleasure of taking care of over the years. They initiated and developed a quarterly parent newsletter and helped organize family picnics. The hope is that these activities can resume soon.

The providers at Children’s Hospital–Upstate are very proud of the network’s efforts and look forward to continuing to improve the quality of care for our pediatric patients with IBD.

To learn more, visit https://www.improvecarenow.org/ or call Dr. Dancel at 864-454-5125

Liz Dancel, MD

Hospitals receive international honors

Greenville Memorial and Richland hospitals received the IBCLC Care Award for 2022 (IBCLC stands for International Board Certified Lactation Consultant). This global recognition program honors lactation services dedicated to making expert help available when breastfeeding families need it. Services include a lactation warmline, outpatient and telehealth visits, sales or rentals of breastfeeding supplies, support groups and classes.

The network has increased the number of children in clinical remission from 55% to 82%.

Meet two of our leaders

Elizabeth Tyson, MD

Born in Florence, South Carolina, where her extended family still lives, Dr. Tyson is the vice chair of Inpatient Quality and Medical Staff Affairs for Prisma Health Pediatrics in the Upstate.

She attended medical school at Medical University of South Carolina from 1995–99. She went on to complete her Pediatric residency at the University of Utah in Salt Lake City, serving as chief resident from 2002–03.

Dr. Tyson then joined the faculty at Primary Children’s Medical Center in Salt Lake City as a pediatric hospitalist. In 2007, she and husband Adam, an obstetrician, moved to Greenville, where she joined the academic pediatric faculty at Greenville Hospital System (which has evolved into being part of Prisma Health).

Clinical duties included attending on the inpatient ward and staffing resident clinics at the organization’s Center for Pediatric Medicine. Shortly thereafter, Dr. Tyson became the medical director of Inpatient Pediatrics, a post she held until July 2022 when she transitioned into her current role.

Professional interests and foci include quality and safety of care in the inpatient setting, care transitions from inpatient to outpatient, hospital surge and patient flow logistics, and acute care of the child with medical complexity. She is also a member of the Steering Committee for S.C. Health Professionals for Climate Action, a group of health providers from across the state who advocate for climate and environmental justice and educate on the health impacts of climate change.

The Tysons have two school-age children, two dogs, two cats and several fish tanks. They enjoy doing anything outdoors, especially as a family.

Melanie Blackburn,

MD

Born in Dallas, Texas, Dr. Blackburn moved to Seneca just before starting high school and had her first clinical experience at Oconee Memorial Hospital. She went on to attend Furman University in Greenville.

In 2001, she began medical school at the University of South Carolina (USC) School of Medicine in Columbia. After graduation, she completed her Pediatric residency at Palmetto Health Children’s Hospital in Columbia where she was chief resident during her third year and completed a fourth year Grace Steell Hawes’ Fellowship.

She then joined The Regional Medical Center in Orangeburg as a community pediatric hospitalist where she served for almost five years and engaged in her first experience with quality and patient safety work. She joined the USC Department of Pediatrics in 2013 and is an associate professor of Clinical Pediatrics. Duties include attending on the inpatient ward teaching medical students, pharmacy students and residents how to deliver evidence-based pediatric care.

In 2015, Dr. Blackburn became the director of Quality for Prisma Health Children’s Hospital–Midlands and most recently became the quality officer for the Children’s Clinical Specialty Council, part of Prisma Health’s Clinical Advancement Program. As someone who enjoys engaging learners in quality work early in their career, she mentors QUEST students through the USC School of Medicine and helps teach the M1 Change Management course. Now in her second year of the MHA program through the USC Arnold School of Public Health, she plans to use this degree to keep improving patient care.

Dr. Blackburn and her husband have four children and enjoy serving their community and church as a family. You will soon find them cheering on the Anderson University Trojans as their twin daughters will be attending the university this fall.

Bradshaw Institute update

The Bradshaw Institute for Community Child Health & Advocacy, part of Prisma Health Children’s

Hospital–Upstate, works to create healthy and safe communities, increase access to care for those experiencing vulnerabilities, provide evidence-based strategies to improve health literacy, and ultimately become a best practice leader. Made possible by a legacy gift in 2016, the institute’s funding comes from various sources: grants, philanthropy and operational dollars.

Here are 12 highlights of the team’s activities or statistics in the Upstate for FY22 (October 2021–September 2022:

• Prisma Health Pediatric Support Services, which was established throughout our ambulatory pediatric practices, received 3,074 referrals.

• 246 students were seen during 414 total visits at our School-based Health Centers during the school year; 144 of those visits were for mental health screenings and psychosocial management.

• 783 Tdap, HPV and meningococcal vaccinations were administered to Greenville County students through these School-based Health Centers.

• 151 students received sports physicals through our School-based Health Centers.

• 2,272 students took part in the Wheels to Wellness comprehensive bike skills program.

• The team maintained 33 permanent Child Passenger Safety Inspection Stations in the community and completed 625 car seat inspections.

• 1,545 families were provided care coordination to help connect their children to mental health, behavioral and and parenting support services.

• Health educators supplied personalized pediatric injury prevention education to 2,048 families at our Greenville Memorial, Oconee Memorial and Patewood hospitals before their baby’s discharge from Newborn Services.

• 295 safe sleep referrals and education were provided via Cribs for Kids; 110 cribs were supplied to families.

• To keep children healthy and dry, 110,000 diapers were distributed via our Diaper Bank to 670 families in need.

• 183 families with food insecurity were connected to community resources.

• 40 of our medical residents were trained in community health and advocacy.

Tech of the Year

Congratulations to Bradshaw Institute’s Nydia Nieves, who received the CPS Technician of the Year award at the S.C. Child Passenger Safety Summit in September!

And more honors!

Bradshaw Institute won the 2022 S.C. Head Start Association Corporate Award for its Grow to Greatness program. This initiative supports early learning, health and family well-being.

The institute also received the Public Education Partners 2022 Partner of the Year Award in November. This award acknowledges Prisma Health’s financial support and the critical role the Bradshaw Institute plays in working with Greenville County Schools on Conscious Discipline and mental health programs.

To learn more, go to PrismaHealth.org/BradshawInstitute

Unity Park opens

Prisma Health is pleased to sponsor Unity Park, a 60acre transformational public-private project on the west side of Greenville that knits together historic downtown neighborhoods. The park includes protection and enhancement of the Reedy River and restoration of historic Mayberry Park, along with playgrounds, pedestrian bridges, walking trails and a visitor center. Its design is the result of more than a decade of community engagement, including meetings with surrounding neighborhoods.

The Prisma Health Welcome Center at the park features a first-aid station and lactation room. The center also houses community meeting space, where prenatal and pediatric health education classes will take place.

Making spirits bright

Prisma Health’s two Children’s Hospitals lit up the night and sparked holiday cheer in the hearts of young patients and their families during the annual Good Night Lights family-friendly drive-thru events in December. The simple gesture of shining a flashlight toward patients’ windows sends well wishes, positive thoughts and holiday cheer.

“Being in the hospital is hard for children and their families, especially so during the holidays,” said Caughman Taylor, MD, medical director of Children’s Hospital–Midlands. “Good Night Lights is a heartwarming way to send bright beams of well wishes in a way we know helps the children in their healing and families in their ability to get through difficult times.”

Robin LaCroix, MD, medical director at Children’s Hospital–Upstate, agreed: “It is wonderful when the community comes out and says to the children upstairs, ‘We know you’re there, we know that you and your families are going through an incredible health journey, and we want you to know we care and we’re thinking about you.’ ”

Greetings from Riverbanks Zoo

Prisma Health was proud to sponsor Riverbanks Zoo’s Santa’s Village in Columbia, where team member volunteers helped children and families create beautifully colored gift tags to add to presents distributed to patients at Prisma Health Children’s Hospital–Midlands. More than 61,000 people visited Santa’s Village to spread holiday cheer to our inpatients.

Appearing in ‘World’s Greatest’

Greenville’s Center for Developmental Services (CDS) houses five nonprofit groups – including Prisma Health –that work together to assess and deliver therapies for 8,000 children and 1,000 adults annually with developmental delays or disabilities. CDC was featured in November’s “World’s Greatest” TV show for its innovative approach in streamlining services and referrals under one roof.

Welcome, Kenishia GoldenSmith, DHA, MS

Kenishia Golden-Smith is the Pediatric Trauma Injury Prevention coordinator at Prisma Health Children’s Hospital–Midlands.

Golden-Smith has worked for nearly a decade in public health with a focus on reducing health disparities in vulnerable populations. She holds a BSW from Savannah State University and MS in health education and promotion from Walden University. Her DHA is from Virginia University of Lynchburg.

A team member since February 2022, she has established several child safety initiatives, including:

• Weekly child passenger safety inspections Tuesdays and Thursdays at Children’s Hospital from 10 a.m.–noon. Appointments are available on Eventbrite.

• Caregiver classes every fourth Thursday monthly for child passenger safety. Participants receive a discount on car seats at Prisma Health’s Baby & Me Boutique.

• Safe sleep classes the fourth Tuesday monthly for caregivers. Participants receive a discount on portable cribs at Prisma Health’s Baby & Me Boutique.

• Trauma Survivor’s Network (TSN) comfort bags. Families and patients visiting Children’s Hospital due to physical traumatic injuries receive comfort items and TSN survivor resources. This program serves as a community for trauma survivors to connect and rebuild their lives after injury.

• Partnerships with internal departments and external community and state organizations to help with injury prevention efforts.

Golden-Smith also writes grants to secure funding for program initiatives; serves as interim Safe Kids coordinator for the Midlands, ThinkFirst co-director for Prisma Health–Midlands and pediatric TSN coordinator; and is active in community events promoting injury prevention and awareness of childhood injuries.

Favorite pastimes are spending time with her spouse, playing with her dog, jogging and visiting her hometown of Savannah.

Both of our Prisma Health Children’s Hospitals have many reasons to celebrate!

Prisma Health Midlands Foundation

$100,000 gift honors Jason Hawn, MD

We’ve often heard that “heroes work at Prisma Health,” and that’s certainly how Cyndi and Mikee Johnson felt after their son, Causey, required emergency surgery at our Children’s Hospital in 2020. The Johnsons made the gift announcement in summer 2022 at a Champions Society gathering at the home of Drs. Leigh and Jason Hawn, to the surprise of Dr. Jason Hawn, who is their brother-inlaw and a pediatric hospitalist here. That summer evening at age 10, Causey spoke about how Bhairav Shah, MD, the Child Life team and Uncle Jason took care of him; Causey went on to explain how his hospital stay wasn’t scary because of them.

Dr. Hawn is beloved by children and parents for his bedside manner and for being a great communicator. We are fortunate to have him as part of the Children’s Hospital team along with his spouse, a Prisma Health adult hospitalist.

Donors + Festival of Trees Auction = $245,000

The Midlands Foundation celebrated generous donors Dec. 3 at the Pastides Alumni Center in Columbia. The event marked the return of the Festival of Trees Auction, presented by Aflac, and included a Fund-the-Need drive to send children to camps run by our Children’s Hospital. Special thanks to the individuals and companies whose sponsorship gifts, auction bids and Fund-the-Need monies contributed to the grand total!

More fundraising efforts

The University of South Carolina (USC) Dance Marathon kicked off its 25th year of fundraising on Child Health Day (Oct. 2), raising more than $75,094. Another $4,000 was gifted to the marathon as a winner of the Children’s Miracle Network Hospitals fundraising challenge – two of the top fundraisers are USC students! The second fundraising and recruitment push, Day of Miracles, resulted in more than $115,822 in November.

Save the date: March 25 is the next USC Dance Marathon.

Back (l–r): Dr. Jason Hawn, Cyndi and Mikee Johnson Front: Causey and sister Lilly Rae

USC Dance Marathon students reveal the results from their fall fundraising push.

Check this out!

Let’s hear it for Lexington 2’s Airport High School students who presented a $29,700 check for CAMP KEMO Programs in October! Thanks to all in the Airport High School community who donated to the 2022 Charity Drive; this school has made many donations to Prisma Health over the years. Shown with the students are Tommy Barrs, alumnus of Airport High School and a CAMP KEMO volunteer, and Cassy Shea, program coordinator for CAMP KEMO Programs at Children’s Hospital.

Children’s Miracle Network Hospitals campaigns

Check out these partner campaigns that will benefit both of our Children’s Hospitals:

• Costco: May

• Publix: May 24–June 4

• Dairy Queen: June–July

• Year-round Round Up at the Register: Panda Express, DQ, Love’s Travel Stops, Speedway, Ace Hardware

Upstate’s Office of Philanthropy The We Care Campaign

The We Care Campaign, in partnership with Ingles Markets and iHeart Media, raised $101,765 for the hospital! Items provided thanks to this campaign include:

Paws-itive news

The Michael J. Mungo Foundation donated $50,000 to our Child Life fund to help launch the Canine F.E.T.C.H. Unit in the Midlands, making it possible for Children’s Hospital to adopt its first two facility dogs. We look forward to welcoming these four-legged members this spring and know they will bring comfort and joy to those we serve (and the healthcare team). Donor support will be vital in growing and sustaining this program.

“We are thrilled to help establish this program for Children’s Hospital,” said Stewart Mungo, chairman of the Michael J. Mungo Foundation. “Our relationship with pets has untold benefits that cannot be measured. We know facility dogs can provide important medical benefits. We also know they can provide a child with confidence, security and general well-being – not to mention the simple joy and healing touch they bring to young patients.”

• Bookbags to support children in foster care by providing them with essential personal hygiene and school supplies inside the bag for when they leave Children’s Hospital.

• Distraction items such as sensory toys, video game systems and interactive wall murals.

• Support for our specialty camps, 100% funded through donations, which make camps free for our families by covering the cost of facility operations/rental fees, meals, activities, crafts, T-shirts and scholarships. (See also Page 30.)

Visit PrismaHealth.org/wecare for 2023 updates.

Stepping up

Clemson University Dance Marathon kicked off the year of fundraising on Child Health Day (Oct. 2), raising more than $10,000. The largest philanthropic student-led organization at Clemson University is raising funds for the Neonatal Intensive Care Unit. The second fundraising and recruitment push, All In Day, is in January and typically raises $50,000.

Save the date for the main event: Feb. 25. Visit clemsonmiracle.com for more information.

Becky embarks on new calling

Becky is a golden retriever that joined the Prisma Health team in August. The eighth facility dog to serve the Upstate, Becky works alongside her handler, Child Life Specialist Erin Shaffer, in Preop. According to Shaffer, the 6-year-old enjoys bringing smiles and laughs to hospitalized children, their families and team members.

And a fond farewell to Vivi

Vivi, our first and much-beloved facility dog, passed away Dec. 4 of cancer at age 8. A celebration of Vivi’s life and work took place at Greenville Memorial Hospital on Dec. 8.

For anyone looking for a way to honor her memory, the Canine F.E.T.C.H. Unit is accepting donations on her behalf: Text “LoveVivi” to 41444.

Fetch your calendar here

The 2023 Canine F.E.T.C.H. Unit calendar featuring our fabulous furry, fourlegged team members – including Vivi and Becky – has nearly sold out. To purchase a copy and support this grrreat unit of facility dogs, text GOFETCH to 41444

Making a difference

The Office of Philanthropy established the Be the Difference award to honor an Upstate Prisma Health clinician and a leader who understand the impact of engagement and transformational giving. The 2022 award recipients are Robin LaCroix, MD, and Taylor Stathes, MS, CTRS, CCLS.

Dr. LaCroix, as medical director of Children’s Hospital–Upstate and an infectious disease expert, provided leadership and guidance throughout the COVID-19 pandemic. She gives countless hours to philanthropy, leading volunteer groups and councils, attending events, giving tours, meeting with community leaders, and ensuring that philanthropic funds for children are wellleveraged. She is an exemplar of someone who delivers compassionate, insightful care.

Stathes, Upstate manager of Children’s Hospital Child Life and Special Programs, ensures that child-friendly spaces exist at Children’s Hospital. She not only advocates for patients and families, but also works with community partners to help support our youngest patients. She knows well the power of philanthropy, as her programs are supported solely through philanthropic generosity.

Answer: C) Congenital syphilis

This patient presented with a constellation of findings to include rash, anemia, hepatomegaly and proteinuria in the face of a low serum albumin. The acute phase reactants indicated an inflammatory process. All bacterial cultures were negative; however, the serum RPR returned at 1:512.

In addition, the CSF fluid revealed a positive VDRL, indicating CNS disease. Other labs for congenital infection were negative. The patient was treated with 10 days of aqueous penicillin G.

Congenital syphilis has many associated findings to include bony defects and periostitis. Nephrotic syndrome and anemia, as in this case, are known complications. Later manifestations include snuffles, saddle nose and Hutchinson’s incisors.

During the hospitalization, a skeletal survey was obtained looking for Wimberger’s sign or sabre shins, radiologic classics of this disease. The X-rays were normal, indicating that more than likely this mother and baby were infected later in the pregnancy.

Timing of labs is always important in applying and interpreting results. On review, the mother’s negative prenatal labs were obtained in the first trimester.

Langerhan’s histiocytosis is a reasonable consideration, but the patient’s age, incidence of disease and type of rash limit this diagnosis. ARPD is not inflammatory.

References

AAP Committee on Infectious Diseases. The Red Book, 31st Edition, 773–88. Yun Hee Kim, Ji Ho Song, Chan Jong Kim and Eun Mi Yang.

Congenital syphilis presenting with only nephrotic syndrome: reemergence of a forgotten disease. J Korean Med Sci. 2017 Aug;32(8):1374–76.

Robin LaCroix, MD (center above) and Taylor Stathes (center below) stand with Risé Wilson, Office of Philanthropy executive director, and Larry Gluck, MD, medical director of Prisma Health Cancer Institute, who is a past award winner.

Specialty camps return!

Thanks to reduced incidence of COVID-19, camps were back on the calendar this summer and fall for pediatric patients and their families to enjoy.

Of special note was the debut of Camp Heart-to-Heart, held Aug. 2–4 near Marietta (northern Greenville County) for children ages 6–12 with cardiology conditions. This marks Prisma Health’s first medically supervised camp open to kids across the state – meaning participants did not need to be Prisma Health patients. In fact, half of the campers were from the Midlands or Lowcountry.

This camp was made possible by the Dale A. Willenberg Congenital Heart Defect Endowment, established in 2019 by his family. Dale died unexpectedly just before his granddaughter Adaleigh was born with a congenital heart defect.

Wife Kelly and their two daughters were excited to see the camp finally come to fruition. They will be even more excited when Adaleigh – who has already had three open-heart surgeries – can attend in a few years.

“From the moment we found out Adaleigh had a heart defect before she was even born, my husband was committed to helping his family any way he could,” said Kelly. “He loved creating experiential memories, being outdoors and being with his family.”

The camp is staffed by volunteers and held in partnership with Greenville County Recreation. Like all our specialty camps, they are funded entirely by philanthropic donations.

Giving opportunities for specialty camps:

Prisma Health Midlands Foundation, 803-434-7275 or PrismaHealthMidlandsFoundation.org

Prisma Health Office of Philanthropy (Upstate), 864-797-7732 or PrismaHealthUpstateGiving.org

Prisma Health offers several medical specialty camps in the Midlands and Upstate where kids are surrounded by peers and dedicated health professionals in an atmosphere of excitement and adventure.

Children’s Hospitals directory

Admission to Children’s Hospital (Midlands): 1-800-75-SHOCK (7-4625)

General information: 803-296-KIDS (5437)

Children’s Hospital (Midlands) doctor/program: 803-296-KIDS (5437) Caughman

Admission to Children’s Hospital (Upstate): 864-455-0000

Neonatal Transport: 864-505-1481

Children’s Hospital (Upstate) doctor/program: 1-800-4RBUDDY

Congratulations, Richland Hospital!

Prisma Health Richland Hospital (home to Children’s Hospital–Midlands) recently earned Magnet® designation from the American Nurses Credentialing Center! This credential is the highest status for nursing excellence globally and is a testament to the countless contributions its nurses, in collaboration with other team members, have made to deliver high-quality patient care.

Richland is the fifth Prisma Health hospital to receive this coveted recognition, joining Baptist, Baptist Parkridge, Greenville Memorial (home to Children’s Hospital–Upstate) and Greer Memorial hospitals – and is among only eight in South Carolina and 600 across the nation.

“This is an exclusive club!” said Maryann Barnes, Richland Hospital’s CNO. “Fewer than 10% of hospitals in the U.S. are Magnet-designated.”

“Magnet is an exclusive designation that recognizes organizations for nursing excellence, transformational leadership, high-quality care and nursing satisfaction,

and empowers professional practice,” added Jean Meyer, Prisma Health’s CNE. “Although the designation is for nursing, the entire organization is involved in a highly collaborative way.”

Studies show that Magnet hospitals lead to higher engagement, higher job satisfaction, reduced turnover, improved safety and better patient outcomes.

For Children’s Hospital giving opportunities, contact: Prisma Health Midlands Foundation at 803-434-7275 or PrismaHealthMidlandsFoundation.org Prisma Health Office of Philanthropy (Upstate) at 864-797-7732 or PrismaHealthUpstateGiving.org

Children’s Hospital nurses are among those celebrating the sweet news of Richland Hospital’s Magnet status.